Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MI › Grand Rapids › NPI 1639111057
Hospital

Saint Mary's Health Services

Saint Mary's Health Services was paid $91.92M by Medicaid between Jan 2018 and Dec 2024, across 615 billing codes. Its largest line is G0463, Hospital outpatient clinic visit for assessment and management of a patient — 23% of everything it billed.

33Billing provider infoSAINT MARY'S HEALTH SERVICES
GRAND RAPIDS, MI 49503
33aNPI1639111057assigned 06/11/2006
28Total paid$91.92M
24GClaims2,841,131
24DCodes billed615
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Michigan

Rank by total paid#11 of 86
Median peer was paid$21.55M
This provider vs. median4.3×

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$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
2018349,253$10.44M
2019348,717$9.47M
2020319,538$9.93M
2021458,443$15.77M
2022479,833$16.11M
2023504,801$16.89M
2024incomplete380,546$13.30M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 23% 342,475 291,285 $20.77M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 15% 42,573 38,667 $13.37M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 11% 50,431 45,330 $9.76M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 8.6% 64,373 54,906 $7.94M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 4.0% 38,978 34,996 $3.71M
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.7% 21,791 20,231 $1.57M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.5% 22,152 20,666 $1.41M
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 1.4% 23,455 22,441 $1.32M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.4% 19,879 19,817 $1.29M
74177 Computed tomography, abdomen and pelvis; with contrast material 1.2% 8,099 7,919 $1.10M
J0585 Injection, onabotulinumtoxina, 1 unit 1.1% 2,968 1,735 $1.04M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.1% 14,901 14,857 $976K
603 more codes
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 12,362 $797K
96375 Therapeutic injection; each additional sequential IV push <1% 28,008 $793K
70450 Computed tomography, head or brain; without contrast material <1% 9,347 $778K
71046 Radiologic examination, chest; 2 views <1% 20,869 $738K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 10,534 $692K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 66,265 $689K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 7,186 $664K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 6,303 $626K
96361 Intravenous infusion, hydration; each additional hour <1% 18,136 $520K
90472 Immunization administration, each additional vaccine (list separately) <1% 28,028 $515K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 10,338 $474K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 5,076 $468K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 23,171 $458K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 941 $443K
90677 <1% 3,511 $437K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 30,214 $433K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 30,193 $433K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 2,156 $430K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 1,919 $421K
59025 Fetal non-stress test <1% 4,243 $398K
71045 Radiologic examination, chest; single view <1% 9,775 $361K
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% 17,983 $361K
G0382 Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) <1% 4,204 $351K
80061 Lipid panel <1% 33,528 $340K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 3,100 $328K
76801 <1% 5,400 $318K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 5,474 $317K
80053 Comprehensive metabolic panel <1% 114,739 $305K
20610 <1% 2,097 $305K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 5,415 $294K
76830 Ultrasound, transvaginal <1% 5,007 $289K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies <1% 297 $282K
