Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION

NPI: 1306883228 · WENATCHEE, WA 98801 · General Acute Care Hospital · NPI assigned 05/31/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official JONES, ANDREW controls 20+ related entities in our dataset. Read more

$63.42M
Total Medicaid Paid
2,026,234
Total Claims
1,753,917
Beneficiaries
578
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJONES, ANDREW (CEO)
NPI Enumeration Date05/31/2006

Related Entities

Other providers sharing the same authorized official: JONES, ANDREW

ProviderCityStateTotal Paid
CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION WENATCHEE WA $10.90M
CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION WENATCHEE WA $7.01M
CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION WENATCHEE WA $2.45M
CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION MOSES LAKE WA $2.43M
CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION WENATCHEE WA $2.07M
CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION EAST WENATCHEE WA $1.54M
CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION OMAK WA $1.10M
CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION WENATCHEE WA $562K
CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION WENATCHEE WA $381K
CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION TONASKET WA $234K
CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION OROVILLE WA $208K
CORNERSTONE DELIVERANCE & DEVELOPMENT MINISTRIES FOR CHRIST, INC FORT LAUDERDALE FL $194K
CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION BREWSTER WA $182K
CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION CASHMERE WA $177K
JONES FAMILY CHIROPRACTIC, LLC OSHKOSH WI $135K
CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION EPHRATA WA $133K
ANDREW B JONES PHD PSC LOUISVILLE KY $93K
CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION WATERVILLE WA $77K
CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION ROYAL CITY WA $62K
BRADFORD OPTICAL, PLC BRADFORD VT $57K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 171,760 $4.99M
2019 257,638 $7.46M
2020 242,173 $6.94M
2021 295,245 $8.03M
2022 297,921 $9.01M
2023 375,768 $12.48M
2024 385,729 $14.51M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 193,055 155,578 $16.59M
99283 Emergency department visit for the evaluation and management, moderate severity 49,433 45,320 $6.12M
96361 Intravenous infusion, hydration; each additional hour 17,440 14,065 $5.17M
99284 Emergency department visit for the evaluation and management, high severity 48,249 42,671 $4.14M
74177 Computed tomography, abdomen and pelvis; with contrast material 7,190 6,943 $1.40M
Q5103 Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg 1,356 1,260 $1.20M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 12,705 9,912 $1.13M
96415 4,589 3,405 $1.06M
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 5,179 3,217 $1.05M
J9271 Injection, pembrolizumab, 1 mg 275 215 $976K
70450 Computed tomography, head or brain; without contrast material 5,564 5,258 $819K
59025 Fetal non-stress test 4,677 2,856 $751K
C9257 Injection, bevacizumab, 0.25 mg 3,432 2,152 $729K
42820 Tonsillectomy and adenoidectomy; younger than age 12 340 340 $715K
96367 10,256 6,977 $701K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 5,341 4,732 $700K
J0585 Injection, onabotulinumtoxina, 1 unit 2,783 2,602 $696K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,076 2,986 $672K
J0178 Injection, aflibercept, 1 mg 1,681 1,556 $613K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4,509 4,301 $601K
96110 Developmental screening, with scoring and documentation, per standardized instrument 941 921 $531K
67028 Intravitreal injection of a pharmacologic agent 4,270 3,934 $528K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 11,781 7,626 $507K
76705 Ultrasound, abdominal, real time with image documentation; limited 4,930 4,781 $474K
J9312 Injection, rituximab, 10 mg 336 183 $469K
64615 2,042 1,995 $449K
29581 3,509 1,018 $398K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,134 2,048 $384K
