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

ST. Mary's Regional Medical Center

ST. Mary's Regional Medical Center was paid $67.30M by Medicaid between Jan 2018 and Dec 2024, across 564 billing codes. Its largest line is G0463, Hospital outpatient clinic visit for assessment and management of a patient — 21% of everything it billed.

33Billing provider infoST. MARY'S REGIONAL MEDICAL CENTER
LEWISTON, ME 04240
33aNPI1447226584assigned 02/28/2006
33bProvider typePsychiatry Physician
28Total paid$67.30M
24GClaims2,092,195
24DCodes billed564
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Psychiatry Physician providers in Maine

Rank by total paid#1 of 28
Median peer was paid$52K
This provider vs. median1,295×

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$500K$1.0M$1.5M2018201920202021202220232024
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
2018259,349$7.21M
2019310,885$8.51M
2020252,881$7.63M
2021320,200$10.29M
2022317,315$10.67M
2023336,547$11.45M
2024incomplete295,018$11.55M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 21% 230,408 176,560 $13.85M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 10% 69,295 63,319 $6.80M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 9.1% 47,725 43,504 $6.10M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 8.8% 18,756 16,361 $5.90M
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 4.6% 96,339 85,124 $3.10M
H2012 Behavioral health day treatment, per hour 4.5% 40,954 1,610 $3.04M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.6% 74,777 60,434 $1.77M
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.8% 20,936 19,469 $1.23M
90792 Psychiatric diagnostic evaluation with medical services 1.8% 18,945 17,793 $1.21M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1.6% 11,409 9,955 $1.06M
A0427 Emergency ambulance ride, advanced life supportAmbulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 1.4% 5,160 4,455 $944K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 1.3% 13,464 12,394 $877K
552 more codes
J0585 Injection, onabotulinumtoxina, 1 unit 1.2% 2,404 $811K
74177 Computed tomography, abdomen and pelvis; with contrast material 1.1% 5,004 $733K
99232 Hospital visit by a doctor, follow-up day 1.1% 22,185 $728K
20610 <1% 7,799 $608K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 31,569 $548K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 7,725 $548K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 1,635 $522K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 6,560 $494K
29581 <1% 16,074 $483K
A0429 Emergency ambulance ride, basic life support <1% 2,760 $472K
71046 Radiologic examination, chest; 2 views <1% 13,181 $471K
20553 <1% 5,767 $434K
76819 Fetal biophysical profile; without non-stress testing <1% 6,892 $406K
A0425 Ground mileage, per statute mile <1% 13,217 $387K
96361 Intravenous infusion, hydration; each additional hour <1% 10,022 $358K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 2,091 $345K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 3,042 $323K
99223 Prolong inpt eval add15 m <1% 3,338 $317K
99239 Hospital discharge day management, more than 30 minutes <1% 6,053 $311K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 1,275 $310K
A0428 Ambulance service, basic life support, non-emergency transport, (bls) <1% 4,884 $298K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 3,503 $292K
96375 Therapeutic injection; each additional sequential IV push <1% 9,800 $289K
99222 Initial hospital care, per day, moderate complexity <1% 4,026 $268K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 2,819 $259K
59025 Fetal non-stress test <1% 2,371 $258K
70450 Computed tomography, head or brain; without contrast material <1% 4,835 $244K
99203 Doctor's office visit, new patient (routine) <1% 7,161 $229K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 544 $205K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 12,368 $205K
71045 Radiologic examination, chest; single view <1% 6,396 $199K
84443 Thyroid stimulating hormone (TSH) <1% 25,913 $196K
80053 Comprehensive metabolic panel <1% 67,599 $195K
64493 <1% 674 $195K
77067 Screening mammography, bilateral, including computer-aided detection <1% 3,621 $190K
90870 <1% 1,833 $187K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 1,309 $172K
99204 Doctor's office visit, new patient (more involved) <1% 3,399 $172K
80061 Lipid panel <1% 23,715 $169K
94060 <1% 1,965 $148K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 191 $145K
