Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Summa Health System

Summa Health System was paid $170.73M by Medicaid between Jan 2018 and Dec 2024, across 673 billing codes. Its largest line is G0463, Hospital outpatient clinic visit for assessment and management of a patient — 13% of everything it billed.

33Billing provider infoSUMMA HEALTH SYSTEM
AKRON, OH 44304
33aNPI1396765681assigned 07/20/2006
28Total paid$170.73M
24GClaims3,710,689
24DCodes billed673
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Ohio

Rank by total paid#6 of 101
Median peer was paid$22.32M
This provider vs. median7.6×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$2.0M$4.0M$6.0M2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018314,181$14.97M
2019329,515$14.73M
2020285,099$15.40M
2021331,907$15.78M
2022473,570$20.45M
20231,154,452$52.34M
2024incomplete821,965$37.07M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 13% 258,588 221,277 $22.45M
96361 Intravenous infusion, hydration; each additional hour 10% 62,162 47,623 $17.89M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 10% 129,913 113,164 $17.84M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 10% 147,752 135,068 $17.45M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 6.9% 73,480 60,186 $11.70M
90853 Group psychotherapy (other than of a multiple-family group) 2.9% 82,003 8,590 $5.03M
74177 Computed tomography, abdomen and pelvis; with contrast material 2.2% 14,073 10,711 $3.82M
70450 Computed tomography, head or brain; without contrast material 2.0% 13,062 10,343 $3.35M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.8% 7,332 6,181 $3.02M
G0378 Hospital observation service, per hour 1.7% 35,709 12,404 $2.92M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.6% 37,111 12,328 $2.68M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.5% 14,453 7,705 $2.48M
661 more codes
J9271 Injection, pembrolizumab, 1 mg 1.3% 228 $2.24M
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1.1% 10,238 $1.93M
74176 Computed tomography, abdomen and pelvis; without contrast material 1.1% 6,894 $1.90M
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r <1% 10,497 $1.39M
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 6,477 $1.35M
90791 Psychiatric diagnostic evaluation <1% 6,530 $1.35M
80053 Comprehensive metabolic panel <1% 131,471 $1.18M
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 2,926 $1.07M
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 10,720 $1.04M
47562 <1% 462 $989K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 1,806 $930K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 44,961 $927K
71275 Computed tomographic angiography, chest, with contrast material <1% 3,105 $865K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 7,523 $853K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 1,218 $786K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 15,577 $711K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 5,993 $699K
58571 <1% 330 $698K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 2,853 $698K
80048 Basic metabolic panel (calcium, ionized) <1% 95,516 $695K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 20,732 $693K
95886 <1% 1,908 $688K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 5,119 $682K
77386 <1% 1,942 $667K
95811 <1% 1,045 $632K
58661 <1% 386 $615K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 5,221 $548K
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 <1% 3,425 $530K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 74,646 $522K
90834 Psychotherapy session, about 45 minutes <1% 6,708 $518K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 1,971 $508K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 2,881 $502K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 93,510 $483K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 7,220 $481K
