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

Ascension All Saints Hospital, INC

Ascension All Saints Hospital, INC was paid $70.18M by Medicaid between Jan 2018 and Dec 2024, across 622 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 6.5% of everything it billed.

33Billing provider infoASCENSION ALL SAINTS HOSPITAL, INC
RACINE, WI 53405
33aNPI1639123284assigned 05/19/2006
28Total paid$70.18M
24GClaims3,013,233
24DCodes billed622
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Wisconsin

Rank by total paid#3 of 60
Median peer was paid$2.90M
This provider vs. median24×

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$500K$1.0M$1.5M2018201920202021202220232024
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
2018468,383$12.43M
2019467,872$11.68M
2020378,739$9.16M
2021449,255$10.04M
2022428,918$9.30M
2023478,221$9.79M
2024incomplete341,845$7.78M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 6.5% 93,334 76,499 $4.59M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 6.1% 66,372 58,647 $4.25M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.8% 82,950 71,024 $4.06M
96361 Intravenous infusion, hydration; each additional hour 5.1% 26,136 20,665 $3.55M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 4.5% 58,315 50,346 $3.14M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 3.4% 63,673 18,979 $2.40M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 2.9% 41,515 35,365 $2.02M
80053 Comprehensive metabolic panel 2.9% 114,191 93,915 $2.01M
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 2.5% 21,913 20,005 $1.77M
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2.5% 46,448 39,986 $1.72M
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2.1% 46,436 39,979 $1.45M
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1.8% 13,736 12,724 $1.27M
610 more codes
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1.5% 36,311 $1.07M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.3% 20,833 $904K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1.3% 20,814 $891K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1.2% 17,696 $858K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.1% 11,601 $798K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.1% 124,769 $773K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1.1% 8,475 $758K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.1% 10,338 $741K
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% 14,847 $698K
70450 Computed tomography, head or brain; without contrast material <1% 10,434 $670K
80048 Basic metabolic panel (calcium, ionized) <1% 38,177 $648K
84702 <1% 17,339 $646K
81001 <1% 52,157 $636K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 13,963 $616K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 28,764 $569K
59025 Fetal non-stress test <1% 8,371 $557K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 12,220 $554K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 7,713 $509K
80061 Lipid panel <1% 43,172 $481K
G0378 Hospital observation service, per hour <1% 14,322 $477K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 66,763 $466K
20610 <1% 7,202 $463K
84443 Thyroid stimulating hormone (TSH) <1% 38,330 $460K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 17,681 $436K
99215 Doctor's office visit, returning patient (complex) <1% 9,481 $429K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 18,453 $428K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 2,573 $425K
83036 Hemoglobin; glycosylated (A1C) <1% 48,087 $415K
81025 <1% 37,679 $415K
87081 <1% 18,318 $401K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 5,444 $398K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 4,055 $383K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 11,203 $377K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 24,042 $375K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 8,658 $375K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 44,278 $363K
