Medicaid Provider Spending

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

SWEDISH HEALTH SERVICES

NPI: 1306992151 · SEATTLE, WA 98122 · General Acute Care Hospital · NPI assigned 01/26/2007

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

Authorized official ANDERSON, DONALD controls 20+ related entities in our dataset. Read more

$125.52M
Total Medicaid Paid
3,130,079
Total Claims
2,557,018
Beneficiaries
573
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECREATRY FOR ENROLLMENT)
NPI Enumeration Date01/26/2007

Related Entities

Other providers sharing the same authorized official: ANDERSON, DONALD

ProviderCityStateTotal Paid
PROVIDENCE HEALTH & SERVICES WASHINGTON ANCHORAGE AK $161.45M
KADLEC REGIONAL MEDICAL CENTER RICHLAND WA $151.60M
SWEDISH EDMONDS EDMONDS WA $30.06M
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC EUREKA CA $28.68M
PROVIDENCE HEALTH SYSTEM SOUTHERN CALIFORNIA TORRANCE CA $27.29M
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA SAN PEDRO CA $24.26M
PROVIDENCE HEALTH & SERVICES - WASHINGTON TUKWILA WA $21.98M
SWEDISH HEALTH SERVICES SEATTLE WA $21.06M
PROVIDENCE HEALTH & SERVICES WASHINGTON KODIAK AK $11.39M
SWEDISH HEALTH SERVICES SEATTLE WA $11.08M
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC FORTUNA CA $8.55M
COLLABRIA CARE NAPA CA $8.20M
PROVIDENCE HEALTH & SERVICES OREGON SEASIDE OR $8.01M
PROVIDENCE HEALTH & SERVICES- WASHINGTON SPOKANE WA $8.01M
HOSPICE OF LUBBOCK INC LUBBOCK TX $6.48M
PROVIDENCE SAINT JOHN'S HEALTH CENTER SANTA MONICA CA $5.52M
METHODIST HOSPITAL LEVELLAND LEVELLAND TX $4.55M
COLLABRIA CARE NAPA CA $4.05M
METHODIST HOSPITAL LEVELLAND LEVELLAND TX $4.01M
METHODIST HOSPITAL PLAINVIEW TEXAS PLAINVIEW TX $4.00M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 440,193 $18.13M
2019 466,151 $19.50M
2020 396,416 $16.30M
2021 497,645 $20.36M
2022 475,215 $19.12M
2023 454,675 $17.38M
2024 399,784 $14.73M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
96361 Intravenous infusion, hydration; each additional hour 49,534 40,819 $15.42M
99283 Emergency department visit for the evaluation and management, moderate severity 115,736 107,666 $13.55M
99284 Emergency department visit for the evaluation and management, high severity 91,896 84,596 $8.25M
J9271 Injection, pembrolizumab, 1 mg 2,006 1,488 $7.90M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 114,067 77,667 $7.45M
77412 14,108 1,410 $5.28M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 63,117 58,594 $5.16M
74177 Computed tomography, abdomen and pelvis; with contrast material 17,758 17,002 $3.22M
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 10,024 7,242 $2.47M
99282 Emergency department visit for the evaluation and management, low to moderate severity 28,073 26,251 $2.44M
J9263 Injection, oxaliplatin, 0.5 mg 2,941 913 $2.41M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 23,157 18,104 $2.17M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 5,711 5,577 $2.10M
J2350 Injection, ocrelizumab, 1 mg 210 188 $2.03M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 22,745 13,708 $1.90M
70450 Computed tomography, head or brain; without contrast material 13,406 12,726 $1.87M
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 15,549 13,118 $1.70M
J1745 Injection, infliximab, excludes biosimilar, 10 mg 1,373 1,193 $1.58M
J2323 Injection, natalizumab, 1 mg 705 658 $1.48M
45380 Colonoscopy, flexible; with biopsy, single or multiple 4,512 4,423 $1.40M
96415 7,743 5,256 $1.36M
59025 Fetal non-stress test 8,629 5,266 $1.24M
99281 Emergency department visit for the evaluation and management, self-limited or minor 10,131 9,392 $1.23M