76830 Ultrasound, transvaginal <1% 4,996 $463K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 3,057 $431K
96375 Therapeutic injection; each additional sequential IV push <1% 52,059 $424K
64488 <1% 2,565 $415K
29848 <1% 334 $415K
96367 <1% 4,389 $397K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 10,181 $396K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 20,787 $372K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 169,887 $370K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 1,737 $361K
59025 Fetal non-stress test <1% 2,459 $359K
76642 <1% 3,005 $351K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 3,049 $351K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 4,865 $350K
71045 Radiologic examination, chest; single view <1% 46,359 $346K
70491 <1% 1,051 $327K
74240 <1% 2,112 $318K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 28,232 $312K
70496 <1% 1,282 $309K
94060 <1% 2,423 $307K
96415 <1% 1,059 $307K
84484 <1% 62,401 $304K
36415 Collection of venous blood by venipuncture <1% 306,232 $302K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 16,867 $300K
77063 Screening digital breast tomosynthesis, bilateral <1% 6,594 $300K
11045 <1% 968 $296K
97161 <1% 4,819 $291K
71046 Radiologic examination, chest; 2 views <1% 13,252 $290K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 569 $288K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 11,879 $273K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 3,176 $270K
58558 <1% 225 $269K
76801 <1% 2,149 $258K
94760 <1% 73,301 $251K
49083 <1% 656 $247K
76819 Fetal biophysical profile; without non-stress testing <1% 2,491 $245K
52356 <1% 119 $242K
71271 <1% 1,515 $235K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 5,686 $235K
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 <1% 1,061 $231K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 569 $230K
71250 <1% 2,575 $230K
78815 Positron emission tomography (PET) for limited area imaging <1% 358 $224K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk <1% 386 $221K
97162 <1% 4,198 $218K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 42,573 $210K
96146 <1% 1,648 $208K
90832 Psychotherapy session, about 30 minutes <1% 2,307 $205K
76770 <1% 1,363 $203K
95813 <1% 253 $199K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 1,467 $197K
80061 Lipid panel <1% 22,274 $197K
86850 <1% 8,655 $188K
76813 <1% 1,698 $186K
93971 <1% 2,342 $185K
85027 <1% 51,751 $184K
84443 Thyroid stimulating hormone (TSH) <1% 18,180 $182K
93970 <1% 1,271 $182K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 1,055 $174K
70551 Magnetic resonance imaging, brain; without contrast material <1% 1,009 $173K
88142 <1% 9,131 $171K
81514 <1% 758 $168K
0202U Oncology (prostate), multianalyte, gene expression profiling <1% 1,418 $168K
70498 <1% 1,231 $168K
P9016 Red blood cells, leukocytes reduced, each unit <1% 705 $167K
J1439 Injection, ferric carboxymaltose, 1 mg <1% 236 $165K
94727 <1% 2,499 $160K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 684 $153K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 865 $150K
87086 Culture, bacterial; quantitative colony count, urine <1% 17,930 $150K
76536 <1% 1,485 $148K
82607 <1% 8,585 $148K
77336 <1% 1,569 $145K
88307 <1% 1,856 $142K
94729 <1% 2,693 $140K
83036 Hemoglobin; glycosylated (A1C) <1% 26,110 $140K
95806 <1% 425 $137K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 8,289 $135K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies <1% 155 $135K
90677 <1% 940 $133K
87631 <1% 896 $132K
12001 <1% 880 $130K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 1,072 $129K
74183 <1% 498 $125K
