Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › Syracuse › NPI 1508815333
Hospital

ST Josephs Hospital Health Center

ST Josephs Hospital Health Center was paid $113.02M by Medicaid between Jan 2018 and Dec 2024, across 442 billing codes. Its largest line is G9005, Coordinated care fee, risk adjusted maintenance — 14% of everything it billed.

33Billing provider infoST JOSEPHS HOSPITAL HEALTH CENTER
SYRACUSE, NY 13203
33aNPI1508815333assigned 05/09/2006
33bProvider typePsychiatric Hospital Unit
28Total paid$113.02M
24GClaims1,789,090
24DCodes billed442
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Psychiatric Hospital Unit providers in New York

Rank by total paid#4 of 33
Median peer was paid$171K
This provider vs. median662×

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$2.0M$3.0M2018201920202021202220232024
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
201826,187$1.61M
2019144,844$9.09M
2020353,942$22.27M
2021377,651$23.24M
2022352,991$23.66M
2023289,776$18.97M
2024incomplete243,699$14.19M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G9005 Coordinated care fee, risk adjusted maintenance 14% 62,760 62,739 $16.30M
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 9.6% 20,722 17,990 $10.87M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 7.5% 72,151 59,418 $8.52M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6.5% 104,844 97,112 $7.38M
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 6.1% 50,195 28,976 $6.94M
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 4.8% 55,091 51,504 $5.40M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 3.2% 26,702 24,764 $3.64M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 3.0% 28,745 27,162 $3.35M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 2.2% 18,718 17,700 $2.46M
G0378 Hospital observation service, per hour 2.0% 10,118 5,134 $2.27M
H2019 Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes 2.0% 3,459 3,204 $2.24M
D0999 Unspecified diagnostic procedure, by report 1.9% 16,771 15,190 $2.16M
430 more codes
90832 Psychotherapy session, about 30 minutes 1.8% 18,419 $2.01M
70450 Computed tomography, head or brain; without contrast material 1.5% 6,203 $1.72M
74177 Computed tomography, abdomen and pelvis; with contrast material 1.5% 5,785 $1.71M
96361 Intravenous infusion, hydration; each additional hour 1.5% 7,859 $1.69M
93458 1.2% 979 $1.38M
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1.2% 4,602 $1.36M
80053 Comprehensive metabolic panel 1.2% 58,578 $1.33M
H2016 Community support for mental illness or disability, billed per day 1.1% 1,842 $1.27M
36415 Collection of venous blood by venipuncture 1.1% 137,561 $1.20M
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.0% 8,802 $1.18M
59025 Fetal non-stress test <1% 5,380 $1.03M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 9,671 $960K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 6,361 $900K
H0044 Supported housing, per month <1% 198 $870K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 9,259 $868K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 9,473 $854K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 1,614 $839K
71275 Computed tomographic angiography, chest, with contrast material <1% 2,151 $683K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 2,180 $654K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 17,751 $652K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 5,517 $523K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 4,739 $521K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 10,016 $506K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 16,181 $495K
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% 6,890 $494K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 353 $470K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 351 $454K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 2,730 $435K
