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

The Cleveland Clinic Foundation

The Cleveland Clinic Foundation was paid $863.55M by Medicaid between Jan 2018 and Dec 2024, across 1579 billing codes. Its largest line is G0463, Hospital outpatient clinic visit for assessment and management of a patient — 31% of everything it billed.

33Billing provider infoTHE CLEVELAND CLINIC FOUNDATION
CLEVELAND, OH 44195
33aNPI1679525919assigned 05/16/2006
28Total paid$863.55M
24GClaims16,016,267
24DCodes billed1579
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Ohio

Rank by total paid#1 of 101
Median peer was paid$22.32M
This provider vs. median39×

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

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official LARAWAY, DENNIS controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10M$20M$30M2018201920202021202220232024
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
20181,362,709$57.44M
20191,578,774$64.02M
20201,268,654$62.81M
20211,755,736$86.60M
20222,042,399$99.87M
20234,407,896$278.95M
2024incomplete3,600,099$213.85M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 31% 2,534,307 2,108,085 $269.98M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 5.2% 518,214 448,053 $45.28M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 4.3% 582,362 517,566 $37.38M
J2350 Injection, ocrelizumab, 1 mg 4.0% 1,801 1,329 $34.27M
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 2.5% 619,198 575,826 $21.59M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.4% 806,649 738,040 $20.33M
J9271 Injection, pembrolizumab, 1 mg 1.7% 1,649 1,042 $14.56M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 1.7% 238,829 206,898 $14.56M
96361 Intravenous infusion, hydration; each additional hour 1.3% 30,936 22,003 $11.30M
J0585 Injection, onabotulinumtoxina, 1 unit 1.2% 13,547 10,607 $10.12M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.0% 101,964 50,594 $8.69M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 75,564 63,480 $7.85M
1567 more codes
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 90,120 $6.98M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 79,897 $6.68M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 63,706 $6.33M
81513 <1% 40,466 $6.31M
J1569 Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg <1% 2,363 $5.87M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 28,386 $5.52M
96127 <1% 57,871 $5.47M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 14,524 $5.20M
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 146,885 $5.00M
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% 34,206 $4.74M
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 34,289 $4.50M
87631 <1% 21,694 $4.46M
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 9,136 $4.24M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 86,131 $4.13M
Q5104 Injection, infliximab-abda, biosimilar, (renflexis), 10 mg <1% 2,702 $4.06M
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 15,733 $3.93M
J9144 Injection, daratumumab, 10 mg and hyaluronidase-fihj <1% 834 $3.91M
80053 Comprehensive metabolic panel <1% 302,267 $3.75M
70450 Computed tomography, head or brain; without contrast material <1% 44,727 $3.66M
20610 <1% 31,755 $3.59M
99233 Hospital visit by a doctor, follow-up day (complex) <1% 133,359 $3.59M
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 32,194 $3.52M
J3380 Injection, vedolizumab, intravenous, 1 mg <1% 643 $3.31M
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 5,385 $3.22M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 34,846 $3.20M
77386 <1% 6,598 $2.88M
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 24,773 $2.87M
76819 Fetal biophysical profile; without non-stress testing <1% 36,854 $2.84M
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 10,144 $2.82M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 22,305 $2.77M
99232 Hospital visit by a doctor, follow-up day <1% 149,057 $2.69M
99215 Doctor's office visit, returning patient (complex) <1% 52,079 $2.65M
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 21,361 $2.63M
95720 <1% 23,210 $2.62M
76801 <1% 24,615 $2.61M
95811 <1% 5,776 $2.55M
96415 <1% 7,238 $2.50M
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 454,006 $2.44M
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% 55,327 $2.44M
J9299 Injection, nivolumab, 1 mg <1% 649 $2.40M
J0178 Injection, aflibercept, 1 mg <1% 2,260 $2.36M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 15,369 $2.35M
67028 Intravitreal injection of a pharmacologic agent <1% 20,315 $2.34M
64615 <1% 11,417 $2.29M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 16,393 $2.27M
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 20,246 $2.22M
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 21,444 $2.15M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 15,824 $2.12M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 18,593 $2.11M
95715 <1% 2,363 $2.09M
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 2,920 $2.03M
59025 Fetal non-stress test <1% 12,802 $1.90M
G0378 Hospital observation service, per hour <1% 18,720 $1.80M
95951 <1% 16,273 $1.78M
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 3,344 $1.75M
95806 <1% 4,308 $1.74M
Q5119 Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg <1% 1,731 $1.74M
90677 <1% 16,875 $1.73M
95886 <1% 8,577 $1.73M
J2323 Injection, natalizumab, 1 mg <1% 464 $1.72M
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg <1% 1,616 $1.68M
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 1,112 $1.68M
92134 <1% 63,789 $1.64M
J1745 Injection, infliximab, excludes biosimilar, 10 mg <1% 982 $1.63M
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 10,816 $1.54M
99203 Doctor's office visit, new patient (routine) <1% 52,563 $1.54M
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 6,789 $1.53M
71046 Radiologic examination, chest; 2 views <1% 135,940 $1.45M
96161 <1% 9,331 $1.44M
J0741 Injection, cabotegravir and rilpivirine, 2mg/3mg <1% 295 $1.43M
76830 Ultrasound, transvaginal <1% 29,480 $1.36M
52000 <1% 1,996 $1.35M
11102 <1% 3,523 $1.34M
96160 <1% 7,800 $1.31M
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk <1% 1,711 $1.30M
95813 <1% 1,962 $1.29M
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 23,737 $1.28M
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 7,056 $1.27M
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 996 $1.25M
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 8,873 $1.22M
90791 Psychiatric diagnostic evaluation <1% 8,616 $1.21M
36415 Collection of venous blood by venipuncture <1% 581,641 $1.20M
