Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › GA › Gainesville › NPI 1427055821
Hospital

Northeast Georgia Medical Center, INC.

Northeast Georgia Medical Center, INC. was paid $112.63M by Medicaid between Jan 2018 and Dec 2024, across 580 billing codes. Its largest line is 99284, emergency room visit (serious) — 13% of everything it billed.

33Billing provider infoNORTHEAST GEORGIA MEDICAL CENTER, INC.
GAINESVILLE, GA 30501
33aNPI1427055821assigned 06/30/2005
28Total paid$112.63M
24GClaims3,277,629
24DCodes billed580
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Georgia

Rank by total paid#1 of 34
Median peer was paid$23K
This provider vs. median4,881×

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$1.0M$2.0M2018201920202021202220232024
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
2018525,581$16.89M
2019499,427$15.59M
2020390,002$13.38M
2021472,922$17.60M
2022498,389$18.46M
2023518,408$18.75M
2024incomplete372,900$11.97M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 13% 63,177 56,660 $14.49M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 11% 71,053 64,520 $12.35M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 8.0% 31,236 27,861 $8.98M
99282 Emergency department visit for the evaluation and management, low to moderate severity 4.6% 38,325 35,553 $5.20M
74177 Computed tomography, abdomen and pelvis; with contrast material 4.3% 15,030 14,120 $4.84M
96361 Intravenous infusion, hydration; each additional hour 2.7% 50,031 36,014 $3.08M
G0378 Hospital observation service, per hour 2.6% 22,054 20,134 $2.88M
0202U Oncology (prostate), multianalyte, gene expression profiling 2.5% 8,605 8,239 $2.81M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.9% 11,192 10,641 $2.11M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1.8% 20,831 19,610 $2.00M
74176 Computed tomography, abdomen and pelvis; without contrast material 1.4% 6,832 6,431 $1.61M
96375 Therapeutic injection; each additional sequential IV push 1.4% 45,184 35,653 $1.60M
568 more codes
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 1.4% 19,380 $1.57M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.4% 23,711 $1.56M
70450 Computed tomography, head or brain; without contrast material 1.3% 13,974 $1.46M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1.2% 49,535 $1.38M
78815 Positron emission tomography (PET) for limited area imaging 1.1% 1,563 $1.29M
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1.1% 3,128 $1.21M
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1.1% 67,281 $1.20M
59025 Fetal non-stress test 1.0% 11,462 $1.14M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 43,042 $1.06M
71046 Radiologic examination, chest; 2 views <1% 23,868 $1.04M
71275 Computed tomographic angiography, chest, with contrast material <1% 5,290 $928K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 11,480 $832K
80053 Comprehensive metabolic panel <1% 143,426 $816K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 10,814 $806K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 30,595 $731K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 2,125 $727K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 22,193 $654K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 6,848 $622K
36415 Collection of venous blood by venipuncture <1% 44,843 $614K
71045 Radiologic examination, chest; single view <1% 43,069 $604K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 157,132 $603K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 3,766 $596K
70496 <1% 2,598 $588K
70551 Magnetic resonance imaging, brain; without contrast material <1% 3,380 $578K
G6015 Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session <1% 1,575 $572K
70498 <1% 2,926 $566K
47562 <1% 556 $559K
96376 <1% 17,271 $553K
77336 <1% 3,827 $539K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 4,600 $522K
93458 <1% 694 $483K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 3,544 $463K
