Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Hershey › NPI 1568435477
Transport

The Milton S Hershey Medical Center

The Milton S Hershey Medical Center was paid $78.95M by Medicaid between Jan 2018 and Dec 2024, across 740 billing codes. Its largest line is G0463, Hospital outpatient clinic visit for assessment and management of a patient — 19% of everything it billed.

33Billing provider infoTHE MILTON S HERSHEY MEDICAL CENTER
HERSHEY, PA 17033
33aNPI1568435477assigned 02/10/2006
33bProvider typeLand Ambulance
28Total paid$78.95M
24GClaims1,567,535
24DCodes billed740
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Land Ambulance providers in Pennsylvania

Rank by total paid#2 of 334
Median peer was paid$174K
This provider vs. median453×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official MCKENNA, DONALD controls 12+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0M$4.0M2018201920202021202220232024
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
20186,126$386K
201913,287$474K
2020204,451$7.73M
2021778,889$36.16M
2022225,578$11.72M
2023191,896$11.91M
2024incomplete147,308$10.57M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 19% 305,789 278,012 $14.75M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 12% 25,509 24,705 $9.21M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 9.0% 28,225 27,499 $7.11M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 5.9% 8,549 8,178 $4.64M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2.8% 72,806 64,361 $2.18M
G0378 Hospital observation service, per hour 2.2% 2,146 2,005 $1.72M
42820 Tonsillectomy and adenoidectomy; younger than age 12 1.6% 173 172 $1.29M
95810 Polysomnography; sleep staging with 4 or more additional parameters 1.4% 1,278 1,257 $1.11M
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% 12,371 11,923 $1.06M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1.2% 7,167 5,424 $945K
A0427 Emergency ambulance ride, advanced life supportAmbulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 1.1% 2,654 2,210 $906K
J9271 Injection, pembrolizumab, 1 mg 1.0% 382 322 $826K
728 more codes
J1745 Injection, infliximab, excludes biosimilar, 10 mg <1% 2,613 $786K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 3,831 $783K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 2,261 $761K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 3,722 $749K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 4,856 $706K
93304 <1% 1,807 $696K
59025 Fetal non-stress test <1% 3,872 $677K
J1459 Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg <1% 2,834 $664K
A0431 Ambulance service, conventional air services, transport, one way (rotary wing) <1% 173 $612K
95782 <1% 687 $606K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 2,377 $601K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 1,925 $589K
T1015 A visit at a community health center or clinic (one all-in rate) <1% 7,945 $542K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 4,019 $516K
A0428 Ambulance service, basic life support, non-emergency transport, (bls) <1% 3,059 $505K
J3380 Injection, vedolizumab, intravenous, 1 mg <1% 707 $453K
A0429 Emergency ambulance ride, basic life support <1% 1,632 $438K
76770 <1% 4,449 $424K
94010 <1% 3,654 $413K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 6,509 $398K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 754 $396K
J2357 Injection, omalizumab, 5 mg <1% 1,703 $389K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 12,855 $387K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 985 $386K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 4,199 $344K
71045 Radiologic examination, chest; single view <1% 5,840 $338K
