Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WA › TACOMA › MULTICARE HEALTH SYSTEM

MULTICARE HEALTH SYSTEM

NPI: 1366556227 · TACOMA, WA 98405 · Community/Behavioral Health Agency · NPI assigned 08/18/2006

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

Authorized official ROBERTSON, WILLIAM controls 20+ related entities in our dataset. Read more

$162.25M
Total Medicaid Paid
6,854,549
Total Claims
5,984,702
Beneficiaries
792
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROBERTSON, WILLIAM (CEO)
NPI Enumeration Date08/18/2006

Related Entities

Other providers sharing the same authorized official: ROBERTSON, WILLIAM

ProviderCityStateTotal Paid
MULTICARE HEALTH SYSTEM TACOMA WA $108.54M
YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION YAKIMA WA $103.54M
MULTICARE HEALTH SYSTEM PUYALLUP WA $77.99M
MULTICARE HEALTH SYSTEM TACOMA WA $75.17M
GREATER LAKES MENTAL HEALTH FOUNDATION INC LAKEWOOD WA $55.95M
MULTICARE HEALTH SYSTEM SPOKANE WA $55.23M
MULTICARE HEALTH SYSTEM AUBURN WA $31.02M
MULTICARE HEALTH SYSTEM SPOKANE VALLEY WA $24.75M
MULTICARE HEALTH SYSTEM COVINGTON WA $23.19M
MULTICARE HEALTH SYSTEM OLYMPIA WA $16.97M
MULTICARE HEALTH SYSTEM TACOMA WA $11.14M
MULTICARE HEALTH SYSTEM AUBURN WA $7.42M
MULTICARE HEALTH SYSTEM TACOMA WA $2.68M
ALLIANCE FOR SOUTH SOUND HEALTH TACOMA WA $2.46M
CAPITAL MEDICAL CENTER PHYSICIANS LLC OLYMPIA WA $1.75M
MULTICARE HEALTH SYSTEM TACOMA WA $1.53M
YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION YAKIMA WA $1.16M
CAPITAL MEDICAL CENTER SPECIALTY PHYSICIANS, LLC OLYMPIA WA $987K
YAKIMA UROLOGY AT MEMORIAL TR YAKIMA WA $784K
MULTICARE HEALTH SYSTEM SPOKANE WA $179K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 915,277 $23.16M
2019 860,384 $21.29M
2020 813,926 $18.41M
2021 991,911 $23.52M
2022 1,094,341 $26.37M
2023 1,137,676 $25.98M
2024 1,041,034 $23.52M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
96361 Intravenous infusion, hydration; each additional hour 56,926 46,857 $16.64M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 171,116 124,189 $12.35M
99283 Emergency department visit for the evaluation and management, moderate severity 104,261 95,574 $11.54M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 119,538 107,180 $10.05M
99284 Emergency department visit for the evaluation and management, high severity 83,656 76,987 $7.65M
J9271 Injection, pembrolizumab, 1 mg 1,644 1,180 $6.99M
74177 Computed tomography, abdomen and pelvis; with contrast material 32,722 31,020 $5.72M
J2350 Injection, ocrelizumab, 1 mg 455 409 $5.02M
77412 7,217 813 $3.33M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 27,245 20,702 $2.75M
70450 Computed tomography, head or brain; without contrast material 19,622 18,484 $2.66M
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 11,156 7,934 $2.66M
99282 Emergency department visit for the evaluation and management, low to moderate severity 23,934 21,136 $2.57M
J2323 Injection, natalizumab, 1 mg 1,615 1,437 $2.38M
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 20,107 15,951 $2.23M
77386 5,805 507 $2.07M
59025 Fetal non-stress test 11,165 8,203 $1.74M
80053 Comprehensive metabolic panel 339,690 292,141 $1.66M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 21,520 11,341 $1.60M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 62,496 48,457 $1.52M
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 47,565 45,639 $1.46M
J9263 Injection, oxaliplatin, 0.5 mg 1,906 716 $1.44M
42820 Tonsillectomy and adenoidectomy; younger than age 12 762 759 $1.39M
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 15,311 14,820 $1.34M
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 98,097 94,466 $1.32M
96415 6,814 4,801 $1.21M
36415 Collection of venous blood by venipuncture 439,423 381,538 $1.15M
74176 Computed tomography, abdomen and pelvis; without contrast material 6,484 6,240 $1.14M
J9035 Injection, bevacizumab, 10 mg 728 356 $1.06M
