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

University of Utah

University of Utah was paid $221.14M by Medicaid between Jan 2018 and Dec 2024, across 891 billing codes. Its largest line is G0463, Hospital outpatient clinic visit for assessment and management of a patient — 20% of everything it billed.

33Billing provider infoUNIVERSITY OF UTAH
SALT LAKE CITY, UT 84132
33aNPI1588656870assigned 08/22/2005
33bProvider typeDental Clinic/Center
28Total paid$221.14M
24GClaims4,831,388
24DCodes billed891
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Dental Clinic/Center providers in Utah

Rank by total paid#1 of 37
Median peer was paid$90K
This provider vs. median2,453×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$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
2018712,643$26.79M
2019750,766$30.50M
2020805,368$37.80M
20211,113,457$54.25M
20221,030,378$54.91M
2023245,735$9.99M
2024incomplete173,041$6.90M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 20% 894,326 705,845 $43.60M
8888888 Internal/system code - not a standard HCPCS code 19% 175,319 59,760 $42.78M
J3490 Unclassified drugs 7.2% 165,489 64,129 $15.85M
36415 Collection of venous blood by venipuncture 6.2% 190,874 162,291 $13.73M
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 3.0% 70,578 60,484 $6.57M
J8499 Prescription drug, oral, non chemotherapeutic, nos 2.8% 102,204 29,882 $6.21M
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2.2% 19,430 15,582 $4.92M
J0690 Injection, cefazolin sodium, 500 mg 2.1% 10,187 7,893 $4.74M
J2704 Injection, propofol, 10 mg 1.5% 16,344 11,823 $3.39M
J1885 Injection, ketorolac tromethamine, per 15 mg 1.5% 22,441 18,515 $3.24M
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1.3% 22,337 19,521 $2.90M
J2250 Injection, midazolam hydrochloride, per 1 mg 1.3% 15,494 13,003 $2.85M
879 more codes
A9576 Injection, gadoteridol, (prohance multipack), per ml 1.2% 7,161 $2.76M
A9270 Non-covered item or service 1.2% 18,962 $2.61M
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1.1% 2,786 $2.39M
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 31,557 $1.74M
36416 <1% 32,018 $1.66M
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 3,751 $1.63M
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 5,566 $1.60M
99283 Emergency room visit (moderate) <1% 30,405 $1.38M
J1170 Injection, hydromorphone, up to 4 mg <1% 9,403 $1.27M
A0431 Ambulance service, conventional air services, transport, one way (rotary wing) <1% 493 $1.14M
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 4,871 $1.12M
V2020 Frames, purchases <1% 10,883 $1.04M
J2270 Injection, morphine sulfate, up to 10 mg <1% 6,566 $1.03M
80053 Comprehensive metabolic panel <1% 135,186 $989K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries <1% 1,048 $988K
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) <1% 28,697 $985K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 2,092 $982K
99284 Emergency room visit (serious) <1% 39,026 $871K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 3,498 $859K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 5,321 $823K
81002 <1% 38,809 $813K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 22,656 $810K
82330 <1% 13,950 $802K
J8540 Dexamethasone, oral, 0.25 mg <1% 2,006 $770K
J0780 Injection, prochlorperazine, up to 10 mg <1% 2,018 $764K
87088 <1% 24,329 $761K
80305 <1% 9,921 $760K
J2060 Injection, lorazepam, 2 mg <1% 3,842 $744K
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 2,911 $718K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 12,654 $706K
71046 Radiologic examination, chest; 2 views <1% 20,498 $668K
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 <1% 7,087 $629K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 6,960 $622K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 28,482 $618K
J1453 Injection, fosaprepitant, 1 mg <1% 791 $599K
J2469 Injection, palonosetron hcl, 25 mcg <1% 1,245 $578K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg <1% 980 $560K