T1015 A visit at a community health center or clinic (one all-in rate) <1% 1,225 $402K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 3,301 $399K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 3,350 $369K
H2018 Psychosocial rehabilitation services, per diem <1% 696 $364K
80048 Basic metabolic panel (calcium, ionized) <1% 17,285 $355K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 17,754 $344K
90792 Psychiatric diagnostic evaluation with medical services <1% 1,561 $338K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 19,761 $322K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 5,974 $313K
47562 <1% 143 $307K
H0037 Community psychiatric supportive treatment program, per diem <1% 241 $282K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 445 $278K
86850 <1% 9,649 $270K
90853 Group psychotherapy (other than of a multiple-family group) <1% 4,319 $268K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 4,012 $268K
99215 Doctor's office visit, returning patient (complex) <1% 2,659 $254K
D0120 Dental checkup, returning patient <1% 10,863 $211K
90847 Family psychotherapy with the patient present, 50 minutes <1% 983 $194K
93975 <1% 487 $188K
80061 Lipid panel <1% 12,894 $184K
41899 Unlisted procedure, dentoalveolar structures <1% 179 $183K
90686 <1% 12,187 $175K
86901 <1% 9,727 $175K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 1,642 $173K
76801 <1% 1,526 $162K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 4,402 $156K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 1,782 $155K
83880 <1% 5,337 $154K
D9999 Unspecified adjunctive procedure, by report <1% 1,148 $153K
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% 6,608 $153K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 11,763 $152K
H2011 Crisis intervention service, per 15 minutes <1% 575 $148K
87631 <1% 2,771 $143K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 4,209 $142K
86900 <1% 9,758 $142K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 210 $139K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 4,583 $139K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 2,276 $131K
90846 Family psychotherapy without the patient present, 50 minutes <1% 1,195 $126K
90715 <1% 5,716 $126K
93970 <1% 235 $119K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 2,272 $119K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 1,175 $113K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 689 $113K
G9001 Coordinated care fee, initial rate <1% 1,519 $112K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 3,130 $110K
88142 <1% 3,843 $110K
99232 Hospital visit by a doctor, follow-up day <1% 3,273 $109K
97161 <1% 1,371 $108K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 2,520 $105K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 1,755 $104K
99204 Doctor's office visit, new patient (more involved) <1% 889 $102K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 1,062 $101K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 842 $100K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 3,708 $97K
86480 <1% 1,480 $97K
12001 <1% 241 $94K
S9485 Crisis intervention mental health services, per diem <1% 79 $90K
93971 <1% 1,447 $89K
76770 <1% 146 $75K
88342 <1% 1,687 $72K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 752 $71K
99203 Doctor's office visit, new patient (routine) <1% 569 $69K
H0046 Mental health services, not otherwise specified <1% 206 $68K
83655 <1% 5,065 $67K
76830 Ultrasound, transvaginal <1% 1,332 $66K
90837 Psychotherapy session, about an hour <1% 443 $65K
72125 Computed tomography, cervical spine; without contrast material <1% 1,764 $63K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 116 $63K
D0140 Limited oral evaluation - problem focused <1% 3,524 $57K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 28,654 $57K
10060 <1% 183 $56K
30140 <1% 24 $56K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 1,387 $55K
88307 <1% 800 $54K
90651 <1% 2,643 $53K