71275 Computed tomographic angiography, chest, with contrast material 7,086 6,784 $1.04M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 21,388 17,695 $988K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 98,111 94,481 $940K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 385,163 324,022 $887K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 3,997 3,933 $860K
84443 Thyroid stimulating hormone (TSH) 88,835 86,210 $835K
70496 4,680 4,552 $803K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 13,189 13,051 $799K
76830 Ultrasound, transvaginal 8,932 8,693 $769K
Q5115 Injection, rituximab-abbs, biosimilar, (truxima), 10 mg 264 135 $762K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 734 733 $711K
76705 Ultrasound, abdominal, real time with image documentation; limited 9,071 8,724 $689K
87086 Culture, bacterial; quantitative colony count, urine 157,039 147,633 $625K
80061 Lipid panel 92,747 91,535 $603K
J2505 Injection, pegfilgrastim, 6 mg 373 251 $597K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 10,489 10,199 $596K
10060 3,366 3,221 $590K
93971 6,148 5,893 $537K
76801 10,382 9,353 $532K
87070 97,382 94,080 $525K
J0585 Injection, onabotulinumtoxina, 1 unit 2,215 1,817 $507K
78815 Positron emission tomography (PET) for limited area imaging 968 945 $504K
47562 222 215 $487K
76819 Fetal biophysical profile; without non-stress testing 9,322 6,771 $472K
58661 172 171 $457K
83036 Hemoglobin; glycosylated (A1C) 88,059 86,763 $449K
42830 250 246 $429K
99281 Emergency department visit for the evaluation and management, self-limited or minor 4,337 4,004 $403K
J1569 Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg 446 169 $384K
J2469 Injection, palonosetron hcl, 25 mcg 6,169 3,411 $379K
12001 2,155 2,109 $376K
95813 1,330 1,312 $368K
P9016 Red blood cells, leukocytes reduced, each unit 1,566 1,267 $362K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 23,851 23,538 $354K
64615 1,543 1,478 $354K
96416 1,549 839 $353K
70491 2,628 2,535 $347K
80048 Basic metabolic panel (calcium, ionized) 65,681 56,742 $334K
93970 3,232 3,107 $301K
71046 Radiologic examination, chest; 2 views 43,628 41,149 $293K
82728 42,662 40,753 $286K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 40,957 40,211 $279K
84484 65,561 48,606 $279K
96367 5,190 3,710 $276K
77336 4,861 2,123 $265K
86780 29,108 28,661 $259K
70551 Magnetic resonance imaging, brain; without contrast material 1,651 1,621 $257K
80050 General health panel 32,236 31,817 $250K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 841 830 $244K
29581 1,872 619 $242K
J9312 Injection, rituximab, 10 mg 105 67 $242K
G0378 Hospital observation service, per hour 17,954 8,900 $241K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 3,489 3,452 $237K
95800 1,162 1,148 $237K
64405 1,186 1,130 $231K
83880 27,392 25,040 $230K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 97,439 82,275 $230K
36430 3,059 2,008 $230K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 49,988 49,220 $229K
58571 76 74 $225K
J1950 Injection, leuprolide acetate (for depot suspension), per 3.75 mg 379 335 $224K
J1453 Injection, fosaprepitant, 1 mg 2,149 1,361 $218K
87186 46,585 44,372 $216K
76770 2,443 2,399 $214K
87505 4,984 4,891 $202K
87205 78,221 74,815 $202K
84702 35,174 27,069 $200K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 18,375 17,700 $198K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 7,135 6,279 $196K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 638 618 $188K
86803 37,827 37,184 $186K
87808 44,576 43,333 $185K
82607 27,028 26,015 $184K
88305 Level IV - Surgical pathology, gross and microscopic examination 15,048 12,606 $181K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 1,153 1,118 $177K
12002 1,079 1,064 $174K
J0897 Injection, denosumab, 1 mg 1,624 1,392 $170K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,450 1,395 $168K
84439 28,449 27,291 $168K
73630 12,208 11,045 $167K