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 289,296 $1.18M
76813 <1% 16,978 $1.14M
90834 Psychotherapy session, about 45 minutes <1% 16,316 $1.12M
84443 Thyroid stimulating hormone (TSH) <1% 95,475 $1.12M
J3032 Injection, eptinezumab-jjmr, 1 mg <1% 503 $1.12M
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 145,673 $1.11M
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 20,903 $1.06M
11104 <1% 2,169 $1.05M
19318 <1% 198 $1.03M
71045 Radiologic examination, chest; single view <1% 209,119 $1.03M
43235 <1% 2,439 $1.03M
94060 <1% 19,649 $1.03M
95782 <1% 1,666 $1.01M
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 16,244 $1.01M
J0490 Injection, belimumab, 10 mg <1% 627 $1.01M
49083 <1% 4,673 $1000K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies <1% 920 $988K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 4,426 $986K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 7,756 $984K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 61,301 $957K
80061 Lipid panel <1% 95,290 $955K
99204 Doctor's office visit, new patient (more involved) <1% 19,854 $948K
31231 <1% 7,918 $946K
93325 <1% 28,217 $940K
77067 Screening mammography, bilateral, including computer-aided detection <1% 38,335 $937K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 1,394 $931K
97153 Applied behavior analysis (autism therapy), per 15 minutes <1% 6,369 $924K
78815 Positron emission tomography (PET) for limited area imaging <1% 2,054 $924K
J2357 Injection, omalizumab, 5 mg <1% 1,100 $922K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 23,442 $905K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 83,229 $903K
92551 <1% 14,442 $857K
17110 <1% 5,324 $848K
99223 Prolong inpt eval add15 m <1% 14,496 $845K
31575 <1% 5,297 $836K
97161 <1% 17,290 $830K
31579 <1% 4,377 $822K
64643 <1% 3,871 $817K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 27,994 $805K
Q5118 Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg <1% 1,269 $803K
83036 Hemoglobin; glycosylated (A1C) <1% 101,129 $780K
71250 <1% 15,355 $772K
76770 <1% 6,227 $742K
80048 Basic metabolic panel (calcium, ionized) <1% 63,647 $736K
11900 <1% 3,517 $727K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 83,006 $715K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery <1% 2,516 $710K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 40,726 $710K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 7,734 $706K
97803 <1% 12,833 $705K
99479 Subsequent intensive care, per day, very low birth weight infant <1% 8,991 $689K
90688 <1% 58,581 $674K
88307 <1% 11,172 $670K
90651 <1% 11,352 $665K
86850 <1% 24,081 $640K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 74,731 $634K
J9173 Injection, durvalumab, 10 mg <1% 74 $625K
92557 <1% 10,251 $619K
94010 <1% 26,188 $605K
93970 <1% 10,612 $596K
70491 <1% 1,760 $587K
99460 <1% 8,181 $586K
73630 <1% 46,549 $576K
84439 <1% 34,611 $574K
97810 <1% 22,953 $574K
64483 <1% 1,509 $559K
76642 <1% 8,378 $557K
93975 <1% 4,359 $552K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits <1% 8,427 $550K
97535 Self-care/home management training, each 15 minutes <1% 14,687 $547K
77300 <1% 1,032 $540K
99244 Office or other outpatient consultation, moderate to high complexity <1% 10,505 $538K
99238 Hospital discharge day management, 30 minutes or less <1% 19,247 $535K
J0897 Injection, denosumab, 1 mg <1% 1,030 $517K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 2,558 $509K
70551 Magnetic resonance imaging, brain; without contrast material <1% 3,458 $508K
J2506 Injection, pegfilgrastim, excludes biosimilar, 0.5 mg <1% 905 $508K
92015 Determination of refractive state <1% 41,698 $506K
77334 <1% 1,224 $499K
85027 <1% 88,137 $498K
Q5103 Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg <1% 740 $497K
97802 <1% 6,817 $493K
70498 <1% 1,868 $477K
93308 <1% 5,602 $474K
90837 Psychotherapy session, about an hour <1% 3,602 $470K
96367 <1% 9,470 $467K
91200 <1% 7,454 $455K
38222 <1% 599 $452K
92567 <1% 24,357 $450K
51784 <1% 3,421 $450K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 28,079 $450K
92587 <1% 5,945 $445K
90750 <1% 2,287 $444K
99349 <1% 16,847 $439K
20611 <1% 1,458 $437K
52310 <1% 595 $437K
77301 <1% 571 $436K
J9022 Injection, atezolizumab, 10 mg <1% 76 $429K
99308 Subsequent nursing facility care, per day, straightforward <1% 42,862 $427K
71275 Computed tomographic angiography, chest, with contrast material <1% 1,806 $427K
73564 <1% 35,200 $425K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 49,379 $425K
76820 <1% 6,411 $423K
87497 <1% 11,160 $422K
97113 <1% 4,960 $422K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 19,703 $416K
87481 <1% 41,287 $412K
76536 <1% 4,631 $410K
82728 <1% 29,382 $408K
90792 Psychiatric diagnostic evaluation with medical services <1% 2,792 $408K
Q3014 Telehealth originating site facility fee <1% 15,656 $407K
86780 <1% 28,401 $407K
93451 <1% 348 $407K
57454 <1% 1,168 $385K
82607 <1% 25,800 $378K
86803 <1% 28,432 $374K
87086 Culture, bacterial; quantitative colony count, urine <1% 58,022 $371K
80197 <1% 24,089 $369K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 55,389 $368K
92083 <1% 12,914 $365K
93017 <1% 3,819 $353K
74018 <1% 49,827 $347K
74183 <1% 1,599 $340K
77412 <1% 1,984 $338K
99239 Hospital discharge day management, more than 30 minutes <1% 9,896 $336K
72197 <1% 1,117 $334K
86900 <1% 24,819 $333K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 13,632 $331K
77063 Screening digital breast tomosynthesis, bilateral <1% 7,583 $328K
J0475 Injection, baclofen, 10 mg <1% 972 $327K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 4,036 $321K
91320 <1% 6,717 $320K
95885 <1% 1,109 $319K
86140 <1% 29,865 $317K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 29,527 $317K
64405 <1% 841 $316K
97811 <1% 22,915 $313K
93971 <1% 4,898 $309K
90935 Hemodialysis procedure with single evaluation by a physician <1% 14,563 $308K
19083 <1% 356 $308K
77336 <1% 2,504 $306K
58558 <1% 216 $304K
93321 <1% 4,842 $302K
84702 <1% 15,615 $302K
87340 <1% 21,651 $301K
J7300 Intrauterine copper contraceptive (paragard) <1% 292 $301K
77295 <1% 353 $301K
76821 <1% 3,957 $299K
95117 <1% 8,959 $296K
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% 31,107 $293K
77371 <1% 104 $291K
73130 <1% 20,333 $289K
64493 <1% 774 $288K
J0177 Injection, aflibercept hd, 1 mg <1% 169 $286K
93454 <1% 266 $284K
73030 <1% 22,289 $284K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 54,902 $284K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 49,823 $283K
76882 <1% 6,433 $283K
94729 <1% 16,515 $282K