99203 Doctor's office visit, new patient (routine) <1% 6,836 $331K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 16,001 $312K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 3,255 $302K
99204 Doctor's office visit, new patient (more involved) <1% 6,261 $297K
97161 <1% 7,290 $288K
81420 Fetal chromosomal aneuploidy genomic sequence analysis panel <1% 760 $262K
87086 Culture, bacterial; quantitative colony count, urine <1% 30,955 $252K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 4,658 $238K
71275 Computed tomographic angiography, chest, with contrast material <1% 3,199 $228K
82962 <1% 19,941 $226K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 6,491 $222K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 3,327 $219K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 1,643 $218K
76830 Ultrasound, transvaginal <1% 5,214 $215K
86481 <1% 3,138 $212K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 8,980 $211K
87634 <1% 3,327 $204K
90853 Group psychotherapy (other than of a multiple-family group) <1% 5,239 $201K
85027 <1% 37,167 $199K
76801 <1% 5,031 $197K
86780 <1% 20,864 $194K
93798 <1% 3,324 $192K
81003 <1% 30,836 $192K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 1,980 $187K
84484 <1% 21,489 $185K
90834 Psychotherapy session, about 45 minutes <1% 4,240 $182K
87210 <1% 12,760 $178K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies <1% 1,094 $176K
82728 <1% 10,923 $171K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 1,229 $171K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 3,822 $171K
82607 <1% 13,914 $167K
99244 Office or other outpatient consultation, moderate to high complexity <1% 2,409 $159K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 3,620 $156K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 4,022 $155K
12001 <1% 1,869 $154K
77067 Screening mammography, bilateral, including computer-aided detection <1% 6,028 $150K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 7,713 $148K
80074 <1% 4,070 $147K
87653 <1% 4,245 $144K
82950 <1% 5,187 $136K
95806 <1% 1,522 $132K
76819 Fetal biophysical profile; without non-stress testing <1% 7,761 $126K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 3,939 $125K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 766 $125K
81511 <1% 930 $124K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 2,056 $124K
71046 Radiologic examination, chest; 2 views <1% 21,453 $124K
83690 <1% 20,846 $114K
80050 General health panel <1% 9,740 $114K
83880 <1% 5,453 $114K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 2,023 $114K
97165 <1% 3,394 $112K
86803 <1% 9,465 $112K
99243 <1% 1,708 $111K
84439 <1% 13,484 $110K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 1,438 $105K
83655 <1% 8,634 $103K
20553 <1% 1,872 $100K
72125 Computed tomography, cervical spine; without contrast material <1% 3,504 $97K
86850 <1% 14,325 $96K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 1,846 $96K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 2,419 $96K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 2,206 $94K
12011 <1% 1,087 $94K
93971 <1% 2,988 $93K
87340 <1% 10,033 $92K
70496 <1% 1,474 $91K
76642 <1% 2,348 $90K
70551 Magnetic resonance imaging, brain; without contrast material <1% 1,506 $89K
87070 <1% 7,985 $89K
86762 <1% 6,335 $89K
80305 <1% 4,239 $86K
93975 <1% 1,822 $84K
H0015 Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education <1% 1,222 $84K
62323 <1% 653 $83K
70498 <1% 1,503 $81K
86480 <1% 1,313 $80K
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% 2,779 $76K
85610 <1% 18,172 $70K
90715 <1% 6,655 $69K
93017 <1% 1,957 $69K
87186 <1% 9,383 $67K
84112 <1% 798 $67K
82746 <1% 6,337 $66K
77063 Screening digital breast tomosynthesis, bilateral <1% 5,200 $64K
86703 <1% 3,667 $64K
11981 <1% 515 $63K
84153 <1% 3,474 $62K
96367 <1% 1,292 $62K
80143 <1% 3,439 $61K
83735 <1% 13,772 $60K
76536 <1% 1,468 $60K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 1,732 $60K