77067 Screening mammography, bilateral, including computer-aided detection <1% 5,368 $251K
84443 Thyroid stimulating hormone (TSH) <1% 40,355 $250K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 33,876 $248K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 6,371 $248K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 1,227 $240K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 8,409 $236K
90686 <1% 27,862 $229K
41899 Unlisted procedure, dentoalveolar structures <1% 105 $227K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 1,940 $226K
87536 <1% 4,671 $217K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 3,612 $215K
64615 <1% 1,626 $212K
95811 <1% 479 $203K
90651 <1% 5,920 $201K
G0378 Hospital observation service, per hour <1% 5,893 $194K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 104,733 $178K
G0475 Hiv antigen/antibody, combination assay, screening <1% 11,768 $173K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 4,058 $168K
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) <1% 5,860 $168K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 1,636 $166K
90750 <1% 1,127 $163K
G0381 Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) <1% 3,380 $160K
64400 <1% 1,067 $159K
71275 Computed tomographic angiography, chest, with contrast material <1% 1,844 $153K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 11,327 $152K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 372 $149K
83036 Hemoglobin; glycosylated (A1C) <1% 35,614 $141K
93971 <1% 2,729 $141K
64405 <1% 928 $140K
99385 <1% 2,090 $133K
10060 <1% 1,498 $131K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 7,348 $127K
91320 <1% 1,177 $126K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 4,803 $124K
86900 <1% 8,273 $119K
97161 <1% 1,618 $116K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 3,492 $115K
G0383 Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) <1% 1,054 $112K
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% 6,953 $111K
99381 <1% 1,704 $107K
81513 <1% 1,769 $105K
86360 <1% 3,754 $97K
36415 Collection of venous blood by venipuncture <1% 118,740 $95K
70496 <1% 950 $93K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 6,260 $93K
Q3014 Telehealth originating site facility fee <1% 5,826 $93K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 6,852 $91K
70551 Magnetic resonance imaging, brain; without contrast material <1% 818 $87K
97162 <1% 1,124 $85K
99383 <1% 1,274 $84K
94726 <1% 1,213 $84K
71250 <1% 1,611 $80K
0002A <1% 2,277 $79K
72141 <1% 608 $76K
0001A <1% 2,497 $74K
93976 <1% 1,287 $71K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 7,043 $71K
76642 <1% 1,962 $67K
85027 <1% 34,211 $65K
76536 <1% 2,049 $63K
86480 <1% 1,818 $59K
86780 <1% 6,933 $59K
77066 Tomosynthesis, mammo <1% 1,046 $58K
90620 <1% 1,799 $56K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 2,059 $54K
82728 <1% 8,460 $54K
90834 Psychotherapy session, about 45 minutes <1% 1,150 $54K
90480 <1% 1,639 $53K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 445 $53K
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision <1% 3,263 $50K
87086 Culture, bacterial; quantitative colony count, urine <1% 20,517 $50K
87653 <1% 3,774 $49K
17110 <1% 1,209 $49K
90837 Psychotherapy session, about an hour <1% 953 $49K
82607 <1% 7,123 $48K
77063 Screening digital breast tomosynthesis, bilateral <1% 3,871 $47K
80048 Basic metabolic panel (calcium, ionized) <1% 20,761 $47K
90474 <1% 8,412 $47K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 1,692 $45K
86803 <1% 6,984 $45K
0124A <1% 1,474 $43K
71271 <1% 747 $42K
99384 <1% 633 $42K
72100 <1% 3,059 $42K
G0380 Level 1 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) <1% 986 $42K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 304 $42K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 3,037 $40K
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% 8,157 $39K