96361 Intravenous infusion, hydration; each additional hour <1% 5,332 $318K
95117 <1% 7,277 $299K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 7,362 $283K
A0425 Ground mileage, per statute mile <1% 6,520 $274K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 2,783 $269K
92557 <1% 2,522 $267K
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% 12,646 $259K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 303 $241K
94060 <1% 1,082 $233K
64642 <1% 630 $233K
80053 Comprehensive metabolic panel <1% 33,506 $231K
96375 Therapeutic injection; each additional sequential IV push <1% 6,284 $230K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 3,202 $226K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 46,477 $225K
71046 Radiologic examination, chest; 2 views <1% 3,501 $217K
J2323 Injection, natalizumab, 1 mg <1% 242 $217K
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% 9,887 $216K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 1,689 $211K
92060 <1% 5,160 $211K
95816 <1% 828 $209K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 1,352 $200K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 241 $197K
93226 <1% 2,028 $197K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 4,186 $194K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 4,568 $188K
36415 Collection of venous blood by venipuncture <1% 63,578 $185K
86900 <1% 2,644 $182K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 779 $181K
97803 <1% 3,296 $179K
92567 <1% 6,906 $175K
92587 <1% 740 $175K
36430 <1% 586 $168K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 4,763 $150K
20610 <1% 962 $150K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 1,269 $149K
A0436 Rotary wing air mileage, per statute mile <1% 162 $149K
70551 Magnetic resonance imaging, brain; without contrast material <1% 740 $147K
78815 Positron emission tomography (PET) for limited area imaging <1% 140 $142K
J0897 Injection, denosumab, 1 mg <1% 1,207 $141K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 1,626 $135K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 1,041 $135K
76830 Ultrasound, transvaginal <1% 1,301 $128K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 831 $126K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 2,590 $125K
95708 <1% 310 $123K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination <1% 1,636 $122K
70450 Computed tomography, head or brain; without contrast material <1% 1,548 $121K
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% 345 $118K
J1439 Injection, ferric carboxymaltose, 1 mg <1% 1,029 $115K
95811 <1% 147 $115K
31575 <1% 763 $109K
58300 <1% 269 $108K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 305 $107K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 1,003 $104K
77067 Screening mammography, bilateral, including computer-aided detection <1% 933 $104K
84443 Thyroid stimulating hormone (TSH) <1% 7,676 $103K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 1,930 $102K
93308 <1% 558 $102K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 3,488 $100K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 3,474 $99K
43235 <1% 170 $94K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 999 $91K
93975 <1% 492 $90K
Q3014 Telehealth originating site facility fee <1% 5,061 $90K
97162 <1% 1,237 $87K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 66 $84K
95911 <1% 214 $84K
J9312 Injection, rituximab, 10 mg <1% 32 $83K
96415 <1% 1,537 $83K
96409 <1% 494 $81K
93325 <1% 3,230 $80K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 1,188 $80K
93017 <1% 494 $76K
80061 Lipid panel <1% 5,758 $74K
P9040 Red blood cells, leukocytes reduced, irradiated, each unit <1% 218 $73K
72197 <1% 207 $73K
74018 <1% 1,538 $70K
94726 <1% 476 $69K
