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

ST Josephs University Medical Center INC.

ST Josephs University Medical Center INC. was paid $322.40M by Medicaid between Jan 2018 and Dec 2024, across 746 billing codes. Its largest line is 99284, emergency room visit (serious) — 18% of everything it billed.

33Billing provider infoST JOSEPHS UNIVERSITY MEDICAL CENTER INC.
PATERSON, NJ 07503
33aNPI1669462420assigned 10/24/2005
33bProvider typeClinic/Center
28Total paid$322.40M
24GClaims4,731,861
24DCodes billed746
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Clinic/Center providers in New Jersey

Rank by total paid#1 of 97
Median peer was paid$318K
This provider vs. median1,014×

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

Box 24A · Dates of service

Paid by month

$0$2.0M$4.0M$6.0M2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018603,637$47.89M
2019632,399$45.29M
2020527,375$37.52M
2021642,288$44.18M
2022764,757$46.86M
2023840,071$49.11M
2024incomplete721,334$51.55M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 18% 168,032 148,694 $59.30M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 17% 182,234 165,521 $53.84M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 10% 67,020 58,716 $33.37M
G0378 Hospital observation service, per hour 2.5% 11,466 9,643 $7.99M
99282 Emergency department visit for the evaluation and management, low to moderate severity 2.2% 34,752 32,417 $7.01M
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 1.7% 51,437 31,040 $5.61M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.6% 8,990 8,661 $5.13M
H0035 Mental health partial hospitalization, treatment, less than 24 hours 1.5% 20,079 1,618 $4.83M
S9480 Intensive outpatient psychiatric services, per diem 1.4% 5,576 5,218 $4.58M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.2% 10,635 10,115 $3.93M
99281 Emergency department visit for the evaluation and management, self-limited or minor 1.2% 29,176 26,210 $3.73M
70450 Computed tomography, head or brain; without contrast material 1.1% 26,623 24,152 $3.48M
734 more codes
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 1.0% 56,993 $3.35M
74177 Computed tomography, abdomen and pelvis; with contrast material 1.0% 19,414 $3.33M
OP710 <1% 17,138 $3.22M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 85,753 $3.21M
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 5,604 $2.80M
A0427 Emergency ambulance ride, advanced life support <1% 11,598 $2.75M
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 23,328 $2.66M
99213 Doctor's office visit, returning patient (routine) <1% 54,156 $2.60M
96375 Therapeutic injection; each additional sequential IV push <1% 37,912 $2.51M
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 109,418 $2.50M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 39,719 $2.46M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 58,873 $2.43M
59025 Fetal non-stress test <1% 11,904 $2.38M
41899 Unlisted procedure, dentoalveolar structures <1% 1,884 $2.34M
OP272 <1% 29,882 $2.26M
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 53,095 $2.26M
80053 Comprehensive metabolic panel <1% 155,476 $2.21M
96361 Intravenous infusion, hydration; each additional hour <1% 40,970 $2.19M
93458 <1% 1,196 $2.04M
0202U Oncology (prostate), multianalyte, gene expression profiling <1% 14,990 $1.96M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 20,829 $1.93M
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 944 $1.91M
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 2,928 $1.78M
93017 <1% 8,570 $1.76M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 2,567 $1.63M
