Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ST. JOSEPH HOSPITAL OF ORANGE

NPI: 1558575746 · ORANGE, CA 92868 · General Acute Care Hospital · NPI assigned 05/09/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ANDERSON, DONALD controls 20+ related entities in our dataset. Read more

$65.95M
Total Medicaid Paid
2,357,821
Total Claims
1,619,565
Beneficiaries
496
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY ENROLLMENTS)
NPI Enumeration Date05/09/2007

Related Entities

Other providers sharing the same authorized official: ANDERSON, DONALD

ProviderCityStateTotal Paid
PROVIDENCE HEALTH & SERVICES WASHINGTON ANCHORAGE AK $161.45M
KADLEC REGIONAL MEDICAL CENTER RICHLAND WA $151.60M
SWEDISH EDMONDS EDMONDS WA $30.06M
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC EUREKA CA $28.68M
PROVIDENCE HEALTH SYSTEM SOUTHERN CALIFORNIA TORRANCE CA $27.29M
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA SAN PEDRO CA $24.26M
PROVIDENCE HEALTH & SERVICES - WASHINGTON TUKWILA WA $21.98M
SWEDISH HEALTH SERVICES SEATTLE WA $21.06M
PROVIDENCE HEALTH & SERVICES WASHINGTON KODIAK AK $11.39M
SWEDISH HEALTH SERVICES SEATTLE WA $11.08M
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC FORTUNA CA $8.55M
COLLABRIA CARE NAPA CA $8.20M
PROVIDENCE HEALTH & SERVICES OREGON SEASIDE OR $8.01M
PROVIDENCE HEALTH & SERVICES- WASHINGTON SPOKANE WA $8.01M
HOSPICE OF LUBBOCK INC LUBBOCK TX $6.48M
PROVIDENCE SAINT JOHN'S HEALTH CENTER SANTA MONICA CA $5.52M
METHODIST HOSPITAL LEVELLAND LEVELLAND TX $4.55M
COLLABRIA CARE NAPA CA $4.05M
METHODIST HOSPITAL LEVELLAND LEVELLAND TX $4.01M
METHODIST HOSPITAL PLAINVIEW TEXAS PLAINVIEW TX $4.00M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 312,906 $8.43M
2019 333,868 $10.64M
2020 376,910 $10.94M
2021 372,294 $8.43M
2022 364,191 $8.53M
2023 355,668 $9.77M
2024 241,984 $9.21M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90999 Unlisted dialysis procedure, inpatient or outpatient 57,838 4,006 $14.13M
78815 Positron emission tomography (PET) for limited area imaging 2,724 2,591 $4.42M
J9306 Injection, pertuzumab, 1 mg 847 569 $2.49M
0450 Emergency room services 131,678 113,327 $2.10M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 44,361 36,732 $2.03M
J0897 Injection, denosumab, 1 mg 2,188 1,829 $1.87M
J9355 Injection, trastuzumab, excludes biosimilar, 10 mg 1,076 680 $1.83M
74177 Computed tomography, abdomen and pelvis; with contrast material 8,315 7,566 $1.59M
96375 Therapeutic injection; each additional sequential IV push 44,660 30,957 $1.43M
Z7502 33,674 33,390 $1.27M
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 25,672 15,661 $1.13M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 33,509 7,109 $1.05M
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 11,543 11,230 $902K
J2505 Injection, pegfilgrastim, 6 mg 547 360 $860K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 15,692 9,454 $749K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 2,678 2,541 $713K
J0882 Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) 4,892 1,138 $684K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 42,870 37,691 $678K
74176 Computed tomography, abdomen and pelvis; without contrast material 6,549 6,010 $652K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 110,217 91,764 $641K
Q5114 Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg 818 473 $621K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 11,686 8,884 $603K
80053 Comprehensive metabolic panel 65,737 57,556 $593K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 28,844 21,203 $586K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 6,266 5,744 $579K
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 7,996 7,105 $570K