19083 <1% 169 $125K
72141 <1% 737 $125K
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 <1% 14,331 $123K
87102 <1% 6,150 $122K
77300 <1% 424 $119K
86900 <1% 9,599 $116K
86592 <1% 5,456 $110K
80320 <1% 5,397 $108K
82728 <1% 8,621 $107K
93017 <1% 1,108 $107K
10060 <1% 697 $103K
73630 <1% 4,217 $103K
36430 <1% 827 $103K
29580 <1% 954 $101K
93798 <1% 1,980 $96K
84630 <1% 5,211 $96K
97113 <1% 1,234 $92K
70486 <1% 1,411 $92K
93270 <1% 869 $89K
90837 Psychotherapy session, about an hour <1% 796 $88K
86803 <1% 7,183 $87K
74174 <1% 513 $87K
Q3014 Telehealth originating site facility fee <1% 7,797 $85K
93458 <1% 75 $85K
73221 <1% 416 $82K
73030 <1% 3,653 $81K
88341 <1% 1,217 $81K
87205 <1% 8,563 $81K
72100 <1% 2,510 $79K
C8930 Transthoracic echocardiography, with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with physician supervision <1% 308 $77K
J2315 Injection, naltrexone, depot form, 1 mg <1% 66 $77K
43235 <1% 186 $77K
86361 <1% 1,837 $76K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 8,542 $76K
73560 <1% 2,071 $75K
12002 <1% 538 $75K
90670 <1% 414 $72K
77067 Screening mammography, bilateral, including computer-aided detection <1% 6,599 $72K
G0239 Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) <1% 2,247 $71K
84702 <1% 12,710 $69K
87536 <1% 1,633 $66K
90686 <1% 4,538 $66K
76870 <1% 815 $66K
97166 <1% 1,354 $65K
72158 <1% 300 $64K
83690 <1% 38,957 $64K
83735 <1% 22,797 $63K
73130 <1% 3,951 $62K
83540 <1% 8,576 $61K
77066 Tomosynthesis, mammo <1% 1,806 $61K
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 <1% 10,971 $60K
95912 <1% 651 $60K
90636 <1% 227 $60K
90715 <1% 3,855 $59K
84439 <1% 4,019 $59K
72110 <1% 1,055 $59K
90674 <1% 3,248 $58K
77334 <1% 255 $57K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 973 $56K
J9299 Injection, nivolumab, 1 mg <1% 20 $56K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 531 $55K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 530 $55K
81001 <1% 65,190 $54K
97165 <1% 902 $53K
87340 <1% 3,942 $52K
72125 Computed tomography, cervical spine; without contrast material <1% 3,948 $51K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 1,165 $51K
74018 <1% 1,780 $50K
80076 <1% 7,495 $50K
75574 <1% 172 $50K
81025 <1% 30,905 $50K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 640 $49K
87507 <1% 495 $49K
90651 <1% 556 $48K
82746 <1% 6,209 $47K
77049 <1% 138 $47K
86762 <1% 2,463 $47K
86593 <1% 4,568 $47K
96376 <1% 11,198 $47K
77080 <1% 731 $46K
74178 <1% 194 $46K
73502 <1% 1,944 $45K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 1,328 $44K
77065 Tomosynthesis, mammo <1% 1,209 $44K
G0257 Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility <1% 230 $43K
97116 <1% 1,591 $43K
72050 <1% 735 $43K
64418 <1% 278 $43K
94625 <1% 1,071 $42K
86140 <1% 4,778 $40K
J1756 Injection, iron sucrose, 1 mg <1% 2,320 $40K
93880 <1% 537 $40K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 1,183 $40K
72040 <1% 1,132 $39K
87077 <1% 5,954 $38K
11043 <1% 187 $38K
87653 <1% 1,367 $38K
86901 <1% 9,604 $37K
73562 <1% 2,830 $37K
J0574 Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine <1% 737 $37K
88342 <1% 2,891 $36K
93923 <1% 541 $36K
70544 <1% 239 $36K
82947 <1% 18,157 $36K
12011 <1% 242 $36K
73610 <1% 2,677 $36K
93225 <1% 329 $33K
76820 <1% 530 $33K
72156 <1% 171 $33K
00731 <1% 5,360 $30K
J3490 Unclassified drugs <1% 17,231 $30K
J2791 Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu <1% 431 $30K
95909 <1% 337 $29K
G0008 Administration of influenza virus vaccine <1% 9,969 $29K
73565 <1% 884 $29K
82950 <1% 2,261 $29K
73564 <1% 746 $29K
84425 <1% 3,004 $28K
0352U <1% 4,189 $27K
72131 <1% 383 $27K
90734 <1% 369 $27K
73700 <1% 237 $27K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 28,271 $27K
87522 Neg quan hep c or qual rna <1% 836 $27K