84702 <1% 8,357 $38K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg <1% 39 $38K
99382 <1% 573 $37K
47562 <1% 12 $35K
90746 <1% 489 $33K
70491 <1% 290 $33K
81420 Fetal chromosomal aneuploidy genomic sequence analysis panel <1% 164 $33K
73564 <1% 2,830 $33K
83655 <1% 4,448 $32K
70486 <1% 1,227 $32K
80074 <1% 1,655 $32K
95806 <1% 395 $30K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 1,808 $30K
73030 <1% 3,698 $30K
73562 <1% 2,342 $30K
93017 <1% 1,119 $29K
88342 <1% 1,176 $29K
90732 <1% 415 $29K
83970 <1% 1,648 $28K
83550 <1% 6,859 $28K
84439 <1% 7,896 $28K
90670 <1% 12,083 $28K
87340 <1% 7,288 $28K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 70 $27K
96161 <1% 1,870 $26K
97597 <1% 333 $26K
0054A <1% 813 $26K
87481 <1% 2,162 $25K
99495 <1% 423 $25K
76775 <1% 958 $24K
99386 <1% 367 $24K
87522 Neg quan hep c or qual rna <1% 1,280 $24K
73630 <1% 4,329 $23K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 396 $23K
83540 <1% 7,503 $23K
77065 Tomosynthesis, mammo <1% 572 $22K
72125 Computed tomography, cervical spine; without contrast material <1% 3,226 $22K
73502 <1% 2,464 $22K
86592 <1% 8,661 $22K
90678 <1% 74 $22K
90734 <1% 4,913 $21K
97165 <1% 759 $21K
87186 <1% 7,714 $21K
90791 Psychiatric diagnostic evaluation <1% 341 $20K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 35,944 $20K
0004A <1% 658 $20K
73610 <1% 3,872 $19K
83735 <1% 23,664 $19K
81025 <1% 7,014 $19K
90688 <1% 2,337 $19K
97166 <1% 504 $18K
84146 <1% 1,786 $18K
83880 <1% 3,699 $18K
84403 <1% 1,590 $18K
99406 <1% 1,321 $17K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 67 $17K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 4,401 $17K
86762 <1% 4,136 $17K
0012A <1% 502 $17K
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 1,589 $16K
73130 <1% 3,313 $16K
87077 <1% 6,091 $16K
82746 <1% 2,507 $16K
90716 <1% 4,097 $16K
87070 <1% 5,027 $16K
92551 <1% 2,264 $16K
87808 <1% 6,432 $15K
93246 <1% 894 $15K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 1,433 $15K
82043 <1% 5,794 $15K
81001 <1% 45,611 $15K
0071A <1% 508 $15K
86850 <1% 8,138 $14K
90656 <1% 1,680 $14K
72110 <1% 460 $14K
85610 <1% 13,589 $14K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 39 $14K
74018 <1% 1,897 $13K
94010 <1% 1,238 $13K
0072A <1% 370 $13K
96127 <1% 3,007 $13K
90694 <1% 533 $13K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 25 $13K
82570 <1% 6,012 $13K
83001 <1% 1,290 $12K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 43 $12K
0011A <1% 496 $12K
96116 <1% 103 $11K
97802 <1% 598 $11K
84481 <1% 1,411 $11K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 3,009 $11K
86787 <1% 2,404 $11K
86593 <1% 3,183 $11K
73110 <1% 2,060 $11K
83516 <1% 1,235 $10K
82670 <1% 649 $10K
86235 <1% 242 $10K
P9016 Red blood cells, leukocytes reduced, each unit <1% 57 $10K
86706 <1% 1,984 $10K
93970 <1% 97 $10K
0052A <1% 266 $9K
86140 <1% 5,496 $9K
72040 <1% 679 $9K
70320 <1% 86 $9K
91200 <1% 168 $8K
87205 <1% 9,603 $8K
82962 <1% 8,158 $8K
99493 <1% 249 $8K
11982 <1% 92 $8K
87210 <1% 5,835 $8K
82784 <1% 1,259 $8K
0051A <1% 240 $8K
80076 <1% 2,188 $8K
73140 <1% 895 $8K
90832 Psychotherapy session, about 30 minutes <1% 150 $8K
80305 <1% 8,677 $7K
82950 <1% 2,580 $7K
76870 <1% 376 $7K
92083 <1% 1,231 $7K
96367 <1% 169 $7K
80069 <1% 1,896 $7K
85018 <1% 6,122 $7K
74021 <1% 730 $7K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 6,772 $7K
90682 <1% 113 $7K
83002 <1% 690 $6K
86364 <1% 616 $6K
84703 <1% 25,750 $6K
86769 <1% 362 $6K
87088 <1% 2,756 $6K
95700 <1% 68 $6K
64483 <1% 14 $6K
86039 <1% 1,195 $6K
43235 <1% 27 $6K
85007 <1% 5,168 $6K
82105 <1% 678 $6K
81002 <1% 4,667 $6K
88307 <1% 223 $6K
80164 <1% 1,509 $6K
82951 <1% 745 $6K
85652 <1% 6,006 $6K
0081A <1% 149 $5K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 446 $5K
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring <1% 20 $5K