70450 Computed tomography, head or brain; without contrast material 9,064 8,340 $563K
93975 3,589 3,346 $558K
77067 Screening mammography, bilateral, including computer-aided detection 4,685 4,390 $551K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 3,097 3,066 $547K
96361 Intravenous infusion, hydration; each additional hour 17,098 13,043 $526K
J3490 Unclassified drugs 97,481 33,124 $522K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 8,412 7,292 $483K
P9016 Red blood cells, leukocytes reduced, each unit 2,135 1,519 $471K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 10,261 8,867 $463K
59025 Fetal non-stress test 20,283 5,718 $444K
99199 Unlisted special service, procedure or report 7,051 6,318 $414K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1,506 1,359 $356K
Q4081 Injection, epoetin alfa, 100 units (for esrd on dialysis) 27,719 2,281 $343K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,247 2,102 $342K
Q5111 Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg 349 223 $337K
76830 Ultrasound, transvaginal 5,978 5,734 $332K
71275 Computed tomographic angiography, chest, with contrast material 1,802 1,649 $316K
97750 5,210 2,726 $312K
76801 5,872 5,138 $312K
Z9725 7,160 7,092 $308K
76705 Ultrasound, abdominal, real time with image documentation; limited 6,729 6,210 $294K
G0378 Hospital observation service, per hour 1,331 939 $289K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 10,314 5,557 $288K
71045 Radiologic examination, chest; single view 28,415 25,200 $264K
80048 Basic metabolic panel (calcium, ionized) 54,494 40,835 $257K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 4,927 1,653 $251K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 5,661 4,860 $248K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 5,562 4,807 $240K
0760 18,228 13,180 $239K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 6,629 6,367 $227K
93971 2,045 1,918 $203K
77066 Tomosynthesis, mammo 1,550 1,521 $201K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 5,023 3,231 $189K
83690 36,397 31,725 $182K
84484 25,457 19,891 $174K
97139 8,239 979 $173K
77334 1,019 602 $172K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,935 1,787 $172K
96417 4,215 2,571 $170K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 3,667 3,057 $166K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 6,092 4,732 $164K
77412 3,510 327 $163K
87631 3,242 3,018 $160K
83880 7,381 6,405 $158K
J2997 Injection, alteplase recombinant, 1 mg 4,496 248 $157K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 14,656 12,953 $137K
77063 Screening digital breast tomosynthesis, bilateral 4,670 4,376 $137K
93325 1,105 1,051 $133K
76642 2,275 2,194 $133K
J1756 Injection, iron sucrose, 1 mg 7,550 3,053 $130K
J9271 Injection, pembrolizumab, 1 mg 29 24 $117K
96367 3,737 2,343 $116K
99283 Emergency department visit for the evaluation and management, moderate severity 7,263 6,582 $111K
77336 2,092 880 $111K
77065 Tomosynthesis, mammo 1,183 1,089 $109K
77386 448 29 $106K
71046 Radiologic examination, chest; 2 views 6,505 6,164 $103K
76770 1,771 1,674 $100K
83970 2,759 2,281 $97K
C1769 Guide wire 2,610 1,929 $95K
J2501 Injection, paricalcitol, 1 mcg 29,746 2,396 $89K
96376 17,914 10,549 $86K
84443 Thyroid stimulating hormone (TSH) 7,344 6,765 $86K
80061 Lipid panel 7,331 7,117 $86K
J1453 Injection, fosaprepitant, 1 mg 1,754 1,021 $85K
87086 Culture, bacterial; quantitative colony count, urine 16,038 14,157 $84K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 5,790 3,598 $82K
81001 37,034 33,096 $82K
Q5120 Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg 104 68 $81K
84702 18,190 16,084 $78K
J2469 Injection, palonosetron hcl, 25 mcg 4,658 2,537 $77K
85027 15,528 8,766 $75K
