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

Virginia Commonwealth University Health System Authority

Virginia Commonwealth University Health System Authority was paid $658.49M by Medicaid between Jan 2018 and Dec 2024, across 1217 billing codes. Its largest line is G0463, Hospital outpatient clinic visit for assessment and management of a patient — 18% of everything it billed.

33Billing provider infoVIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY
RICHMOND, VA 23298
33aNPI1437175734assigned 07/14/2006
28Total paid$658.49M
24GClaims8,471,931
24DCodes billed1217
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Psychiatric Hospital Unit providers in Virginia

Rank by total paid#1 of 5
Median peer was paid$15K
This provider vs. median43,772×

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$5.0M$10M$15M2018201920202021202220232024
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
2018870,291$45.74M
20191,257,745$77.06M
2020990,457$71.74M
20211,310,477$91.83M
20221,397,344$110.96M
20231,459,009$149.79M
2024incomplete1,186,608$111.37M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 18% 651,324 484,205 $120.56M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 4.3% 115,061 97,838 $28.32M
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4.0% 160,141 126,648 $26.37M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 3.7% 86,272 32,415 $24.24M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 2.9% 83,799 68,954 $19.42M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.8% 116,764 97,934 $18.49M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 2.5% 66,291 54,864 $16.16M
96110 Developmental screening, with scoring and documentation, per standardized instrument 2.4% 25,809 24,105 $15.80M
96361 Intravenous infusion, hydration; each additional hour 2.2% 34,999 24,947 $14.71M
J9271 Injection, pembrolizumab, 1 mg 2.1% 2,346 1,385 $14.11M
J1569 Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg 1.5% 5,152 2,168 $9.94M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.4% 154,465 57,444 $9.40M
1205 more codes
G0378 Hospital observation service, per hour 1.4% 49,357 $9.24M
41899 Unlisted procedure, dentoalveolar structures 1.3% 4,470 $8.76M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.1% 47,510 $7.22M
77386 1.0% 11,560 $6.65M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 14,180 $6.32M
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 84,511 $6.29M
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 16,656 $6.20M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 38,832 $6.17M
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 19,903 $5.42M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 27,229 $5.40M
70450 Computed tomography, head or brain; without contrast material <1% 21,347 $5.40M
J1745 Injection, infliximab, excludes biosimilar, 10 mg <1% 3,543 $5.36M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 6,377 $4.89M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 10,498 $4.77M
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 21,019 $4.76M
20610 <1% 12,876 $3.59M
77412 <1% 7,428 $3.26M
96415 <1% 7,430 $3.09M
78815 Positron emission tomography (PET) for limited area imaging <1% 2,581 $3.05M
59899 <1% 4,135 $3.04M
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 21,721 $3.03M
J0178 Injection, aflibercept, 1 mg <1% 2,359 $2.87M
90837 Psychotherapy session, about an hour <1% 15,372 $2.81M
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 15,292 $2.79M
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 19,309 $2.78M
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 1,123 $2.75M
99215 Doctor's office visit, returning patient (complex) <1% 16,860 $2.71M
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 3,482 $2.67M
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 2,937 $2.63M
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 15,412 $2.63M
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 2,829 $2.55M
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 53,181 $2.51M
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 10,066 $2.46M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 4,298 $2.45M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 21,101 $2.39M
J0585 Injection, onabotulinumtoxina, 1 unit <1% 8,426 $2.33M
J2505 Injection, pegfilgrastim, 6 mg <1% 1,172 $2.22M
71275 Computed tomographic angiography, chest, with contrast material <1% 8,825 $2.19M
97161 <1% 15,736 $2.16M
43235 <1% 2,809 $2.13M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 36,174 $2.10M
93308 <1% 4,504 $2.09M
52000 <1% 1,929 $2.03M
76770 <1% 8,911 $2.01M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 15,159 $1.96M
93458 <1% 872 $1.96M
Q5111 Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg <1% 744 $1.96M
Q5121 Injection, infliximab-axxq, biosimilar, (avsola), 10 mg <1% 977 $1.96M
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 1,637 $1.95M
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 49,610 $1.84M
36430 <1% 7,566 $1.81M
92526 <1% 24,270 $1.77M
J0485 Injection, belatacept, 1 mg <1% 3,276 $1.73M
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 14,199 $1.72M
90834 Psychotherapy session, about 45 minutes <1% 10,846 $1.71M
74183 <1% 3,835 $1.64M
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 2,413 $1.64M
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 5,425 $1.63M
97162 <1% 9,209 $1.58M
67028 Intravitreal injection of a pharmacologic agent <1% 5,377 $1.54M
80048 Basic metabolic panel (calcium, ionized) <1% 191,528 $1.53M
