Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Visalia › NPI 1588663769

Kaweah Delta Health Care District

Kaweah Delta Health Care District was paid $83.04M by Medicaid between Jan 2018 and Dec 2024, across 546 billing codes. Its largest line is 0450, Emergency room services — 25% of everything it billed.

33Billing provider infoKAWEAH DELTA HEALTH CARE DISTRICT
VISALIA, CA 93291
33aNPI1588663769assigned 07/19/2005
28Total paid$83.04M
24GClaims3,007,605
24DCodes billed546
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Case Manager/Care Coordinator providers in California

Rank by total paid#18 of 435
Median peer was paid$2.89M
This provider vs. median29×

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 TUPPER, MALINDA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$1.0M$2.0M2018201920202021202220232024
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
2018358,040$8.95M
2019345,492$8.37M
2020360,550$9.49M
2021445,771$11.92M
2022493,925$13.61M
2023559,223$17.11M
2024incomplete444,604$13.59M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
0450 Emergency room services 25% 165,352 143,334 $20.60M
80053 Comprehensive metabolic panel 5.2% 131,381 118,318 $4.28M
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4.9% 94,215 87,382 $4.11M
99199 Unlisted special service, procedure or report 3.6% 58,929 48,307 $3.00M
G9012 Other specified case management service not elsewhere classified 3.3% 24,667 9,288 $2.71M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.5% 67,862 61,957 $2.10M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2.1% 71,793 16,707 $1.72M
74177 Computed tomography, abdomen and pelvis; with contrast material 2.0% 17,280 16,784 $1.63M
87428 1.7% 33,482 31,779 $1.45M
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1.7% 29,545 28,425 $1.41M
80048 Basic metabolic panel (calcium, ionized) 1.5% 26,970 22,504 $1.26M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.2% 9,627 9,328 $984K
534 more codes
70450 Computed tomography, head or brain; without contrast material 1.1% 14,459 $895K
0160 1.0% 14,289 $850K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 68,099 $778K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 156,354 $773K
71046 Radiologic examination, chest; 2 views <1% 48,351 $767K
97139 <1% 42,519 $738K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 24,962 $732K
H0043 Supported housing, per diem <1% 5,355 $649K
97750 <1% 14,068 $642K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 14,862 $625K
97010 <1% 13,987 $594K
0760 <1% 18,017 $593K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 47,881 $559K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 17,939 $558K
78815 Positron emission tomography (PET) for limited area imaging <1% 724 $509K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 3,889 $501K
95811 <1% 2,585 $492K
J3490 Unclassified drugs <1% 12,646 $468K
84443 Thyroid stimulating hormone (TSH) <1% 25,228 $458K
70551 Magnetic resonance imaging, brain; without contrast material <1% 1,852 $428K
93325 <1% 4,403 $423K
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% 31,117 $415K
77067 Screening mammography, bilateral, including computer-aided detection <1% 5,533 $407K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 899 $405K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 1,409 $381K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 13,440 $377K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 13,820 $366K