81025 <1% 27,094 $552K
A0436 Rotary wing air mileage, per statute mile <1% 488 $536K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 9,873 $514K
J1790 Injection, droperidol, up to 5 mg <1% 2,235 $512K
77336 <1% 2,053 $502K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 18,164 $495K
J0475 Injection, baclofen, 10 mg <1% 2,593 $446K
Q9957 Injection, perflutren lipid microspheres, per ml <1% 2,126 $434K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 23,275 $388K
J1030 Injection, methylprednisolone acetate, 40 mg <1% 2,356 $377K
A9577 Injection, gadobenate dimeglumine (multihance), per ml <1% 1,045 $371K
90686 <1% 42,392 $370K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 559 $366K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 12,735 $346K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 4,305 $335K
95811 <1% 657 $335K
J3489 Injection, zoledronic acid, 1 mg <1% 392 $322K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 2,241 $317K
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme <1% 4,008 $313K
64615 <1% 1,382 $308K
76830 Ultrasound, transvaginal <1% 3,083 $303K
C9399 Unclassified drugs or biologicals <1% 6,896 $300K
73610 <1% 5,804 $291K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 3,863 $290K
73630 <1% 7,615 $288K
86850 <1% 10,109 $283K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 4,713 $283K
73562 <1% 6,275 $282K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 4,604 $270K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 2,629 $267K
80076 <1% 8,547 $262K
J1815 Injection, insulin, per 5 units <1% 3,077 $258K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 2,820 $253K
77386 <1% 1,370 $247K
83986 <1% 2,758 $245K
J3475 Injection, magnesium sulfate, per 500 mg <1% 2,026 $242K
77063 Screening digital breast tomosynthesis, bilateral <1% 3,609 $238K
87081 <1% 3,987 $238K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 3,065 $236K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 1,400 $234K
0001A <1% 11,626 $233K
87653 <1% 3,046 $227K
87480 <1% 5,550 $226K
87086 Culture, bacterial; quantitative colony count, urine <1% 7,895 $222K
73030 <1% 5,708 $219K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 3,020 $217K
87070 <1% 5,738 $210K
A9152 Single vitamin/mineral/trace element, oral, per dose, not otherwise specified <1% 1,549 $210K
73110 <1% 4,640 $208K
97161 <1% 3,709 $198K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 33,143 $198K
59025 Fetal non-stress test <1% 7,107 $191K
73130 <1% 5,479 $191K
99173 <1% 8,642 $180K
72141 <1% 1,368 $179K
72100 <1% 4,964 $177K
80048 Basic metabolic panel (calcium, ionized) <1% 37,256 $176K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 1,253 $175K
72110 <1% 2,942 $174K
J0461 Injection, atropine sulfate, 0.01 mg <1% 127 $169K
A9153 Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified <1% 1,287 $162K
A6257 Transparent film, sterile, 16 sq. in. or less, each dressing <1% 6,209 $160K
95885 <1% 871 $158K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 5,057 $157K
76801 <1% 3,043 $156K
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 3,253 $153K
70551 Magnetic resonance imaging, brain; without contrast material <1% 2,026 $151K
95886 <1% 1,056 $149K
97162 <1% 2,963 $147K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 5,112 $144K
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg <1% 462 $142K
77300 <1% 442 $141K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 265 $134K
J1630 Injection, haloperidol, up to 5 mg <1% 2,098 $129K
73560 <1% 4,213 $128K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 13,443 $128K
94010 <1% 2,756 $125K
73140 <1% 2,093 $125K
J1745 Injection, infliximab, excludes biosimilar, 10 mg <1% 193 $124K
64642 <1% 275 $123K
70450 Computed tomography, head or brain; without contrast material <1% 5,619 $121K
J0572 Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine <1% 508 $121K
73502 <1% 3,588 $120K
17110 <1% 2,245 $120K