73610 <1% 19,243 $278K
52287 <1% 578 $278K
P9040 Red blood cells, leukocytes reduced, irradiated, each unit <1% 991 $278K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 3,675 $276K
77373 <1% 305 $268K
72100 <1% 14,561 $266K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 1,715 $265K
83540 <1% 31,567 $263K
58300 <1% 2,174 $260K
94618 <1% 5,754 $260K
20550 <1% 1,624 $258K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 7,575 $256K
96900 <1% 6,914 $248K
0202U Oncology (prostate), multianalyte, gene expression profiling <1% 1,554 $245K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 7,398 $243K
62323 <1% 553 $243K
11721 <1% 12,948 $243K
96416 <1% 1,690 $241K
G0105 Colorectal cancer screening; colonoscopy on individual at high risk <1% 388 $237K
58100 <1% 1,390 $233K
73221 <1% 973 $233K
88141 <1% 11,042 $230K
92133 <1% 10,005 $230K
10005 <1% 601 $230K
J0561 Injection, penicillin g benzathine, 100,000 units <1% 664 $229K
90715 <1% 16,997 $229K
83735 <1% 76,405 $225K
93505 <1% 198 $224K
93798 <1% 3,841 $223K
25600 <1% 725 $222K
01922 <1% 977 $221K
99243 <1% 7,058 $220K
93320 <1% 16,911 $220K
98940 <1% 8,397 $216K
83550 <1% 31,152 $213K
36430 <1% 1,533 $207K
84165 <1% 24,514 $206K
64642 <1% 4,463 $204K
10060 <1% 1,058 $203K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 10,798 $201K
77338 <1% 602 $201K
11056 <1% 2,485 $200K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 16,292 $197K
87505 <1% 1,648 $197K
76831 <1% 1,005 $195K
86334 <1% 19,958 $195K
72141 <1% 1,077 $192K
86832 <1% 5,246 $192K
97116 <1% 7,394 $191K
55700 <1% 282 $189K
86480 <1% 7,809 $189K
83970 <1% 8,299 $189K
95816 <1% 4,812 $189K
93880 <1% 2,197 $186K
73502 <1% 12,494 $185K
C1776 Joint device (implantable) <1% 201 $184K
C9290 Injection, bupivacaine liposome, 1 mg <1% 1,581 $183K
97162 <1% 4,330 $182K
83655 <1% 11,207 $181K
95909 <1% 1,637 $178K
96116 <1% 768 $177K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 23,777 $177K
75561 <1% 586 $175K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger <1% 815 $175K
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% 5,205 $174K
86901 <1% 24,760 $173K
85610 <1% 44,843 $170K
82570 <1% 25,436 $170K
92579 <1% 3,401 $169K
86762 <1% 6,862 $168K
95718 <1% 2,278 $167K
85390 <1% 8,840 $167K
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% 576 $166K
97165 <1% 2,581 $166K
95012 <1% 3,363 $166K
J1756 Injection, iron sucrose, 1 mg <1% 5,692 $164K
58301 <1% 1,597 $163K
90832 Psychotherapy session, about 30 minutes <1% 2,397 $162K
95700 <1% 1,063 $161K
J9217 Leuprolide acetate (for depot suspension), 7.5 mg <1% 571 $160K
77470 <1% 462 $159K
J3490 Unclassified drugs <1% 4,978 $159K
74178 <1% 577 $158K
93226 <1% 1,197 $158K
99254 <1% 2,547 $158K
90480 <1% 8,935 $157K
20526 <1% 636 $156K
P9045 Infusion, albumin (human), 5%, 250 ml <1% 912 $156K
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg <1% 619 $154K
12001 <1% 809 $154K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 958 $153K
J1950 Injection, leuprolide acetate (for depot suspension), per 3.75 mg <1% 92 $153K
Q5112 Injection, trastuzumab-dttb, biosimilar, (ontruzant), 10 mg <1% 114 $152K
80069 <1% 10,535 $151K
87510 <1% 11,104 $151K
43249 <1% 377 $151K
29075 <1% 994 $150K
71271 <1% 1,321 $148K
11982 <1% 657 $148K
91120 <1% 2,468 $147K
J9306 Injection, pertuzumab, 1 mg <1% 33 $147K
70486 <1% 1,544 $147K
99462 <1% 4,741 $147K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 2,523 $146K
0124A <1% 5,676 $146K
90670 <1% 20,077 $146K
86706 <1% 11,164 $145K
88342 <1% 10,491 $144K
00731 <1% 8,672 $142K
11981 <1% 620 $138K
67228 <1% 420 $138K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 9,453 $136K
83880 <1% 16,125 $136K
86038 <1% 7,988 $134K
78264 <1% 646 $132K
83020 <1% 10,528 $130K
88341 <1% 2,372 $129K
95076 <1% 620 $128K
94726 <1% 3,983 $127K
80076 <1% 10,418 $126K
93922 <1% 2,600 $126K
64612 <1% 424 $124K
64616 <1% 469 $123K
20552 <1% 1,055 $123K
86833 <1% 5,335 $122K
93296 <1% 5,924 $122K
73110 <1% 7,196 $122K
J0586 Injection, abobotulinumtoxina, 5 units <1% 174 $121K
95923 <1% 463 $119K
91010 <1% 692 $118K
77290 <1% 207 $117K
99255 <1% 1,388 $117K
91122 <1% 2,833 $115K
82784 <1% 13,780 $115K
90698 <1% 21,064 $115K
95910 <1% 1,325 $114K
78431 <1% 187 $113K
72050 <1% 3,056 $113K
81001 <1% 64,829 $113K
90636 <1% 501 $113K
87077 <1% 18,452 $113K
99222 Initial hospital care, per day, moderate complexity <1% 3,182 $112K
77049 <1% 291 $111K
96156 <1% 695 $110K
Q5107 Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg <1% 130 $110K
95924 <1% 464 $109K
69210 <1% 4,647 $109K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 3,204 $109K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions <1% 3,860 $108K
90472 Immunization administration, each additional vaccine (list separately) <1% 42,502 $108K
88112 <1% 7,673 $107K
20600 <1% 629 $107K
90620 <1% 2,699 $107K
90945 <1% 3,258 $107K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 1,261 $106K
90619 <1% 6,896 $105K
84484 <1% 36,756 $105K
17000 <1% 956 $104K
86704 <1% 8,426 $104K
92235 <1% 830 $103K
95819 <1% 1,259 $103K
H1000 Prenatal care, at-risk assessment <1% 794 $103K
70544 <1% 558 $102K
92136 <1% 4,192 $102K
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% 6,015 $102K
J2777 Injection, faricimab-svoa, 0.1 mg <1% 98 $101K
99205 Prolong outpt/office vis <1% 2,104 $101K
30140 <1% 80 $101K
86077 <1% 3,460 $100K
70496 <1% 2,187 $100K
93016 <1% 7,008 $100K
84100 <1% 27,055 $98K
J0129 Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) <1% 73 $97K
87799 <1% 6,997 $97K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 8,198 $97K
99480 Subsequent intensive care, per day, low birth weight infant <1% 1,323 $97K
99442 <1% 5,986 $96K
0002A <1% 2,702 $96K
J3111 Injection, romosozumab-aqqg, 1 mg <1% 97 $95K
20605 <1% 539 $95K
26600 <1% 261 $94K
26720 <1% 276 $94K
88184 <1% 1,208 $94K
81455 <1% 268 $93K
93225 <1% 1,358 $93K
84403 <1% 6,774 $93K
82977 <1% 9,227 $93K
76512 <1% 997 $93K
77080 <1% 1,840 $92K
72156 <1% 967 $91K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 752 $91K
66821 <1% 429 $90K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years <1% 415 $90K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 450 $90K
17250 <1% 413 $89K
J9070 Cyclophosphamide, 100 mg <1% 701 $89K
77062 <1% 2,078 $88K
J9041 Injection, bortezomib, 0.1 mg <1% 2,209 $87K
84153 <1% 7,967 $87K
50200 <1% 228 $87K
97804 <1% 4,027 $86K
87522 Neg quan hep c or qual rna <1% 4,449 $86K
70546 <1% 447 $86K
0001A <1% 2,924 $85K
31237 <1% 163 $85K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 37,145 $85K
87660 <1% 11,366 $84K