70551 Magnetic resonance imaging, brain; without contrast material <1% 4,195 $1.50M
P9016 Red blood cells, leukocytes reduced, each unit <1% 4,202 $1.49M
80053 Comprehensive metabolic panel <1% 191,489 $1.40M
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 13,175 $1.40M
G0330 Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room <1% 775 $1.39M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 8,868 $1.38M
64615 <1% 2,846 $1.37M
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% 31,722 $1.34M
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 1,376 $1.33M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 11,236 $1.30M
92551 <1% 8,751 $1.29M
31575 <1% 4,108 $1.29M
J9035 Injection, bevacizumab, 10 mg <1% 887 $1.27M
92523 <1% 4,258 $1.25M
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 11,293 $1.22M
36561 <1% 625 $1.20M
97535 Self-care/home management training, each 15 minutes <1% 23,104 $1.19M
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 3,905 $1.19M
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 4,990 $1.17M
97116 <1% 20,619 $1.16M
J2357 Injection, omalizumab, 5 mg <1% 1,330 $1.15M
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 8,444 $1.14M
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 8,709 $1.10M
87536 <1% 15,172 $1.08M
90791 Psychiatric diagnostic evaluation <1% 4,420 $1.06M
49083 <1% 1,434 $1.06M
70498 <1% 6,223 $1.05M
76830 Ultrasound, transvaginal <1% 6,224 $1.01M
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 80,720 $1.00M
90792 Psychiatric diagnostic evaluation with medical services <1% 3,653 $993K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 12,991 $977K
P9040 Red blood cells, leukocytes reduced, irradiated, each unit <1% 2,703 $963K
77067 Screening mammography, bilateral, including computer-aided detection <1% 13,146 $935K
95816 <1% 2,532 $923K
36512 <1% 459 $913K
81420 Fetal chromosomal aneuploidy genomic sequence analysis panel <1% 1,361 $911K
97163 <1% 2,932 $897K
72141 <1% 3,591 $860K
54161 <1% 519 $851K
59025 Fetal non-stress test <1% 3,282 $846K
93017 <1% 5,407 $830K
64643 <1% 1,593 $822K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 9,355 $801K
38222 <1% 1,358 $794K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies <1% 1,129 $792K
93971 <1% 5,731 $784K
93325 <1% 6,919 $779K
J3380 Injection, vedolizumab, intravenous, 1 mg <1% 201 $778K
71250 <1% 7,341 $772K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants <1% 1,334 $739K
92610 <1% 3,503 $728K
Q5119 Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg <1% 235 $715K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 4,920 $714K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 414 $708K
76819 Fetal biophysical profile; without non-stress testing <1% 5,681 $708K
97165 <1% 5,958 $706K
64483 <1% 973 $705K
J2323 Injection, natalizumab, 1 mg <1% 254 $701K
64642 <1% 2,226 $701K
90853 Group psychotherapy (other than of a multiple-family group) <1% 4,578 $672K
75561 <1% 1,418 $644K
70491 <1% 3,111 $642K
P9045 Infusion, albumin (human), 5%, 250 ml <1% 2,632 $640K
99177 <1% 5,000 $639K
70496 <1% 2,632 $632K
76642 <1% 3,910 $631K
90832 Psychotherapy session, about 30 minutes <1% 4,588 $630K
90686 <1% 42,951 $621K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 38,305 $619K
93970 <1% 3,531 $617K
76801 <1% 4,453 $599K
90472 Immunization administration, each additional vaccine (list separately) <1% 27,478 $599K
97803 <1% 6,110 $596K
77336 <1% 5,236 $588K
90651 <1% 9,025 $587K
93975 <1% 3,709 $570K
96367 <1% 7,517 $565K
95806 <1% 678 $559K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 3,769 $549K
76536 <1% 3,622 $549K
C9257 Injection, bevacizumab, 0.25 mg <1% 955 $545K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 35,524 $535K
G0257 Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility <1% 2,609 $535K
42830 <1% 177 $525K
90677 <1% 6,239 $519K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 264,397 $518K
17250 <1% 1,255 $510K
77334 <1% 2,356 $510K
71046 Radiologic examination, chest; 2 views <1% 42,663 $509K
77301 <1% 356 $507K
72197 <1% 1,389 $503K
97166 <1% 2,817 $495K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 10,921 $491K
95819 <1% 1,340 $489K
95708 <1% 691 $477K
83880 <1% 29,479 $469K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 38,304 $465K
J1561 Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg <1% 239 $462K
20550 <1% 1,571 $459K
90670 <1% 25,023 $452K
73221 <1% 1,611 $449K
74178 <1% 1,516 $438K
94010 <1% 11,581 $435K
77002 <1% 2,729 $418K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 2,101 $417K
97167 <1% 1,673 $415K
31231 <1% 1,790 $411K
58300 <1% 1,587 $405K
96161 <1% 13,186 $402K
97755 <1% 1,697 $395K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 95,720 $392K
J9299 Injection, nivolumab, 1 mg <1% 146 $388K
J2350 Injection, ocrelizumab, 1 mg <1% 13 $387K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 23,875 $383K
96409 <1% 4,001 $378K
88185 <1% 7,063 $378K
77295 <1% 382 $378K
93451 <1% 158 $377K
95886 <1% 2,235 $375K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 46,034 $373K
85027 <1% 117,168 $364K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 27,133 $362K
P9073 Platelets, pheresis, pathogen-reduced, each unit <1% 618 $361K
99173 <1% 5,716 $352K
76942 <1% 4,832 $351K
95885 <1% 2,003 $347K
J2353 Injection, octreotide, depot form for intramuscular injection, 1 mg <1% 125 $346K
76604 <1% 3,421 $340K
90715 <1% 14,994 $338K
80197 <1% 21,067 $334K
76937 <1% 4,427 $332K
80061 Lipid panel <1% 48,654 $330K
