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

Medstar Washington Hospital Center

Medstar Washington Hospital Center was paid $239.08M by Medicaid between Jan 2018 and Dec 2024, across 640 billing codes. Its largest line is G0463, Hospital outpatient clinic visit for assessment and management of a patient — 6.8% of everything it billed.

33Billing provider infoMEDSTAR WASHINGTON HOSPITAL CENTER
WASHINGTON, DC 20010
33aNPI1548378235assigned 08/25/2006
28Total paid$239.08M
24GClaims2,832,952
24DCodes billed640
24AFirst – last monthJan 2018 – Dec 2024
Box 24A · Dates of service

Paid by month

$0$2.0M$4.0M$6.0M2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018452,511$22.37M
2019495,840$27.66M
2020404,831$23.06M
2021477,717$31.86M
2022434,141$52.99M
2023315,085$43.86M
2024incomplete252,827$37.28M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 6.8% 149,570 112,893 $16.25M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6.6% 73,448 63,784 $15.70M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 6.5% 72,316 64,638 $15.58M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 6.0% 61,392 55,595 $14.25M
96361 Intravenous infusion, hydration; each additional hour 5.9% 27,064 21,449 $14.02M
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% 56,675 50,138 $11.08M
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 4.5% 55,816 48,444 $10.83M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 3.9% 47,184 42,734 $9.38M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3.6% 48,508 37,892 $8.58M
J9271 Injection, pembrolizumab, 1 mg 3.3% 1,112 799 $7.99M
70450 Computed tomography, head or brain; without contrast material 2.0% 18,968 17,455 $4.70M
59025 Fetal non-stress test 1.9% 13,750 7,626 $4.48M
628 more codes
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.4% 4,766 $3.41M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.4% 8,616 $3.34M
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1.3% 12,712 $3.03M
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.3% 17,145 $3.02M
74177 Computed tomography, abdomen and pelvis; with contrast material 1.2% 13,962 $2.86M
99281 Emergency department visit for the evaluation and management, self-limited or minor 1.1% 9,360 $2.53M
99203 Doctor's office visit, new patient (routine) <1% 13,464 $2.34M
77412 <1% 7,816 $2.32M
99204 Doctor's office visit, new patient (more involved) <1% 12,978 $2.32M
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 3,795 $2.22M
20610 <1% 5,786 $2.16M
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 2,541 $2.14M
78815 Positron emission tomography (PET) for limited area imaging <1% 1,998 $1.98M
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 1,958 $1.89M
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 1,579 $1.66M
71275 Computed tomographic angiography, chest, with contrast material <1% 5,330 $1.53M
S9480 Intensive outpatient psychiatric services, per diem <1% 5,509 $1.53M
36902 <1% 873 $1.53M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 9,633 $1.47M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 3,655 $1.45M
93798 <1% 5,728 $1.44M
96415 <1% 3,789 $1.42M
G0378 Hospital observation service, per hour <1% 20,511 $1.39M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 10,005 $1.38M
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 6,306 $1.36M
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 3,323 $1.25M
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 6,487 $1.22M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 11,840 $1.19M
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 9,415 $1.15M
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 10,575 $1.11M
V5261 Hearing aid, digital, binaural, bte <1% 537 $1.09M