64615 <1% 358 $69K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 430 $69K
97802 <1% 833 $67K
95700 <1% 346 $67K
72141 <1% 319 $65K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 1,225 $64K
73630 <1% 1,235 $64K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 1,546 $63K
74178 <1% 258 $63K
76825 <1% 133 $61K
74183 <1% 223 $61K
G0008 Administration of influenza virus vaccine <1% 1,756 $61K
86850 <1% 2,392 $61K
80050 General health panel <1% 469 $60K
72100 <1% 944 $60K
92134 <1% 2,004 $60K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 3,751 $59K
11981 <1% 85 $58K
97165 <1% 850 $56K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 571 $55K
11102 <1% 426 $54K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 625 $54K
58661 <1% 12 $53K
71250 <1% 598 $53K
G0379 Direct admission of patient for hospital observation care <1% 40 $53K
97161 <1% 711 $51K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg <1% 519 $51K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials <1% 192 $51K
76819 Fetal biophysical profile; without non-stress testing <1% 442 $49K
76536 <1% 546 $49K
77334 <1% 83 $49K
74230 <1% 321 $48K
72156 <1% 190 $47K
93321 <1% 2,248 $47K
72195 <1% 144 $46K
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision <1% 1,614 $46K
17110 <1% 409 $46K
76801 <1% 408 $45K
86780 <1% 3,158 $44K
86901 <1% 2,392 $44K
93970 <1% 239 $42K
64493 <1% 66 $42K
95076 <1% 89 $42K
82728 <1% 4,167 $42K
G0476 Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test <1% 1,232 $41K
80048 Basic metabolic panel (calcium, ionized) <1% 7,911 $41K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 772 $40K
92228 <1% 1,285 $40K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 334 $39K
88342 <1% 519 $38K
72158 <1% 164 $38K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 197 $38K
93225 <1% 542 $37K
92083 <1% 593 $36K
93971 <1% 478 $36K
83036 Hemoglobin; glycosylated (A1C) <1% 4,880 $35K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 1,047 $35K
76820 <1% 421 $35K
93350 <1% 104 $35K
70491 <1% 237 $35K
72170 <1% 517 $34K
73030 <1% 717 $34K
73610 <1% 741 $34K
20611 <1% 198 $34K
96367 <1% 840 $33K
95886 <1% 390 $33K
95115 <1% 1,051 $33K
86003 <1% 546 $32K
92579 <1% 333 $32K
96411 <1% 543 $32K
C8928 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report <1% 97 $32K
31231 <1% 228 $32K
85027 <1% 7,242 $31K
11900 <1% 276 $31K
87086 Culture, bacterial; quantitative colony count, urine <1% 5,545 $31K
76642 <1% 462 $31K
73560 <1% 797 $31K
A0434 Specialty care transport (sct) <1% 56 $31K
90686 <1% 8,986 $30K
84466 <1% 2,827 $29K
77063 Screening digital breast tomosynthesis, bilateral <1% 809 $29K
86923 <1% 271 $29K
77066 Tomosynthesis, mammo <1% 281 $28K
83970 <1% 891 $28K
96450 <1% 98 $28K
20552 <1% 195 $28K
92201 <1% 738 $28K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 43 $27K
77336 <1% 294 $27K
86803 <1% 2,216 $27K
88185 <1% 95 $27K
70496 <1% 152 $27K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 912 $27K
86481 <1% 342 $26K
74240 <1% 184 $26K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 1,232 $25K
83735 <1% 5,802 $25K
C8921 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, for congenital cardiac anomalies; complete <1% 54 $25K
72040 <1% 504 $25K
11104 <1% 117 $24K
70486 <1% 293 $24K
93296 <1% 992 $24K
67028 Intravitreal injection of a pharmacologic agent <1% 115 $24K
92609 <1% 357 $23K
77072 <1% 319 $23K
84439 <1% 3,443 $23K
92526 <1% 439 $23K
76882 <1% 300 $23K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 775 $23K
87497 <1% 602 $23K
73562 <1% 471 $23K
92610 <1% 419 $23K
38222 <1% 13 $23K
77080 <1% 232 $23K
70543 <1% 63 $22K
P9016 Red blood cells, leukocytes reduced, each unit <1% 91 $22K
C1769 Guide wire <1% 705 $22K
82784 <1% 1,690 $21K