12011 <1% 444 $84K
94621 <1% 767 $84K
99497 <1% 1,381 $84K
76881 <1% 857 $84K
99217 <1% 3,467 $84K
87653 <1% 5,108 $83K
82670 <1% 4,028 $83K
11055 <1% 761 $81K
17311 <1% 222 $81K
64721 <1% 91 $81K
74230 <1% 522 $81K
97164 <1% 1,086 $81K
20553 <1% 790 $81K
99152 <1% 7,050 $80K
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose <1% 759 $80K
97166 <1% 1,332 $80K
74174 <1% 1,049 $80K
99306 Prolong nursin fac eval 15m <1% 3,096 $79K
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes <1% 964 $79K
84481 <1% 8,016 $79K
90658 <1% 8,433 $79K
73700 <1% 591 $79K
82533 <1% 3,236 $78K
94642 <1% 699 $78K
88304 <1% 9,792 $78K
90633 <1% 10,188 $78K
73560 <1% 4,346 $76K
76825 <1% 642 $75K
93246 <1% 1,943 $75K
72125 Computed tomography, cervical spine; without contrast material <1% 3,057 $74K
00104 <1% 1,963 $73K
99253 <1% 1,804 $73K
81370 <1% 616 $73K
85652 <1% 23,769 $71K
64450 <1% 446 $71K
82043 <1% 15,175 $71K
11983 <1% 183 $71K
93799 <1% 8,383 $71K
77061 <1% 1,567 $70K
99245 <1% 974 $70K
74160 <1% 435 $70K
90716 <1% 4,821 $68K
P9047 Infusion, albumin (human), 25%, 50 ml <1% 272 $68K
82805 <1% 2,671 $68K
84146 <1% 4,240 $67K
99397 <1% 738 $67K
78816 <1% 75 $66K
96130 <1% 1,579 $66K
C9257 Injection, bevacizumab, 0.25 mg <1% 2,439 $66K
94660 <1% 778 $66K
00811 <1% 4,389 $66K
95911 <1% 730 $65K
99406 <1% 2,582 $65K
00142 <1% 4,853 $65K
88346 <1% 1,412 $65K
P9016 Red blood cells, leukocytes reduced, each unit <1% 238 $64K
86258 <1% 3,478 $64K
99350 Prolong home eval add 15m <1% 1,688 $64K
87493 <1% 1,859 $64K
29405 <1% 421 $63K
73140 <1% 3,127 $63K
98927 <1% 2,111 $63K
58340 <1% 1,022 $62K
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) <1% 5,306 $62K
93990 <1% 1,594 $61K
86364 <1% 4,893 $61K
83001 <1% 4,441 $61K
77014 <1% 2,286 $61K
51728 <1% 311 $60K
72131 <1% 746 $60K
36514 <1% 67 $60K
74240 <1% 335 $59K
36589 <1% 186 $59K
90686 <1% 8,239 $59K
72158 <1% 408 $58K
74019 <1% 1,621 $58K
85396 <1% 5,469 $58K
72110 <1% 1,640 $58K
99443 <1% 2,787 $57K
88185 <1% 1,208 $57K
31624 <1% 125 $57K
93923 <1% 1,082 $57K
86003 <1% 3,528 $56K
82627 <1% 2,861 $55K
51798 <1% 7,898 $55K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 1,878 $54K
85060 <1% 4,840 $54K
93660 <1% 495 $54K
82746 <1% 9,420 $54K
82962 <1% 34,773 $53K
81003 <1% 61,868 $53K
81206 <1% 347 $53K
77065 Tomosynthesis, mammo <1% 3,207 $53K
90853 Group psychotherapy (other than of a multiple-family group) <1% 1,626 $52K
45381 <1% 78 $52K
82950 <1% 4,434 $52K
76857 <1% 2,197 $52K
82105 <1% 4,066 $51K
90870 <1% 1,760 $51K
99358 Prolong nursin fac eval 15m <1% 338 $51K
J9312 Injection, rituximab, 10 mg <1% 25 $51K
70552 <1% 350 $51K
90839 <1% 552 $50K
86147 <1% 1,889 $50K
81025 <1% 46,312 $50K
J9264 Injection, paclitaxel protein-bound particles, 1 mg <1% 43 $49K
72040 <1% 1,461 $49K
43248 <1% 141 $49K
86431 <1% 5,057 $49K
86376 <1% 3,206 $49K
87186 <1% 14,116 $49K
73562 <1% 1,541 $48K
45330 <1% 103 $48K
86160 <1% 4,426 $48K
95992 <1% 570 $48K
11750 <1% 121 $48K
90680 <1% 12,730 $48K
86359 <1% 2,360 $47K
70543 <1% 131 $47K
28470 <1% 152 $47K
96523 <1% 1,049 $46K
86235 <1% 4,370 $46K
92025 <1% 1,032 $46K
92524 <1% 573 $46K
95115 <1% 1,320 $46K
90746 <1% 2,615 $46K
62369 <1% 1,742 $45K
85018 <1% 8,466 $45K
54161 <1% 32 $45K
77066 Tomosynthesis, mammo <1% 2,616 $45K
73590 <1% 2,292 $45K
51705 <1% 870 $44K
76514 <1% 1,097 $44K
J2791 Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu <1% 699 $44K
87536 <1% 1,937 $44K
91112 <1% 255 $44K
92250 <1% 1,283 $44K
84402 <1% 2,850 $43K
87070 <1% 7,734 $43K
98926 <1% 1,394 $43K
83615 <1% 9,528 $43K
93018 <1% 5,049 $43K
78306 <1% 332 $42K
99153 Mod sedat endo service >5yrs <1% 5,090 $42K
77370 <1% 532 $42K
82525 <1% 3,488 $42K
11100 <1% 209 $41K
90697 <1% 4,981 $41K
82024 <1% 1,404 $41K
43762 <1% 255 $41K
70480 <1% 261 $41K
87640 <1% 1,965 $41K
72082 <1% 1,320 $41K
68840 <1% 103 $40K
72157 <1% 528 $40K
96375 Therapeutic injection; each additional sequential IV push <1% 36,903 $40K
88360 <1% 804 $40K
76827 <1% 642 $39K
73070 <1% 1,241 $39K
92611 <1% 527 $39K
84630 <1% 3,974 $39K
19081 <1% 41 $39K
86225 <1% 4,474 $39K
84156 <1% 11,919 $39K
96368 <1% 2,129 $39K
41899 Unlisted procedure, dentoalveolar structures <1% 56 $39K
85576 <1% 1,626 $38K
97150 Therapeutic procedure(s), group (2 or more individuals) <1% 2,067 $38K
99221 <1% 1,487 $38K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 573 $38K
93926 <1% 656 $37K
80502 <1% 1,338 $37K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants <1% 100 $37K
27447 <1% 37 $37K
88365 <1% 377 $36K
86335 <1% 2,688 $36K
90739 <1% 2,150 $36K
88313 <1% 4,940 $36K
81240 <1% 435 $36K
86200 <1% 3,555 $36K
83525 <1% 1,858 $36K
81382 <1% 309 $35K
90744 <1% 7,411 $35K
51741 <1% 649 $35K
92582 <1% 506 $35K
73718 <1% 134 $35K
93978 <1% 314 $35K
90696 <1% 4,867 $34K
73523 <1% 1,413 $34K
72072 <1% 1,194 $34K
83002 <1% 2,909 $34K
88264 <1% 263 $34K
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% 170 $34K
86256 <1% 3,483 $34K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 3,488 $34K
73080 <1% 1,955 $34K
72146 <1% 325 $34K
81256 <1% 290 $34K
92526 <1% 578 $34K
Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units <1% 632 $34K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 1,651 $33K
C1874 Stent, coated/covered, with delivery system <1% 144 $33K
82550 <1% 8,423 $33K
84166 <1% 3,522 $33K
31628 <1% 102 $33K
85240 <1% 937 $32K
82947 <1% 4,678 $32K
84480 <1% 3,269 $32K
86800 <1% 2,517 $32K
83520 <1% 2,353 $31K
73090 <1% 1,553 $31K
97163 <1% 643 $31K
83993 <1% 1,558 $31K
J1453 Injection, fosaprepitant, 1 mg <1% 2,397 $31K
J2997 Injection, alteplase recombinant, 1 mg <1% 146 $31K
96146 <1% 287 $31K
99417 Prolong home eval add 15m <1% 441 $30K
96101 <1% 627 $30K
92340 Fitting of spectacles, except for aphakia; monofocal <1% 1,796 $30K
83521 <1% 4,770 $30K
J0640 Injection, leucovorin calcium, per 50 mg <1% 1,356 $30K
84550 <1% 6,437 $30K
90662 <1% 5,220 $30K
62328 <1% 47 $29K
87641 <1% 1,974 $29K
J9305 Injection, pemetrexed, not otherwise specified, 10 mg <1% 218 $29K
92553 <1% 371 $29K
87902 <1% 183 $29K
J9035 Injection, bevacizumab, 10 mg <1% 105 $29K
95024 <1% 685 $29K
88311 <1% 4,685 $28K
82785 <1% 2,686 $28K
86923 <1% 978 $28K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 270 $28K
36591 <1% 1,491 $28K
88172 <1% 348 $28K
88350 <1% 893 $28K
99385 <1% 552 $27K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 21,265 $27K
86870 <1% 797 $27K
55250 <1% 20 $27K
76818 <1% 239 $27K
87517 <1% 958 $27K
82330 <1% 3,971 $27K
77427 <1% 288 $27K
93312 <1% 158 $27K
83690 <1% 19,746 $27K
99464 <1% 386 $27K
12002 <1% 160 $27K
87529 <1% 2,237 $27K