94660 <1% 258 $26K
73110 <1% 1,859 $26K
P9047 Infusion, albumin (human), 25%, 50 ml <1% 153 $26K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 2,701 $26K
85610 <1% 23,568 $25K
97535 Self-care/home management training, each 15 minutes <1% 1,240 $25K
83880 <1% 6,507 $25K
70487 <1% 75 $25K
95911 <1% 435 $24K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 276 $24K
37799 <1% 26 $24K
88304 <1% 1,864 $24K
93356 <1% 1,309 $24K
77301 <1% 38 $23K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 242 $23K
72072 <1% 786 $23K
82570 <1% 4,605 $22K
92134 <1% 412 $21K
83605 <1% 8,733 $21K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 5,292 $20K
78227 <1% 79 $19K
78264 <1% 83 $19K
67028 Intravitreal injection of a pharmacologic agent <1% 85 $19K
85055 <1% 1,960 $19K
87338 <1% 972 $19K
97035 <1% 264 $18K
87902 <1% 128 $18K
J7297 Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg <1% 38 $18K
83020 <1% 925 $17K
84403 <1% 973 $17K
82105 <1% 887 $17K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 190 $17K
86480 <1% 507 $17K
80069 <1% 984 $17K
93226 <1% 320 $17K
J2469 Injection, palonosetron hcl, 25 mcg <1% 1,666 $17K
97163 <1% 338 $17K
S9472 Cardiac rehabilitation program, non-physician provider, per diem <1% 281 $17K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 170 $16K
81003 <1% 13,370 $16K
J1453 Injection, fosaprepitant, 1 mg <1% 987 $15K
95012 <1% 377 $15K
86923 <1% 738 $15K
84146 <1% 1,086 $15K
36591 <1% 994 $14K
88312 <1% 784 $14K
99152 <1% 892 $14K
73080 <1% 692 $13K
93922 <1% 157 $13K
87070 <1% 2,634 $13K
72197 <1% 47 $13K
87106 <1% 1,017 $13K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 4,149 $13K
87186 <1% 4,548 $12K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 6,236 $12K
74230 <1% 108 $12K
73620 <1% 695 $12K
86706 <1% 1,390 $12K
83516 <1% 598 $12K
C9290 Injection, bupivacaine liposome, 1 mg <1% 147 $11K
83550 <1% 3,144 $11K
95819 <1% 82 $11K
45381 <1% 17 $11K
73120 <1% 300 $11K
86704 <1% 727 $11K
J1650 Injection, enoxaparin sodium, 10 mg <1% 10,613 $11K
82550 <1% 6,185 $11K
82670 <1% 335 $10K
82248 <1% 8,091 $10K
D0330 Panoramic radiographic image <1% 366 $10K
83021 <1% 397 $10K
83615 <1% 2,418 $10K
00811 <1% 1,454 $10K
73590 <1% 1,231 $10K
J1815 Injection, insulin, per 5 units <1% 9,023 $10K
J0500 Injection, dicyclomine hcl, up to 20 mg <1% 720 $10K
83970 <1% 489 $10K
J1170 Injection, hydromorphone, up to 4 mg <1% 9,870 $10K
98926 <1% 233 $10K
J0561 Injection, penicillin g benzathine, 100,000 units <1% 25 $9K
90661 <1% 1,041 $9K
26055 <1% 14 $9K
J2805 Injection, sincalide, 5 micrograms <1% 77 $9K
85652 <1% 4,376 $9K
92083 <1% 246 $9K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 2,334 $9K
80074 <1% 836 $9K
C1776 Joint device (implantable) <1% 347 $8K
J2704 Injection, propofol, 10 mg <1% 28,870 $8K
72170 <1% 1,383 $8K
86038 <1% 523 $8K
96368 <1% 1,062 $8K
88112 <1% 610 $8K
82043 <1% 3,095 $8K
93242 <1% 97 $8K
90750 <1% 48 $8K
84153 <1% 717 $7K
00812 <1% 1,663 $7K
G0009 Administration of pneumococcal vaccine <1% 1,354 $7K
82784 <1% 830 $7K
93924 <1% 69 $7K
64486 <1% 63 $7K
10061 <1% 42 $7K
74246 <1% 43 $7K
77338 <1% 42 $7K
73070 <1% 526 $7K
73552 <1% 530 $7K
71101 <1% 801 $6K
36592 <1% 977 $6K
D1110 Prophylaxis - adult <1% 196 $6K
J2270 Injection, morphine sulfate, up to 10 mg <1% 12,501 $6K
73090 <1% 762 $6K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 41,171 $6K
93246 <1% 75 $6K
84156 <1% 1,562 $6K
84481 <1% 799 $6K
85014 <1% 2,532 $6K
31624 <1% 50 $6K
84100 <1% 3,344 $6K
84703 <1% 3,582 $6K
95913 <1% 63 $5K
73600 <1% 367 $5K
G0424 Pulmonary rehabilitation, including exercise (includes monitoring), one hour, per session, up to two sessions per day <1% 188 $5K
86334 <1% 311 $5K
84145 <1% 1,378 $5K
90849 <1% 112 $5K