J9310 Injection, rituximab, 100 mg 280 149 $373K
80053 Comprehensive metabolic panel 73,639 63,185 $356K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 756 637 $339K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 9,217 8,306 $339K
G0378 Hospital observation service, per hour 7,758 5,402 $311K
99281 Emergency department visit for the evaluation and management, self-limited or minor 2,248 2,136 $303K
71275 Computed tomographic angiography, chest, with contrast material 1,763 1,706 $293K
97530 Therapeutic activities, direct patient contact, each 15 minutes 6,201 3,798 $281K
76830 Ultrasound, transvaginal 2,894 2,835 $253K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 669 663 $247K
44970 79 77 $240K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 17,604 17,209 $238K
J2469 Injection, palonosetron hcl, 25 mcg 3,582 2,190 $231K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 5,518 5,126 $208K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 3,212 3,145 $188K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 3,882 1,771 $182K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 28,585 26,518 $176K
97597 2,847 1,476 $172K
12001 752 748 $155K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 607 592 $154K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 17,609 17,211 $153K
J1745 Injection, infliximab, excludes biosimilar, 10 mg 118 108 $149K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2,241 2,110 $144K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 446 442 $144K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 445 439 $140K
93971 1,715 1,646 $139K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 3,565 3,138 $139K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 88,608 75,195 $138K
88305 Level IV - Surgical pathology, gross and microscopic examination 10,390 10,014 $133K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 21,947 19,432 $128K
88142 9,283 9,175 $127K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,085 1,018 $123K
58300 975 965 $122K
80048 Basic metabolic panel (calcium, ionized) 25,297 22,412 $117K
J2505 Injection, pegfilgrastim, 6 mg 74 55 $111K
J9035 Injection, bevacizumab, 10 mg 80 25 $111K
80050 General health panel 15,190 14,626 $108K
83036 Hemoglobin; glycosylated (A1C) 29,076 28,671 $100K
76770 918 902 $99K
84443 Thyroid stimulating hormone (TSH) 19,175 18,548 $98K
93976 1,914 1,859 $98K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,114 1,091 $96K
52356 36 36 $95K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 6,460 6,385 $95K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 3,840 2,068 $94K
97162 2,178 2,099 $92K
82728 14,943 14,512 $90K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 6,127 5,503 $89K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 15,890 12,440 $89K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 286 277 $88K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 7,173 7,061 $88K
87086 Culture, bacterial; quantitative colony count, urine 27,724 26,076 $88K
87507 805 788 $87K
70496 456 445 $87K
J1453 Injection, fosaprepitant, 1 mg 1,260 827 $86K
95886 900 886 $85K
86780 9,505 9,341 $85K
45380 Colonoscopy, flexible; with biopsy, single or multiple 172 170 $83K
80061 Lipid panel 21,455 21,168 $81K
92551 2,799 2,791 $78K
76801 1,596 1,455 $71K
93017 919 882 $70K
90715 3,881 3,859 $70K
64405 211 206 $69K
52000 112 112 $68K
20610 610 577 $68K
78815 Positron emission tomography (PET) for limited area imaging 130 127 $62K
47562 25 25 $62K
87653 4,288 4,259 $60K
11102 313 304 $59K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 11,401 11,238 $59K
82607 9,052 8,894 $55K
92526 1,079 644 $54K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1,518 777 $54K
97161 1,155 1,123 $53K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 21,671 19,051 $53K
96375 Therapeutic injection; each additional sequential IV push 24,415 18,260 $52K
96523 1,457 1,290 $52K
84484 10,204 8,900 $51K
36415 Collection of venous blood by venipuncture 80,587 65,369 $49K
