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

Children's Hospital Corporation

Children's Hospital Corporation was paid $330.79M by Medicaid between Jan 2018 and Dec 2024, across 852 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 5.3% of everything it billed.

33Billing provider infoCHILDREN'S HOSPITAL CORPORATION
BOSTON, MA 02115
33aNPI1710087127assigned 09/25/2006
33bProvider typeClinic/Center
28Total paid$330.79M
24GClaims4,733,583
24DCodes billed852
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Clinic/Center providers in Massachusetts

Rank by total paid#2 of 53
Median peer was paid$154K
This provider vs. median2,149×

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

Box 24A · Dates of service

Paid by month

$0$2.0M$4.0M$6.0M2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018628,849$41.15M
2019654,186$42.16M
2020491,774$38.20M
2021685,918$46.59M
2022765,925$53.27M
2023801,039$57.96M
2024incomplete705,892$51.47M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.3% 135,081 120,422 $17.63M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 4.1% 74,790 71,232 $13.49M
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 3.5% 75,695 69,771 $11.68M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 3.5% 57,792 55,576 $11.55M
J1745 Injection, infliximab, excludes biosimilar, 10 mg 3.1% 4,984 4,559 $10.36M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 3.0% 10,656 9,573 $10.01M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 2.9% 36,285 34,272 $9.70M
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 2.3% 8,437 5,933 $7.73M
J1561 Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg 2.3% 4,042 3,113 $7.55M
41899 Unlisted procedure, dentoalveolar structures 2.2% 4,012 3,807 $7.22M
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 2.1% 4,364 4,306 $6.99M
42820 Tonsillectomy and adenoidectomy; younger than age 12 2.1% 3,109 3,088 $6.79M
840 more codes
96361 Intravenous infusion, hydration; each additional hour 1.7% 8,492 $5.54M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.6% 5,455 $5.27M
J3490 Unclassified drugs 1.4% 17,887 $4.55M
70551 Magnetic resonance imaging, brain; without contrast material 1.4% 12,440 $4.54M
G0378 Hospital observation service, per hour 1.3% 34,661 $4.28M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 1.3% 14,615 $4.22M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.2% 13,274 $3.84M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.1% 14,927 $3.68M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.1% 30,078 $3.61M
Q5103 Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg 1.1% 1,640 $3.57M
90834 Psychotherapy session, about 45 minutes 1.0% 10,878 $3.41M
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 63,187 $3.26M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 29,844 $3.18M
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 18,811 $3.18M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 4,158 $3.13M
76770 <1% 16,075 $3.10M
J0585 Injection, onabotulinumtoxina, 1 unit <1% 3,109 $3.08M
49452 <1% 2,643 $2.94M
99215 Doctor's office visit, returning patient (complex) <1% 14,452 $2.84M
J1569 Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg <1% 1,212 $2.74M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 27,851 $2.69M
D2930 Prefabricated stainless steel crown - primary tooth <1% 17,246 $2.67M
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 2,165 $2.46M
42830 <1% 1,128 $2.23M
D1120 Dental cleaning, child <1% 49,812 $2.20M
54161 <1% 1,087 $2.08M
95782 <1% 1,739 $2.01M
97803 <1% 25,407 $2.00M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 19,849 $2.00M