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 2,454 2,409 $1.14M
J2505 Injection, pegfilgrastim, 6 mg 705 468 $1.09M
Q5111 Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg 826 529 $1.06M
J9355 Injection, trastuzumab, excludes biosimilar, 10 mg 999 574 $1.03M
74176 Computed tomography, abdomen and pelvis; without contrast material 5,779 5,603 $1.01M
71275 Computed tomographic angiography, chest, with contrast material 5,596 5,412 $984K
J9035 Injection, bevacizumab, 10 mg 662 352 $789K
76705 Ultrasound, abdominal, real time with image documentation; limited 8,620 8,237 $772K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 20,609 18,582 $727K
10060 3,374 3,263 $704K
90870 2,185 664 $557K
J2469 Injection, palonosetron hcl, 25 mcg 8,551 5,128 $556K
96416 2,632 1,526 $549K
12001 2,587 2,542 $537K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 10,352 6,745 $521K
80053 Comprehensive metabolic panel 121,503 97,685 $518K
J9306 Injection, pertuzumab, 1 mg 378 269 $496K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 1,169 1,156 $472K
76642 5,622 5,210 $467K
76830 Ultrasound, transvaginal 5,656 5,475 $466K
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 5,873 5,498 $466K
Q5114 Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg 317 205 $463K
76801 8,150 7,478 $419K
Q5118 Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg 1,932 842 $403K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 6,797 6,621 $403K
87631 5,470 5,279 $394K
12011 1,663 1,636 $377K
93970 3,639 3,519 $362K
J1950 Injection, leuprolide acetate (for depot suspension), per 3.75 mg 204 193 $353K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 6,462 6,277 $349K
70498 3,360 3,265 $343K
96367 5,868 4,145 $332K
77067 Screening mammography, bilateral, including computer-aided detection 7,970 7,878 $321K
76770 2,490 2,441 $319K
J1453 Injection, fosaprepitant, 1 mg 3,852 2,390 $301K
70496 3,365 3,268 $283K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1,329 1,300 $279K
10061 1,524 1,472 $275K
70551 Magnetic resonance imaging, brain; without contrast material 1,952 1,899 $274K
12002 1,396 1,372 $269K
77334 1,861 1,320 $253K
G0378 Hospital observation service, per hour 21,082 9,101 $246K
77336 4,839 2,036 $243K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,131 1,093 $240K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 5,331 4,751 $239K
93971 2,522 2,461 $228K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 3,863 3,751 $217K
Q5120 Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg 135 92 $210K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 7,143 6,137 $193K
97530 Therapeutic activities, direct patient contact, each 15 minutes 7,911 3,094 $191K
70491 1,334 1,307 $186K
J9395 Injection, fulvestrant, 25 mg 635 565 $185K
80047 49,111 45,498 $177K
84484 42,043 33,714 $174K
P9040 Red blood cells, leukocytes reduced, irradiated, each unit 1,052 730 $172K
76818 5,968 3,146 $170K
36430 2,257 1,477 $166K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 7,605 3,559 $165K
19083 261 250 $157K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 14,856 14,305 $147K
J1756 Injection, iron sucrose, 1 mg 4,789 2,564 $136K
J0185 Injection, aprepitant, 1 mg 1,719 1,081 $132K
64400 465 441 $131K
43235 377 370 $128K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 16,042 10,614 $125K
77290 586 544 $122K
77065 Tomosynthesis, mammo 3,874 3,569 $117K
83605 22,678 19,296 $117K
80048 Basic metabolic panel (calcium, ionized) 26,850 21,697 $115K
93978 2,561 2,465 $114K
76870 1,247 1,192 $112K
29125 915 897 $109K
77066 Tomosynthesis, mammo 3,797 3,728 $109K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,980 1,917 $108K