84439 7,745 7,481 $49K
90472 Immunization administration, each additional vaccine (list separately) 2,977 2,966 $49K
71045 Radiologic examination, chest; single view 10,843 10,186 $47K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 697 690 $47K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 685 646 $47K
87081 7,918 7,786 $46K
94060 1,621 1,588 $45K
87077 13,936 13,360 $45K
86140 18,172 16,955 $40K
0002A 1,275 1,234 $39K
72125 Computed tomography, cervical spine; without contrast material 1,622 1,565 $39K
90686 4,246 4,196 $38K
71046 Radiologic examination, chest; 2 views 6,023 5,794 $37K
0001A 1,554 1,425 $37K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 1,234 1,161 $36K
83540 11,288 11,049 $35K
82570 11,152 10,702 $35K
17110 302 298 $33K
86900 8,547 8,035 $33K
J3490 Unclassified drugs 23,237 12,646 $33K
87040 4,074 2,923 $32K
83605 6,071 5,442 $32K
12011 152 150 $32K
11104 131 130 $32K
83970 2,190 2,129 $32K
70498 496 483 $30K
80074 4,087 4,026 $30K
92550 698 690 $29K
G0008 Administration of influenza virus vaccine 5,278 5,211 $29K
95117 1,414 564 $29K
86706 6,417 6,279 $29K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2,287 2,249 $28K
83880 3,846 3,523 $28K
86703 6,790 6,653 $28K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 566 554 $27K
86850 8,414 7,988 $27K
36591 4,873 2,918 $27K
76937 843 761 $26K
87070 5,989 5,675 $25K
70551 Magnetic resonance imaging, brain; without contrast material 261 250 $24K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 15,440 13,784 $24K
83001 1,882 1,838 $23K
84481 4,083 3,975 $22K
94726 1,575 1,544 $22K
Q5111 Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg 20 12 $22K
84146 1,914 1,854 $22K
94729 2,037 1,996 $22K
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous 2,992 2,983 $21K
31575 294 293 $21K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 146 143 $21K
80047 9,864 9,021 $21K
84702 3,990 2,896 $20K
12002 126 123 $20K
88307 778 744 $20K
95115 923 351 $20K
80076 8,605 8,079 $20K
85379 3,940 3,820 $20K
64483 43 43 $19K
88342 2,118 2,002 $19K
10060 105 99 $19K
92587 451 448 $19K
84153 3,409 3,299 $18K
85652 14,317 13,713 $18K
49083 49 24 $18K
82784 2,996 2,766 $18K
85027 10,659 9,103 $17K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 533 530 $17K
86480 936 917 $17K
58301 149 147 $17K
C1776 Joint device (implantable) 68 67 $16K
69210 259 254 $16K
87340 7,316 7,137 $16K
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography 61 59 $16K
J1750 Injection, iron dextran, 50 mg 286 282 $16K
87210 5,039 4,897 $16K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 12 12 $16K
83013 552 549 $16K
86901 8,547 8,036 $16K
71271 218 217 $16K
86803 4,930 4,815 $15K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 265 259 $15K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 512 465 $15K
72100 2,274 2,199 $15K
93296 1,790 1,731 $15K
31231 195 190 $14K
82247 1,869 1,387 $14K
83735 10,863 8,716 $14K
82043 9,455 9,246 $14K
17000 297 291 $14K
70486 295 289 $14K
81001 19,369 18,007 $14K
83690 17,998 16,251 $14K
74018 2,031 1,958 $14K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,302 843 $14K
73630 1,612 1,490 $13K
92083 821 806 $13K
92557 724 711 $13K
96376 6,248 4,808 $13K
73564 1,849 1,710 $13K
82533 985 919 $13K
93226 369 354 $13K
57454 40 40 $13K
86762 4,908 4,809 $12K
95885 129 125 $12K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 258 258 $12K
92579 279 277 $12K
92567 1,012 999 $11K
85610 10,082 7,963 $11K
73610 2,033 1,835 $11K
70491 52 51 $11K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 795 780 $11K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 188 177 $11K
87428 3,786 3,719 $11K
93970 111 109 $11K
94010 445 439 $11K
84403 1,186 1,154 $11K
88304 1,794 1,747 $10K
71250 228 223 $10K
84466 2,405 2,342 $10K
73110 1,359 1,197 $10K
74420 72 70 $10K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 530 526 $10K
82746 2,700 2,646 $10K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 489 283 $9K
86003 977 675 $9K
