Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES-WA

NPI: 1700037801 · EVERETT, WA 98201 · General Acute Care Hospital · NPI assigned 10/07/2008

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

Authorized official ANDERSON, DONALD controls 20+ related entities in our dataset. Read more

$62.43M
Total Medicaid Paid
2,025,522
Total Claims
1,672,613
Beneficiaries
459
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASST SECRETARY-ENROLLMENT)
NPI Enumeration Date10/07/2008

Related Entities

Other providers sharing the same authorized official: ANDERSON, DONALD

ProviderCityStateTotal Paid
PROVIDENCE HEALTH & SERVICES WASHINGTON ANCHORAGE AK $161.45M
KADLEC REGIONAL MEDICAL CENTER RICHLAND WA $151.60M
SWEDISH EDMONDS EDMONDS WA $30.06M
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC EUREKA CA $28.68M
PROVIDENCE HEALTH SYSTEM SOUTHERN CALIFORNIA TORRANCE CA $27.29M
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA SAN PEDRO CA $24.26M
PROVIDENCE HEALTH & SERVICES - WASHINGTON TUKWILA WA $21.98M
SWEDISH HEALTH SERVICES SEATTLE WA $21.06M
PROVIDENCE HEALTH & SERVICES WASHINGTON KODIAK AK $11.39M
SWEDISH HEALTH SERVICES SEATTLE WA $11.08M
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC FORTUNA CA $8.55M
COLLABRIA CARE NAPA CA $8.20M
PROVIDENCE HEALTH & SERVICES OREGON SEASIDE OR $8.01M
PROVIDENCE HEALTH & SERVICES- WASHINGTON SPOKANE WA $8.01M
HOSPICE OF LUBBOCK INC LUBBOCK TX $6.48M
PROVIDENCE SAINT JOHN'S HEALTH CENTER SANTA MONICA CA $5.52M
METHODIST HOSPITAL LEVELLAND LEVELLAND TX $4.55M
COLLABRIA CARE NAPA CA $4.05M
METHODIST HOSPITAL LEVELLAND LEVELLAND TX $4.01M
METHODIST HOSPITAL PLAINVIEW TEXAS PLAINVIEW TX $4.00M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 337,072 $10.74M
2019 338,913 $10.38M
2020 276,662 $8.19M
2021 319,398 $9.35M
2022 283,893 $9.00M
2023 256,124 $8.00M
2024 213,460 $6.76M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
96361 Intravenous infusion, hydration; each additional hour 25,121 22,354 $7.78M
99283 Emergency department visit for the evaluation and management, moderate severity 43,539 40,840 $4.82M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 63,422 42,501 $4.68M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 52,933 48,553 $4.44M
99284 Emergency department visit for the evaluation and management, high severity 50,431 46,650 $4.36M
59025 Fetal non-stress test 23,753 12,062 $3.79M
74177 Computed tomography, abdomen and pelvis; with contrast material 12,416 12,009 $2.03M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 16,104 10,246 $1.98M
70450 Computed tomography, head or brain; without contrast material 12,900 12,244 $1.62M
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 5,998 4,540 $1.60M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 5,201 5,113 $1.25M
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 2,158 2,125 $940K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 28,937 24,708 $915K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,703 1,678 $855K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 8,299 7,677 $845K
77412 1,568 153 $765K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 10,389 10,281 $699K
71275 Computed tomographic angiography, chest, with contrast material 4,323 4,176 $643K
76705 Ultrasound, abdominal, real time with image documentation; limited 6,987 6,753 $628K
29581 3,687 1,140 $570K
76830 Ultrasound, transvaginal 6,506 6,367 $560K
70496 3,218 3,103 $553K
74176 Computed tomography, abdomen and pelvis; without contrast material 3,249 3,179 $539K
76642 6,538 5,818 $535K
76801 8,505 7,718 $525K
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 7,702 6,987 $521K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1,884 1,853 $451K
99281 Emergency department visit for the evaluation and management, self-limited or minor 3,557 3,398 $446K
99282 Emergency department visit for the evaluation and management, low to moderate severity 5,376 5,209 $410K
80053 Comprehensive metabolic panel 87,722 76,405 $398K
D2930 Prefabricated stainless steel crown - primary tooth 266 264 $383K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 6,094 4,485 $347K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 6,175 5,603 $345K
93971 3,696 3,528 $343K