81003 <1% 12,032 $5K
86258 <1% 404 $5K
82947 <1% 206 $5K
86704 <1% 975 $5K
93350 <1% 30 $5K
92133 <1% 1,986 $5K
95713 <1% 24 $5K
11981 <1% 136 $5K
93351 <1% 17 $5K
87147 <1% 3,054 $5K
83690 <1% 19,350 $5K
87902 <1% 41 $4K
82248 <1% 1,751 $4K
77080 <1% 77 $4K
72072 <1% 313 $4K
73080 <1% 995 $4K
0154A <1% 120 $4K
57454 <1% 26 $4K
84425 <1% 362 $4K
86038 <1% 665 $4K
69209 <1% 763 $4K
20553 <1% 32 $4K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 219 $4K
74183 <1% 28 $4K
87899 <1% 378 $4K
95909 <1% 25 $4K
85730 <1% 5,344 $4K
84550 <1% 2,025 $4K
84156 <1% 2,941 $4K
80055 <1% 112 $4K
82550 <1% 2,540 $4K
95913 <1% 12 $4K
70498 <1% 837 $4K
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% 12 $3K
83615 <1% 1,629 $3K
84100 <1% 3,661 $3K
82140 <1% 1,086 $3K
73560 <1% 411 $3K
86901 <1% 8,659 $3K
87081 <1% 3,070 $3K
80197 <1% 546 $3K
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals <1% 45 $3K
76882 <1% 85 $3K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 2,751 $3K
0003A <1% 105 $3K
88341 <1% 105 $3K
87529 <1% 138 $3K
10005 <1% 13 $3K
74019 <1% 372 $3K
73590 <1% 870 $3K
94060 <1% 27 $3K
95819 <1% 29 $3K
G0297 Low dose ct scan (ldct) for lung cancer screening <1% 107 $3K
86431 <1% 1,116 $3K
0082A <1% 79 $3K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring <1% 17 $3K
86580 <1% 374 $3K
82044 <1% 1,293 $3K
11750 <1% 16 $3K
71101 <1% 719 $3K
80159 <1% 259 $3K
96415 <1% 46 $3K
88142 <1% 317 $3K
78320 <1% 15 $3K
86696 <1% 292 $3K
84484 <1% 22,658 $2K
58100 <1% 24 $2K
90662 <1% 265 $2K
96118 <1% 27 $2K
99214 Doctor's office visit, returning patient (more involved) <1% 112 $2K
87220 <1% 4,568 $2K
87641 <1% 180 $2K
80081 <1% 93 $2K
99484 <1% 124 $2K
95812 <1% 12 $2K
88304 <1% 842 $2K
84153 <1% 284 $2K
80178 <1% 869 $2K
58301 <1% 15 $2K
G0384 Level 5 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) <1% 12 $2K
74178 <1% 12 $2K
83020 <1% 450 $2K
86695 <1% 293 $2K
90744 <1% 4,388 $2K
87040 <1% 2,761 $2K
G0008 Administration of influenza virus vaccine <1% 1,576 $2K
99213 Doctor's office visit, returning patient (routine) <1% 451 $2K
86708 <1% 279 $2K
82247 <1% 584 $2K
87338 <1% 222 $1K
87901 <1% 24 $1K
G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes <1% 18 $1K
99492 <1% 44 $1K
82952 <1% 653 $1K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 131 $1K
86923 <1% 64 $1K
85379 <1% 4,664 $1K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 51 $1K
73700 <1% 26 $1K
0074A <1% 56 $1K
85045 <1% 698 $1K
76770 <1% 14 $1K
84590 <1% 160 $1K
90653 <1% 90 $1K
87400 <1% 1,000 $1K
82533 <1% 118 $1K
86225 <1% 154 $972.16
83605 <1% 11,709 $969.69
96132 <1% 14 $949.39
86200 <1% 161 $947.21
99232 Hospital visit by a doctor, follow-up day <1% 38 $930.23
12001 <1% 1,240 $915.09
87045 <1% 249 $911.67
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% 48 $860.91
86376 <1% 111 $839.63
86003 <1% 25 $793.23
11721 <1% 59 $746.65
82805 <1% 1,417 $734.50
87900 <1% 24 $733.09
85660 <1% 422 $725.55
87517 <1% 50 $689.08
93298 <1% 40 $676.71
97535 Self-care/home management training, each 15 minutes <1% 257 $652.69
58300 <1% 40 $648.94
76000 <1% 132 $594.62
82565 <1% 927 $592.45
73090 <1% 204 $570.00
0031A <1% 19 $543.55
87563 <1% 31 $531.11
86800 <1% 61 $483.15
87449 <1% 84 $462.22
82150 <1% 140 $387.43
0053A <1% 13 $380.55
86682 <1% 62 $364.62
88173 <1% 15 $356.73
87806 <1% 1,341 $350.11
87015 <1% 123 $348.75
87046 <1% 98 $346.64
87906 <1% 12 $333.67
0202U Oncology (prostate), multianalyte, gene expression profiling <1% 1,232 $333.42
99204 Doctor's office visit, new patient (more involved) <1% 19 $331.90
90756 <1% 12 $306.90
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 235 $305.60
82274 <1% 25 $260.91
92060 <1% 546 $256.03
72050 <1% 12 $245.82
82652 <1% 16 $242.44
87430 <1% 3,054 $235.39
82330 <1% 32 $235.38
87075 <1% 104 $234.76
82010 <1% 1,167 $233.55
87101 <1% 88 $223.71
84144 <1% 22 $222.81
91319 <1% 159 $217.96