G0483 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; 22 or more drug class(es), including metabolite(s) if performed <1% 1,787 $329K
72158 <1% 1,529 $323K
95700 <1% 1,572 $315K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 22,680 $313K
97016 <1% 8,407 $312K
36415 Collection of venous blood by venipuncture <1% 260,919 $307K
96133 <1% 1,280 $306K
J0475 Injection, baclofen, 10 mg <1% 695 $301K
Q5103 Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg <1% 191 $301K
96160 <1% 2,572 $299K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 1,852 $298K
93296 <1% 8,916 $292K
96416 <1% 665 $291K
Q5104 Injection, infliximab-abda, biosimilar, (renflexis), 10 mg <1% 220 $290K
83735 <1% 115,256 $290K
80076 <1% 33,627 $290K
87522 Neg quan hep c or qual rna <1% 9,455 $288K
97602 <1% 850 $288K
74174 <1% 770 $284K
90648 <1% 24,846 $281K
93922 <1% 3,020 $279K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 1,508 $278K
97597 <1% 3,054 $277K
96130 <1% 645 $274K
77001 <1% 2,103 $273K
95716 <1% 661 $272K
97802 <1% 3,095 $271K
76775 <1% 1,748 $270K
76870 <1% 1,954 $270K
11981 <1% 717 $270K
20680 <1% 258 $268K
J9144 Injection, daratumumab, 10 mg and hyaluronidase-fihj <1% 122 $268K
97032 <1% 5,032 $260K
74230 <1% 1,730 $257K
83970 <1% 11,557 $257K
70486 <1% 2,970 $252K
84443 Thyroid stimulating hormone (TSH) <1% 56,094 $249K
87632 <1% 2,058 $247K
62323 <1% 318 $242K
95811 <1% 388 $241K
72125 Computed tomography, cervical spine; without contrast material <1% 8,546 $241K
11982 <1% 488 $241K
73610 <1% 14,223 $239K
97760 <1% 5,102 $238K
86833 <1% 2,131 $238K
36591 <1% 13,765 $235K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 658 $233K
12001 <1% 756 $232K
87653 <1% 4,890 $231K
10060 <1% 1,219 $229K
76882 <1% 1,808 $227K
72156 <1% 1,403 $225K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 946 $224K
96137 <1% 1,264 $221K
86832 <1% 2,125 $220K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg <1% 355 $217K
86780 <1% 20,693 $217K
43762 <1% 776 $217K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 2,127 $215K
76813 <1% 2,221 $212K
97035 <1% 4,825 $211K
94726 <1% 4,317 $210K
73700 <1% 1,646 $210K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 1,682 $209K
94729 <1% 5,177 $204K
77280 <1% 595 $202K
74018 <1% 7,908 $200K
J1756 Injection, iron sucrose, 1 mg <1% 5,192 $199K
83655 <1% 8,671 $198K
93880 <1% 1,615 $197K
58301 <1% 837 $196K
J2997 Injection, alteplase recombinant, 1 mg <1% 1,768 $195K
51784 <1% 753 $194K
76498 <1% 651 $193K
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit <1% 1,562 $193K
92015 Determination of refractive state <1% 20,903 $189K
29405 <1% 634 $188K
72146 <1% 959 $186K
76820 <1% 1,562 $183K
73630 <1% 17,501 $183K
94060 <1% 2,475 $183K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 15,110 $181K
77066 Tomosynthesis, mammo <1% 2,966 $181K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 1,780 $181K
83036 Hemoglobin; glycosylated (A1C) <1% 61,687 $178K
97018 <1% 6,805 $178K
86830 <1% 2,198 $177K
78264 <1% 382 $176K
77300 <1% 1,842 $175K
96450 <1% 379 $175K
86803 <1% 19,820 $174K
95782 <1% 154 $174K
J1459 Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg <1% 185 $170K
62370 <1% 1,161 $164K
73030 <1% 14,038 $162K
57454 <1% 271 $161K
93350 <1% 489 $160K
96523 <1% 3,500 $160K
96132 <1% 1,351 $157K
96116 <1% 776 $156K
90723 <1% 17,033 $155K
20552 <1% 589 $155K
88142 <1% 9,158 $155K
90633 <1% 14,418 $152K
90870 <1% 351 $151K
93926 <1% 1,477 $151K
J9312 Injection, rituximab, 10 mg <1% 96 $151K
P9047 Infusion, albumin (human), 25%, 50 ml <1% 421 $149K
72040 <1% 6,229 $149K
87799 <1% 5,560 $146K
86831 <1% 2,127 $146K
90734 <1% 6,231 $146K
52310 <1% 171 $145K
72100 <1% 9,960 $145K
92083 <1% 4,801 $145K
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% 18,918 $144K
76818 <1% 1,058 $144K
77080 <1% 1,350 $143K
12011 <1% 536 $142K
71045 Radiologic examination, chest; single view <1% 26,072 $140K
87497 <1% 3,294 $140K
77338 <1% 389 $139K
86360 <1% 12,933 $139K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 5,780 $138K
88307 <1% 3,846 $138K
49452 <1% 209 $137K
J1453 Injection, fosaprepitant, 1 mg <1% 1,667 $135K
20605 <1% 478 $133K
86850 <1% 39,830 $133K
85610 <1% 55,610 $133K
51728 <1% 367 $133K
86359 <1% 12,946 $132K
90636 <1% 1,364 $132K
84484 <1% 52,195 $131K
73590 <1% 8,655 $131K
73562 <1% 8,486 $129K
73564 <1% 12,639 $128K
93304 <1% 320 $128K
77063 Screening digital breast tomosynthesis, bilateral <1% 4,326 $127K
Q9992 Injection, buprenorphine extended-release (sublocade), greater than 100 mg <1% 240 $127K
86787 <1% 6,452 $127K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 997 $125K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 49,450 $125K
77065 Tomosynthesis, mammo <1% 2,077 $124K
77290 <1% 316 $124K
86762 <1% 6,195 $123K
82728 <1% 27,164 $122K
87086 Culture, bacterial; quantitative colony count, urine <1% 45,019 $121K
96401 <1% 1,847 $120K
71271 <1% 804 $120K
86923 <1% 4,579 $120K
73560 <1% 9,592 $119K
69210 <1% 2,153 $119K
87040 <1% 9,243 $119K
73130 <1% 9,865 $118K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 12,594 $117K
87641 <1% 4,517 $117K
90681 <1% 13,867 $116K
72157 <1% 693 $115K
93925 <1% 856 $115K
J7120 Ringers lactate infusion, up to 1000 cc <1% 71,177 $115K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 13,365 $113K
58100 <1% 485 $113K
86900 <1% 42,547 $112K
97164 <1% 773 $112K
91322 <1% 2,118 $112K
70543 <1% 287 $110K
11102 <1% 270 $109K
73502 <1% 10,152 $108K
43248 <1% 125 $106K
90847 Family psychotherapy with the patient present, 50 minutes <1% 443 $105K