0360 <1% 2,684 $366K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 12,037 $360K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 14,233 $332K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 3,944 $325K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 25,453 $324K
71275 Computed tomographic angiography, chest, with contrast material <1% 3,861 $312K
99215 Doctor's office visit, returning patient (complex) <1% 5,887 $308K
72125 Computed tomography, cervical spine; without contrast material <1% 4,662 $302K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 18,139 $300K
80061 Lipid panel <1% 22,642 $298K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 8,596 $297K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 11,137 $294K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 1,634 $290K
99203 Doctor's office visit, new patient (routine) <1% 6,397 $288K
84484 <1% 43,849 $287K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 16,045 $287K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 11,132 $282K
87634 <1% 7,868 $265K
71045 Radiologic examination, chest; single view <1% 22,481 $263K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 26,621 $254K
83036 Hemoglobin; glycosylated (A1C) <1% 22,247 $254K
J2785 Injection, regadenoson, 0.1 mg <1% 1,928 $254K
96361 Intravenous infusion, hydration; each additional hour <1% 18,791 $252K
36415 Collection of venous blood by venipuncture <1% 68,083 $244K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 11,993 $241K
93320 <1% 3,878 $235K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 5,936 $217K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 1,138 $208K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 6,244 $195K
99285 Emergency room visit (most serious) <1% 2,502 $195K
81001 <1% 63,194 $194K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 13,431 $193K
82803 <1% 20,903 $193K
Z7502 <1% 5,069 $192K
0270 <1% 3,802 $189K
76770 <1% 4,135 $183K
76801 <1% 6,322 $183K
J1815 Injection, insulin, per 5 units <1% 2,765 $172K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 2,812 $172K
0720 <1% 3,527 $167K
76830 Ultrasound, transvaginal <1% 4,858 $166K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 5,407 $166K
99284 Emergency room visit (serious) <1% 2,184 $164K
Q9957 Injection, perflutren lipid microspheres, per ml <1% 1,510 $163K
70496 <1% 1,680 $160K
82330 <1% 19,817 $159K
87481 <1% 5,233 $158K
G9008 Coordinated care fee, physician coordinated care oversight services <1% 1,343 $157K
81025 <1% 18,338 $155K
97799 <1% 9,621 $154K
A9577 Injection, gadobenate dimeglumine (multihance), per ml <1% 1,964 $151K
83605 <1% 24,948 $150K
73130 <1% 6,981 $148K
93971 <1% 3,171 $147K
83880 <1% 11,733 $145K
0761 <1% 4,081 $141K
97165 <1% 3,485 $140K
73630 <1% 6,640 $137K
73610 <1% 5,883 $136K
83690 <1% 38,030 $133K
96375 Therapeutic injection; each additional sequential IV push <1% 10,099 $133K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants <1% 814 $131K
93970 <1% 1,404 $130K
99204 Doctor's office visit, new patient (more involved) <1% 2,513 $129K
83735 <1% 25,475 $129K
76641 <1% 2,393 $128K
93017 <1% 3,530 $123K
80074 <1% 2,788 $123K
73030 <1% 5,652 $122K
87086 Culture, bacterial; quantitative colony count, urine <1% 25,425 $120K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 10,008 $120K
80076 <1% 5,077 $118K
99283 Emergency room visit (moderate) <1% 1,748 $117K
72141 <1% 556 $115K
70498 <1% 1,985 $114K
82947 <1% 31,918 $113K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 1,785 $107K