J9217 Leuprolide acetate (for depot suspension), 7.5 mg 446 428 $107K
80076 31,153 29,204 $106K
77295 255 234 $102K
77386 379 37 $101K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 8,917 8,543 $97K
64483 220 212 $88K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 6,874 6,454 $88K
J9312 Injection, rituximab, 10 mg 31 26 $87K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 2,768 1,213 $87K
71046 Radiologic examination, chest; 2 views 17,962 17,273 $86K
90715 4,525 4,426 $85K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 693 671 $82K
93976 1,674 1,619 $79K
J9206 Injection, irinotecan, 20 mg 975 477 $78K
36561 85 80 $78K
36415 Collection of venous blood by venipuncture 41,917 31,167 $78K
70486 2,364 2,313 $78K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 64,772 56,668 $74K
77063 Screening digital breast tomosynthesis, bilateral 5,373 5,318 $71K
87040 11,634 6,628 $69K
76819 Fetal biophysical profile; without non-stress testing 1,703 1,352 $69K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 181,739 146,276 $67K
77470 102 100 $65K
71260 Computed tomography, thorax, diagnostic; with contrast material 2,178 2,106 $63K
77280 376 333 $58K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 2,710 1,227 $56K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,890 3,628 $54K
87400 3,850 2,839 $53K
84145 6,368 5,847 $51K
74174 557 531 $48K
86300 4,699 3,993 $46K
97162 1,697 1,619 $46K
96523 1,381 1,303 $46K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 53,354 47,669 $46K
83880 10,044 9,436 $45K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 30,254 22,125 $45K
76813 1,384 1,338 $44K
J0897 Injection, denosumab, 1 mg 350 312 $44K
36591 7,874 6,348 $43K
77300 969 863 $43K
76820 1,647 846 $42K
85379 8,353 8,102 $41K
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 4,996 4,671 $41K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 2,572 1,607 $40K
76536 449 443 $37K
J1750 Injection, iron dextran, 50 mg 812 428 $37K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 5,355 5,228 $37K
73630 5,856 5,514 $34K
73562 3,366 3,278 $33K
54161 71 68 $32K
97161 1,025 983 $32K
44970 13 13 $32K
71045 Radiologic examination, chest; single view 28,550 26,765 $32K
72125 Computed tomography, cervical spine; without contrast material 3,709 3,578 $32K
73610 6,116 5,752 $31K
47562 12 12 $28K
76700 Ultrasound, abdominal, real time with image documentation; complete 285 282 $27K
82105 2,838 2,668 $26K
J3489 Injection, zoledronic acid, 1 mg 946 898 $24K
84443 Thyroid stimulating hormone (TSH) 11,784 10,503 $24K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 3,028 2,884 $24K
77331 425 365 $23K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 1,205 1,166 $23K
73030 4,695 4,278 $23K
72100 3,443 3,353 $22K
71250 615 598 $22K
73700 358 337 $22K
97535 Self-care/home management training, each 15 minutes 2,251 1,327 $22K
J2997 Injection, alteplase recombinant, 1 mg 572 485 $22K
73130 4,608 4,309 $21K
82784 4,221 2,819 $21K
93975 268 261 $21K
88307 1,625 1,473 $20K
82728 7,383 6,924 $20K
97116 2,401 1,399 $19K
80197 2,668 1,294 $19K
87158 1,659 1,416 $18K
91200 205 198 $18K
70487 87 87 $17K
64493 33 26 $17K
J1439 Injection, ferric carboxymaltose, 1 mg 573 408 $17K
97166 836 792 $17K
19081 24 24 $17K
76937 587 546 $17K
97165 671 641 $17K
85027 16,527 14,275 $17K
43264 46 42 $17K
83735 17,523 11,844 $17K
96375 Therapeutic injection; each additional sequential IV push 63,183 47,553 $16K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 85 82 $16K
77001 191 179 $16K
82378 6,124 4,764 $16K
74018 2,820 2,623 $16K
73502 2,643 2,522 $15K