92552 <1% 292 $21K
86235 <1% 355 $21K
49452 <1% 18 $21K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 546 $21K
84403 <1% 583 $21K
88184 <1% 126 $21K
83037 <1% 3,301 $21K
74455 <1% 98 $20K
96158 <1% 409 $19K
73590 <1% 458 $19K
83516 <1% 936 $19K
96416 <1% 82 $19K
73130 <1% 454 $19K
96417 <1% 387 $19K
73564 <1% 285 $19K
73502 <1% 397 $19K
87536 <1% 344 $18K
73120 <1% 232 $18K
36591 <1% 205 $18K
20553 <1% 117 $18K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 356 $18K
78264 <1% 65 $18K
73110 <1% 356 $18K
G0475 Hiv antigen/antibody, combination assay, screening <1% 1,527 $18K
77065 Tomosynthesis, mammo <1% 206 $18K
20550 <1% 113 $17K
86828 <1% 353 $17K
92553 <1% 231 $17K
87340 <1% 1,988 $17K
76870 <1% 202 $17K
82607 <1% 1,593 $17K
J1750 Injection, iron dextran, 50 mg <1% 555 $17K
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% 801 $17K
83880 <1% 821 $17K
84702 <1% 1,352 $17K
92133 <1% 722 $17K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 183 $17K
90651 <1% 1,356 $16K
97113 <1% 387 $16K
87799 <1% 342 $16K
73221 <1% 85 $16K
83540 <1% 3,012 $16K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies <1% 176 $16K
86140 <1% 4,784 $16K
97166 <1% 248 $16K
81025 <1% 2,574 $16K
88307 <1% 226 $15K
84484 <1% 2,179 $15K
73090 <1% 285 $15K
74019 <1% 248 $15K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 691 $15K
43762 <1% 60 $15K
72157 <1% 58 $15K
88341 <1% 180 $15K
82077 <1% 206 $15K
92551 <1% 613 $15K
90715 <1% 4,487 $15K
74181 <1% 110 $15K
78306 <1% 64 $14K
84100 <1% 4,461 $14K
85610 <1% 5,447 $14K
31579 <1% 50 $14K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 870 $14K
A9585 Injection, gadobutrol, 0.1 ml <1% 6,608 $14K
83690 <1% 3,811 $14K
72125 Computed tomography, cervical spine; without contrast material <1% 305 $14K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 644 $14K
87081 <1% 1,490 $14K
92611 <1% 238 $14K
92002 <1% 217 $13K
72081 <1% 273 $13K
83615 <1% 3,246 $13K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 330 $13K
88112 <1% 385 $13K
81268 <1% 69 $12K
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% 373 $12K
86870 <1% 47 $12K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 10,944 $12K
73552 <1% 330 $12K
81001 <1% 5,404 $11K
J1453 Injection, fosaprepitant, 1 mg <1% 528 $11K
10060 <1% 51 $11K
92015 Determination of refractive state <1% 8,514 $11K
73080 <1% 228 $11K
96156 <1% 232 $11K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 812 $11K
73070 <1% 206 $11K
87631 <1% 87 $11K
85652 <1% 5,609 $11K
92582 <1% 149 $11K
52000 <1% 40 $10K
90670 <1% 717 $10K
93320 <1% 237 $10K
51728 <1% 29 $10K
92555 <1% 530 $10K
87077 <1% 1,804 $10K
76512 <1% 127 $10K
73140 <1% 225 $10K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 160 $10K
70498 <1% 97 $10K
81003 <1% 5,669 $9K
84481 <1% 655 $9K
94729 <1% 461 $9K
80197 <1% 865 $9K
86762 <1% 707 $9K
82746 <1% 785 $9K
84146 <1% 478 $9K
99153 Mod sedat endo service >5yrs <1% 352 $9K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 538 $9K
74174 <1% 28 $9K
97804 <1% 317 $8K
51798 <1% 384 $8K
51702 <1% 139 $8K
90734 <1% 452 $8K
88304 <1% 415 $8K
72082 <1% 157 $8K
99495 <1% 121 $8K
73620 <1% 151 $8K
92593 <1% 681 $8K
86580 <1% 314 $8K
83655 <1% 637 $8K
84460 <1% 2,096 $8K
72070 <1% 124 $7K
90732 <1% 474 $7K
87653 <1% 231 $7K
87186 <1% 1,246 $7K
86160 <1% 484 $7K
C1887 Catheter, guiding (may include infusion/perfusion capability) <1% 360 $7K
86038 <1% 772 $7K
76885 <1% 76 $7K
84550 <1% 2,092 $7K
85046 <1% 1,745 $7K
87522 Neg quan hep c or qual rna <1% 213 $7K
76818 <1% 53 $7K
58301 <1% 24 $7K
83605 <1% 1,229 $7K
99173 <1% 525 $7K
10005 <1% 14 $7K
49083 <1% 18 $7K
99152 <1% 514 $7K
86706 <1% 749 $7K
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% 96 $7K
51705 <1% 62 $6K