72125 Computed tomography, cervical spine; without contrast material <1% 4,306 $429K
93017 <1% 5,205 $428K
J7030 Infusion, normal saline solution , 1000 cc <1% 49,501 $420K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 1,702 $417K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 2,521 $398K
72141 <1% 2,218 $384K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 9,747 $376K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 607 $376K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 10,840 $374K
49083 <1% 1,678 $353K
77412 <1% 3,262 $323K
93970 <1% 2,918 $316K
84484 <1% 59,192 $310K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 33,566 $304K
77334 <1% 1,304 $290K
76770 <1% 2,887 $284K
93971 <1% 3,437 $274K
71250 <1% 2,605 $269K
J2785 Injection, regadenoson, 0.1 mg <1% 4,445 $265K
82553 <1% 43,013 $243K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 13,723 $242K
96367 <1% 3,890 $239K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 3,529 $230K
87070 <1% 23,790 $227K
D9420 <1% 406 $225K
93880 <1% 3,197 $224K
84443 Thyroid stimulating hormone (TSH) <1% 21,241 $224K
76830 Ultrasound, transvaginal <1% 3,033 $222K
77300 <1% 913 $220K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 14,249 $220K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 16,532 $213K
82803 <1% 19,532 $198K
97161 <1% 8,325 $197K
77067 Screening mammography, bilateral, including computer-aided detection <1% 2,786 $194K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 1,143 $191K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 1,473 $187K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 18,463 $177K
83880 <1% 9,343 $177K
99213 Doctor's office visit, returning patient (routine) <1% 4,769 $176K
Q9957 Injection, perflutren lipid microspheres, per ml <1% 7,222 $174K
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% 7,148 $171K
99152 <1% 7,698 $164K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 2,595 $158K
87088 <1% 28,845 $156K
88342 <1% 4,825 $155K
D2930 Prefabricated stainless steel crown - primary tooth <1% 550 $155K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 4,055 $153K
73610 <1% 3,407 $151K
83735 <1% 49,238 $148K
73030 <1% 3,291 $148K
73130 <1% 3,075 $144K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 6,170 $140K
78227 <1% 365 $140K
12001 <1% 1,863 $139K
84703 <1% 40,257 $135K
36430 <1% 937 $133K
72100 <1% 2,386 $131K
72131 <1% 1,148 $130K
73630 <1% 3,517 $130K
88307 <1% 2,593 $126K
80048 Basic metabolic panel (calcium, ionized) <1% 30,643 $125K
73564 <1% 3,210 $124K
74018 <1% 5,527 $122K
APT15 <1% 10,208 $120K
J3490 Unclassified drugs <1% 26,518 $120K
81001 <1% 56,858 $119K
76536 <1% 1,293 $115K
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% 1,958 $115K
93356 <1% 2,221 $114K
73110 <1% 2,334 $114K
83690 <1% 31,629 $110K
47563 <1% 99 $110K
96368 <1% 1,881 $109K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 24,563 $108K
74183 <1% 458 $107K
70486 <1% 1,029 $107K
86850 <1% 13,529 $107K
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% 7,115 $106K
83605 <1% 22,688 $106K
99214 Doctor's office visit, returning patient (more involved) <1% 2,432 $101K
87631 <1% 2,251 $97K
97014 <1% 8,367 $97K
58661 <1% 130 $96K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 5,578 $95K
73590 <1% 1,831 $93K
J7120 Ringers lactate infusion, up to 1000 cc <1% 24,931 $93K
64488 <1% 1,683 $90K
87077 <1% 15,083 $90K
80061 Lipid panel <1% 18,752 $88K
93925 <1% 1,197 $88K
88341 <1% 5,063 $85K
73090 <1% 1,973 $84K
82550 <1% 51,265 $84K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 5,566 $84K
84702 <1% 15,442 $82K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 16,959 $82K
70491 <1% 398 $81K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 485 $78K
12011 <1% 1,588 $77K
97162 <1% 3,343 $77K
72040 <1% 1,372 $74K
93325 <1% 1,732 $73K
82607 <1% 7,501 $72K
85027 <1% 21,307 $71K
77066 Tomosynthesis, mammo <1% 1,249 $70K
84439 <1% 13,703 $70K
J1815 Injection, insulin, per 5 units <1% 7,974 $69K
85730 <1% 25,325 $69K