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 6,228 $1.08M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 7,254 $991K
77063 Screening digital breast tomosynthesis, bilateral <1% 14,688 $991K
93976 <1% 5,026 $984K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 5,405 $901K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 13,017 $895K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 8,723 $859K
99205 Prolong outpt/office vis <1% 4,299 $805K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 1,356 $793K
76642 <1% 5,577 $776K
90853 Group psychotherapy (other than of a multiple-family group) <1% 5,242 $723K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 3,838 $709K
93970 <1% 4,122 $694K
76830 Ultrasound, transvaginal <1% 6,193 $668K
19083 <1% 532 $662K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 8,654 $656K
70551 Magnetic resonance imaging, brain; without contrast material <1% 3,027 $636K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 5,242 $621K
71046 Radiologic examination, chest; 2 views <1% 37,372 $607K
74183 <1% 1,692 $605K
36821 <1% 217 $604K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 3,649 $580K
64483 <1% 638 $571K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 3,412 $549K
J9355 Injection, trastuzumab, excludes biosimilar, 10 mg <1% 615 $546K
93971 <1% 4,817 $540K
72197 <1% 1,046 $530K
P9016 Red blood cells, leukocytes reduced, each unit <1% 1,434 $507K
72141 <1% 2,600 $501K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 1,127 $495K
J0897 Injection, denosumab, 1 mg <1% 618 $470K
Q5118 Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg <1% 250 $450K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 3,943 $439K
20550 <1% 1,165 $432K
77386 <1% 657 $416K
97165 <1% 3,046 $408K
97161 <1% 4,035 $401K
10060 <1% 1,451 $398K
71250 <1% 5,200 $396K
92557 <1% 4,900 $389K
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) <1% 916 $373K
J2505 Injection, pegfilgrastim, 6 mg <1% 296 $372K
G0257 Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility <1% 1,693 $372K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 1,513 $369K
70491 <1% 1,592 $364K
90791 Psychiatric diagnostic evaluation <1% 1,312 $360K
93922 <1% 3,360 $357K
78306 <1% 1,060 $353K
76536 <1% 2,573 $351K
93975 <1% 2,308 $351K
77336 <1% 3,311 $337K
92950 <1% 834 $329K
96367 <1% 3,491 $327K
77334 <1% 1,649 $311K
74174 <1% 1,717 $308K
73630 <1% 11,888 $304K
70544 <1% 1,189 $304K
80048 Basic metabolic panel (calcium, ionized) <1% 78,841 $290K
76770 <1% 2,181 $289K
93925 <1% 1,985 $287K
36561 <1% 128 $279K
94660 <1% 1,008 $279K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 2,335 $276K
90715 <1% 9,145 $274K
92083 <1% 4,702 $272K
31575 <1% 1,960 $264K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 7,680 $261K
J1453 Injection, fosaprepitant, 1 mg <1% 1,977 $246K
J0881 Injection, darbepoetin alfa, 1 microgram (non-esrd use) <1% 1,616 $246K
52000 <1% 270 $246K
76801 <1% 2,385 $244K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 3,690 $230K
76819 Fetal biophysical profile; without non-stress testing <1% 3,194 $221K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 2,658 $218K
31579 <1% 284 $213K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 5,663 $207K
73562 <1% 8,704 $199K
67028 Intravitreal injection of a pharmacologic agent <1% 847 $195K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 49,094 $193K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 41,322 $192K
77062 <1% 3,137 $188K
12001 <1% 642 $181K
94060 <1% 1,591 $179K
70486 <1% 4,030 $177K
96040 <1% 577 $175K
73030 <1% 7,909 $170K
92550 <1% 1,672 $166K
80053 Comprehensive metabolic panel <1% 51,823 $159K
