Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WILLIAM BEAUMONT HOSPITAL

NPI: 1689653305 · ROYAL OAK, MI 48073 · General Acute Care Hospital · NPI assigned 01/11/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official COX, MATTHEW controls 20+ related entities in our dataset. Read more

$162.64M
Total Medicaid Paid
6,223,420
Total Claims
5,644,054
Beneficiaries
842
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCOX, MATTHEW (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date01/11/2006

Related Entities

Other providers sharing the same authorized official: COX, MATTHEW

ProviderCityStateTotal Paid
SPECTRUM HEALTH HOSPITALS GRAND RAPIDS MI $243.22M
OAKWOOD HEALTHCARE, INC. DEARBORN MI $165.61M
WILLIAM BEAUMONT HOSPITAL TROY MI $84.88M
LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC SAINT JOSEPH MI $78.22M
BOTSFORD GENERAL HOSPITAL FARMINGTON HILLS MI $72.21M
WILLIAM BEAUMONT HOSPITAL GROSSE POINTE MI $61.49M
OAKWOOD HEALTHCARE, INC. WAYNE MI $55.44M
OAKWOOD HEALTHCARE, INC. TAYLOR MI $50.28M
OAKWOOD HEALTHCARE, INC. TRENTON MI $23.26M
SPECTRUM HEALTH UNITED GREENVILLE MI $20.99M
MECOSTA COUNTY MEDICAL CENTER BIG RAPIDS MI $19.50M
PENNOCK HOSPITAL HASTINGS MI $15.24M
REED CITY HOSPITAL CORPORATION REED CITY MI $15.02M
ZEELAND COMMUNITY HOSPITAL ZEELAND MI $10.12M
LAKELAND COMMUNITY HOSPITAL WATERVLIET WATERVLIET MI $9.85M
LAKELAND COMMUNITY HOSPITAL WATERVLIET NILES MI $9.05M
VISITING NURSE SERVICES OF WESTERN MICHIGAN GRAND RAPIDS MI $4.54M
LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC BENTON HARBOR MI $3.33M
BANNER MESA SURGERY CENTER LLC MESA AZ $2.80M
LAKELAND COMMUNITY HOSPITAL WATERVLIET WATERVLIET MI $2.55M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 462,188 $17.11M
2019 704,571 $17.40M
2020 650,723 $17.92M
2021 1,049,860 $25.88M
2022 1,098,412 $30.28M
2023 1,177,167 $29.84M
2024 1,080,499 $24.21M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 93,572 86,610 $40.93M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 248,995 223,400 $16.98M
99284 Emergency department visit for the evaluation and management, high severity 42,860 41,503 $8.79M
99283 Emergency department visit for the evaluation and management, moderate severity 30,917 29,701 $4.17M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 43,290 40,611 $3.52M
80061 Lipid panel 195,525 194,803 $2.48M
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 138,326 137,825 $2.37M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 11,333 11,281 $2.19M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 53,893 16,085 $2.15M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 83,291 23,994 $1.98M
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 92,684 90,885 $1.89M
42820 Tonsillectomy and adenoidectomy; younger than age 12 709 707 $1.88M
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 90,686 88,899 $1.84M
84443 Thyroid stimulating hormone (TSH) 186,587 184,900 $1.84M
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 39,714 38,159 $1.82M
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 7,054 6,956 $1.61M
80053 Comprehensive metabolic panel 294,975 278,595 $1.56M
97530 Therapeutic activities, direct patient contact, each 15 minutes 36,080 13,870 $1.42M
82947 40,182 28,454 $1.32M
74177 Computed tomography, abdomen and pelvis; with contrast material 11,731 11,534 $1.26M
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 2,635 2,608 $1.25M
96361 Intravenous infusion, hydration; each additional hour 30,061 24,283 $1.17M
71046 Radiologic examination, chest; 2 views 27,394 26,597 $1.12M
G0378 Hospital observation service, per hour 28,475 25,166 $1.10M
93975 10,192 9,823 $1.07M
85025 Blood count; complete (CBC), automated, and automated differential WBC count 312,370 288,753 $1.05M
78815 Positron emission tomography (PET) for limited area imaging 1,517 1,488 $1.04M