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% 248 $104K
91200 <1% 960 $103K
92134 <1% 14,545 $103K
84702 <1% 24,307 $102K
80305 <1% 24,364 $100K
84439 <1% 20,742 $100K
88237 <1% 1,385 $99K
82105 <1% 9,777 $99K
81370 <1% 274 $98K
92020 <1% 317 $98K
83605 <1% 33,031 $96K
90710 <1% 5,420 $95K
0001A <1% 4,207 $95K
82607 <1% 16,353 $94K
96139 <1% 570 $93K
86829 <1% 631 $93K
87486 <1% 13,125 $93K
0042T <1% 552 $90K
90716 <1% 6,343 $90K
52356 <1% 16 $88K
0002A <1% 2,792 $86K
99204 Doctor's office visit, new patient (more involved) <1% 657 $85K
43760 <1% 239 $85K
91300 <1% 8,127 $84K
73110 <1% 6,590 $84K
31615 <1% 43 $81K
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) <1% 3,719 $81K
19083 <1% 48 $81K
90474 <1% 5,587 $80K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 5,124 $79K
36590 <1% 82 $79K
92607 <1% 275 $79K
96402 <1% 1,984 $79K
97010 <1% 2,085 $78K
J0882 Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) <1% 83 $78K
82784 <1% 8,998 $77K
57420 <1% 126 $76K
90707 <1% 7,498 $76K
97763 <1% 1,640 $75K
66982 <1% 46 $75K
87340 <1% 20,813 $74K
74455 <1% 321 $74K
77073 <1% 4,803 $73K
87581 <1% 13,124 $73K
87517 <1% 2,151 $73K
86901 <1% 42,395 $73K
95951 <1% 156 $71K
64450 <1% 190 $70K
90671 <1% 678 $69K
L8699 Prosthetic implant, not otherwise specified <1% 1,330 $69K
88341 <1% 3,078 $69K
J7050 Infusion, normal saline solution, 250 cc <1% 23,469 $69K
76881 <1% 429 $69K
70487 <1% 170 $68K
20553 <1% 311 $68K
81001 <1% 77,848 $68K
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 9,455 $68K
77470 <1% 78 $67K
54150 <1% 28 $67K
82248 <1% 45,623 $67K
86003 <1% 3,588 $66K
88262 <1% 1,296 $66K
J3490 Unclassified drugs <1% 73,521 $66K
90698 <1% 6,493 $65K
J9070 Cyclophosphamide, 100 mg <1% 606 $65K
73552 <1% 5,985 $65K
29075 <1% 152 $64K
73070 <1% 3,204 $64K
99203 Doctor's office visit, new patient (routine) <1% 518 $63K
84100 <1% 42,985 $63K
86480 <1% 3,842 $63K
90700 <1% 6,771 $63K
92504 <1% 407 $63K
70355 <1% 1,287 $63K
87507 <1% 439 $62K
78451 <1% 106 $62K
73090 <1% 5,226 $61K
72170 <1% 4,429 $61K
73080 <1% 4,355 $61K
92611 <1% 1,502 $61K
90656 <1% 3,789 $60K
J2704 Injection, propofol, 10 mg <1% 92,516 $60K
93321 <1% 1,168 $59K
90999 Dialysis (unlisted procedure) <1% 587 $59K
96375 Therapeutic injection; each additional sequential IV push <1% 43,993 $58K
0064U <1% 6,258 $58K
87902 <1% 767 $58K
92133 <1% 6,500 $57K
84466 <1% 20,157 $57K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 2,067 $57K
36224 <1% 12 $57K
62322 <1% 144 $57K
77049 <1% 80 $57K
95911 <1% 329 $57K
95117 <1% 1,619 $56K
88342 <1% 6,188 $56K
80321 <1% 1,636 $56K
96411 <1% 3,003 $55K
86140 <1% 27,801 $54K
96127 <1% 1,058 $53K
83021 <1% 7,605 $53K
95910 <1% 424 $53K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 36,764 $53K
86255 <1% 2,413 $53K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 50,191 $53K
70544 <1% 210 $52K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 62,240 $52K
92002 <1% 404 $52K
90732 <1% 2,408 $51K
93798 <1% 341 $50K
11100 <1% 133 $50K
36592 <1% 3,735 $50K
90480 <1% 2,524 $50K
73100 <1% 3,070 $49K
70320 <1% 1,255 $49K
36558 <1% 34 $49K
83540 <1% 22,694 $49K
99354 <1% 1,074 $49K
J7030 Infusion, normal saline solution , 1000 cc <1% 49,709 $49K
86235 <1% 2,559 $48K
74240 <1% 302 $48K
72131 <1% 572 $48K
88184 <1% 2,899 $47K
88275 <1% 1,034 $47K
84153 <1% 6,341 $46K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 32,985 $46K
72110 <1% 2,007 $46K
84403 <1% 4,249 $45K
88360 <1% 1,787 $45K
99188 <1% 2,223 $45K
95913 <1% 239 $45K
81003 <1% 31,774 $45K
83615 <1% 12,276 $44K
88271 <1% 1,106 $44K
54300 <1% 14 $43K
82565 <1% 16,831 $43K
72190 <1% 1,074 $42K
86706 <1% 10,136 $42K
10005 <1% 87 $42K
J3475 Injection, magnesium sulfate, per 500 mg <1% 21,764 $42K
92609 <1% 683 $41K
J3262 Injection, tocilizumab, 1 mg <1% 59 $41K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 2,061 $41K
84402 <1% 1,982 $41K
73200 <1% 258 $40K
G0476 Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test <1% 1,111 $40K
76512 <1% 265 $40K
64493 <1% 45 $40K
85730 <1% 21,099 $39K
80364 <1% 3,278 $39K
72082 <1% 3,290 $39K
73060 <1% 3,250 $38K
76000 <1% 2,499 $38K
Q5107 Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg <1% 41 $38K
96040 <1% 258 $38K
G0297 Low dose ct scan (ldct) for lung cancer screening <1% 265 $38K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 5,747 $38K
64416 <1% 123 $37K
73140 <1% 2,896 $37K
80164 <1% 2,939 $37K
82948 <1% 39,552 $36K
77072 <1% 1,102 $36K
84146 <1% 2,570 $36K
85018 <1% 12,957 $35K
82247 <1% 22,850 $35K
81025 <1% 26,730 $35K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results <1% 1,345 $35K
82533 <1% 2,246 $35K
J0690 Injection, cefazolin sodium, 500 mg <1% 27,199 $35K
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% 4,847 $35K
J8540 Dexamethasone, oral, 0.25 mg <1% 7,591 $34K
84425 <1% 2,758 $34K
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision <1% 1,956 $34K
73620 <1% 2,613 $34K
84156 <1% 17,297 $34K
G0008 Administration of influenza virus vaccine <1% 7,064 $34K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries <1% 2,970 $34K
82805 <1% 11,464 $34K
81329 <1% 1,164 $33K
77062 <1% 963 $33K
86704 <1% 7,666 $33K
36593 <1% 170 $33K
43249 <1% 41 $33K
90746 <1% 1,474 $33K
54640 <1% 14 $32K
76827 <1% 1,060 $32K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 9,581 $32K
86644 <1% 2,132 $32K
C1769 Guide wire <1% 12,077 $32K
86334 <1% 3,030 $30K
90696 <1% 2,731 $30K
74221 <1% 245 $30K
95874 <1% 1,015 $30K
12002 <1% 114 $30K
86160 <1% 3,986 $30K
J1950 Injection, leuprolide acetate (for depot suspension), per 3.75 mg <1% 80 $30K
