Medicaid Provider Spending

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

RHODE ISLAND HOSPITAL

NPI: 1588659528 · PROVIDENCE, RI 02903 · General Acute Care Hospital · NPI assigned 09/15/2005

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

Authorized official MARKELL, PETER controls 20+ related entities in our dataset. Read more

$380.77M
Total Medicaid Paid
2,167,654
Total Claims
1,563,033
Beneficiaries
667
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMARKELL, PETER (CFO)
Parent OrganizationLIFESPAN CORPORATION
NPI Enumeration Date09/15/2005

Related Entities

Other providers sharing the same authorized official: MARKELL, PETER

ProviderCityStateTotal Paid
THE MIRIAM HOSPITAL PROVIDENCE RI $138.58M
GATEWAY HEALTHCARE INC PAWTUCKET RI $122.93M
EMMA PENDLETON BRADLEY HOSPITAL RIVERSIDE RI $37.64M
NEWPORT HOSPITAL NEWPORT RI $15.82M
RHODE ISLAND HOSPITAL PROVIDENCE RI $13.22M
LIFESPAN PHYSICIAN GROUP, INC. WARWICK RI $6.48M
LIFESPAN PHYSICIAN GROUP, INC. PROVIDENCE RI $5.64M
RHODE ISLAND HOSPITAL PROVIDENCE RI $5.32M
EMMA PENDLETON BRADLEY HOSPITAL EAST PROVIDENCE RI $5.03M
LIFESPAN PHYSICIAN GROUP INC PROVIDENCE RI $4.41M
RHODE ISLAND HOSPITAL PROVIDENCE RI $3.97M
NEWPORT HOSPITAL NEWPORT RI $3.05M
RHODE ISLAND HOSPITAL EAST PROVIDENCE RI $2.58M
VNA TECHNICARE, INC. PROVIDENCE RI $2.52M
RHODE ISLAND HOSPITAL PROVIDENCE RI $2.33M
COASTAL MEDICAL PHYSICIANS, INC. PROVIDENCE RI $1.33M
GATEWAY HEALTHCARE, INC. PAWTUCKET RI $1.31M
COASTAL MEDICAL PHYSICIANS, INC. PROVIDENCE RI $1.20M
GATEWAY HEALTHCARE, INC JOHNSTON RI $1.13M
GATEWAY HEALTHCARE, INC CHARLESTOWN RI $731K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 518,483 $74.65M
2019 581,234 $108.82M
2020 238,156 $45.44M
2021 272,370 $45.23M
2022 210,911 $36.26M
2023 184,931 $36.72M
2024 161,569 $33.66M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0378 Hospital observation service, per hour 10,050 8,149 $22.20M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 24,695 21,069 $21.21M
99284 Emergency department visit for the evaluation and management, high severity 34,990 30,650 $20.73M
99283 Emergency department visit for the evaluation and management, moderate severity 53,269 45,169 $17.87M
J1745 Injection, infliximab, excludes biosimilar, 10 mg 3,819 3,148 $15.86M
90999 Unlisted dialysis procedure, inpatient or outpatient 11,754 802 $10.39M
H0035 Mental health partial hospitalization, treatment, less than 24 hours 7,740 664 $7.89M
Q5103 Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg 2,410 2,097 $7.30M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 16,034 8,430 $6.93M
J9271 Injection, pembrolizumab, 1 mg 1,116 663 $6.49M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 47,354 37,964 $5.83M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 4,858 4,045 $5.41M
85025 Blood count; complete (CBC), automated, and automated differential WBC count 84,047 61,448 $5.19M
96375 Therapeutic injection; each additional sequential IV push 26,034 15,648 $5.06M
77386 3,954 316 $5.05M
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 15,952 4,985 $4.56M
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 13,979 6,775 $4.54M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 21,223 15,278 $4.37M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 46,258 40,357 $4.28M
95810 Polysomnography; sleep staging with 4 or more additional parameters 2,453 2,152 $4.25M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 34,725 29,089 $3.41M
80053 Comprehensive metabolic panel 37,443 26,923 $3.40M
99282 Emergency department visit for the evaluation and management, low to moderate severity 22,368 17,196 $3.39M
J1100 Injection, dexamethasone sodium phosphate, 1 mg 12,428 7,319 $3.33M
97530 Therapeutic activities, direct patient contact, each 15 minutes 36,838 14,193 $3.26M