72040 <1% 2,465 $118K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml <1% 390 $118K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies <1% 765 $116K
72050 <1% 1,741 $115K
99285 Emergency room visit (most serious) <1% 13,740 $113K
77334 <1% 897 $111K
81001 <1% 45,102 $111K
77062 <1% 1,138 $111K
G0008 Administration of influenza virus vaccine <1% 52,904 $109K
J1650 Injection, enoxaparin sodium, 10 mg <1% 2,768 $108K
87631 <1% 936 $107K
87077 <1% 4,276 $105K
31231 <1% 1,926 $104K
94060 <1% 885 $102K
82962 <1% 25,206 $101K
77412 <1% 1,541 $100K
0002A <1% 4,078 $98K
71250 <1% 1,992 $97K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 211 $97K
J0574 Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine <1% 423 $94K
73080 <1% 1,596 $91K
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm <1% 206 $91K
J1040 Injection, methylprednisolone acetate, 80 mg <1% 457 $90K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 1,702 $89K
93356 <1% 597 $84K
83013 <1% 2,330 $84K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 45,397 $82K
J1756 Injection, iron sucrose, 1 mg <1% 1,604 $81K
76376 <1% 652 $81K
69210 <1% 1,684 $79K
74018 <1% 2,804 $78K
76536 <1% 1,251 $78K
77080 <1% 919 $77K
85610 <1% 27,748 $77K
J0178 Injection, aflibercept, 1 mg <1% 1,590 $73K
77067 Screening mammography, bilateral, including computer-aided detection <1% 4,985 $72K
90651 <1% 8,020 $72K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 24,933 $71K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 152,007 $69K
67028 Intravitreal injection of a pharmacologic agent <1% 3,395 $69K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 4,401 $67K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 4,431 $67K
73590 <1% 2,152 $66K
76770 <1% 1,385 $65K
90648 <1% 16,480 $64K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 3,621 $64K
72072 <1% 1,778 $64K
93321 <1% 2,250 $63K
72082 <1% 1,308 $62K
88142 <1% 7,107 $60K
73221 <1% 469 $60K
91200 <1% 1,048 $60K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 10,247 $60K
93971 <1% 2,682 $60K
96375 Therapeutic injection; each additional sequential IV push <1% 22,195 $60K
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 1,184 $58K
87340 <1% 10,180 $55K
71045 Radiologic examination, chest; single view <1% 9,492 $55K
G0481 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; 8-14 drug class(es), including metabolite(s) if performed <1% 659 $54K
90633 <1% 8,505 $53K
92557 <1% 1,644 $53K
0053A <1% 2,398 $53K
70486 <1% 1,169 $52K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 2,070 $51K
J0561 Injection, penicillin g benzathine, 100,000 units <1% 200 $51K
76642 <1% 2,020 $50K
73090 <1% 1,498 $49K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 9,233 $49K
96402 <1% 516 $48K
77280 <1% 94 $47K
92083 <1% 2,818 $47K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 993 $47K
J1250 Injection, dobutamine hydrochloride, per 250 mg <1% 356 $47K
96361 Intravenous infusion, hydration; each additional hour <1% 20,542 $47K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 9,366 $44K
J1071 Injection, testosterone cypionate, 1 mg <1% 949 $43K
87210 <1% 3,572 $43K
77295 <1% 29 $43K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 7,498 $42K
95806 <1% 453 $40K
77290 <1% 104 $40K
0071A <1% 1,404 $39K
T1015 A visit at a community health center or clinic (one all-in rate) <1% 4,035 $39K
88304 <1% 867 $39K
69209 <1% 788 $39K
97165 <1% 651 $39K
J3480 Injection, potassium chloride, per 2 meq <1% 625 $39K
0003A <1% 1,631 $38K
82043 <1% 7,407 $37K
73600 <1% 677 $36K
77301 <1% 52 $36K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 29,919 $36K
74019 <1% 1,362 $35K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 6,041 $35K
86832 <1% 442 $35K
82274 <1% 1,093 $34K
76882 <1% 1,002 $34K
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 3,844 $34K
J3411 Injection, thiamine hcl, 100 mg <1% 489 $34K
73564 <1% 543 $33K
20610 <1% 4,744 $32K
12001 <1% 921 $32K
82565 <1% 7,453 $32K
71101 <1% 629 $32K
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 639 $31K