77063 Screening digital breast tomosynthesis, bilateral <1% 5,517 $106K
72110 <1% 2,449 $102K
86850 <1% 15,023 $102K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 4,931 $100K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 6,331 $99K
84439 <1% 13,089 $94K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 1,169 $93K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 3,897 $92K
82375 <1% 11,343 $91K
86480 <1% 1,810 $90K
70486 <1% 1,220 $90K
96379 <1% 4,310 $89K
59025 Fetal non-stress test <1% 8,320 $84K
73110 <1% 4,438 $83K
G0378 Hospital observation service, per hour <1% 1,246 $83K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 8,712 $82K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 31,647 $82K
99221 <1% 2,325 $81K
73562 <1% 4,522 $78K
93308 <1% 2,031 $77K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 2,719 $75K
84702 <1% 11,902 $75K
84703 <1% 24,081 $74K
86803 <1% 3,619 $73K
J0561 Injection, penicillin g benzathine, 100,000 units <1% 496 $71K
73564 <1% 2,579 $70K
0683 <1% 473 $70K
82607 <1% 7,295 $69K
73502 <1% 2,058 $68K
90715 <1% 4,737 $68K
74018 <1% 4,245 $67K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries <1% 397 $64K
73080 <1% 2,742 $61K
83789 <1% 4,710 $60K
76819 Fetal biophysical profile; without non-stress testing <1% 2,207 $60K
93458 <1% 107 $58K
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% 1,668 $58K
87081 <1% 10,283 $58K
85610 <1% 19,893 $57K
83050 <1% 11,299 $57K
72100 <1% 2,065 $56K
87040 <1% 5,867 $55K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 436 $55K
73590 <1% 3,347 $52K
84999 <1% 2,535 $51K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 12,438 $51K
83721 <1% 14,816 $51K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 2,660 $49K
90999 Dialysis (unlisted procedure) <1% 520 $48K
87430 <1% 2,823 $47K
97803 <1% 1,494 $47K
97161 <1% 1,474 $46K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 10,672 $46K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 175 $45K
76870 <1% 1,441 $45K
94729 <1% 1,393 $44K
86900 <1% 18,762 $43K
86901 <1% 18,766 $42K
73090 <1% 2,758 $42K
94726 <1% 1,423 $41K
Q3014 Telehealth originating site facility fee <1% 2,282 $41K
94060 <1% 1,562 $41K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 8,824 $40K
77066 Tomosynthesis, mammo <1% 448 $40K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 1,342 $39K
81003 <1% 13,677 $39K
86140 <1% 8,774 $38K
84132 <1% 19,010 $37K
82948 <1% 7,607 $37K
76604 <1% 1,450 $36K
83970 <1% 1,126 $35K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 10,360 $34K
84100 <1% 10,640 $33K
84295 <1% 18,619 $33K
72170 <1% 3,430 $33K
J2704 Injection, propofol, 10 mg <1% 2,899 $32K
84550 <1% 8,015 $32K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 10,607 $32K
85379 <1% 6,118 $32K
93880 <1% 345 $32K
85730 <1% 8,117 $31K
70491 <1% 401 $31K
87653 <1% 1,285 $31K
97802 <1% 408 $31K
76536 <1% 630 $31K
72050 <1% 895 $31K
77065 Tomosynthesis, mammo <1% 450 $30K
72040 <1% 1,096 $30K
82728 <1% 3,162 $29K
0710 <1% 1,030 $29K
47562 <1% 182 $29K
87186 <1% 8,152 $29K
82435 <1% 17,684 $29K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 3,107 $29K
84480 <1% 2,289 $29K
86003 <1% 316 $29K
74019 <1% 1,751 $29K
J1650 Injection, enoxaparin sodium, 10 mg <1% 4,110 $28K
82550 <1% 5,218 $27K
12001 <1% 1,641 $26K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 1,314 $25K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 2,026 $25K
73140 <1% 1,811 $25K
82746 <1% 1,916 $25K