99282 Emergency department visit for the evaluation and management, low to moderate severity 12,113 11,497 $944K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 4,900 4,842 $939K
83036 Hemoglobin; glycosylated (A1C) 158,604 157,900 $904K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 38,650 12,250 $887K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,828 2,804 $886K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 13,769 13,085 $880K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 8,964 8,667 $825K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,720 1,707 $817K
82607 88,037 87,629 $765K
70450 Computed tomography, head or brain; without contrast material 11,412 11,137 $732K
59025 Fetal non-stress test 8,698 5,589 $721K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 48,970 48,722 $670K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 42,271 12,625 $665K
96375 Therapeutic injection; each additional sequential IV push 33,983 28,238 $662K
20610 4,538 4,385 $656K
77067 Screening mammography, bilateral, including computer-aided detection 13,573 13,537 $636K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 29,035 28,522 $616K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 8,064 7,898 $598K
80074 21,009 20,829 $593K
62323 1,929 1,911 $580K
41899 Unlisted procedure, dentoalveolar structures 402 402 $571K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 24,606 24,123 $504K
71045 Radiologic examination, chest; single view 15,343 14,632 $495K
76770 8,419 8,306 $482K
Q5103 Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg 557 465 $476K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 10,377 9,483 $463K
76830 Ultrasound, transvaginal 8,387 8,279 $458K
71260 Computed tomography, thorax, diagnostic; with contrast material 3,434 3,401 $444K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 9,880 9,749 $442K
76705 Ultrasound, abdominal, real time with image documentation; limited 8,270 7,991 $421K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 6,955 6,938 $415K
87086 Culture, bacterial; quantitative colony count, urine 102,053 98,607 $413K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 26,061 26,040 $409K
87480 34,348 33,583 $408K
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 24,703 23,813 $403K
74183 2,154 2,140 $402K
82728 52,140 51,481 $402K
87660 33,809 33,053 $397K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 18,056 18,032 $376K
74176 Computed tomography, abdomen and pelvis; without contrast material 4,386 4,307 $376K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 21,383 20,384 $371K
87510 31,981 31,274 $368K
36430 2,468 1,877 $366K
97162 7,744 7,608 $366K
84466 49,219 48,743 $362K
76801 6,407 5,921 $361K
93350 1,505 1,494 $356K
86003 5,467 5,347 $343K
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 18,311 16,137 $340K
84439 60,855 60,256 $325K
77334 918 714 $323K
92587 2,372 2,352 $323K
83013 7,560 7,541 $321K
76700 Ultrasound, abdominal, real time with image documentation; complete 4,957 4,943 $313K
70551 Magnetic resonance imaging, brain; without contrast material 2,995 2,979 $312K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 1,139 1,122 $297K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1,839 1,435 $297K
J1745 Injection, infliximab, excludes biosimilar, 10 mg 167 157 $290K
84481 27,165 26,960 $288K
76819 Fetal biophysical profile; without non-stress testing 4,880 2,364 $288K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 3,833 3,724 $283K
92523 2,675 2,648 $277K
93970 3,131 3,100 $271K
86803 29,943 29,835 $270K
86900 24,049 22,431 $254K
71275 Computed tomographic angiography, chest, with contrast material 3,608 3,542 $249K
82746 30,481 30,279 $248K
87631 14,796 14,565 $245K
97116 15,754 6,827 $240K
90670 4,505 4,497 $239K
77066 Tomosynthesis, mammo 4,278 4,208 $237K
95700 1,304 1,295 $232K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 1,849 1,831 $232K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 23,162 22,809 $228K
76825 827 790 $221K