80069 <1% 984 $6K
51741 <1% 111 $6K
82670 <1% 268 $6K
82570 <1% 1,517 $6K
83001 <1% 393 $6K
82962 <1% 3,402 $6K
97163 <1% 61 $6K
86335 <1% 292 $6K
73100 <1% 118 $6K
77073 <1% 98 $6K
86618 <1% 387 $6K
86704 <1% 565 $6K
J2704 Injection, propofol, 10 mg <1% 15,789 $6K
V5264 Ear mold/insert, not disposable, any type <1% 158 $6K
77300 <1% 30 $6K
82565 <1% 1,878 $6K
70360 <1% 97 $6K
11721 <1% 185 $6K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 348 $6K
87070 <1% 1,204 $6K
80143 <1% 88 $6K
91010 <1% 13 $5K
73060 <1% 119 $5K
87040 <1% 718 $5K
87505 <1% 66 $5K
83520 <1% 156 $5K
X0592 <1% 162 $5K
86334 <1% 365 $5K
84145 <1% 447 $5K
97164 <1% 102 $5K
91200 <1% 45 $5K
70480 <1% 47 $5K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 376 $5K
83002 <1% 328 $5K
P9604 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge <1% 426 $5K
76942 <1% 245 $5K
82950 <1% 929 $5K
87102 <1% 798 $5K
93298 <1% 114 $5K
84156 <1% 1,659 $5K
71275 Computed tomographic angiography, chest, with contrast material <1% 26 $5K
87205 <1% 1,733 $5K
82024 <1% 145 $4K
83993 <1% 150 $4K
82043 <1% 990 $4K
82657 <1% 156 $4K
82105 <1% 379 $4K
96368 <1% 212 $4K
36592 <1% 45 $4K
80076 <1% 641 $4K
92558 <1% 408 $4K
80320 <1% 37 $4K
83883 <1% 320 $4K
97542 <1% 142 $4K
11982 <1% 13 $4K
94375 <1% 27 $4K
96112 <1% 28 $4K
87493 <1% 144 $4K
84075 <1% 1,129 $4K
84270 <1% 216 $4K
90834 Psychotherapy session, about 45 minutes <1% 388 $4K
64643 <1% 202 $4K
84153 <1% 242 $4K
86361 <1% 206 $4K
V5266 Battery for use in hearing device <1% 201 $4K
86225 <1% 390 $4K
96402 <1% 103 $4K
36416 <1% 1,460 $4K
82977 <1% 711 $4K
82378 <1% 319 $4K
85379 <1% 603 $4K
82247 <1% 1,216 $4K
J2469 Injection, palonosetron hcl, 25 mcg <1% 1,657 $4K
84450 <1% 936 $4K
84425 <1% 194 $4K
57454 <1% 12 $4K
A0426 Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) <1% 14 $3K
97116 <1% 345 $3K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 72 $3K
72146 <1% 43 $3K
83020 <1% 301 $3K
74221 <1% 25 $3K
85730 <1% 1,023 $3K
A4215 Needle, sterile, any size, each <1% 345 $3K
82397 <1% 307 $3K
82951 <1% 215 $3K
11719 <1% 112 $3K
51701 <1% 37 $3K
92652 <1% 14 $3K
64644 <1% 14 $3K
95819 <1% 13 $3K
90723 <1% 373 $3K
82550 <1% 712 $3K
86360 <1% 72 $3K
84165 <1% 438 $3K
82533 <1% 230 $3K
76827 <1% 43 $3K
82627 <1% 156 $3K
93925 <1% 20 $3K
73700 <1% 27 $3K
95910 <1% 12 $3K
91037 <1% 12 $3K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 117 $3K
95909 <1% 12 $3K
88302 <1% 166 $3K
84144 <1% 150 $3K
93356 <1% 366 $3K
82785 <1% 223 $3K
86147 <1% 70 $3K
96376 <1% 1,258 $3K
87529 <1% 85 $3K
76821 <1% 39 $3K
87338 <1% 177 $2K
96116 <1% 13 $2K
A0998 Ambulance response and treatment, no transport <1% 26 $2K
11720 <1% 105 $2K
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) <1% 14 $2K
64405 <1% 13 $2K
86039 <1% 267 $2K
86200 <1% 245 $2K
86359 <1% 72 $2K
82248 <1% 523 $2K
76937 <1% 60 $2K
97760 <1% 60 $2K
93880 <1% 17 $2K
20605 <1% 13 $2K
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision <1% 136 $2K
86376 <1% 189 $2K
99385 <1% 186 $2K
58100 <1% 13 $2K
87210 <1% 353 $2K
83498 <1% 119 $2K
86355 <1% 64 $2K
80179 <1% 84 $2K
90472 Immunization administration, each additional vaccine (list separately) <1% 400 $2K
86787 <1% 136 $2K
88720 <1% 332 $2K
99381 <1% 115 $2K
J3490 Unclassified drugs <1% 1,480 $2K
83525 <1% 168 $2K
51784 <1% 30 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 4,009 $2K
92504 <1% 482 $2K
C1729 Catheter, drainage <1% 122 $2K
86592 <1% 459 $2K
86357 <1% 59 $2K
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose <1% 248 $2K
80177 <1% 164 $2K
86431 <1% 413 $2K
96132 <1% 14 $2K
97535 Self-care/home management training, each 15 minutes <1% 155 $2K
12001 <1% 27 $2K
77002 <1% 29 $2K
70250 <1% 32 $2K
86146 <1% 52 $2K
59430 <1% 42 $2K