D7140 Extraction, erupted tooth or exposed root <1% 2,605 $51K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 12,100 $50K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 385 $50K
80076 <1% 3,855 $49K
72131 <1% 302 $46K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 454 $44K
81025 <1% 13,831 $43K
87653 <1% 2,002 $42K
90677 <1% 1,231 $42K
88304 <1% 1,165 $42K
87481 <1% 1,060 $41K
90732 <1% 593 $38K
36901 <1% 156 $38K
D0220 Intraoral - periapical first radiographic image <1% 4,728 $38K
85610 <1% 10,253 $37K
80047 <1% 1,577 $37K
90670 <1% 4,601 $37K
93017 <1% 381 $36K
95806 <1% 886 $35K
70486 <1% 564 $35K
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) <1% 911 $33K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent <1% 1,831 $33K
87641 <1% 1,476 $32K
82803 <1% 1,504 $31K
90648 <1% 1,375 $31K
90723 <1% 2,391 $31K
99406 <1% 887 $30K
90633 <1% 3,486 $30K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 1,782 $30K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 1,424 $29K
83036 Hemoglobin; glycosylated (A1C) <1% 15,433 $29K
58558 <1% 25 $28K
99443 <1% 310 $28K
J1756 Injection, iron sucrose, 1 mg <1% 278 $26K
99442 <1% 210 $25K
D0150 Comprehensive oral evaluation - new or established patient <1% 2,478 $25K
Q3014 Telehealth originating site facility fee <1% 3,754 $25K
97162 <1% 227 $25K
12002 <1% 69 $25K
D1110 Prophylaxis - adult <1% 5,425 $24K
90620 <1% 880 $24K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 701 $24K
90750 <1% 189 $24K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 1,190 $23K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 828 $23K
84443 Thyroid stimulating hormone (TSH) <1% 17,207 $23K
85027 <1% 21,890 $22K
90734 <1% 2,151 $22K
0011A <1% 627 $21K
90656 <1% 1,075 $21K
0012A <1% 575 $21K
99381 <1% 172 $20K
90710 <1% 2,113 $20K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 152 $19K
C9600 Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch <1% 15 $18K
95811 <1% 27 $18K
86703 <1% 1,180 $18K
76937 <1% 110 $17K
97597 <1% 31 $17K
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision <1% 588 $17K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 50,875 $17K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants <1% 54 $17K
90681 <1% 589 $14K
90680 <1% 2,678 $14K
87086 Culture, bacterial; quantitative colony count, urine <1% 13,076 $13K
90700 <1% 1,218 $13K
88341 <1% 284 $13K
90707 <1% 746 $13K
90696 <1% 1,332 $13K
90716 <1% 709 $12K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 641 $12K
85730 <1% 8,260 $12K
71046 Radiologic examination, chest; 2 views <1% 12,356 $12K
81511 <1% 264 $11K
81003 <1% 33,888 $11K
86780 <1% 6,614 $11K
90698 <1% 1,930 $11K
87660 <1% 12,696 $10K
70491 <1% 36 $10K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 5,674 $10K
87480 <1% 12,652 $10K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 8,132 $9K
D0274 Bitewings - four radiographic images <1% 3,352 $9K
87510 <1% 12,600 $9K
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% 39 $9K
86701 <1% 769 $8K
90744 <1% 1,415 $8K
84702 <1% 7,117 $8K
D2330 <1% 254 $8K
99441 <1% 66 $8K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 7,957 $8K
97116 <1% 300 $8K
85055 <1% 227 $7K
90647 <1% 1,407 $7K
82728 <1% 3,517 $7K
99385 <1% 66 $7K
84439 <1% 5,701 $6K
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% 3,977 $6K
86762 <1% 2,568 $6K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 154 $6K
29125 <1% 27 $6K
99238 Hospital discharge day management, 30 minutes or less <1% 172 $6K
90472 Immunization administration, each additional vaccine (list separately) <1% 2,545 $6K
87340 <1% 3,980 $5K
D2331 <1% 151 $5K
82607 <1% 2,624 $5K
84484 <1% 18,942 $5K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 15 $5K
D0230 Intraoral - periapical each additional radiographic image <1% 2,085 $5K
86803 <1% 3,102 $5K
76870 <1% 42 $5K
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% 26 $5K
D9110 <1% 413 $4K
