Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › ME › Portland › NPI 1760436216
Physician

Mainehealth

Mainehealth was paid $142.72M by Medicaid between Jan 2018 and Dec 2024, across 887 billing codes. Its largest line is G0463, Hospital outpatient clinic visit for assessment and management of a patient — 16% of everything it billed.

33Billing provider infoMAINEHEALTH
PORTLAND, ME 04102
33aNPI1760436216assigned 05/20/2006
28Total paid$142.72M
24GClaims3,045,475
24DCodes billed887
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Emergency Medicine Physician providers in Maine

Rank by total paid#1 of 24
Median peer was paid$14K
This provider vs. median10,409×

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

Auditor's notes

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

Entity ProliferationAuthorized official INZANA, LUGENE controls 20+ related entities in our dataset. Read more
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
2018313,057$11.54M
2019341,851$13.73M
2020287,677$12.45M
2021366,913$18.25M
2022407,046$19.45M
2023456,478$23.32M
2024incomplete872,453$43.99M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 16% 318,820 235,045 $22.73M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 12% 105,207 95,061 $16.59M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 9.9% 53,833 50,463 $14.09M
J9271 Injection, pembrolizumab, 1 mg 3.9% 825 625 $5.53M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 3.3% 41,466 38,629 $4.65M
J1459 Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg 2.0% 3,064 938 $2.83M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1.8% 25,251 21,855 $2.61M
77386 1.8% 11,011 988 $2.57M
J1745 Injection, infliximab, excludes biosimilar, 10 mg 1.7% 1,183 1,086 $2.46M
G0383 Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 1.7% 15,027 14,403 $2.40M
G0382 Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 1.5% 17,047 16,416 $2.15M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1.3% 11,967 7,788 $1.90M
875 more codes
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.3% 22,284 $1.82M
74177 Computed tomography, abdomen and pelvis; with contrast material 1.1% 12,414 $1.56M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.1% 17,230 $1.50M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1.0% 3,178 $1.46M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 3,755 $1.40M
78815 Positron emission tomography (PET) for limited area imaging <1% 2,012 $1.26M
71046 Radiologic examination, chest; 2 views <1% 30,809 $1.19M
77412 <1% 10,407 $1.17M
G0381 Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) <1% 15,486 $1.15M
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 1,880 $1.15M
J0585 Injection, onabotulinumtoxina, 1 unit <1% 2,871 $1.10M
G0330 Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room <1% 467 $1.07M
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 216 $1.03M
Q9991 Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg <1% 625 $987K
99213 Doctor's office visit, returning patient (routine) <1% 34,489 $981K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 5,032 $930K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 3,608 $921K
Q5121 Injection, infliximab-axxq, biosimilar, (avsola), 10 mg <1% 740 $921K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 22,128 $853K
76819 Fetal biophysical profile; without non-stress testing <1% 9,984 $838K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 7,943 $769K
G0008 Administration of influenza virus vaccine <1% 25,229 $744K
90870 <1% 6,651 $739K
99214 Doctor's office visit, returning patient (more involved) <1% 14,317 $733K
96375 Therapeutic injection; each additional sequential IV push <1% 22,111 $693K
70450 Computed tomography, head or brain; without contrast material <1% 12,802 $679K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 994 $661K
41899 Unlisted procedure, dentoalveolar structures <1% 3,078 $658K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 6,113 $655K
77334 <1% 1,909 $648K
J2350 Injection, ocrelizumab, 1 mg <1% 29 $644K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 30,666 $638K
90832 Psychotherapy session, about 30 minutes <1% 8,428 $631K
96361 Intravenous infusion, hydration; each additional hour <1% 16,457 $625K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 4,142 $605K
90791 Psychiatric diagnostic evaluation <1% 7,379 $588K