D0140 Limited oral evaluation - problem focused <1% 224 $5K
98927 <1% 165 $5K
87040 <1% 4,602 $5K
Q9957 Injection, perflutren lipid microspheres, per ml <1% 879 $5K
92611 <1% 95 $5K
85379 <1% 4,636 $5K
J1805 Injection, esmolol hydrochloride, 10 mg <1% 5,189 $5K
Q2039 Influenza virus vaccine, not otherwise specified <1% 974 $5K
76775 <1% 68 $5K
82565 <1% 660 $5K
87075 <1% 1,651 $4K
86431 <1% 415 $4K
J0640 Injection, leucovorin calcium, per 50 mg <1% 125 $4K
73140 <1% 196 $4K
99153 Mod sedat endo service >5yrs <1% 458 $4K
00940 <1% 354 $4K
83001 <1% 234 $4K
73060 <1% 426 $4K
01810 <1% 940 $4K
29125 <1% 523 $4K
86708 <1% 358 $3K
82803 <1% 2,500 $3K
97014 <1% 73 $3K
G0105 Colorectal cancer screening; colonoscopy on individual at high risk <1% 14 $3K
80202 <1% 516 $3K
D7140 Extraction, erupted tooth or exposed root <1% 55 $3K
85730 <1% 3,605 $3K
93976 <1% 17 $3K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 315 $3K
96523 <1% 60 $3K
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg <1% 4,182 $3K
90746 <1% 252 $3K
64445 <1% 14 $3K
85018 <1% 2,560 $3K
D0120 Dental checkup, returning patient <1% 158 $3K
20610 <1% 17 $3K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 54,582 $3K
95816 <1% 25 $3K
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) <1% 859 $3K
00790 <1% 600 $3K
00910 <1% 211 $3K
D0274 Bitewings - four radiographic images <1% 217 $3K
J9045 Injection, carboplatin, 50 mg <1% 201 $3K
84550 <1% 685 $3K
87529 <1% 215 $3K
84165 <1% 443 $3K
90732 <1% 92 $3K
29581 <1% 40 $2K
84155 <1% 360 $2K
D0150 Comprehensive oral evaluation - new or established patient <1% 90 $2K
97150 Therapeutic procedure(s), group (2 or more individuals) <1% 58 $2K
D0220 Intraoral - periapical first radiographic image <1% 481 $2K
11721 <1% 52 $2K
C9113 Injection, pantoprazole sodium, per vial <1% 1,473 $2K
88360 <1% 29 $2K
86304 <1% 147 $2K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 5,191 $2K
80164 <1% 527 $2K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 14 $2K
82330 <1% 451 $2K
72083 <1% 28 $2K
J3370 Injection, vancomycin hcl, 500 mg <1% 2,679 $2K
88172 <1% 41 $2K
82040 <1% 719 $2K
76818 <1% 28 $2K
C1781 Mesh (implantable) <1% 216 $2K
94664 <1% 442 $2K
84163 <1% 75 $2K
J0690 Injection, cefazolin sodium, 500 mg <1% 4,045 $2K
J3475 Injection, magnesium sulfate, per 500 mg <1% 2,262 $2K
92610 <1% 48 $2K
82010 <1% 1,683 $2K
J1953 Injection, levetiracetam, 10 mg <1% 186 $2K
G0390 Trauma response team associated with hospital critical care service <1% 222 $2K
93926 <1% 16 $2K
86160 <1% 89 $2K
94010 <1% 13 $2K
00840 <1% 1,695 $1K
86200 <1% 87 $1K
96103 <1% 14 $1K
D0210 Intraoral - complete series of radiographic images <1% 24 $1K
G0297 Low dose ct scan (ldct) for lung cancer screening <1% 14 $1K
64413 <1% 14 $1K
51701 <1% 396 $1K
73100 <1% 52 $1K
64999 <1% 12 $1K
92133 <1% 58 $1K
82533 <1% 103 $1K
C1769 Guide wire <1% 475 $1K
80177 <1% 352 $1K
86225 <1% 80 $1K
78306 <1% 14 $1K
90648 <1% 115 $1K
84132 <1% 479 $1K
J7050 Infusion, normal saline solution, 250 cc <1% 6,284 $1K
87493 <1% 76 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 19,606 $1K
84270 <1% 70 $1K
90472 Immunization administration, each additional vaccine (list separately) <1% 569 $967.49
94762 <1% 964 $958.54
86308 <1% 439 $945.52
89051 <1% 243 $932.33
86870 <1% 70 $929.09
00400 <1% 381 $924.37
90694 <1% 77 $912.99
88173 <1% 450 $880.81
86364 <1% 86 $880.13
86235 <1% 51 $878.86
84402 <1% 70 $872.20
J1644 Injection, heparin sodium, per 1000 units <1% 3,359 $866.09
82140 <1% 294 $863.57
97010 <1% 21 $834.47
51702 <1% 229 $831.57
72202 <1% 12 $806.44
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 8,319 $804.45
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 6,033 $801.23
J2360 Injection, orphenadrine citrate, up to 60 mg <1% 2,030 $783.82