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% 60,130 $31K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 515 $30K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 565 $30K
31575 <1% 827 $29K
0072A <1% 820 $29K
73552 <1% 1,181 $29K
11981 <1% 673 $29K
92558 <1% 348 $28K
73660 <1% 534 $28K
20611 <1% 2,202 $27K
83993 <1% 784 $27K
90685 <1% 3,001 $27K
92136 <1% 974 $27K
G0009 Administration of pneumococcal vaccine <1% 22,706 $27K
92550 <1% 511 $27K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 1,405 $27K
17000 <1% 860 $26K
95812 <1% 167 $26K
10060 <1% 1,355 $26K
93970 <1% 519 $26K
J0897 Injection, denosumab, 1 mg <1% 66 $26K
97163 <1% 400 $26K
91320 <1% 474 $26K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 3,487 $25K
93308 <1% 1,367 $25K
93296 <1% 1,441 $25K
90688 <1% 5,024 $25K
78815 Positron emission tomography (PET) for limited area imaging <1% 927 $25K
90715 <1% 12,922 $25K
84156 <1% 6,899 $25K
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries <1% 39 $24K
97116 <1% 1,604 $24K
51798 <1% 4,397 $24K
97166 <1% 481 $24K
J1644 Injection, heparin sodium, per 1000 units <1% 3,836 $24K
0202U Oncology (prostate), multianalyte, gene expression profiling <1% 2,607 $23K
J3370 Injection, vancomycin hcl, 500 mg <1% 1,792 $23K
A0430 Ambulance service, conventional air services, transport, one way (fixed wing) <1% 22 $22K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 4,670 $22K
87045 <1% 695 $22K
83036 Hemoglobin; glycosylated (A1C) <1% 66,210 $22K
72170 <1% 1,472 $21K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 36,399 $21K
76000 <1% 1,874 $21K
0052A <1% 800 $20K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 7,846 $20K
93923 <1% 427 $20K
A0435 Fixed wing air mileage, per statute mile <1% 22 $20K
51705 <1% 754 $20K
93017 <1% 626 $20K
96158 <1% 691 $20K
78264 <1% 79 $19K
82731 <1% 142 $19K
0054A <1% 1,064 $19K
76870 <1% 366 $19K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 132 $18K
72125 Computed tomography, cervical spine; without contrast material <1% 1,634 $17K
84484 <1% 14,830 $17K
73521 <1% 419 $17K
80061 Lipid panel <1% 34,911 $17K
73070 <1% 753 $17K
87040 <1% 3,779 $16K
V2784 Lens, polycarbonate or equal, any index, per lens <1% 3,874 $16K
73000 <1% 280 $16K
90670 <1% 17,792 $16K
88720 <1% 518 $15K
99188 <1% 683 $15K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 518 $15K
88184 <1% 1,028 $15K
82805 <1% 13,670 $15K
J7050 Infusion, normal saline solution, 250 cc <1% 738 $15K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 6,129 $15K
92134 <1% 6,522 $15K
82728 <1% 19,022 $15K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 3,790 $14K
A4344 Indwelling catheter, foley type, two-way, all silicone or polyurethane, each <1% 121 $14K
90480 <1% 841 $14K
Q3014 Telehealth originating site facility fee <1% 11,671 $14K
C9257 Injection, bevacizumab, 0.25 mg <1% 1,467 $14K
90696 <1% 3,496 $14K
99201 <1% 1,356 $14K
87632 <1% 266 $14K
86900 <1% 10,986 $14K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 416 $14K
77061 <1% 172 $14K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 20,275 $13K
86769 <1% 474 $13K
0051A <1% 644 $13K
87507 <1% 407 $13K
86592 <1% 11,838 $13K
72146 <1% 111 $13K
54150 <1% 377 $13K
52000 <1% 500 $13K
93325 <1% 2,355 $12K
73700 <1% 200 $12K
84132 <1% 12,996 $12K
J1569 Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg <1% 1,169 $12K
85651 <1% 11,323 $12K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 5,386 $12K
76942 <1% 2,426 $12K
J9271 Injection, pembrolizumab, 1 mg <1% 220 $12K
11976 <1% 82 $12K
83550 <1% 10,746 $11K
73060 <1% 535 $11K
J1940 Injection, furosemide, up to 20 mg <1% 46 $11K
84702 <1% 4,391 $11K
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% 3,613 $11K
84443 Thyroid stimulating hormone (TSH) <1% 49,815 $11K
97535 Self-care/home management training, each 15 minutes <1% 769 $11K
92250 <1% 1,655 $10K
88307 <1% 1,305 $10K
88342 <1% 2,590 $10K
76937 <1% 5,121 $10K
90677 <1% 2,024 $10K
83540 <1% 12,779 $10K
20553 <1% 1,096 $10K
J3360 Injection, diazepam, up to 5 mg <1% 79 $10K