71045 Radiologic examination, chest; single view <1% 4,407 $4K
86003 <1% 514 $4K
20610 <1% 12 $4K
70551 Magnetic resonance imaging, brain; without contrast material <1% 13 $4K
76819 Fetal biophysical profile; without non-stress testing <1% 56 $4K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 12 $4K
99383 <1% 35 $4K
71250 <1% 26 $4K
95115 <1% 152 $4K
D0210 Intraoral - complete series of radiographic images <1% 216 $4K
83735 <1% 20,387 $4K
74174 <1% 24 $3K
C7901 Service for diagnosis, evaluation, or treatment of a mental health or substance use disorder, 30-60 minutes, provided remotely by hospital staff who are licensed to provided mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service <1% 177 $3K
94060 <1% 24 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 1,682 $3K
86787 <1% 2,205 $3K
99205 Prolong outpt/office vis <1% 26 $3K
87640 <1% 279 $3K
83690 <1% 15,971 $3K
81001 <1% 9,486 $3K
94010 <1% 25 $3K
D0330 Panoramic radiographic image <1% 1,096 $2K
83020 <1% 1,591 $2K
86618 <1% 270 $2K
H0002 Behavioral health screening to determine eligibility for admission to treatment program <1% 13 $2K
0064A <1% 70 $2K
82570 <1% 3,600 $2K
83540 <1% 3,480 $2K
83550 <1% 3,370 $2K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 174 $2K
98927 <1% 65 $2K
82043 <1% 2,077 $2K
J7050 Infusion, normal saline solution, 250 cc <1% 449 $2K
D0272 Bitewings - two radiographic images <1% 1,169 $2K
87077 <1% 2,580 $2K
86140 <1% 2,170 $2K
83605 <1% 8,106 $2K
82746 <1% 966 $2K
90480 <1% 239 $2K
87806 <1% 89 $2K
76536 <1% 13 $2K
91320 <1% 85 $2K
73564 <1% 1,112 $2K
86580 <1% 319 $2K
84481 <1% 472 $2K
88112 <1% 27 $2K
87522 Neg quan hep c or qual rna <1% 41 $1K
84146 <1% 483 $1K
C1769 Guide wire <1% 1,414 $1K
99220 <1% 26 $1K
87186 <1% 2,544 $1K
87040 <1% 4,234 $1K
96375 Therapeutic injection; each additional sequential IV push <1% 5,600 $1K
83001 <1% 390 $1K
99217 <1% 53 $1K
90619 <1% 71 $1K
82950 <1% 2,140 $1K
80074 <1% 86 $1K
87070 <1% 1,927 $1K
86038 <1% 857 $1K
72100 <1% 667 $1K
J1630 Injection, haloperidol, up to 5 mg <1% 1,350 $1K
86765 <1% 289 $1K
82248 <1% 786 $1K
86706 <1% 475 $1K
85379 <1% 2,832 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 61 $1K
80349 <1% 1,839 $1K
36600 <1% 42 $1K
J7030 Infusion, normal saline solution , 1000 cc <1% 10,354 $933.96
84703 <1% 3,620 $907.24
90621 <1% 203 $903.47
93798 <1% 61 $887.64
93621 <1% 12 $868.40
85014 <1% 1,504 $863.42
73630 <1% 1,253 $779.63
Q9957 Injection, perflutren lipid microspheres, per ml <1% 14 $771.40
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 4,025 $742.40
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 28 $668.60
88360 <1% 16 $661.80
82785 <1% 358 $572.38
84550 <1% 1,802 $566.91
73130 <1% 1,300 $546.00
85651 <1% 1,730 $515.00
C1776 Joint device (implantable) <1% 24 $502.90
82550 <1% 2,241 $471.34
73610 <1% 1,216 $454.73
83615 <1% 1,130 $451.48
D1208 Topical application of fluoride, excluding varnish <1% 3,710 $429.16
83002 <1% 154 $420.30
73030 <1% 1,256 $402.90
84156 <1% 1,547 $402.25
87088 <1% 628 $379.17
86735 <1% 162 $351.92
D1120 Dental cleaning, child <1% 2,763 $349.39
73502 <1% 255 $326.48
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 2,935 $323.82
84100 <1% 1,783 $318.93
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% 1,090 $293.43
82105 <1% 415 $287.74
99495 <1% 13 $284.55
96376 <1% 2,061 $268.77
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 14 $265.20
73090 <1% 67 $261.25
99156 <1% 1,036 $228.07
J1644 Injection, heparin sodium, per 1000 units <1% 2,888 $211.57
74018 <1% 226 $211.01
0001A <1% 15 $194.34
88300 <1% 368 $192.43
0002A <1% 13 $191.92
J7120 Ringers lactate infusion, up to 1000 cc <1% 1,562 $190.87
87205 <1% 1,389 $173.79
G0475 Hiv antigen/antibody, combination assay, screening <1% 567 $171.35
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 581 $161.13
J3010 Injection, fentanyl citrate, 0.1 mg <1% 8,333 $147.02
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 6,422 $145.54