36415 Collection of venous blood by venipuncture 151,009 131,052 $216K
58558 178 175 $210K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 2,780 2,772 $210K
76642 5,422 5,382 $209K
20680 210 202 $206K
54161 647 645 $202K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,309 930 $199K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 258 252 $197K
97161 3,785 3,735 $196K
83540 51,951 51,449 $195K
80048 Basic metabolic panel (calcium, ionized) 82,454 69,707 $191K
19083 253 250 $190K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 436 432 $189K
85027 87,995 78,461 $186K
76536 3,797 3,784 $184K
86780 20,688 20,522 $179K
93458 132 132 $176K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 848 846 $172K
93971 3,631 3,520 $171K
P9016 Red blood cells, leukocytes reduced, each unit 1,630 1,350 $171K
84403 10,715 10,616 $170K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 7,735 5,099 $170K
94060 1,233 1,229 $168K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1,428 1,425 $167K
90472 Immunization administration, each additional vaccine (list separately) 9,940 9,874 $166K
93017 5,801 5,742 $164K
77065 Tomosynthesis, mammo 3,884 3,610 $163K
47562 49 49 $162K
84702 56,534 51,619 $162K
86769 6,687 6,651 $161K
99281 Emergency department visit for the evaluation and management, self-limited or minor 3,326 3,191 $154K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 5,656 5,522 $154K
27447 28 28 $153K
G0379 Direct admission of patient for hospital observation care 195 188 $151K
72141 1,424 1,417 $146K
77336 2,302 1,032 $146K
44970 49 49 $146K
C8921 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, for congenital cardiac anomalies; complete 420 408 $144K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 11,654 11,643 $144K
83735 53,021 46,539 $142K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 400 398 $142K
27130 24 24 $141K
87070 29,323 28,751 $138K
49083 340 165 $138K
97166 2,838 2,782 $135K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 166 158 $133K
97165 2,376 2,351 $132K
95816 1,131 1,128 $128K
83970 5,841 5,741 $125K
58661 41 41 $123K
71250 2,382 2,369 $120K
87077 23,816 23,297 $111K
87632 2,159 2,132 $111K
87653 6,564 6,513 $111K
87186 23,813 23,292 $111K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 6,571 5,655 $111K
75574 1,937 1,927 $109K
97535 Self-care/home management training, each 15 minutes 7,698 5,177 $109K
86696 9,669 9,603 $109K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 65,371 59,214 $106K
73221 807 803 $103K
93308 1,219 1,154 $100K
86038 14,229 14,134 $99K
70491 994 981 $98K
84550 35,883 35,150 $98K
88184 1,710 1,670 $97K
77080 1,718 1,715 $95K
93880 1,569 1,561 $94K
72197 551 545 $91K
82670 5,434 5,394 $90K
83001 8,026 7,989 $89K
93798 1,673 348 $89K
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 5,507 5,489 $87K
84153 8,313 8,270 $83K
95951 221 153 $80K
87340 15,118 15,012 $79K
82043 22,959 22,850 $79K
87147 15,876 15,533 $77K
83880 9,199 8,789 $76K
84146 6,524 6,470 $75K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,487 1,474 $75K
86695 9,670 9,603 $74K
87529 3,247 3,212 $74K
72110 4,168 4,129 $74K
86480 2,448 2,436 $73K
88305 Level IV - Surgical pathology, gross and microscopic examination 13,949 13,432 $72K
70486 1,878 1,865 $72K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 16,425 9,158 $71K
77300 462 424 $71K
83002 6,392 6,362 $70K
76881 1,220 1,207 $70K
94726 1,405 1,403 $69K
95716 183 140 $68K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 19,233 12,710 $67K
82784 8,255 8,085 $67K
86235 2,614 2,491 $66K
90686 5,470 5,445 $66K
81003 73,735 70,825 $65K
73560 7,380 7,111 $65K
87634 1,553 1,540 $65K
73564 4,133 4,044 $62K
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 2,345 2,305 $62K
97163 1,379 1,373 $61K
87522 Neg quan hep c or qual rna 2,613 2,552 $60K
83021 5,822 5,795 $59K
84402 4,142 4,119 $59K
70544 457 452 $58K
75561 296 296 $58K
86140 25,770 24,135 $58K
74019 4,015 3,936 $57K