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 14,881 $1.92M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 19,937 $1.86M
92567 <1% 34,355 $1.81M
93325 <1% 18,820 $1.80M
D7140 Extraction, erupted tooth or exposed root <1% 22,293 $1.73M
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 20,651 $1.71M
92587 <1% 9,292 $1.66M
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 1,056 $1.64M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 12,459 $1.59M
99219 <1% 11,764 $1.46M
92610 <1% 10,554 $1.43M
D1206 Topical application of fluoride varnish <1% 64,475 $1.42M
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 34,700 $1.41M
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 7,270 $1.36M
D0120 Dental checkup, returning patient <1% 53,894 $1.34M
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 50,181 $1.32M
94010 <1% 11,938 $1.26M
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 17,171 $1.23M
95819 <1% 3,372 $1.14M
D8670 Periodic orthodontic treatment visit <1% 7,432 $1.12M
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 59,850 $1.09M
97802 <1% 13,024 $1.09M
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 5,821 $1.08M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 7,860 $1.06M
87631 <1% 9,483 $1.02M
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 3,430 $987K
64640 <1% 1,092 $985K
96375 Therapeutic injection; each additional sequential IV push <1% 14,917 $964K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 11,294 $959K
36430 <1% 2,176 $951K
71046 Radiologic examination, chest; 2 views <1% 29,320 $914K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 12,034 $901K
29075 <1% 3,178 $860K
D1351 Sealant - per tooth <1% 30,184 $845K
92555 <1% 11,111 $833K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 17,832 $830K
D1110 Prophylaxis - adult <1% 13,844 $787K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 114,872 $785K
95708 <1% 1,624 $770K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 5,732 $768K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 6,112 $767K
74230 <1% 4,290 $746K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 24,534 $715K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 7,467 $715K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 24,737 $711K
51600 <1% 1,452 $707K
72082 <1% 8,591 $697K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent <1% 7,817 $686K
92579 <1% 11,702 $654K
92607 <1% 5,457 $650K
99173 <1% 22,921 $647K
84443 Thyroid stimulating hormone (TSH) <1% 44,121 $631K
D0272 Bitewings - two radiographic images <1% 25,570 $620K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 3,343 $616K
29065 <1% 2,229 $608K
97161 <1% 5,880 $608K
81229 <1% 968 $575K
95953 <1% 742 $570K
90837 Psychotherapy session, about an hour <1% 1,127 $566K
J2704 Injection, propofol, 10 mg <1% 44,079 $565K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 7,957 $558K
D8080 Comprehensive orthodontic treatment of the adolescent dentition <1% 715 $557K
87632 <1% 3,607 $549K
S9485 Crisis intervention mental health services, per diem <1% 951 $545K
86003 <1% 9,545 $541K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 3,969 $533K
92060 <1% 7,077 $531K
D0140 Limited oral evaluation - problem focused <1% 13,684 $513K
76820 <1% 4,535 $505K
D0330 Panoramic radiographic image <1% 8,910 $500K
97162 <1% 3,955 $499K
92523 <1% 3,743 $498K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 87,024 $496K
51741 <1% 1,947 $491K
D0150 Comprehensive oral evaluation - new or established patient <1% 9,876 $485K
92552 <1% 4,608 $457K