29075 59 56 $9K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 27 27 $9K
87147 3,471 3,395 $9K
76536 98 96 $9K
81025 15,090 14,016 $9K
87186 5,825 5,528 $9K
G0257 Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility 33 24 $9K
85007 3,892 3,106 $9K
11981 13 13 $8K
82248 2,240 1,752 $8K
73130 1,329 1,198 $8K
83002 996 973 $8K
95816 53 52 $8K
92235 90 85 $8K
73030 1,333 1,215 $8K
72131 181 179 $8K
85018 3,525 3,303 $8K
92504 101 92 $8K
83655 636 633 $7K
87563 989 971 $7K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 13 13 $7K
82670 707 688 $7K
85014 2,238 2,097 $7K
72040 1,588 1,495 $7K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 963 947 $6K
92025 79 79 $6K
97167 130 128 $6K
73502 632 596 $6K
88341 853 807 $6K
97129 29 12 $6K
92610 145 143 $6K
17311 32 29 $6K
73140 655 572 $6K
99152 2,894 2,662 $6K
86431 2,125 2,079 $6K
87045 1,032 1,014 $5K
Q5118 Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg 25 12 $5K
86038 992 940 $5K
74174 15 15 $5K
87338 791 790 $5K
11900 39 39 $5K
92552 232 232 $5K
82075 1,433 1,254 $5K
84145 885 834 $5K
76819 Fetal biophysical profile; without non-stress testing 80 57 $5K
72110 296 292 $4K
95910 93 90 $4K
43235 13 13 $4K
11750 13 12 $4K
82565 2,052 1,866 $4K
92020 41 38 $4K
92136 471 458 $4K
82962 13,984 8,989 $4K
G0498 Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies, with continuation of the infusion in the community setting (e.g., home, domiciliary, rest home or assisted living) using a portable pump provided by the office/clinic, includes follow up office/clinic visit at the conclusion of the infusion 344 206 $4K
82627 287 282 $4K
92134 7,609 7,111 $4K
V2632 Posterior chamber intraocular lens 946 799 $4K
11055 79 76 $4K
81003 7,843 7,388 $4K
87631 187 187 $4K
93922 120 115 $4K
87899 1,593 897 $4K
82950 2,651 2,631 $4K
86677 341 335 $4K
82378 1,826 1,401 $4K
80164 549 519 $4K
90651 1,052 1,050 $4K
84100 3,111 2,656 $4K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 2,339 2,155 $3K
C1769 Guide wire 3,346 2,783 $3K
84460 1,925 1,808 $3K
G0379 Direct admission of patient for hospital observation care 105 99 $3K
87493 822 807 $3K
J7120 Ringers lactate infusion, up to 1000 cc 20,794 17,823 $3K
90671 1,191 1,188 $3K
92523 27 27 $3K
84156 1,704 1,536 $3K
73590 326 293 $3K
82550 2,242 1,972 $3K
76870 40 40 $3K
82803 1,457 1,238 $3K
J2405 Injection, ondansetron hydrochloride, per 1 mg 25,528 20,032 $3K
86258 453 441 $3K
82785 240 238 $3K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 1,867 1,809 $3K
72197 13 13 $3K
J7030 Infusion, normal saline solution , 1000 cc 21,133 17,934 $3K
92555 198 198 $3K
81420 Fetal chromosomal aneuploidy genomic sequence analysis panel 12 12 $3K
95911 42 41 $2K
84450 1,267 1,151 $2K
95819 13 13 $2K
84550 1,877 1,742 $2K
J2704 Injection, propofol, 10 mg 15,084 10,689 $2K
72158 13 13 $2K
90656 744 740 $2K
99153 Mod sedat endo service >5yrs 2,888 2,696 $2K
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 1,038 1,017 $2K
73120 383 187 $2K
86364 508 496 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 21,369 15,366 $2K
84144 301 287 $2K
96368 822 620 $2K
J3010 Injection, fentanyl citrate, 0.1 mg 16,861 14,401 $2K
95908 39 39 $2K
80197 386 258 $2K
87205 2,329 2,140 $2K
81002 12,935 12,103 $2K
83615 1,846 1,648 $2K
86308 415 410 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg 18,565 14,456 $2K
80069 406 336 $2K
96411 1,765 1,108 $2K
82947 919 868 $2K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 177 176 $2K
96402 181 166 $2K
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 368 339 $2K
80400 199 188 $2K
86787 370 362 $2K
72141 13 12 $2K
83721 625 623 $2K
51798 612 578 $2K
97165 44 42 $2K
C1760 Closure device, vascular (implantable/insertable) 285 272 $2K
86160 448 402 $2K
93246 27 27 $1K
J1200 Injection, diphenhydramine hcl, up to 50 mg 10,752 8,074 $1K
J2250 Injection, midazolam hydrochloride, per 1 mg 14,686 12,519 $1K
86304 407 316 $1K
88312 233 229 $1K
97163 41 38 $1K
J1170 Injection, hydromorphone, up to 4 mg 13,071 9,182 $1K
80178 188 168 $1K
92133 1,713 1,678 $1K
36416 1,426 807 $1K