86304 2,393 1,925 $15K
Q5101 Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram 97 30 $15K
77387 2,438 239 $14K
96368 3,593 2,288 $14K
74183 64 63 $14K
90686 1,291 1,254 $14K
86923 1,567 1,193 $13K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,996 1,920 $13K
J0515 Injection, benztropine mesylate, per 1 mg 362 334 $13K
J9070 Cyclophosphamide, 100 mg 170 105 $13K
73701 65 64 $13K
J0485 Injection, belatacept, 1 mg 277 112 $12K
J9201 Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg 70 25 $12K
73110 3,609 3,390 $12K
76882 162 145 $12K
87517 755 737 $12K
87522 Neg quan hep c or qual rna 776 747 $11K
86317 1,354 1,267 $10K
Q5107 Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg 32 13 $10K
88185 442 397 $10K
85610 23,112 17,806 $10K
72040 926 904 $9K
73564 2,938 2,745 $9K
82607 2,849 2,741 $9K
87486 1,210 1,171 $9K
87581 1,210 1,171 $9K
83883 1,724 819 $8K
87641 1,564 1,428 $8K
96402 2,912 2,662 $8K
80061 Lipid panel 1,755 1,732 $8K
84703 36,709 34,554 $8K
84702 9,914 9,009 $8K
J2405 Injection, ondansetron hydrochloride, per 1 mg 55,189 45,733 $8K
72141 67 64 $8K
73140 2,633 2,500 $8K
82962 31,111 18,095 $7K
80050 General health panel 1,581 1,450 $7K
72158 75 74 $7K
87507 110 109 $7K
87799 990 755 $7K
0202U Oncology (prostate), multianalyte, gene expression profiling 1,150 1,115 $7K
88305 Level IV - Surgical pathology, gross and microscopic examination 11,256 10,312 $7K
84100 7,761 4,879 $6K
P9016 Red blood cells, leukocytes reduced, each unit 18 15 $6K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 8,859 8,506 $6K
83540 6,533 6,203 $6K
81001 34,001 31,106 $6K
12013 38 38 $6K
96409 558 312 $6K
73080 2,171 2,074 $6K
87086 Culture, bacterial; quantitative colony count, urine 14,142 13,290 $6K
83036 Hemoglobin; glycosylated (A1C) 3,605 3,494 $6K
73590 2,063 1,893 $6K
83690 42,492 38,968 $6K
96376 16,817 12,537 $6K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1,138 1,086 $6K
82570 5,653 4,127 $6K
86140 13,740 12,439 $6K
81003 46,159 39,396 $6K
86301 607 440 $6K
94060 104 100 $5K
97163 159 147 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5,734 5,537 $5K
J0561 Injection, penicillin g benzathine, 100,000 units 91 90 $5K
71101 1,799 1,758 $5K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 33,104 31,427 $5K
80143 495 469 $5K
82553 633 594 $4K
82565 4,312 3,739 $4K
36593 156 145 $4K
84156 5,619 4,024 $4K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 3,328 3,231 $4K
86803 1,999 1,933 $4K
0001A 164 162 $4K
62323 12 12 $4K
99195 102 86 $4K
83970 349 234 $4K
84466 2,392 2,301 $4K
72072 492 486 $4K
84439 3,786 3,304 $4K
C1781 Mesh (implantable) 65 65 $4K
86850 5,484 4,642 $4K
20610 26 25 $4K
C1769 Guide wire 3,176 2,815 $4K
94729 159 153 $4K
72131 109 105 $3K
10160 16 14 $3K
20553 63 53 $3K
74330 27 25 $3K
76942 57 54 $3K
83615 6,944 5,502 $3K
86901 8,920 6,794 $3K
81420 Fetal chromosomal aneuploidy genomic sequence analysis panel 134 126 $3K
86900 7,430 5,332 $3K
80305 10,561 10,066 $3K
83521 604 470 $3K
84165 2,116 1,922 $3K
62369 116 115 $3K
80179 2,436 2,297 $3K
96417 6,647 4,256 $2K
73090 1,234 1,143 $2K
87340 2,939 2,810 $2K
84153 717 665 $2K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 8,895 8,395 $2K
82746 1,789 1,729 $2K
J0640 Injection, leucovorin calcium, per 50 mg 2,983 1,610 $2K
M0222 Intravenous injection, bebtelovimab, includes injection and post administration monitoring 54 53 $2K
96401 274 120 $2K
36000 1,514 1,452 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg 34,903 30,772 $2K
85014 3,963 3,297 $2K
83550 2,482 2,336 $2K
94726 71 69 $2K
87081 3,009 2,854 $2K
82075 3,107 2,734 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 32,481 24,869 $2K