70551 Magnetic resonance imaging, brain; without contrast material <1% 1,061 $142K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 3,003 $141K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 10,239 $139K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 2,352 $137K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 1,426 $136K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 10,265 $135K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 10,263 $135K
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% 2,211 $131K
76830 Ultrasound, transvaginal <1% 2,021 $131K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 762 $130K
29580 <1% 3,607 $129K
99215 Doctor's office visit, returning patient (complex) <1% 2,416 $123K
64615 <1% 1,421 $120K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 67,354 $119K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 14,413 $119K
76801 <1% 1,490 $114K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 2,767 $111K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 7,878 $110K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 5,627 $105K
97161 <1% 3,581 $102K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 1,588 $100K
83036 Hemoglobin; glycosylated (A1C) <1% 24,152 $97K
90899 <1% 4,157 $93K
86481 <1% 2,109 $93K
93971 <1% 2,083 $92K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 4,871 $92K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 1,191 $84K
71275 Computed tomographic angiography, chest, with contrast material <1% 1,215 $83K
71250 <1% 2,208 $83K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 18,621 $82K
86900 <1% 3,891 $76K
36415 Collection of venous blood by venipuncture <1% 111,235 $75K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 10,497 $74K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 2,686 $71K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 3,630 $70K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 6,250 $70K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 912 $70K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 19,577 $64K
95811 <1% 184 $57K
97162 <1% 2,119 $56K
90686 <1% 4,794 $56K
90677 <1% 363 $53K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 2,099 $53K
82728 <1% 7,530 $52K
77063 Screening digital breast tomosynthesis, bilateral <1% 2,193 $52K
72141 <1% 434 $52K
52000 <1% 328 $51K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 2,176 $50K
86803 <1% 8,079 $50K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 2,258 $48K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 3,785 $48K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 116 $43K
73630 <1% 5,135 $42K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 126 $41K
76642 <1% 1,045 $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% 2,705 $40K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 4,940 $40K
72100 <1% 1,974 $39K
74018 <1% 1,619 $39K
96415 <1% 1,025 $39K
87428 <1% 1,125 $38K
90732 <1% 627 $38K
G0400 Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels <1% 250 $38K
J1745 Injection, infliximab, excludes biosimilar, 10 mg <1% 13 $37K
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) <1% 170 $35K
86780 <1% 3,170 $34K
87086 Culture, bacterial; quantitative colony count, urine <1% 19,817 $33K
97165 <1% 1,567 $33K
73610 <1% 4,369 $32K
86706 <1% 4,531 $32K
82607 <1% 5,100 $31K
76536 <1% 624 $31K
86704 <1% 3,891 $31K
87340 <1% 5,829 $31K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 196 $30K
96367 <1% 921 $30K
73221 <1% 265 $30K
64635 <1% 53 $29K
73562 <1% 3,651 $29K
64405 <1% 209 $29K
62323 <1% 136 $28K
10060 <1% 284 $28K
73030 <1% 3,669 $27K
86708 <1% 3,450 $26K
73564 <1% 2,363 $26K
83550 <1% 6,357 $26K
85027 <1% 11,688 $26K
71271 <1% 464 $26K
83655 <1% 2,294 $25K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 105 $25K
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation <1% 398 $25K
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% 1,643 $25K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,471 $24K
73110 <1% 3,166 $23K
73130 <1% 3,335 $22K
80048 Basic metabolic panel (calcium, ionized) <1% 13,273 $22K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 396 $22K
12001 <1% 514 $22K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 2,004 $22K
84702 <1% 3,571 $22K
84439 <1% 5,389 $21K
83540 <1% 6,513 $19K
97035 <1% 4,129 $19K
73502 <1% 2,635 $19K
87070 <1% 5,428 $18K
59430 <1% 228 $18K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 501 $18K
73140 <1% 1,862 $17K
11721 <1% 4,422 $17K
86480 <1% 438 $17K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 1,818 $17K