83970 8,662 8,270 $166K
64400 596 556 $165K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 3,763 3,463 $161K
12011 999 976 $160K
76536 1,929 1,912 $159K
87529 8,888 7,546 $158K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1,342 1,326 $157K
49083 492 251 $152K
76870 1,959 1,853 $152K
83605 28,573 25,292 $151K
86003 21,361 11,017 $150K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 17,318 16,895 $149K
95810 Polysomnography; sleep staging with 4 or more additional parameters 369 366 $148K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 11,292 11,180 $147K
83550 37,472 35,732 $146K
87481 17,720 16,883 $145K
77334 1,483 1,110 $143K
72125 Computed tomography, cervical spine; without contrast material 8,164 7,834 $142K
82570 33,068 29,489 $141K
86140 37,326 34,518 $140K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 1,598 1,574 $140K
70498 4,932 4,802 $139K
95806 267 265 $139K
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) 882 583 $134K
71260 Computed tomography, thorax, diagnostic; with contrast material 5,811 5,660 $133K
86480 7,373 7,275 $132K
J1756 Injection, iron sucrose, 1 mg 7,187 3,231 $128K
71250 2,679 2,628 $128K
64450 489 451 $128K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 90,588 71,755 $126K
87400 12,454 6,248 $126K
J0185 Injection, aprepitant, 1 mg 1,599 941 $124K
76937 3,573 3,203 $122K
96523 3,432 2,670 $122K
87040 18,698 10,450 $121K
70487 747 730 $120K
36561 111 107 $118K
86235 12,921 7,322 $115K
85027 30,579 28,166 $115K
84403 9,776 9,491 $114K
83540 39,386 37,599 $114K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 40,737 30,363 $112K
70486 3,785 3,689 $111K
58670 45 45 $108K
73610 8,705 7,964 $100K
29125 880 839 $100K
77301 223 202 $96K
82784 13,063 11,167 $96K
82785 7,938 7,826 $96K
80055 16,222 16,010 $95K
77295 248 220 $92K
72100 7,054 6,886 $91K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 2,816 2,363 $90K
87149 15,594 15,058 $88K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 11,839 10,622 $87K
90715 4,909 4,813 $87K
74018 3,742 3,535 $86K
83735 40,498 30,066 $84K
J9217 Leuprolide acetate (for depot suspension), 7.5 mg 397 382 $81K
82746 18,229 17,459 $80K
76820 2,945 1,509 $79K
Q5103 Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg 154 132 $78K
82247 13,011 9,822 $78K
81229 324 321 $78K
84146 6,726 6,560 $78K
82670 5,392 5,222 $77K
77300 1,481 1,277 $77K
96375 Therapeutic injection; each additional sequential IV push 78,742 60,539 $77K
87077 27,254 25,946 $75K
73562 6,614 6,067 $75K
87510 5,770 5,521 $75K
85652 30,949 29,021 $74K
87340 19,531 19,154 $74K
86376 6,353 6,264 $72K
81001 88,526 81,006 $72K
76700 Ultrasound, abdominal, real time with image documentation; complete 785 778 $70K
83001 7,633 7,521 $69K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 869 844 $69K
72156 930 914 $68K
36592 70,134 62,161 $68K
72197 297 293 $68K
83655 4,888 4,842 $68K
85379 15,632 14,945 $67K
87522 Neg quan hep c or qual rna 3,904 3,801 $66K
86706 16,468 16,153 $65K
73030 7,564 7,009 $65K
77290 230 218 $65K
86665 6,513 3,632 $64K
86039 11,476 11,211 $63K
80076 13,584 10,968 $62K
86481 3,356 3,305 $61K
52356 44 41 $61K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 5,439 5,322 $60K
72193 310 301 $60K
86704 12,710 12,465 $60K
77067 Screening mammography, bilateral, including computer-aided detection 1,166 1,155 $58K
82950 16,842 16,683 $58K
82105 5,532 5,390 $57K
58662 27 27 $56K
87660 5,770 5,521 $56K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 2,758 2,496 $56K
73130 6,953 6,371 $56K
84703 49,989 45,735 $54K
J0881 Injection, darbepoetin alfa, 1 microgram (non-esrd use) 657 435 $53K
95811 156 155 $53K
72141 573 562 $53K
74175 319 312 $51K
86695 5,731 5,640 $51K
74174 296 285 $51K
97803 1,294 1,126 $51K
73110 5,251 4,777 $50K
83013 2,579 2,550 $50K
Q5107 Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg 115 51 $49K
83690 50,391 45,404 $48K
44970 13 12 $47K