Q9992 Injection, buprenorphine extended-release (sublocade), greater than 100 mg <1% 345 $585K
70551 Magnetic resonance imaging, brain; without contrast material <1% 3,758 $580K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 10,247 $580K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 9,761 $569K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 7,416 $557K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 996 $527K
71275 Computed tomographic angiography, chest, with contrast material <1% 4,932 $498K
90839 <1% 6,719 $487K
70496 <1% 2,873 $479K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 6,466 $456K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 4,544 $423K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 6,845 $393K
J2426 Injection, paliperidone palmitate extended release (invega sustenna), 1 mg <1% 270 $377K
77067 Screening mammography, bilateral, including computer-aided detection <1% 6,536 $367K
99232 Hospital visit by a doctor, follow-up day <1% 12,861 $362K
54161 <1% 308 $361K
36430 <1% 1,824 $358K
77336 <1% 5,829 $340K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 77,969 $331K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 756 $322K
J2357 Injection, omalizumab, 5 mg <1% 529 $293K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 4,757 $291K
76830 Ultrasound, transvaginal <1% 3,697 $283K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies <1% 418 $274K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 18,734 $272K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 3,614 $267K
93656 <1% 30 $259K
G0009 Administration of pneumococcal vaccine <1% 8,932 $255K
90834 Psychotherapy session, about 45 minutes <1% 3,081 $248K
20610 <1% 2,239 $248K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 2,406 $243K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 7,102 $236K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg <1% 327 $222K
72141 <1% 1,765 $222K
58571 <1% 40 $220K
36902 <1% 316 $219K
77300 <1% 1,396 $219K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 3,627 $218K
71250 <1% 4,538 $217K
76770 <1% 3,089 $210K
93971 <1% 4,074 $208K
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography <1% 1,482 $200K
90677 <1% 4,165 $197K
96415 <1% 4,224 $196K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 3,896 $196K
97803 <1% 9,144 $195K
71045 Radiologic examination, chest; single view <1% 6,227 $194K
10060 <1% 1,566 $191K
78431 <1% 310 $186K
70491 <1% 1,383 $185K
93304 <1% 774 $184K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 705 $165K
93308 <1% 1,549 $165K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 16,350 $160K
95782 <1% 230 $158K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 938 $157K
74174 <1% 1,361 $156K
74183 <1% 966 $155K
77063 Screening digital breast tomosynthesis, bilateral <1% 6,515 $150K
95816 <1% 720 $147K
J0897 Injection, denosumab, 1 mg <1% 241 $146K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 2,371 $144K
97802 <1% 3,334 $143K
J0741 Injection, cabotegravir and rilpivirine, 2mg/3mg <1% 48 $140K
64642 <1% 502 $140K
59025 Fetal non-stress test <1% 906 $140K
76801 <1% 1,654 $138K
47562 <1% 48 $131K
64483 <1% 391 $130K
90739 <1% 1,093 $130K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 13,915 $123K
90686 <1% 17,038 $120K
93458 <1% 123 $120K
94060 <1% 797 $120K
77290 <1% 824 $116K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 808 $116K
77066 Tomosynthesis, mammo <1% 1,690 $115K
64493 <1% 325 $114K
67311 <1% 89 $114K
G0378 Hospital observation service, per hour <1% 11,440 $114K
70486 <1% 1,111 $114K
52356 <1% 64 $112K
76642 <1% 2,469 $106K
76536 <1% 2,061 $104K
43235 <1% 297 $103K
90792 Psychiatric diagnostic evaluation with medical services <1% 1,129 $100K
59430 <1% 668 $97K
64635 <1% 130 $96K
90853 Group psychotherapy (other than of a multiple-family group) <1% 3,302 $96K
90480 <1% 4,571 $94K
90651 <1% 4,450 $94K
96417 <1% 2,425 $91K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 11,975 $91K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 11,984 $91K
J1439 Injection, ferric carboxymaltose, 1 mg <1% 206 $90K
62323 <1% 336 $89K
64615 <1% 738 $89K
95819 <1% 397 $84K
86900 <1% 10,923 $82K
97162 <1% 4,150 $81K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 59,794 $81K
27130 <1% 15 $80K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 1,000 $77K
96409 <1% 598 $77K
96367 <1% 2,262 $77K
93970 <1% 761 $75K
99188 <1% 3,476 $74K
75561 <1% 233 $70K