J2704 Injection, propofol, 10 mg <1% 25,660 $68K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 852 $68K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 532 $67K
81003 <1% 29,835 $67K
93320 <1% 876 $66K
86901 <1% 18,313 $65K
87430 <1% 12,267 $65K
76870 <1% 653 $64K
73502 <1% 2,016 $64K
82330 <1% 19,458 $64K
85610 <1% 33,013 $63K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,939 $63K
83036 Hemoglobin; glycosylated (A1C) <1% 10,482 $61K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 1,919 $60K
77301 <1% 44 $59K
87040 <1% 15,732 $57K
APT17 <1% 3,803 $56K
87186 <1% 10,586 $56K
93351 <1% 221 $55K
82731 <1% 880 $55K
APT16 <1% 3,931 $54K
C1769 Guide wire <1% 6,353 $52K
J1439 Injection, ferric carboxymaltose, 1 mg <1% 118 $51K
72110 <1% 664 $50K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 922 $50K
86900 <1% 18,330 $49K
88304 <1% 3,236 $49K
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% 477 $49K
76937 <1% 767 $46K
J7050 Infusion, normal saline solution, 250 cc <1% 26,042 $45K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 251 $44K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 2,348 $44K
44970 <1% 31 $43K
73552 <1% 964 $43K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 3,469 $42K
82728 <1% 4,885 $42K
86403 <1% 1,401 $41K
12002 <1% 665 $41K
74022 <1% 676 $41K
P9016 Red blood cells, leukocytes reduced, each unit <1% 556 $40K
73221 <1% 213 $39K
85379 <1% 7,924 $39K
80074 <1% 1,258 $39K
95811 <1% 55 $39K
81025 <1% 4,974 $37K
93923 <1% 528 $37K
77063 Screening digital breast tomosynthesis, bilateral <1% 2,326 $36K
74178 <1% 119 $36K
J8501 Aprepitant, oral, 5 mg <1% 1,042 $36K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 34,440 $36K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 15,985 $36K
76642 <1% 1,562 $35K
82746 <1% 4,242 $34K
82077 <1% 5,489 $34K
73560 <1% 1,536 $34K
58571 <1% 55 $34K
90715 <1% 2,233 $33K
86140 <1% 11,725 $33K
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 3,563 $33K
73060 <1% 722 $33K
95816 <1% 186 $30K
75574 <1% 147 $30K
78431 <1% 898 $29K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 51,543 $29K
J1756 Injection, iron sucrose, 1 mg <1% 1,330 $28K
95819 <1% 153 $28K
P9047 Infusion, albumin (human), 25%, 50 ml <1% 578 $28K
73080 <1% 741 $27K
73070 <1% 600 $26K
J2270 Injection, morphine sulfate, up to 10 mg <1% 14,116 $26K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 722 $26K
99153 Mod sedat endo service >5yrs <1% 2,624 $26K
99215 Doctor's office visit, returning patient (complex) <1% 559 $25K
82565 <1% 20,751 $25K
76641 <1% 457 $25K
C2617 Stent, non-coronary, temporary, without delivery system <1% 298 $24K
83550 <1% 4,245 $24K
97116 <1% 4,890 $24K
J1650 Injection, enoxaparin sodium, 10 mg <1% 15,077 $23K
J3480 Injection, potassium chloride, per 2 meq <1% 6,483 $23K
94060 <1% 308 $23K
J0690 Injection, cefazolin sodium, 500 mg <1% 14,026 $23K
64415 <1% 823 $22K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 4,310 $22K
72170 <1% 820 $22K
73140 <1% 396 $22K
83718 <1% 1,898 $22K
72072 <1% 289 $22K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 22,945 $21K
72146 <1% 171 $21K
84112 <1% 375 $21K
D7140 Extraction, erupted tooth or exposed root <1% 153 $21K
97165 <1% 1,624 $20K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 610 $20K
86923 <1% 1,473 $20K
93308 <1% 430 $20K
86803 <1% 2,250 $19K
94664 <1% 1,577 $19K
0399T <1% 698 $19K
83540 <1% 4,393 $19K
87340 <1% 2,201 $18K
80069 <1% 4,694 $18K
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 7,830 $18K
51701 <1% 1,139 $18K
75625 <1% 50 $18K
J1170 Injection, hydromorphone, up to 4 mg <1% 11,392 $17K
97597 <1% 429 $17K
93990 <1% 734 $17K
74174 <1% 57 $17K
86762 <1% 1,421 $16K
73100 <1% 217 $16K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 5,111 $16K
94729 <1% 296 $15K
77065 Tomosynthesis, mammo <1% 572 $15K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 3,911 $15K
52356 <1% 16 $15K
93321 <1% 523 $15K
84132 <1% 22,613 $15K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 25,038 $15K