J1170 Injection, hydromorphone, up to 4 mg 28,382 17,282 $75K
J1644 Injection, heparin sodium, per 1000 units 31,915 4,565 $74K
90715 2,605 2,450 $74K
87040 10,038 5,636 $74K
80076 18,393 15,129 $73K
96415 2,311 1,457 $73K
83036 Hemoglobin; glycosylated (A1C) 8,652 8,236 $70K
36902 132 89 $68K
82330 7,788 6,510 $68K
J2405 Injection, ondansetron hydrochloride, per 1 mg 37,884 26,292 $68K
Q5118 Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg 98 38 $67K
71250 768 749 $64K
73562 3,446 3,036 $64K
73630 3,232 2,909 $59K
93970 309 291 $57K
82947 32,119 21,673 $55K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 506 389 $55K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 2,004 1,919 $55K
0160 6,702 3,405 $55K
A9585 Injection, gadobutrol, 0.1 ml 3,201 2,836 $54K
82805 3,677 2,941 $53K
84145 3,073 2,618 $49K
76536 910 899 $49K
81025 15,967 14,840 $49K
86923 1,703 1,237 $48K
99284 Emergency department visit for the evaluation and management, high severity 3,629 2,904 $48K
70551 Magnetic resonance imaging, brain; without contrast material 416 388 $48K
81003 32,658 29,880 $46K
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 1,033 771 $45K
95811 186 185 $43K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 808 735 $43K
73610 2,399 2,231 $42K
82803 3,869 3,536 $42K
72100 1,921 1,813 $41K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 1,431 1,424 $41K
73130 2,238 2,033 $40K
73030 2,326 2,100 $40K
97010 1,347 229 $40K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1,912 1,479 $39K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,955 932 $39K
M0222 Intravenous injection, bebtelovimab, includes injection and post administration monitoring 137 136 $39K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,908 2,588 $39K
87077 6,070 5,540 $38K
Z7500 1,113 662 $38K
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml 9,097 4,345 $37K
C1887 Catheter, guiding (may include infusion/perfusion capability) 929 673 $37K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 263 257 $36K
77080 1,104 1,095 $35K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 1,986 1,492 $34K
J9070 Cyclophosphamide, 100 mg 208 87 $34K
J0606 Injection, etelcalcetide, 0.1 mg 764 55 $34K
J7030 Infusion, normal saline solution , 1000 cc 5,263 4,049 $34K
J1885 Injection, ketorolac tromethamine, per 15 mg 17,947 14,830 $32K
J0185 Injection, aprepitant, 1 mg 265 203 $32K
83735 8,716 5,881 $31K
99153 Mod sedat endo service >5yrs 1,145 855 $31K
87186 5,045 4,595 $30K
76813 378 378 $29K
J2270 Injection, morphine sulfate, up to 10 mg 11,965 8,217 $29K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 12,425 8,054 $29K
93976 181 178 $28K
83550 4,050 3,278 $28K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 10,354 5,404 $27K
86141 3,467 2,833 $26K
Z6004 12 12 $26K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,097 913 $26K
77300 253 208 $26K
J2704 Injection, propofol, 10 mg 7,217 5,807 $25K
36430 189 120 $25K
82728 3,588 2,814 $25K
J0690 Injection, cefazolin sodium, 500 mg 6,767 4,880 $24K
85610 10,276 8,407 $24K
Z7610 5,982 3,965 $24K
74018 1,594 1,462 $24K
83540 4,235 3,512 $24K
86901 11,759 9,903 $24K
82375 3,606 2,896 $23K
83605 4,037 3,177 $23K
86803 1,717 1,599 $23K
76937 1,962 1,436 $23K
86900 11,766 9,907 $23K
88720 4,400 4,386 $23K
85379 3,229 2,844 $22K
87081 2,358 2,084 $22K
J1200 Injection, diphenhydramine hcl, up to 50 mg 11,958 8,260 $22K
82570 5,349 4,396 $22K
84100 7,348 4,976 $22K
97165 806 581 $21K
J0696 Injection, ceftriaxone sodium, per 250 mg 10,095 8,059 $21K
99152 1,232 949 $21K
76819 Fetal biophysical profile; without non-stress testing 382 345 $21K
72125 Computed tomography, cervical spine; without contrast material 228 212 $21K
73110 1,117 1,035 $20K