76813 1,246 1,212 $47K
Q3014 Telehealth originating site facility fee 2,201 2,075 $46K
80074 5,645 5,550 $46K
86696 6,770 6,672 $46K
83002 4,995 4,921 $46K
84156 16,489 14,627 $45K
81003 65,982 61,920 $45K
73502 4,505 4,287 $44K
J9310 Injection, rituximab, 100 mg 19 12 $44K
87081 15,239 15,053 $44K
80143 12,410 11,135 $44K
83993 3,370 3,328 $44K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 18,848 18,094 $43K
86256 6,267 5,718 $43K
82677 2,070 2,041 $43K
82043 18,025 17,703 $43K
95913 296 290 $42K
72131 1,559 1,522 $42K
86800 3,604 3,536 $42K
87631 1,508 1,482 $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 3,338 2,661 $41K
97597 811 547 $41K
86364 5,419 5,349 $41K
84153 6,354 6,100 $40K
83520 5,929 4,842 $39K
J2357 Injection, omalizumab, 5 mg 80 61 $39K
87480 5,770 5,521 $39K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 9,689 9,350 $39K
67311 13 13 $39K
71045 Radiologic examination, chest; single view 32,816 30,174 $38K
82248 9,073 6,728 $37K
0001A 1,179 1,172 $37K
73560 4,432 4,023 $37K
36591 8,350 5,010 $36K
84481 6,630 6,469 $36K
E0604 Breast pump, hospital grade, electric (ac and / or dc), any type 1,154 528 $36K
88307 2,064 1,834 $35K
84550 23,540 19,200 $35K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 609 604 $35K
83516 5,617 3,628 $35K
82330 9,325 8,696 $34K
82533 4,513 3,610 $34K
0002A 857 856 $34K
84145 3,502 3,320 $33K
80164 3,832 3,592 $33K
77338 292 240 $32K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 898 435 $32K
96368 3,008 1,921 $32K
J1447 Injection, tbo-filgrastim, 1 microgram 188 60 $32K
84270 3,226 3,169 $32K
73140 2,755 2,640 $31K
97802 487 478 $31K
10061 213 204 $31K
86787 5,763 4,539 $31K
84144 2,864 2,725 $30K
72040 1,845 1,816 $30K
72158 222 218 $29K
85610 50,407 36,221 $28K
96417 5,458 3,433 $28K
74183 146 146 $28K
64721 52 50 $28K
83883 3,395 1,840 $28K
J1439 Injection, ferric carboxymaltose, 1 mg 730 459 $27K
86762 4,086 3,558 $27K
82951 3,304 3,277 $27K
73221 186 183 $27K
83615 20,264 14,481 $27K
83525 2,928 2,831 $26K
82550 14,400 13,032 $26K
99152 4,810 4,591 $26K
73701 161 156 $26K
J9202 Goserelin acetate implant, per 3.6 mg 110 101 $26K
86160 6,669 4,654 $25K
95886 1,218 1,201 $25K
J3490 Unclassified drugs 1,099 972 $25K
99153 Mod sedat endo service >5yrs 4,065 3,870 $25K
J0561 Injection, penicillin g benzathine, 100,000 units 611 590 $24K
97162 736 714 $24K
86431 5,718 5,661 $24K
J2704 Injection, propofol, 10 mg 24,777 23,202 $24K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 386 369 $24K
58558 25 24 $24K
84100 12,970 9,676 $24K
80178 2,845 2,628 $24K
87430 8,687 8,449 $24K
85014 7,129 6,324 $23K
73080 1,911 1,819 $23K
84165 6,020 5,499 $23K
87209 3,216 3,147 $23K
97161 690 666 $22K
86334 3,809 3,492 $22K
80179 12,360 11,115 $22K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 56,829 52,836 $22K
73590 3,693 3,391 $22K
87493 2,729 2,669 $22K
80177 2,438 2,321 $22K
80069 3,320 3,071 $22K
J9201 Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg 136 38 $21K
86225 4,497 4,421 $21K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 12 12 $20K
87338 2,955 2,932 $20K
86200 3,888 3,853 $20K
86850 10,981 9,791 $20K
82627 2,039 2,004 $19K
D2930 Prefabricated stainless steel crown - primary tooth 22 22 $19K
80197 2,046 1,665 $19K
88342 2,270 2,050 $19K
76642 205 184 $19K
73700 264 259 $19K
64483 48 48 $18K
84480 2,689 2,607 $18K
82378 4,793 3,677 $18K
86304 2,057 1,800 $18K
83020 2,162 2,046 $18K
86812 1,461 1,443 $18K
86147 2,064 1,372 $18K
84410 998 974 $18K
A4649 Surgical supply; miscellaneous 7,391 6,672 $18K
86308 3,967 3,917 $17K
71101 2,578 2,495 $17K
73090 2,265 2,103 $17K
86708 2,848 2,813 $17K
73120 655 492 $17K
J3489 Injection, zoledronic acid, 1 mg 1,152 1,080 $17K
71271 189 182 $17K
J9206 Injection, irinotecan, 20 mg 170 52 $17K
69209 180 175 $16K
72157 240 236 $16K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 1,065 1,034 $16K
86923 2,108 1,368 $16K
87641 1,019 983 $15K