72125 Computed tomography, cervical spine; without contrast material <1% 4,679 $159K
77067 Screening mammography, bilateral, including computer-aided detection <1% 14,732 $159K
93017 <1% 2,112 $157K
72100 <1% 6,265 $156K
77080 <1% 2,999 $152K
90686 <1% 5,723 $149K
73560 <1% 5,852 $142K
70498 <1% 737 $137K
71271 <1% 974 $132K
69210 <1% 2,876 $131K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 16,595 $120K
73610 <1% 7,797 $119K
77470 <1% 273 $118K
Q3014 Telehealth originating site facility fee <1% 9,417 $118K
75574 <1% 249 $117K
94726 <1% 2,477 $117K
97535 Self-care/home management training, each 15 minutes <1% 1,187 $116K
77300 <1% 1,112 $111K
73130 <1% 7,349 $107K
73221 <1% 513 $106K
93320 <1% 471 $104K
97116 <1% 1,388 $103K
93880 <1% 952 $102K
70496 <1% 255 $100K
88341 <1% 2,723 $99K
92504 <1% 2,527 $97K
76813 <1% 1,881 $96K
83880 <1% 11,877 $94K
77061 <1% 1,649 $92K
93750 <1% 2,236 $90K
94010 <1% 880 $90K
J9312 Injection, rituximab, 10 mg <1% 30 $87K
72110 <1% 2,741 $86K
73110 <1% 4,846 $85K
77065 Tomosynthesis, mammo <1% 3,724 $83K
J1745 Injection, infliximab, excludes biosimilar, 10 mg <1% 57 $80K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 1,081 $79K
72040 <1% 2,472 $77K
20605 <1% 186 $77K
73502 <1% 5,631 $76K
62323 <1% 60 $76K
72131 <1% 1,574 $75K
90677 <1% 501 $75K
93296 <1% 1,477 $72K
93458 <1% 89 $72K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 845 $70K
12011 <1% 325 $70K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 23,994 $69K
73700 <1% 555 $69K
71045 Radiologic examination, chest; single view <1% 15,377 $68K
J1750 Injection, iron dextran, 50 mg <1% 985 $68K
77066 Tomosynthesis, mammo <1% 4,464 $66K
96375 Therapeutic injection; each additional sequential IV push <1% 26,341 $66K
76820 <1% 1,771 $65K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 500 $63K
86923 <1% 1,730 $62K
51705 <1% 493 $61K
12002 <1% 232 $60K
93613 <1% 15 $60K
92133 <1% 3,776 $58K
92020 <1% 595 $58K
49083 <1% 213 $55K
J9217 Leuprolide acetate (for depot suspension), 7.5 mg <1% 257 $54K
V5020 Conformity evaluation <1% 1,399 $52K
94729 <1% 2,469 $52K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 36,385 $51K
75561 <1% 80 $51K
C1776 Joint device (implantable) <1% 293 $51K
76000 <1% 2,780 $50K
76821 <1% 1,591 $49K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 14,973 $47K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 128 $47K
73564 <1% 1,274 $47K
V5010 Assessment for hearing aid <1% 1,210 $46K
90750 <1% 617 $45K
29581 <1% 188 $44K
88307 <1% 2,179 $44K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 126,830 $43K
31231 <1% 214 $43K
37607 <1% 84 $42K
76512 <1% 341 $41K
76775 <1% 293 $41K
V5011 Fitting/orientation/checking of hearing aid <1% 1,364 $41K
43235 <1% 74 $41K
84484 <1% 41,368 $41K
92567 <1% 2,074 $40K
36830 <1% 55 $40K
95816 <1% 176 $40K
16020 <1% 218 $38K
74178 <1% 135 $38K
72050 <1% 1,161 $38K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 1,299 $37K
99201 <1% 263 $37K
73120 <1% 761 $37K
60100 <1% 43 $35K
36832 <1% 14 $35K
90792 Psychiatric diagnostic evaluation with medical services <1% 104 $35K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 160 $35K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 159 $34K
93247 <1% 328 $32K
76870 <1% 489 $32K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 324 $32K
72070 <1% 1,519 $32K
90670 <1% 815 $31K
85379 <1% 6,139 $31K
72146 <1% 449 $31K
77049 <1% 52 $28K
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% 110 $27K
73590 <1% 3,914 $27K
77301 <1% 14 $27K
C9257 Injection, bevacizumab, 0.25 mg <1% 43 $26K
C1769 Guide wire <1% 8,011 $25K
93926 <1% 364 $25K
92136 <1% 711 $23K
73080 <1% 2,333 $23K
94618 <1% 130 $23K
64493 <1% 29 $22K