J2405 Injection, ondansetron hydrochloride, per 1 mg 17,685 11,082 $3.26M
96361 Intravenous infusion, hydration; each additional hour 12,285 7,777 $3.18M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 4,569 3,683 $3.18M
J7050 Infusion, normal saline solution, 250 cc 9,568 6,438 $2.91M
96367 7,413 4,343 $2.83M
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 16,424 9,750 $2.74M
80048 Basic metabolic panel (calcium, ionized) 32,060 24,470 $2.74M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 38,536 14,401 $2.70M
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 25,336 20,379 $2.66M
J0690 Injection, cefazolin sodium, 500 mg 4,823 2,658 $2.38M
83735 20,697 12,759 $2.06M
82248 27,362 19,335 $1.99M
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 6,010 3,631 $1.96M
99215 Prolong outpt/office vis 12,433 9,946 $1.93M
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 4,445 3,824 $1.90M
J2704 Injection, propofol, 10 mg 10,033 6,883 $1.86M
J7030 Infusion, normal saline solution , 1000 cc 10,889 6,830 $1.81M
74177 Computed tomography, abdomen and pelvis; with contrast material 6,993 5,854 $1.76M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 14,531 10,960 $1.75M
J2250 Injection, midazolam hydrochloride, per 1 mg 6,912 5,190 $1.74M
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 4,078 1,915 $1.73M
82948 17,020 10,983 $1.70M
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 12,081 9,844 $1.67M
J3010 Injection, fentanyl citrate, 0.1 mg 5,441 3,845 $1.63M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 8,324 7,298 $1.57M
J1170 Injection, hydromorphone, up to 4 mg 6,494 2,840 $1.56M
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 10,134 7,977 $1.55M
J3490 Unclassified drugs 6,177 3,655 $1.54M
J0131 Injection, acetaminophen, not otherwise specified,10 mg 6,048 3,757 $1.51M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 8,448 6,677 $1.49M
71046 Radiologic examination, chest; 2 views 14,326 12,013 $1.48M
70450 Computed tomography, head or brain; without contrast material 7,550 6,476 $1.44M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,634 2,283 $1.43M
70551 Magnetic resonance imaging, brain; without contrast material 2,681 2,238 $1.39M
96417 2,843 1,458 $1.37M
84484 10,586 7,519 $1.36M
85027 26,194 19,522 $1.27M
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 13,470 11,153 $1.27M
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,596 1,330 $1.27M
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 9,855 8,919 $1.24M
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 13,321 11,051 $1.22M
85610 18,946 13,108 $1.20M
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 5,944 3,635 $1.20M
96415 4,736 2,868 $1.18M
81003 18,191 14,740 $1.18M
71260 Computed tomography, thorax, diagnostic; with contrast material 3,999 3,436 $1.15M
J2469 Injection, palonosetron hcl, 25 mcg 2,999 1,484 $1.12M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 13,840 5,486 $1.10M
77336 2,544 1,035 $1.07M
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1,980 1,679 $1.03M
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 13,143 11,240 $1.01M
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 13,348 4,915 $1.00M
77334 1,415 960 $978K
83690 10,358 8,265 $968K
81001 15,085 12,321 $949K
J2270 Injection, morphine sulfate, up to 10 mg 6,919 4,514 $933K
86850 11,569 8,677 $928K
86900 11,748 8,835 $915K
36415 Collection of venous blood by venipuncture 45,885 36,896 $903K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 2,459 1,933 $898K
86901 11,689 8,793 $893K
84100 11,542 7,349 $885K
90460 Immunization administration through 18 years of age via any route, first or only component 12,382 11,525 $872K
99205 Prolong outpt/office vis 3,752 3,054 $863K
J1200 Injection, diphenhydramine hcl, up to 50 mg 7,223 4,293 $811K