70551 Magnetic resonance imaging, brain; without contrast material 1,941 1,884 $328K
G0378 Hospital observation service, per hour 31,533 10,743 $327K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 2,082 2,052 $325K
71046 Radiologic examination, chest; 2 views 13,054 12,653 $314K
77067 Screening mammography, bilateral, including computer-aided detection 6,945 6,898 $302K
76819 Fetal biophysical profile; without non-stress testing 6,492 3,248 $294K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 6,342 6,216 $292K
93017 3,011 2,944 $287K
76700 Ultrasound, abdominal, real time with image documentation; complete 2,728 2,695 $279K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 4,208 4,176 $267K
12001 1,156 1,140 $222K
76770 2,349 2,317 $219K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 6,262 5,379 $198K
76536 2,205 2,178 $196K
93970 1,767 1,717 $165K
84484 32,149 24,562 $160K
77386 387 38 $159K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 9,110 8,518 $152K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2,584 2,499 $148K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 6,168 2,794 $138K
76813 2,963 2,937 $133K
41010 142 136 $131K
77336 2,407 1,100 $131K
97530 Therapeutic activities, direct patient contact, each 15 minutes 5,602 3,009 $130K
10061 671 644 $128K
77066 Tomosynthesis, mammo 4,155 4,087 $118K
47562 53 53 $116K
72100 4,879 4,808 $112K
78815 Positron emission tomography (PET) for limited area imaging 248 244 $111K
12002 585 578 $110K
93458 121 119 $109K
76870 1,158 1,122 $107K
74174 597 584 $105K
P9016 Red blood cells, leukocytes reduced, each unit 313 259 $105K
95811 269 267 $103K
73562 2,942 2,867 $103K
72141 698 688 $99K
87040 13,964 7,436 $91K
12011 434 429 $90K
80048 Basic metabolic panel (calcium, ionized) 20,242 16,321 $88K
77065 Tomosynthesis, mammo 2,802 2,641 $87K
76937 2,175 2,000 $87K
73610 4,790 4,469 $87K
73630 4,703 4,374 $85K
73130 4,821 4,328 $84K
73030 5,380 4,859 $84K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 3,523 1,616 $84K
72040 2,654 2,603 $71K
70498 3,424 3,299 $69K
72125 Computed tomography, cervical spine; without contrast material 6,102 5,858 $69K
70491 578 566 $68K
74018 3,214 3,056 $68K
83605 13,981 12,022 $67K
76818 1,098 524 $67K
19083 91 88 $65K
76882 916 806 $65K
58571 26 26 $64K
73110 3,455 3,173 $63K
70486 2,289 2,241 $62K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 220 215 $59K
71250 1,132 1,109 $57K
73140 2,050 1,968 $57K
97162 1,814 1,738 $55K
77063 Screening digital breast tomosynthesis, bilateral 6,244 6,203 $53K
J1756 Injection, iron sucrose, 1 mg 2,053 898 $53K
71260 Computed tomography, thorax, diagnostic; with contrast material 3,346 3,263 $52K
90715 2,818 2,764 $50K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 40,381 34,610 $50K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 51,098 45,782 $50K
73502 2,925 2,833 $45K
64483 95 94 $45K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 6,279 4,380 $43K
83880 7,847 7,272 $41K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 6,416 6,213 $41K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 214 174 $39K
29848 28 28 $37K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 3,314 3,249 $37K
77334 123 96 $37K
36415 Collection of venous blood by venipuncture 51,096 37,924 $36K
97116 2,457 1,431 $36K
D2330 61 60 $35K
10060 159 155 $35K
71045 Radiologic examination, chest; single view 32,719 30,169 $34K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 1,746 1,216 $34K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2,476 2,409 $33K
73560 1,702 1,626 $32K
36430 747 569 $32K
87631 1,562 1,542 $31K
72131 858 827 $29K
85379 5,336 5,199 $28K
58661 12 12 $27K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 82,779 72,259 $27K
97165 775 744 $26K
36902 39 38 $25K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 177 170 $25K
93880 495 487 $24K
73590 1,990 1,788 $24K
J1644 Injection, heparin sodium, per 1000 units 14,294 6,320 $23K
87510 3,120 3,003 $23K
58671 12 12 $22K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 37 37 $22K
73080 1,673 1,580 $22K
77290 89 71 $22K
45380 Colonoscopy, flexible; with biopsy, single or multiple 66 66 $22K
73564 3,021 2,674 $22K
36561 24 24 $21K