80076 <1% 10,812 $22K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring <1% 73 $21K
77290 <1% 62 $21K
87040 <1% 2,735 $21K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,399 $20K
64454 <1% 31 $19K
29125 <1% 86 $18K
90656 <1% 734 $18K
15275 <1% 16 $18K
20553 <1% 50 $17K
36901 <1% 13 $17K
V5275 Ear impression, each <1% 452 $17K
76827 <1% 605 $17K
83605 <1% 13,278 $16K
86850 <1% 13,069 $16K
76942 <1% 219 $16K
77002 <1% 109 $16K
90694 <1% 1,180 $16K
86900 <1% 14,862 $16K
73620 <1% 300 $16K
74018 <1% 996 $15K
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) <1% 3,625 $15K
73552 <1% 2,349 $15K
73522 <1% 406 $15K
36247 <1% 17 $15K
90836 <1% 136 $15K
59020 <1% 56 $15K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,428 $15K
73140 <1% 863 $14K
C1887 Catheter, guiding (may include infusion/perfusion capability) <1% 2,735 $14K
96401 <1% 717 $14K
82962 <1% 51,473 $14K
77280 <1% 98 $14K
V5264 Ear mold/insert, not disposable, any type <1% 223 $13K
90732 <1% 889 $13K
M0239 Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring <1% 82 $13K
96416 <1% 182 $13K
31720 <1% 1,052 $13K
72170 <1% 1,373 $12K
77001 <1% 152 $12K
73060 <1% 1,613 $12K
95819 <1% 58 $12K
90837 Psychotherapy session, about an hour <1% 112 $12K
96376 <1% 14,414 $12K
99218 <1% 176 $12K
76937 <1% 318 $12K
80320 <1% 4,005 $12K
29515 <1% 47 $12K
92570 <1% 1,928 $11K
83735 <1% 31,483 $11K
A4648 Tissue marker, implantable, any type, each <1% 1,025 $11K
73521 <1% 596 $11K
90834 Psychotherapy session, about 45 minutes <1% 83 $10K
77338 <1% 27 $10K
93298 <1% 221 $10K
76641 <1% 53 $10K
85027 <1% 6,545 $10K
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring <1% 27 $10K
93460 <1% 19 $10K
70547 <1% 145 $9K
93325 <1% 421 $9K
78582 <1% 49 $9K
96368 <1% 1,027 $9K
36590 <1% 12 $9K
87086 Culture, bacterial; quantitative colony count, urine <1% 8,124 $9K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 8,918 $9K
88312 <1% 5,348 $8K
77295 <1% 17 $8K
97802 <1% 59 $8K
97597 <1% 40 $8K
36905 <1% 14 $8K
92587 <1% 74 $8K
93923 <1% 33 $8K
72192 <1% 41 $8K
72128 <1% 522 $8K
92082 <1% 70 $8K
88304 <1% 1,383 $8K
73600 <1% 200 $7K
95913 <1% 55 $7K
81001 <1% 35,369 $7K
51702 <1% 701 $7K
73090 <1% 1,741 $7K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 1,808 $7K
92134 <1% 4,496 $7K
82803 <1% 7,285 $7K
J3489 Injection, zoledronic acid, 1 mg <1% 112 $7K
80061 Lipid panel <1% 3,319 $7K
88342 <1% 3,825 $7K
76514 <1% 405 $7K
88313 <1% 761 $7K
86901 <1% 14,873 $6K
83036 Hemoglobin; glycosylated (A1C) <1% 9,005 $6K
64484 <1% 164 $6K
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg <1% 41 $6K
91322 <1% 190 $6K
96523 <1% 145 $6K
82375 <1% 7,316 $6K
85610 <1% 24,593 $5K
C1768 Graft, vascular <1% 76 $5K
95886 <1% 31 $5K
99385 <1% 30 $5K
74220 <1% 102 $5K
84443 Thyroid stimulating hormone (TSH) <1% 8,466 $5K
99386 <1% 44 $5K
90688 <1% 260 $5K
90838 <1% 47 $5K
90832 Psychotherapy session, about 30 minutes <1% 60 $5K
11104 <1% 13 $4K
51798 <1% 1,481 $4K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk <1% 14 $4K
90662 <1% 230 $4K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 2,274 $4K
36430 <1% 33 $4K
92593 <1% 178 $4K
C1760 Closure device, vascular (implantable/insertable) <1% 1,750 $4K
J3490 Unclassified drugs <1% 14,037 $4K
84100 <1% 15,389 $4K
70487 <1% 13 $3K
86317 <1% 928 $3K
96417 <1% 3,197 $3K
36415 Collection of venous blood by venipuncture <1% 26,984 $3K
88185 <1% 92 $3K
92511 <1% 13 $3K
74181 <1% 14 $3K
84703 <1% 13,033 $3K
51700 <1% 24 $3K
92591 <1% 123 $3K
83690 <1% 23,319 $3K
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% 94 $3K
90651 <1% 20 $3K
C2623 Catheter, transluminal angioplasty, drug-coated, non-laser <1% 14 $3K
87581 <1% 492 $3K
70480 <1% 14 $2K
82570 <1% 1,624 $2K