73502 721 653 $19K
88307 438 353 $18K
85730 5,369 4,367 $18K
J7050 Infusion, normal saline solution, 250 cc 4,200 2,094 $18K
96402 1,318 1,071 $17K
76700 Ultrasound, abdominal, real time with image documentation; complete 285 284 $17K
Q5107 Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg 28 14 $17K
72040 667 636 $17K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 504 503 $16K
86850 7,526 6,078 $16K
J3010 Injection, fentanyl citrate, 0.1 mg 7,599 5,981 $16K
10060 1,182 1,120 $15K
J2060 Injection, lorazepam, 2 mg 7,312 5,059 $15K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,398 1,337 $15K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,403 1,341 $15K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 3,493 1,578 $14K
84550 4,764 3,595 $14K
G0257 Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility 242 157 $14K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 689 686 $14K
97014 823 321 $14K
77280 181 159 $14K
83050 3,609 2,896 $13K
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 335 315 $13K
A4217 Sterile water/saline, 500 ml 2,185 1,784 $13K
90834 Psychotherapy, 45 minutes with patient 202 110 $13K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,062 2,778 $13K
J1815 Injection, insulin, per 5 units 5,570 2,627 $13K
82043 2,444 2,403 $13K
J9171 Injection, docetaxel, 1 mg 157 104 $12K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 1,413 1,129 $12K
87340 1,472 1,259 $11K
88304 1,638 1,397 $11K
96523 1,706 1,363 $11K
82550 3,237 2,599 $11K
J2765 Injection, metoclopramide hcl, up to 10 mg 5,400 4,362 $11K
J3370 Injection, vancomycin hcl, 500 mg 2,563 1,499 $11K
73590 672 628 $11K
0270 100,279 37,052 $11K
J2250 Injection, midazolam hydrochloride, per 1 mg 6,141 5,020 $10K
80069 1,579 1,108 $10K
49083 286 121 $10K
77001 270 177 $10K
J0780 Injection, prochlorperazine, up to 10 mg 1,901 1,633 $10K
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring 28 27 $10K
77290 72 64 $9K
80197 1,678 982 $9K
J9045 Injection, carboplatin, 50 mg 381 252 $9K
77295 31 26 $9K
84156 3,555 2,705 $9K
99401 524 457 $8K
84132 10,504 7,857 $8K
S0164 Injection, pantoprazole sodium, 40 mg 1,774 1,108 $8K
97162 1,447 1,273 $8K
76870 200 187 $8K
73080 373 343 $8K
77417 711 121 $7K
47562 44 43 $7K
85007 4,612 3,219 $7K
76825 360 349 $7K
84703 4,185 3,933 $7K
87070 1,693 1,469 $7K
0360 3,101 2,678 $7K
83615 2,546 1,615 $7K
87210 1,991 1,717 $7K
84439 984 892 $7K
96411 373 229 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,104 966 $7K
36415 Collection of venous blood by venipuncture 6,744 4,161 $6K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 167 162 $6K
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 111 78 $6K
82731 328 303 $6K
96156 363 361 $6K
84460 1,379 1,124 $6K
82040 1,688 1,513 $5K
84295 7,319 6,344 $5K
84520 1,979 1,522 $5K
93880 39 38 $5K
87205 2,103 1,703 $5K
86920 282 238 $5K
0710 6,756 5,654 $5K
76820 660 331 $5K
J1650 Injection, enoxaparin sodium, 10 mg 1,844 980 $5K
12001 434 428 $5K
85652 2,354 2,027 $5K
90686 209 181 $5K
82435 7,234 6,278 $5K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,262 989 $4K
S0020 Injection, bupivicaine hydrochloride, 30 ml 964 809 $4K
J2175 Injection, meperidine hydrochloride, per 100 mg 1,265 1,005 $4K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 17 15 $4K
87075 923 783 $4K
88342 437 381 $4K
70496 26 25 $4K
J7120 Ringers lactate infusion, up to 1000 cc 586 520 $4K
10061 185 179 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 732 702 $4K
G0109 Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes 54 53 $4K
0250 11,440 4,893 $4K
87799 265 217 $4K
77049 12 12 $4K
85018 7,936 6,570 $4K
J2360 Injection, orphenadrine citrate, up to 60 mg 1,043 888 $3K
86706 381 278 $3K