83540 <1% 4,725 $24K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram <1% 401 $24K
87340 <1% 1,807 $23K
86592 <1% 6,651 $23K
77336 <1% 895 $22K
84145 <1% 1,784 $22K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 10,420 $22K
J1644 Injection, heparin sodium, per 1000 units <1% 3,301 $22K
82043 <1% 3,119 $21K
0300 <1% 420 $21K
83520 <1% 1,821 $20K
G9793 Patient is currently on a daily aspirin or other antiplatelet <1% 2,054 $20K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 5,176 $20K
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% 1,092 $19K
73552 <1% 1,312 $19K
85576 <1% 415 $19K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 334 $19K
85014 <1% 18,787 $18K
83550 <1% 3,486 $18K
96367 <1% 1,132 $18K
J3475 Injection, magnesium sulfate, per 500 mg <1% 2,584 $18K
93296 <1% 639 $18K
70360 <1% 1,025 $18K
85651 <1% 7,640 $18K
77412 <1% 558 $17K
81002 <1% 9,458 $17K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 2,580 $17K
J1790 Injection, droperidol, up to 5 mg <1% 2,111 $17K
12011 <1% 843 $16K
86376 <1% 1,315 $15K
12002 <1% 850 $15K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 1,411 $15K
73060 <1% 1,226 $15K
J1756 Injection, iron sucrose, 1 mg <1% 177 $15K
86762 <1% 1,083 $15K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 6,802 $14K
97018 <1% 299 $14K
82010 <1% 2,987 $14K
87070 <1% 2,467 $14K
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 6,380 $14K
29125 <1% 1,121 $14K
82140 <1% 2,143 $14K
84153 <1% 820 $14K
71250 <1% 158 $14K
87088 <1% 4,799 $14K
86635 <1% 888 $14K
80069 <1% 1,556 $13K
J2270 Injection, morphine sulfate, up to 10 mg <1% 4,075 $13K
S0020 Injection, bupivicaine hydrochloride, 30 ml <1% 1,204 $13K
P9016 Red blood cells, leukocytes reduced, each unit <1% 411 $13K
90686 <1% 2,277 $13K
86038 <1% 1,171 $12K
84466 <1% 1,219 $12K
97116 <1% 1,589 $12K
73221 <1% 45 $11K
85027 <1% 1,988 $11K
99401 <1% 862 $11K
J0690 Injection, cefazolin sodium, 500 mg <1% 1,882 $11K
80164 <1% 872 $11K
93225 <1% 423 $11K
85018 <1% 10,880 $11K
96376 <1% 2,582 $11K
82248 <1% 2,609 $11K
82274 <1% 708 $10K
95816 <1% 330 $10K
96368 <1% 715 $10K
T2041 Supports brokerage, self-directed, waiver; per 15 minutes <1% 53 $10K
93000 <1% 443 $10K
80050 General health panel <1% 752 $10K
71101 <1% 370 $10K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 1,770 $9K
84403 <1% 455 $9K
82950 <1% 1,653 $9K
93226 <1% 236 $9K
82570 <1% 1,915 $9K
99205 Prolong outpt/office vis <1% 152 $9K
Z9725 <1% 197 $8K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 1,210 $8K
29515 <1% 679 $8K
10060 <1% 465 $8K
87205 <1% 2,837 $8K
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" <1% 484 $8K
J2060 Injection, lorazepam, 2 mg <1% 3,661 $7K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 99 $7K
72070 <1% 364 $7K
J3370 Injection, vancomycin hcl, 500 mg <1% 958 $7K
87210 <1% 2,411 $7K
95782 <1% 14 $7K
J1953 Injection, levetiracetam, 10 mg <1% 807 $7K
74178 <1% 38 $7K
0762 <1% 988 $7K
93356 <1% 417 $6K
74022 <1% 265 $6K
36455 <1% 334 $6K
87505 <1% 56 $6K
93925 <1% 114 $6K
86403 <1% 583 $6K
90837 Psychotherapy session, about an hour <1% 67 $6K
72158 <1% 13 $6K
93242 <1% 509 $6K
87807 <1% 871 $6K
77334 <1% 52 $6K
77280 <1% 163 $6K
H1001 Prenatal care, at-risk enhanced service; antepartum management <1% 196 $6K
J1170 Injection, hydromorphone, up to 4 mg <1% 1,126 $6K
84436 <1% 2,993 $6K
73560 <1% 438 $5K
87220 <1% 1,502 $5K
73620 <1% 209 $5K
3074F <1% 303 $5K
86431 <1% 909 $5K
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given <1% 869 $5K