72072 825 810 $15K
86900 11,963 10,701 $15K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 524 165 $15K
86008 2,114 1,943 $15K
82565 7,703 7,307 $15K
81025 23,083 22,043 $14K
86301 1,534 1,109 $14K
84134 1,817 1,123 $14K
Q5102 Injection, infliximab, biosimilar, 10 mg 16 13 $14K
87177 3,218 3,149 $14K
73552 1,622 1,512 $14K
85730 13,816 12,992 $14K
J9070 Cyclophosphamide, 100 mg 176 88 $14K
80175 1,675 1,618 $14K
86677 1,225 1,216 $14K
86870 1,383 1,010 $13K
75574 70 69 $13K
84445 623 613 $13K
88304 3,323 3,100 $13K
84432 919 796 $13K
85018 6,221 5,449 $13K
95812 45 45 $13K
83014 2,576 2,547 $13K
88185 516 447 $13K
87634 556 548 $13K
82232 1,269 1,052 $13K
J2270 Injection, morphine sulfate, up to 10 mg 29,802 24,560 $13K
84425 2,294 2,266 $12K
78306 66 63 $12K
99195 369 320 $12K
82274 2,767 2,746 $12K
87517 808 694 $12K
83721 2,358 2,337 $12K
85651 4,040 3,762 $12K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 39 39 $12K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 6,722 6,477 $12K
82952 3,230 3,062 $12K
70544 149 144 $12K
82977 6,869 6,481 $12K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 104 66 $11K
73660 949 913 $11K
86146 1,417 1,055 $11K
82947 7,739 7,495 $11K
96376 20,597 15,185 $11K
84305 870 861 $11K
83498 907 890 $11K
97166 341 331 $11K
84450 7,797 7,507 $11K
84163 977 951 $11K
86300 1,494 1,184 $11K
86756 3,082 2,956 $10K
0012A 270 269 $10K
20610 54 53 $10K
82150 6,415 6,188 $10K
87184 3,789 3,725 $10K
J1885 Injection, ketorolac tromethamine, per 15 mg 49,205 44,427 $10K
97530 Therapeutic activities, direct patient contact, each 15 minutes 439 285 $10K
77001 302 293 $10K
29515 175 165 $10K
86901 13,027 11,618 $9K
86336 2,109 2,079 $9K
86694 745 660 $9K
84460 8,093 7,799 $9K
87046 1,688 1,659 $9K
J2405 Injection, ondansetron hydrochloride, per 1 mg 72,758 58,725 $9K
0011A 328 325 $9K
87328 1,783 1,761 $9K
36416 31,618 26,609 $9K
87210 1,976 1,881 $9K
82542 1,019 996 $9K
72128 566 555 $8K
72170 1,964 1,879 $8K
82040 6,417 6,192 $8K
90686 713 696 $7K
74178 51 50 $7K
80203 933 900 $7K
87536 117 110 $7K
81015 2,885 2,795 $7K
84166 974 892 $7K
88341 1,268 1,068 $7K
85045 3,909 3,483 $7K
82465 3,119 3,035 $7K
36590 12 12 $7K
45380 Colonoscopy, flexible; with biopsy, single or multiple 27 27 $7K
97165 182 181 $7K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 257 102 $7K
72070 1,012 989 $7K
96402 2,301 2,050 $7K
81050 3,005 2,321 $6K
43235 12 12 $6K
81241 278 274 $6K
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 222 218 $6K
77387 2,375 281 $6K
82239 686 601 $6K
A9585 Injection, gadobutrol, 0.1 ml 2,342 2,280 $6K
93798 1,042 331 $6K
93017 62 62 $6K
95911 39 38 $6K
87593 72 47 $6K
82962 16,893 9,692 $6K
62323 12 12 $6K
87625 734 726 $6K
84155 6,118 5,854 $6K
83521 1,743 1,438 $6K
84681 658 648 $6K
86880 2,086 1,873 $6K
84478 1,915 1,515 $6K
82652 442 441 $6K
82103 688 677 $6K
36569 14 14 $6K
82390 865 852 $6K
20553 67 57 $6K
85613 1,116 1,011 $5K
87329 1,755 1,735 $5K
96040 680 655 $5K
88112 667 630 $5K
86920 914 486 $5K
82140 1,271 1,179 $5K
82310 2,796 2,661 $5K
87632 48 48 $5K
16020 41 38 $5K
77470 29 26 $5K
86735 1,301 1,220 $5K
87420 342 335 $5K
82024 648 501 $5K
J1170 Injection, hydromorphone, up to 4 mg 18,363 14,509 $5K
C1769 Guide wire 5,001 4,580 $5K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 535 507 $5K
85240 1,087 1,045 $5K
83010 787 655 $5K
73070 1,451 1,345 $5K
86765 1,240 1,209 $5K
83090 355 347 $5K
77280 29 24 $5K
51798 1,274 1,097 $4K
73060 872 814 $4K
86592 1,538 1,509 $4K
J0696 Injection, ceftriaxone sodium, per 250 mg 22,712 18,583 $4K
90674 369 357 $4K
77332 78 67 $4K
96401 1,438 671 $4K
0031A 111 109 $4K
86769 776 768 $4K
82731 192 186 $4K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 828 817 $4K
D7140 Extraction, erupted tooth or exposed root 12 12 $4K
82525 386 379 $4K
74022 399 388 $4K
C1887 Catheter, guiding (may include infusion/perfusion capability) 1,891 1,674 $4K
80159 506 383 $4K