84425 <1% 3,064 $26K
76937 <1% 1,308 $26K
11103 <1% 528 $26K
90461 <1% 19,581 $26K
64415 <1% 49 $26K
85730 <1% 11,269 $26K
87480 <1% 11,110 $25K
87205 <1% 7,280 $25K
27786 <1% 80 $25K
64644 <1% 576 $25K
73100 <1% 567 $25K
29065 <1% 153 $25K
72070 <1% 820 $25K
83516 <1% 1,849 $25K
82565 <1% 4,138 $25K
93298 <1% 1,218 $25K
80074 <1% 2,700 $25K
76870 <1% 925 $24K
93750 <1% 2,012 $24K
74270 <1% 173 $24K
82951 <1% 937 $24K
96401 <1% 2,782 $24K
86787 <1% 2,185 $24K
52356 <1% 16 $23K
77072 <1% 543 $23K
15275 <1% 105 $23K
82103 <1% 2,357 $23K
84207 <1% 2,355 $23K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 885 $23K
85597 <1% 888 $23K
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel <1% 297 $23K
95912 <1% 357 $22K
J9074 Injection, cyclophosphamide (sandoz), 5 mg <1% 69 $22K
92541 <1% 417 $22K
84460 <1% 3,993 $22K
81596 <1% 308 $22K
66982 <1% 34 $22K
82610 <1% 1,744 $22K
84432 <1% 996 $22K
86304 <1% 1,512 $22K
86141 <1% 1,198 $22K
84144 <1% 1,119 $22K
99441 <1% 2,572 $22K
31615 <1% 26 $22K
29515 <1% 466 $21K
86708 <1% 2,112 $21K
95251 <1% 1,373 $21K
J2469 Injection, palonosetron hcl, 25 mcg <1% 5,148 $21K
11440 <1% 53 $21K
90710 <1% 5,038 $21K
84155 <1% 5,391 $21K
99220 <1% 394 $21K
78582 <1% 32 $21K
90961 <1% 544 $21K
74021 <1% 549 $21K
77280 <1% 154 $21K
82088 <1% 934 $21K
84450 <1% 3,309 $20K
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care <1% 3,283 $20K
90707 <1% 5,056 $20K
73552 <1% 1,204 $20K
99219 <1% 366 $20K
93925 <1% 162 $20K
86361 <1% 1,511 $20K
91065 <1% 522 $20K
86355 <1% 2,293 $20K
86920 <1% 592 $20K
10061 <1% 101 $19K
86015 <1% 952 $19K
96112 <1% 149 $19K
97813 <1% 755 $19K
11200 <1% 100 $19K
00170 Anesthesia for intraoral procedures, including biopsy <1% 1,554 $19K
86765 <1% 1,900 $19K
36573 <1% 15 $19K
88237 <1% 353 $19K
72200 <1% 589 $19K
96376 <1% 6,472 $19K
86039 <1% 2,010 $19K
82248 <1% 2,561 $18K
92652 <1% 398 $18K
82274 <1% 890 $18K
75574 <1% 86 $18K
71101 <1% 1,076 $18K
G0425 Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth <1% 336 $18K
80324 <1% 1,871 $18K
J1610 Injection, glucagon hydrochloride, per 1 mg <1% 161 $18K
87328 <1% 828 $18K
82378 <1% 2,037 $18K
87338 <1% 854 $18K
92555 <1% 492 $18K
86735 <1% 1,079 $18K
99252 <1% 563 $18K
84445 <1% 877 $18K
86665 <1% 1,697 $18K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) <1% 28 $17K
86308 <1% 1,144 $17K
0004A <1% 519 $17K
85045 <1% 6,168 $17K
70355 <1% 488 $17K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 2,935 $17K
52332 <1% 15 $17K
J0881 Injection, darbepoetin alfa, 1 microgram (non-esrd use) <1% 127 $17K
86580 <1% 563 $16K
86317 <1% 1,448 $16K
69209 <1% 2,155 $16K
95874 <1% 6,513 $16K
86146 <1% 1,375 $16K
86695 <1% 1,712 $16K
30520 <1% 18 $16K
83498 <1% 1,162 $16K
76775 <1% 123 $16K
83921 <1% 2,172 $16K
82542 <1% 1,279 $16K
80164 <1% 1,312 $15K
0081A <1% 563 $15K
46221 <1% 29 $15K
78830 <1% 29 $15K
J9075 Injection, cyclophosphamide, not otherwise specified, 5 mg <1% 93 $15K
92700 <1% 316 $15K
J9171 Injection, docetaxel, 1 mg <1% 238 $15K
84305 <1% 863 $15K
72170 <1% 917 $15K
62321 <1% 27 $15K
73000 <1% 391 $15K
11402 <1% 26 $15K
73200 <1% 96 $15K
86644 <1% 1,062 $14K
95044 <1% 40 $14K
62370 <1% 293 $14K
73060 <1% 846 $14K
46600 <1% 1,235 $14K
17003 <1% 531 $14K
86301 <1% 1,186 $14K
54150 <1% 369 $14K
11720 <1% 408 $14K
0054A <1% 787 $14K
73660 <1% 767 $14K
86036 <1% 1,012 $14K
99471 <1% 26 $14K
99386 <1% 240 $14K
80175 <1% 910 $13K
51720 <1% 50 $13K
J3489 Injection, zoledronic acid, 1 mg <1% 816 $13K
86696 <1% 1,697 $13K
92556 <1% 335 $13K
96131 <1% 365 $13K
00300 <1% 724 $13K
0154A <1% 350 $13K
84681 <1% 1,089 $13K
G0426 Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth <1% 179 $13K
57456 <1% 33 $13K
84244 <1% 876 $13K
77085 <1% 277 $13K
86341 <1% 977 $13K
80177 <1% 1,406 $13K
71555 <1% 81 $13K
82952 <1% 782 $13K
94799 <1% 694 $13K
99348 <1% 644 $13K
81332 <1% 389 $13K
77387 <1% 248 $13K
82390 <1% 1,306 $13K
99242 <1% 527 $12K
72128 <1% 262 $12K
92546 <1% 154 $12K
92552 <1% 187 $12K
84154 <1% 1,326 $12K
0071A <1% 422 $12K
23500 <1% 34 $12K
93295 <1% 434 $12K
00840 <1% 725 $12K
51700 <1% 224 $12K
82040 <1% 1,823 $12K
93351 <1% 712 $11K
83010 <1% 1,498 $11K
J9206 Injection, irinotecan, 20 mg <1% 1,040 $11K
43237 <1% 29 $11K
0402T <1% 16 $11K
97814 <1% 754 $11K
80158 <1% 741 $11K
J2704 Injection, propofol, 10 mg <1% 33,447 $11K
80323 <1% 1,327 $11K
84163 <1% 418 $11K
82653 <1% 515 $11K
82150 <1% 2,496 $11K
84270 <1% 709 $11K
86381 <1% 873 $11K
95018 <1% 347 $11K
85041 <1% 2,301 $11K
J9395 Injection, fulvestrant, 25 mg <1% 99 $10K
J9323 Injection, pemetrexed ditromethamine, 10 mg <1% 93 $10K
0082A <1% 343 $10K
J9045 Injection, carboplatin, 50 mg <1% 1,356 $10K
00140 <1% 815 $10K
92523 <1% 294 $10K
81268 <1% 45 $10K
88312 <1% 991 $10K
80348 <1% 1,902 $10K
84436 <1% 936 $10K
82397 <1% 796 $10K
80361 <1% 1,870 $10K
80365 <1% 1,969 $10K
86255 <1% 1,325 $10K
J9201 Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg <1% 815 $10K
76942 <1% 1,732 $10K
80373 <1% 1,870 $10K
90474 <1% 2,234 $10K
92626 <1% 135 $10K
51600 <1% 209 $10K
92550 <1% 228 $10K
90632 <1% 459 $10K
83605 <1% 7,688 $10K
93985 <1% 142 $10K
27130 <1% 13 $9K
96402 <1% 1,255 $9K
86705 <1% 693 $9K
83721 <1% 1,645 $9K
86618 <1% 879 $9K
86664 <1% 667 $9K
85379 <1% 5,059 $9K
80354 <1% 1,870 $9K
80349 <1% 1,870 $9K
84132 <1% 3,773 $9K
70487 <1% 29 $9K
90785 <1% 978 $9K
75565 <1% 645 $9K
51797 <1% 498 $9K
86300 <1% 531 $9K
00813 <1% 2,692 $9K
64447 <1% 54 $9K
J3470 Injection, hyaluronidase, up to 150 units <1% 684 $9K
87040 <1% 4,636 $9K
80356 <1% 1,858 $9K
92545 <1% 276 $9K
80353 <1% 1,871 $9K
86880 <1% 515 $9K
82085 <1% 897 $9K
87329 <1% 822 $9K
86922 <1% 424 $8K
92285 <1% 203 $8K
90685 <1% 1,569 $8K
80178 <1% 567 $8K
J9263 Injection, oxaliplatin, 0.5 mg <1% 961 $8K
00145 <1% 523 $8K
36471 <1% 12 $8K
80364 <1% 1,870 $8K
80358 <1% 1,871 $8K
86592 <1% 1,574 $8K
0072A <1% 277 $8K
00520 <1% 887 $8K
11980 <1% 26 $8K
77075 <1% 78 $8K
87177 <1% 374 $8K
92060 <1% 661 $8K
96132 <1% 779 $8K
82652 <1% 899 $8K
84590 <1% 1,169 $8K
82164 <1% 692 $8K
G0452 Molecular pathology procedure; physician interpretation and report <1% 909 $8K
76883 <1% 59 $8K
82310 <1% 956 $8K
47000 <1% 18 $8K
92519 <1% 37 $8K
83835 <1% 527 $8K
87015 <1% 1,318 $8K
82232 <1% 666 $8K
93000 <1% 521 $8K
96152 <1% 214 $8K
A9270 Non-covered item or service <1% 8,875 $8K
96158 <1% 300 $8K
83695 <1% 861 $8K
82677 <1% 237 $8K
64494 <1% 688 $8K
70250 <1% 244 $8K
92542 <1% 317 $8K
97597 <1% 189 $8K
96136 <1% 883 $7K
86921 <1% 389 $7K
86357 <1% 807 $7K
90847 Family psychotherapy with the patient present, 50 minutes <1% 59 $7K
99383 <1% 145 $7K
74220 <1% 168 $7K