87075 <1% 301 $2K
82150 <1% 367 $2K
84630 <1% 162 $2K
84305 <1% 103 $2K
89051 <1% 373 $1K
92523 <1% 12 $1K
82947 <1% 427 $1K
84520 <1% 707 $1K
84207 <1% 27 $1K
87899 <1% 69 $1K
90647 <1% 483 $1K
80164 <1% 108 $1K
72131 <1% 27 $1K
82232 <1% 109 $1K
86141 <1% 126 $1K
83921 <1% 73 $1K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 13 $1K
G0009 Administration of pneumococcal vaccine <1% 65 $1K
92583 <1% 54 $1K
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 122 $1K
Q9957 Injection, perflutren lipid microspheres, per ml <1% 302 $1K
86021 <1% 92 $1K
94761 <1% 12 $998.72
J1170 Injection, hydromorphone, up to 4 mg <1% 5,635 $986.36
99386 <1% 43 $949.54
88172 <1% 14 $945.37
69209 <1% 27 $940.84
85018 <1% 429 $919.73
88173 <1% 32 $915.45
86708 <1% 84 $915.21
82103 <1% 38 $891.56
80175 <1% 75 $884.64
82040 <1% 391 $879.77
96113 <1% 27 $861.37
82330 <1% 103 $855.57
0081A <1% 14 $845.91
85384 <1% 109 $827.53
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 11,401 $825.49
90662 <1% 419 $815.28
96161 <1% 92 $807.10
J2270 Injection, morphine sulfate, up to 10 mg <1% 3,119 $804.63
87206 <1% 266 $789.19
82952 <1% 174 $777.90
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries <1% 28 $749.08
90746 <1% 54 $725.92
17250 <1% 13 $716.86
J9370 Vincristine sulfate, 1 mg <1% 665 $715.10
90750 <1% 41 $712.92
84703 <1% 151 $712.85
87106 <1% 83 $704.61
88313 <1% 12 $653.32
88300 <1% 154 $624.33
3078F <1% 71,131 $621.57
71271 <1% 12 $613.40
84446 <1% 54 $613.06
J1644 Injection, heparin sodium, per 1000 units <1% 2,314 $601.93
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 14 $591.52
81002 <1% 184 $587.62
J0780 Injection, prochlorperazine, up to 10 mg <1% 1,373 $586.98
90681 <1% 86 $585.29
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 8,358 $577.28
86696 <1% 29 $576.06
82310 <1% 189 $575.93
82803 <1% 73 $572.24
85240 <1% 36 $535.22
87116 <1% 109 $509.87
86800 <1% 37 $508.14
86645 <1% 26 $505.76
82507 <1% 16 $486.46
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg <1% 1,174 $480.20
87147 <1% 136 $475.29
86694 <1% 29 $474.66
86644 <1% 29 $467.79
J1650 Injection, enoxaparin sodium, 10 mg <1% 1,628 $458.70
90480 <1% 25 $456.66
73600 <1% 14 $454.78
J3475 Injection, magnesium sulfate, per 500 mg <1% 1,617 $445.77
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 14,038 $430.12
93926 <1% 13 $426.66
86695 <1% 30 $421.64
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 2,314 $411.83
J3010 Injection, fentanyl citrate, 0.1 mg <1% 11,383 $398.75
84300 <1% 85 $395.53
51600 <1% 13 $371.74
92592 <1% 63 $352.07
80051 <1% 101 $349.84
82340 <1% 50 $332.06
84157 <1% 144 $331.73
82945 <1% 133 $320.46
87015 <1% 105 $315.06
J1815 Injection, insulin, per 5 units <1% 852 $313.62
86341 <1% 27 $310.75
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 703 $307.43
95873 <1% 473 $302.70
82164 <1% 28 $299.10
90633 <1% 227 $282.93
83521 <1% 18 $282.58
87045 <1% 44 $276.50
87046 <1% 43 $276.50
86665 <1% 12 $273.27
83945 <1% 16 $260.80
J0690 Injection, cefazolin sodium, 500 mg <1% 4,409 $252.56
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 3,322 $252.40
84681 <1% 14 $250.62
0352U <1% 13 $242.48
81015 <1% 141 $229.28
88311 <1% 47 $220.31
85598 <1% 14 $217.46
J8501 Aprepitant, oral, 5 mg <1% 95 $214.50
84105 <1% 35 $213.22
99417 Prolong home eval add 15m <1% 47 $210.85
86301 <1% 15 $209.96
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries <1% 27 $206.40
84590 <1% 28 $204.55
J3370 Injection, vancomycin hcl, 500 mg <1% 365 $201.26
90832 Psychotherapy session, about 30 minutes <1% 15 $196.48
J2997 Injection, alteplase recombinant, 1 mg <1% 105 $192.46
82436 <1% 29 $184.75
J8540 Dexamethasone, oral, 0.25 mg <1% 691 $184.56
94760 <1% 12 $182.20
86664 <1% 12 $182.02