73660 469 453 $2K
88184 481 417 $2K
J1170 Injection, hydromorphone, up to 4 mg 22,072 15,496 $2K
97035 276 146 $2K
87593 37 35 $2K
87210 6,310 6,073 $2K
J2310 Injection, naloxone hydrochloride, per 1 mg 209 176 $2K
87640 465 442 $1K
82803 7,958 6,939 $1K
84550 3,671 2,758 $1K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 922 880 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,770 1,681 $1K
86592 1,357 1,310 $1K
82550 3,373 3,006 $1K
J0690 Injection, cefazolin sodium, 500 mg 11,915 8,965 $1K
J7030 Infusion, normal saline solution , 1000 cc 20,749 17,037 $1K
87205 5,875 5,249 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,680 5,571 $1K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 15,410 12,638 $1K
99152 2,161 2,030 $1K
87186 4,929 4,676 $1K
86704 1,710 1,647 $1K
J2704 Injection, propofol, 10 mg 20,422 18,079 $1K
J2060 Injection, lorazepam, 2 mg 10,331 8,244 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 5,039 2,626 $1K
87070 4,812 4,352 $1K
J3490 Unclassified drugs 4,542 3,766 $1K
77332 26 25 $1K
72050 129 127 $1K
85730 5,397 4,883 $1K
87653 340 327 $1K
72170 299 271 $997.17
86780 505 491 $970.64
85651 5,198 4,784 $933.48
80069 277 227 $915.19
J3010 Injection, fentanyl citrate, 0.1 mg 27,191 22,370 $882.72
J2250 Injection, midazolam hydrochloride, per 1 mg 16,775 15,092 $879.74
J0696 Injection, ceftriaxone sodium, per 250 mg 14,144 11,849 $879.48
86334 305 265 $868.95
74019 206 203 $865.40
87497 115 81 $862.45
85652 2,870 2,713 $843.51
94770 12 12 $841.86
84163 70 68 $818.70
77080 14 14 $803.18
73560 183 177 $783.66
J1200 Injection, diphenhydramine hcl, up to 50 mg 15,689 12,028 $737.14
J2270 Injection, morphine sulfate, up to 10 mg 13,539 11,401 $734.10
77417 727 367 $733.95
88342 2,624 2,491 $728.99
89051 695 553 $705.81
74220 28 26 $700.94
86480 86 83 $695.03
73552 165 151 $686.71
87902 27 26 $670.73
C1726 Catheter, balloon dilatation, non-vascular 537 465 $653.19
80051 625 495 $610.18
83010 104 93 $605.27
86038 464 441 $601.34
G0379 Direct admission of patient for hospital observation care 128 125 $579.68
99153 Mod sedat endo service >5yrs 3,158 3,047 $559.86
82248 1,226 1,136 $555.00
J9171 Injection, docetaxel, 1 mg 17 12 $529.92
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg 85 54 $517.97
82150 2,868 2,704 $497.98
86706 477 465 $484.31
0031A 15 14 $484.29
88341 1,082 1,011 $478.75
J0780 Injection, prochlorperazine, up to 10 mg 4,321 3,683 $471.86
73100 15 13 $449.00
A4648 Tissue marker, implantable, any type, each 1,271 1,081 $415.23
90656 51 51 $400.81
87075 2,340 2,010 $384.56
87150 629 602 $377.84
73060 108 103 $376.25
82077 981 906 $364.36
J9045 Injection, carboplatin, 50 mg 2,663 1,652 $362.51
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 848 788 $361.83
J9267 Injection, paclitaxel, 1 mg 3,108 1,401 $359.94
91322 30 28 $351.65
87077 1,838 1,782 $340.85
91320 36 36 $339.20
84403 68 68 $337.31
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 3,051 2,881 $336.62
85018 913 694 $326.95
87430 1,679 1,655 $320.30
86762 192 185 $310.78
84132 1,760 1,459 $309.17
G0008 Administration of influenza virus vaccine 332 322 $298.47
J3475 Injection, magnesium sulfate, per 500 mg 4,754 2,803 $285.54
J7120 Ringers lactate infusion, up to 1000 cc 16,935 14,090 $268.04
88304 1,401 1,368 $267.09
A9270 Non-covered item or service 27,429 6,400 $266.26
82533 55 41 $266.21
A9585 Injection, gadobutrol, 0.1 ml 2,863 2,775 $262.19
86308 841 823 $262.06
87188 1,148 1,111 $258.24
81025 3,374 3,169 $249.09
84520 783 618 $248.95
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 4,235 3,573 $244.33
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 1,300 1,197 $241.77