72220 <1% 347 $7K
84134 <1% 769 $7K
29125 <1% 429 $7K
80299 <1% 431 $7K
51702 <1% 573 $7K
J1815 Injection, insulin, per 5 units <1% 678 $7K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials <1% 288 $7K
86360 <1% 788 $7K
87102 <1% 1,762 $7K
0298T <1% 117 $7K
36226 <1% 15 $7K
93976 <1% 55 $7K
20551 <1% 32 $7K
99305 <1% 347 $7K
99201 <1% 692 $7K
82077 <1% 4,612 $7K
85520 <1% 1,333 $7K
77293 <1% 53 $7K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 2,496 $7K
0051A <1% 282 $7K
C1760 Closure device, vascular (implantable/insertable) <1% 612 $7K
76604 <1% 94 $6K
83519 <1% 609 $6K
88142 <1% 1,234 $6K
87088 <1% 1,871 $6K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination <1% 495 $6K
90966 <1% 65 $6K
93248 <1% 363 $6K
12032 <1% 307 $6K
87563 <1% 479 $6K
88173 <1% 1,206 $6K
Q5121 Injection, infliximab-axxq, biosimilar, (avsola), 10 mg <1% 14 $6K
99421 <1% 684 $6K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 20,076 $6K
73522 <1% 153 $6K
81479 Unlisted molecular pathology procedure <1% 89 $6K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 23,708 $6K
84466 <1% 880 $6K
82340 <1% 531 $6K
89051 <1% 2,339 $6K
80235 <1% 623 $6K
92082 <1% 123 $6K
77091 <1% 276 $6K
88291 <1% 695 $6K
80143 <1% 1,036 $6K
84446 <1% 890 $6K
90648 <1% 930 $5K
94681 <1% 147 $5K
82180 <1% 567 $5K
00790 <1% 363 $5K
64999 <1% 44 $5K
83090 <1% 1,113 $5K
74221 <1% 31 $5K
G0297 Low dose ct scan (ldct) for lung cancer screening <1% 28 $5K
90678 <1% 755 $5K
82175 <1% 388 $5K
84080 <1% 720 $5K
99307 <1% 695 $5K
36600 <1% 808 $5K
85014 <1% 999 $5K
28490 <1% 13 $5K
80203 <1% 579 $5K
82668 <1% 448 $5K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 152 $5K
80346 <1% 579 $5K
00400 <1% 970 $5K
93280 <1% 617 $5K
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg <1% 25 $5K
80321 <1% 642 $5K
85384 <1% 1,324 $5K
0052A <1% 211 $5K
81374 <1% 31 $5K
26750 <1% 14 $5K
93284 <1% 362 $5K
82247 <1% 1,192 $5K
73521 <1% 152 $5K
82140 <1% 629 $5K
97032 <1% 353 $5K
94664 <1% 474 $5K
86593 <1% 535 $5K
88331 <1% 82 $5K
30901 <1% 114 $4K
80047 <1% 593 $4K
70360 <1% 282 $4K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 7,381 $4K
80183 <1% 420 $4K
86703 <1% 2,365 $4K
90681 <1% 578 $4K
C1883 Adapter/extension, pacing lead or neurostimulator lead (implantable) <1% 64 $4K
85613 <1% 1,483 $4K
93356 <1% 566 $4K
73650 <1% 133 $4K
90700 <1% 780 $4K
83013 <1% 80 $4K
93299 <1% 158 $4K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 2,046 $4K
01961 <1% 13 $4K
95712 <1% 42 $4K
87206 <1% 1,354 $4K
75635 <1% 12 $4K
97750 <1% 45 $4K
G0008 Administration of influenza virus vaccine <1% 6,509 $4K
85598 <1% 624 $4K
90732 <1% 359 $4K
88300 <1% 1,432 $4K
82495 <1% 340 $4K
74712 <1% 17 $4K
86677 <1% 494 $4K
84238 <1% 233 $4K
86709 <1% 547 $4K
00120 <1% 203 $4K
J9000 Injection, doxorubicin hydrochloride, 10 mg <1% 513 $4K
84703 <1% 3,438 $4K
69200 <1% 210 $4K
64495 <1% 261 $4K
93793 <1% 1,040 $4K
80201 <1% 277 $4K
87209 <1% 350 $4K
84075 <1% 832 $4K
82787 <1% 437 $4K
98928 <1% 163 $4K
85670 <1% 1,193 $4K
J9060 Injection, cisplatin, powder or solution, 10 mg <1% 336 $4K
92597 <1% 72 $4K
83825 <1% 516 $4K
77002 <1% 320 $4K
J1170 Injection, hydromorphone, up to 4 mg <1% 6,166 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 3,072 $4K
87116 <1% 1,050 $4K
99195 <1% 112 $3K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 438 $3K
86828 <1% 520 $3K
82523 <1% 374 $3K
J1644 Injection, heparin sodium, per 1000 units <1% 8,988 $3K
86682 <1% 370 $3K
11901 <1% 14 $3K
99173 <1% 1,499 $3K
00160 <1% 531 $3K
87507 <1% 97 $3K
90734 <1% 553 $3K
77074 <1% 147 $3K
92341 <1% 173 $3K
0003A <1% 87 $3K
99236 Prolong inpt eval add15 m <1% 53 $3K
92504 <1% 2,342 $3K
96137 <1% 238 $3K
36592 <1% 150 $3K
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units <1% 29 $3K
96118 <1% 22 $3K
29425 <1% 15 $3K
76377 <1% 2,296 $3K
G0481 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; 8-14 drug class(es), including metabolite(s) if performed <1% 410 $3K
11730 <1% 32 $3K
93227 <1% 142 $3K
87101 <1% 488 $3K
82803 <1% 1,803 $3K
83630 <1% 142 $3K
82375 <1% 1,692 $3K
93458 <1% 29 $3K
90656 <1% 362 $3K
95079 <1% 15 $3K
J1650 Injection, enoxaparin sodium, 10 mg <1% 2,558 $3K
98929 <1% 55 $3K
92020 <1% 424 $3K
80179 <1% 945 $3K
77077 <1% 141 $3K
86008 <1% 411 $3K
81002 <1% 4,065 $3K
92604 <1% 176 $3K
J1611 Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 mg <1% 69 $3K
92242 <1% 12 $3K
82010 <1% 1,323 $3K
J7120 Ringers lactate infusion, up to 1000 cc <1% 24,207 $3K
77073 <1% 123 $3K
76506 <1% 94 $3K
74150 <1% 17 $2K
12031 <1% 41 $2K
84145 <1% 687 $2K
00812 <1% 969 $2K
95908 <1% 14 $2K
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg <1% 1,371 $2K
90962 <1% 87 $2K
87486 <1% 277 $2K
93283 <1% 265 $2K
84478 <1% 369 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 30,061 $2K
D1208 Topical application of fluoride, excluding varnish <1% 164 $2K
C1781 Mesh (implantable) <1% 93 $2K
J0485 Injection, belatacept, 1 mg <1% 26 $2K
85046 <1% 383 $2K
93319 <1% 47 $2K
90714 <1% 158 $2K
93282 <1% 159 $2K
C1889 Implantable/insertable device, not otherwise classified <1% 781 $2K
97129 <1% 88 $2K
82530 <1% 105 $2K
86777 <1% 152 $2K
J1040 Injection, methylprednisolone acetate, 80 mg <1% 3,160 $2K
94070 <1% 13 $2K
96111 <1% 64 $2K
84300 <1% 517 $2K
82166 <1% 127 $2K
88189 <1% 53 $2K
96417 <1% 3,925 $2K
92132 <1% 98 $2K
83785 <1% 291 $2K
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% 685 $2K
74022 <1% 331 $2K
00320 <1% 469 $2K
83021 <1% 164 $2K
G0260 Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography <1% 21 $2K
J2371 Injection, phenylephrine hydrochloride, 20 micrograms <1% 2,181 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 28,225 $2K
C1887 Catheter, guiding (may include infusion/perfusion capability) <1% 1,282 $2K
82365 <1% 303 $2K
J2800 Injection, methocarbamol, up to 10 ml <1% 717 $2K
C9113 Injection, pantoprazole sodium, per vial <1% 1,050 $2K
92610 <1% 46 $2K
85732 <1% 468 $2K
88302 <1% 207 $2K
85307 <1% 276 $2K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 33,834 $2K
73600 <1% 68 $2K
87900 <1% 16 $2K
85097 <1% 57 $2K
88271 <1% 20 $2K
88177 <1% 472 $2K
84182 <1% 123 $2K
80320 <1% 279 $2K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 3,590 $2K
84252 <1% 229 $2K
99384 <1% 24 $2K
96150 <1% 32 $2K
J2270 Injection, morphine sulfate, up to 10 mg <1% 5,801 $2K
80500 <1% 276 $2K
83883 <1% 134 $2K
82384 <1% 55 $2K
90713 <1% 337 $2K
87581 <1% 289 $2K
84295 <1% 1,892 $2K
84520 <1% 693 $2K
77263 <1% 25 $2K
82671 <1% 114 $2K
82553 <1% 240 $2K
00902 <1% 387 $2K
72052 <1% 27 $1K
99292 <1% 32 $1K
94760 <1% 12,322 $1K
0083A <1% 87 $1K