J1940 Injection, furosemide, up to 20 mg 1,646 1,032 $3K
G0202 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed 61 61 $3K
87147 1,168 1,047 $3K
82465 1,142 771 $3K
97802 56 55 $3K
J0330 Injection, succinylcholine chloride, up to 20 mg 1,236 923 $3K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 26 25 $3K
70486 28 28 $3K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 3,455 2,841 $3K
84480 283 258 $3K
87430 636 614 $3K
99215 Prolong outpt/office vis 32 32 $3K
97116 123 86 $2K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 87 83 $2K
93017 59 58 $2K
0761 5,259 3,908 $2K
82553 446 355 $2K
82140 262 166 $2K
96401 161 55 $2K
J9267 Injection, paclitaxel, 1 mg 137 66 $2K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 13 12 $2K
71020 113 111 $2K
93320 52 49 $2K
H1003 Prenatal care, at-risk enhanced service; education 66 66 $2K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 429 306 $2K
J8540 Dexamethasone, oral, 0.25 mg 2,292 1,301 $2K
82150 430 395 $2K
95806 33 33 $2K
J2720 Injection, protamine sulfate, per 10 mg 500 345 $2K
74181 12 12 $2K
87493 89 79 $2K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 28 13 $2K
76827 126 126 $2K
90747 16 16 $2K
80047 296 292 $2K
87497 171 139 $2K
71010 176 172 $2K
G0204 Diagnostic mammography, including computer-aided detection (cad) when performed; bilateral 23 23 $2K
J1630 Injection, haloperidol, up to 5 mg 3,043 2,250 $2K
73140 160 154 $2K
72141 13 13 $2K
J0360 Injection, hydralazine hcl, up to 20 mg 509 395 $2K
29125 463 442 $2K
J3475 Injection, magnesium sulfate, per 500 mg 666 475 $2K
41899 Unlisted procedure, dentoalveolar structures 54 52 $2K
88341 26 26 $2K
85045 592 465 $1K
70498 14 13 $1K
29515 291 283 $1K
J3480 Injection, potassium chloride, per 2 meq 859 504 $1K
C1760 Closure device, vascular (implantable/insertable) 12 12 $1K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 231 173 $1K
J9190 Injection, fluorouracil, 500 mg 135 61 $1K
0272 6,997 4,588 $1K
J0692 Injection, cefepime hydrochloride, 500 mg 200 103 $1K
80179 65 64 $1K
C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, other than peel-away 638 457 $1K
72170 163 156 $1K
90688 40 40 $1K
80143 61 60 $1K
G0206 Diagnostic mammography, including computer-aided detection (cad) when performed; unilateral 14 14 $1K
86902 70 51 $987.18
99281 Emergency department visit for the evaluation and management, self-limited or minor 324 213 $986.90
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 269 269 $946.31
0258 7,473 4,254 $921.19
96368 82 63 $918.99
J1953 Injection, levetiracetam, 10 mg 108 66 $853.70
J0640 Injection, leucovorin calcium, per 50 mg 88 49 $829.14
73090 54 51 $822.11
92610 13 13 $815.84
J8499 Prescription drug, oral, non chemotherapeutic, nos 9,541 613 $797.53
77331 27 13 $787.78
99499 15 14 $744.00
J2550 Injection, promethazine hcl, up to 50 mg 212 159 $670.07
85014 377 352 $665.01
0637 3,371 1,629 $661.67
J0456 Injection, azithromycin, 500 mg 318 191 $656.62
74022 42 36 $640.57
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 4,093 3,909 $633.98
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 13 13 $564.98
J2919 Injection, methylprednisolone sodium succinate, 5 mg 130 101 $551.19
G0498 Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies, with continuation of the infusion in the community setting (e.g., home, domiciliary, rest home or assisted living) using a portable pump provided by the office/clinic, includes follow up office/clinic visit at the conclusion of the infusion 19 12 $550.60
90656 22 22 $535.51
86140 173 138 $531.90
97803 40 39 $529.70
97530 Therapeutic activities, direct patient contact, each 15 minutes 66 37 $499.73
84540 142 109 $480.44
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 1,923 1,488 $434.62