80183 376 366 $4K
73564 174 141 $4K
94010 211 204 $4K
59020 40 36 $4K
84630 433 425 $4K
99215 Prolong outpt/office vis 61 57 $4K
72050 131 130 $3K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 34,834 14,924 $3K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 37,423 29,594 $3K
96411 3,170 1,988 $3K
J0640 Injection, leucovorin calcium, per 50 mg 4,369 1,448 $3K
82668 561 545 $3K
10005 13 13 $3K
87902 161 159 $3K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 12 12 $3K
88173 250 205 $3K
88360 202 174 $3K
86360 234 227 $3K
81240 256 252 $3K
77063 Screening digital breast tomosynthesis, bilateral 1,166 1,155 $3K
77080 60 58 $3K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 4,663 3,806 $3K
76942 41 38 $3K
88184 483 449 $3K
80051 4,075 3,894 $3K
83021 673 590 $3K
J2765 Injection, metoclopramide hcl, up to 10 mg 15,471 13,902 $3K
85007 2,751 1,946 $3K
J3010 Injection, fentanyl citrate, 0.1 mg 26,672 24,160 $3K
82077 14,929 12,562 $3K
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision 173 172 $3K
77066 Tomosynthesis, mammo 87 87 $3K
81596 98 96 $3K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 8,312 6,859 $3K
81243 72 72 $3K
82270 2,093 2,019 $2K
C1760 Closure device, vascular (implantable/insertable) 1,652 1,609 $2K
82010 3,780 3,351 $2K
10160 25 24 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 30 30 $2K
J1200 Injection, diphenhydramine hcl, up to 50 mg 22,294 17,139 $2K
86036 473 465 $2K
86141 411 401 $2K
J2060 Injection, lorazepam, 2 mg 7,362 6,269 $2K
84520 4,632 4,381 $2K
82553 247 231 $2K
J9267 Injection, paclitaxel, 1 mg 2,668 1,018 $2K
82681 223 220 $2K
86778 206 199 $2K
86341 260 257 $2K
86593 844 826 $2K
87075 690 625 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 15 15 $2K
84466 396 388 $2K
J0690 Injection, cefazolin sodium, 500 mg 15,074 12,708 $2K
J8540 Dexamethasone, oral, 0.25 mg 5,268 4,082 $2K
84132 1,484 1,402 $2K
91065 86 86 $2K
J0500 Injection, dicyclomine hcl, up to 20 mg 1,070 1,020 $2K
92567 212 208 $2K
J7120 Ringers lactate infusion, up to 1000 cc 28,015 24,121 $2K
92610 54 52 $1K
J9190 Injection, fluorouracil, 500 mg 6,226 1,604 $1K
J2250 Injection, midazolam hydrochloride, per 1 mg 16,960 16,125 $1K
80299 263 253 $1K
84436 189 188 $1K
87045 241 234 $1K
87101 242 240 $1K
87102 535 502 $1K
84075 4,282 4,096 $1K
70549 15 14 $1K
86645 126 124 $1K
83718 115 114 $1K
J2997 Injection, alteplase recombinant, 1 mg 34 28 $1K
P9040 Red blood cells, leukocytes reduced, irradiated, each unit 41 25 $1K
86777 208 199 $1K
73000 109 103 $1K
99151 15 13 $1K
85048 179 174 $1K
80185 120 108 $1K
74019 26 24 $1K
41800 14 14 $1K
C1781 Mesh (implantable) 260 253 $1K
77333 14 13 $1K
76857 29 29 $1K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 17 17 $1K
93797 307 79 $1K
86644 116 113 $1K
85390 490 478 $988.99
84590 162 161 $987.33
89055 602 594 $934.46
87427 237 233 $921.93
77002 12 12 $892.80
70360 92 87 $881.19
87449 153 150 $881.00
85246 170 167 $869.53
82805 1,551 1,402 $869.09
72220 101 96 $852.62
J3370 Injection, vancomycin hcl, 500 mg 4,633 2,540 $842.70
85245 124 118 $833.12
86359 207 201 $825.37
93923 12 12 $804.78
J1940 Injection, furosemide, up to 20 mg 2,958 2,184 $803.83
96409 72 36 $772.20
C1776 Joint device (implantable) 54 51 $756.43
87220 239 238 $749.41
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 6,624 6,388 $745.90
51702 191 163 $716.48
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 1,172 659 $710.35
85306 159 151 $700.02
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 3,623 3,511 $694.49
82365 164 149 $681.66
M0220 Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), includes injection and post administration monitoring 73 72 $666.62
J0780 Injection, prochlorperazine, up to 10 mg 3,292 3,049 $656.90
84235 29 28 $650.38
84181 94 90 $630.74
84402 50 50 $629.50
J9045 Injection, carboplatin, 50 mg 1,796 1,089 $606.14
90714 32 31 $587.83
80156 59 57 $584.30