97166 777 745 $19K
54161 15 15 $19K
29125 86 86 $19K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 105 104 $19K
85027 26,071 22,451 $19K
84112 2,473 2,197 $19K
97535 Self-care/home management training, each 15 minutes 1,429 1,083 $18K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,005 584 $17K
94770 225 213 $17K
84145 1,641 1,549 $17K
96367 683 599 $17K
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 1,594 1,511 $17K
73090 1,431 1,283 $16K
87660 3,119 3,002 $16K
97161 533 517 $16K
93922 325 320 $15K
58558 12 12 $13K
96375 Therapeutic injection; each additional sequential IV push 27,388 23,490 $13K
71271 130 130 $12K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 200 198 $12K
62323 47 47 $12K
77280 65 56 $12K
88307 662 648 $11K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,386 1,364 $11K
93325 162 156 $9K
86850 5,850 5,494 $9K
86900 7,791 6,222 $9K
94726 327 324 $8K
71101 614 599 $8K
94729 414 409 $8K
72072 563 554 $8K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 248 106 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 13,637 10,514 $8K
72170 1,657 1,588 $8K
80061 Lipid panel 1,761 1,711 $7K
84703 18,409 17,352 $7K
81001 48,358 44,363 $7K
73660 257 249 $7K
83036 Hemoglobin; glycosylated (A1C) 3,085 3,019 $7K
D2332 14 14 $7K
72070 248 247 $7K
80143 710 662 $7K
83735 10,655 9,014 $6K
72110 172 170 $6K
94060 154 152 $6K
C8908 Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral 25 25 $6K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 60 44 $6K
74019 230 228 $6K
P9047 Infusion, albumin (human), 25%, 50 ml 15 12 $5K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 136 136 $5K
84702 5,986 5,514 $5K
86901 8,708 7,060 $5K
86923 434 371 $5K
0001A 138 131 $5K
97597 104 92 $5K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 115 99 $5K
95819 39 39 $5K
93308 31 28 $5K
83690 25,496 23,513 $4K
80179 2,066 1,970 $4K
85610 43,178 31,356 $4K
84443 Thyroid stimulating hormone (TSH) 4,717 4,525 $4K
74183 13 13 $4K
G0249 Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the home and reporting of test results to physician; testing not occurring more frequently than once a week; testing materials, billing units of service include 4 tests 148 136 $4K
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography 12 12 $4K
93990 93 89 $4K
80164 500 440 $3K
77049 16 15 $3K
73552 343 312 $3K
87081 2,115 1,852 $3K
70487 25 25 $3K
83050 491 454 $3K
82075 5,596 4,942 $3K
93925 39 38 $3K
72158 27 26 $3K
72197 12 12 $3K
86140 3,941 3,422 $3K
82565 3,043 2,758 $3K
96376 10,330 8,512 $3K
29515 12 12 $3K
J1750 Injection, iron dextran, 50 mg 73 38 $3K
75574 12 12 $3K
82247 5,263 4,162 $3K
84163 216 216 $2K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,476 2,409 $2K
87086 Culture, bacterial; quantitative colony count, urine 6,808 6,457 $2K
82962 12,031 6,558 $2K
77307 12 12 $2K
77002 17 17 $2K
72128 179 171 $2K
Q3014 Telehealth originating site facility fee 86 84 $2K
77300 53 50 $2K
73120 71 58 $2K
82550 2,857 2,232 $2K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 8,205 7,949 $2K
80050 General health panel 575 567 $2K
96368 14 12 $2K
73620 71 64 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,195 3,127 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg 34,507 27,645 $2K
87070 2,874 2,612 $2K
J7050 Infusion, normal saline solution, 250 cc 31,441 17,885 $2K
93926 26 25 $2K
82077 4,505 4,083 $2K
81025 6,364 6,161 $2K
85014 4,027 3,168 $2K
99381 24 24 $2K
93321 13 13 $2K
97163 57 52 $2K
82570 1,910 1,697 $2K
76820 63 37 $2K
87480 3,120 3,003 $2K
73070 69 64 $1K
93797 180 26 $1K
76942 53 50 $1K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 3,086 2,937 $1K
87075 1,265 1,114 $1K
73522 64 64 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 22,421 18,788 $1K
84466 583 563 $1K
97035 252 130 $1K
J1170 Injection, hydromorphone, up to 4 mg 13,121 9,553 $1K
99152 3,408 3,237 $1K
G0297 Low dose ct scan (ldct) for lung cancer screening 12 12 $1K
J3490 Unclassified drugs 3,155 2,927 $1K
73100 32 30 $1K
82607 398 390 $1K
J3010 Injection, fentanyl citrate, 0.1 mg 20,662 16,665 $1K
85018 3,780 3,004 $1K
80178 151 133 $1K
82731 98 94 $1K
93350 14 13 $1K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 14,714 12,314 $1K