97597 <1% 24 $757.95
0054A <1% 27 $744.30
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 1,705 $743.76
D2392 Resin-based composite - two surfaces, posterior, primary or permanent <1% 15 $737.10
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 1,033 $730.47
J0360 Injection, hydralazine hcl, up to 20 mg <1% 794 $726.85
90656 <1% 84 $713.05
J2550 Injection, promethazine hcl, up to 50 mg <1% 2,056 $700.35
J0780 Injection, prochlorperazine, up to 10 mg <1% 2,236 $658.16
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries <1% 373 $625.90
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm <1% 978 $605.76
76942 <1% 126 $604.93
76098 <1% 27 $604.24
A9270 Non-covered item or service <1% 25,173 $600.87
82378 <1% 76 $586.98
J2060 Injection, lorazepam, 2 mg <1% 4,686 $584.46
90632 <1% 19 $573.90
J2310 Injection, naloxone hydrochloride, per 1 mg <1% 43 $536.82
90723 <1% 104 $530.12
76937 <1% 78 $510.30
84480 <1% 144 $496.96
80323 <1% 24 $495.14
01965 <1% 110 $495.04
74022 <1% 38 $493.92
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 4,399 $483.27
00813 <1% 870 $482.46
86705 <1% 27 $481.48
93325 <1% 14 $476.17
85045 <1% 359 $475.30
80178 <1% 60 $469.97
72220 <1% 26 $448.44
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 652 $440.45
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg <1% 734 $431.22
87081 <1% 39 $424.08
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg <1% 4,449 $420.46
J7030 Infusion, normal saline solution , 1000 cc <1% 1,766 $418.38
C1760 Closure device, vascular (implantable/insertable) <1% 445 $417.10
87449 <1% 220 $413.09
80051 <1% 119 $409.26
J0736 Injection, clindamycin phosphate, 300 mg <1% 121 $408.00
82272 <1% 343 $392.16
87641 <1% 329 $389.51
94618 <1% 14 $388.15
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 18 $381.15
83520 <1% 13 $368.04
J1940 Injection, furosemide, up to 20 mg <1% 1,225 $363.51
J3010 Injection, fentanyl citrate, 0.1 mg <1% 6,707 $358.53
90633 <1% 41 $354.60
J3411 Injection, thiamine hcl, 100 mg <1% 578 $353.13
92015 Determination of refractive state <1% 136 $346.85
J1250 Injection, dobutamine hydrochloride, per 250 mg <1% 49 $346.32
A9585 Injection, gadobutrol, 0.1 ml <1% 3,881 $334.35
88302 <1% 383 $330.99
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg <1% 621 $328.74
J8540 Dexamethasone, oral, 0.25 mg <1% 846 $318.40
84450 <1% 52 $311.95
87517 <1% 14 $309.52
83525 <1% 36 $301.16
90653 <1% 90 $292.91
96402 <1% 13 $282.84
J1630 Injection, haloperidol, up to 5 mg <1% 1,979 $280.65
87899 <1% 235 $269.46
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 12,945 $268.42
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 788 $260.49
88313 <1% 139 $256.98
87116 <1% 162 $243.89
36416 <1% 741 $243.87
36600 <1% 42 $243.20
82652 <1% 18 $234.47
73521 <1% 13 $224.86
J7120 Ringers lactate infusion, up to 1000 cc <1% 808 $221.16
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 667 $208.78
87206 <1% 196 $205.91
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 535 $199.02
84300 <1% 194 $197.54
A4648 Tissue marker, implantable, any type, each <1% 462 $196.89
84460 <1% 52 $187.41
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 45 $185.34
00952 <1% 321 $178.14
J0737 Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg <1% 321 $175.85
J1580 Injection, garamycin, gentamicin, up to 80 mg <1% 288 $169.33
J7060 5% dextrose/water (500 ml = 1 unit) <1% 572 $168.82
87076 <1% 78 $158.43
J0692 Injection, cefepime hydrochloride, 500 mg <1% 324 $157.50
86146 <1% 12 $152.29
J3480 Injection, potassium chloride, per 2 meq <1% 1,241 $151.51
94761 <1% 722 $151.28
C2617 Stent, non-coronary, temporary, without delivery system <1% 467 $147.30
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 862 $137.45