96127 <1% 9,658 $453K
J3380 Injection, vedolizumab, intravenous, 1 mg <1% 65 $448K
82728 <1% 37,047 $447K
90791 Psychiatric diagnostic evaluation <1% 894 $433K
92582 <1% 8,570 $430K
92558 <1% 12,308 $426K
92611 <1% 3,958 $420K
76886 <1% 2,587 $394K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 9,890 $391K
77072 <1% 5,957 $380K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 2,760 $365K
88307 <1% 1,185 $363K
73521 <1% 6,053 $361K
D0274 Bitewings - four radiographic images <1% 10,487 $360K
95812 <1% 623 $360K
82784 <1% 28,397 $357K
92557 <1% 3,176 $355K
12011 <1% 1,239 $339K
85027 <1% 57,667 $329K
29405 <1% 1,146 $328K
93976 <1% 2,056 $325K
54640 <1% 196 $324K
76536 <1% 2,224 $323K
72081 <1% 4,108 $322K
99222 Initial hospital care, per day, moderate complexity <1% 1,938 $316K
99381 <1% 3,153 $315K
90847 Family psychotherapy with the patient present, 50 minutes <1% 742 $311K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 6,195 $311K
90651 <1% 3,246 $310K
90832 Psychotherapy session, about 30 minutes <1% 1,247 $309K
D2150 Silver amalgam - two surfaces, primary or permanent <1% 3,645 $308K
76882 <1% 2,160 $303K
83735 <1% 53,370 $300K
72141 <1% 1,575 $297K
80053 Comprehensive metabolic panel <1% 35,628 $293K
94618 <1% 1,898 $293K
83655 <1% 26,030 $292K
95715 <1% 304 $292K
86481 <1% 4,003 $292K
86923 <1% 5,237 $291K
74455 <1% 1,302 $287K
72197 <1% 409 $287K
76870 <1% 2,140 $285K
73610 <1% 6,870 $285K
73630 <1% 6,310 $284K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 19,679 $282K
81025 <1% 30,942 $282K
93017 <1% 2,054 $277K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 9,531 $273K
73590 <1% 5,297 $262K
84439 <1% 33,337 $262K
83970 <1% 7,586 $256K
72170 <1% 3,932 $252K
74018 <1% 4,177 $250K
D0220 Intraoral - periapical first radiographic image <1% 16,025 $246K
90686 <1% 15,529 $240K
87799 <1% 5,621 $238K
93975 <1% 827 $235K
92250 <1% 5,311 $232K
83036 Hemoglobin; glycosylated (A1C) <1% 26,817 $232K
81479 Unlisted molecular pathology procedure <1% 685 $229K
99441 <1% 1,539 $228K
92551 <1% 1,752 $228K
73090 <1% 4,929 $223K
73560 <1% 4,894 $222K
73100 <1% 3,113 $219K
80048 Basic metabolic panel (calcium, ionized) <1% 30,027 $219K
94060 <1% 1,250 $218K
A9585 Injection, gadobutrol, 0.1 ml <1% 4,861 $215K
90846 Family psychotherapy without the patient present, 50 minutes <1% 531 $215K
74019 <1% 9,051 $213K
92585 <1% 674 $213K
86008 <1% 2,409 $206K
76821 <1% 2,971 $203K
82248 <1% 42,797 $200K
86832 <1% 1,132 $197K
D2330 <1% 2,914 $196K
86141 <1% 16,081 $196K
90792 Psychiatric diagnostic evaluation with medical services <1% 340 $191K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis <1% 11,198 $191K
92340 Fitting of spectacles, except for aphakia; monofocal <1% 9,043 $189K
73140 <1% 4,077 $188K
94726 <1% 1,583 $188K
86833 <1% 1,102 $186K
92556 <1% 4,214 $183K
93320 <1% 15,037 $183K
92553 <1% 1,618 $182K
86480 <1% 3,485 $182K
87086 Culture, bacterial; quantitative colony count, urine <1% 25,632 $179K
88185 <1% 746 $178K
76825 <1% 2,829 $177K
44970 <1% 39 $177K
92015 Determination of refractive state <1% 9,530 $176K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction <1% 2,043 $176K
D2331 <1% 2,249 $175K
87081 <1% 30,489 $174K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 43,499 $174K
92608 <1% 3,677 $173K
83540 <1% 30,612 $167K
83550 <1% 22,599 $166K
0001A <1% 3,841 $161K
0002A <1% 3,616 $160K
93225 <1% 2,095 $160K
97165 <1% 1,250 $157K
80051 <1% 26,896 $157K
51728 <1% 290 $156K
86850 <1% 13,069 $155K
70486 <1% 893 $152K
77077 <1% 2,678 $152K
T2023 Targeted case management; per month <1% 631 $152K