84156 2,063 1,647 $1K
A9270 Non-covered item or service 23,762 4,555 $1K
90686 122 122 $998.20
87186 3,100 2,977 $998.05
J2704 Injection, propofol, 10 mg 12,783 12,182 $966.27
73060 135 126 $958.59
93976 12 12 $955.19
80076 268 257 $942.24
87077 3,096 2,961 $880.18
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $875.83
74022 243 236 $865.16
99153 Mod sedat endo service >5yrs 3,251 3,087 $861.39
J1100 Injection, dexamethasone sodium phosphate, 1 mg 8,811 8,272 $859.99
J7030 Infusion, normal saline solution , 1000 cc 24,443 20,874 $843.94
J0696 Injection, ceftriaxone sodium, per 250 mg 11,855 7,638 $798.30
87506 12 12 $793.94
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 359 334 $788.77
G0379 Direct admission of patient for hospital observation care 105 103 $783.17
87205 3,197 2,826 $777.18
73600 27 26 $756.62
J2250 Injection, midazolam hydrochloride, per 1 mg 13,731 12,741 $742.89
88305 Level IV - Surgical pathology, gross and microscopic examination 3,530 3,354 $725.13
87147 1,394 1,322 $691.37
73700 14 12 $642.33
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 2,511 2,249 $633.75
83540 655 626 $631.71
36591 381 308 $626.67
85651 1,665 1,450 $622.09
84439 549 517 $621.10
C1769 Guide wire 3,625 3,415 $574.59
82728 339 329 $569.16
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 26,153 24,834 $568.14
84550 1,285 1,074 $560.78
J2270 Injection, morphine sulfate, up to 10 mg 12,840 10,269 $550.94
J2785 Injection, regadenoson, 0.1 mg 1,549 1,519 $539.00
85049 964 795 $514.67
77012 12 12 $453.78
85652 1,096 936 $444.27
85730 2,965 2,791 $442.46
81003 3,710 3,610 $439.18
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3,087 2,747 $439.18
J2310 Injection, naloxone hydrochloride, per 1 mg 77 52 $416.67
72220 24 24 $409.44
97803 30 20 $403.78
J7120 Ringers lactate infusion, up to 1000 cc 10,444 8,619 $403.29
90839 3,872 3,585 $400.17
A9585 Injection, gadobutrol, 0.1 ml 4,531 4,390 $399.40
0004A 12 12 $376.80
J0690 Injection, cefazolin sodium, 500 mg 10,595 7,537 $365.57
84100 1,174 1,054 $362.73
M0222 Intravenous injection, bebtelovimab, includes injection and post administration monitoring 51 51 $357.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 517 504 $356.37
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 5,792 5,244 $298.12
80069 79 70 $294.20
A4648 Tissue marker, implantable, any type, each 650 551 $293.25
82805 728 682 $291.38
J1650 Injection, enoxaparin sodium, 10 mg 7,640 3,008 $287.84
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 239 234 $286.70
84450 1,035 850 $284.21
94644 123 119 $280.87
J1200 Injection, diphenhydramine hcl, up to 50 mg 5,109 4,575 $271.55
J3370 Injection, vancomycin hcl, 500 mg 5,008 2,639 $268.11
94150 29 27 $266.83
88304 689 681 $265.14
J2550 Injection, promethazine hcl, up to 50 mg 1,923 1,705 $258.93
72020 32 27 $247.72
C1887 Catheter, guiding (may include infusion/perfusion capability) 1,130 997 $223.71
88342 1,198 1,159 $209.82
89051 571 458 $209.71
J2765 Injection, metoclopramide hcl, up to 10 mg 4,563 4,004 $169.44
87340 143 137 $162.67
86336 255 255 $151.05
82553 30 28 $143.63
82272 794 772 $128.29
0353U 530 511 $127.14
J0330 Injection, succinylcholine chloride, up to 20 mg 5,309 5,039 $115.03
70360 13 12 $112.74
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 3,661 3,580 $111.44
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 2,518 2,300 $106.49
81005 192 186 $105.15
88341 575 560 $97.78
J1815 Injection, insulin, per 5 units 9,494 3,942 $96.11
J1790 Injection, droperidol, up to 5 mg 1,375 1,236 $94.22
J2795 Injection, ropivacaine hydrochloride, 1 mg 221 170 $82.27
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 326 322 $81.37
82010 1,459 1,356 $81.18
83986 183 162 $80.31
85576 180 170 $77.28
J1953 Injection, levetiracetam, 10 mg 126 101 $74.21
82248 97 88 $66.26
J2370 Injection, phenylephrine hcl, up to 1 ml 3,983 3,449 $65.81
J2060 Injection, lorazepam, 2 mg 7,459 6,079 $64.62
J3486 Injection, ziprasidone mesylate, 10 mg 630 572 $64.50
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 2,420 1,995 $60.07
82803 326 269 $57.17
J0780 Injection, prochlorperazine, up to 10 mg 2,712 2,514 $55.16
87493 98 92 $50.03
85384 455 422 $49.39
C1788 Port, indwelling (implantable) 24 24 $43.14