72141 <1% 975 $59K
82043 <1% 9,762 $57K
87077 <1% 6,362 $56K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 4,608 $56K
80076 <1% 4,864 $54K
76770 <1% 1,078 $53K
87147 <1% 8,205 $53K
83605 <1% 6,671 $53K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 284 $52K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 44,594 $49K
52000 <1% 209 $47K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg <1% 314 $47K
74018 <1% 5,014 $46K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 377 $46K
83550 <1% 6,760 $46K
71250 <1% 1,648 $45K
84703 <1% 5,395 $45K
82565 <1% 3,409 $44K
58300 <1% 681 $43K
12002 <1% 501 $42K
87505 <1% 390 $42K
85379 <1% 5,434 $42K
T1016 Case management, each 15 minutes <1% 2,274 $42K
90686 <1% 6,079 $41K
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% 2,373 $41K
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel <1% 1,305 $41K
83540 <1% 7,423 $40K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 33,101 $40K
84146 <1% 2,097 $40K
95811 <1% 232 $40K
83001 <1% 2,078 $38K
10060 <1% 479 $38K
97162 <1% 1,185 $38K
73110 <1% 4,795 $38K
73130 <1% 5,710 $37K
80179 <1% 3,403 $37K
70486 <1% 1,148 $37K
73610 <1% 6,252 $37K
87641 <1% 989 $36K
73630 <1% 7,351 $36K
86900 <1% 10,925 $35K
83970 <1% 1,262 $35K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 8,623 $35K
97803 <1% 2,056 $34K
97116 <1% 2,362 $34K
82570 <1% 7,396 $34K
95886 <1% 1,117 $33K
86901 <1% 11,677 $33K
87040 <1% 2,916 $33K
93970 <1% 841 $33K
88738 <1% 2,060 $32K
86706 <1% 3,424 $32K
76942 <1% 3,269 $31K
94060 <1% 1,647 $30K
P9016 Red blood cells, leukocytes reduced, each unit <1% 65 $29K
83020 <1% 2,443 $29K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 732 $29K
77066 Tomosynthesis, mammo <1% 1,173 $29K
73560 <1% 5,062 $29K
85730 <1% 6,691 $28K
97802 <1% 1,408 $28K
83516 <1% 1,443 $28K
87522 Neg quan hep c or qual rna <1% 672 $26K
86140 <1% 5,894 $26K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants <1% 137 $26K
11982 <1% 254 $25K
84403 <1% 1,156 $25K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 29 $25K
94729 <1% 2,488 $25K
J9271 Injection, pembrolizumab, 1 mg <1% 20 $25K
73140 <1% 2,955 $25K
86235 <1% 566 $24K
82784 <1% 1,970 $23K
H2012 Behavioral health day treatment, per hour <1% 1,366 $23K
G0008 Administration of influenza virus vaccine <1% 9,774 $23K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 94 $23K
73221 <1% 351 $23K
82550 <1% 3,937 $22K
86038 <1% 2,212 $21K
73030 <1% 5,546 $21K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 382 $21K
85007 <1% 8,178 $21K
72100 <1% 3,365 $20K
87075 <1% 2,622 $20K
92567 <1% 866 $20K
82105 <1% 682 $20K
87529 <1% 425 $19K
84481 <1% 1,544 $19K
87088 <1% 2,659 $19K
92557 <1% 408 $18K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 109 $18K
90670 <1% 1,538 $18K
H1004 Prenatal care, at-risk enhanced service; follow-up home visit <1% 630 $18K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r <1% 195 $17K
85652 <1% 7,085 $17K
86704 <1% 1,811 $17K
84550 <1% 3,743 $16K
36902 <1% 29 $16K
73564 <1% 3,029 $16K
77080 <1% 590 $16K
87205 <1% 3,897 $15K
73590 <1% 1,993 $14K
0042T <1% 362 $14K
76870 <1% 241 $14K
J2469 Injection, palonosetron hcl, 25 mcg <1% 745 $14K
99406 <1% 3,449 $14K
94726 <1% 2,412 $14K
99205 Prolong outpt/office vis <1% 391 $13K
84132 <1% 2,192 $13K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 351 $13K
73502 <1% 2,903 $13K
70491 <1% 219 $13K
71045 Radiologic examination, chest; single view <1% 26,255 $13K
29848 <1% 28 $12K
84156 <1% 2,006 $12K
71271 <1% 348 $12K
64483 <1% 87 $12K
0002A <1% 966 $12K
93296 <1% 632 $12K
H1003 Prenatal care, at-risk enhanced service; education <1% 599 $12K
90674 <1% 1,185 $12K
99385 <1% 404 $11K
93351 <1% 88 $11K
73090 <1% 1,418 $11K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 9,330 $11K
0001A <1% 990 $11K
96415 <1% 136 $11K
90651 <1% 502 $11K
82670 <1% 385 $11K
82077 <1% 936 $11K
36430 <1% 92 $11K