86140 <1% 34,055 $152K
88184 <1% 1,779 $150K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 7,621 $150K
83516 <1% 11,977 $149K
91200 <1% 1,130 $147K
82785 <1% 9,764 $147K
C1769 Guide wire <1% 3,118 $147K
73080 <1% 3,287 $144K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 895 $143K
83001 <1% 6,527 $142K
92285 <1% 2,676 $139K
20680 <1% 42 $136K
84403 <1% 6,189 $134K
J7120 Ringers lactate infusion, up to 1000 cc <1% 2,460 $133K
80076 <1% 25,381 $130K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 6,036 $129K
31526 <1% 215 $126K
87077 <1% 15,166 $123K
76827 <1% 2,829 $121K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 17,766 $120K
0071A <1% 2,657 $120K
86317 <1% 3,660 $119K
73552 <1% 2,089 $116K
86355 <1% 4,005 $116K
0399T <1% 923 $115K
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg <1% 5,158 $115K
0072A <1% 2,527 $114K
92609 <1% 1,246 $114K
74183 <1% 374 $114K
73110 <1% 3,183 $113K
J2997 Injection, alteplase recombinant, 1 mg <1% 691 $112K
99383 <1% 1,115 $112K
86356 <1% 1,526 $112K
96415 <1% 182 $111K
49500 <1% 29 $109K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 2,485 $108K
99442 <1% 703 $107K
82565 <1% 38,193 $107K
73130 <1% 2,760 $107K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 1,442 $106K
82805 <1% 1,676 $105K
80061 Lipid panel <1% 19,956 $104K
92083 <1% 1,596 $103K
83002 <1% 6,500 $103K
99382 <1% 942 $103K
85045 <1% 29,147 $102K
74240 <1% 474 $99K
80050 General health panel <1% 4,930 $99K
85652 <1% 41,606 $98K
90472 Immunization administration, each additional vaccine (list separately) <1% 40,220 $96K
92018 <1% 173 $96K
84466 <1% 9,006 $95K
80197 <1% 9,159 $93K
24538 <1% 26 $93K
82627 <1% 4,682 $90K
D2335 <1% 714 $88K
92133 <1% 1,789 $88K
96401 <1% 14 $88K
73070 <1% 1,320 $88K
74712 <1% 354 $87K
97804 <1% 953 $87K
86360 <1% 3,550 $86K
83718 <1% 11,774 $86K
83690 <1% 14,992 $86K
85246 <1% 4,358 $86K
93226 <1% 2,097 $83K
D2140 <1% 1,218 $83K
87070 <1% 11,479 $83K
83021 <1% 4,909 $82K
84305 <1% 4,766 $82K
J1644 Injection, heparin sodium, per 1000 units <1% 5,945 $81K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 30,137 $81K
64643 <1% 438 $80K
83520 <1% 2,611 $80K
87186 <1% 10,447 $79K
90378 <1% 194 $78K
D0230 Intraoral - periapical each additional radiographic image <1% 7,862 $77K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 15,353 $77K
D0210 Intraoral - complete series of radiographic images <1% 1,810 $74K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 1,053 $73K
76857 <1% 396 $73K
84146 <1% 4,489 $72K
85007 <1% 22,604 $71K
94729 <1% 1,287 $71K
86357 <1% 3,382 $70K
0054A <1% 1,631 $70K
83880 <1% 2,565 $69K
87497 <1% 2,148 $68K
90480 <1% 1,916 $68K
85610 <1% 19,307 $68K
85730 <1% 12,898 $67K
84100 <1% 54,954 $67K
88342 <1% 2,181 $67K
99384 <1% 603 $66K
82150 <1% 10,411 $66K
92134 <1% 1,213 $65K
87040 <1% 7,379 $65K
92604 <1% 53 $63K
93356 <1% 6,855 $63K
93304 <1% 138 $63K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 949 $62K
86160 <1% 3,329 $62K
82607 <1% 4,850 $62K
90691 <1% 2,469 $61K
86803 <1% 4,826 $61K
71250 <1% 294 $60K
82040 <1% 8,360 $59K
D8660 <1% 2,780 $59K
70360 <1% 1,434 $58K
92652 <1% 862 $58K
77080 <1% 494 $57K
95816 <1% 161 $56K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 592 $56K
71555 <1% 217 $56K
70450 Computed tomography, head or brain; without contrast material <1% 249 $56K
90670 <1% 4,690 $55K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 492 $55K
D0145 Oral evaluation for a patient under three years of age <1% 2,192 $55K
64642 <1% 312 $54K
85055 <1% 1,822 $54K
81003 <1% 26,820 $54K
12001 <1% 193 $53K
82570 <1% 10,977 $52K