99214 Doctor's office visit, returning patient (more involved) <1% 24,005 $1.58M
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 193,777 $1.54M
77067 Screening mammography, bilateral, including computer-aided detection <1% 17,329 $1.46M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 20,197 $1.35M
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 5,745 $1.32M
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 28,732 $1.30M
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 5,608 $1.29M
70551 Magnetic resonance imaging, brain; without contrast material <1% 3,985 $1.26M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 3,037 $1.25M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 24,939 $1.18M
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 36,369 $1.11M
76818 <1% 8,697 $1.09M
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 14,574 $1.07M
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 8,935 $1.05M
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 20,351 $977K
OP250 <1% 276,555 $966K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 5,001 $964K
76830 Ultrasound, transvaginal <1% 9,292 $939K
71046 Radiologic examination, chest; 2 views <1% 52,880 $914K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 13,676 $887K
47562 <1% 366 $833K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 2,021 $818K
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% 46,152 $778K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 826 $751K
81422 <1% 1,157 $691K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 6,573 $658K
71045 Radiologic examination, chest; single view <1% 48,729 $657K
92587 <1% 6,540 $631K
70486 <1% 3,545 $613K
93970 <1% 3,325 $611K
90791 Psychiatric diagnostic evaluation <1% 4,487 $601K
71250 <1% 3,367 $580K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 2,797 $567K
J1439 Injection, ferric carboxymaltose, 1 mg <1% 853 $554K
71275 Computed tomographic angiography, chest, with contrast material <1% 3,348 $548K
93971 <1% 5,914 $541K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 17,410 $502K
76641 <1% 6,006 $493K
73564 <1% 10,704 $487K
72125 Computed tomography, cervical spine; without contrast material <1% 5,210 $482K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 13,648 $463K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 26,135 $448K
93975 <1% 2,321 $437K
93798 <1% 10,541 $434K
95782 <1% 198 $420K
76819 Fetal biophysical profile; without non-stress testing <1% 4,443 $412K
58558 <1% 395 $411K
80048 Basic metabolic panel (calcium, ionized) <1% 37,866 $409K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 29,107 $408K
88342 <1% 9,578 $394K
81420 Fetal chromosomal aneuploidy genomic sequence analysis panel <1% 1,227 $390K
76770 <1% 3,960 $389K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 3,263 $381K
77063 Screening digital breast tomosynthesis, bilateral <1% 10,701 $380K
76801 <1% 2,686 $376K
90853 Group psychotherapy (other than of a multiple-family group) <1% 16,562 $370K
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) <1% 1,143 $365K
78815 Positron emission tomography (PET) for limited area imaging <1% 510 $361K
97161 <1% 8,486 $360K
93880 <1% 2,065 $327K
97150 Therapeutic procedure(s), group (2 or more individuals) <1% 11,182 $320K
77080 <1% 5,144 $316K
76536 <1% 3,654 $312K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 1,074 $306K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 5,427 $301K
81025 <1% 84,672 $300K
90792 Psychiatric diagnostic evaluation with medical services <1% 3,293 $295K
86900 <1% 30,869 $294K