J7050 Infusion, normal saline solution, 250 cc 22,360 10,123 $241.65
96411 3,939 2,411 $236.25
87147 1,198 1,073 $234.19
86708 303 287 $234.05
86336 84 82 $233.25
74175 13 13 $227.29
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 51 37 $218.68
85045 400 358 $215.11
80074 67 63 $211.82
84450 768 626 $207.00
80202 32 26 $206.62
70360 40 39 $204.02
84155 757 701 $201.70
85046 660 594 $200.44
C2617 Stent, non-coronary, temporary, without delivery system 559 539 $196.65
C9113 Injection, pantoprazole sodium, per vial 3,576 2,436 $183.37
J1815 Injection, insulin, per 5 units 5,381 2,660 $180.32
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) 3,263 3,189 $175.74
83516 81 58 $170.10
82330 205 165 $163.51
74022 243 233 $162.43
85049 552 440 $155.24
J2765 Injection, metoclopramide hcl, up to 10 mg 6,313 5,609 $154.19
87073 13 12 $150.20
72220 13 12 $147.51
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml 1,384 1,292 $143.55
87807 440 434 $142.31
84460 715 578 $139.20
86644 95 86 $138.17
80178 18 15 $135.60
87493 26 26 $129.60
99406 244 239 $129.41
82525 101 97 $128.03
J1644 Injection, heparin sodium, per 1000 units 8,859 4,145 $120.10
J3370 Injection, vancomycin hcl, 500 mg 5,717 3,614 $115.22
87116 15 13 $114.85
83021 12 12 $113.57
82140 212 191 $113.08
J0171 Injection, adrenalin, epinephrine, 0.1 mg 1,983 1,716 $112.16
90480 58 56 $111.57
82010 528 500 $110.53
J0330 Injection, succinylcholine chloride, up to 20 mg 6,354 4,064 $110.32
87481 261 205 $109.76
73070 26 25 $99.00
J2560 Injection, phenobarbital sodium, up to 120 mg 262 192 $96.18
36592 27 25 $91.96
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 1,128 644 $87.26
J1940 Injection, furosemide, up to 20 mg 1,414 1,120 $86.71
84481 53 50 $80.74
82670 12 12 $78.13
J3480 Injection, potassium chloride, per 2 meq 3,491 2,053 $76.02
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 227 218 $75.08
88311 45 37 $74.36
85384 157 135 $71.58
86787 69 64 $70.82
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 6,248 4,722 $68.56
88313 91 85 $67.95
C1729 Catheter, drainage 334 246 $57.06
85660 39 36 $54.24
82310 56 29 $53.42
J9000 Injection, doxorubicin hydrochloride, 10 mg 232 145 $51.23
J1650 Injection, enoxaparin sodium, 10 mg 8,124 3,020 $50.95
C1788 Port, indwelling (implantable) 84 80 $48.66
97026 47 37 $46.98
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 3,260 2,412 $45.92
0353U 686 670 $42.70
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 413 391 $40.45
J2550 Injection, promethazine hcl, up to 50 mg 591 527 $35.04
83001 13 12 $33.58
J8540 Dexamethasone, oral, 0.25 mg 1,560 960 $32.66
82247 14 14 $26.95
88312 54 51 $26.38
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 711 426 $25.44
J1790 Injection, droperidol, up to 5 mg 2,127 1,902 $25.39
82947 129 123 $24.69
86665 16 13 $23.88
87071 102 100 $23.11
94761 504 491 $22.91
J3411 Injection, thiamine hcl, 100 mg 1,736 1,180 $22.89
82950 36 36 $21.57
82043 13 13 $20.09
88112 93 86 $18.96
J2795 Injection, ropivacaine hydrochloride, 1 mg 749 593 $18.05
J1630 Injection, haloperidol, up to 5 mg 1,928 1,649 $17.68
85007 62 55 $16.75
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 34,253 25,999 $15.34
J2370 Injection, phenylephrine hcl, up to 1 ml 3,741 3,317 $14.84
86735 16 15 $12.21
86765 16 15 $12.21
J7060 5% dextrose/water (500 ml = 1 unit) 3,801 1,319 $11.22
J9190 Injection, fluorouracil, 500 mg 5,642 1,827 $11.20
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 1,111 985 $9.84
J0610 Injection, calcium gluconate (fresenius kabi), per 10 ml 142 103 $8.42
J0131 Injection, acetaminophen, not otherwise specified,10 mg 123 112 $8.38