76775 <1% 166 $5K
78451 <1% 73 $5K
97597 <1% 182 $5K
J0360 Injection, hydralazine hcl, up to 20 mg <1% 634 $5K
26145 <1% 45 $4K
93246 <1% 305 $4K
84146 <1% 257 $4K
87631 <1% 128 $4K
87338 <1% 445 $4K
83001 <1% 189 $4K
78227 <1% 18 $4K
76882 <1% 192 $4K
73120 <1% 122 $4K
0301 <1% 442 $4K
85384 <1% 651 $4K
29530 <1% 546 $4K
87045 <1% 602 $4K
90677 <1% 12 $4K
84479 <1% 755 $4K
72131 <1% 61 $4K
90658 <1% 217 $3K
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 197 $3K
99244 Office or other outpatient consultation, moderate to high complexity <1% 79 $3K
J0137 Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg <1% 195 $3K
83615 <1% 720 $3K
99243 <1% 156 $3K
3077F <1% 124 $3K
85045 <1% 904 $3K
92551 <1% 199 $3K
Z6406 <1% 244 $3K
83516 <1% 268 $3K
29240 <1% 749 $3K
36430 <1% 126 $3K
Q4081 Injection, epoetin alfa, 100 units (for esrd on dialysis) <1% 123 $3K
72072 <1% 120 $3K
29581 <1% 398 $3K
84481 <1% 381 $3K
93297 <1% 125 $3K
93016 <1% 243 $3K
84155 <1% 921 $3K
84520 <1% 530 $3K
J2550 Injection, promethazine hcl, up to 50 mg <1% 1,165 $3K
82784 <1% 314 $3K
77080 <1% 92 $2K
3079F <1% 239 $2K
51798 <1% 149 $2K
G8420 Bmi is documented within normal parameters and no follow-up plan is required <1% 408 $2K
82553 <1% 160 $2K
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 388 $2K
67042 <1% 13 $2K
87581 <1% 129 $2K
73000 <1% 92 $2K
J3105 Injection, terbutaline sulfate, up to 1 mg <1% 247 $2K
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% 239 $2K
87046 <1% 570 $2K
87486 <1% 129 $2K
0510 <1% 1,572 $2K
82565 <1% 441 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 384 $2K
76000 <1% 82 $2K
71020 <1% 338 $2K
29130 <1% 401 $2K
99223 Prolong inpt eval add15 m <1% 49 $2K
97535 Self-care/home management training, each 15 minutes <1% 213 $2K
87899 <1% 212 $2K
82310 <1% 385 $2K
86677 <1% 160 $2K
85390 <1% 413 $2K
86787 <1% 154 $2K
84156 <1% 809 $2K
J1630 Injection, haloperidol, up to 5 mg <1% 1,321 $2K
86308 <1% 327 $2K
97166 <1% 312 $2K
90791 Psychiatric diagnostic evaluation <1% 13 $2K
69209 <1% 246 $2K
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg <1% 203 $2K
86703 <1% 117 $2K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 12 $2K
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 187 $2K
99218 <1% 288 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 58 $1K
84157 <1% 690 $1K
0324 <1% 505 $1K
J3372 Injection, vancomycin hcl (xellia), not therapeutically equivalent to j3370, 500 mg <1% 99 $1K
J3260 Injection, tobramycin sulfate, up to 80 mg <1% 81 $1K
97016 <1% 470 $1K
74174 <1% 12 $1K
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose <1% 383 $1K
73070 <1% 124 $1K
82272 <1% 166 $1K
86800 <1% 137 $1K
92610 <1% 29 $1K
51702 <1% 89 $1K
J3360 Injection, diazepam, up to 5 mg <1% 97 $1K
85347 <1% 430 $1K
73600 <1% 46 $1K
82530 <1% 81 $1K
71100 <1% 57 $1K
74220 <1% 59 $1K
90732 <1% 13 $1K
84402 <1% 95 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 29 $1K
82610 <1% 117 $1K
J2560 Injection, phenobarbital sodium, up to 120 mg <1% 15 $1K
90746 <1% 13 $1K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 23 $1K
82810 <1% 164 $1K
80081 <1% 12 $1K
0370 <1% 357 $994.76
87449 <1% 104 $991.79
95819 <1% 38 $981.37
76376 <1% 303 $979.85
82378 <1% 122 $964.40
84460 <1% 218 $914.81
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg <1% 131 $903.14
49083 <1% 15 $887.32
73660 <1% 91 $871.16
84134 <1% 84 $870.17
93350 <1% 18 $860.09
84450 <1% 206 $848.48
29105 <1% 84 $834.58
86769 <1% 26 $820.13