87081 <1% 14,931 $17K
84153 <1% 2,780 $16K
T1017 Case management, billed per 15 minutes <1% 341 $16K
86787 <1% 1,645 $16K
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% 88 $16K
36591 <1% 1,489 $16K
87209 <1% 1,096 $15K
90853 Group psychotherapy (other than of a multiple-family group) <1% 321 $14K
72110 <1% 642 $14K
73620 <1% 871 $14K
86709 <1% 1,751 $14K
82746 <1% 2,393 $13K
97802 <1% 235 $13K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 11,304 $13K
64490 <1% 27 $13K
73600 <1% 518 $13K
Q3014 Telehealth originating site facility fee <1% 923 $13K
74174 <1% 85 $13K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 437 $12K
81001 <1% 19,549 $12K
70486 <1% 204 $12K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 230 $12K
99205 Prolong outpt/office vis <1% 178 $12K
99443 <1% 508 $12K
82043 <1% 5,205 $11K
84403 <1% 719 $11K
94726 <1% 1,475 $11K
83970 <1% 762 $11K
76770 <1% 206 $11K
80076 <1% 2,842 $11K
87186 <1% 6,179 $11K
86140 <1% 6,508 $10K
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) <1% 309 $9K
85610 <1% 11,821 $9K
73080 <1% 1,176 $8K
87205 <1% 7,221 $8K
83880 <1% 2,758 $8K
72125 Computed tomography, cervical spine; without contrast material <1% 980 $8K
93925 <1% 106 $8K
83735 <1% 9,847 $8K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 5,259 $8K
87088 <1% 4,663 $8K
74178 <1% 39 $8K
99220 <1% 81 $8K
87522 Neg quan hep c or qual rna <1% 329 $8K
80164 <1% 1,793 $7K
87177 <1% 1,077 $7K
87631 <1% 438 $7K
99496 <1% 120 $7K
80081 <1% 234 $7K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 1,621 $6K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 307 $6K
85660 <1% 1,382 $6K
G0378 Hospital observation service, per hour <1% 10,807 $6K
77065 Tomosynthesis, mammo <1% 145 $6K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 486 $6K
82784 <1% 1,203 $6K
72050 <1% 223 $6K
82950 <1% 1,388 $6K
81025 <1% 12,097 $6K
86038 <1% 908 $6K
99442 <1% 441 $6K
93017 <1% 202 $5K
64450 <1% 39 $5K
97014 <1% 709 $5K
87150 <1% 1,459 $5K
86762 <1% 1,704 $5K
51798 <1% 3,467 $5K
80069 <1% 2,280 $5K
85652 <1% 5,744 $5K
80050 General health panel <1% 177 $5K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 3,530 $5K
29125 <1% 440 $5K
G0008 Administration of influenza virus vaccine <1% 2,410 $5K
81003 <1% 11,393 $5K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 306 $4K
86592 <1% 1,293 $4K
64494 <1% 528 $4K
95800 <1% 177 $4K
93350 <1% 39 $4K
95816 <1% 43 $4K
69209 <1% 753 $4K
90656 <1% 297 $4K
77066 Tomosynthesis, mammo <1% 54 $4K
90791 Psychiatric diagnostic evaluation <1% 40 $4K
76000 <1% 458 $4K
86003 <1% 106 $4K
83690 <1% 10,497 $4K
0134A <1% 317 $4K
83001 <1% 375 $4K
95806 <1% 142 $4K
99406 <1% 354 $4K
99495 <1% 60 $4K
99221 <1% 69 $4K
99238 Hospital discharge day management, 30 minutes or less <1% 124 $4K
73590 <1% 399 $4K
80178 <1% 1,309 $3K
97803 <1% 101 $3K
86618 <1% 764 $3K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 1,265 $3K
0011A <1% 236 $3K
20550 <1% 38 $3K
99385 <1% 39 $3K
93976 <1% 53 $3K
86735 <1% 257 $3K
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 451 $3K
86705 <1% 388 $3K
29075 <1% 28 $3K
0012A <1% 218 $3K
G0009 Administration of pneumococcal vaccine <1% 315 $3K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 12 $3K
82570 <1% 1,612 $3K
84146 <1% 218 $2K
84703 <1% 2,231 $2K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 40 $2K
86765 <1% 242 $2K
77080 <1% 105 $2K
72070 <1% 141 $2K
87077 <1% 2,793 $2K
70496 <1% 14 $2K
95886 <1% 676 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 9,580 $2K
90662 <1% 1,117 $2K
73090 <1% 183 $2K
0124A <1% 165 $2K
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose <1% 75 $2K
84100 <1% 1,896 $2K
73560 <1% 289 $2K
94729 <1% 1,704 $2K
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous <1% 250 $2K
64483 <1% 12 $2K
85018 <1% 2,148 $2K
70491 <1% 13 $2K
87338 <1% 194 $2K
93923 <1% 39 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 169 $2K
76870 <1% 56 $2K
0054A <1% 100 $2K
86696 <1% 129 $2K
0013A <1% 112 $2K
85014 <1% 1,779 $2K
82565 <1% 1,666 $2K
95909 <1% 13 $1K
83721 <1% 293 $1K
86431 <1% 489 $1K
85730 <1% 2,049 $1K
93270 <1% 79 $1K
0064A <1% 102 $1K
83516 <1% 174 $1K
80074 <1% 51 $1K
84156 <1% 1,258 $1K
84402 <1% 83 $1K
12002 <1% 13 $1K
86850 <1% 3,692 $1K
84550 <1% 972 $1K
71101 <1% 129 $1K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 1,604 $1K
81002 <1% 5,436 $1K
76775 <1% 28 $1K
86200 <1% 247 $1K
85379 <1% 2,617 $1K
86695 <1% 129 $1K
85045 <1% 610 $1K
73700 <1% 28 $1K
82947 <1% 424 $1K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 98 $1K