95909 <1% 214 $30K
93799 <1% 3,415 $30K
96138 <1% 565 $29K
82746 <1% 8,733 $29K
82977 <1% 2,352 $29K
64644 <1% 184 $29K
73600 <1% 2,174 $29K
90662 <1% 2,870 $29K
88312 <1% 1,481 $29K
72070 <1% 1,874 $28K
0124A <1% 2,011 $28K
82670 <1% 1,753 $28K
97542 <1% 507 $28K
87631 <1% 1,351 $28K
91312 <1% 2,037 $28K
86665 <1% 1,290 $28K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 10,535 $27K
92522 <1% 66 $27K
49450 <1% 35 $27K
96376 <1% 20,421 $27K
87077 <1% 15,227 $26K
95953 <1% 75 $26K
86038 <1% 6,091 $26K
83516 <1% 1,893 $26K
85379 <1% 4,176 $26K
29826 <1% 27 $26K
86870 <1% 1,171 $26K
88313 <1% 3,101 $25K
94618 <1% 169 $25K
83690 <1% 33,859 $25K
87529 <1% 1,098 $25K
88304 <1% 3,046 $25K
86922 <1% 816 $25K
80177 <1% 3,373 $25K
86708 <1% 4,516 $25K
95970 <1% 469 $25K
87640 <1% 3,889 $25K
81382 <1% 200 $25K
G0475 Hiv antigen/antibody, combination assay, screening <1% 3,766 $24K
86825 <1% 198 $24K
91321 <1% 472 $24K
0100U <1% 1,069 $24K
72050 <1% 1,391 $24K
82785 <1% 4,167 $23K
88143 <1% 1,257 $23K
83001 <1% 2,250 $23K
87081 <1% 7,281 $23K
77012 <1% 414 $22K
87070 <1% 8,571 $22K
85652 <1% 24,785 $22K
J1650 Injection, enoxaparin sodium, 10 mg <1% 10,186 $22K
94660 <1% 97 $21K
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) <1% 2,877 $21K
80320 <1% 3,374 $21K
87075 <1% 3,384 $21K
74019 <1% 1,971 $21K
J2545 Pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mg <1% 60 $21K
70480 <1% 111 $21K
94621 <1% 148 $21K
99406 <1% 762 $21K
87184 <1% 11,197 $21K
A9609 Fludeoxyglucose f18 up to 15 millicuries <1% 103 $21K
97014 <1% 489 $20K
87210 <1% 4,779 $20K
82043 <1% 11,251 $20K
99153 Mod sedat endo service >5yrs <1% 3,426 $20K
82950 <1% 3,850 $20K
96417 <1% 4,610 $19K
J3315 Injection, triptorelin pamoate, 3.75 mg <1% 50 $19K
93225 <1% 461 $19K
G0009 Administration of pneumococcal vaccine <1% 2,294 $19K
86902 <1% 2,072 $19K
J0561 Injection, penicillin g benzathine, 100,000 units <1% 491 $19K
20611 <1% 58 $19K
P9037 Platelets, pheresis, leukocytes reduced, irradiated, each unit <1% 37 $18K
93320 <1% 4,160 $18K
73000 <1% 1,014 $18K
51700 <1% 50 $18K
96368 <1% 2,704 $18K
80323 <1% 1,123 $18K
88311 <1% 1,933 $18K
83002 <1% 1,646 $17K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 26,257 $17K
96121 <1% 30 $17K
73120 <1% 1,194 $17K
82103 <1% 1,354 $17K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 17,309 $17K
87900 <1% 390 $17K
89051 <1% 4,469 $17K
95076 <1% 27 $17K
84450 <1% 26,462 $16K
36581 <1% 20 $16K
74220 <1% 394 $16K
59841 <1% 71 $16K
82947 <1% 5,784 $16K
88173 <1% 732 $16K
70250 <1% 1,310 $16K
11900 <1% 52 $16K
73718 <1% 62 $16K
64494 <1% 38 $16K
J3489 Injection, zoledronic acid, 1 mg <1% 428 $16K
J1644 Injection, heparin sodium, per 1000 units <1% 16,777 $16K
83520 <1% 3,826 $16K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 39,811 $15K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 2,747 $15K
10061 <1% 60 $15K
99152 <1% 4,215 $15K
G0481 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; 8-14 drug class(es), including metabolite(s) if performed <1% 287 $15K
84520 <1% 3,739 $14K
82378 <1% 2,245 $14K
99496 <1% 107 $14K
Q9957 Injection, perflutren lipid microspheres, per ml <1% 895 $14K
84480 <1% 3,588 $14K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 3,345 $14K
C1889 Implantable/insertable device, not otherwise classified <1% 3,392 $14K
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) <1% 1,647 $14K
97039 <1% 280 $14K
80348 <1% 1,844 $13K
86805 <1% 151 $13K
0004A <1% 709 $13K
87901 <1% 196 $13K
84460 <1% 24,026 $13K
C1781 Mesh (implantable) <1% 53 $13K
84270 <1% 1,988 $13K
84165 <1% 3,847 $13K
84207 <1% 1,641 $13K
73222 <1% 13 $13K
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% 17,144 $13K
86355 <1% 1,177 $13K
0012A <1% 470 $13K
81479 Unlisted molecular pathology procedure <1% 72 $12K
92608 <1% 76 $12K
85049 <1% 1,568 $12K
93290 <1% 97 $12K
C1887 Catheter, guiding (may include infusion/perfusion capability) <1% 5,067 $12K
95974 <1% 53 $12K
87205 <1% 11,388 $12K
C9399 Unclassified drugs or biologicals <1% 1,277 $12K
91301 <1% 876 $12K
95713 <1% 34 $12K
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) <1% 83 $12K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 109 $12K
86481 <1% 745 $12K
86709 <1% 1,446 $12K
84630 <1% 1,314 $12K
92136 <1% 655 $12K
86256 <1% 848 $12K
74241 <1% 73 $12K
36416 <1% 9,076 $11K
C1726 Catheter, balloon dilatation, non-vascular <1% 1,168 $11K
91308 <1% 747 $11K
83921 <1% 1,384 $11K
J2785 Injection, regadenoson, 0.1 mg <1% 2,694 $11K
99495 <1% 223 $11K
82525 <1% 1,628 $11K
81243 <1% 286 $11K
86304 <1% 544 $11K
51600 <1% 40 $11K
51798 <1% 3,373 $11K
74170 <1% 49 $11K
Q0221 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), 600 mg <1% 284 $10K
64721 <1% 16 $10K
J0881 Injection, darbepoetin alfa, 1 microgram (non-esrd use) <1% 49 $10K
80050 General health panel <1% 740 $10K
93242 <1% 366 $10K
0011A <1% 438 $10K
93226 <1% 394 $10K
82040 <1% 5,236 $10K
36000 <1% 1,174 $10K
95912 <1% 77 $10K
92250 <1% 1,241 $10K
82550 <1% 7,909 $10K
86592 <1% 3,554 $10K
82390 <1% 1,148 $10K
90750 <1% 61 $10K
94642 <1% 420 $10K
88344 <1% 400 $9K
36589 <1% 63 $9K
J1750 Injection, iron dextran, 50 mg <1% 96 $9K
81206 <1% 82 $9K
84305 <1% 635 $9K
93750 <1% 262 $9K
82677 <1% 524 $9K
J9263 Injection, oxaliplatin, 0.5 mg <1% 339 $9K
85046 <1% 8,600 $9K
92310 <1% 109 $9K
86352 <1% 684 $9K
J9045 Injection, carboplatin, 50 mg <1% 1,630 $9K
82627 <1% 903 $9K
93886 <1% 46 $9K
88108 <1% 1,564 $9K
51741 <1% 726 $9K
84550 <1% 6,265 $8K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 8,709 $8K
83993 <1% 680 $8K