73630 <1% 11,361 $278K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 5,450 $270K
73130 <1% 9,876 $268K
92579 <1% 2,234 $257K
73610 <1% 11,195 $255K
84484 <1% 54,892 $253K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 7,361 $249K
77066 Tomosynthesis, mammo <1% 2,329 $243K
86850 <1% 24,658 $243K
74183 <1% 428 $232K
44970 <1% 144 $232K
92557 <1% 1,709 $229K
72110 <1% 5,611 $215K
81001 <1% 88,358 $214K
86901 <1% 31,080 $210K
36415 Collection of venous blood by venipuncture <1% 105,190 $208K
73030 <1% 9,289 $207K
J1745 Injection, infliximab, excludes biosimilar, 10 mg <1% 168 $206K
92567 <1% 4,340 $202K
P9016 Red blood cells, leukocytes reduced, each unit <1% 1,635 $202K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 14,001 $196K
96415 <1% 1,366 $195K
81412 <1% 1,277 $193K
73110 <1% 7,695 $190K
88313 <1% 9,257 $188K
76870 <1% 2,467 $178K
36430 <1% 2,295 $171K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 141 $168K
96409 <1% 703 $168K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 8,639 $168K
94644 <1% 5,599 $162K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 32,512 $161K
87086 Culture, bacterial; quantitative colony count, urine <1% 39,173 $160K
97165 <1% 2,989 $159K
77065 Tomosynthesis, mammo <1% 2,350 $158K
92610 <1% 1,701 $154K
82962 <1% 50,477 $152K
92582 <1% 1,328 $151K
76775 <1% 2,134 $151K
84443 Thyroid stimulating hormone (TSH) <1% 12,890 $146K
76813 <1% 1,829 $146K
85730 <1% 23,696 $144K
10060 <1% 1,906 $143K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 16,311 $142K
72131 <1% 1,619 $141K
76377 <1% 2,895 $140K
73590 <1% 5,375 $140K
12011 <1% 1,754 $139K
99203 Doctor's office visit, new patient (routine) <1% 2,620 $136K
J3490 Unclassified drugs <1% 67,854 $136K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 17,233 $136K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 8,644 $134K
70491 <1% 609 $134K
12001 <1% 2,167 $133K
97014 <1% 20,234 $133K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 2,022 $133K
83690 <1% 37,295 $133K
76820 <1% 2,915 $131K
74178 <1% 546 $130K
96417 <1% 630 $130K
94375 <1% 2,299 $130K
96367 <1% 4,128 $130K
84702 <1% 14,668 $129K
99215 Doctor's office visit, returning patient (complex) <1% 1,960 $129K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 8,650 $127K
94726 <1% 2,791 $124K
83735 <1% 29,400 $121K
73080 <1% 4,899 $119K
97162 <1% 2,243 $119K
99381 <1% 1,821 $116K
80061 Lipid panel <1% 12,936 $114K
92523 <1% 1,560 $111K
C1874 Stent, coated/covered, with delivery system <1% 265 $110K
99204 Doctor's office visit, new patient (more involved) <1% 1,978 $110K
73700 <1% 905 $109K
96376 <1% 3,553 $109K
A9270 Non-covered item or service <1% 20,698 $106K
72082 <1% 1,932 $106K
75574 <1% 368 $104K
90715 <1% 10,135 $104K
85027 <1% 14,954 $103K
74018 <1% 4,205 $102K
A0425 Ground mileage, per statute mile <1% 11,616 $102K
94729 <1% 2,675 $101K
A0998 Ambulance response and treatment, no transport <1% 734 $100K
85610 <1% 27,963 $100K
83036 Hemoglobin; glycosylated (A1C) <1% 12,544 $99K
73090 <1% 4,834 $99K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 4,613 $98K
83880 <1% 8,978 $96K
92550 <1% 2,832 $96K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 5,154 $96K
72050 <1% 2,355 $95K
J2704 Injection, propofol, 10 mg <1% 26,271 $94K
87070 <1% 15,755 $90K
J2785 Injection, regadenoson, 0.1 mg <1% 2,357 $89K
73560 <1% 2,683 $89K
76642 <1% 1,775 $88K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 70 $87K
A0433 Advanced life support, level 2 (als 2) <1% 278 $87K
86703 <1% 6,231 $87K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 5,355 $86K
93925 <1% 413 $85K