87496 <1% 1,943 $52K
72195 <1% 251 $52K
D2332 <1% 449 $52K
82247 <1% 12,429 $51K
86665 <1% 1,808 $51K
ATP16 <1% 6,303 $51K
72146 <1% 1,123 $51K
87184 <1% 5,463 $50K
ATP09 <1% 7,802 $50K
86900 <1% 13,599 $49K
87205 <1% 9,614 $49K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 6,105 $49K
82139 <1% 3,683 $48K
A0434 Specialty care transport (sct) <1% 71 $47K
S0020 Injection, bupivicaine hydrochloride, 30 ml <1% 1,902 $46K
73564 <1% 647 $46K
84270 <1% 2,360 $46K
D9920 <1% 1,229 $46K
84702 <1% 3,646 $46K
ATP07 <1% 6,856 $46K
86901 <1% 13,165 $45K
83498 <1% 1,941 $45K
82465 <1% 14,047 $44K
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) <1% 328 $44K
87046 <1% 2,273 $44K
71045 Radiologic examination, chest; single view <1% 1,956 $44K
67311 <1% 12 $44K
76776 <1% 250 $43K
86376 <1% 3,319 $42K
29345 <1% 156 $42K
64644 <1% 369 $42K
J0690 Injection, cefazolin sodium, 500 mg <1% 11,137 $42K
81001 <1% 15,188 $41K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 179 $41K
82397 <1% 3,011 $40K
73000 <1% 724 $39K
90715 <1% 2,248 $39K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 11,770 $39K
82379 <1% 2,908 $39K
86038 <1% 3,696 $38K
70544 <1% 321 $38K
ATP14 <1% 4,458 $38K
87467 <1% 1,249 $38K
80069 <1% 6,588 $38K
84134 <1% 3,188 $38K
86618 <1% 1,994 $37K
84460 <1% 35,309 $37K
D0340 <1% 1,311 $37K
82533 <1% 2,168 $36K
82610 <1% 2,586 $36K
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram <1% 8,371 $36K
82670 <1% 1,439 $36K
97164 <1% 398 $35K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 433 $34K
84446 <1% 3,004 $34K
86706 <1% 3,632 $34K
D0240 <1% 2,564 $34K
ATP08 <1% 4,677 $33K
95700 <1% 2,113 $33K
83525 <1% 3,280 $33K
86364 <1% 5,632 $32K
86255 <1% 1,883 $32K
82105 <1% 2,011 $32K
84590 <1% 3,489 $32K
82746 <1% 2,515 $32K
93308 <1% 168 $31K
94680 <1% 615 $31K
86834 <1% 109 $31K
90734 <1% 1,053 $30K
31624 <1% 25 $30K
82977 <1% 20,109 $30K
84132 <1% 2,710 $30K
84450 <1% 25,820 $30K
83631 <1% 1,936 $29K
84520 <1% 37,122 $29K
86774 <1% 2,173 $29K
99188 <1% 1,118 $29K
88304 <1% 2,129 $29K
84630 <1% 3,106 $29K
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% 602 $29K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 5,896 $29K
31622 <1% 24 $28K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 11,171 $28K
51798 <1% 1,572 $28K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 5,918 $27K
J2270 Injection, morphine sulfate, up to 10 mg <1% 15,906 $27K
86800 <1% 2,037 $27K
85240 <1% 1,627 $27K
0004A <1% 659 $27K
86835 <1% 111 $27K
36000 <1% 592 $27K
80164 <1% 2,463 $26K
84156 <1% 8,490 $26K
82043 <1% 5,442 $25K
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen <1% 20,128 $25K
0052A <1% 566 $25K
85245 <1% 1,229 $25K
87209 <1% 1,291 $25K
72100 <1% 606 $24K
P9040 Red blood cells, leukocytes reduced, irradiated, each unit <1% 1,036 $24K
ATP17 <1% 3,029 $24K
10060 <1% 108 $24K
93321 <1% 394 $24K
91322 <1% 906 $23K
90716 <1% 1,865 $23K
54163 <1% 12 $23K
86592 <1% 5,651 $22K
86352 <1% 280 $22K
ATP15 <1% 2,597 $22K
73030 <1% 611 $22K
83993 <1% 1,494 $22K
95951 <1% 39 $21K
0051A <1% 471 $21K
80177 <1% 1,950 $21K
82525 <1% 2,015 $21K
82947 <1% 24,614 $21K
D9310 <1% 384 $21K
C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, other than peel-away <1% 411 $21K
83605 <1% 2,203 $20K
85379 <1% 2,322 $20K
87106 <1% 2,076 $20K
84480 <1% 1,598 $20K
G0008 Administration of influenza virus vaccine <1% 11,386 $20K
85384 <1% 2,548 $20K
0111A <1% 440 $20K
90685 <1% 1,781 $20K
D1354 <1% 1,646 $19K
82542 <1% 861 $19K
G0483 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; 22 or more drug class(es), including metabolite(s) if performed <1% 373 $19K