96110 Developmental screening, with scoring and documentation, per standardized instrument 5,679 4,230 $809K
J1885 Injection, ketorolac tromethamine, per 15 mg 6,846 4,305 $798K
J9299 Injection, nivolumab, 1 mg 146 72 $782K
93975 2,891 2,281 $782K
96376 6,255 3,039 $773K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 5,652 5,079 $761K
J2505 Injection, pegfilgrastim, 6 mg 266 144 $758K
85730 8,206 6,843 $749K
90791 Psychiatric diagnostic evaluation 4,574 2,968 $741K
64644 660 558 $721K
72125 Computed tomography, cervical spine; without contrast material 4,565 3,944 $717K
97113 6,986 2,941 $694K
84443 Thyroid stimulating hormone (TSH) 14,535 11,755 $694K
77300 849 638 $691K
71045 Radiologic examination, chest; single view 4,869 4,101 $686K
97803 7,783 6,112 $680K
83036 Hemoglobin; glycosylated (A1C) 24,623 20,767 $676K
A9575 Injection, gadoterate meglumine, 0.1 ml 5,608 4,406 $675K
78815 Positron emission tomography (PET) for limited area imaging 891 693 $667K
J1569 Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg 480 178 $662K
97802 4,587 3,767 $657K
76770 4,648 3,807 $655K
85007 12,101 8,415 $634K
88305 Level IV - Surgical pathology, gross and microscopic examination 4,477 3,556 $621K
76700 Ultrasound, abdominal, real time with image documentation; complete 4,258 3,423 $620K
83605 3,720 2,729 $616K
96910 8,807 1,406 $606K
J0882 Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) 3,512 717 $593K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 2,945 2,686 $584K
J1644 Injection, heparin sodium, per 1000 units 2,309 892 $581K
72141 1,219 959 $545K
74183 619 459 $541K
82565 16,270 11,751 $529K
J0585 Injection, onabotulinumtoxina, 1 unit 728 484 $526K
96411 1,204 757 $524K
P9016 Red blood cells, leukocytes reduced, each unit 1,658 1,058 $517K
82310 10,419 7,103 $513K
80076 15,604 12,023 $506K
96416 1,419 665 $505K
77067 Screening mammography, bilateral, including computer-aided detection 3,723 3,189 $505K
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 5,150 3,826 $505K
97161 4,317 3,780 $502K
84703 5,237 4,493 $499K
92523 2,078 1,869 $496K
99218 2,382 1,298 $494K
97162 3,560 3,077 $486K
84520 14,982 10,030 $481K
80061 Lipid panel 10,512 8,936 $477K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 8,070 7,008 $474K
80051 10,262 6,930 $472K
82728 14,123 11,785 $469K
82805 2,685 2,046 $468K
86140 15,203 12,668 $463K
87086 Culture, bacterial; quantitative colony count, urine 8,280 6,805 $460K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 6,673 5,656 $453K
80050 General health panel 4,766 3,747 $450K
81025 8,351 6,763 $449K
J9190 Injection, fluorouracil, 500 mg 1,152 499 $442K
95782 264 235 $422K
C1769 Guide wire 663 434 $414K
72158 441 351 $406K
J1650 Injection, enoxaparin sodium, 10 mg 1,796 754 $401K
76705 Ultrasound, abdominal, real time with image documentation; limited 3,275 2,611 $396K
82947 4,388 3,572 $385K
J1453 Injection, fosaprepitant, 1 mg 568 236 $385K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 832 619 $378K
77412 2,391 254 $376K
85651 14,466 12,075 $370K
36430 1,800 1,025 $365K
84295 2,711 2,176 $363K
94010 3,845 3,060 $361K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,657 2,403 $358K
J3475 Injection, magnesium sulfate, per 500 mg 1,125 634 $356K
73610 5,332 3,849 $356K
J2060 Injection, lorazepam, 2 mg 2,008 1,450 $354K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 782 519 $352K
99153 Mod sedat endo service >5yrs 1,255 909 $352K
71250 1,681 1,417 $348K
J9312 Injection, rituximab, 10 mg 57 24 $343K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,779 2,312 $340K
84132 2,685 2,049 $327K
96127 8,377 6,526 $323K
99152 1,136 828 $323K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,849 1,909 $312K
84460 11,780 9,026 $312K
73560 4,080 3,116 $310K
72146 493 327 $307K