69210 <1% 77 $216.12
84466 <1% 42 $209.79
82955 <1% 44 $206.23
12011 <1% 438 $198.90
84480 <1% 27 $186.82
86308 <1% 289 $174.15
93299 <1% 13 $171.56
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 299 $170.98
82627 <1% 12 $168.22
91318 <1% 146 $162.82
87807 <1% 583 $160.89
83993 <1% 13 $159.21
87106 <1% 38 $158.44
90698 <1% 6,981 $158.08
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 6,827 $156.00
84436 <1% 52 $155.56
72220 <1% 14 $146.54
93270 <1% 13 $135.24
86920 <1% 27 $131.88
95886 <1% 1,532 $129.52
86703 <1% 494 $123.48
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 232 $101.11
73000 <1% 14 $101.09
84165 <1% 27 $96.99
88172 <1% 17 $79.59
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 11,743 $77.11
84402 <1% 12 $71.75
J7030 Infusion, normal saline solution , 1000 cc <1% 25,263 $71.26
87324 <1% 12 $69.88
72170 <1% 38 $64.84
93922 <1% 53 $64.79
76380 <1% 68 $63.24
86665 <1% 23 $61.32
93325 <1% 561 $60.01
96376 <1% 7,197 $59.44
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 755 $58.18
90715 <1% 11,530 $57.60
G0009 Administration of pneumococcal vaccine <1% 53 $52.20
73552 <1% 29 $49.45
81000 <1% 26 $46.02
97116 <1% 31 $45.63
J1650 Injection, enoxaparin sodium, 10 mg <1% 1,942 $45.12
93356 <1% 1,067 $43.56
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 29,714 $41.85
87581 <1% 235 $40.56
87486 <1% 235 $40.55
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 19 $38.00
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 27,891 $34.97
87209 <1% 26 $29.74
85004 <1% 16 $29.12
87102 <1% 15 $23.60
J2270 Injection, morphine sulfate, up to 10 mg <1% 7,272 $19.09
84460 <1% 13 $17.60
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 6,374 $17.44
87177 <1% 26 $14.87
99152 <1% 172 $13.86
96138 <1% 67 $12.91
94760 <1% 226 $12.50
J7120 Ringers lactate infusion, up to 1000 cc <1% 9,511 $12.45
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 2,810 $11.30
J2360 Injection, orphenadrine citrate, up to 60 mg <1% 5,245 $11.13
J3010 Injection, fentanyl citrate, 0.1 mg <1% 11,939 $10.26
J0690 Injection, cefazolin sodium, 500 mg <1% 5,935 $8.50
83520 <1% 1,912 $6.00
J1790 Injection, droperidol, up to 5 mg <1% 2,233 $4.38
A9270 Non-covered item or service <1% 3,749 $3.59
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 9,637 $2.99
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 11,055 $2.93
J1170 Injection, hydromorphone, up to 4 mg <1% 8,684 $2.71
J1920 Injection, labetalol hydrochloride, 5 mg <1% 42 $2.19
J0780 Injection, prochlorperazine, up to 10 mg <1% 2,480 $2.04
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 1,036 $1.87
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 89 $1.64
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% 966 $1.50
J2060 Injection, lorazepam, 2 mg <1% 4,256 $1.00
36416 <1% 1,827 $0.92
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 102 $0.50
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 0% 381 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 0% 256 $0.00
90648 0% 5,998 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 0% 523 $0.00
A9575 Injection, gadoterate meglumine, 0.1 ml 0% 2,705 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 0% 2,984 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 0% 989 $0.00
90700 0% 2,774 $0.00
90707 0% 4,004 $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% 65 $0.00
J1644 Injection, heparin sodium, per 1000 units 0% 2,490 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 0% 449 $0.00
90681 0% 2,720 $0.00
90633 0% 7,536 $0.00
94729 0% 1,148 $0.00
90710 0% 3,208 $0.00
90685 0% 990 $0.00
91300 0% 383 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 0% 1,049 $0.00
77002 0% 221 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 0% 155 $0.00
J1071 Injection, testosterone cypionate, 1 mg 0% 19 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 0% 40 $0.00