V5264 Ear mold/insert, not disposable, any type <1% 441 $19K
ATP03 <1% 3,490 $19K
82652 <1% 559 $18K
82550 <1% 8,253 $18K
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm <1% 2,130 $18K
90633 <1% 3,679 $18K
90680 <1% 5,299 $18K
70543 <1% 66 $18K
0112A <1% 391 $18K
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 2,310 $17K
88313 <1% 634 $17K
86341 <1% 530 $17K
87529 <1% 294 $17K
87340 <1% 1,882 $17K
82010 <1% 2,271 $17K
ATP02 <1% 4,050 $17K
87501 <1% 375 $17K
83615 <1% 13,067 $17K
83789 <1% 744 $17K
ATP04 <1% 3,036 $17K
88161 <1% 435 $17K
83721 <1% 3,531 $16K
J7030 Infusion, normal saline solution , 1000 cc <1% 2,332 $16K
86769 <1% 405 $16K
82803 <1% 971 $16K
99203 Doctor's office visit, new patient (routine) <1% 141 $16K
73060 <1% 338 $16K
73522 <1% 180 $15K
75573 <1% 30 $15K
80195 <1% 1,350 $15K
81002 <1% 6,891 $15K
90677 <1% 3,304 $15K
88341 <1% 217 $15K
87427 <1% 1,294 $14K
90707 <1% 1,791 $14K
81228 <1% 99 $14K
82681 <1% 1,350 $14K
D2390 <1% 108 $14K
A0425 Ground mileage, per statute mile <1% 70 $14K
87634 <1% 257 $14K
82310 <1% 7,491 $13K
84436 <1% 2,813 $13K
73700 <1% 86 $13K
73718 <1% 53 $13K
73562 <1% 176 $12K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 428 $12K
51785 <1% 65 $12K
82272 <1% 3,624 $12K
97763 <1% 157 $12K
87177 <1% 1,284 $12K
87045 <1% 1,417 $12K
J1170 Injection, hydromorphone, up to 4 mg <1% 6,169 $12K
0154A <1% 270 $12K
82340 <1% 1,857 $12K
90853 Group psychotherapy (other than of a multiple-family group) <1% 110 $11K
81243 <1% 699 $11K
76376 <1% 1,602 $11K
82787 <1% 498 $11K
80183 <1% 959 $11K
73660 <1% 220 $11K
84145 <1% 1,220 $11K
88108 <1% 363 $11K
75557 <1% 129 $10K
ATP10 <1% 1,543 $10K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 51 $10K
ATP06 <1% 1,700 $10K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 1,557 $10K
85018 <1% 4,777 $10K
99204 Doctor's office visit, new patient (more involved) <1% 65 $10K
90620 <1% 224 $10K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 79 $10K
69210 <1% 135 $10K
83883 <1% 899 $10K
84484 <1% 905 $10K
94760 <1% 7,985 $10K
84075 <1% 8,524 $10K
86231 <1% 1,191 $10K
86258 <1% 1,111 $9K
76000 <1% 495 $9K
94681 <1% 61 $9K
89230 <1% 193 $9K
87449 <1% 938 $9K
87338 <1% 675 $9K
86905 <1% 707 $9K
82103 <1% 719 $9K
88262 <1% 83 $9K
43762 <1% 39 $9K
0074A <1% 190 $9K
ATP05 <1% 1,384 $9K
92524 <1% 63 $8K
90474 <1% 11,865 $8K
86235 <1% 118 $8K
J7050 Infusion, normal saline solution, 250 cc <1% 677 $8K
V5275 Ear impression, each <1% 577 $8K
73502 <1% 98 $8K
82017 <1% 575 $8K
87324 <1% 762 $8K
82085 <1% 974 $8K
73620 <1% 87 $8K
99157 <1% 89 $8K
72142 <1% 99 $7K
76506 <1% 61 $7K
73221 <1% 29 $7K
93243 <1% 471 $7K
86787 <1% 597 $7K
80180 <1% 404 $7K
93242 <1% 472 $7K
86664 <1% 369 $7K
90696 <1% 1,294 $7K
76642 <1% 67 $7K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 12,180 $7K
86580 <1% 332 $7K
96367 <1% 27 $7K
51797 <1% 375 $7K
84255 <1% 380 $7K
90710 <1% 1,089 $7K
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg <1% 1,397 $7K
91122 <1% 12 $7K
82330 <1% 729 $6K
80175 <1% 665 $6K
92593 <1% 89 $6K
93788 <1% 66 $6K
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring <1% 14 $6K
93971 <1% 87 $6K
82390 <1% 677 $6K
72040 <1% 222 $6K
88142 <1% 340 $6K
V5160 Dispensing fee, binaural <1% 12 $6K
99443 <1% 35 $6K
86039 <1% 609 $6K
58300 <1% 12 $6K
J3360 Injection, diazepam, up to 5 mg <1% 1,334 $6K
D0270 <1% 412 $6K
76819 Fetal biophysical profile; without non-stress testing <1% 70 $6K
D1208 Topical application of fluoride, excluding varnish <1% 196 $6K
82657 <1% 210 $5K
D9248 <1% 134 $5K
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 2,559 $5K