85246 <1% 12 $176.39
88312 <1% 12 $174.54
82390 <1% 13 $167.16
84560 <1% 29 $162.90
85999 <1% 95 $161.36
84133 <1% 30 $158.01
82010 <1% 48 $152.40
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries <1% 82 $151.74
83986 <1% 42 $150.23
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 4,816 $128.08
82140 <1% 30 $125.75
80201 <1% 18 $125.16
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 1,002 $122.92
85613 <1% 14 $117.62
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 1,014 $109.54
82525 <1% 13 $105.56
84392 <1% 16 $90.88
J0461 Injection, atropine sulfate, 0.01 mg <1% 173 $78.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 438 $77.80
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 965 $76.98
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 271 $57.97
J2060 Injection, lorazepam, 2 mg <1% 527 $57.82
86308 <1% 13 $53.59
J1580 Injection, garamycin, gentamicin, up to 80 mg <1% 322 $53.42
J3480 Injection, potassium chloride, per 2 meq <1% 140 $48.47
85660 <1% 12 $42.87
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 1,327 $41.72
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 21 $30.24
V5275 Ear impression, each <1% 27 $28.80
J0290 Injection, ampicillin sodium, 500 mg <1% 27 $23.04
J9250 Methotrexate sodium, 5 mg <1% 23 $21.26
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 145 $17.00
J2550 Injection, promethazine hcl, up to 50 mg <1% 80 $12.28
85014 <1% 13 $11.90
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm <1% 277 $9.84
C9113 Injection, pantoprazole sodium, per vial <1% 32 $7.31
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 3,878 $4.40
3074F <1% 80,818 $0.16
3008F <1% 57,548 $0.12
3077F <1% 9,507 $0.02
3075F <1% 10,410 $0.02
3079F <1% 20,308 $0.02
1111F <1% 809 $0.02
3080F <1% 7,042 $0.01
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg 0% 554 $0.00
J1756 Injection, iron sucrose, 1 mg 0% 868 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 0% 283 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 0% 451 $0.00
3051F 0% 443 $0.00
3046F 0% 475 $0.00
90700 0% 28 $0.00
91321 0% 406 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 0% 139 $0.00
91322 0% 266 $0.00
91320 0% 38 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 0% 1,196 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 367 $0.00
A4314 Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) 0% 27 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 222 $0.00
0100U 0% 61 $0.00
90380 0% 34 $0.00
90678 0% 40 $0.00
J1953 Injection, levetiracetam, 10 mg 0% 17 $0.00
91308 0% 87 $0.00
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 0% 14 $0.00
J9201 Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg 0% 23 $0.00
A4649 Surgical supply; miscellaneous 0% 13 $0.00
J0475 Injection, baclofen, 10 mg 0% 12 $0.00
3044F 0% 3,169 $0.00
90677 0% 590 $0.00
Q5121 Injection, infliximab-axxq, biosimilar, (avsola), 10 mg 0% 331 $0.00
3052F 0% 284 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 0% 65 $0.00
3061F 0% 121 $0.00
90656 0% 1,241 $0.00
91318 0% 19 $0.00
A9270 Non-covered item or service 0% 177 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 0% 43 $0.00
J2350 Injection, ocrelizumab, 1 mg 0% 28 $0.00
3060F 0% 95 $0.00
90381 0% 12 $0.00
J9299 Injection, nivolumab, 1 mg 0% 65 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 0% 13 $0.00
J7050 Infusion, normal saline solution, 250 cc 0% 33 $0.00
J0178 Injection, aflibercept, 1 mg 0% 12 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 0% 34 $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 officialMCKENNA, DONALD (PRESIDENT)
Same official

Other billing entities under MCKENNA, DONALD

Full network →

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