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 56 51 $576.47
92582 13 13 $568.10
0225U 989 979 $550.26
J2310 Injection, naloxone hydrochloride, per 1 mg 50 38 $548.02
92524 13 12 $541.09
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 1,417 1,358 $534.37
77065 Tomosynthesis, mammo 17 17 $511.98
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 6,686 6,038 $509.24
C2617 Stent, non-coronary, temporary, without delivery system 170 161 $502.23
76802 14 12 $490.37
J7060 5% dextrose/water (500 ml = 1 unit) 9,487 2,949 $489.69
J1630 Injection, haloperidol, up to 5 mg 3,496 3,029 $477.40
J3480 Injection, potassium chloride, per 2 meq 3,972 2,493 $469.27
85303 138 132 $469.06
A9577 Injection, gadobenate dimeglumine (multihance), per ml 1,168 1,151 $458.92
95250 13 13 $453.55
76812 13 12 $446.60
84446 64 63 $435.64
85384 440 395 $422.72
J1650 Injection, enoxaparin sodium, 10 mg 6,619 3,722 $421.06
C1729 Catheter, drainage 2,490 1,497 $420.94
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 253 226 $417.32
86618 55 54 $409.81
89051 918 743 $401.14
73600 16 12 $370.90
J3360 Injection, diazepam, up to 5 mg 1,229 1,162 $370.50
88300 28 28 $362.63
82626 29 29 $358.03
74220 12 12 $356.15
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 599 447 $349.90
C9113 Injection, pantoprazole sodium, per vial 902 579 $340.78
82164 46 41 $330.64
J1815 Injection, insulin, per 5 units 6,261 3,674 $328.05
92555 24 24 $326.92
36593 12 12 $324.77
86352 12 12 $324.27
73521 12 12 $320.84
81270 15 15 $319.80
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 1,879 1,388 $314.51
J1644 Injection, heparin sodium, per 1000 units 9,819 5,505 $306.92
82672 25 24 $303.65
97760 18 12 $299.70
J1790 Injection, droperidol, up to 5 mg 1,587 1,431 $282.62
76380 12 12 $280.04
80202 27 12 $271.42
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 382 367 $267.80
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 26 26 $266.31
84112 183 171 $257.71
85300 100 99 $251.37
89125 78 77 $250.85
0003A 12 12 $243.20
84207 49 48 $235.69
72192 12 12 $235.01
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 126 109 $234.71
88142 14 14 $231.78
80305 1,614 1,539 $218.64
84244 24 24 $214.70
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 359 220 $205.25
87116 15 12 $195.14
87140 15 14 $192.30
83519 36 25 $188.78
80162 17 14 $184.48
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 749 535 $179.12
81256 15 15 $177.96
J3475 Injection, magnesium sulfate, per 500 mg 4,323 3,068 $171.80
J0330 Injection, succinylcholine chloride, up to 20 mg 2,297 2,235 $164.28
C9399 Unclassified drugs or biologicals 286 183 $162.80
J0171 Injection, adrenalin, epinephrine, 0.1 mg 2,014 1,885 $162.71
82803 3,492 3,011 $160.86
J2550 Injection, promethazine hcl, up to 50 mg 920 832 $132.64
85660 78 54 $124.50
90656 13 12 $117.80
82085 37 36 $111.82
J0461 Injection, atropine sulfate, 0.01 mg 588 345 $109.30
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 128 122 $104.52
J2370 Injection, phenylephrine hcl, up to 1 ml 2,715 2,409 $101.43
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 65 62 $100.14
86335 27 26 $99.70
87341 24 24 $88.89
92587 13 12 $82.56
C9463 Injection, aprepitant, 1 mg 194 103 $79.01
J2795 Injection, ropivacaine hydrochloride, 1 mg 601 592 $71.11
85347 560 375 $69.83
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 6,101 5,337 $69.45
J2175 Injection, meperidine hydrochloride, per 100 mg 538 523 $67.61
87110 15 14 $66.20
J3411 Injection, thiamine hcl, 100 mg 805 605 $62.03
85307 13 12 $61.26
99173 31 31 $58.00
86922 23 12 $57.30
C1758 Catheter, ureteral 547 487 $53.05
87425 13 13 $52.43
88302 110 102 $52.39
C2625 Stent, non-coronary, temporary, with delivery system 220 211 $51.63
87015 15 12 $41.81
84300 12 12 $40.11
87206 16 13 $35.53
90662 114 109 $31.52
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 620 618 $30.47
J1956 Injection, levofloxacin, 250 mg 757 696 $28.32