93350 12 12 $430.01
J2370 Injection, phenylephrine hcl, up to 1 ml 307 296 $412.64
82565 263 252 $381.96
93798 50 12 $355.08
82270 107 107 $347.70
84436 79 79 $344.83
C1789 Prosthesis, breast (implantable) 12 12 $334.43
73552 13 12 $307.26
H2000 Comprehensive multidisciplinary evaluation 12 12 $306.15
J3411 Injection, thiamine hcl, 100 mg 38 29 $300.02
74000 31 31 $290.34
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 162 131 $288.22
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 57 55 $278.93
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 182 179 $277.29
73560 16 14 $276.36
J1171 Injection, hydromorphone, 0.1 mg 284 230 $265.94
J3535 Drug administered through a metered dose inhaler 298 275 $259.14
88312 32 28 $249.94
J1956 Injection, levofloxacin, 250 mg 71 50 $237.06
J1836 Injection, metronidazole, 10 mg 15 12 $235.88
A4648 Tissue marker, implantable, any type, each 29 28 $226.26
73060 14 13 $209.40
84153 13 13 $180.01
80306 17 17 $175.56
99070 997 445 $170.27
84450 63 59 $161.70
S9452 Nutrition classes, non-physician provider, per session 12 12 $141.24
J2470 Injection, pantoprazole sodium, 40 mg 139 111 $139.16
36600 43 43 $124.74
82310 235 192 $90.72
86780 17 15 $89.56
82607 25 25 $81.22
0370 537 365 $73.45
87899 40 25 $72.15
84075 231 153 $71.70
0391 372 292 $68.20
94664 131 126 $63.74
59425 39 27 $60.48
87045 16 13 $59.47
88300 50 38 $59.05
81050 53 53 $55.16
29130 13 13 $54.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 14,464 12,107 $49.78
77062 468 447 $49.32
87324 12 12 $43.15
87015 17 12 $42.68
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 1,386 1,105 $38.70
87046 16 13 $31.45
87102 13 13 $26.81
89051 28 24 $24.37
77061 163 152 $23.67
84155 127 123 $17.75
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 125 70 $17.51
84466 27 27 $11.01
A9270 Non-covered item or service 5,831 1,530 $10.33
82077 44 39 $8.40
S0074 Injection, cefotetan disodium, 500 mg 14 12 $7.58
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 17 12 $7.23
64450 12 12 $7.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 64 59 $4.97
S0028 Injection, famotidine, 20 mg 2,584 1,288 $4.95
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 12 12 $0.68
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 93 84 $0.01
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 143 121 $0.01
0331 40 22 $0.00
0307 387 344 $0.00
0610 30 27 $0.00
0636 1,877 678 $0.00
0310 129 74 $0.00
G0008 Administration of influenza virus vaccine 56 53 $0.00
A4913 Miscellaneous dialysis supplies, not otherwise specified 768 94 $0.00
0335 299 77 $0.00
0404 38 38 $0.00
0949 551 168 $0.00
0401 86 43 $0.00
97166 55 55 $0.00
0305 379 186 $0.00
0372 38 16 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 12 12 $0.00
C1889 Implantable/insertable device, not otherwise classified 27 27 $0.00
0922 71 70 $0.00
80050 General health panel 128 79 $0.00
0352 218 177 $0.00
0324 462 386 $0.00
0306 1,557 941 $0.00
Q4051 Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies) 23 16 $0.00
0301 5,052 941 $0.00
0611 13 12 $0.00
0420 186 47 $0.00
0612 Calcium glucon (wg critical) 15 13 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 15 14 $0.00
0410 56 19 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 12 12 $0.00
A4657 Syringe, with or without needle, each 405 22 $0.00
0300 2,171 895 $0.00
0361 454 389 $0.00
0260 340 58 $0.00
0510 261 222 $0.00
84112 33 32 $0.00
0403 94 46 $0.00
0320 301 206 $0.00
0351 88 73 $0.00
0302 191 105 $0.00
0489 33 27 $0.00
0634 293 51 $0.00
0424 23 13 $0.00
0402 995 573 $0.00
0349 34 34 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 21 21 $0.00
0333 212 13 $0.00
0762 31 14 $0.00
0343 15 13 $0.00
0278 154 61 $0.00
0390 31 21 $0.00