95977 <1% 45 $8K
80354 <1% 2,422 $8K
92025 <1% 128 $8K
82951 <1% 409 $8K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 4,497 $8K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 302 $8K
80183 <1% 809 $8K
95812 <1% 13 $8K
29581 <1% 31 $8K
20526 <1% 17 $8K
20206 <1% 15 $8K
11104 <1% 19 $8K
87116 <1% 707 $8K
76825 <1% 118 $8K
59425 <1% 58 $8K
93270 <1% 345 $7K
20600 <1% 29 $7K
74022 <1% 860 $7K
84075 <1% 18,418 $7K
99195 <1% 172 $7K
86777 <1% 499 $7K
96136 <1% 1,417 $7K
0003A <1% 380 $7K
90744 <1% 861 $7K
72072 <1% 504 $7K
90682 <1% 218 $7K
90381 <1% 192 $7K
85045 <1% 5,673 $7K
82610 <1% 1,933 $7K
91320 <1% 120 $7K
86147 <1% 344 $7K
51797 <1% 491 $7K
84163 <1% 737 $7K
J1170 Injection, hydromorphone, up to 4 mg <1% 21,583 $6K
82150 <1% 3,028 $6K
86336 <1% 1,681 $6K
87102 <1% 2,075 $6K
80203 <1% 476 $6K
86376 <1% 574 $6K
84134 <1% 1,680 $6K
81002 <1% 5,866 $6K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 5,385 $6K
J2270 Injection, morphine sulfate, up to 10 mg <1% 10,185 $6K
86317 <1% 268 $6K
72081 <1% 494 $6K
80377 <1% 269 $6K
92060 <1% 2,332 $6K
83498 <1% 710 $6K
90694 <1% 233 $6K
93246 <1% 410 $6K
84132 <1% 7,740 $6K
82962 <1% 6,782 $6K
J7297 Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg <1% 12 $5K
90658 <1% 521 $5K
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg <1% 14 $5K
82553 <1% 773 $5K
96131 <1% 139 $5K
27096 <1% 12 $5K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 28,667 $5K
G0499 Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive hbsag result <1% 1,033 $5K
80362 <1% 2,092 $5K
87088 <1% 5,558 $5K
86431 <1% 3,387 $5K
76514 <1% 275 $5K
97168 <1% 67 $5K
J2791 Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu <1% 43 $5K
95908 <1% 47 $5K
87493 <1% 455 $5K
86200 <1% 2,368 $5K
82570 <1% 2,467 $5K
82075 <1% 1,123 $5K
83521 <1% 1,468 $5K
80069 <1% 1,316 $5K
86039 <1% 1,666 $5K
86335 <1% 270 $5K
99205 Prolong outpt/office vis <1% 135 $5K
93261 <1% 32 $5K
90685 <1% 337 $5K
82330 <1% 2,668 $5K
75565 <1% 369 $5K
0082A <1% 88 $5K
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) <1% 2,045 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 4,154 $5K
87015 <1% 2,642 $4K
81378 <1% 37 $4K
86225 <1% 2,285 $4K
76776 <1% 32 $4K
95012 <1% 620 $4K
73722 <1% 23 $4K
88300 <1% 1,746 $4K
72120 <1% 456 $4K
82985 <1% 1,105 $4K
88172 <1% 372 $4K
87186 <1% 3,426 $4K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 3,881 $4K
72114 <1% 284 $4K
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 391 $4K
86364 <1% 1,130 $4K
90461 <1% 1,923 $4K
73523 <1% 457 $4K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 11,645 $4K
C1729 Catheter, drainage <1% 2,626 $4K
85384 <1% 1,553 $4K
74420 <1% 14 $4K
78306 <1% 15 $4K
74450 <1% 15 $4K
93356 <1% 781 $4K
J3470 Injection, hyaluronidase, up to 150 units <1% 73 $4K
77077 <1% 206 $4K
90713 <1% 223 $4K
86593 <1% 1,577 $4K
86800 <1% 451 $4K
82140 <1% 1,449 $4K
82397 <1% 947 $4K
83010 <1% 1,010 $3K
86880 <1% 1,304 $3K
86695 <1% 303 $3K
74246 <1% 16 $3K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 2,278 $3K
80175 <1% 487 $3K
87535 <1% 92 $3K
87147 <1% 3,070 $3K
Q0240 Injection, casirivimab and imdevimab, 600 mg <1% 32 $3K
J0574 Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine <1% 677 $3K
74181 <1% 15 $3K
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen <1% 8,246 $3K
90846 Family psychotherapy without the patient present, 50 minutes <1% 15 $3K
11056 <1% 14 $3K
J9217 Leuprolide acetate (for depot suspension), 7.5 mg <1% 14 $3K
64447 <1% 14 $3K
95115 <1% 82 $3K
86696 <1% 303 $3K
J1953 Injection, levetiracetam, 10 mg <1% 1,589 $3K
J3370 Injection, vancomycin hcl, 500 mg <1% 4,910 $3K
83883 <1% 459 $3K
62270 <1% 15 $3K
J0780 Injection, prochlorperazine, up to 10 mg <1% 7,998 $3K
87634 <1% 94 $3K
51705 <1% 14 $3K
82465 <1% 819 $3K
59426 <1% 23 $3K
83951 <1% 125 $3K
64415 <1% 22 $3K
84436 <1% 961 $3K
0081A <1% 65 $3K
90655 <1% 279 $2K
84244 <1% 245 $2K
82088 <1% 147 $2K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 170 $2K
83090 <1% 128 $2K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 8,977 $2K
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 345 $2K
97129 <1% 94 $2K
J2060 Injection, lorazepam, 2 mg <1% 3,910 $2K
J3480 Injection, potassium chloride, per 2 meq <1% 5,068 $2K
90611 <1% 79 $2K
A9577 Injection, gadobenate dimeglumine (multihance), per ml <1% 8,514 $2K
11055 <1% 13 $2K
51701 <1% 212 $2K
85007 <1% 658 $2K
0031A <1% 77 $2K
H0005 Alcohol and/or drug services; group counseling by a clinician <1% 318 $2K
80201 <1% 204 $2K
70360 <1% 132 $2K
J9370 Vincristine sulfate, 1 mg <1% 2,697 $2K
86886 <1% 82 $2K
J1940 Injection, furosemide, up to 20 mg <1% 4,157 $2K
96422 <1% 23 $2K
90630 <1% 163 $2K
85246 <1% 186 $2K
36600 <1% 51 $2K
82310 <1% 1,134 $2K
93299 <1% 47 $2K
72128 <1% 43 $2K
89050 <1% 694 $2K
82024 <1% 70 $2K
88720 <1% 303 $2K
90935 Hemodialysis procedure with single evaluation by a physician <1% 31 $2K
51702 <1% 54 $2K
83051 <1% 206 $2K
73503 <1% 212 $2K
11721 <1% 424 $2K
85613 <1% 319 $2K
80346 <1% 200 $2K
73565 <1% 221 $2K
86618 <1% 170 $2K
88177 <1% 126 $2K
87449 <1% 109 $1K
90620 <1% 59 $1K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 75 $1K
87338 <1% 230 $1K
84481 <1% 351 $1K
87899 <1% 823 $1K
G0460 Autologous platelet rich plasma or other blood-derived product for non-diabetic chronic wounds/ulcers, including as applicable phlebotomy, centrifugation or mixing, and all other preparatory procedures, administration and dressings, per treatment <1% 40 $1K
0083A <1% 23 $1K
86301 <1% 216 $1K
82375 <1% 1,523 $1K
91313 <1% 196 $1K