85008 <1% 997 $819.12
83002 <1% 36 $791.35
64721 <1% 12 $759.00
87184 <1% 227 $730.46
76999 <1% 25 $704.74
86920 <1% 21 $691.53
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 104 $689.00
51701 <1% 174 $684.14
80178 <1% 105 $674.69
85007 <1% 885 $641.79
82785 <1% 40 $615.97
90688 <1% 74 $576.38
90472 Immunization administration, each additional vaccine (list separately) <1% 58 $536.35
73521 <1% 25 $534.39
82977 <1% 72 $531.92
3075F <1% 28 $531.45
82105 <1% 14 $520.69
70487 <1% 13 $504.28
82040 <1% 148 $502.04
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 45 $492.12
72220 <1% 27 $477.82
90675 <1% 24 $477.16
J1940 Injection, furosemide, up to 20 mg <1% 128 $472.87
29260 <1% 281 $451.30
82945 <1% 176 $446.37
Z7500 <1% 13 $443.30
82731 <1% 14 $440.50
80329 <1% 93 $439.86
92558 <1% 15 $435.56
84075 <1% 119 $435.52
84270 <1% 27 $435.22
82575 <1% 52 $399.22
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 2,116 $387.39
82652 <1% 40 $378.98
83037 <1% 287 $375.47
86171 <1% 30 $370.24
A9537 Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries <1% 16 $366.94
82247 <1% 72 $365.44
86331 <1% 30 $346.25
99232 Hospital visit by a doctor, follow-up day <1% 19 $340.20
Z7610 <1% 26 $321.87
73100 <1% 12 $320.99
Z6404 <1% 12 $289.56
81050 <1% 149 $252.26
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 150 $241.50
93321 <1% 13 $233.06
83993 <1% 12 $228.44
71010 <1% 88 $224.77
86200 <1% 34 $219.31
S0164 Injection, pantoprazole sodium, 40 mg <1% 16 $194.38
J8540 Dexamethasone, oral, 0.25 mg <1% 189 $189.86
86706 <1% 12 $169.20
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 53 $167.54
94760 <1% 19 $138.30
J0456 Injection, azithromycin, 500 mg <1% 44 $133.38
84165 <1% 25 $131.04
0305 <1% 319 $129.71
3080F <1% 12 $115.48
J3486 Injection, ziprasidone mesylate, 10 mg <1% 16 $113.65
86256 <1% 13 $103.90
29540 <1% 131 $97.44
0320 <1% 32 $96.67
0730 <1% 12 $89.51
87075 <1% 16 $88.38
82374 <1% 68 $79.33
99000 <1% 143 $73.28
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 33 $72.68
99173 <1% 152 $64.64
90651 <1% 13 $61.65
83930 <1% 12 $57.92
J2310 Injection, naloxone hydrochloride, per 1 mg <1% 16 $54.84
87077 <1% 27 $53.66
86880 <1% 13 $47.87
93018 <1% 14 $45.15
0636 <1% 38 $39.60
86300 <1% 13 $35.76
G9724 Patients who had documentation of use of anticoagulant medications overlapping the measurement year <1% 31 $24.04
36000 <1% 16 $21.80
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) <1% 47 $17.71
S0077 Injection, clindamycin phosphate, 300 mg <1% 13 $16.12
G8482 Influenza immunization administered or previously received <1% 309 $14.13
A4657 Syringe, with or without needle, each <1% 580 $0.03
S9088 Services provided in an urgent care center (list in addition to code for service) 0% 80 $0.00
97014 0% 92 $0.00
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 0% 18 $0.00
G8986 Carrying, moving & handling objects functional limitation, discharge status, at discharge from therapy or to end reporting 0% 13 $0.00
G0008 Administration of influenza virus vaccine 0% 15 $0.00
A4649 Surgical supply; miscellaneous 0% 206 $0.00
G8984 Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals 0% 60 $0.00
G8985 Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 142 $0.00
0940 0% 40 $0.00
0370R 0% 12 $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.

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Authorized officialTUPPER, MALINDA (SRVP/CHIEF FINANCIAL OFFICER)
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