17110 <1% 13 $976.71
86039 <1% 200 $966.90
87808 <1% 369 $923.22
76882 <1% 25 $914.21
83615 <1% 605 $912.39
58300 <1% 25 $908.67
90750 <1% 41 $893.70
96417 <1% 17 $874.03
90651 <1% 12 $860.20
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 10,257 $854.39
84460 <1% 616 $850.15
69210 <1% 87 $835.83
82550 <1% 707 $812.27
84165 <1% 258 $801.67
87040 <1% 3,740 $799.15
94618 <1% 117 $780.82
80156 <1% 169 $743.58
12011 <1% 46 $719.25
84484 <1% 9,648 $686.32
81000 <1% 2,671 $663.82
98927 <1% 38 $652.10
31575 <1% 26 $647.93
73521 <1% 31 $636.90
99224 <1% 40 $621.61
96523 <1% 56 $605.16
86666 <1% 212 $600.48
00126 <1% 151 $579.62
72131 <1% 14 $552.38
83605 <1% 4,327 $537.50
82962 <1% 13,581 $522.98
86235 <1% 15 $487.70
81596 <1% 12 $454.77
84450 <1% 355 $444.03
87493 <1% 100 $431.82
97166 <1% 13 $428.44
86901 <1% 3,893 $427.10
87469 <1% 80 $423.94
82075 <1% 3,751 $402.61
64447 <1% 49 $394.57
82785 <1% 63 $377.62
82103 <1% 90 $373.63
86364 <1% 63 $363.02
00811 <1% 12 $357.41
86430 <1% 167 $357.36
11055 <1% 28 $351.44
87484 <1% 60 $336.79
87468 <1% 60 $336.79
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 33 $335.64
88108 <1% 131 $314.89
86141 <1% 57 $274.54
85007 <1% 484 $272.39
90460 Immunization administration through 18 years of age via any route, first or only component <1% 12 $262.48
36592 <1% 72 $257.26
82670 <1% 14 $251.46
82378 <1% 55 $250.31
86376 <1% 28 $246.53
82077 <1% 1,623 $245.97
90670 <1% 16 $239.45
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care <1% 144 $237.95
86753 <1% 101 $237.25
87045 <1% 56 $218.36
87046 <1% 56 $218.36
73660 <1% 41 $212.82
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 26 $209.96
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 5,213 $206.12
82104 <1% 40 $197.45
90715 <1% 4,203 $193.42
73120 <1% 13 $188.97
99441 <1% 29 $188.63
84520 <1% 210 $186.79
0031A <1% 60 $183.47
83921 <1% 30 $162.53
0001A <1% 138 $158.80
99024 <1% 404 $150.45
82105 <1% 25 $138.99
82533 <1% 31 $130.40
J7030 Infusion, normal saline solution , 1000 cc <1% 13,119 $130.04
83021 <1% 13 $129.22
88112 <1% 14 $120.96
72275 <1% 289 $113.37
99308 Subsequent nursing facility care, per day, straightforward <1% 12 $107.82
72170 <1% 22 $107.22
92504 <1% 56 $107.00
90734 <1% 12 $97.49
J8540 Dexamethasone, oral, 0.25 mg <1% 1,860 $96.19
82150 <1% 112 $95.92
80143 <1% 288 $93.20
86617 <1% 19 $92.94
83020 <1% 13 $92.12
76376 <1% 648 $88.67
87478 <1% 60 $87.72
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 1,100 $77.56
82803 <1% 304 $74.97
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 11,071 $72.70
83521 <1% 14 $72.54
J7120 Ringers lactate infusion, up to 1000 cc <1% 4,657 $70.95
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 11,338 $65.55
80175 <1% 12 $55.22
J1644 Injection, heparin sodium, per 1000 units <1% 1,525 $54.79
97116 <1% 58 $53.66
80179 <1% 189 $46.60
97597 <1% 15 $45.21
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 4,390 $40.39
88304 <1% 98 $36.58
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg <1% 901 $35.71
J1030 Injection, methylprednisolone acetate, 40 mg <1% 643 $35.70
J3010 Injection, fentanyl citrate, 0.1 mg <1% 7,893 $34.85
0004A <1% 36 $31.58
84132 <1% 13 $30.83
J2704 Injection, propofol, 10 mg <1% 12,607 $30.48
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 4,569 $29.87
98928 <1% 14 $26.23
J0780 Injection, prochlorperazine, up to 10 mg <1% 276 $25.91
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 2,197 $25.57
93356 <1% 139 $22.47
J0690 Injection, cefazolin sodium, 500 mg <1% 2,933 $21.50
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% 217 $21.37
G0238 Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) <1% 15 $19.59
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 2,241 $12.79
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 5,311 $12.46
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 1,009 $12.26
87075 <1% 25 $9.17
J2270 Injection, morphine sulfate, up to 10 mg <1% 2,423 $7.93
90472 Immunization administration, each additional vaccine (list separately) <1% 1,572 $7.20
J2060 Injection, lorazepam, 2 mg <1% 1,493 $5.83
97010 <1% 1,361 $3.34
J1170 Injection, hydromorphone, up to 4 mg <1% 1,758 $2.76
J1790 Injection, droperidol, up to 5 mg <1% 617 $2.15
J3490 Unclassified drugs <1% 2,376 $0.18
J7609 Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg <1% 80 $0.03
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 5,328 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 0% 737 $0.00