80329 <1% 114 $2K
71101 <1% 488 $2K
83615 <1% 3,351 $2K
84702 <1% 6,943 $2K
90746 <1% 128 $2K
82330 <1% 3,531 $2K
81025 <1% 16,944 $2K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 1,518 $2K
74240 <1% 12 $2K
90653 <1% 892 $2K
74022 <1% 586 $2K
93246 <1% 35 $2K
C1874 Stent, coated/covered, with delivery system <1% 42 $2K
86592 <1% 1,083 $2K
87077 <1% 3,406 $2K
J0561 Injection, penicillin g benzathine, 100,000 units <1% 61 $2K
74230 <1% 26 $2K
92588 <1% 27 $2K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 4,136 $2K
36591 <1% 288 $2K
G0297 Low dose ct scan (ldct) for lung cancer screening <1% 86 $2K
81003 <1% 14,958 $2K
75635 <1% 12 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 34,983 $1K
86141 <1% 2,406 $1K
G0379 Direct admission of patient for hospital observation care <1% 58 $1K
72158 <1% 12 $1K
80164 <1% 312 $1K
77417 <1% 726 $1K
85730 <1% 4,031 $1K
73100 <1% 39 $1K
84439 <1% 1,654 $1K
90658 <1% 75 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 3,696 $1K
92002 <1% 12 $1K
80185 <1% 140 $1K
76882 <1% 13 $1K
82607 <1% 1,285 $1K
73070 <1% 12 $1K
73200 <1% 14 $1K
82728 <1% 1,232 $1K
84550 <1% 1,951 $1K
92611 <1% 44 $965.63
J3010 Injection, fentanyl citrate, 0.1 mg <1% 26,680 $930.28
99152 <1% 1,795 $929.84
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 528 $866.20
90678 <1% 14 $855.06
C1726 Catheter, balloon dilatation, non-vascular <1% 471 $840.44
46600 <1% 603 $834.29
88184 <1% 97 $827.47
80050 General health panel <1% 66 $825.38
96402 <1% 706 $823.96
87070 <1% 3,012 $815.10
84156 <1% 1,270 $753.40
90739 <1% 28 $748.71
87081 <1% 268 $712.78
93282 <1% 54 $693.96
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 4,102 $690.56
87186 <1% 3,255 $686.14
74019 <1% 47 $685.78
70490 <1% 18 $683.27
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% 469 $679.99
82550 <1% 2,158 $656.46
88172 <1% 1,010 $649.70
97166 <1% 12 $649.28
C9290 Injection, bupivacaine liposome, 1 mg <1% 683 $641.86
93350 <1% 70 $641.76
G0008 Administration of influenza virus vaccine <1% 3,001 $619.91
92555 <1% 50 $618.92
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 29 $579.10
0352U <1% 16 $554.70
82947 <1% 5,501 $539.63
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 11,864 $506.32
89051 <1% 425 $501.03
0124A <1% 13 $466.40
85652 <1% 2,643 $464.86
92132 <1% 17 $448.62
87486 <1% 175 $441.28
90472 Immunization administration, each additional vaccine (list separately) <1% 405 $440.86
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% 777 $433.98
70355 <1% 485 $414.86
87340 <1% 1,167 $405.29
86360 <1% 37 $373.19
93280 <1% 28 $349.12
51703 <1% 49 $348.36
82077 <1% 3,792 $339.63
96409 <1% 216 $329.42
80047 <1% 41 $321.50
82270 <1% 1,173 $309.26
90480 <1% 194 $304.02
87899 <1% 369 $298.32
83540 <1% 847 $275.45
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries <1% 912 $275.40
87075 <1% 1,586 $239.55
84132 <1% 2,415 $236.82
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 9,858 $226.93
82248 <1% 923 $226.19
82746 <1% 522 $215.10
82010 <1% 586 $215.03
87205 <1% 2,358 $211.05
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 113 $208.19
J2785 Injection, regadenoson, 0.1 mg <1% 1,181 $200.83
83550 <1% 574 $195.26
82820 <1% 2,221 $195.23
94762 <1% 749 $187.26
87428 <1% 390 $176.93
J1630 Injection, haloperidol, up to 5 mg <1% 1,553 $175.92
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 1,259 $166.65
J1170 Injection, hydromorphone, up to 4 mg <1% 6,638 $164.90
C1750 Catheter, hemodialysis/peritoneal, long-term <1% 62 $159.94
88360 <1% 16 $155.19
91065 <1% 12 $150.67
J1650 Injection, enoxaparin sodium, 10 mg <1% 11,299 $150.54
88112 <1% 103 $149.14
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 23,516 $146.76