90837 Psychotherapy session, about an hour <1% 6,098 $84K
C1769 Guide wire <1% 3,164 $82K
88307 <1% 1,577 $82K
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% 16,829 $81K
95886 <1% 1,049 $80K
70544 <1% 582 $79K
73502 <1% 4,119 $79K
95708 <1% 500 $78K
72100 <1% 2,394 $77K
90472 Immunization administration, each additional vaccine (list separately) <1% 12,386 $77K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 72 $76K
94060 <1% 399 $75K
73140 <1% 3,767 $74K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants <1% 175 $74K
C1781 Mesh (implantable) <1% 80 $74K
95816 <1% 455 $73K
72170 <1% 2,424 $71K
86481 <1% 909 $71K
86360 <1% 1,731 $70K
72141 <1% 359 $70K
87490 <1% 4,011 $70K
87522 Neg quan hep c or qual rna <1% 4,013 $69K
72197 <1% 130 $68K
92586 <1% 613 $67K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 1,590 $66K
87535 <1% 1,371 $64K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 79,103 $62K
97803 <1% 1,090 $61K
54161 <1% 59 $61K
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) <1% 342 $60K
70498 <1% 687 $60K
83021 <1% 3,182 $60K
94010 <1% 373 $59K
88304 <1% 3,246 $59K
77062 <1% 1,169 $57K
29515 <1% 1,202 $56K
87040 <1% 6,751 $56K
73552 <1% 2,377 $56K
90838 <1% 972 $55K
76000 <1% 1,890 $55K
92651 <1% 705 $53K
82728 <1% 6,607 $53K
OP258 <1% 27,054 $52K
J7030 Infusion, normal saline solution , 1000 cc <1% 38,210 $52K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 810 $52K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 454 $51K
85044 <1% 10,466 $51K
77072 <1% 1,540 $51K
87186 <1% 8,809 $50K
87077 <1% 9,391 $50K
81003 <1% 26,123 $50K
77336 <1% 684 $49K
76821 <1% 808 $48K
12002 <1% 884 $48K
70496 <1% 674 $48K
94664 <1% 1,013 $48K
84439 <1% 5,091 $48K
73060 <1% 2,383 $47K
C1760 Closure device, vascular (implantable/insertable) <1% 658 $46K
81222 <1% 141 $46K
29125 <1% 1,158 $45K
80076 <1% 7,083 $45K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 135 $44K
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% 1,774 $44K
90686 <1% 14,382 $43K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 921 $43K
52000 <1% 69 $42K
83605 <1% 7,282 $42K
82077 <1% 8,020 $41K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 44,130 $41K
C1887 Catheter, guiding (may include infusion/perfusion capability) <1% 2,453 $41K
95700 <1% 581 $41K
C1889 Implantable/insertable device, not otherwise classified <1% 39 $39K
83615 <1% 7,869 $39K
J1756 Injection, iron sucrose, 1 mg <1% 1,812 $39K
74019 <1% 1,362 $38K
82607 <1% 5,304 $37K
84100 <1% 14,167 $36K
OP270 <1% 4,825 $35K
J1630 Injection, haloperidol, up to 5 mg <1% 5,346 $35K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 10,441 $35K
73521 <1% 1,035 $35K
95812 <1% 105 $34K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 577 $33K
97535 Self-care/home management training, each 15 minutes <1% 1,121 $33K
87536 <1% 439 $33K
52356 <1% 13 $33K
66982 <1% 40 $33K
97164 <1% 761 $32K
J2060 Injection, lorazepam, 2 mg <1% 5,158 $32K
S9484 Crisis intervention mental health services, per hour <1% 39 $32K
J1650 Injection, enoxaparin sodium, 10 mg <1% 5,027 $30K
71101 <1% 1,512 $30K
87483 <1% 232 $30K
80320 <1% 6,213 $30K
87807 <1% 1,581 $29K
96523 <1% 228 $29K
J1815 Injection, insulin, per 5 units <1% 1,280 $29K
95953 <1% 28 $28K
92526 <1% 604 $28K
86803 <1% 2,175 $28K
74240 <1% 296 $27K
76981 <1% 421 $27K
83540 <1% 6,129 $27K
OP271 <1% 4,080 $26K
87081 <1% 3,019 $26K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 2,535 $26K
94770 <1% 539 $26K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 1,053 $26K
C9600 Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch <1% 29 $25K