77065 Tomosynthesis, mammo <1% 678 $11K
82800 <1% 1,404 $11K
76820 <1% 916 $10K
90792 Psychiatric diagnostic evaluation with medical services <1% 127 $10K
95816 <1% 109 $10K
73080 <1% 1,839 $10K
80164 <1% 630 $9K
72114 <1% 459 $9K
86431 <1% 1,772 $9K
72052 <1% 309 $9K
91320 <1% 427 $9K
85049 <1% 1,335 $9K
77062 <1% 702 $9K
72110 <1% 1,281 $9K
82010 <1% 1,440 $9K
83615 <1% 1,845 $9K
99397 <1% 411 $8K
29125 <1% 234 $8K
58100 <1% 73 $8K
72040 <1% 996 $8K
86580 <1% 542 $7K
82075 <1% 689 $7K
85014 <1% 2,263 $7K
82150 <1% 1,335 $7K
82951 <1% 172 $7K
78815 Positron emission tomography (PET) for limited area imaging <1% 40 $7K
82140 <1% 632 $7K
36000 <1% 449 $6K
72170 <1% 917 $6K
80177 <1% 532 $6K
86160 <1% 327 $6K
83520 <1% 406 $6K
43248 <1% 46 $6K
82465 <1% 1,428 $6K
29581 <1% 213 $6K
84100 <1% 1,847 $6K
84460 <1% 1,167 $6K
90472 Immunization administration, each additional vaccine (list separately) <1% 4,162 $6K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results <1% 221 $5K
51798 <1% 2,188 $5K
87252 <1% 147 $5K
J0897 Injection, denosumab, 1 mg <1% 86 $5K
97163 <1% 195 $5K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 74 $5K
90716 <1% 227 $5K
82553 <1% 1,030 $5K
86308 <1% 482 $5K
58301 <1% 90 $5K
99245 <1% 77 $5K
84165 <1% 633 $5K
G0424 Pulmonary rehabilitation, including exercise (includes monitoring), one hour, per session, up to two sessions per day <1% 87 $5K
83002 <1% 307 $5K
73565 <1% 2,920 $5K
86787 <1% 622 $5K
87449 <1% 480 $5K
77061 <1% 353 $5K
73562 <1% 1,786 $5K
90656 <1% 617 $5K
84450 <1% 890 $5K
86039 <1% 562 $5K
82803 <1% 256 $4K
82947 <1% 813 $4K
95819 <1% 66 $4K
86225 <1% 396 $4K
86696 <1% 257 $4K
85018 <1% 1,708 $4K
36415 Collection of venous blood by venipuncture <1% 91,869 $4K
57454 <1% 35 $4K
Q3014 Telehealth originating site facility fee <1% 1,644 $4K
93976 <1% 97 $4K
95909 <1% 102 $4K
71101 <1% 1,459 $4K
85046 <1% 679 $4K
G0297 Low dose ct scan (ldct) for lung cancer screening <1% 90 $4K
78580 <1% 18 $4K
86364 <1% 452 $3K
84480 <1% 272 $3K
88307 <1% 476 $3K
73552 <1% 686 $3K
11983 <1% 31 $3K
86923 <1% 97 $3K
96375 Therapeutic injection; each additional sequential IV push <1% 24,971 $3K
36591 <1% 2,269 $3K
78830 <1% 19 $3K
86200 <1% 287 $3K
95874 <1% 53 $3K
94070 <1% 67 $3K
86695 <1% 241 $3K
96368 <1% 109 $3K
87563 <1% 122 $3K
95910 <1% 129 $3K
95813 <1% 26 $3K
77336 <1% 85 $3K
77091 <1% 349 $3K
74178 <1% 41 $3K
76813 <1% 120 $3K
20550 <1% 32 $3K
90480 <1% 258 $2K
93225 <1% 82 $2K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 16 $2K
19083 <1% 13 $2K
86255 <1% 209 $2K
64450 <1% 67 $2K
74183 <1% 31 $2K
90677 <1% 656 $2K
94150 <1% 4,647 $2K
84145 <1% 148 $2K
82627 <1% 101 $2K
29515 <1% 17 $2K
87109 <1% 157 $2K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 1,174 $2K
10061 <1% 14 $2K
31575 <1% 16 $2K
80175 <1% 87 $2K
97035 <1% 127 $2K
90837 Psychotherapy session, about an hour <1% 36 $2K
G0009 Administration of pneumococcal vaccine <1% 3,672 $2K
82533 <1% 129 $2K
72070 <1% 429 $2K
90662 <1% 1,157 $2K
90380 <1% 14 $2K
87536 <1% 16 $2K
87324 <1% 88 $2K
90633 <1% 606 $2K
86258 <1% 129 $2K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 421 $1K
90791 Psychiatric diagnostic evaluation <1% 154 $1K
87110 <1% 87 $1K
93298 <1% 104 $1K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 19 $1K
64493 <1% 21 $1K
83037 <1% 296 $1K
88304 <1% 1,340 $1K
99386 <1% 49 $1K
82248 <1% 299 $1K
86376 <1% 71 $1K
72156 <1% 13 $1K
94375 <1% 155 $1K
96417 <1% 32 $1K
H1002 Prenatal care, at risk enhanced service; care coordination <1% 34 $1K
80047 <1% 12 $1K
74019 <1% 755 $1K
64415 <1% 15 $1K
86618 <1% 60 $983.22
93226 <1% 83 $978.80
93321 <1% 15 $964.32
90734 <1% 177 $955.76
90732 <1% 464 $944.84
91300 <1% 257 $920.93
96150 <1% 28 $902.19
G0109 Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes <1% 45 $883.23
73070 <1% 76 $872.50
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 145 $840.14
93242 <1% 127 $823.75
88142 <1% 56 $817.74
86593 <1% 131 $799.86