85045 <1% 572 $142.41
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r <1% 16 $140.44
94760 <1% 1,635 $134.28
87147 <1% 318 $132.70
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 1,065 $114.14
82565 <1% 102 $106.48
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 8,751 $104.98
84295 <1% 2,187 $104.92
87480 <1% 39 $101.32
86870 <1% 28 $99.16
J1644 Injection, heparin sodium, per 1000 units <1% 20,797 $94.35
C1733 Catheter, electrophysiology, diagnostic/ablation, other than 3d or vector mapping, other than cool-tip <1% 309 $89.11
81002 <1% 1,113 $87.69
99153 Mod sedat endo service >5yrs <1% 690 $87.63
J2704 Injection, propofol, 10 mg <1% 27,846 $82.41
88311 <1% 136 $78.14
J2270 Injection, morphine sulfate, up to 10 mg <1% 9,060 $71.08
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 473 $67.20
88173 <1% 1,081 $57.04
87510 <1% 39 $54.44
86140 <1% 299 $53.98
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 30 $53.20
85014 <1% 341 $49.50
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 7,817 $48.43
J3411 Injection, thiamine hcl, 100 mg <1% 2,152 $47.95
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 2,102 $47.49
87660 <1% 39 $46.88
84520 <1% 99 $41.46
80074 <1% 61 $40.22
J7799 Noc drugs, other than inhalation drugs, administered through dme <1% 1,444 $39.51
88302 <1% 80 $34.86
82436 <1% 46 $34.80
J7050 Infusion, normal saline solution, 250 cc <1% 10,151 $32.49
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 22,368 $29.87
J1940 Injection, furosemide, up to 20 mg <1% 3,800 $28.92
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 144 $27.25
J0690 Injection, cefazolin sodium, 500 mg <1% 19,063 $23.82
J0360 Injection, hydralazine hcl, up to 20 mg <1% 4,014 $21.53
84133 <1% 45 $20.86
84300 <1% 88 $20.69
88108 <1% 38 $20.43
85384 <1% 16 $16.53
C9399 Unclassified drugs or biologicals <1% 4,425 $16.52
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 2,076 $16.28
J7999 Compounded drug, not otherwise classified <1% 4,625 $16.28
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 2,944 $15.27
J7030 Infusion, normal saline solution , 1000 cc <1% 1,859 $14.83
J2060 Injection, lorazepam, 2 mg <1% 3,241 $14.42
82150 <1% 13 $14.11
J7120 Ringers lactate infusion, up to 1000 cc <1% 1,989 $11.81
87280 <1% 61 $11.81
J1790 Injection, droperidol, up to 5 mg <1% 2,800 $10.30
87015 <1% 103 $10.13
J3475 Injection, magnesium sulfate, per 500 mg <1% 4,656 $9.40
85008 <1% 19 $8.78
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 4,657 $5.34
J3370 Injection, vancomycin hcl, 500 mg <1% 2,704 $4.88
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 4,175 $2.90
C9113 Injection, pantoprazole sodium, per vial <1% 1,946 $2.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 1,423 $1.53
J9190 Injection, fluorouracil, 500 mg <1% 360 $1.27
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 1,316 $1.05
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 5,684 $1.05
J0780 Injection, prochlorperazine, up to 10 mg <1% 1,001 $0.96
J0456 Injection, azithromycin, 500 mg <1% 540 $0.65
J3480 Injection, potassium chloride, per 2 meq <1% 1,792 $0.49
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 1,330 $0.26
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg <1% 1,583 $0.08
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 0% 2,011 $0.00
C1758 Catheter, ureteral 0% 487 $0.00
C1729 Catheter, drainage 0% 445 $0.00
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml 0% 2,497 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 0% 580 $0.00
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg 0% 150 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 809 $0.00