82435 <1% 18,371 $15K
C9399 Unclassified drugs or biologicals <1% 776 $14K
82570 <1% 3,615 $14K
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 816 $14K
96417 <1% 201 $14K
36561 <1% 13 $14K
78264 <1% 56 $14K
88112 <1% 720 $14K
A9585 Injection, gadobutrol, 0.1 ml <1% 3,861 $13K
74019 <1% 274 $13K
88142 <1% 1,043 $13K
87653 <1% 711 $13K
82140 <1% 2,057 $13K
64447 <1% 376 $13K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 3,060 $13K
94644 <1% 1,335 $13K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 2,733 $13K
84145 <1% 3,378 $12K
94726 <1% 181 $12K
A9555 Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries <1% 1,329 $12K
85520 <1% 3,302 $12K
83615 <1% 4,038 $12K
J2550 Injection, promethazine hcl, up to 50 mg <1% 8,871 $12K
70360 <1% 377 $12K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries <1% 1,685 $12K
87205 <1% 6,110 $12K
J0500 Injection, dicyclomine hcl, up to 20 mg <1% 700 $12K
87427 <1% 995 $12K
82947 <1% 19,039 $12K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 90 $12K
10060 <1% 154 $11K
88173 <1% 270 $11K
73600 <1% 229 $11K
80164 <1% 1,164 $11K
58558 <1% 26 $11K
G0379 Direct admission of patient for hospital observation care <1% 294 $11K
85652 <1% 6,397 $11K
80143 <1% 1,338 $11K
C1887 Catheter, guiding (may include infusion/perfusion capability) <1% 2,257 $10K
C9113 Injection, pantoprazole sodium, per vial <1% 6,446 $10K
86703 <1% 911 $10K
84295 <1% 18,779 $10K
J1805 Injection, esmolol hydrochloride, 10 mg <1% 1,965 $10K
73700 <1% 90 $10K
85014 <1% 7,752 $10K
36591 <1% 352 $9K
93225 <1% 156 $9K
77080 <1% 139 $9K
84156 <1% 3,198 $9K
86038 <1% 887 $9K
80179 <1% 1,176 $9K
P9045 Infusion, albumin (human), 5%, 250 ml <1% 281 $9K
80047 <1% 1,218 $9K
A9537 Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries <1% 477 $9K
84550 <1% 3,540 $9K
77386 <1% 236 $9K
87045 <1% 1,030 $8K
71101 <1% 155 $8K
82010 <1% 2,000 $8K
29105 <1% 351 $8K
36600 <1% 697 $8K
77290 <1% 27 $8K
77338 <1% 95 $8K
J3370 Injection, vancomycin hcl, 500 mg <1% 3,880 $8K
J3475 Injection, magnesium sulfate, per 500 mg <1% 5,207 $8K
77280 <1% 32 $7K
C1776 Joint device (implantable) <1% 168 $7K
86592 <1% 2,229 $7K
J1790 Injection, droperidol, up to 5 mg <1% 3,277 $7K
D1120 Dental cleaning, child <1% 131 $7K
82247 <1% 2,126 $7K
85046 <1% 2,595 $7K
84450 <1% 2,130 $7K
J0248 Injection, remdesivir, 1 mg <1% 43 $7K
C1729 Catheter, drainage <1% 765 $7K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 545 $7K
C1781 Mesh (implantable) <1% 279 $7K
83970 <1% 220 $7K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 52 $6K
74246 <1% 77 $6K
82040 <1% 2,165 $6K
C9290 Injection, bupivacaine liposome, 1 mg <1% 447 $6K
92526 <1% 678 $6K
82248 <1% 2,640 $6K
93226 <1% 156 $6K
97035 <1% 1,035 $6K
95800 <1% 87 $6K
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg <1% 1,314 $6K
84520 <1% 2,174 $5K
82272 <1% 2,131 $5K
74220 <1% 91 $5K
J1980 Injection, hyoscyamine sulfate, up to 0.25 mg <1% 449 $5K
10005 <1% 53 $5K
87420 <1% 175 $5K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 10,006 $5K
51702 <1% 183 $5K
99203 Doctor's office visit, new patient (routine) <1% 106 $5K
73620 <1% 192 $5K
84481 <1% 341 $5K
84153 <1% 284 $5K
J1953 Injection, levetiracetam, 10 mg <1% 467 $4K
27447 <1% 17 $4K
72050 <1% 63 $4K
A9577 Injection, gadobenate dimeglumine (multihance), per ml <1% 579 $4K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 48 $4K
77062 <1% 498 $4K
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries <1% 196 $4K
85018 <1% 3,412 $4K
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg <1% 2,049 $4K
96415 <1% 239 $4K
76885 <1% 70 $4K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 647 $4K
77012 <1% 43 $4K
J0780 Injection, prochlorperazine, up to 10 mg <1% 2,308 $4K
41899 Unlisted procedure, dentoalveolar structures <1% 27 $4K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring <1% 55 $4K
73200 <1% 25 $4K
80055 <1% 126 $4K
95886 <1% 44 $4K