83880 2,128 1,716 $306K
72131 1,669 1,412 $303K
94060 1,636 1,327 $302K
84450 11,203 8,527 $293K
93325 1,827 1,358 $289K
95812 860 794 $285K
86780 4,661 3,990 $284K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 2,117 1,778 $281K
J1756 Injection, iron sucrose, 1 mg 3,529 1,112 $279K
71275 Computed tomographic angiography, chest, with contrast material 1,042 815 $278K
76536 2,427 2,012 $276K
93041 2,931 2,488 $273K
J3380 Injection, vedolizumab, intravenous, 1 mg 50 38 $265K
90461 4,392 3,953 $262K
62323 502 438 $257K
83970 2,782 2,202 $254K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,839 1,803 $254K
A9585 Injection, gadobutrol, 0.1 ml 1,857 1,366 $251K
86803 4,074 3,597 $247K
J9045 Injection, carboplatin, 50 mg 252 104 $245K
97166 1,778 1,523 $242K
82040 6,373 4,428 $240K
90847 Family psychotherapy with the patient present, 50 minutes 2,598 1,072 $237K
73630 3,724 2,691 $237K
73130 2,468 1,833 $231K
84439 6,034 4,494 $229K
70498 915 743 $225K
J1815 Injection, insulin, per 5 units 617 319 $225K
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 2,077 1,194 $225K
99173 3,433 3,278 $221K
82247 5,987 3,928 $220K
J9263 Injection, oxaliplatin, 0.5 mg 242 90 $220K
83550 8,913 7,436 $219K
87040 1,636 1,130 $216K
72156 193 127 $216K
84155 5,517 3,735 $216K
84075 5,272 3,507 $215K
82607 4,580 4,024 $215K
93226 994 831 $212K
87340 3,180 2,616 $211K
73590 2,901 2,252 $211K
72128 1,218 1,029 $206K
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 4,742 4,441 $203K
44970 98 56 $203K
90715 1,418 1,262 $194K
J8540 Dexamethasone, oral, 0.25 mg 1,655 1,020 $194K
73110 2,275 1,715 $193K
73030 2,564 2,058 $190K
83540 9,248 7,670 $188K
99232 Subsequent hospital care, per day, moderate complexity 2,651 699 $188K
87088 2,745 2,291 $187K
87186 3,354 2,628 $185K
82330 1,298 999 $185K
82784 4,763 3,904 $183K
92526 2,110 1,075 $181K
94760 5,374 4,318 $179K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 2,911 1,472 $178K
86481 1,566 1,416 $178K
88304 1,320 940 $177K
83655 8,004 6,662 $175K
87077 3,671 2,787 $173K
90870 807 304 $172K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,663 2,401 $168K
72100 1,977 1,570 $166K
77295 74 63 $161K
88342 988 768 $160K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 787 584 $160K
70486 937 807 $159K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 12,862 10,578 $159K
82550 2,824 2,274 $159K
83615 4,636 3,117 $158K
72082 1,789 1,540 $156K
97535 Self-care/home management training, each 15 minutes 2,802 1,709 $155K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,325 1,214 $154K
76870 1,114 881 $154K
76642 1,573 1,294 $154K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 2,185 1,691 $153K
73090 2,004 1,512 $152K
95816 550 417 $152K
86706 3,006 2,432 $151K
92588 1,234 720 $149K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 731 720 $148K
86704 1,846 1,581 $147K
85379 1,412 1,142 $147K
93320 1,060 841 $145K
87070 3,623 2,830 $144K
93017 847 622 $143K
J0330 Injection, succinylcholine chloride, up to 20 mg 990 495 $142K
70496 559 459 $139K
87640 2,433 1,960 $138K
87641 2,454 1,931 $135K
99358 Prolong nursin fac eval 15m 1,182 717 $134K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,492 972 $133K
31575 429 320 $133K
95806 277 233 $132K
74018 2,159 1,761 $132K
73080 1,685 1,372 $129K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 154 81 $128K
86923 720 431 $128K
87205 3,329 2,537 $128K
97165 1,057 888 $126K
87481 597 471 $126K
99170 641 512 $125K
77290 195 153 $124K
73552 1,733 1,437 $123K
Q5111 Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg 53 29 $121K
J0780 Injection, prochlorperazine, up to 10 mg 598 418 $119K
77301 37 26 $118K
72157 109 79 $117K
86003 758 492 $114K
73502 1,398 1,132 $114K
95886 779 489 $112K
99235 517 342 $112K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 771 632 $111K