99495 <1% 391 $1K
87081 <1% 232 $1K
77001 <1% 229 $1K
82379 <1% 256 $1K
36620 <1% 258 $1K
81329 <1% 15 $1K
83789 <1% 142 $1K
96409 <1% 498 $1K
82104 <1% 203 $1K
00537 <1% 45 $1K
96133 <1% 711 $1K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries <1% 1,241 $1K
J3535 Drug administered through a metered dose inhaler <1% 95 $1K
00910 <1% 334 $1K
82139 <1% 135 $1K
V2020 Frames, purchases <1% 150 $1K
01810 <1% 334 $1K
86336 <1% 229 $1K
36556 <1% 101 $1K
82955 <1% 105 $1K
85245 <1% 57 $1K
J1071 Injection, testosterone cypionate, 1 mg <1% 416 $1K
01920 <1% 21 $1K
J0690 Injection, cefazolin sodium, 500 mg <1% 9,912 $1K
87109 <1% 226 $1K
87210 <1% 517 $1K
01480 <1% 162 $1K
85246 <1% 61 $1K
00940 <1% 121 $1K
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 3,591 $1K
99218 <1% 33 $1K
99459 <1% 32 $1K
11105 <1% 928 $1K
83050 <1% 1,765 $1K
01844 <1% 38 $1K
94761 <1% 1,332 $1K
85660 <1% 293 $1K
88377 <1% 82 $1K
51701 <1% 101 $1K
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 9,289 $1K
84433 <1% 157 $992.29
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 6,168 $992.18
92002 <1% 31 $987.69
80165 <1% 118 $979.40
85300 <1% 302 $957.50
86825 <1% 13 $928.17
99483 Prolong outpt/office vis <1% 59 $926.79
86053 <1% 88 $917.21
82747 <1% 124 $914.61
97763 <1% 13 $898.85
99310 Prolong nursin fac eval 15m <1% 37 $894.45
88344 <1% 15 $887.30
00920 <1% 466 $880.11
J7050 Infusion, normal saline solution, 250 cc <1% 17,320 $878.87
84479 <1% 158 $877.09
80195 <1% 105 $869.50
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 37,510 $849.50
J2785 Injection, regadenoson, 0.1 mg <1% 1,848 $836.23
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) <1% 630 $829.82
87324 <1% 71 $822.27
78492 <1% 16 $820.40
J7030 Infusion, normal saline solution , 1000 cc <1% 17,375 $806.20
96103 <1% 101 $805.87
96153 <1% 79 $797.84
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 66 $794.20
99225 <1% 60 $793.95
98968 <1% 209 $787.81
87220 <1% 275 $783.35
J3370 Injection, vancomycin hcl, 500 mg <1% 3,244 $775.72
11719 <1% 47 $755.18
J0360 Injection, hydralazine hcl, up to 20 mg <1% 1,131 $751.41
80377 <1% 30 $747.65
86041 <1% 134 $746.15
96139 <1% 737 $743.62
85303 <1% 281 $738.21
87075 <1% 630 $737.29
85306 <1% 263 $725.27
87106 <1% 226 $723.76
83935 <1% 151 $717.80
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens <1% 69 $711.61
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries <1% 622 $699.53
59430 <1% 13 $696.28
G0475 Hiv antigen/antibody, combination assay, screening <1% 812 $688.25
Q9957 Injection, perflutren lipid microspheres, per ml <1% 809 $680.99
C1769 Guide wire <1% 3,222 $680.53
88720 <1% 3,035 $659.69
80230 <1% 130 $652.49
36416 <1% 5,320 $638.26
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 2,162 $637.14
86316 <1% 64 $630.31
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 29,252 $627.45
93244 <1% 38 $627.03
74328 <1% 25 $624.52
89060 <1% 345 $597.95
76376 <1% 173 $596.03
J1010 Injection, methylprednisolone acetate, 1 mg <1% 1,136 $591.83
99241 <1% 43 $589.10
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 2,763 $588.63
76098 <1% 15 $583.88
99226 <1% 17 $556.05
86363 <1% 92 $555.29
80185 <1% 73 $550.26
J0780 Injection, prochlorperazine, up to 10 mg <1% 2,362 $543.39
00126 <1% 704 $542.39
83930 <1% 145 $540.08
0064A <1% 19 $539.52
64646 <1% 27 $532.99
86808 <1% 38 $514.34
96910 <1% 18 $495.06
86645 <1% 36 $492.80
87305 <1% 91 $492.38
0399T <1% 15 $489.81
90723 <1% 181 $488.50
84210 <1% 95 $487.39
V2784 Lens, polycarbonate or equal, any index, per lens <1% 165 $481.15
83986 <1% 144 $478.67
86060 <1% 22 $476.16
J0461 Injection, atropine sulfate, 0.01 mg <1% 390 $474.57
J3475 Injection, magnesium sulfate, per 500 mg <1% 7,148 $472.94
87341 <1% 75 $468.77
C1830 Powered bone marrow biopsy needle <1% 518 $467.58
99345 Prolong home eval add 15m <1% 13 $464.76
87176 <1% 463 $460.60
G0444 Annual depression screening, 5 to 15 minutes <1% 1,004 $454.48
99354 <1% 14 $453.16
83918 <1% 49 $452.58
93042 <1% 251 $437.78
01470 <1% 19 $435.37
86753 <1% 43 $431.45
00732 <1% 112 $428.85
J0834 Injection, cosyntropin, 0.25 mg <1% 19 $425.92
J9181 Injection, etoposide, 10 mg <1% 95 $417.42
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 1,304 $415.49
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 10,388 $408.73
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 1,833 $401.70
85049 <1% 173 $398.16
J2310 Injection, naloxone hydrochloride, per 1 mg <1% 25 $397.25
96377 <1% 698 $395.31
80162 <1% 37 $389.86
90846 Family psychotherapy without the patient present, 50 minutes <1% 12 $384.40
G0009 Administration of pneumococcal vaccine <1% 1,845 $384.32
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm <1% 1,268 $381.82
96138 <1% 737 $378.73
86687 <1% 38 $369.76
82945 <1% 516 $365.26
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 2,550 $359.05
83014 <1% 25 $356.52
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care <1% 103 $356.07
80169 <1% 15 $356.06
87154 <1% 12 $355.98
01830 <1% 170 $351.00
62252 <1% 63 $349.87
95822 <1% 33 $343.61
82172 <1% 14 $336.42
29130 <1% 14 $334.32
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) <1% 1,103 $332.46
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) <1% 579 $329.43
87184 <1% 192 $322.73
J1940 Injection, furosemide, up to 20 mg <1% 2,136 $322.24
36410 <1% 82 $321.99
99496 <1% 129 $321.36
0031A <1% 13 $315.13
92226 <1% 27 $303.81
93261 <1% 15 $303.51
A9555 Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries <1% 518 $298.51
84255 <1% 59 $294.87
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 199 $289.30
84157 <1% 654 $284.84
A9540 Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries <1% 169 $283.58
87147 <1% 126 $275.30
86606 <1% 31 $274.53
95249 <1% 32 $272.48
J2360 Injection, orphenadrine citrate, up to 60 mg <1% 515 $269.39
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 2,341 $268.54
85247 <1% 24 $262.35
A4648 Tissue marker, implantable, any type, each <1% 801 $261.27
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 5,547 $259.42
93294 <1% 25 $259.07
73620 <1% 52 $252.16
J1030 Injection, methylprednisolone acetate, 40 mg <1% 2,007 $248.32
J3360 Injection, diazepam, up to 5 mg <1% 433 $246.98
J1790 Injection, droperidol, up to 5 mg <1% 2,949 $238.72
77081 <1% 16 $235.40
99251 <1% 12 $231.10
93228 <1% 12 $228.75
86596 <1% 54 $227.86
J2720 Injection, protamine sulfate, per 10 mg <1% 379 $226.84
J1953 Injection, levetiracetam, 10 mg <1% 75 $221.46
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 925 $213.54
82272 <1% 30 $203.75
90647 <1% 18 $200.05
92650 <1% 16 $197.38