Q5108 Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg <1% 53 $69K
J0185 Injection, aprepitant, 1 mg <1% 503 $68K
72197 <1% 264 $66K
77295 <1% 154 $65K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 843 $64K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 3,240 $63K
77065 Tomosynthesis, mammo <1% 1,196 $63K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 2,888 $63K
91320 <1% 1,770 $63K
74230 <1% 727 $61K
Q3014 Telehealth originating site facility fee <1% 4,802 $60K
72100 <1% 3,440 $59K
93798 <1% 980 $59K
97166 <1% 2,863 $58K
J2469 Injection, palonosetron hcl, 25 mcg <1% 3,558 $58K
92587 <1% 274 $57K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 2,017 $57K
97161 <1% 1,741 $56K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 6,432 $56K
93880 <1% 754 $54K
99239 Hospital discharge day management, more than 30 minutes <1% 769 $53K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 2,456 $52K
99222 Initial hospital care, per day, moderate complexity <1% 826 $52K
80061 Lipid panel <1% 7,618 $52K
Q5107 Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg <1% 44 $50K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 195 $49K
76825 <1% 158 $49K
77301 <1% 101 $48K
80053 Comprehensive metabolic panel <1% 85,997 $48K
72158 <1% 386 $48K
96411 <1% 1,160 $48K
94010 <1% 1,910 $47K
C8930 Transthoracic echocardiography, with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with physician supervision <1% 174 $47K
27447 <1% 19 $47K
99402 <1% 1,886 $47K
91322 <1% 1,062 $46K
96158 <1% 1,214 $46K
29581 <1% 666 $46K
58301 <1% 239 $45K
G0379 Direct admission of patient for hospital observation care <1% 41 $45K
31575 <1% 409 $44K
99215 Doctor's office visit, returning patient (complex) <1% 570 $43K
20611 <1% 420 $43K
93296 <1% 2,705 $42K
95811 <1% 67 $40K
74018 <1% 3,086 $40K
P9016 Red blood cells, leukocytes reduced, each unit <1% 391 $40K
19083 <1% 37 $39K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 92,474 $39K
J1610 Injection, glucagon hydrochloride, per 1 mg <1% 587 $38K
G0390 Trauma response team associated with hospital critical care service <1% 87 $37K
73221 <1% 247 $37K
71271 <1% 662 $36K
77470 <1% 184 $36K
42830 <1% 15 $34K
92557 <1% 1,984 $34K
90670 <1% 4,154 $33K
84443 Thyroid stimulating hormone (TSH) <1% 11,300 $33K
J9305 Injection, pemetrexed, not otherwise specified, 10 mg <1% 73 $32K
72125 Computed tomography, cervical spine; without contrast material <1% 5,919 $31K
90656 <1% 5,470 $31K
87481 <1% 9,921 $31K
73030 <1% 5,058 $30K
94726 <1% 507 $30K
73562 <1% 2,866 $29K
93017 <1% 1,829 $29K
73502 <1% 4,718 $28K
92579 <1% 891 $28K
99381 <1% 451 $28K
86780 <1% 2,708 $28K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 3,707 $27K
52000 <1% 158 $27K
76870 <1% 907 $26K
74178 <1% 157 $26K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 5,692 $26K
76885 <1% 366 $25K
58300 <1% 651 $25K
90847 Family psychotherapy with the patient present, 50 minutes <1% 208 $25K
90678 <1% 90 $25K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 9,220 $25K
73630 <1% 4,938 $25K
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% 7,653 $24K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 3,745 $24K
76882 <1% 1,445 $24K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 9,150 $24K
99221 <1% 548 $24K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 3,203 $23K
77280 <1% 391 $23K
72146 <1% 301 $23K
97167 <1% 1,569 $22K
J1437 Injection, ferric derisomaltose, 10 mg <1% 13 $22K
J0485 Injection, belatacept, 1 mg <1% 54 $22K
73564 <1% 3,902 $22K
99401 <1% 1,705 $22K
99223 Prolong inpt eval add15 m <1% 221 $22K
92611 <1% 509 $22K
90732 <1% 698 $21K
62321 <1% 92 $21K
36415 Collection of venous blood by venipuncture <1% 46,797 $21K
20680 <1% 13 $21K
83036 Hemoglobin; glycosylated (A1C) <1% 16,506 $20K
17110 <1% 424 $19K
0124A <1% 1,078 $19K
97163 <1% 1,176 $19K
90734 <1% 1,804 $19K
29405 <1% 128 $18K
70498 <1% 2,809 $18K
11102 <1% 340 $18K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 2,580 $18K
80305 <1% 8,121 $17K
93923 <1% 300 $17K
G0498 Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies, with continuation of the infusion in the community setting (e.g., home, domiciliary, rest home or assisted living) using a portable pump provided by the office/clinic, includes follow up office/clinic visit at the conclusion of the infusion <1% 91 $17K
93797 <1% 300 $17K
99406 <1% 2,784 $17K
73610 <1% 4,381 $17K