95909 31 31 $1K
J9217 Leuprolide acetate (for depot suspension), 7.5 mg 14 13 $1K
J0561 Injection, penicillin g benzathine, 100,000 units 12 12 $1K
0012A 48 48 $1K
84270 181 176 $1K
93798 270 42 $1K
87075 1,154 1,052 $1K
20550 13 12 $1K
88173 113 103 $1K
0011A 56 56 $1K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 186 182 $1K
73090 143 132 $1K
86334 233 209 $1K
81015 606 599 $1K
90474 817 816 $1K
73080 163 154 $1K
90678 81 81 $1K
74178 13 13 $1K
72070 111 109 $1K
73560 106 94 $1K
C1887 Catheter, guiding (may include infusion/perfusion capability) 1,179 1,078 $1K
88172 41 39 $1K
Q9957 Injection, perflutren lipid microspheres, per ml 162 159 $988.80
83521 247 231 $980.79
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 2,698 2,054 $950.41
85046 344 326 $946.21
84165 361 336 $931.20
73700 15 14 $909.17
83520 89 77 $902.13
93225 27 26 $895.29
90480 54 49 $889.59
85730 688 658 $880.27
J0690 Injection, cefazolin sodium, 500 mg 8,124 6,570 $878.45
86705 675 654 $811.90
C2617 Stent, non-coronary, temporary, without delivery system 249 239 $808.78
43248 15 15 $786.20
83516 122 95 $771.68
96381 51 51 $769.72
J1050 Injection, medroxyprogesterone acetate, 1 mg 931 926 $764.39
87522 Neg quan hep c or qual rna 68 67 $754.02
J0696 Injection, ceftriaxone sodium, per 250 mg 4,139 3,370 $743.28
73562 64 52 $714.98
82150 143 137 $707.77
74230 12 12 $696.62
11720 155 153 $694.71
93325 13 13 $689.82
86704 214 209 $677.68
96417 2,722 1,724 $666.12
94727 66 66 $656.19
82951 94 94 $654.01
84703 139 133 $653.81
82105 95 95 $641.84
99195 20 13 $637.96
J7050 Infusion, normal saline solution, 250 cc 4,887 3,662 $627.35
84132 1,199 1,089 $626.50
73100 371 199 $621.16
83993 68 68 $614.00
86709 635 614 $611.54
J0330 Injection, succinylcholine chloride, up to 20 mg 2,857 2,751 $609.01
J9190 Injection, fluorouracil, 500 mg 1,258 321 $609.00
97166 16 15 $602.91
72202 25 25 $602.57
J3475 Injection, magnesium sulfate, per 500 mg 2,071 1,438 $586.81
C1729 Catheter, drainage 269 137 $580.27
82330 554 514 $576.68
90832 Psychotherapy, 30 minutes with patient 408 337 $576.19
86235 33 27 $564.87
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 431 426 $558.09
51702 63 56 $553.66
87807 472 472 $546.07
86708 185 182 $545.93
83525 88 85 $543.59
84163 41 40 $530.19
92250 339 320 $529.36
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 4,321 4,274 $518.60
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 153 149 $516.24
J0131 Injection, acetaminophen, not otherwise specified,10 mg 598 569 $495.86
J2785 Injection, regadenoson, 0.1 mg 147 141 $494.26
J1630 Injection, haloperidol, up to 5 mg 2,580 2,226 $493.46
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 701 671 $469.06
J2060 Injection, lorazepam, 2 mg 3,303 2,831 $468.08
92650 14 14 $434.09
J0780 Injection, prochlorperazine, up to 10 mg 1,637 1,501 $433.99
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 858 849 $426.90
90707 353 353 $421.11
17003 145 144 $410.18
73552 25 24 $406.38
86200 80 80 $399.89
92556 25 25 $373.40
J2765 Injection, metoclopramide hcl, up to 10 mg 3,334 3,042 $372.60
J1010 Injection, methylprednisolone acetate, 1 mg 253 246 $367.22
93880 14 14 $365.19
J3489 Injection, zoledronic acid, 1 mg 27 25 $363.22
87529 13 12 $357.78
88360 32 29 $348.71
87329 54 54 $326.63
J2919 Injection, methylprednisolone sodium succinate, 5 mg 369 317 $307.75
72050 39 39 $305.56
82977 122 116 $305.00
C1758 Catheter, ureteral 453 433 $299.22
86300 48 38 $278.61
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 575 314 $277.15
J2270 Injection, morphine sulfate, up to 10 mg 3,149 2,662 $273.44
11721 74 74 $266.94
86141 88 87 $266.85
85049 290 281 $260.82
72170 31 28 $249.99
J1644 Injection, heparin sodium, per 1000 units 3,022 1,917 $242.39
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 2,192 1,671 $231.27
82310 108 100 $225.19
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 951 940 $215.65
0296T 15 15 $211.16
J3480 Injection, potassium chloride, per 2 meq 1,495 1,127 $208.39
84520 128 114 $193.56
87328 54 54 $191.61
86146 15 14 $187.68