82785 6,086 5,781 $57K
81001 51,959 49,487 $57K
73030 6,361 6,147 $56K
73502 4,495 4,361 $55K
90651 649 645 $55K
73610 5,958 5,632 $54K
31231 610 593 $54K
74018 3,242 2,992 $53K
29888 12 12 $51K
77063 Screening digital breast tomosynthesis, bilateral 4,190 4,190 $51K
83655 6,982 6,937 $49K
86762 6,615 6,577 $48K
81514 264 264 $48K
84478 2,112 1,793 $47K
83690 34,957 32,971 $47K
76882 1,407 1,375 $47K
80076 15,142 14,333 $47K
86592 15,743 15,644 $47K
88185 715 653 $46K
86376 5,145 5,122 $45K
71271 827 827 $44K
82627 3,277 3,269 $44K
82248 23,561 21,228 $44K
82550 15,896 15,015 $44K
84144 3,418 3,303 $43K
87536 1,059 1,053 $43K
84450 16,365 15,885 $43K
72100 3,293 3,217 $43K
86147 1,129 1,102 $42K
84460 14,977 14,444 $42K
73110 4,643 4,335 $42K
10005 126 126 $41K
19081 50 50 $41K
82565 16,003 15,121 $41K
85610 29,687 24,102 $41K
86787 5,874 5,814 $40K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 3,537 3,481 $40K
73130 5,231 4,953 $40K
93225 1,168 1,164 $39K
80051 9,765 9,444 $39K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 56 56 $39K
86706 6,583 6,539 $39K
82105 4,317 4,242 $39K
82570 16,002 15,392 $39K
82652 1,771 1,764 $38K
86665 2,463 2,362 $38K
96367 2,391 2,062 $38K
72156 272 271 $37K
73630 5,413 5,236 $37K
85652 28,157 27,023 $36K
86850 23,163 21,542 $36K
93296 2,136 2,127 $36K
73523 685 680 $36K
80069 10,115 8,704 $35K
73700 598 586 $34K
92586 468 468 $33K
83516 5,339 5,222 $33K
82274 3,520 3,506 $33K
88112 2,125 2,092 $33K
62321 106 105 $32K
72040 2,554 2,443 $31K
84425 2,501 2,487 $30K
82533 3,122 3,020 $30K
86200 3,965 3,953 $30K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 436 398 $30K
84520 14,383 13,644 $30K
74178 209 207 $30K
86800 3,224 3,186 $29K
86870 371 357 $29K
80081 781 780 $29K
73590 4,178 4,024 $29K
86160 2,311 2,251 $29K
31575 387 384 $27K
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 135 135 $27K
77295 43 42 $27K
84100 15,284 12,838 $27K
72125 Computed tomography, cervical spine; without contrast material 3,039 2,973 $26K
86431 7,853 7,821 $26K
74022 3,136 3,066 $26K
88142 2,042 2,038 $25K
82378 2,380 2,200 $25K
72158 306 303 $24K
73140 2,009 1,826 $24K
82150 7,526 7,397 $24K
86146 878 860 $24K
10060 311 303 $23K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 68 66 $23K
88342 2,632 2,547 $23K
86141 2,860 2,824 $23K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk 67 66 $23K
72070 1,651 1,635 $22K
52332 27 26 $22K
90732 257 256 $22K
92610 914 903 $22K
86225 2,900 2,860 $22K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 316 316 $22K
86704 3,450 3,428 $21K
90474 3,785 3,781 $21K
86828 647 637 $21K
G0475 Hiv antigen/antibody, combination assay, screening 1,702 1,695 $21K
84134 2,902 2,670 $21K
84445 689 686 $21K
73080 2,683 2,565 $21K
J0585 Injection, onabotulinumtoxina, 1 unit 80 50 $20K
80197 2,891 1,725 $20K
85730 15,812 14,720 $20K
94010 1,085 1,079 $20K
88307 1,832 1,777 $19K
73090 3,371 3,132 $19K
76870 1,646 1,622 $19K
80050 General health panel 1,312 1,312 $19K
54300 12 12 $19K
92579 1,605 1,598 $19K
84165 3,251 3,192 $19K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 7,406 6,711 $19K
86360 944 930 $19K
42830 14 14 $18K
25605 24 24 $18K
82247 7,462 6,058 $18K
20605 134 132 $18K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 805 790 $18K
86039 2,731 2,710 $17K
87427 2,102 2,037 $17K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 251 250 $17K
95909 118 118 $17K
83615 5,907 5,331 $17K
92557 533 531 $17K
87517 700 672 $17K
87205 9,373 9,126 $17K
95953 92 78 $17K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 237 237 $16K
87046 2,239 2,168 $15K
90677 233 233 $15K
86256 1,766 1,738 $15K
76000 635 618 $15K
92083 814 802 $15K
86359 946 932 $15K
73060 2,306 2,210 $15K
83525 2,093 2,083 $15K
82950 5,675 5,629 $15K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 213 213 $15K
85046 6,055 5,547 $14K
67028 Intravitreal injection of a pharmacologic agent 107 92 $14K
72170 866 855 $14K