97166 <1% 36 $5K
99402 <1% 46 $5K
ATP11 <1% 710 $5K
G0379 Direct admission of patient for hospital observation care <1% 79 $5K
97168 <1% 44 $5K
D8999 <1% 126 $5K
97116 <1% 124 $5K
80502 <1% 287 $5K
86225 <1% 402 $5K
87536 <1% 77 $4K
90656 <1% 2,658 $4K
82960 <1% 779 $4K
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg <1% 9,826 $4K
93886 <1% 24 $4K
75565 <1% 393 $4K
84478 <1% 3,023 $4K
82140 <1% 309 $4K
D1510 <1% 20 $4K
86644 <1% 330 $4K
84550 <1% 3,524 $4K
86682 <1% 317 $4K
86308 <1% 809 $4K
86337 <1% 198 $4K
70250 <1% 139 $4K
ATP12 <1% 588 $4K
51701 <1% 4,290 $4K
82157 <1% 137 $4K
81405 <1% 16 $4K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 32 $3K
90713 <1% 295 $3K
0003A <1% 92 $3K
72070 <1% 99 $3K
72083 <1% 37 $3K
82507 <1% 143 $3K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 3,180 $3K
86147 <1% 52 $3K
77073 <1% 55 $3K
74181 <1% 19 $3K
83986 <1% 912 $3K
86902 <1% 42 $3K
99385 <1% 27 $3K
ATP18 <1% 393 $3K
90675 <1% 28 $3K
92025 <1% 33 $3K
83010 <1% 223 $3K
88300 <1% 699 $3K
J7510 Prednisolone oral, per 5 mg <1% 569 $2K
95012 <1% 1,703 $2K
72147 <1% 87 $2K
86704 <1% 221 $2K
A4215 Needle, sterile, any size, each <1% 243 $2K
A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler <1% 1,453 $2K
80230 <1% 44 $2K
86015 <1% 235 $2K
87269 <1% 148 $2K
J1265 Injection, dopamine hcl, 40 mg <1% 840 $2K
92588 <1% 29 $2K
96376 <1% 722 $2K
89051 <1% 347 $2K
94664 <1% 26 $2K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 19 $2K
88230 <1% 30 $2K
82024 <1% 65 $2K
86431 <1% 431 $2K
86256 <1% 192 $2K
92595 <1% 26 $2K
99205 Prolong outpt/office vis <1% 12 $2K
J1756 Injection, iron sucrose, 1 mg <1% 675 $2K
69209 <1% 68 $2K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 63 $2K
76010 <1% 47 $2K
90714 <1% 28 $2K
V5266 Battery for use in hearing device <1% 731 $2K
82725 <1% 115 $2K
93568 <1% 26 $2K
99177 <1% 13,551 $2K
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg <1% 1,113 $2K
G0009 Administration of pneumococcal vaccine <1% 3,984 $2K
84295 <1% 2,115 $2K
J3535 Drug administered through a metered dose inhaler <1% 79 $2K
84155 <1% 2,506 $2K
J8540 Dexamethasone, oral, 0.25 mg <1% 7,646 $2K
92370 <1% 35 $2K
S0077 Injection, clindamycin phosphate, 300 mg <1% 41 $2K
76604 <1% 27 $2K
83919 <1% 140 $2K
82180 <1% 209 $2K
94727 <1% 32 $2K
84681 <1% 100 $2K
87210 <1% 780 $2K
90381 <1% 179 $2K
83930 <1% 265 $2K
83090 <1% 146 $2K
85014 <1% 763 $1K
A6250 Skin sealants, protectants, moisturizers, ointments, any type, any size <1% 853 $1K
87522 Neg quan hep c or qual rna <1% 38 $1K
99417 Prolong home eval add 15m <1% 367 $1K
51792 <1% 51 $1K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 1,119 $1K
L4360 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise <1% 1,204 $1K
L1830 Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf <1% 510 $1K
G0010 Administration of hepatitis b vaccine <1% 2,424 $1K
87220 <1% 312 $1K
87101 <1% 164 $1K
0296T <1% 65 $1K
82435 <1% 1,307 $1K
90717 <1% 13 $1K
64645 <1% 100 $1K
82820 <1% 97 $1K
86880 <1% 136 $1K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 76 $1K
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 683 $969.08
0297T <1% 65 $967.74
87254 <1% 24 $912.89
ATP13 <1% 140 $903.87
83921 <1% 53 $869.37
88312 <1% 66 $863.99
86146 <1% 26 $853.10
86359 <1% 781 $851.51
88311 <1% 52 $844.02
90632 <1% 40 $822.90
70355 <1% 12 $806.60
82962 <1% 1,962 $795.09
84202 <1% 61 $791.44
84207 <1% 38 $788.00
99156 <1% 84 $771.55
0141A <1% 35 $769.27
92341 <1% 63 $765.60
83020 <1% 59 $743.12
J1815 Injection, insulin, per 5 units <1% 59 $743.10
V5020 Conformity evaluation <1% 28 $727.52