A4314 Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) 1,715 1,628 $28.10
86162 14 13 $26.88
J0360 Injection, hydralazine hcl, up to 20 mg 1,291 1,156 $22.91
87088 422 402 $13.36
83930 14 12 $13.29
90694 26 25 $13.08
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg 14 12 $11.61
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 2,148 2,061 $10.02
J1920 Injection, labetalol hydrochloride, 5 mg 302 281 $6.44
J0456 Injection, azithromycin, 500 mg 303 265 $5.12
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 529 495 $4.63
J1836 Injection, metronidazole, 10 mg 533 351 $3.56
J1596 Injection, glycopyrrolate, 0.1 mg 910 883 $3.16
87905 252 244 $2.28
J2470 Injection, pantoprazole sodium, 40 mg 119 88 $2.20
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 20 12 $1.88
J2919 Injection, methylprednisolone sodium succinate, 5 mg 1,024 846 $1.01
A4351 Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each 706 694 $0.82
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) 120 116 $0.76
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 531 500 $0.46
84157 12 12 $0.44
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 234 223 $0.29
Q0220 Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), 300 mg 83 74 $0.28
P9604 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge 766 550 $0.00
J9060 Injection, cisplatin, powder or solution, 10 mg 176 76 $0.00
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg 20 15 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 25,496 21,171 $0.00
J2720 Injection, protamine sulfate, per 10 mg 37 37 $0.00
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) 51 46 $0.00
J1953 Injection, levetiracetam, 10 mg 124 95 $0.00
A4358 Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each 67 54 $0.00
J1171 Injection, hydromorphone, 0.1 mg 437 336 $0.00
D1120 Prophylaxis - child 34 34 $0.00
77062 85 85 $0.00
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 168 166 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 125 123 $0.00
J0737 Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg 134 125 $0.00
C1788 Port, indwelling (implantable) 151 142 $0.00
J3473 Injection, hyaluronidase, recombinant, 1 usp unit 12 12 $0.00
91300 1,837 1,693 $0.00
A9537 Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries 12 12 $0.00
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg 12 12 $0.00
J3371 Injection, vancomycin hcl (mylan), not therapeutically equivalent to j3370, 500 mg 41 23 $0.00
D0220 Intraoral - periapical first radiographic image 18 18 $0.00
G0008 Administration of influenza virus vaccine 169 156 $0.00
A4338 Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each 230 205 $0.00
C1726 Catheter, balloon dilatation, non-vascular 122 113 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 693 658 $0.00
J0173 Injection, epinephrine (belcher), not therapeutically equivalent to j0171, 0.1 mg 239 227 $0.00
J2305 Injection, nitroglycerin, 5 mg 25 24 $0.00
J9181 Injection, etoposide, 10 mg 56 12 $0.00
91301 578 558 $0.00
D0230 Intraoral - periapical each additional radiographic image 18 18 $0.00
J7999 Compounded drug, not otherwise classified 13 13 $0.00
G0475 Hiv antigen/antibody, combination assay, screening 20 16 $0.00
96521 65 47 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 27 26 $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 76 53 $0.00
J2560 Injection, phenobarbital sodium, up to 120 mg 34 25 $0.00
J2785 Injection, regadenoson, 0.1 mg 25 25 $0.00
C1766 Introducer/sheath, guiding, intracardiac electrophysiological, steerable, other than peel-away 13 13 $0.00
C1732 Catheter, electrophysiology, diagnostic/ablation, 3d or vector mapping 32 27 $0.00
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg 17 12 $0.00
D1208 Topical application of fluoride, excluding varnish 20 20 $0.00
81511 12 12 $0.00
A4590 Special casting material (e.g., fiberglass) 12 12 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 13 12 $0.00