94727 <1% 960 $25K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 23,066 $25K
88142 <1% 1,221 $25K
72072 <1% 959 $25K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 723 $25K
97022 <1% 2,868 $24K
81329 <1% 207 $22K
82105 <1% 2,186 $22K
99205 Prolong outpt/office vis <1% 222 $22K
97035 <1% 4,112 $22K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 15,566 $22K
81243 <1% 427 $22K
86923 <1% 963 $22K
90651 <1% 1,967 $22K
97802 <1% 270 $21K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries <1% 473 $21K
86592 <1% 6,458 $20K
92611 <1% 138 $20K
88341 <1% 371 $20K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 241 $20K
93296 <1% 1,373 $20K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 19,771 $20K
90681 <1% 3,300 $19K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 11,441 $19K
82947 <1% 2,986 $19K
Q3014 Telehealth originating site facility fee <1% 8,796 $19K
83655 <1% 1,583 $18K
76885 <1% 290 $18K
95908 <1% 333 $18K
49591 <1% 12 $18K
95910 <1% 181 $18K
73562 <1% 455 $18K
G0330 Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room <1% 30 $18K
J0690 Injection, cefazolin sodium, 500 mg <1% 6,059 $18K
74021 <1% 791 $17K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 185 $17K
94645 <1% 668 $17K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml <1% 4,733 $17K
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 3,261 $16K
A4649 Surgical supply; miscellaneous <1% 6,881 $16K
73000 <1% 610 $15K
82746 <1% 2,191 $15K
96127 <1% 1,296 $15K
80329 <1% 2,112 $15K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 310 $15K
85379 <1% 4,732 $14K
87088 <1% 3,964 $14K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 2,255 $14K
36600 <1% 2,115 $14K
77061 <1% 773 $14K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 914 $14K
87590 <1% 702 $14K
92551 <1% 406 $14K
72132 <1% 159 $14K
86140 <1% 4,150 $13K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 742 $13K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 1,645 $13K
85660 <1% 3,269 $13K
97116 <1% 920 $13K
J7120 Ringers lactate infusion, up to 1000 cc <1% 6,404 $13K
G0390 Trauma response team associated with hospital critical care service <1% 35 $13K
82550 <1% 3,896 $12K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 14,593 $12K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 141 $12K
72128 <1% 131 $12K
82248 <1% 2,713 $12K
J1170 Injection, hydromorphone, up to 4 mg <1% 7,542 $12K
85651 <1% 6,842 $11K
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 1,829 $11K
15853 <1% 433 $11K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 3,590 $11K
86762 <1% 2,472 $11K
J2270 Injection, morphine sulfate, up to 10 mg <1% 9,153 $11K
95813 <1% 65 $11K
87623 <1% 316 $11K
0001A <1% 415 $10K
76937 <1% 267 $10K
93325 <1% 54 $10K
95957 <1% 31 $10K
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% 498 $10K
82570 <1% 2,560 $10K
87205 <1% 3,051 $10K
84436 <1% 867 $10K
90474 <1% 2,705 $10K
90670 <1% 3,944 $10K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 93 $9K
J7050 Infusion, normal saline solution, 250 cc <1% 4,631 $9K
82803 <1% 467 $9K
90734 <1% 1,171 $9K
80164 <1% 834 $9K
93226 <1% 52 $9K
93299 <1% 381 $9K
J1644 Injection, heparin sodium, per 1000 units <1% 3,956 $9K
72129 <1% 95 $9K
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 2,070 $9K
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 11,753 $8K
82043 <1% 1,979 $8K
29130 <1% 170 $8K
0072A <1% 271 $8K
82150 <1% 2,047 $8K
83970 <1% 345 $8K
A9505 Thallium tl-201 thallous chloride, diagnostic, per millicurie <1% 252 $8K
90677 <1% 1,886 $8K
97166 <1% 135 $8K
0002A <1% 314 $8K
72040 <1% 477 $8K
88312 <1% 454 $8K
84550 <1% 2,655 $8K
