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

Brigham & Womens Hospital, INC.

Brigham & Womens Hospital, INC. was paid $252.58M by Medicaid between Jan 2018 and Dec 2024, across 943 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 19% of everything it billed.

33Billing provider infoBRIGHAM & WOMENS HOSPITAL, INC.
BOSTON, MA 02115
33aNPI1790717650assigned 07/07/2006
28Total paid$252.58M
24GClaims6,310,608
24DCodes billed943
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Massachusetts

Rank by total paid#6 of 66
Median peer was paid$29.11M
This provider vs. median8.7×

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
2018913,441$38.41M
2019905,474$35.73M
2020789,315$33.84M
20211,109,358$45.60M
20221,129,645$51.03M
2023848,011$27.95M
2024incomplete615,364$20.02M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 19% 372,174 313,004 $47.32M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.4% 148,331 125,230 $13.69M
J2350 Injection, ocrelizumab, 1 mg 3.4% 1,223 1,064 $8.60M
96361 Intravenous infusion, hydration; each additional hour 3.4% 23,167 20,604 $8.58M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 2.8% 49,924 45,721 $7.04M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2.7% 22,689 19,131 $6.86M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 2.3% 39,413 36,170 $5.75M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 2.2% 278,056 219,901 $5.45M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 1.9% 25,930 23,352 $4.75M
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 1.6% 73,136 64,424 $4.08M
G0378 Hospital observation service, per hour 1.5% 27,861 20,914 $3.84M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1.5% 13,938 13,288 $3.70M
931 more codes
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.3% 63,354 $3.37M
J1745 Injection, infliximab, excludes biosimilar, 10 mg 1.2% 3,136 $2.97M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.1% 5,014 $2.77M
74177 Computed tomography, abdomen and pelvis; with contrast material 1.0% 21,107 $2.56M
90834 Psychotherapy session, about 45 minutes 1.0% 41,592 $2.56M
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 4,395 $2.50M
J3380 Injection, vedolizumab, intravenous, 1 mg <1% 1,317 $2.39M
99214 Doctor's office visit, returning patient (more involved) <1% 48,692 $2.20M
J2323 Injection, natalizumab, 1 mg <1% 906 $2.13M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 13,974 $2.02M
59025 Fetal non-stress test <1% 7,873 $1.94M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 7,944 $1.84M
J3490 Unclassified drugs <1% 25,371 $1.66M
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 8,302 $1.61M
78815 Positron emission tomography (PET) for limited area imaging <1% 1,941 $1.53M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 17,106 $1.52M
J2357 Injection, omalizumab, 5 mg <1% 2,622 $1.50M
Q5103 Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg <1% 1,462 $1.43M
70450 Computed tomography, head or brain; without contrast material <1% 12,087 $1.37M
77063 Screening digital breast tomosynthesis, bilateral <1% 19,800 $1.28M
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 48,954 $1.24M
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 48,981 $1.24M
99203 Doctor's office visit, new patient (routine) <1% 8,684 $1.23M
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 2,085 $1.23M
S9485 Crisis intervention mental health services, per diem <1% 2,012 $1.18M
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 8,319 $1.16M
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 11,008 $1.16M
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg <1% 1,014 $1.16M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 29,477 $1.15M
74183 <1% 4,811 $1.07M
76830 Ultrasound, transvaginal <1% 10,807 $1.02M
71275 Computed tomographic angiography, chest, with contrast material <1% 6,310 $1.01M
76801 <1% 9,783 $966K
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% 55,380 $875K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 6,648 $842K
76819 Fetal biophysical profile; without non-stress testing <1% 11,453 $825K
96375 Therapeutic injection; each additional sequential IV push <1% 24,132 $825K
71046 Radiologic examination, chest; 2 views <1% 40,870 $801K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 190,955 $789K
96415 <1% 2,913 $782K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 2,388 $774K
97161 <1% 13,316 $754K
J0485 Injection, belatacept, 1 mg <1% 2,192 $750K
93308 <1% 4,282 $728K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 5,435 $714K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies <1% 592 $700K