86705 <1% 310 $1K
93923 <1% 14 $1K
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 6,891 $1K
J1030 Injection, methylprednisolone acetate, 40 mg <1% 6,041 $1K
80299 <1% 272 $1K
97130 <1% 51 $1K
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 1,673 $1K
86308 <1% 631 $1K
90632 <1% 42 $1K
84155 <1% 1,169 $1K
82274 <1% 202 $1K
76857 <1% 18 $1K
85240 <1% 189 $1K
J1815 Injection, insulin, per 5 units <1% 4,587 $1K
88230 <1% 29 $1K
73522 <1% 127 $1K
C1788 Port, indwelling (implantable) <1% 588 $1K
91303 <1% 74 $1K
87140 <1% 199 $972.46
72192 <1% 14 $961.87
99381 <1% 18 $954.80
95983 <1% 12 $947.50
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram <1% 3,074 $945.11
87101 <1% 257 $942.55
84445 <1% 61 $909.57
Q3014 Telehealth originating site facility fee <1% 634 $896.78
84295 <1% 2,268 $878.13
82164 <1% 95 $867.97
C2617 Stent, non-coronary, temporary, without delivery system <1% 190 $861.00
81267 <1% 17 $841.98
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg <1% 483 $841.06
80349 <1% 179 $832.76
82955 <1% 193 $815.63
A4663 Blood pressure cuff only <1% 2,032 $791.29
92285 <1% 67 $779.28
J0280 Injection, aminophyllin, up to 250 mg <1% 782 $765.66
76376 <1% 216 $751.07
J7999 Compounded drug, not otherwise classified <1% 2,461 $731.61
J9196 Injection, gemcitabine hydrochloride (accord), not therapeutically equivalent to j9201, 200 mg <1% 20 $729.72
J0461 Injection, atropine sulfate, 0.01 mg <1% 344 $725.24
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 4,210 $716.84
80230 <1% 301 $710.97
83718 <1% 267 $689.79
J0610 Injection, calcium gluconate (fresenius kabi), per 10 ml <1% 886 $688.91
90678 <1% 20 $683.10
23350 <1% 49 $679.89
88112 <1% 98 $675.18
90739 <1% 19 $673.34
0013A <1% 31 $667.93
J1630 Injection, haloperidol, up to 5 mg <1% 1,809 $661.84
84166 <1% 107 $661.11
82435 <1% 1,974 $657.78
88299 <1% 24 $653.05
87506 <1% 12 $651.97
84300 <1% 477 $642.07
85347 <1% 285 $632.08
80195 <1% 18 $562.48
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 3,272 $543.31
80158 <1% 82 $541.93
84157 <1% 610 $505.72
96118 <1% 46 $504.21
93289 <1% 12 $502.74
84681 <1% 112 $495.95
84478 <1% 384 $493.87
J7060 5% dextrose/water (500 ml = 1 unit) <1% 2,446 $489.23
80339 <1% 32 $482.87
G0010 Administration of hepatitis b vaccine <1% 87 $480.63
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination <1% 147 $477.65
86146 <1% 122 $474.60
70030 <1% 28 $473.74
84590 <1% 106 $467.64
93280 <1% 17 $466.18
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries <1% 641 $464.22
84446 <1% 120 $449.84
83930 <1% 416 $445.13
85732 <1% 315 $440.16
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml <1% 1,029 $439.70
J0572 Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine <1% 46 $435.94
C1760 Closure device, vascular (implantable/insertable) <1% 1,322 $433.01
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 1,729 $424.13
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) <1% 53 $422.81
82945 <1% 385 $400.40
90680 <1% 139 $397.60
87110 <1% 222 $387.19
C1750 Catheter, hemodialysis/peritoneal, long-term <1% 95 $377.25
94761 <1% 2,631 $367.74
J9000 Injection, doxorubicin hydrochloride, 10 mg <1% 108 $362.84
H0004 Behavioral health counseling and therapy, per 15 minutes <1% 36 $338.50
73660 <1% 45 $336.00
J1250 Injection, dobutamine hydrochloride, per 250 mg <1% 158 $332.93
94664 <1% 341 $326.13
87206 <1% 385 $326.03
83050 <1% 1,300 $323.46
J0360 Injection, hydralazine hcl, up to 20 mg <1% 1,424 $312.77
86769 <1% 108 $309.17
83721 <1% 176 $303.52
72020 <1% 57 $299.65
80235 <1% 109 $299.41
82239 <1% 28 $295.37
73650 <1% 14 $288.61
80358 <1% 153 $284.96
J7042 5% dextrose/normal saline (500 ml = 1 unit) <1% 2,689 $281.43
73501 <1% 67 $277.81
86341 <1% 29 $271.77
87255 <1% 18 $266.25
J2003 Injection, lidocaine hydrochloride, 1 mg <1% 1,559 $265.24
J1580 Injection, garamycin, gentamicin, up to 80 mg <1% 119 $263.34
88346 <1% 16 $262.26
C9113 Injection, pantoprazole sodium, per vial <1% 1,915 $259.60
83695 <1% 61 $245.64
84479 <1% 58 $239.15
86765 <1% 17 $232.61
86735 <1% 17 $211.14
85014 <1% 181 $208.29
86920 <1% 163 $208.03
J1836 Injection, metronidazole, 10 mg <1% 717 $186.50
87045 <1% 62 $185.34
G0451 Development testing, with interpretation and report, per standardized instrument form <1% 12 $183.37
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 <1% 52 $179.47
69209 <1% 173 $177.58
72080 <1% 14 $173.94
J0612 Injection, calcium gluconate, not otherwise specified, 10 mg <1% 348 $165.73
86008 <1% 78 $165.70
0134A <1% 20 $164.70
A4215 Needle, sterile, any size, each <1% 356 $162.64
86645 <1% 14 $160.19
82107 <1% 70 $159.65
84255 <1% 29 $154.61
83835 <1% 31 $154.32
84145 <1% 214 $153.52
86580 <1% 15 $140.33
71100 <1% 32 $137.17
G8985 Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting <1% 234 $131.22
87046 <1% 63 $127.91
J0692 Injection, cefepime hydrochloride, 500 mg <1% 261 $125.86
89060 <1% 82 $123.14
80373 <1% 14 $121.42
88333 <1% 95 $119.82
V2632 Posterior chamber intraocular lens <1% 930 $116.19
J1920 Injection, labetalol hydrochloride, 5 mg <1% 422 $113.26
86258 <1% 69 $105.66
J2371 Injection, phenylephrine hydrochloride, 20 micrograms <1% 2,788 $101.88
85660 <1% 1,259 $99.91
82340 <1% 28 $98.91
88334 <1% 103 $96.41
80165 <1% 13 $95.85
86361 <1% 47 $95.83
87350 <1% 27 $94.34
80156 <1% 23 $94.33
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg <1% 1,793 $90.48
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 663 $89.38
87324 <1% 54 $88.20
C1819 Surgical tissue localization and excision device (implantable) <1% 2,693 $87.49