82378 <1% 98 $799.40
83721 <1% 155 $784.14
86334 <1% 59 $752.18
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units <1% 23 $736.91
99496 <1% 61 $732.21
76937 <1% 355 $720.12
80178 <1% 133 $719.53
97150 Therapeutic procedure(s), group (2 or more individuals) <1% 176 $710.44
86800 <1% 37 $705.89
96160 <1% 433 $679.66
93922 <1% 61 $678.82
0124A <1% 46 $674.32
0004A <1% 109 $662.68
86141 <1% 57 $659.82
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 13,159 $637.45
90384 <1% 14 $622.65
73060 <1% 164 $621.86
84155 <1% 93 $599.90
73600 <1% 93 $562.56
85045 <1% 204 $558.81
84402 <1% 26 $549.85
90746 <1% 125 $546.18
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose <1% 16 $545.32
92587 <1% 13 $545.16
73700 <1% 14 $506.47
73620 <1% 31 $505.17
90707 <1% 111 $476.41
72050 <1% 84 $476.23
93299 <1% 27 $471.69
89051 <1% 28 $461.20
90714 <1% 104 $458.66
84704 <1% 32 $454.61
84163 <1% 32 $454.00
83525 <1% 45 $448.59
93880 <1% 13 $442.81
90713 <1% 192 $423.67
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 1,656 $422.81
87140 <1% 88 $421.76
90632 <1% 85 $417.10
77090 <1% 69 $412.77
90678 <1% 62 $407.06
88342 <1% 1,346 $382.63
99292 <1% 990 $379.37
51702 <1% 16 $372.81
90710 <1% 74 $370.14
82952 <1% 94 $369.24
G0010 Administration of hepatitis b vaccine <1% 569 $362.93
90681 <1% 162 $362.32
69210 <1% 42 $361.69
96402 <1% 33 $346.94
87209 <1% 16 $329.36
90750 <1% 67 $323.85
86694 <1% 30 $311.61
96376 <1% 5,527 $310.81
83718 <1% 43 $285.65
94760 <1% 1,459 $280.30
82977 <1% 57 $279.63
82805 <1% 18 $279.37
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 805 $275.12
84270 <1% 14 $268.68
73660 <1% 68 $266.43
G0136 Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months <1% 121 $253.76
90723 <1% 184 $248.30
70360 <1% 42 $236.15
J2790 Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) <1% 12 $227.63
84436 <1% 25 $217.57
99407 <1% 254 $213.98
90698 <1% 174 $210.61
82247 <1% 59 $203.11
87329 <1% 12 $200.75
86870 <1% 109 $200.72
90687 <1% 28 $196.75
J3490 Unclassified drugs <1% 694 $188.00
93325 <1% 16 $186.85
73000 <1% 68 $180.30
87338 <1% 15 $179.21
72220 <1% 29 $176.12
80171 <1% 18 $173.76
87177 <1% 16 $170.07
96153 <1% 343 $159.32
94762 <1% 45 $149.05
86765 <1% 14 $148.58
90739 <1% 21 $112.92
88112 <1% 31 $109.10
51701 <1% 61 $97.71
87206 <1% 13 $89.20
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) <1% 17 $85.24
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 3,549 $84.53
L3808 Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment <1% 26 $83.31
73100 <1% 13 $82.49
94010 <1% 313 $81.90
82575 <1% 14 $80.03
0071A <1% 17 $77.08
J1040 Injection, methylprednisolone acetate, 80 mg <1% 699 $74.54
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 23,058 $74.12
91307 <1% 63 $72.80
93270 <1% 14 $68.76
L1270 Addition to tlso, (low profile), abdominal pad <1% 33 $63.83
90474 <1% 386 $62.51
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 12,254 $58.96
72072 <1% 13 $50.60
87185 <1% 14 $48.94
73523 <1% 14 $47.12
80069 <1% 13 $47.08
36416 <1% 216 $44.63
82330 <1% 15 $41.96
G8984 Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals <1% 79 $38.40
0072A <1% 20 $38.16
90744 <1% 13 $36.84
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 5,822 $29.42
J1953 Injection, levetiracetam, 10 mg <1% 353 $24.83
99152 <1% 1,782 $22.65
C1769 Guide wire <1% 2,794 $19.85
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 1,860 $19.02
J3010 Injection, fentanyl citrate, 0.1 mg <1% 8,378 $15.12
P9612 Catheterization for collection of specimen, single patient, all places of service <1% 189 $12.60
99153 Mod sedat endo service >5yrs <1% 1,107 $11.33
J2704 Injection, propofol, 10 mg <1% 15,175 $9.97
J2270 Injection, morphine sulfate, up to 10 mg <1% 7,277 $8.29
90696 <1% 13 $7.99
J1030 Injection, methylprednisolone acetate, 40 mg <1% 2,774 $6.31
J3475 Injection, magnesium sulfate, per 500 mg <1% 3,451 $4.40
G0433 Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening <1% 14 $3.66