86304 1,210 1,145 $14K
90716 628 628 $14K
92526 396 192 $14K
83090 1,445 1,436 $14K
86664 2,015 1,996 $14K
86334 1,094 1,077 $14K
77290 82 75 $13K
82310 4,148 4,103 $13K
84156 8,581 7,936 $13K
73552 2,333 2,247 $13K
87428 425 420 $13K
90750 92 92 $12K
86301 1,118 1,084 $12K
84484 35,548 29,031 $12K
C8908 Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral 63 63 $12K
84630 1,763 1,758 $12K
86663 2,022 2,001 $12K
91200 179 179 $11K
88341 1,390 1,311 $11K
72082 340 338 $11K
73070 1,430 1,284 $11K
90734 335 333 $11K
81025 9,608 9,447 $11K
86255 1,641 1,589 $11K
82977 3,053 2,917 $11K
85379 6,820 6,660 $11K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 24,820 23,973 $11K
74174 81 81 $11K
74230 185 182 $11K
83993 1,125 1,114 $11K
72146 130 129 $11K
82465 4,260 4,159 $10K
93923 165 164 $10K
82088 462 458 $10K
93299 660 649 $10K
82525 1,391 1,388 $10K
73562 613 590 $10K
95708 50 48 $10K
95910 77 77 $10K
86765 1,301 1,286 $10K
86901 22,667 21,153 $10K
83010 1,427 1,404 $10K
93270 736 733 $10K
88121 55 55 $9K
76506 188 186 $9K
52000 40 38 $9K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,740 5,679 $9K
87075 2,959 2,877 $9K
84432 885 879 $9K
95819 110 110 $9K
76885 238 236 $9K
86833 94 92 $9K
86832 94 92 $9K
87338 1,173 1,169 $9K
88304 2,444 2,408 $9K
86735 1,051 1,041 $9K
10022 32 28 $9K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 393 386 $8K
82270 117 114 $8K
29881 12 12 $8K
82040 3,756 3,535 $8K
77072 231 231 $8K
84075 2,863 2,788 $8K
80164 1,604 1,488 $8K
86708 1,306 1,292 $8K
82103 953 943 $8K
96376 20,146 11,746 $8K
80177 1,517 1,447 $7K
87045 2,197 2,168 $7K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 4,159 4,038 $7K
70487 89 86 $7K
82330 2,057 1,951 $7K
90744 909 908 $7K
76641 122 121 $6K
71101 411 409 $6K
87081 1,938 1,917 $6K
43235 16 16 $6K
82805 2,479 2,322 $6K
77470 37 36 $6K
84305 534 532 $6K
83921 509 505 $6K
87209 964 942 $6K
74455 54 53 $6K
73100 1,006 927 $6K
87449 1,738 1,702 $6K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 319 313 $6K
86923 1,325 1,123 $6K
92134 2,032 1,913 $5K
87324 1,564 1,545 $5K
92611 119 119 $5K
84155 2,831 2,667 $5K
87102 1,446 1,422 $5K
86644 711 709 $5K
73000 480 444 $5K
20600 30 30 $5K
93351 19 19 $5K
72050 134 134 $5K
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 350 350 $5K
92235 56 53 $5K
82985 396 395 $5K
87641 472 460 $5K
90671 324 324 $5K
87328 698 691 $5K
81002 4,533 4,317 $5K
82390 756 749 $5K
45384 12 12 $5K
82951 581 574 $4K
P9040 Red blood cells, leukocytes reduced, irradiated, each unit 16 13 $4K
82671 213 213 $4K
76820 2,733 1,348 $4K
87329 732 726 $4K
99496 67 67 $4K
83721 671 669 $4K
70360 287 284 $4K
88313 392 365 $4K
84132 3,311 3,207 $4K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 61 61 $4K
83521 230 208 $4K
82024 194 189 $4K
82157 283 279 $4K
62270 13 13 $4K
86364 637 633 $4K
87640 421 408 $4K
93246 228 228 $4K
90688 216 214 $4K
89051 2,389 2,132 $4K
62328 12 12 $4K
90460 Immunization administration through 18 years of age via any route, first or only component 136 136 $4K
86352 52 52 $4K
G0297 Low dose ct scan (ldct) for lung cancer screening 89 88 $3K
86618 437 429 $3K
82962 8,524 6,787 $3K
P9612 Catheterization for collection of specimen, single patient, all places of service 154 152 $3K
36416 1,315 1,074 $3K
90656 375 373 $3K
64450 110 108 $3K
51798 1,031 1,014 $3K
87177 965 942 $3K
87535 136 136 $3K
83550 800 792 $3K
82677 244 244 $3K
92133 573 563 $3K
70498 118 118 $3K
85055 193 130 $3K
97014 340 113 $2K
77280 41 39 $2K
72052 55 55 $2K
99381 35 35 $2K
84244 186 185 $2K
81372 12 12 $2K
83704 131 131 $2K
90480 69 69 $2K
87040 4,663 4,291 $2K
10061 12 12 $2K
84154 192 190 $2K
86300 115 108 $2K
82164 289 283 $2K
86162 159 158 $2K
86922 654 534 $2K
92025 332 332 $2K
73620 428 413 $2K
95812 12 12 $2K
86356 231 229 $2K
86308 2,224 2,203 $2K
86336 267 267 $2K
85018 6,353 5,768 $2K
G0008 Administration of influenza virus vaccine 356 355 $2K
96127 187 187 $2K
86812 118 117 $2K