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 1,907 1,833 $7.30
85670 12 12 $5.61
J3360 Injection, diazepam, up to 5 mg 461 433 $5.30
84295 62 53 $3.81
J1171 Injection, hydromorphone, 0.1 mg 423 308 $3.50
86905 17 12 $3.19
J1836 Injection, metronidazole, 10 mg 698 569 $3.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 575 491 $1.46
J1956 Injection, levofloxacin, 250 mg 338 301 $1.42
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 249 236 $1.00
J1580 Injection, garamycin, gentamicin, up to 80 mg 297 264 $0.41
J0692 Injection, cefepime hydrochloride, 500 mg 1,420 841 $0.24
J0461 Injection, atropine sulfate, 0.01 mg 824 473 $0.20
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 509 268 $0.17
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 852 698 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 261 211 $0.00
0240U 15 15 $0.00
C1889 Implantable/insertable device, not otherwise classified 448 423 $0.00
J7999 Compounded drug, not otherwise classified 892 729 $0.00
97814 47 37 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 328 285 $0.00
J0456 Injection, azithromycin, 500 mg 198 168 $0.00
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 194 169 $0.00
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) 247 242 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 305 279 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 153 123 $0.00
89060 12 12 $0.00
J1597 Injection, glycopyrrolate (glyrx-pf), 0.1 mg 82 79 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 134 129 $0.00
J1920 Injection, labetalol hydrochloride, 5 mg 281 233 $0.00
J7042 5% dextrose/normal saline (500 ml = 1 unit) 39 29 $0.00
87206 15 13 $0.00
C9463 Injection, aprepitant, 1 mg 22 14 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 42 29 $0.00
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 13 13 $0.00
87154 25 25 $0.00
85008 27 25 $0.00
C9399 Unclassified drugs or biologicals 65 56 $0.00
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 13 12 $0.00
51798 15 14 $0.00
96377 17 12 $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 15 12 $0.00
91303 14 14 $0.00
91035 12 12 $0.00
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen 238 229 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 718 669 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 1,328 1,127 $0.00
88360 41 39 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 506 455 $0.00
51702 136 121 $0.00
J2359 Injection, olanzapine, 0.5 mg 190 161 $0.00
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 55 51 $0.00
J0670 Injection, mepivacaine hydrochloride, per 10 ml 39 37 $0.00
97813 47 37 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 12 12 $0.00
G8989 Self care functional limitation, discharge status, at discharge from therapy or to end reporting 13 12 $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 783 707 $0.00
G2215 Take-home supply of nasal naloxone; 2-pack of 4mg per 0.1 ml nasal spray (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure 27 27 $0.00
96549 229 153 $0.00
G8985 Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 30 30 $0.00
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg 202 179 $0.00
88333 14 12 $0.00
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 81 77 $0.00
C1776 Joint device (implantable) 155 148 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 71 61 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 187 174 $0.00
88173 50 36 $0.00
G8984 Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals 28 28 $0.00
29515 26 24 $0.00
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg 21 14 $0.00
90653 12 12 $0.00