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 3,863 $4K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 14,207 $4K
87081 <1% 814 $4K
97166 <1% 196 $4K
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) <1% 1,398 $4K
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 954 $4K
36416 <1% 979 $3K
80081 <1% 85 $3K
80076 <1% 706 $3K
D2330 <1% 28 $3K
76819 Fetal biophysical profile; without non-stress testing <1% 57 $3K
J1644 Injection, heparin sodium, per 1000 units <1% 10,441 $3K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 35 $3K
97535 Self-care/home management training, each 15 minutes <1% 1,686 $3K
86308 <1% 1,046 $3K
73562 <1% 29 $3K
J2371 Injection, phenylephrine hydrochloride, 20 micrograms <1% 2,913 $3K
82652 <1% 105 $3K
88302 <1% 195 $3K
29125 <1% 136 $3K
J1453 Injection, fosaprepitant, 1 mg <1% 91 $3K
88313 <1% 105 $3K
80050 General health panel <1% 2,279 $3K
C1726 Catheter, balloon dilatation, non-vascular <1% 67 $3K
J2060 Injection, lorazepam, 2 mg <1% 4,946 $3K
64450 <1% 39 $3K
87075 <1% 373 $3K
82784 <1% 218 $3K
92610 <1% 610 $3K
84100 <1% 3,826 $3K
J2800 Injection, methocarbamol, up to 10 ml <1% 589 $2K
95911 <1% 13 $2K
72070 <1% 27 $2K
J0456 Injection, azithromycin, 500 mg <1% 945 $2K
A9578 Injection, gadobenate dimeglumine (multihance multipack), per ml <1% 497 $2K
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm <1% 1,126 $2K
85384 <1% 589 $2K
H0031 Mental health assessment, by non-physician <1% 28 $2K
J7510 Prednisolone oral, per 5 mg <1% 2,179 $2K
82950 <1% 623 $2K
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units <1% 60 $2K
J1817 Insulin for administration through dme (i.e., insulin pump) per 50 units <1% 383 $2K
L4386 Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise <1% 28 $2K
43249 <1% 12 $2K
93978 <1% 37 $2K
78492 <1% 155 $2K
87493 <1% 290 $2K
87210 <1% 767 $2K
C1758 Catheter, ureteral <1% 271 $2K
J0137 Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg <1% 636 $2K
97016 <1% 368 $2K
A9540 Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries <1% 29 $2K
D1206 Topical application of fluoride varnish <1% 51 $2K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent <1% 13 $2K
M0222 Intravenous injection, bebtelovimab, includes injection and post administration monitoring <1% 15 $2K
J0595 Injection, butorphanol tartrate, 1 mg <1% 598 $2K
L0150 Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece) <1% 13 $2K
80177 <1% 162 $2K
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg <1% 1,491 $2K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 97 $2K
83525 <1% 131 $1K
93975 <1% 13 $1K
J1580 Injection, garamycin, gentamicin, up to 80 mg <1% 923 $1K
J1630 Injection, haloperidol, up to 5 mg <1% 3,740 $1K
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring <1% 17 $1K
75710 <1% 14 $1K
J0736 Injection, clindamycin phosphate, 300 mg <1% 255 $1K
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg <1% 702 $1K
J1643 Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units <1% 157 $1K
83930 <1% 412 $1K
87899 <1% 147 $1K
J0360 Injection, hydralazine hcl, up to 20 mg <1% 2,027 $1K
89051 <1% 634 $1K
J3411 Injection, thiamine hcl, 100 mg <1% 453 $1K
73660 <1% 12 $1K
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 347 $1K
L1830 Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf <1% 27 $1K
93926 <1% 12 $1K
C1760 Closure device, vascular (implantable/insertable) <1% 443 $1K
84146 <1% 70 $987.72
J1596 Injection, glycopyrrolate, 0.1 mg <1% 142 $962.76
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg <1% 296 $945.72
77387 <1% 59 $889.10
J0694 Injection, cefoxitin sodium, 1 gm <1% 96 $870.50
86706 <1% 323 $866.46
J7060 5% dextrose/water (500 ml = 1 unit) <1% 1,860 $846.63
APT04 <1% 96 $836.94
J1940 Injection, furosemide, up to 20 mg <1% 3,348 $797.43
85055 <1% 46 $792.93
APT18 <1% 60 $788.40
87177 <1% 99 $761.62
APT09 <1% 74 $738.42
80320 <1% 306 $724.17
87102 <1% 103 $712.88
86431 <1% 146 $698.36
99204 Doctor's office visit, new patient (more involved) <1% 14 $628.65