G8484 Influenza immunization was not administered, reason not given 0% 707 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 1,986 $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% 323 $0.00
A9577 Injection, gadobenate dimeglumine (multihance), per ml 0% 1,163 $0.00
1090F 0% 266 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 0% 257 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 0% 1,078 $0.00
76942 0% 197 $0.00
00812 0% 428 $0.00
A6451 Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard 0% 280 $0.00
3078F 0% 1,500 $0.00
J1756 Injection, iron sucrose, 1 mg 0% 168 $0.00
99152 0% 212 $0.00
J1020 Injection, methylprednisolone acetate, 20 mg 0% 235 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 0% 175 $0.00
00170 Anesthesia for intraoral procedures, including biopsy 0% 35 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 0% 572 $0.00
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml 0% 14 $0.00
91312 0% 168 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 0% 127 $0.00
3023F 0% 173 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 102 $0.00
J3370 Injection, vancomycin hcl, 500 mg 0% 365 $0.00
01810 0% 25 $0.00
00731 0% 92 $0.00
A6210 Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing 0% 155 $0.00
82010 0% 217 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 0% 245 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 88 $0.00
C9113 Injection, pantoprazole sodium, per vial 0% 186 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 317 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 0% 54 $0.00
91313 0% 318 $0.00
77002 0% 145 $0.00
0002A 0% 125 $0.00
4004F 0% 59 $0.00
2022F 0% 183 $0.00
A4248 Chlorhexidine containing antiseptic, 1 ml 0% 22 $0.00
A6209 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 0% 55 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 0% 41 $0.00
G0473 Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes 0% 60 $0.00
64636 0% 27 $0.00
94664 0% 32 $0.00
3046F 0% 65 $0.00
3077F 0% 69 $0.00
1160F 0% 14 $0.00
1159F 0% 58 $0.00
G8400 Patient with central dual-energy x-ray absorptiometry (dxa) results not documented, reason not given 0% 31 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 0% 28 $0.00
1123F 0% 2,432 $0.00
3074F 0% 1,103 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 0% 983 $0.00
94760 0% 941 $0.00
3017F 0% 2,233 $0.00
1036F 0% 3,047 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 0% 1,612 $0.00
3079F 0% 346 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 0% 753 $0.00
36416 0% 501 $0.00
J7050 Infusion, normal saline solution, 250 cc 0% 2,342 $0.00
A9270 Non-covered item or service 0% 8,230 $0.00
J1630 Injection, haloperidol, up to 5 mg 0% 170 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 0% 318 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 0% 4,463 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 0% 28 $0.00
96376 0% 2,210 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 0% 916 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 0% 634 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 0% 1,220 $0.00
91305 0% 181 $0.00
C9290 Injection, bupivacaine liposome, 1 mg 0% 626 $0.00
J3480 Injection, potassium chloride, per 2 meq 0% 141 $0.00
A4217 Sterile water/saline, 500 ml 0% 131 $0.00
80359 0% 26 $0.00
00813 0% 181 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 0% 82 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 0% 32 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 81 $0.00
C1769 Guide wire 0% 486 $0.00
3075F 0% 162 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 0% 126 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 0% 2,899 $0.00
36000 0% 32 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 0% 208 $0.00
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 0% 197 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 83 $0.00
91306 0% 98 $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% 54 $0.00
V2632 Posterior chamber intraocular lens 0% 124 $0.00
70498 0% 14 $0.00
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 0% 66 $0.00
94761 0% 173 $0.00
C9399 Unclassified drugs or biologicals 0% 18 $0.00
95885 0% 13 $0.00
3044F 0% 28 $0.00
80324 0% 26 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 0% 12 $0.00
88342 0% 12 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 0% 15 $0.00
01480 0% 59 $0.00
J1815 Injection, insulin, per 5 units 0% 91 $0.00
97535 Self-care/home management training, each 15 minutes 0% 55 $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 officialWOOD, JOSEPH (CFO)