83721 <1% 871 $136.38
J2270 Injection, morphine sulfate, up to 10 mg <1% 2,720 $134.55
86364 <1% 14 $125.64
86258 <1% 13 $125.64
73110 <1% 533 $122.49
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 7,489 $122.28
86308 <1% 169 $119.74
85652 <1% 341 $114.19
82784 <1% 13 $111.60
87075 <1% 645 $104.92
J1170 Injection, hydromorphone, up to 4 mg <1% 1,588 $99.80
86592 <1% 98 $98.67
72170 <1% 224 $89.91
90474 <1% 323 $89.65
84403 <1% 39 $89.58
86376 <1% 13 $88.76
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 1,185 $86.02
82977 <1% 82 $83.45
J3475 Injection, magnesium sulfate, per 500 mg <1% 1,293 $79.50
87338 <1% 69 $69.80
J2704 Injection, propofol, 10 mg <1% 2,595 $65.27
80305 <1% 69 $64.05
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 11,236 $59.43
J0690 Injection, cefazolin sodium, 500 mg <1% 1,909 $56.60
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 851 $56.17
90461 <1% 568 $55.00
86431 <1% 274 $52.99
D1351 Sealant - per tooth <1% 19 $49.74
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 2,288 $49.54
84132 <1% 65 $48.14
J2060 Injection, lorazepam, 2 mg <1% 2,563 $33.76
96127 <1% 826 $33.49
73080 <1% 70 $31.86
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 6,014 $30.29
J1650 Injection, enoxaparin sodium, 10 mg <1% 891 $28.82
J7042 5% dextrose/normal saline (500 ml = 1 unit) <1% 255 $26.84
85018 <1% 47 $24.16
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 2,304 $21.61
87081 <1% 12 $20.63
82040 <1% 12 $20.05
73590 <1% 116 $20.00
80143 <1% 289 $17.99
80178 <1% 29 $13.88
73140 <1% 66 $12.51
J1815 Injection, insulin, per 5 units <1% 868 $12.38
84270 <1% 42 $10.75
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 574 $10.71
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 1,203 $10.46
82330 <1% 12 $10.06
80179 <1% 277 $8.99
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 15 $7.58
86200 <1% 65 $5.54
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 145 $5.44
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 905 $5.03
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg <1% 55 $4.46
85046 <1% 13 $4.39
J3480 Injection, potassium chloride, per 2 meq <1% 117 $3.36
C1887 Catheter, guiding (may include infusion/perfusion capability) <1% 875 $3.33
J0360 Injection, hydralazine hcl, up to 20 mg <1% 41 $0.83
82010 <1% 166 $0.42
C1758 Catheter, ureteral <1% 298 $0.20
83986 0% 131 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 0% 68 $0.00
C1892 Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away 0% 37 $0.00
C1781 Mesh (implantable) 0% 90 $0.00
81514 0% 591 $0.00
J1790 Injection, droperidol, up to 5 mg 0% 102 $0.00
71101 0% 100 $0.00
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 0% 25 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 0% 14 $0.00
74021 0% 56 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 0% 40 $0.00
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) 0% 13 $0.00
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 0% 83 $0.00
J7799 Noc drugs, other than inhalation drugs, administered through dme 0% 80 $0.00
J1940 Injection, furosemide, up to 20 mg 0% 20 $0.00
J2785 Injection, regadenoson, 0.1 mg 0% 12 $0.00
82150 0% 12 $0.00
73560 0% 12 $0.00
99157 0% 372 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 0% 512 $0.00
81002 0% 311 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 97 $0.00
D0270 0% 24 $0.00
96381 0% 15 $0.00
84145 0% 24 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 0% 12 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 13 $0.00
81513 0% 835 $0.00
J3370 Injection, vancomycin hcl, 500 mg 0% 15 $0.00
90685 0% 70 $0.00
82140 0% 28 $0.00
87102 0% 12 $0.00
87210 0% 16 $0.00
Q0245 Injection, bamlanivimab and etesevimab, 2100 mg 0% 14 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 0% 14 $0.00
88313 0% 15 $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 officialPRICE, MEREDITH (SVP HOSPITAL OPERATIONS)