72040 <1% 1,567 $16K
20550 <1% 104 $16K
90662 <1% 2,124 $16K
D0145 Oral evaluation for a patient under three years of age <1% 879 $16K
80048 Basic metabolic panel (calcium, ionized) <1% 27,439 $16K
87511 <1% 5,355 $16K
52332 <1% 13 $15K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 5,425 $15K
36591 <1% 2,452 $15K
97165 <1% 566 $15K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 1,661 $15K
93456 <1% 12 $14K
94664 <1% 262 $14K
64633 <1% 19 $14K
43249 <1% 27 $14K
90619 <1% 1,510 $14K
72082 <1% 828 $14K
95700 <1% 103 $14K
99385 <1% 195 $14K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 26,094 $14K
73110 <1% 3,590 $14K
92610 <1% 593 $13K
43264 <1% 12 $13K
D1206 Topical application of fluoride varnish <1% 1,091 $13K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 3,715 $13K
73130 <1% 2,850 $13K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 682 $13K
72070 <1% 695 $13K
29075 <1% 71 $13K
90837 Psychotherapy session, about an hour <1% 139 $13K
87522 Neg quan hep c or qual rna <1% 1,006 $12K
77080 <1% 246 $12K
0001A <1% 387 $12K
17250 <1% 147 $12K
0054A <1% 551 $12K
93975 <1% 79 $11K
87536 <1% 500 $11K
77338 <1% 88 $11K
90746 <1% 458 $11K
88142 <1% 2,260 $11K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 7,632 $11K
G0260 Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography <1% 39 $11K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 13,062 $10K
73590 <1% 1,784 $10K
99495 <1% 130 $10K
82728 <1% 3,979 $10K
77072 <1% 161 $10K
96127 <1% 1,563 $9K
96401 <1% 413 $9K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 1,075 $9K
G0384 Level 5 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) <1% 43 $9K
P9040 Red blood cells, leukocytes reduced, irradiated, each unit <1% 48 $9K
95714 <1% 15 $9K
C1769 Guide wire <1% 7,236 $9K
83655 <1% 3,090 $9K
73560 <1% 1,443 $9K
86870 <1% 65 $8K
85027 <1% 21,567 $8K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 26 $8K
96152 <1% 141 $8K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 420 $8K
73552 <1% 1,445 $8K
82607 <1% 3,093 $8K
J2704 Injection, propofol, 10 mg <1% 44,655 $8K
99403 <1% 168 $8K
86480 <1% 382 $8K
92582 <1% 154 $8K
99383 <1% 120 $8K
76881 <1% 121 $8K
0002A <1% 223 $8K
90716 <1% 2,492 $8K
99407 <1% 742 $8K
99404 <1% 127 $7K
75574 <1% 82 $7K
88342 <1% 3,618 $7K
93242 <1% 615 $7K
95911 <1% 15 $7K
81025 <1% 8,920 $7K
C8908 Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral <1% 26 $7K
29065 <1% 34 $7K
99205 Prolong outpt/office vis <1% 68 $7K
76604 <1% 494 $7K
87086 Culture, bacterial; quantitative colony count, urine <1% 15,537 $7K
92552 <1% 167 $6K
85610 <1% 13,478 $6K
95909 <1% 65 $6K
82746 <1% 2,416 $6K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 244 $6K
86803 <1% 2,533 $6K
76775 <1% 633 $6K
72170 <1% 1,003 $6K
86481 <1% 180 $6K
11981 <1% 94 $6K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 5,192 $6K
97116 <1% 3,098 $6K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 239 $6K
84702 <1% 3,401 $6K
12001 <1% 1,079 $6K
93225 <1% 214 $5K
99203 Doctor's office visit, new patient (routine) <1% 121 $5K
88184 <1% 80 $5K
11104 <1% 48 $5K
90673 <1% 78 $5K
86706 <1% 1,634 $5K
69210 <1% 318 $5K
97535 Self-care/home management training, each 15 minutes <1% 3,048 $5K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants <1% 13 $5K
73140 <1% 1,387 $5K
D1208 Topical application of fluoride, excluding varnish <1% 410 $5K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 5,109 $5K
G0010 Administration of hepatitis b vaccine <1% 251 $5K
83735 <1% 17,743 $5K
57454 <1% 15 $5K
96150 <1% 79 $5K
93298 <1% 210 $5K
83550 <1% 3,132 $5K
J1750 Injection, iron dextran, 50 mg <1% 17 $5K
72156 <1% 14 $4K
70544 <1% 42 $4K
C1887 Catheter, guiding (may include infusion/perfusion capability) <1% 1,932 $4K
86704 <1% 1,331 $4K
73521 <1% 229 $4K
58100 <1% 42 $4K
99204 Doctor's office visit, new patient (more involved) <1% 57 $4K
87340 <1% 2,659 $4K
74240 <1% 29 $4K
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) <1% 2,418 $4K
93246 <1% 393 $4K
73080 <1% 1,172 $4K
30140 <1% 20 $4K
82950 <1% 896 $4K
72131 <1% 149 $4K
0081A <1% 147 $4K
96156 <1% 74 $4K
86850 <1% 10,860 $4K
83970 <1% 387 $4K
96402 <1% 256 $4K
83540 <1% 3,299 $4K
84439 <1% 1,842 $4K
93922 <1% 548 $4K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 4,349 $4K
0072A <1% 186 $4K
64400 <1% 23 $4K