77332 <1% 15 $605.47
J2470 Injection, pantoprazole sodium, 40 mg <1% 292 $603.81
83516 <1% 67 $600.37
71271 <1% 30 $583.74
C9145 Injection, aprepitant, (aponvie), 1 mg <1% 32 $577.56
78434 <1% 845 $571.54
94667 <1% 12 $567.83
87641 <1% 58 $564.96
87220 <1% 161 $558.41
94660 <1% 18 $553.35
77061 <1% 122 $545.41
J7999 Compounded drug, not otherwise classified <1% 1,158 $510.27
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 13 $509.30
85347 <1% 352 $479.71
88172 <1% 43 $475.16
J1171 Injection, hydromorphone, 0.1 mg <1% 246 $473.92
Q4081 Injection, epoetin alfa, 100 units (for esrd on dialysis) <1% 78 $439.80
J1836 Injection, metronidazole, 10 mg <1% 212 $430.09
97012 <1% 33 $426.60
J2720 Injection, protamine sulfate, per 10 mg <1% 428 $421.13
82274 <1% 45 $411.99
87338 <1% 32 $410.86
S0028 Injection, famotidine, 20 mg <1% 331 $375.25
97163 <1% 26 $353.51
83655 <1% 43 $344.21
APT11 <1% 25 $315.12
74230 <1% 18 $308.46
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 393 $307.58
J3105 Injection, terbutaline sulfate, up to 1 mg <1% 129 $305.34
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 <1% 1,714 $278.26
81015 <1% 135 $276.38
29515 <1% 12 $272.78
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 2,265 $267.36
85007 <1% 82 $246.25
J3486 Injection, ziprasidone mesylate, 10 mg <1% 21 $244.74
84403 <1% 12 $241.28
87116 <1% 25 $238.44
82150 <1% 46 $236.32
S0077 Injection, clindamycin phosphate, 300 mg <1% 19 $233.10
83001 <1% 13 $225.54
86780 <1% 572 $216.57
J2003 Injection, lidocaine hydrochloride, 1 mg <1% 480 $215.08
80202 <1% 38 $213.47
51798 <1% 18 $207.84
L4350 Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf <1% 12 $203.15
87015 <1% 72 $199.62
87449 <1% 48 $191.12
85045 <1% 65 $180.12
J0280 Injection, aminophyllin, up to 250 mg <1% 73 $174.79
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) <1% 35 $172.88
J7070 Infusion, d5w, 1000 cc <1% 103 $161.43
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 117 $154.84
C1788 Port, indwelling (implantable) <1% 13 $151.53
97803 <1% 13 $147.24
84376 <1% 28 $141.66
APT06 <1% 13 $139.74
84480 <1% 13 $135.68
90686 <1% 13 $127.74
82805 <1% 16 $126.47
J1920 Injection, labetalol hydrochloride, 5 mg <1% 80 $126.27
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 1,068 $124.41
82043 <1% 25 $123.26
83986 <1% 40 $118.33
APT02 <1% 16 $113.60
J3360 Injection, diazepam, up to 5 mg <1% 66 $111.53
86039 <1% 12 $103.71
P9612 Catheterization for collection of specimen, single patient, all places of service <1% 1,604 $102.08
82533 <1% 15 $95.46
87324 <1% 34 $94.63
Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units <1% 21 $90.18
84157 <1% 17 $86.98
87181 <1% 30 $73.64
85390 <1% 30 $59.06
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 279 $51.46
85576 <1% 15 $49.82
S0020 Injection, bupivicaine hydrochloride, 30 ml <1% 14 $49.59
84300 <1% 74 $49.44
84478 <1% 67 $35.52
A9270 Non-covered item or service <1% 53,704 $22.38
J2004 Injection, lidocaine hcl with epinephrine, 1 mg <1% 18 $12.89
Q0169 Promethazine hydrochloride, 12.5 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 <1% 202 $10.03
J8540 Dexamethasone, oral, 0.25 mg <1% 17 $8.44
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 14 $0.94
J1956 Injection, levofloxacin, 250 mg 0% 16 $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 0% 140 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 4,633 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 124 $0.00
J0692 Injection, cefepime hydrochloride, 500 mg 0% 38 $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 0% 12 $0.00
Q0177 Hydroxyzine pamoate, 25 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 0% 133 $0.00
C1874 Stent, coated/covered, with delivery system 0% 30 $0.00
93798 0% 208 $0.00
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml 0% 61 $0.00
90935 Hemodialysis procedure with single evaluation by a physician 0% 598 $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 officialSTEINES, BRIAN (CFO)