31720 <1% 182 $10K
96159 <1% 618 $10K
96401 <1% 18 $9K
90750 <1% 65 $9K
85027 <1% 22,682 $9K
58301 <1% 775 $9K
90732 <1% 3,481 $9K
80069 <1% 4,838 $9K
96367 <1% 2,237 $9K
58300 <1% 1,610 $9K
87338 <1% 660 $9K
77077 <1% 1,151 $9K
A4565 Slings <1% 229 $9K
11721 <1% 769 $9K
82247 <1% 2,175 $9K
82570 <1% 8,089 $9K
92552 <1% 117 $9K
87205 <1% 5,799 $9K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 112 $8K
74183 <1% 644 $8K
92133 <1% 2,841 $8K
0073A <1% 224 $8K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 556 $8K
G0378 Hospital observation service, per hour <1% 5,527 $8K
64643 <1% 92 $8K
16020 <1% 885 $8K
80164 <1% 2,075 $8K
71271 <1% 108 $8K
62370 <1% 1,875 $8K
72131 <1% 324 $7K
80050 General health panel <1% 2,343 $7K
0399T <1% 81 $7K
90734 <1% 5,670 $7K
86480 <1% 2,914 $7K
J0485 Injection, belatacept, 1 mg <1% 197 $7K
86140 <1% 13,898 $7K
81015 <1% 1,587 $7K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 4,098 $7K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens <1% 2,040 $6K
80178 <1% 3,553 $6K
82670 <1% 2,024 $6K
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% 214 $6K
87186 <1% 10,931 $6K
87536 <1% 5,269 $6K
87324 <1% 841 $6K
94760 <1% 118 $6K
93297 <1% 208 $6K
82550 <1% 3,026 $5K
83735 <1% 15,327 $5K
90707 <1% 3,937 $5K
87147 <1% 4,943 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 279 $5K
86833 <1% 387 $5K
87102 <1% 747 $5K
92551 <1% 72 $5K
90656 <1% 2,091 $5K
90680 <1% 11,225 $5K
87799 <1% 1,449 $5K
51703 <1% 336 $5K
12011 <1% 174 $5K
82607 <1% 16,023 $5K
P9016 Red blood cells, leukocytes reduced, each unit <1% 174 $5K
86235 <1% 1,737 $5K
A9698 Non-radioactive contrast imaging material, not otherwise classified, per study <1% 869 $5K
90700 <1% 3,907 $5K
85379 <1% 4,050 $5K
52310 <1% 52 $5K
93270 <1% 735 $5K
90472 Immunization administration, each additional vaccine (list separately) <1% 39,173 $5K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 3,168 $5K
87529 <1% 313 $4K
88173 <1% 70 $4K
93225 <1% 304 $4K
82784 <1% 4,860 $4K
83690 <1% 12,889 $4K
70491 <1% 961 $4K
87497 <1% 1,881 $4K
83516 <1% 5,141 $4K
90716 <1% 3,835 $4K
80197 <1% 4,753 $4K
86803 <1% 15,938 $4K
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% 34,475 $4K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 17,036 $4K
93660 <1% 14 $4K
73650 <1% 83 $4K
94762 <1% 45 $4K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens <1% 2,511 $4K
87177 <1% 249 $4K
29125 <1% 364 $4K
87075 <1% 1,473 $4K
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 5,521 $4K
84100 <1% 9,554 $4K
82040 <1% 826 $4K
86304 <1% 1,073 $4K
81513 <1% 4,397 $4K
83880 <1% 6,346 $4K
96376 <1% 8,990 $4K
97542 <1% 58 $4K
76510 <1% 40 $4K
83655 <1% 2,143 $3K
72220 <1% 90 $3K
66982 <1% 264 $3K
84439 <1% 10,258 $3K
83520 <1% 1,760 $3K
82340 <1% 60 $3K
87015 <1% 22 $3K
82103 <1% 261 $3K
90636 <1% 520 $3K
86901 <1% 10,993 $3K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 1,453 $3K
83615 <1% 8,660 $3K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 1,007 $3K
85018 <1% 3,320 $3K
86317 <1% 3,473 $3K
82653 <1% 26 $3K
0031A <1% 449 $3K
97763 <1% 67 $3K
73620 <1% 276 $3K
83605 <1% 4,337 $3K
84165 <1% 2,525 $3K
92567 <1% 944 $3K
95813 <1% 12 $3K
11100 <1% 268 $3K
82378 <1% 2,030 $3K
Q5104 Injection, infliximab-abda, biosimilar, (renflexis), 10 mg <1% 626 $3K
85007 <1% 1,332 $3K
94761 <1% 101 $3K
70496 <1% 1,131 $3K
11720 <1% 449 $3K
84703 <1% 2,141 $2K
11750 <1% 54 $2K
90710 <1% 4,115 $2K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 604 $2K
94727 <1% 2,662 $2K
87522 Neg quan hep c or qual rna <1% 3,363 $2K
C1729 Catheter, drainage <1% 705 $2K
80156 <1% 231 $2K
G0257 Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility <1% 4,458 $2K
85045 <1% 1,138 $2K
84153 <1% 3,162 $2K
36000 <1% 3,655 $2K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 8,402 $2K
82310 <1% 1,307 $2K
81511 <1% 819 $2K
82533 <1% 833 $2K
66821 <1% 16 $2K
93976 <1% 517 $2K
86923 <1% 1,179 $2K
87493 <1% 389 $2K
C1769 Guide wire <1% 2,995 $2K
70498 <1% 979 $2K