96523 718 456 $111K
93971 722 586 $111K
92567 3,286 2,058 $110K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 613 402 $109K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 706 689 $107K
87015 889 762 $107K
J9035 Injection, bevacizumab, 10 mg 25 12 $106K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 747 678 $106K
80047 576 459 $105K
92610 711 594 $104K
99281 Emergency department visit for the evaluation and management, self-limited or minor 784 653 $104K
92557 1,261 883 $101K
94761 216 172 $101K
86708 912 818 $99K
83516 2,681 2,009 $99K
88341 448 334 $99K
96112 491 337 $99K
96402 476 428 $98K
J0696 Injection, ceftriaxone sodium, per 250 mg 1,070 744 $98K
72170 1,305 1,143 $97K
77066 Tomosynthesis, mammo 612 459 $94K
99238 Hospital discharge day management, 30 minutes or less 1,092 749 $94K
70491 281 197 $93K
86787 789 713 $93K
73060 962 757 $92K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 824 456 $91K
85660 911 743 $90K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,026 922 $90K
J0640 Injection, leucovorin calcium, per 50 mg 262 128 $88K
92579 1,371 831 $88K
72197 88 67 $87K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 7,973 7,035 $86K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,856 2,221 $86K
82465 4,630 4,020 $85K
96900 655 130 $85K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 190 146 $83K
85014 2,247 1,615 $82K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 560 383 $81K
76830 Ultrasound, transvaginal 526 413 $81K
87505 539 308 $81K
83718 3,760 3,333 $80K
82378 894 691 $79K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 578 472 $78K
20610 339 254 $75K
J1050 Injection, medroxyprogesterone acetate, 1 mg 1,587 1,226 $74K
74176 Computed tomography, abdomen and pelvis; without contrast material 348 288 $74K
73100 1,486 931 $74K
77063 Screening digital breast tomosynthesis, bilateral 1,843 1,770 $70K
96161 3,076 2,454 $68K
96409 436 177 $68K
84403 1,149 990 $68K
90686 958 871 $68K
77338 58 39 $67K
76885 654 461 $66K
93271 394 254 $66K
90846 Family psychotherapy without the patient present, 50 minutes 613 326 $65K
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg 71 49 $64K
99222 Initial hospital care, per day, moderate complexity 458 331 $64K
84480 1,251 800 $63K
81415 31 31 $63K
A4550 Surgical trays 354 229 $61K
J1750 Injection, iron dextran, 50 mg 163 141 $61K
86038 1,525 1,296 $61K
85045 4,739 3,679 $60K
84153 1,512 1,264 $60K
92551 1,500 1,048 $59K
87081 214 133 $58K
84165 825 642 $58K
82570 1,676 1,359 $58K
87522 Neg quan hep c or qual rna 582 420 $56K
87507 114 81 $56K
94729 828 676 $55K
82043 4,224 3,619 $55K
92134 556 420 $53K
72040 1,030 866 $52K
J2501 Injection, paricalcitol, 1 mcg 6,169 324 $51K
95908 337 177 $51K
84156 1,457 1,192 $49K
86480 495 357 $49K
94727 825 673 $49K
99221 254 170 $49K
73564 770 501 $48K
G0008 Administration of influenza virus vaccine 899 768 $47K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,297 1,010 $47K
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 142 112 $47K
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 133 107 $46K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 82 48 $45K
92585 262 138 $45K
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 103 52 $44K
86618 475 385 $44K
87536 194 185 $42K
96111 375 213 $41K
51701 266 235 $41K
99417 Prolong home eval add 15m 830 742 $40K
82977 2,104 1,589 $40K
J2997 Injection, alteplase recombinant, 1 mg 179 80 $40K
11045 132 43 $40K
95910 160 57 $40K
83001 900 654 $39K
73000 408 309 $38K
82140 270 206 $38K
85018 2,347 1,317 $38K
87207 244 238 $38K
81514 107 98 $36K
J9217 Leuprolide acetate (for depot suspension), 7.5 mg 116 104 $36K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 320 240 $36K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 288 249 $35K