51700 <1% 57 $3K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 4,016 $3K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination <1% 67 $3K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 43,385 $3K
73070 <1% 592 $3K
69209 <1% 274 $3K
95910 <1% 16 $3K
72081 <1% 129 $3K
73700 <1% 55 $3K
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation <1% 32 $3K
G0297 Low dose ct scan (ldct) for lung cancer screening <1% 120 $3K
11982 <1% 15 $3K
90473 <1% 132 $3K
17311 <1% 16 $3K
88341 <1% 2,152 $3K
84703 <1% 15,085 $3K
99238 Hospital discharge day management, 30 minutes or less <1% 63 $3K
96523 <1% 146 $3K
87070 <1% 11,788 $3K
96376 <1% 5,529 $3K
0052A <1% 86 $3K
92652 <1% 20 $3K
88307 <1% 2,514 $3K
86003 <1% 106 $3K
73600 <1% 766 $3K
87186 <1% 6,206 $3K
J1756 Injection, iron sucrose, 1 mg <1% 3,450 $3K
0082A <1% 86 $3K
97760 <1% 448 $3K
86787 <1% 652 $3K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 16 $3K
93926 <1% 104 $3K
0071A <1% 167 $3K
86901 <1% 11,110 $3K
81001 <1% 18,358 $3K
83880 <1% 5,965 $3K
84403 <1% 233 $3K
86923 <1% 829 $2K
73090 <1% 866 $2K
83021 <1% 361 $2K
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 336 $2K
J1644 Injection, heparin sodium, per 1000 units <1% 18,712 $2K
J0690 Injection, cefazolin sodium, 500 mg <1% 17,097 $2K
86140 <1% 7,691 $2K
96381 <1% 174 $2K
72110 <1% 144 $2K
87077 <1% 7,360 $2K
31231 <1% 23 $2K
83690 <1% 17,025 $2K
90715 <1% 9,305 $2K
98929 <1% 128 $2K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries <1% 2,147 $2K
84484 <1% 23,568 $2K
Q9957 Injection, perflutren lipid microspheres, per ml <1% 1,802 $2K
M0220 Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), includes injection and post administration monitoring <1% 73 $2K
76981 <1% 24 $2K
77387 <1% 163 $2K
0004A <1% 657 $2K
87517 <1% 96 $2K
90688 <1% 405 $2K
82947 <1% 663 $2K
99234 <1% 52 $2K
90620 <1% 47 $2K
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) <1% 22 $2K
80178 <1% 1,016 $2K
64447 <1% 186 $2K
96112 <1% 20 $2K
0051A <1% 58 $2K
80076 <1% 904 $2K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 24,750 $2K
76376 <1% 2,130 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 4,424 $2K
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg <1% 59 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 42,125 $2K
72157 <1% 27 $2K
S9441 Asthma education, non-physician provider, per session <1% 167 $2K
D0330 Panoramic radiographic image <1% 49 $2K
81003 <1% 22,088 $2K
11900 <1% 50 $2K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 381 $2K
87468 <1% 733 $2K
93356 <1% 1,631 $2K
87469 <1% 732 $2K
J1170 Injection, hydromorphone, up to 4 mg <1% 21,279 $2K
82043 <1% 2,373 $1K
C1776 Joint device (implantable) <1% 475 $1K
C1726 Catheter, balloon dilatation, non-vascular <1% 1,380 $1K
00170 Anesthesia for intraoral procedures, including biopsy <1% 13 $1K
87040 <1% 5,048 $1K
98928 <1% 364 $1K
82784 <1% 533 $1K
C1729 Catheter, drainage <1% 453 $1K
86618 <1% 1,246 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 31,945 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 58 $1K
93312 <1% 15 $1K
92551 <1% 169 $1K
81000 <1% 5,501 $1K
29515 <1% 13 $1K
84402 <1% 128 $1K
64415 <1% 105 $1K
73000 <1% 138 $1K
99386 <1% 17 $1K
73060 <1% 304 $1K
74221 <1% 18 $1K
90681 <1% 3,921 $1K
77332 <1% 28 $1K
93280 <1% 65 $1K
72050 <1% 18 $1K
92201 <1% 83 $1K
86902 <1% 13 $1K
51702 <1% 78 $1K
71101 <1% 82 $1K
85730 <1% 3,863 $1K
84425 <1% 127 $1K
J1815 Injection, insulin, per 5 units <1% 7,160 $1K
74220 <1% 16 $1K
12002 <1% 330 $1K
85018 <1% 2,613 $1K
76641 <1% 13 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 25 $1K
51798 <1% 1,189 $1K
92553 <1% 35 $998.72
96154 <1% 80 $972.93
83993 <1% 105 $964.98
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 5,621 $955.53
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 1,578 $954.63
80074 <1% 184 $946.63
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous <1% 126 $943.50
99460 <1% 15 $941.95
80164 <1% 484 $941.67
99382 <1% 15 $935.64
82670 <1% 80 $927.39
84100 <1% 3,914 $926.51
0031A <1% 33 $925.16
88112 <1% 595 $907.45
95800 <1% 12 $889.37
J3370 Injection, vancomycin hcl, 500 mg <1% 5,020 $882.47
86360 <1% 156 $878.03
73100 <1% 144 $874.52
98926 <1% 312 $869.35
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 4,251 $868.68
90658 <1% 44 $855.66
74330 <1% 424 $852.38
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 5,347 $828.24
99384 <1% 13 $819.09
88304 <1% 2,435 $810.18
C9399 Unclassified drugs or biologicals <1% 1,185 $809.93