0071A <1% 284 $8K
70360 <1% 383 $8K
73200 <1% 52 $7K
36591 <1% 473 $7K
92555 <1% 181 $7K
99173 <1% 384 $7K
74220 <1% 153 $7K
86704 <1% 969 $7K
80179 <1% 1,201 $7K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 313 $7K
86706 <1% 846 $7K
93225 <1% 53 $7K
82247 <1% 1,669 $7K
C9290 Injection, bupivacaine liposome, 1 mg <1% 125 $7K
85347 <1% 1,016 $6K
87147 <1% 1,343 $6K
74230 <1% 125 $6K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care <1% 1,772 $6K
OP278 <1% 13 $6K
86141 <1% 997 $6K
0004A <1% 217 $6K
D0140 Limited oral evaluation - problem focused <1% 2,833 $6K
97163 <1% 122 $6K
J3370 Injection, vancomycin hcl, 500 mg <1% 798 $5K
99417 Prolong home eval add 15m <1% 92 $5K
93312 <1% 12 $5K
76376 <1% 233 $5K
90675 <1% 108 $5K
83520 <1% 502 $5K
82784 <1% 687 $5K
0042T <1% 78 $5K
29705 <1% 71 $5K
86920 <1% 98 $5K
96368 <1% 234 $5K
0054A <1% 204 $5K
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% 893 $5K
86902 <1% 130 $5K
J3590 Unclassified biologics <1% 455 $5K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 163 $5K
87420 <1% 239 $5K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 3,506 $5K
82009 <1% 2,069 $5K
81002 <1% 2,587 $4K
88300 <1% 771 $4K
J0561 Injection, penicillin g benzathine, 100,000 units <1% 85 $4K
86038 <1% 411 $4K
19083 <1% 16 $4K
L4350 Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf <1% 313 $4K
87075 <1% 845 $4K
87184 <1% 344 $4K
95885 <1% 76 $4K
90723 <1% 4,823 $4K
74022 <1% 120 $4K
51701 <1% 99 $4K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 410 $4K
70490 <1% 33 $4K
92015 Determination of refractive state <1% 622 $4K
J1790 Injection, droperidol, up to 5 mg <1% 1,400 $4K
90620 <1% 939 $4K
76001 <1% 38 $3K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 12 $3K
J3360 Injection, diazepam, up to 5 mg <1% 626 $3K
76881 <1% 42 $3K
84156 <1% 2,048 $3K
87902 <1% 14 $3K
OP229 <1% 61 $3K
84153 <1% 313 $3K
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen <1% 4,921 $3K
J1940 Injection, furosemide, up to 20 mg <1% 1,376 $3K
51702 <1% 132 $3K
J3475 Injection, magnesium sulfate, per 500 mg <1% 1,047 $3K
J2790 Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) <1% 99 $3K
81514 <1% 15 $3K
P9040 Red blood cells, leukocytes reduced, irradiated, each unit <1% 16 $3K
J9370 Vincristine sulfate, 1 mg <1% 226 $3K
82805 <1% 121 $3K
73660 <1% 158 $3K
78264 <1% 39 $3K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 6,344 $3K
80299 <1% 170 $3K
45381 <1% 14 $3K
87350 <1% 443 $3K
74170 <1% 13 $3K
90935 Hemodialysis procedure with single evaluation by a physician <1% 28 $3K
J2310 Injection, naloxone hydrochloride, per 1 mg <1% 293 $3K
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries <1% 80 $3K
94761 <1% 83 $2K
90375 <1% 15 $2K
88346 <1% 41 $2K
D7140 Extraction, erupted tooth or exposed root <1% 665 $2K
73070 <1% 142 $2K
77334 <1% 15 $2K
C2617 Stent, non-coronary, temporary, without delivery system <1% 26 $2K
86707 <1% 426 $2K
87641 <1% 135 $2K
V2632 Posterior chamber intraocular lens <1% 226 $2K
87430 <1% 351 $2K
86705 <1% 517 $2K
93924 <1% 15 $2K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 37 $2K
86870 <1% 81 $2K
75625 <1% 15 $2K
76857 <1% 75 $2K
97168 <1% 45 $2K
86787 <1% 192 $2K
76506 <1% 26 $2K
82397 <1% 108 $2K
0124A <1% 89 $2K
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm <1% 530 $2K
71271 <1% 28 $2K
86922 <1% 41 $2K
0011A <1% 62 $2K
82657 <1% 80 $2K
A9585 Injection, gadobutrol, 0.1 ml <1% 179 $2K
96167 <1% 720 $2K
86256 <1% 31 $2K
86769 <1% 73 $2K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 20 $2K
90714 <1% 123 $2K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring <1% 32 $2K