91322 15 15 $2K
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 103 100 $2K
93298 104 103 $2K
P9047 Infusion, albumin (human), 25%, 50 ml 21 12 $2K
82787 111 110 $2K
85014 4,963 4,528 $2K
83498 183 182 $2K
73565 4,764 4,733 $2K
92524 37 36 $2K
93797 23 13 $2K
90473 131 131 $2K
90739 12 12 $2K
43762 12 12 $1K
88173 432 426 $1K
93297 99 99 $1K
96450 13 12 $1K
82140 383 351 $1K
84300 1,018 976 $1K
83605 7,602 6,814 $1K
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 1,120 1,097 $1K
72131 37 37 $1K
83722 125 124 $1K
90647 2,393 2,390 $1K
73521 55 55 $1K
87581 138 137 $1K
76886 28 28 $1K
59426 75 73 $1K
86005 126 123 $1K
76821 629 330 $1K
87486 135 134 $1K
86060 263 261 $1K
77370 26 25 $1K
87184 295 293 $1K
92250 205 203 $1K
84145 2,695 2,615 $1K
87541 118 117 $1K
84681 92 92 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 57 57 $1K
93925 12 12 $1K
88262 26 25 $1K
85660 458 435 $1K
83014 195 194 $1K
76813 102 101 $1K
73120 162 155 $1K
57454 12 12 $1K
C1769 Guide wire 4,081 3,902 $997.75
86645 99 98 $977.88
92567 3,089 3,071 $968.75
14040 12 12 $963.03
80178 309 280 $955.19
G0109 Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes 22 14 $901.33
99382 14 14 $880.27
82952 378 377 $866.45
83930 1,038 983 $809.58
70480 13 13 $805.38
83520 539 525 $786.04
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 2,651 2,620 $771.54
J7042 5% dextrose/normal saline (500 ml = 1 unit) 8,431 5,945 $759.87
86905 16 15 $755.20
84703 3,683 3,592 $749.34
88312 244 239 $747.39
84295 1,289 1,256 $739.65
83718 148 146 $734.59
85045 333 333 $729.56
96415 15 13 $715.69
12001 401 397 $706.80
86593 264 263 $700.52
0173A 17 17 $662.89
85384 266 250 $620.69
80202 124 75 $592.62
90685 754 748 $586.35
83695 72 71 $580.46
82945 470 467 $553.46
84157 461 455 $530.41
85245 46 40 $525.58
73600 286 270 $517.41
86340 47 46 $484.67
85240 50 44 $474.58
85303 68 67 $469.21
82010 1,908 1,708 $467.11
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 2,386 2,360 $464.99
87015 348 329 $456.11
90658 26 26 $444.42
96381 29 29 $435.51
0071A 12 12 $427.61
82575 135 132 $415.21
90633 2,300 2,295 $414.66
93976 12 12 $407.82
85306 51 51 $405.59
82668 38 38 $402.27
82435 230 230 $394.15
C1889 Implantable/insertable device, not otherwise classified 1,808 1,778 $386.00
94644 68 67 $386.00
83630 38 37 $385.53
87109 40 40 $369.74
94760 2,844 2,510 $360.85
64447 39 39 $360.42
0124A 12 12 $359.82
85244 34 28 $350.79
82626 24 24 $345.32
85300 52 52 $341.72
82340 110 107 $339.19
94664 26 26 $336.90
86705 56 56 $313.65
86357 13 13 $313.25
86355 13 13 $313.25
82374 109 109 $305.51
88720 155 102 $299.77
97022 40 12 $278.00
82955 49 49 $276.67
86747 13 13 $244.19
J2785 Injection, regadenoson, 0.1 mg 1,798 1,778 $235.54
93280 32 31 $231.44
12011 328 325 $227.61
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 2,849 2,623 $225.75
83835 26 24 $221.28
J1644 Injection, heparin sodium, per 1000 units 19,959 9,216 $219.32
J0690 Injection, cefazolin sodium, 500 mg 12,658 10,531 $213.60
58300 12 12 $209.76
82542 180 180 $209.76
86317 28 12 $209.01
84163 38 38 $206.76
86702 24 24 $201.80
84133 164 157 $193.15
36000 44 44 $193.00
80175 52 48 $188.56
85007 93 91 $185.39
87076 54 54 $173.22
85613 38 38 $172.40
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg 2,654 2,314 $160.39
82077 614 563 $150.19
87210 4,104 3,958 $145.78
85597 14 14 $141.48
86701 25 25 $139.96
84080 12 12 $121.17
76827 761 728 $117.57
73522 13 13 $114.60
97012 40 12 $114.55
84590 14 14 $104.38
87341 16 16 $102.03
87808 2,246 2,207 $101.39
82365 79 78 $99.60
99358 Prolong nursin fac eval 15m 431 411 $99.00
86709 15 15 $89.23
90723 2,391 2,389 $82.64
93242 12 12 $81.78
84255 12 12 $79.35
36591 13 12 $66.58
99177 181 181 $66.50
87493 13 13 $66.15
86902 28 25 $63.88
69210 28 27 $63.76
77073 12 12 $57.04
88311 142 137 $56.78
92136 12 12 $55.61
82948 258 249 $55.61
90662 15 15 $53.37
90715 4,801 4,779 $48.75
J2405 Injection, ondansetron hydrochloride, per 1 mg 53,031 43,376 $48.40