J2270 Injection, morphine sulfate, up to 10 mg <1% 7,358 $780.44
82570 <1% 1,626 $778.73
84460 <1% 521 $778.66
99397 <1% 41 $774.56
85660 <1% 398 $772.18
92567 <1% 4,147 $769.15
99173 <1% 399 $766.12
J7120 Ringers lactate infusion, up to 1000 cc <1% 2,369 $757.79
80069 <1% 241 $731.27
76000 <1% 122 $722.67
86359 <1% 156 $722.60
83001 <1% 112 $712.55
90710 <1% 1,605 $701.00
84153 <1% 142 $693.18
0154A <1% 54 $692.30
86762 <1% 892 $687.39
C2617 Stent, non-coronary, temporary, without delivery system <1% 1,236 $682.15
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 20,012 $666.87
70355 <1% 138 $666.07
83605 <1% 5,747 $663.00
93750 <1% 13 $661.17
85652 <1% 3,128 $656.30
86364 <1% 225 $649.35
0003A <1% 54 $642.66
12011 <1% 439 $640.78
87081 <1% 6,366 $640.52
82805 <1% 2,456 $639.04
29125 <1% 190 $626.30
81002 <1% 11,499 $624.64
C8928 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report <1% 14 $618.33
17000 <1% 160 $614.50
76937 <1% 879 $603.81
98925 <1% 184 $598.91
73620 <1% 74 $590.30
87205 <1% 4,341 $585.71
86334 <1% 124 $580.45
84146 <1% 66 $571.54
83037 <1% 3,326 $514.92
86038 <1% 147 $500.06
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 132 $498.31
85379 <1% 3,464 $495.83
84156 <1% 1,366 $495.75
90380 <1% 37 $494.55
J2359 Injection, olanzapine, 0.5 mg <1% 23 $485.68
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 36 $484.44
90744 <1% 2,036 $483.20
70360 <1% 26 $472.90
J7060 5% dextrose/water (500 ml = 1 unit) <1% 562 $451.73
82550 <1% 2,279 $445.99
99443 <1% 19 $430.80
J3475 Injection, magnesium sulfate, per 500 mg <1% 4,007 $413.49
93325 <1% 2,266 $395.23
92555 <1% 323 $386.53
97810 <1% 180 $381.99
83615 <1% 1,100 $377.56
83921 <1% 115 $377.17
95970 <1% 81 $366.01
A4648 Tissue marker, implantable, any type, each <1% 252 $364.03
J2785 Injection, regadenoson, 0.1 mg <1% 927 $357.80
82948 <1% 5,309 $355.96
92550 <1% 58 $354.71
J7042 5% dextrose/normal saline (500 ml = 1 unit) <1% 17 $333.89
72190 <1% 14 $326.83
72020 <1% 178 $326.68
C1732 Catheter, electrophysiology, diagnostic/ablation, 3d or vector mapping <1% 46 $316.54
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 7,087 $314.36
87209 <1% 55 $312.80
J3480 Injection, potassium chloride, per 2 meq <1% 3,447 $307.95
J0780 Injection, prochlorperazine, up to 10 mg <1% 1,958 $307.74
36600 <1% 47 $307.45
85045 <1% 836 $307.30
76942 <1% 836 $298.68
C1758 Catheter, ureteral <1% 1,692 $297.78
72192 <1% 15 $294.21
83020 <1% 152 $283.14
84165 <1% 123 $279.08
87206 <1% 711 $278.48
82248 <1% 203 $277.25
96167 <1% 34 $276.66
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 6,001 $275.65
73565 <1% 23 $274.51
98927 <1% 67 $267.92
82533 <1% 46 $263.20
80197 <1% 145 $263.03
82785 <1% 50 $256.83
86708 <1% 52 $251.26
91200 <1% 17 $249.68
97014 <1% 237 $249.41
46600 <1% 92 $240.93
73660 <1% 87 $234.11
J1630 Injection, haloperidol, up to 5 mg <1% 4,209 $231.48
C1730 Catheter, electrophysiology, diagnostic, other than 3d mapping (19 or fewer electrodes) <1% 67 $216.80
87505 <1% 39 $216.51
85651 <1% 1,025 $209.51
J1650 Injection, enoxaparin sodium, 10 mg <1% 5,523 $202.14
85007 <1% 1,412 $197.13
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 1,191 $190.86
P9612 Catheterization for collection of specimen, single patient, all places of service <1% 189 $189.28
87529 <1% 153 $186.34
J2060 Injection, lorazepam, 2 mg <1% 5,376 $182.51
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 440 $182.27
87634 <1% 145 $181.98
96040 <1% 12 $181.74
C1727 Catheter, balloon tissue dissector, non-vascular (insertable) <1% 466 $181.16
J2720 Injection, protamine sulfate, per 10 mg <1% 187 $178.18
82105 <1% 54 $174.44
93613 <1% 14 $172.66
87210 <1% 1,642 $171.76
96165 <1% 26 $163.71
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) <1% 13 $163.08
86431 <1% 117 $161.02
J1790 Injection, droperidol, up to 5 mg <1% 4,227 $159.42
87177 <1% 55 $154.31
77073 <1% 66 $153.22
83002 <1% 20 $148.16
99152 <1% 1,658 $143.44
83521 <1% 50 $138.25
94729 <1% 1,055 $134.99
88173 <1% 123 $133.16
96164 <1% 26 $130.15
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 275 $129.46
A9555 Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries <1% 328 $127.92
82330 <1% 50 $124.54
82140 <1% 254 $121.22
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 2,313 $120.46
77417 <1% 367 $117.92
83721 <1% 53 $116.78
87075 <1% 990 $113.98
84550 <1% 297 $112.47
84450 <1% 88 $110.59
86682 <1% 14 $109.78
82977 <1% 48 $109.60
88313 <1% 187 $108.51