83002 829 586 $34K
84702 427 343 $34K
82746 685 609 $34K
82670 588 424 $34K
64645 364 327 $33K
87480 606 474 $33K
87510 606 473 $33K
64646 15 14 $33K
J9370 Vincristine sulfate, 1 mg 100 41 $33K
77072 729 507 $33K
83883 584 419 $32K
80197 1,558 989 $32K
73070 701 453 $32K
76981 265 169 $31K
95819 106 78 $31K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 439 315 $31K
84402 625 434 $31K
82955 242 232 $31K
J1630 Injection, haloperidol, up to 5 mg 210 171 $31K
96101 54 53 $30K
87660 602 469 $30K
93321 412 237 $29K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 595 456 $29K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 424 308 $29K
77065 Tomosynthesis, mammo 263 198 $29K
87631 149 140 $28K
99231 Subsequent hospital care, per day, straightforward or low complexity 544 166 $28K
95885 393 165 $28K
92611 232 192 $28K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 246 165 $28K
86360 305 208 $26K
64643 95 64 $26K
82435 189 165 $26K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 60 40 $26K
72081 480 433 $26K
99174 321 318 $26K
76857 331 209 $25K
84550 1,565 1,011 $25K
86364 1,119 1,086 $25K
76882 384 298 $25K
84146 566 401 $24K
88307 162 97 $24K
74019 332 269 $24K
93225 234 130 $24K
82105 626 403 $24K
80177 232 168 $24K
74230 231 167 $24K
88173 197 144 $24K
36591 169 112 $23K
91200 205 146 $23K
95873 181 105 $23K
70544 52 36 $21K
72110 217 201 $21K
82747 446 324 $21K
83921 450 347 $21K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 60 43 $20K
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 76 70 $20K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 17 15 $20K
96368 110 51 $18K
86160 329 282 $18K
ATP08 2,826 1,981 $18K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 38 29 $18K
74174 40 30 $18K
83030 932 724 $17K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 34 24 $17K
86765 259 213 $17K
86359 304 207 $17K
42820 Tonsillectomy and adenoidectomy; younger than age 12 25 13 $16K
0002A 716 714 $16K
88185 66 40 $16K
92083 188 119 $16K
97116 178 79 $16K
82272 282 201 $15K
86735 243 199 $15K
89051 115 94 $15K
86334 241 159 $15K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 117 98 $15K
82139 424 226 $15K
86665 207 110 $15K
95909 83 53 $15K
72070 227 152 $15K
G1011 Clinical decision support mechanism, qualified tool not otherwise specified, as defined by the medicare appropriate use criteria program 215 178 $15K
97750 225 166 $14K
86682 108 102 $14K
76506 127 79 $14K
20552 16 12 $14K
0001A 769 762 $14K
J3489 Injection, zoledronic acid, 1 mg 28 25 $14K
90675 55 29 $13K
96160 255 251 $13K
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 301 233 $13K
82150 484 299 $13K
80074 135 101 $12K
80164 171 88 $12K
86147 88 67 $12K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 585 524 $12K
36593 88 38 $12K
70360 258 175 $12K
J2785 Injection, regadenoson, 0.1 mg 39 26 $12K
87206 525 371 $11K
90832 Psychotherapy, 30 minutes with patient 313 91 $11K
87209 89 52 $11K
83721 530 424 $11K
86762 136 119 $11K
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) 65 59 $11K
87075 213 180 $11K
92133 180 120 $11K
87177 89 52 $10K
86141 324 179 $10K
87338 394 326 $10K
90834 Psychotherapy, 45 minutes with patient 172 83 $10K
J2765 Injection, metoclopramide hcl, up to 10 mg 135 95 $10K
92582 233 123 $10K
87799 114 79 $10K
J2919 Injection, methylprednisolone sodium succinate, 5 mg 221 161 $10K
M0239 Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring 42 39 $10K
G0297 Low dose ct scan (ldct) for lung cancer screening 45 37 $10K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 125 116 $9K
51798 222 160 $9K
81416 13 13 $9K
82652 118 67 $9K
86235 117 94 $9K
ATP15 1,110 821 $9K
83993 268 139 $9K
93042 921 668 $8K
93270 107 43 $8K
83020 219 135 $8K
73562 213 135 $8K
90472 Immunization administration, each additional vaccine (list separately) 165 146 $8K