J1250 Injection, dobutamine hydrochloride, per 250 mg <1% 40 $197.09
J9370 Vincristine sulfate, 1 mg <1% 313 $197.04
80156 <1% 13 $196.83
J2060 Injection, lorazepam, 2 mg <1% 1,708 $193.55
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 1,738 $184.24
99327 <1% 13 $176.98
96040 <1% 13 $176.40
C1726 Catheter, balloon dilatation, non-vascular <1% 974 $172.78
93041 <1% 131 $172.58
J1580 Injection, garamycin, gentamicin, up to 80 mg <1% 755 $171.03
87899 <1% 95 $170.25
J3480 Injection, potassium chloride, per 2 meq <1% 2,592 $169.20
J1596 Injection, glycopyrrolate, 0.1 mg <1% 1,614 $160.86
96411 <1% 1,139 $150.08
86698 <1% 18 $146.31
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 5,262 $144.24
J3590 Unclassified biologics <1% 15 $144.06
86635 <1% 17 $141.09
86612 <1% 19 $134.65
86001 <1% 25 $133.67
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg <1% 1,254 $125.13
00952 <1% 138 $124.50
90672 <1% 12 $123.50
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose <1% 3,864 $122.66
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg <1% 651 $119.38
C1729 Catheter, drainage <1% 409 $118.35
87255 <1% 12 $111.38
0121A <1% 102 $101.29
G0010 Administration of hepatitis b vaccine <1% 370 $96.65
98967 <1% 24 $92.12
91300 <1% 6,515 $91.68
96380 <1% 186 $91.01
84597 <1% 13 $90.87
A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler <1% 28 $90.45
83529 <1% 41 $87.37
84591 <1% 31 $87.13
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 2,299 $86.51
J2175 Injection, meperidine hydrochloride, per 100 mg <1% 453 $79.40
J3411 Injection, thiamine hcl, 100 mg <1% 414 $79.18
0173A <1% 133 $79.08
69220 <1% 13 $78.97
00918 <1% 17 $77.12
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 188 $73.42
J2540 Injection, penicillin g potassium, up to 600,000 units <1% 124 $71.34
J2470 Injection, pantoprazole sodium, 40 mg <1% 178 $69.07
81000 <1% 131 $61.79
J9267 Injection, paclitaxel, 1 mg <1% 1,284 $60.64
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg <1% 116 $55.44
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf <1% 28 $55.24
J1171 Injection, hydromorphone, 0.1 mg <1% 303 $54.65
88364 <1% 16 $53.01
J2305 Injection, nitroglycerin, 5 mg <1% 114 $52.54
36140 <1% 17 $49.86
87071 <1% 108 $49.56
A6449 Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard <1% 925 $49.06
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 486 $47.24
72020 <1% 24 $47.03
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg <1% 689 $45.36
82435 <1% 94 $42.26
A9585 Injection, gadobutrol, 0.1 ml <1% 534 $39.84
J1630 Injection, haloperidol, up to 5 mg <1% 236 $38.08
83051 <1% 18 $37.31
85347 <1% 39 $36.03
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg <1% 137 $35.44
J7042 5% dextrose/normal saline (500 ml = 1 unit) <1% 349 $34.68
01402 <1% 44 $33.55
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit <1% 16 $32.74
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% 84 $31.36
J7507 Tacrolimus, immediate release, oral, 1 mg <1% 72 $29.01
J2003 Injection, lidocaine hydrochloride, 1 mg <1% 668 $26.02
87430 <1% 68 $25.98
L8509 Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type <1% 14 $25.85
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg <1% 311 $21.40
96167 <1% 21 $20.13
89343 <1% 70 $20.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 6,083 $18.92
J1920 Injection, labetalol hydrochloride, 5 mg <1% 222 $18.91
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 104 $15.70
91312 <1% 3,241 $14.88
87185 <1% 18 $14.36
90611 <1% 93 $13.89
J2004 Injection, lidocaine hcl with epinephrine, 1 mg <1% 217 $11.68
J0737 Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg <1% 14 $8.46
J0736 Injection, clindamycin phosphate, 300 mg <1% 47 $7.15
J0456 Injection, azithromycin, 500 mg <1% 316 $6.26
91305 <1% 1,005 $5.94
91307 <1% 802 $5.44
J7060 5% dextrose/water (500 ml = 1 unit) <1% 1,734 $5.29
91308 <1% 750 $4.98
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 259 $4.74
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 438 $3.29
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme <1% 147 $3.20
Q4049 Finger splint, static <1% 79 $2.63
J1956 Injection, levofloxacin, 250 mg <1% 15 $2.30
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing <1% 183 $1.58
91315 <1% 108 $1.06
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals <1% 355 $0.87
J0290 Injection, ampicillin sodium, 500 mg <1% 31 $0.82
91306 <1% 17 $0.14
G8984 Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals <1% 14 $0.14
G8985 Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting <1% 16 $0.13
91303 <1% 13 $0.11
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% 422 $0.07
3078F <1% 295,319 $0.02
3074F 0% 326,000 $0.00
3075F 0% 16,734 $0.00
3079F 0% 46,930 $0.00
3080F 0% 2,184 $0.00
3044F 0% 225 $0.00
1220F 0% 105 $0.00
31629 0% 24 $0.00
1123F 0% 370 $0.00
1111F 0% 91 $0.00
A9561 Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries 0% 199 $0.00
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 0% 95 $0.00
V2632 Posterior chamber intraocular lens 0% 238 $0.00
87808 0% 43 $0.00
J2787 Riboflavin 5'-phosphate, ophthalmic solution, up to 3 ml 0% 16 $0.00
J1110 Injection, dihydroergotamine mesylate, per 1 mg 0% 47 $0.00
C2617 Stent, non-coronary, temporary, without delivery system 0% 60 $0.00
91317 0% 42 $0.00
C1753 Catheter, intravascular ultrasound 0% 18 $0.00
C1733 Catheter, electrophysiology, diagnostic/ablation, other than 3d or vector mapping, other than cool-tip 0% 15 $0.00
Q9968 Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg 0% 12 $0.00
82985 0% 15 $0.00
C1759 Catheter, intracardiac echocardiography 0% 27 $0.00
A9567 Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries 0% 18 $0.00
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 0% 30 $0.00
3077F 0% 11,214 $0.00
J9190 Injection, fluorouracil, 500 mg 0% 2,050 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 2,229 $0.00
3046F 0% 200 $0.00
C2625 Stent, non-coronary, temporary, with delivery system 0% 213 $0.00
00402 0% 405 $0.00
99091 0% 15 $0.00
C1758 Catheter, ureteral 0% 171 $0.00
1124F 0% 18 $0.00
98966 0% 16 $0.00
3051F 0% 12 $0.00
Q9958 High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml 0% 52 $0.00
43450 0% 16 $0.00
J3250 Injection, trimethobenzamide hcl, up to 200 mg 0% 38 $0.00
0502F 0% 16 $0.00
C1762 Connective tissue, human (includes fascia lata) 0% 16 $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 officialLARAWAY, DENNIS (EXECUTIVE VP CHIEF FINANCE OFFICER)
Same official

Other billing entities under LARAWAY, DENNIS

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.