C1755 Catheter, intraspinal <1% 209 $84.41
J9260 Injection, methotrexate sodium, 50 mg <1% 356 $81.34
83519 <1% 18 $80.57
86707 <1% 15 $77.98
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 3,978 $74.76
88331 <1% 14 $74.02
87181 <1% 14 $67.72
86037 <1% 49 $67.36
87176 <1% 517 $64.09
87106 <1% 37 $61.94
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens <1% 15 $60.45
J9250 Methotrexate sodium, 5 mg <1% 71 $56.38
91311 <1% 13 $54.51
91317 <1% 17 $54.50
J1020 Injection, methylprednisolone acetate, 20 mg <1% 630 $53.06
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting <1% 961 $49.13
88240 <1% 19 $47.18
86677 <1% 14 $44.42
90380 <1% 14 $44.15
J9267 Injection, paclitaxel, 1 mg <1% 358 $43.82
46600 <1% 14 $43.70
85306 <1% 18 $42.36
S0077 Injection, clindamycin phosphate, 300 mg <1% 136 $40.18
A4649 Surgical supply; miscellaneous <1% 122 $38.88
A9585 Injection, gadobutrol, 0.1 ml <1% 1,610 $35.34
82374 <1% 35 $34.58
J0153 Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) <1% 13 $34.48
82077 <1% 30 $28.90
S5010 5% dextrose and 0.45% normal saline, 1000 ml <1% 764 $27.31
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg <1% 483 $26.65
85303 <1% 13 $25.77
81000 <1% 168 $25.67
J1040 Injection, methylprednisolone acetate, 80 mg <1% 1,097 $22.29
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg <1% 1,711 $19.32
86403 <1% 13 $16.66
99070 <1% 1,575 $16.20
94760 <1% 599 $15.92
84560 <1% 19 $14.78
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals <1% 886 $13.95
80047 <1% 31 $10.38
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 66 $9.87
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg <1% 73 $8.64
82010 <1% 13 $8.49
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme <1% 65 $8.02
J1171 Injection, hydromorphone, 0.1 mg <1% 526 $7.59
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 745 $7.41
A4550 Surgical trays <1% 77 $4.62
L8613 Ossicula implant <1% 437 $0.33
J2310 Injection, naloxone hydrochloride, per 1 mg <1% 416 $0.32
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 0% 129 $0.00
C1733 Catheter, electrophysiology, diagnostic/ablation, other than 3d or vector mapping, other than cool-tip 0% 15 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 0% 35 $0.00
99220 0% 23 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 0% 206 $0.00
D7140 Extraction, erupted tooth or exposed root 0% 67 $0.00
A4648 Tissue marker, implantable, any type, each 0% 306 $0.00
J1805 Injection, esmolol hydrochloride, 10 mg 0% 148 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 59 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 0% 49 $0.00
A6197 Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing 0% 63 $0.00
D1206 Topical application of fluoride varnish 0% 18 $0.00
C1892 Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away 0% 44 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 0% 909 $0.00
C1766 Introducer/sheath, guiding, intracardiac electrophysiological, steerable, other than peel-away 0% 16 $0.00
D1351 Sealant - per tooth 0% 16 $0.00
71101 0% 13 $0.00
A4300 Implantable access catheter, (e.g., venous, arterial, epidural subarachnoid, or peritoneal, etc.) external access 0% 28 $0.00
J0611 Injection, calcium gluconate (wg critical care), per 10 ml 0% 16 $0.00
C9290 Injection, bupivacaine liposome, 1 mg 0% 37 $0.00
99156 0% 31 $0.00
J0613 Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg 0% 29 $0.00
J7507 Tacrolimus, immediate release, oral, 1 mg 0% 32 $0.00
C1730 Catheter, electrophysiology, diagnostic, other than 3d mapping (19 or fewer electrodes) 0% 15 $0.00
D2930 Prefabricated stainless steel crown - primary tooth 0% 92 $0.00
J0737 Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg 0% 254 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 0% 1,026 $0.00
J1598 Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to j1596, 0.1 mg 0% 106 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 0% 84 $0.00
C1776 Joint device (implantable) 0% 401 $0.00
99157 0% 15 $0.00
C1874 Stent, coated/covered, with delivery system 0% 63 $0.00
Q9950 Injection, sulfur hexafluoride lipid microspheres, per ml 0% 498 $0.00
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 0% 367 $0.00
J7070 Infusion, d5w, 1000 cc 0% 390 $0.00
J0670 Injection, mepivacaine hydrochloride, per 10 ml 0% 62 $0.00
J7510 Prednisolone oral, per 5 mg 0% 65 $0.00
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg 0% 41 $0.00
Q9958 High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml 0% 105 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 0% 310 $0.00
J0640 Injection, leucovorin calcium, per 50 mg 0% 156 $0.00
D1120 Dental cleaning, child 0% 29 $0.00
C1758 Catheter, ureteral 0% 50 $0.00
G8984 Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals 0% 152 $0.00
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 0% 14 $0.00
S0028 Injection, famotidine, 20 mg 0% 90 $0.00
J9190 Injection, fluorouracil, 500 mg 0% 40 $0.00
Q9956 Injection, octafluoropropane microspheres, per ml 0% 15 $0.00
C1757 Catheter, thrombectomy/embolectomy 0% 16 $0.00
J2720 Injection, protamine sulfate, per 10 mg 0% 18 $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 officialHARLAN, ELIZABETH (REVENUE CYCLE DIRECTOR)
Same official

Other billing entities under HARLAN, ELIZABETH

Full network →
ProviderLocationPaid
Community Memorial HospitalSouth Hill, VA$35.67M
Vcu Health Tappahannock HospitalTappahannock, VA$20.60M
Virginia Commonwealth University Health System AuthorityRichmond, VA$0.00

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.