87493 <1% 26 $104.48
84134 <1% 44 $102.13
84132 <1% 814 $101.54
J9045 Injection, carboplatin, 50 mg <1% 1,311 $101.46
J1920 Injection, labetalol hydrochloride, 5 mg <1% 203 $100.07
87102 <1% 279 $97.53
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 2,388 $97.50
90691 <1% 779 $95.83
J3490 Unclassified drugs <1% 5,025 $90.97
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm <1% 1,647 $89.22
99153 Mod sedat endo service >5yrs <1% 1,384 $88.99
80175 <1% 104 $88.62
82365 <1% 201 $87.86
J1580 Injection, garamycin, gentamicin, up to 80 mg <1% 824 $83.88
90723 <1% 87 $82.03
88309 <1% 42 $78.24
80177 <1% 90 $77.41
43273 <1% 43 $73.37
83516 <1% 17 $70.26
90472 Immunization administration, each additional vaccine (list separately) <1% 16,266 $68.88
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 830 $65.30
87116 <1% 170 $64.80
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 6,668 $64.01
82378 <1% 72 $59.88
C9290 Injection, bupivacaine liposome, 1 mg <1% 792 $58.88
J7070 Infusion, d5w, 1000 cc <1% 420 $58.80
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg <1% 1,717 $57.03
90632 <1% 852 $55.06
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 4,716 $50.18
82565 <1% 50 $49.65
87484 <1% 38 $49.12
86663 <1% 15 $46.53
87420 <1% 1,214 $45.60
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 335 $45.49
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 800 $44.44
J0360 Injection, hydralazine hcl, up to 20 mg <1% 195 $43.45
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg <1% 587 $41.50
89051 <1% 508 $40.78
J1940 Injection, furosemide, up to 20 mg <1% 2,675 $40.70
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals <1% 892 $37.86
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting <1% 893 $37.86
G8989 Self care functional limitation, discharge status, at discharge from therapy or to end reporting <1% 887 $37.86
87400 <1% 192 $37.80
77002 <1% 171 $37.36
88331 <1% 410 $36.80
J1596 Injection, glycopyrrolate, 0.1 mg <1% 917 $34.42
84155 <1% 48 $33.76
97804 <1% 153 $32.30
Q9961 High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml <1% 266 $30.68
J1836 Injection, metronidazole, 10 mg <1% 566 $27.14
82272 <1% 409 $26.64
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision <1% 1,394 $26.35
82009 <1% 678 $26.19
82150 <1% 15 $25.92
86308 <1% 228 $25.90
83883 <1% 12 $23.20
J1010 Injection, methylprednisolone acetate, 1 mg <1% 1,275 $23.04
82247 <1% 13 $20.52
J9267 Injection, paclitaxel, 1 mg <1% 563 $19.83
82044 <1% 353 $17.61
82962 <1% 170 $16.73
36416 <1% 14,808 $16.38
85014 <1% 16 $12.80
87207 <1% 12 $12.26
80306 <1% 194 $11.22
J1805 Injection, esmolol hydrochloride, 10 mg <1% 55 $9.74
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 1,114 $9.54
89050 <1% 13 $9.44
85384 <1% 103 $8.68
82040 <1% 15 $7.90
J0736 Injection, clindamycin phosphate, 300 mg <1% 20 $7.41
J2003 Injection, lidocaine hydrochloride, 1 mg <1% 1,460 $6.46
J8540 Dexamethasone, oral, 0.25 mg <1% 4,657 $6.03
84157 <1% 13 $4.25
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 365 $3.76
J3260 Injection, tobramycin sulfate, up to 80 mg <1% 194 $2.50
C1760 Closure device, vascular (implantable/insertable) <1% 370 $2.00
93321 <1% 782 $1.52
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 2,564 $0.36
J2305 Injection, nitroglycerin, 5 mg <1% 129 $0.05
90697 0% 2,632 $0.00
90698 0% 3,960 $0.00
90717 0% 59 $0.00
91317 0% 56 $0.00
76820 0% 1,095 $0.00
C1759 Catheter, intracardiac echocardiography 0% 65 $0.00
92556 0% 100 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 0% 1,250 $0.00
90474 0% 3,815 $0.00
95886 0% 275 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 0% 157 $0.00
90696 0% 1,550 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 0% 1,000 $0.00
64494 0% 388 $0.00
76377 0% 85 $0.00
90647 0% 309 $0.00
77001 0% 131 $0.00
90660 0% 29 $0.00
C1781 Mesh (implantable) 0% 229 $0.00
J8501 Aprepitant, oral, 5 mg 0% 449 $0.00
93320 0% 306 $0.00
90381 0% 121 $0.00
96368 0% 780 $0.00
91307 0% 505 $0.00
91315 0% 45 $0.00
C1766 Introducer/sheath, guiding, intracardiac electrophysiological, steerable, other than peel-away 0% 95 $0.00
11045 0% 109 $0.00
J2372 Injection, phenylephrine hydrochloride (biorphen), 20 micrograms 0% 86 $0.00
C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, other than peel-away 0% 38 $0.00
C1889 Implantable/insertable device, not otherwise classified 0% 55 $0.00
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 0% 26 $0.00