99223 Prolong inpt eval add15 m 61 54 $8K
0124A 219 206 $8K
96131 36 24 $8K
82397 220 216 $8K
82533 150 119 $7K
J8499 Prescription drug, oral, non chemotherapeutic, nos 288 224 $7K
85240 184 134 $7K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 21 21 $7K
12011 50 48 $7K
73140 152 105 $7K
J1030 Injection, methylprednisolone acetate, 40 mg 163 131 $7K
86664 203 111 $7K
83520 209 121 $6K
88184 65 40 $6K
85246 128 96 $6K
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg 137 102 $6K
74241 37 26 $6K
86800 195 135 $6K
73521 128 78 $6K
86146 62 41 $6K
ATP07 1,285 668 $6K
86376 193 156 $6K
86039 176 149 $6K
84305 119 97 $6K
77280 26 13 $6K
86663 203 111 $6K
87493 17 12 $5K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 374 266 $5K
85060 243 91 $5K
92550 195 64 $5K
83021 107 65 $5K
70355 43 37 $5K
64615 26 25 $5K
V5011 Fitting/orientation/checking of hearing aid 26 13 $5K
90662 317 254 $5K
84466 187 135 $5K
82010 85 72 $5K
82785 133 104 $5K
29125 39 37 $5K
90480 106 38 $4K
81206 19 13 $4K
86592 86 83 $4K
85384 60 39 $4K
72190 64 52 $4K
85245 75 59 $4K
J3480 Injection, potassium chloride, per 2 meq 34 27 $4K
J1171 Injection, hydromorphone, 0.1 mg 13 12 $3K
82787 35 24 $3K
93970 19 12 $3K
91065 22 12 $3K
96380 87 83 $3K
84270 45 37 $3K
87184 93 67 $3K
0031A 100 99 $3K
12001 27 23 $3K
C9113 Injection, pantoprazole sodium, per vial 17 12 $3K
83010 88 38 $3K
82374 61 47 $3K
76937 18 12 $3K
J3370 Injection, vancomycin hcl, 500 mg 92 39 $3K
90714 15 15 $2K
J1071 Injection, testosterone cypionate, 1 mg 321 144 $2K
96130 16 12 $2K
0154A 88 87 $2K
0111A 96 92 $2K
0250 1,224 389 $2K
83519 70 55 $2K
87147 55 28 $2K
72050 27 25 $2K
99233 Prolong inpt eval add15 m 29 12 $2K
86225 79 61 $2K
86357 49 36 $2K
86355 49 36 $2K
84425 84 66 $2K
86308 38 33 $2K
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 76 27 $2K
90713 12 12 $2K
84481 51 42 $2K
86580 199 115 $2K
86431 139 117 $2K
74221 14 14 $2K
99239 Hospital discharge day management, more than 30 minutes 26 25 $2K
73120 22 12 $2K
97016 38 13 $2K
90670 62 56 $2K
99195 19 14 $2K
99443 38 37 $2K
V2632 Posterior chamber intraocular lens 21 14 $2K
87102 79 24 $1K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 70 27 $1K
T1016 Case management, each 15 minutes 25 25 $1K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 27 15 $1K
J2003 Injection, lidocaine hydrochloride, 1 mg 18 17 $1K
97755 14 12 $1K
86753 16 16 $1K
83090 44 28 $1K
83498 13 13 $1K
J1953 Injection, levetiracetam, 10 mg 13 12 $1K
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 16 13 $1K
82525 40 28 $986.76
84432 29 14 $925.64
92553 20 18 $924.86
94664 12 12 $912.52
88313 15 14 $829.07
99441 84 77 $795.86
84478 75 63 $781.70
90656 14 14 $773.96
J2550 Injection, promethazine hcl, up to 50 mg 51 44 $755.44
77073 12 12 $753.82
97542 13 12 $741.99
82627 12 12 $681.83
92136 18 14 $652.36
80230 12 12 $622.32
J1940 Injection, furosemide, up to 20 mg 20 12 $578.23
76514 28 16 $558.27
51702 21 13 $548.45
84134 17 15 $538.66
87650 15 15 $506.55
G0009 Administration of pneumococcal vaccine 37 34 $491.78
80175 21 13 $438.02
86902 15 13 $411.65
88300 35 16 $400.05
J9255 Injection, methotrexate (accord), not therapeutically equivalent to j9260, 50 mg 33 12 $328.33
92593 12 12 $321.30
80299 12 12 $287.32
86200 14 12 $280.90
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 50 30 $279.72
92025 18 14 $278.41
H2021 Community-based wrap-around services, per 15 minutes 29 17 $273.66
99442 17 16 $255.19
99406 12 12 $228.96
ATP14 34 24 $208.41
ATP09 33 25 $189.46
82438 15 15 $151.03
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 37 12 $133.55
0003A 19 16 $25.76
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 13 12 $7.04
90674 15 14 $6.52
99070 16 15 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 24 13 $0.00