J0640 Injection, leucovorin calcium, per 50 mg 0% 113 $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% 799 $0.00
J1953 Injection, levetiracetam, 10 mg 0% 349 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 0% 999 $0.00
J1580 Injection, garamycin, gentamicin, up to 80 mg 0% 213 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 0% 227 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 0% 146 $0.00
0272 0% 482 $0.00
64495 0% 29 $0.00
J3371 Injection, vancomycin hcl (mylan), not therapeutically equivalent to j3370, 500 mg 0% 87 $0.00
C1757 Catheter, thrombectomy/embolectomy 0% 123 $0.00
C1788 Port, indwelling (implantable) 0% 100 $0.00
G8989 Self care functional limitation, discharge status, at discharge from therapy or to end reporting 0% 384 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 0% 732 $0.00
82805 0% 123 $0.00
87102 0% 47 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 0% 1,219 $0.00
51701 0% 31 $0.00
J0736 Injection, clindamycin phosphate, 300 mg 0% 92 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 0% 57 $0.00
A9575 Injection, gadoterate meglumine, 0.1 ml 0% 249 $0.00
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 0% 12 $0.00
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 0% 14 $0.00
J9263 Injection, oxaliplatin, 0.5 mg 0% 107 $0.00
80143 0% 17 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 106 $0.00
93356 0% 14 $0.00
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg 0% 60 $0.00
80179 0% 15 $0.00
J0670 Injection, mepivacaine hydrochloride, per 10 ml 0% 15 $0.00
J3260 Injection, tobramycin sulfate, up to 80 mg 0% 13 $0.00
C1766 Introducer/sheath, guiding, intracardiac electrophysiological, steerable, other than peel-away 0% 668 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 0% 620 $0.00
0270 0% 196 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 0% 676 $0.00
J0461 Injection, atropine sulfate, 0.01 mg 0% 126 $0.00
J9045 Injection, carboplatin, 50 mg 0% 673 $0.00
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 0% 37 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 0% 749 $0.00
96411 0% 593 $0.00
C1819 Surgical tissue localization and excision device (implantable) 0% 420 $0.00
J0610 Injection, calcium gluconate (fresenius kabi), per 10 ml 0% 309 $0.00
0250 0% 1,359 $0.00
0370 0% 349 $0.00
V2632 Posterior chamber intraocular lens 0% 454 $0.00
0721 0% 192 $0.00
C1773 Retrieval device, insertable (used to retrieve fractured medical devices) 0% 310 $0.00
0710 0% 333 $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% 632 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 0% 427 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 275 $0.00
G0009 Administration of pneumococcal vaccine 0% 622 $0.00
C1781 Mesh (implantable) 0% 27 $0.00
J1920 Injection, labetalol hydrochloride, 5 mg 0% 180 $0.00
J9267 Injection, paclitaxel, 1 mg 0% 477 $0.00
J2780 Injection, ranitidine hydrochloride, 25 mg 0% 28 $0.00
C1892 Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away 0% 16 $0.00
C2617 Stent, non-coronary, temporary, without delivery system 0% 57 $0.00
A9558 Xenon xe-133 gas, diagnostic, per 10 millicuries 0% 41 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 0% 213 $0.00
A9540 Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries 0% 60 $0.00
C1732 Catheter, electrophysiology, diagnostic/ablation, 3d or vector mapping 0% 15 $0.00
64494 0% 29 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 0% 17 $0.00
96377 0% 34 $0.00
C1730 Catheter, electrophysiology, diagnostic, other than 3d mapping (19 or fewer electrodes) 0% 16 $0.00
88300 0% 17 $0.00
J2373 Injection, phenylephrine hydrochloride (immphentiv), 20 micrograms 0% 19 $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 officialBARASH, AMANDA (CFO)