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg <1% 103 $2K
82274 <1% 485 $2K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk <1% 25 $2K
92556 <1% 25 $2K
90649 <1% 88 $2K
D1120 Dental cleaning, child <1% 864 $2K
87340 <1% 338 $2K
C1758 Catheter, ureteral <1% 197 $2K
J1953 Injection, levetiracetam, 10 mg <1% 508 $2K
72070 <1% 53 $2K
70355 <1% 95 $2K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 1,339 $2K
J2371 Injection, phenylephrine hydrochloride, 20 micrograms <1% 663 $2K
J1245 Injection, dipyridamole, per 10 mg <1% 239 $2K
84145 <1% 219 $1K
87899 <1% 222 $1K
82951 <1% 132 $1K
90847 Family psychotherapy with the patient present, 50 minutes <1% 88 $1K
90707 <1% 1,050 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 409 $1K
80074 <1% 57 $1K
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 453 $1K
C1780 Lens, intraocular (new technology) <1% 102 $1K
90716 <1% 1,207 $1K
59020 <1% 25 $1K
92522 <1% 28 $1K
92060 <1% 67 $1K
87507 <1% 15 $1K
86580 <1% 263 $1K
86003 <1% 26 $1K
84480 <1% 148 $1K
86480 <1% 71 $1K
J0500 Injection, dicyclomine hcl, up to 20 mg <1% 103 $1K
82330 <1% 201 $1K
D0220 Intraoral - periapical first radiographic image <1% 1,549 $1K
J3535 Drug administered through a metered dose inhaler <1% 433 $1K
85014 <1% 177 $1K
93321 <1% 12 $1K
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting <1% 325 $1K
76882 <1% 36 $1K
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals <1% 247 $1K
82731 <1% 17 $1K
D0330 Panoramic radiographic image <1% 685 $1K
86696 <1% 44 $993.38
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 159 $989.62
84703 <1% 374 $979.10
G0466 Community health center visit, new patient <1% 12 $958.02
29530 <1% 18 $932.61
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 817 $929.01
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 62 $928.64
84132 <1% 534 $926.38
0064A <1% 35 $906.36
78306 <1% 12 $898.22
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 42 $875.75
90732 <1% 28 $849.36
71100 <1% 28 $835.11
C1753 Catheter, intravascular ultrasound <1% 33 $820.90
41800 <1% 13 $803.81
A0428 Ambulance service, basic life support, non-emergency transport, (bls) <1% 31 $798.47
82977 <1% 147 $780.16
86695 <1% 46 $777.06
C1729 Catheter, drainage <1% 55 $769.42
96156 <1% 164 $739.14
0346T <1% 12 $729.20
31575 <1% 12 $727.44
29540 <1% 12 $717.65
93280 <1% 54 $715.72
82575 <1% 95 $711.04
90674 <1% 152 $695.80
G2024 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source <1% 24 $686.51
64400 <1% 14 $677.61
20610 <1% 16 $662.06
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 143 $638.44
90633 <1% 2,412 $610.81
12013 <1% 12 $580.50
D1206 Topical application of fluoride varnish <1% 138 $577.80
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 41 $573.11
87338 <1% 183 $561.82
C1885 Catheter, transluminal angioplasty, laser <1% 13 $512.54
74248 <1% 12 $509.56
90656 <1% 253 $508.13
J8499 Prescription drug, oral, non chemotherapeutic, nos <1% 660 $507.24
J3250 Injection, trimethobenzamide hcl, up to 200 mg <1% 82 $505.84
80185 <1% 53 $476.95
97018 <1% 186 $472.78
88302 <1% 29 $459.11
89051 <1% 180 $457.59
D0120 Dental checkup, returning patient <1% 360 $446.26
J0173 Injection, epinephrine (belcher), not therapeutically equivalent to j0171, 0.1 mg <1% 148 $442.06
86708 <1% 129 $436.99
70160 <1% 13 $428.68
0134A <1% 21 $424.50
90700 <1% 1,001 $420.62
86694 <1% 26 $417.36
S5571 Insulin delivery device, disposable pen (including insulin); 3 ml size <1% 29 $416.12
87046 <1% 70 $409.31
86665 <1% 21 $407.56
80177 <1% 81 $402.26
75710 <1% 15 $382.58
J0461 Injection, atropine sulfate, 0.01 mg <1% 116 $378.27