36430 <1% 809 $2K
99153 Mod sedat endo service >5yrs <1% 7,173 $2K
99152 <1% 5,901 $2K
46600 <1% 167 $2K
82105 <1% 2,500 $2K
0082A <1% 375 $2K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 29 $2K
86003 <1% 344 $2K
64493 <1% 700 $2K
96152 <1% 50 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 1,879 $2K
C8930 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; including performance of continuous electrocardiographic monitoring, with physician supervision <1% 152 $2K
90713 <1% 614 $2K
86334 <1% 1,937 $2K
92025 <1% 85 $2K
64483 <1% 1,442 $2K
90687 <1% 526 $2K
43235 <1% 890 $2K
86361 <1% 3,127 $2K
77066 Tomosynthesis, mammo <1% 1,243 $2K
11104 <1% 531 $2K
64450 <1% 727 $2K
80177 <1% 475 $2K
95117 <1% 637 $2K
11730 <1% 27 $2K
88185 <1% 1,368 $2K
71275 Computed tomographic angiography, chest, with contrast material <1% 586 $2K
90723 <1% 12,882 $2K
86160 <1% 1,634 $2K
Q9961 High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml <1% 264 $2K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 208 $2K
77081 <1% 471 $2K
86706 <1% 986 $2K
83970 <1% 4,580 $1K
97802 <1% 1,112 $1K
82948 <1% 180 $1K
96156 <1% 51 $1K
77065 Tomosynthesis, mammo <1% 295 $1K
Q0114 Fern test <1% 1,991 $1K
86038 <1% 3,208 $1K
29130 <1% 98 $1K
84295 <1% 12,823 $1K
A4648 Tissue marker, implantable, any type, each <1% 16 $1K
80143 <1% 2,281 $1K
97803 <1% 1,305 $1K
82950 <1% 3,171 $1K
82977 <1% 2,791 $1K
77002 <1% 468 $1K
96415 <1% 3,537 $1K
76881 <1% 15 $1K
84160 <1% 632 $1K
80074 <1% 1,200 $1K
95970 <1% 315 $1K
84134 <1% 2,002 $1K
94729 <1% 2,686 $1K
11102 <1% 681 $1K
51700 <1% 136 $1K
96416 <1% 448 $1K
82746 <1% 7,429 $1K
86922 <1% 119 $1K
82785 <1% 540 $1K
92285 <1% 617 $1K
93351 <1% 727 $1K
J0360 Injection, hydralazine hcl, up to 20 mg <1% 14 $1K
93990 <1% 276 $1K
72128 <1% 121 $978.70
12002 <1% 99 $945.52
90744 <1% 423 $944.30
85014 <1% 1,660 $940.15
82077 <1% 2,763 $935.40
96164 <1% 97 $925.48
74178 <1% 190 $920.15
L4360 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise <1% 15 $916.38
86703 <1% 540 $902.58
82525 <1% 1,608 $902.20
88313 <1% 492 $899.10
72156 <1% 611 $886.95
95910 <1% 112 $876.08
11719 <1% 79 $871.54
88240 <1% 1,112 $853.02
86255 <1% 440 $849.12
84403 <1% 4,420 $842.31
0081A <1% 760 $826.67
85730 <1% 6,098 $825.49
J7507 Tacrolimus, immediate release, oral, 1 mg <1% 38 $825.41
83883 <1% 553 $816.24
83861 <1% 1,827 $812.78
86765 <1% 547 $811.03
84146 <1% 2,299 $786.79
86704 <1% 2,747 $780.32
49083 <1% 30 $775.80
74160 <1% 48 $744.43
90662 <1% 470 $696.72
94618 <1% 40 $690.13
89051 <1% 1,357 $672.55
93288 <1% 26 $661.76
86300 <1% 352 $651.03
84270 <1% 2,253 $639.02
90739 <1% 118 $612.66
51741 <1% 819 $611.36
84550 <1% 3,048 $600.28
94660 <1% 142 $583.71
87305 <1% 212 $549.87
58100 <1% 109 $549.45
95911 <1% 55 $546.66
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg <1% 18 $540.83
74230 <1% 84 $529.50
86141 <1% 2,178 $518.81
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% 259 $518.51
38222 <1% 42 $518.22
90694 <1% 580 $514.97
86200 <1% 1,912 $509.51
95908 <1% 105 $506.39
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals <1% 292 $504.96
90746 <1% 50 $500.38
73200 <1% 14 $499.96
86762 <1% 3,983 $498.15
93242 <1% 73 $477.86
J2785 Injection, regadenoson, 0.1 mg <1% 266 $467.50
86256 <1% 753 $464.09
87427 <1% 765 $460.42
86308 <1% 69 $450.35
87481 <1% 4,306 $448.05
72080 <1% 13 $447.32
83001 <1% 2,269 $445.40
87449 <1% 939 $445.28
64447 <1% 206 $442.75
87902 <1% 539 $432.47
86580 <1% 13 $420.61
36591 <1% 4,434 $417.02
94799 <1% 99 $408.16
86376 <1% 967 $407.29
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 1,562 $404.50
86039 <1% 1,469 $402.99
82150 <1% 1,050 $400.62
88341 <1% 61 $398.99
84425 <1% 1,960 $396.13
93280 <1% 142 $383.62
87660 <1% 5,559 $379.11
96165 <1% 98 $366.38
86309 <1% 157 $362.80
92553 <1% 12 $358.75
82384 <1% 45 $358.23
J2280 Injection, moxifloxacin, 100 mg <1% 819 $354.37
90935 Hemodialysis procedure with single evaluation by a physician <1% 190 $352.98
62368 <1% 30 $340.24
93289 <1% 14 $326.52
87046 <1% 754 $316.59