73070 61 50 $181.20
88112 29 28 $180.06
95874 91 88 $173.16
82952 51 51 $169.61
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 13 13 $162.22
J1040 Injection, methylprednisolone acetate, 80 mg 108 107 $149.87
90660 16 16 $149.83
90662 208 196 $148.06
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 43 43 $130.11
J1030 Injection, methylprednisolone acetate, 40 mg 130 128 $126.62
90756 22 21 $120.15
86225 15 14 $112.53
92611 25 24 $108.78
86147 15 14 $106.69
82140 55 49 $102.01
86036 13 13 $96.92
J2550 Injection, promethazine hcl, up to 50 mg 697 638 $93.60
J1171 Injection, hydromorphone, 0.1 mg 325 238 $87.53
84300 39 37 $85.29
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 2,705 2,578 $84.79
74019 16 15 $80.63
G0103 Prostate cancer screening; prostate specific antigen test (psa) 155 154 $72.88
85384 13 13 $68.84
86301 34 26 $68.58
29125 14 14 $65.48
84134 14 12 $63.21
J0640 Injection, leucovorin calcium, per 50 mg 445 199 $60.70
J0171 Injection, adrenalin, epinephrine, 0.1 mg 159 140 $55.23
J1940 Injection, furosemide, up to 20 mg 238 168 $54.22
J1650 Injection, enoxaparin sodium, 10 mg 45 25 $52.06
86376 12 12 $50.74
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 17 17 $48.92
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg 12 12 $39.36
86923 14 12 $36.33
99173 2,796 2,790 $35.49
90834 Psychotherapy, 45 minutes with patient 145 130 $35.10
0077U 15 15 $29.09
11719 29 27 $28.08
G0475 Hiv antigen/antibody, combination assay, screening 3,464 3,412 $26.36
J3370 Injection, vancomycin hcl, 500 mg 272 186 $23.24
82365 12 12 $20.28
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 1,649 1,496 $19.68
76376 31 30 $18.72
J2800 Injection, methocarbamol, up to 10 ml 29 29 $17.89
J7121 5% dextrose in lactated ringers infusion, up to 1000 cc 28 25 $17.55
88313 15 15 $16.65
0202U Oncology (prostate), multianalyte, gene expression profiling 3,626 3,568 $16.11
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 158 64 $10.54
82010 29 25 $3.47
73060 14 13 $3.27
90710 304 303 $0.01
A9270 Non-covered item or service 12,786 8,210 $0.01
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 2,192 1,777 $0.00
A9576 Injection, gadoteridol, (prohance multipack), per ml 371 358 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 101 86 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 298 210 $0.00
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 174 161 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 80 68 $0.00
J7699 Noc drugs, inhalation solution administered through dme 28 27 $0.00
93356 72 71 $0.00
90633 787 785 $0.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 28 25 $0.00
J0694 Injection, cefoxitin sodium, 1 gm 22 14 $0.00
J9263 Injection, oxaliplatin, 0.5 mg 221 66 $0.00
86328 15 15 $0.00
90672 21 21 $0.00
G8990 Other physical or occupational therapy primary functional limitation, current status, at therapy episode outset and at reporting intervals 16 14 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 1,030 865 $0.00
90619 549 545 $0.00
90697 856 855 $0.00
J7042 5% dextrose/normal saline (500 ml = 1 unit) 153 117 $0.00
90680 837 836 $0.00
90620 121 121 $0.00
90696 284 283 $0.00
90698 306 305 $0.00
90716 366 365 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 15 15 $0.00
G8991 Other physical or occupational therapy primary functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 32 28 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 145 130 $0.00
94760 39 38 $0.00
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 174 141 $0.00
90847 Family psychotherapy with the patient present, 50 minutes 13 13 $0.00
0240U 150 146 $0.00
J1815 Injection, insulin, per 5 units 199 116 $0.00
74022 12 12 $0.00
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 93 93 $0.00
J9045 Injection, carboplatin, 50 mg 219 126 $0.00
90381 45 45 $0.00
81511 28 28 $0.00
94644 12 12 $0.00
71101 12 12 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 79 71 $0.00
J0697 Injection, sterile cefuroxime sodium, per 750 mg 57 47 $0.00
92285 19 15 $0.00