88185 0% 70 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 0% 158 $0.00
91319 0% 55 $0.00
Q2036 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) 0% 27 $0.00
97010 0% 585 $0.00
91305 0% 627 $0.00
J7050 Infusion, normal saline solution, 250 cc 0% 20 $0.00
73120 0% 20 $0.00
G8998 Swallowing functional limitation, discharge status, at discharge from therapy or to end reporting 0% 14 $0.00
C1892 Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away 0% 12 $0.00
A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler 0% 44 $0.00
99174 0% 66 $0.00
2000F 0% 28 $0.00
91303 0% 32 $0.00
91318 0% 105 $0.00
95885 0% 82 $0.00
J3411 Injection, thiamine hcl, 100 mg 0% 23 $0.00
C1733 Catheter, electrophysiology, diagnostic/ablation, other than 3d or vector mapping, other than cool-tip 0% 15 $0.00
88311 0% 13 $0.00
J0456 Injection, azithromycin, 500 mg 0% 20 $0.00
J2358 Injection, olanzapine, long-acting, 1 mg 0% 16 $0.00
64636 0% 159 $0.00
90700 0% 1,691 $0.00
95874 0% 359 $0.00
90633 0% 5,161 $0.00
17003 0% 67 $0.00
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg 0% 61 $0.00
78434 0% 193 $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 0% 1,274 $0.00
90671 0% 1,775 $0.00
90707 0% 2,908 $0.00
97799 0% 1,306 $0.00
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 0% 61 $0.00
91321 0% 1,502 $0.00
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg 0% 104 $0.00
J1953 Injection, levetiracetam, 10 mg 0% 30 $0.00
90713 0% 1,005 $0.00
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) 0% 251 $0.00
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) 0% 154 $0.00
J0670 Injection, mepivacaine hydrochloride, per 10 ml 0% 36 $0.00
J3489 Injection, zoledronic acid, 1 mg 0% 628 $0.00
J0692 Injection, cefepime hydrochloride, 500 mg 0% 100 $0.00
64999 0% 43 $0.00
96159 0% 106 $0.00
J0290 Injection, ampicillin sodium, 500 mg 0% 455 $0.00
76999 0% 12 $0.00
A9575 Injection, gadoterate meglumine, 0.1 ml 0% 283 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 1,269 $0.00
90648 0% 1,003 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 0% 864 $0.00
64643 0% 381 $0.00
J9190 Injection, fluorouracil, 500 mg 0% 274 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 0% 373 $0.00
90714 0% 126 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 706 $0.00
91300 0% 1,027 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 349 $0.00
91312 0% 694 $0.00
J2401 Injection, chloroprocaine hydrochloride, per 1 mg 0% 42 $0.00
C1874 Stent, coated/covered, with delivery system 0% 155 $0.00
91308 0% 283 $0.00
80348 0% 138 $0.00
J9263 Injection, oxaliplatin, 0.5 mg 0% 39 $0.00
90685 0% 238 $0.00
Q0244 Injection, casirivimab and imdevimab, 1200 mg 0% 14 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 0% 307 $0.00
Q0220 Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), 300 mg 0% 13 $0.00
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 0% 56 $0.00
92504 0% 43 $0.00
G8997 Swallowing functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 15 $0.00
G8996 Swallowing functional limitation, current status at therapy episode outset and at reporting intervals 0% 14 $0.00
J0153 Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) 0% 12 $0.00
J0640 Injection, leucovorin calcium, per 50 mg 0% 90 $0.00
85049 0% 12 $0.00
96113 0% 18 $0.00
T1013 Sign language or oral interpretive services, per 15 minutes 0% 14 $0.00
64634 0% 19 $0.00
90687 0% 14 $0.00
88312 0% 19 $0.00
80326 0% 16 $0.00
C2625 Stent, non-coronary, temporary, with delivery system 0% 18 $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 officialINZANA, LUGENE (CFO & ASSOCIATE CFO)
Same official

Other billing entities under INZANA, LUGENE

Full network →
ProviderLocationPaid
MainehealthPortland, ME$115.05M
MainehealthBiddeford, ME$70.83M
MainehealthBrunswick, ME$40.06M
MainehealthFarmington, ME$22.62M
MainehealthBiddeford, ME$10.89M
MainehealthFalmouth, ME$6.54M
MainehealthPortland, ME$5.46M
MainehealthScarborough, ME$5.04M
MainehealthRockport, ME$4.34M
MainehealthScarborough, ME$4.16M
MainehealthPortland, ME$4.09M
MainehealthScarborough, ME$3.94M
MainehealthPortland, ME$3.55M
MainehealthWaldoboro, ME$3.43M
MainehealthScarborough, ME$3.18M
MainehealthBrunswick, ME$2.77M
MainehealthPortland, ME$2.68M
MainehealthFalmouth, ME$2.10M
MainehealthPortland, ME$1.87M
MainehealthCape Elizabeth, ME$1.82M

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