0124A <1% 2,976 $308.55
95971 <1% 91 $300.67
84402 <1% 1,582 $294.20
90714 <1% 66 $289.25
87517 <1% 436 $283.02
64494 <1% 660 $282.56
M0220 Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), includes injection and post administration monitoring <1% 53 $282.09
70544 <1% 16 $275.52
96138 <1% 53 $273.61
86708 <1% 1,804 $273.08
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) <1% 826 $263.44
88312 <1% 717 $259.95
86694 <1% 367 $255.52
J9190 Injection, fluorouracil, 500 mg <1% 720 $252.29
92235 <1% 29 $244.31
84450 <1% 1,778 $237.15
86146 <1% 183 $236.00
Q0221 Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), 600 mg <1% 16 $235.30
86147 <1% 285 $228.86
87252 <1% 13 $223.24
G0010 Administration of hepatitis b vaccine <1% 1,427 $222.92
84466 <1% 1,587 $222.05
80175 <1% 526 $220.17
72157 <1% 235 $220.10
82390 <1% 459 $217.35
V2025 Deluxe frame <1% 563 $213.31
82140 <1% 582 $204.03
90474 <1% 11,136 $192.84
86431 <1% 2,694 $186.98
82810 <1% 150 $182.02
90632 <1% 26 $180.06
84590 <1% 1,131 $179.86
82248 <1% 1,155 $179.63
84155 <1% 1,870 $179.61
77001 <1% 204 $177.40
84207 <1% 444 $177.40
86665 <1% 247 $170.02
C1887 Catheter, guiding (may include infusion/perfusion capability) <1% 301 $167.87
87510 <1% 5,549 $161.96
84255 <1% 875 $154.77
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) <1% 5,975 $154.75
83021 <1% 110 $154.62
A6258 Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing <1% 107 $151.05
17003 <1% 270 $150.90
0083A <1% 98 $150.28
36592 <1% 589 $145.82
97164 <1% 28 $144.41
88360 <1% 14 $143.07
84630 <1% 1,486 $130.30
87206 <1% 43 $126.94
83519 <1% 23 $123.54
V2107 Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens <1% 254 $121.43
82951 <1% 163 $120.16
J2790 Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) <1% 52 $118.12
90674 <1% 14 $117.66
91307 <1% 316 $116.19
20605 <1% 13 $115.18
76775 <1% 27 $114.94
0296T <1% 28 $113.69
82652 <1% 40 $110.32
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 251 $106.74
86036 <1% 39 $104.43
76377 <1% 15 $100.03
83002 <1% 1,516 $99.08
99454 <1% 47 $98.66
80179 <1% 2,156 $97.79
86787 <1% 299 $97.22
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care <1% 183 $97.00
83721 <1% 1,910 $95.96
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries <1% 137 $88.42
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 6,087 $86.58
84460 <1% 1,878 $84.49
83921 <1% 833 $76.36
86644 <1% 32 $71.36
86800 <1% 575 $70.72
77338 <1% 52 $68.90
86335 <1% 85 $60.55
82947 <1% 2,716 $59.64
82610 <1% 500 $58.36
83525 <1% 1,357 $58.01
90653 <1% 13 $57.76
62369 <1% 265 $55.44
83521 <1% 418 $53.40
C1892 Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away <1% 470 $53.30
86301 <1% 323 $46.20
86663 <1% 13 $45.00
72158 <1% 258 $40.34
86780 <1% 514 $38.56
L0140 Cervical, semi-rigid, adjustable (plastic collar) <1% 33 $38.55
99408 <1% 179 $38.33
84480 <1% 343 $31.52
82945 <1% 165 $28.62
87116 <1% 29 $27.69
84157 <1% 169 $26.73
82365 <1% 12 $24.71
84481 <1% 1,081 $23.39
86880 <1% 78 $21.85
96417 <1% 1,966 $21.59
85613 <1% 232 $21.30
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals <1% 107 $16.60
84133 <1% 232 $15.17
86735 <1% 43 $14.50
87209 <1% 244 $14.38
86707 <1% 56 $12.85
87350 <1% 94 $12.81
86364 <1% 723 $10.76
G0109 Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes <1% 53 $10.66
20560 <1% 468 $9.39
92060 <1% 44 $8.59
86593 <1% 521 $7.83
95974 <1% 45 $7.45
84145 <1% 216 $7.32
20561 <1% 566 $6.31
J2003 Injection, lidocaine hydrochloride, 1 mg <1% 44 $5.78
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 24 $5.49
80235 <1% 15 $3.17
83930 <1% 81 $0.44
S9455 Diabetic management program, group session <1% 104 $0.09
64484 0% 92 $0.00
V2632 Posterior chamber intraocular lens 0% 1,945 $0.00
86258 0% 139 $0.00
84154 0% 523 $0.00
41899 Unlisted procedure, dentoalveolar structures 0% 685 $0.00
84432 0% 28 $0.00
86812 0% 13 $0.00
74174 0% 83 $0.00
V2105 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens 0% 142 $0.00
20550 0% 805 $0.00
64405 0% 223 $0.00
64635 0% 105 $0.00