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 1,217 $133.95
84520 <1% 41 $133.14
80175 <1% 35 $131.48
82088 <1% 16 $127.91
A4565 Slings <1% 694 $127.02
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 45 $126.49
91322 <1% 33 $123.06
90662 <1% 12 $118.72
82977 <1% 15 $116.07
83002 <1% 12 $101.72
88333 <1% 106 $95.28
86618 <1% 19 $91.92
29130 <1% 17 $90.63
D0230 Intraoral - periapical each additional radiographic image <1% 22 $84.00
84436 <1% 16 $83.08
85384 <1% 20 $82.85
C1758 Catheter, ureteral <1% 2,458 $78.28
Q9956 Injection, octafluoropropane microspheres, per ml <1% 723 $73.25
J1030 Injection, methylprednisolone acetate, 40 mg <1% 121 $66.59
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 39 $65.34
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 44 $64.58
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 950 $64.55
84134 <1% 47 $62.72
J2470 Injection, pantoprazole sodium, 40 mg <1% 328 $58.42
J1171 Injection, hydromorphone, 0.1 mg <1% 633 $54.91
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 336 $53.55
84244 <1% 15 $50.68
J2371 Injection, phenylephrine hydrochloride, 20 micrograms <1% 1,889 $42.70
90480 <1% 32 $41.54
C1729 Catheter, drainage <1% 574 $34.10
J1790 Injection, droperidol, up to 5 mg <1% 312 $33.82
J1920 Injection, labetalol hydrochloride, 5 mg <1% 688 $31.74
81002 <1% 574 $31.46
G0010 Administration of hepatitis b vaccine <1% 253 $28.54
82365 <1% 45 $20.39
Q0114 Fern test <1% 12 $20.16
J0461 Injection, atropine sulfate, 0.01 mg <1% 77 $19.94
J1596 Injection, glycopyrrolate, 0.1 mg <1% 735 $13.58
J1598 Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to j1596, 0.1 mg <1% 393 $11.20
J0456 Injection, azithromycin, 500 mg <1% 36 $8.66
J2175 Injection, meperidine hydrochloride, per 100 mg <1% 152 $7.51
J1836 Injection, metronidazole, 10 mg <1% 60 $5.76
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 265 $5.62
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg <1% 65 $3.98
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 80 $3.10
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 64 $2.53
91305 <1% 36 $0.39
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 0% 206 $0.00
80050 General health panel 0% 34 $0.00
C9250 Human plasma fibrin sealant, vapor-heated, solvent-detergent (artiss), 2 ml 0% 148 $0.00
96411 0% 318 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 0% 638 $0.00
51798 0% 59 $0.00
80047 0% 78 $0.00
82962 0% 192 $0.00
J2785 Injection, regadenoson, 0.1 mg 0% 478 $0.00
01480 0% 137 $0.00
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg 0% 24 $0.00
A9698 Non-radioactive contrast imaging material, not otherwise classified, per study 0% 112 $0.00
00142 0% 20 $0.00
84157 0% 35 $0.00
95910 0% 33 $0.00
77001 0% 12 $0.00
00160 0% 61 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 19 $0.00
Q9968 Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg 0% 19 $0.00
31629 0% 35 $0.00
95249 0% 19 $0.00
00902 0% 30 $0.00
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 0% 14 $0.00
J9267 Injection, paclitaxel, 1 mg 0% 31 $0.00
A9573 Injection, gadopiclenol, 1 ml 0% 42 $0.00
31654 0% 23 $0.00
C1726 Catheter, balloon dilatation, non-vascular 0% 12 $0.00
69209 0% 34 $0.00
00918 0% 269 $0.00
00300 0% 172 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 0% 275 $0.00
96417 0% 1,045 $0.00
J0670 Injection, mepivacaine hydrochloride, per 10 ml 0% 111 $0.00
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 0% 82 $0.00
A9537 Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries 0% 51 $0.00
00520 0% 67 $0.00
J1020 Injection, methylprednisolone acetate, 20 mg 0% 100 $0.00
01830 0% 45 $0.00
76376 0% 13 $0.00
01402 0% 30 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialAHNER, DAWN (CHIEF FINANCIAL OFFICER)