88302 42 39 $43.93
J7120 Ringers lactate infusion, up to 1000 cc 42,309 37,409 $38.87
J1885 Injection, ketorolac tromethamine, per 15 mg 35,885 30,620 $33.61
85347 1,089 1,021 $33.40
A9577 Injection, gadobenate dimeglumine (multihance), per ml 8,695 8,474 $33.35
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 1,084 1,066 $31.84
J1170 Injection, hydromorphone, up to 4 mg 21,051 13,342 $29.66
J1100 Injection, dexamethasone sodium phosphate, 1 mg 26,778 25,226 $18.40
J2704 Injection, propofol, 10 mg 32,732 31,143 $18.09
81000 15 15 $16.77
86880 24 24 $16.28
83935 14 13 $13.19
J0696 Injection, ceftriaxone sodium, per 250 mg 7,269 5,650 $12.88
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 183 165 $12.12
J7030 Infusion, normal saline solution , 1000 cc 2,458 2,111 $10.98
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 855 808 $10.53
J2270 Injection, morphine sulfate, up to 10 mg 7,890 5,814 $10.17
J3010 Injection, fentanyl citrate, 0.1 mg 34,582 27,737 $9.07
J3370 Injection, vancomycin hcl, 500 mg 3,479 2,088 $9.06
82800 297 281 $8.39
J2250 Injection, midazolam hydrochloride, per 1 mg 26,756 24,872 $7.95
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 2,845 1,148 $7.83
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 6,158 6,022 $7.10
J0780 Injection, prochlorperazine, up to 10 mg 2,861 2,376 $6.72
99188 48 48 $6.48
J0736 Injection, clindamycin phosphate, 300 mg 200 163 $5.60
J1940 Injection, furosemide, up to 20 mg 645 370 $4.89
C9113 Injection, pantoprazole sodium, per vial 4,511 2,194 $4.28
J2765 Injection, metoclopramide hcl, up to 10 mg 4,773 4,210 $3.19
J2550 Injection, promethazine hcl, up to 50 mg 2,784 1,626 $2.05
J2060 Injection, lorazepam, 2 mg 7,542 4,617 $1.95
J2795 Injection, ropivacaine hydrochloride, 1 mg 7,382 6,639 $1.44
J1200 Injection, diphenhydramine hcl, up to 50 mg 14,828 12,753 $1.21
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 27 25 $0.24
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 457 430 $0.24
90696 445 444 $0.02
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 256 227 $0.02
C1887 Catheter, guiding (may include infusion/perfusion capability) 1,080 1,051 $0.02
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 203 189 $0.02
90680 3,381 3,379 $0.01
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 115 110 $0.01
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 2,058 1,947 $0.01
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 2,908 2,845 $0.01
J3480 Injection, potassium chloride, per 2 meq 1,572 1,101 $0.00
J0461 Injection, atropine sulfate, 0.01 mg 1,219 1,180 $0.00
95886 1,328 1,323 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 3,005 2,953 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 858 841 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 1,773 1,754 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 2,670 1,681 $0.00
J7060 5% dextrose/water (500 ml = 1 unit) 6,028 3,830 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 764 595 $0.00
A9270 Non-covered item or service 4,313 565 $0.00
93320 1,910 1,874 $0.00
90632 338 336 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 1,829 821 $0.00
90698 1,384 1,383 $0.00
A4648 Tissue marker, implantable, any type, each 1,145 1,114 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 46 43 $0.00
97010 93 52 $0.00
J1630 Injection, haloperidol, up to 5 mg 3,207 2,333 $0.00
J2790 Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) 96 88 $0.00
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg 142 96 $0.00
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 225 75 $0.00
J7050 Infusion, normal saline solution, 250 cc 854 615 $0.00
J3411 Injection, thiamine hcl, 100 mg 1,458 720 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 981 824 $0.00
J3360 Injection, diazepam, up to 5 mg 90 81 $0.00
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 636 351 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 341 226 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 87 86 $0.00