J9045 Injection, carboplatin, 50 mg 0% 175 $0.00
J9267 Injection, paclitaxel, 1 mg 0% 107 $0.00
91065 0% 143 $0.00
G0103 Prostate cancer screening; prostate specific antigen test (psa) 0% 87 $0.00
84144 0% 92 $0.00
86381 0% 128 $0.00
82952 0% 151 $0.00
J2175 Injection, meperidine hydrochloride, per 100 mg 0% 167 $0.00
97804 0% 68 $0.00
96040 0% 191 $0.00
99156 0% 80 $0.00
81599 0% 12 $0.00
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 0% 75 $0.00
84446 0% 49 $0.00
86664 0% 41 $0.00
96368 0% 111 $0.00
74420 0% 124 $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% 106 $0.00
96411 0% 154 $0.00
86695 0% 76 $0.00
70543 0% 13 $0.00
81332 0% 13 $0.00
11900 0% 77 $0.00
86870 0% 126 $0.00
90620 0% 14 $0.00
88311 0% 96 $0.00
84300 0% 120 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 0% 15 $0.00
96139 0% 41 $0.00
86225 0% 140 $0.00
73720 0% 18 $0.00
86341 0% 20 $0.00
V2744 Tint, photochromatic, per lens 0% 13 $0.00
57454 0% 69 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 0% 46 $0.00
52287 0% 29 $0.00
C1726 Catheter, balloon dilatation, non-vascular 0% 96 $0.00
A4615 Cannula, nasal 0% 27 $0.00
V2755 U-v lens, per lens 0% 12 $0.00
J3471 Injection, hyaluronidase, ovine, preservative free, per 1 usp unit (up to 999 usp units) 0% 51 $0.00
J1097 Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml 0% 33 $0.00
J8501 Aprepitant, oral, 5 mg 0% 14 $0.00
82575 0% 14 $0.00
P9612 Catheterization for collection of specimen, single patient, all places of service 0% 18 $0.00
87184 0% 28 $0.00
88108 0% 14 $0.00
82024 0% 36 $0.00
76820 0% 15 $0.00
77470 0% 15 $0.00
97597 0% 43 $0.00
82436 0% 26 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 0% 18 $0.00
87506 0% 20 $0.00
64445 0% 22 $0.00
M0221 Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), includes injection and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency 0% 15 $0.00
J0185 Injection, aprepitant, 1 mg 0% 24 $0.00
80354 0% 340 $0.00
J3473 Injection, hyaluronidase, recombinant, 1 usp unit 0% 252 $0.00
95873 0% 723 $0.00
99177 0% 798 $0.00
87899 0% 374 $0.00
J9035 Injection, bevacizumab, 10 mg 0% 91 $0.00
72197 0% 102 $0.00
82085 0% 55 $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% 291 $0.00
C1776 Joint device (implantable) 0% 616 $0.00
80169 0% 459 $0.00
74220 0% 27 $0.00
88237 0% 34 $0.00
86015 0% 54 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 0% 395 $0.00
G0260 Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography 0% 12 $0.00
82595 0% 12 $0.00
20552 0% 58 $0.00
J9263 Injection, oxaliplatin, 0.5 mg 0% 21 $0.00
J0735 Injection, clonidine hydrochloride, 1 mg 0% 58 $0.00
86753 0% 220 $0.00
J1750 Injection, iron dextran, 50 mg 0% 495 $0.00
84305 0% 72 $0.00
G8989 Self care functional limitation, discharge status, at discharge from therapy or to end reporting 0% 13 $0.00
64636 0% 122 $0.00
J9206 Injection, irinotecan, 20 mg 0% 19 $0.00
82627 0% 80 $0.00
95909 0% 12 $0.00
95923 0% 37 $0.00
85060 0% 101 $0.00
V2750 Anti-reflective coating, per lens 0% 74 $0.00
95921 0% 14 $0.00
84166 0% 16 $0.00
90681 0% 29 $0.00
Q5119 Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg 0% 46 $0.00
86682 0% 112 $0.00
A4306 Disposable drug delivery system, flow rate of less than 50 ml per hour 0% 111 $0.00
62323 0% 41 $0.00
91308 0% 21 $0.00
95874 0% 56 $0.00
86696 0% 78 $0.00
V2410 Variable asphericity lens, single vision, full field, glass or plastic, per lens 0% 13 $0.00
82042 0% 68 $0.00
84681 0% 30 $0.00
84445 0% 12 $0.00
36600 0% 42 $0.00
82747 0% 13 $0.00
99157 0% 48 $0.00
96549 0% 24 $0.00
J1095 Injection, dexamethasone 9 percent, intraocular, 1 microgram 0% 21 $0.00
43249 0% 16 $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 officialPARK, CHARLTON (CHIEF FINANCIAL OFFICER)
Same official

Other billing entities under PARK, CHARLTON

Full network →
ProviderLocationPaid
University of UtahSalt Lake City, UT$23.16M
University of UtahSalt Lake City, UT$2.06M
University of UtahSalt Lake City, UT$17K

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