J1580 Injection, garamycin, gentamicin, up to 80 mg <1% 498 $364.64
J9260 Injection, methotrexate sodium, 50 mg <1% 64 $362.10
15854 <1% 14 $349.25
0052A <1% 12 $345.10
84295 <1% 237 $339.77
D1110 Prophylaxis - adult <1% 146 $339.00
94762 <1% 15 $335.71
86618 <1% 12 $330.36
J0360 Injection, hydralazine hcl, up to 20 mg <1% 123 $281.23
93297 <1% 108 $273.37
85240 <1% 13 $264.78
J8597 Antiemetic drug, oral, not otherwise specified <1% 28 $263.39
87045 <1% 55 $261.24
86308 <1% 72 $258.62
93298 <1% 16 $237.35
J0280 Injection, aminophyllin, up to 250 mg <1% 472 $236.99
J1171 Injection, hydromorphone, 0.1 mg <1% 160 $235.74
82375 <1% 49 $231.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting <1% 70 $230.66
J3480 Injection, potassium chloride, per 2 meq <1% 168 $221.52
D9310 <1% 606 $220.00
86317 <1% 46 $218.42
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries <1% 25 $211.12
86777 <1% 13 $204.72
86664 <1% 12 $203.12
0051A <1% 14 $193.58
D1208 Topical application of fluoride, excluding varnish <1% 418 $177.35
90688 <1% 26 $173.76
D0274 Bitewings - four radiographic images <1% 70 $170.82
82378 <1% 13 $170.40
84311 <1% 37 $169.03
89230 <1% 12 $168.15
86663 <1% 12 $163.71
83516 <1% 30 $157.22
90473 <1% 49 $149.55
G0008 Administration of influenza virus vaccine <1% 406 $138.18
69209 <1% 12 $134.57
90756 <1% 16 $124.54
90662 <1% 17 $113.62
87449 <1% 13 $110.61
85246 <1% 13 $108.88
36000 <1% 13 $105.74
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg <1% 73 $105.73
82945 <1% 54 $96.89
90685 <1% 31 $95.01
90647 <1% 4,284 $93.60
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg <1% 142 $91.95
88112 <1% 13 $84.87
86431 <1% 13 $78.73
82533 <1% 13 $76.75
90619 <1% 78 $75.34
87185 <1% 27 $74.41
L1830 Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf <1% 12 $73.49
82360 <1% 13 $72.96
86880 <1% 14 $67.30
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 12 $65.80
88311 <1% 14 $65.77
D0150 Comprehensive oral evaluation - new or established patient <1% 29 $64.00
90648 <1% 13 $62.76
J7510 Prednisolone oral, per 5 mg <1% 53 $61.46
82785 <1% 13 $58.51
84157 <1% 55 $57.43
J0290 Injection, ampicillin sodium, 500 mg <1% 46 $56.31
87106 <1% 14 $50.60
85060 <1% 15 $48.30
J2003 Injection, lidocaine hydrochloride, 1 mg <1% 88 $40.37
91300 <1% 645 $39.00
J0571 Buprenorphine, oral, 1 mg <1% 23 $38.62
J0456 Injection, azithromycin, 500 mg <1% 18 $37.07
A4550 Surgical trays <1% 68 $33.11
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth <1% 39 $33.00
D0270 <1% 38 $31.00
84481 <1% 13 $30.00
D0230 Intraoral - periapical each additional radiographic image <1% 60 $26.60
A6250 Skin sealants, protectants, moisturizers, ointments, any type, any size <1% 21 $19.32
J0694 Injection, cefoxitin sodium, 1 gm <1% 16 $17.11
86709 <1% 13 $11.97
83930 <1% 13 $11.36
OP279 <1% 51 $10.01
91307 <1% 446 $9.00
91305 <1% 317 $5.00
91301 <1% 92 $3.00
Q0245 Injection, bamlanivimab and etesevimab, 2100 mg <1% 33 $2.00
OP259 <1% 31 $1.84
D9222 0% 61 $0.00
Q0247 Injection, sotrovimab, 500 mg 0% 21 $0.00
91303 0% 63 $0.00
90696 0% 182 $0.00
90381 0% 78 $0.00
D0240 0% 12 $0.00
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 0% 31 $0.00
D7240 Removal of impacted tooth - completely bony 0% 13 $0.00
90744 0% 17 $0.00
D0210 Intraoral - complete series of radiographic images 0% 27 $0.00
A4338 Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each 0% 14 $0.00
90710 0% 369 $0.00
90380 0% 88 $0.00
90671 0% 124 $0.00
91312 0% 86 $0.00
91313 0% 21 $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 officialCAULFIELD, CHRISTOPHER (EXECUTIVE DIRECTOR, FINANCE)