80235 <1% 31 $696.59
85008 <1% 598 $693.54
86162 <1% 46 $692.78
85670 <1% 111 $681.21
76377 <1% 85 $679.55
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram <1% 222 $638.55
84999 <1% 131 $636.45
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen <1% 2,650 $617.14
D3120 <1% 18 $600.00
88346 <1% 14 $588.43
86765 <1% 40 $578.81
86945 <1% 30 $555.60
82626 <1% 24 $547.06
J0610 Injection, calcium gluconate (fresenius kabi), per 10 ml <1% 80 $526.11
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 226 $518.22
86735 <1% 38 $496.50
L3906 Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment <1% 1,483 $473.50
Q9958 High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml <1% 478 $456.20
90658 <1% 554 $402.06
J3475 Injection, magnesium sulfate, per 500 mg <1% 225 $390.22
ATP19 <1% 43 $389.70
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 53 $386.09
0164A <1% 12 $383.73
80203 <1% 42 $372.67
85660 <1% 78 $359.96
82232 <1% 28 $348.21
86645 <1% 25 $341.78
86663 <1% 29 $296.87
90473 <1% 640 $276.40
86200 <1% 29 $251.24
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 771 $244.86
84425 <1% 13 $243.36
D9420 <1% 5,027 $240.00
84210 <1% 28 $233.87
84157 <1% 53 $209.73
86684 <1% 14 $195.58
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 13 $191.75
82945 <1% 41 $181.63
86694 <1% 13 $171.95
80143 <1% 12 $164.40
51784 <1% 55 $161.74
86762 <1% 12 $160.08
80201 <1% 13 $159.90
86708 <1% 13 $135.21
81015 <1% 474 $129.40
86777 <1% 15 $127.34
83529 <1% 12 $123.88
J2305 Injection, nitroglycerin, 5 mg <1% 14 $119.45
83051 <1% 27 $109.65
91305 <1% 848 $101.26
85732 <1% 15 $85.65
85049 <1% 17 $68.20
93288 <1% 14 $55.26
99411 <1% 16 $53.91
87299 <1% 14 $38.59
J2060 Injection, lorazepam, 2 mg <1% 28 $38.10
91300 <1% 2,502 $37.18
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 1,222 $35.78
J1250 Injection, dobutamine hydrochloride, per 250 mg <1% 297 $35.06
J0735 Injection, clonidine hydrochloride, 1 mg <1% 231 $28.96
J2003 Injection, lidocaine hydrochloride, 1 mg <1% 17 $27.02
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 87 $26.35
J0780 Injection, prochlorperazine, up to 10 mg <1% 178 $20.74
A4344 Indwelling catheter, foley type, two-way, all silicone or polyurethane, each <1% 25 $18.85
95873 <1% 218 $9.81
J7042 5% dextrose/normal saline (500 ml = 1 unit) <1% 448 $4.70
91321 <1% 601 $4.65
82374 <1% 46 $4.30
96381 <1% 48 $1.81
J1171 Injection, hydromorphone, 0.1 mg <1% 50 $1.76
90619 <1% 2,613 $1.00
90744 <1% 2,422 $0.26
90648 0% 1,498 $0.00
D0350 0% 2,284 $0.00
D2940 0% 279 $0.00
91311 0% 147 $0.00
90700 0% 1,525 $0.00
D9996 0% 1,293 $0.00
72149 0% 73 $0.00
J8499 Prescription drug, oral, non chemotherapeutic, nos 0% 69 $0.00
90380 0% 32 $0.00
80339 0% 26 $0.00
76001 0% 25 $0.00
J3370 Injection, vancomycin hcl, 500 mg 0% 25 $0.00
J1643 Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units 0% 66 $0.00
90661 0% 73 $0.00
D0470 0% 1,277 $0.00
90657 0% 267 $0.00
90698 0% 2,953 $0.00
91307 0% 958 $0.00
90697 0% 2,801 $0.00
D1330 0% 2,110 $0.00
D1353 0% 596 $0.00
D9995 0% 2,842 $0.00
90634 0% 436 $0.00
L4350 Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf 0% 59 $0.00
80352 0% 60 $0.00
J1940 Injection, furosemide, up to 20 mg 0% 19 $0.00
93246 0% 13 $0.00
J1836 Injection, metronidazole, 10 mg 0% 65 $0.00
90723 0% 67 $0.00
93247 0% 13 $0.00
C9285 Lidocaine 70 mg/tetracaine 70 mg, per patch 0% 16 $0.00
91315 0% 30 $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 officialCHURCHWELL, KEVIN (PRESIDENT AND CEO)
Same official

Other billing entities under CHURCHWELL, KEVIN

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