84132 171 147 $42.03
86780 37 37 $41.03
82375 318 296 $34.03
88108 209 158 $33.87
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 3,995 1,499 $31.74
87088 221 208 $31.41
J3475 Injection, magnesium sulfate, per 500 mg 2,319 1,900 $26.47
82140 144 135 $24.38
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 893 368 $19.28
96040 1,140 1,128 $18.54
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 1,223 1,187 $17.05
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg 446 335 $16.14
87149 84 50 $14.57
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 1,041 870 $12.64
J3480 Injection, potassium chloride, per 2 meq 1,531 1,217 $12.40
J0171 Injection, adrenalin, epinephrine, 0.1 mg 343 314 $11.59
86706 14 13 $11.20
87899 17 15 $10.95
J1630 Injection, haloperidol, up to 5 mg 1,930 1,699 $9.55
C9113 Injection, pantoprazole sodium, per vial 1,524 911 $8.93
87045 15 15 $8.82
36600 117 111 $8.21
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) 593 569 $7.73
J1940 Injection, furosemide, up to 20 mg 1,596 1,078 $6.78
J3411 Injection, thiamine hcl, 100 mg 985 747 $5.88
J2175 Injection, meperidine hydrochloride, per 100 mg 97 95 $5.39
85347 595 465 $5.06
87046 15 15 $4.41
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 3,378 2,376 $3.63
88311 13 13 $2.43
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen 2,182 1,561 $1.18
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 437 411 $1.08
J0692 Injection, cefepime hydrochloride, 500 mg 754 402 $1.02
J3415 Injection, pyridoxine hcl, 100 mg 83 78 $0.56
J0456 Injection, azithromycin, 500 mg 37 27 $0.49
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 22,986 20,624 $0.01
C1729 Catheter, drainage 51 44 $0.00
84295 30 28 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 176 155 $0.00
D1120 Prophylaxis - child 273 266 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 431 368 $0.00
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 304 300 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 420 357 $0.00
0042T 80 78 $0.00
C1760 Closure device, vascular (implantable/insertable) 45 40 $0.00
C1876 Stent, non-coated/non-covered, with delivery system 30 30 $0.00
51702 29 26 $0.00
C1758 Catheter, ureteral 50 49 $0.00
G0390 Trauma response team associated with hospital critical care service 13 13 $0.00
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg 13 12 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 24 24 $0.00
82947 27 26 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 49 48 $0.00
J1171 Injection, hydromorphone, 0.1 mg 236 169 $0.00
87641 26 25 $0.00
C1776 Joint device (implantable) 12 12 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 154 126 $0.00
85390 178 168 $0.00
C1889 Implantable/insertable device, not otherwise classified 154 152 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 791 708 $0.00
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) 161 160 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 119 109 $0.00
D0240 295 288 $0.00
D0272 Bitewings - two radiographic images 297 290 $0.00
0240U 740 720 $0.00
J7999 Compounded drug, not otherwise classified 1,527 1,098 $0.00
J1836 Injection, metronidazole, 10 mg 536 397 $0.00
J1920 Injection, labetalol hydrochloride, 5 mg 14 12 $0.00
J3360 Injection, diazepam, up to 5 mg 15 15 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 124 86 $0.00
S9981 Medical records copying fee, administrative 15 15 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 25 25 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 221 209 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 101 94 $0.00
D0150 Comprehensive oral evaluation - new or established patient 95 94 $0.00
C1781 Mesh (implantable) 127 126 $0.00
82435 29 28 $0.00
L8699 Prosthetic implant, not otherwise specified 16 15 $0.00
J8540 Dexamethasone, oral, 0.25 mg 35 26 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 29 29 $0.00
J0280 Injection, aminophyllin, up to 250 mg 29 29 $0.00
S9982 Medical records copying fee, per page 15 15 $0.00
J7042 5% dextrose/normal saline (500 ml = 1 unit) 40 25 $0.00
82330 30 28 $0.00
J2305 Injection, nitroglycerin, 5 mg 15 14 $0.00
51798 13 13 $0.00
J2560 Injection, phenobarbital sodium, up to 120 mg 17 12 $0.00