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 21,193 $2.23
J1170 Injection, hydromorphone, up to 4 mg <1% 6,070 $1.89
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 1,779 $1.34
J0690 Injection, cefazolin sodium, 500 mg <1% 7,389 $0.90
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 11,868 $0.44
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 5,774 $0.41
J1630 Injection, haloperidol, up to 5 mg <1% 1,115 $0.27
J1644 Injection, heparin sodium, per 1000 units <1% 2,716 $0.14
J2060 Injection, lorazepam, 2 mg <1% 2,638 $0.08
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 2,521 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 0% 3,205 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 0% 267 $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% 701 $0.00
J1756 Injection, iron sucrose, 1 mg 0% 1,159 $0.00
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 0% 172 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 0% 4,319 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 504 $0.00
J1729 Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg 0% 266 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 0% 102 $0.00
J3260 Injection, tobramycin sulfate, up to 80 mg 0% 56 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 0% 86 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 0% 106 $0.00
L3040 Foot, arch support, removable, premolded, longitudinal, each 0% 14 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 0% 593 $0.00
A4550 Surgical trays 0% 43 $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% 175 $0.00
C1758 Catheter, ureteral 0% 17 $0.00
A6219 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing 0% 87 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 45 $0.00
91312 0% 19 $0.00
C1780 Lens, intraocular (new technology) 0% 32 $0.00
69209 0% 14 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 0% 13 $0.00
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 0% 53 $0.00
31720 0% 61 $0.00
J3370 Injection, vancomycin hcl, 500 mg 0% 20 $0.00
J0694 Injection, cefoxitin sodium, 1 gm 0% 21 $0.00
95913 0% 16 $0.00
C9290 Injection, bupivacaine liposome, 1 mg 0% 965 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 0% 417 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 0% 115 $0.00
J2785 Injection, regadenoson, 0.1 mg 0% 1,249 $0.00
J1726 Injection, hydroxyprogesterone caproate, (makena), 10 mg 0% 265 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 0% 734 $0.00
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 0% 380 $0.00
J1790 Injection, droperidol, up to 5 mg 0% 2,200 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 0% 246 $0.00
J3411 Injection, thiamine hcl, 100 mg 0% 114 $0.00
J3360 Injection, diazepam, up to 5 mg 0% 247 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 0% 263 $0.00
J3480 Injection, potassium chloride, per 2 meq 0% 1,519 $0.00
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 0% 1,159 $0.00
A9270 Non-covered item or service 0% 14,009 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 0% 814 $0.00
C9399 Unclassified drugs or biologicals 0% 138 $0.00
J1940 Injection, furosemide, up to 20 mg 0% 748 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 0% 201 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 0% 24 $0.00
88300 0% 116 $0.00
3008F 0% 232 $0.00
V2632 Posterior chamber intraocular lens 0% 67 $0.00
95911 0% 26 $0.00
88341 0% 46 $0.00
C1781 Mesh (implantable) 0% 16 $0.00
A9540 Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries 0% 19 $0.00
J7674 Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg 0% 52 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 18 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 78 $0.00
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 0% 47 $0.00
J1920 Injection, labetalol hydrochloride, 5 mg 0% 14 $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 officialMICHAEL MCCULLOUGH, MICHAEL (CFO)