74420 113 108 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 63 63 $0.00
84270 799 782 $0.00
J1836 Injection, metronidazole, 10 mg 23 14 $0.00
94761 193 171 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 96 94 $0.00
J3490 Unclassified drugs 4,505 4,359 $0.00
80320 117 105 $0.00
J7999 Compounded drug, not otherwise classified 361 324 $0.00
C2617 Stent, non-coronary, temporary, without delivery system 444 419 $0.00
91305 28 28 $0.00
J0280 Injection, aminophyllin, up to 250 mg 82 82 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 126 120 $0.00
51600 105 104 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 231 149 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 32 31 $0.00
A9573 Injection, gadopiclenol, 1 ml 461 451 $0.00
99153 Mod sedat endo service >5yrs 65 65 $0.00
36410 27 24 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 95 67 $0.00
C1781 Mesh (implantable) 26 25 $0.00
90619 41 41 $0.00
29826 12 12 $0.00
91317 17 17 $0.00
J8501 Aprepitant, oral, 5 mg 14 14 $0.00
77417 19 15 $0.00
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml 12 12 $0.00
83883 46 46 $0.00
J7121 5% dextrose in lactated ringers infusion, up to 1000 cc 52 40 $0.00
91307 15 12 $0.00
L8699 Prosthetic implant, not otherwise specified 15 15 $0.00
94618 13 13 $0.00
58340 16 16 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 3,062 2,924 $0.00
94729 1,768 1,766 $0.00
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 1,511 1,487 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 279 279 $0.00
76937 247 240 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,997 1,737 $0.00
C1776 Joint device (implantable) 483 480 $0.00
93325 3,706 3,598 $0.00
C1729 Catheter, drainage 423 290 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 345 342 $0.00
77002 170 169 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 3,852 3,309 $0.00
76942 1,760 1,715 $0.00
J1580 Injection, garamycin, gentamicin, up to 80 mg 224 209 $0.00
80143 204 197 $0.00
99354 101 99 $0.00
J2800 Injection, methocarbamol, up to 10 ml 882 520 $0.00
C1762 Connective tissue, human (includes fascia lata) 125 122 $0.00
82610 221 208 $0.00
J0735 Injection, clonidine hydrochloride, 1 mg 664 653 $0.00
C1758 Catheter, ureteral 66 65 $0.00
90707 605 605 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 1,997 859 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 1,526 1,513 $0.00
90700 572 571 $0.00
95957 385 270 $0.00
C8937 Computer-aided detection, including computer algorithm analysis of breast mri image data for lesion detection/characterization, pharmacokinetic analysis, with further physician review for interpretation (list separately in addition to code for primary procedure) 26 26 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 664 624 $0.00
Q9958 High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml 96 95 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 298 223 $0.00
C1760 Closure device, vascular (implantable/insertable) 110 105 $0.00
C1780 Lens, intraocular (new technology) 87 83 $0.00
76125 149 146 $0.00
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg 360 213 $0.00
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg 43 26 $0.00
76001 84 83 $0.00
80179 193 187 $0.00
99152 71 71 $0.00
J1171 Injection, hydromorphone, 0.1 mg 418 289 $0.00
90648 12 12 $0.00
A9537 Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries 25 25 $0.00
J1953 Injection, levetiracetam, 10 mg 30 25 $0.00
95251 14 14 $0.00
90461 61 61 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 115 111 $0.00
C1788 Port, indwelling (implantable) 12 12 $0.00
91312 12 12 $0.00
93321 46 45 $0.00
77387 319 30 $0.00
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg 25 25 $0.00
82731 12 12 $0.00
77003 13 12 $0.00
90710 19 19 $0.00
G8989 Self care functional limitation, discharge status, at discharge from therapy or to end reporting 14 14 $0.00