A4315 Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone 0% 24 $0.00
J3486 Injection, ziprasidone mesylate, 10 mg 0% 330 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 0% 1,522 $0.00
76376 0% 708 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 0% 57 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 251 $0.00
J3370 Injection, vancomycin hcl, 500 mg 0% 66 $0.00
J2800 Injection, methocarbamol, up to 10 ml 0% 13 $0.00
C1758 Catheter, ureteral 0% 124 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 0% 71 $0.00
J1953 Injection, levetiracetam, 10 mg 0% 17 $0.00
29125 0% 25 $0.00
76937 0% 93 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 0% 77 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 166 $0.00
90713 0% 64 $0.00
87660 0% 12 $0.00
76942 0% 24 $0.00
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 0% 13 $0.00
90671 0% 91 $0.00
99173 0% 92 $0.00
J1756 Injection, iron sucrose, 1 mg 0% 19 $0.00
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 0% 12 $0.00
0502F 0% 39 $0.00
J2310 Injection, naloxone hydrochloride, per 1 mg 0% 21 $0.00
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) 0% 13 $0.00
64447 0% 12 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 0% 191 $0.00
90696 0% 3,242 $0.00
J1815 Injection, insulin, per 5 units 0% 882 $0.00
J1630 Injection, haloperidol, up to 5 mg 0% 1,785 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 0% 1,309 $0.00
J7050 Infusion, normal saline solution, 250 cc 0% 1,650 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 0% 28 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 0% 249 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 0% 4,440 $0.00
90680 0% 6,385 $0.00
90647 0% 952 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 0% 3,527 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 0% 522 $0.00
90723 0% 5,148 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 0% 777 $0.00
73660 0% 13 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 0% 6,652 $0.00
J3411 Injection, thiamine hcl, 100 mg 0% 522 $0.00
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 0% 1,230 $0.00
12002 0% 163 $0.00
J3490 Unclassified drugs 0% 3,565 $0.00
A9585 Injection, gadobutrol, 0.1 ml 0% 321 $0.00
J2704 Injection, propofol, 10 mg 0% 9,867 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 0% 404 $0.00
C1769 Guide wire 0% 1,210 $0.00
J2785 Injection, regadenoson, 0.1 mg 0% 185 $0.00
G0471 Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) 0% 1,868 $0.00
J3480 Injection, potassium chloride, per 2 meq 0% 323 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 0% 13 $0.00
93320 0% 184 $0.00
95885 0% 55 $0.00
99494 0% 113 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 0% 306 $0.00
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 0% 70 $0.00
A4344 Indwelling catheter, foley type, two-way, all silicone or polyurethane, each 0% 30 $0.00
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 0% 412 $0.00
90632 0% 78 $0.00
96139 0% 67 $0.00
0352U 0% 839 $0.00
A4648 Tissue marker, implantable, any type, each 0% 52 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 0% 25 $0.00
90619 0% 52 $0.00
87480 0% 12 $0.00
J8501 Aprepitant, oral, 5 mg 0% 15 $0.00
99153 Mod sedat endo service >5yrs 0% 30 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 0% 43 $0.00
J1940 Injection, furosemide, up to 20 mg 0% 14 $0.00
80320 0% 33 $0.00
J3360 Injection, diazepam, up to 5 mg 0% 51 $0.00
C1781 Mesh (implantable) 0% 13 $0.00
87510 0% 12 $0.00
64415 0% 12 $0.00
A9561 Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries 0% 28 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 0% 14 $0.00
90381 0% 12 $0.00
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 0% 12 $0.00
84270 0% 13 $0.00
73060 0% 13 $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 officialBIERSACK, MATTHEW (PRESIDENT)