20610 <1% 5,868 $695K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 21,361 $693K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 8,308 $681K
77300 <1% 2,414 $661K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 3,419 $651K
D1110 Prophylaxis - adult <1% 19,757 $646K
99215 Doctor's office visit, returning patient (complex) <1% 5,922 $637K
72197 <1% 2,827 $636K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 4,852 $630K
76642 <1% 7,125 $623K
62323 <1% 1,730 $623K
84443 Thyroid stimulating hormone (TSH) <1% 69,454 $617K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 38,740 $616K
93971 <1% 4,250 $615K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 1,023 $615K
D9450 <1% 48,440 $612K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 23,014 $610K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 25,885 $607K
86481 <1% 11,306 $604K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 4,905 $595K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 9,953 $594K
87631 <1% 7,596 $593K
71250 <1% 9,691 $588K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 10,549 $568K
92551 <1% 10,598 $565K
93970 <1% 3,155 $555K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 33,039 $553K
43235 <1% 885 $537K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 11,447 $535K
11102 <1% 1,282 $535K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 10,638 $517K
70551 Magnetic resonance imaging, brain; without contrast material <1% 3,153 $507K
J1569 Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg <1% 824 $497K
36561 <1% 473 $493K
58300 <1% 1,897 $488K
83036 Hemoglobin; glycosylated (A1C) <1% 98,871 $477K
70496 <1% 2,415 $476K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 9,336 $470K
76813 <1% 5,644 $468K
76536 <1% 5,086 $461K
J9312 Injection, rituximab, 10 mg <1% 285 $454K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 37,438 $418K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 3,268 $411K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 4,264 $410K
11900 <1% 2,237 $404K
D2751 Crown - porcelain fused to predominantly base metal <1% 871 $403K
72141 <1% 3,027 $401K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 7,909 $388K
99201 <1% 3,224 $386K
90837 Psychotherapy session, about an hour <1% 7,519 $385K
90651 <1% 3,620 $385K
90686 <1% 29,153 $379K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 53,313 $379K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 3,338 $377K
70544 <1% 2,512 $377K
77386 <1% 1,017 $375K
11104 <1% 762 $375K
81513 <1% 5,897 $375K
76770 <1% 2,910 $370K
D0120 Dental checkup, returning patient <1% 21,929 $370K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 15,957 $369K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 18,743 $366K
77334 <1% 2,108 $365K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 4,525 $363K
93017 <1% 5,297 $359K
77080 <1% 7,084 $356K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 15,485 $355K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 16,219 $347K
64493 <1% 708 $341K
17110 <1% 2,070 $329K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 3,269 $327K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 5,783 $320K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 1,377 $315K
ATP15 <1% 40,826 $312K
83880 <1% 17,272 $311K
58100 <1% 1,132 $306K
82728 <1% 37,410 $306K
77301 <1% 945 $305K
83735 <1% 85,543 $302K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 7,393 $301K
78451 <1% 1,105 $298K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 72,973 $292K
57454 <1% 962 $292K
86780 <1% 28,168 $290K
84702 <1% 22,170 $289K
85027 <1% 81,529 $289K
D1120 Dental cleaning, child <1% 5,663 $284K
73221 <1% 1,788 $283K
76820 <1% 7,296 $281K
ATP08 <1% 45,322 $260K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 8,054 $259K
58301 <1% 1,196 $258K
90715 <1% 11,742 $255K
97802 <1% 3,966 $251K
84484 <1% 27,790 $246K
86803 <1% 27,261 $246K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 3,915 $246K
D0274 Bitewings - four radiographic images <1% 9,916 $245K
97803 <1% 4,181 $244K
94010 <1% 5,914 $237K
80048 Basic metabolic panel (calcium, ionized) <1% 192,435 $235K
86850 <1% 32,968 $233K
20553 <1% 1,783 $230K
J2182 Injection, mepolizumab, 1 mg <1% 271 $223K
77062 <1% 2,465 $221K
90832 Psychotherapy session, about 30 minutes <1% 7,650 $221K
99173 <1% 11,741 $219K
87086 Culture, bacterial; quantitative colony count, urine <1% 41,577 $218K
19083 <1% 283 $218K
71045 Radiologic examination, chest; single view <1% 10,328 $216K
83970 <1% 14,120 $214K
82607 <1% 27,434 $209K
77067 Screening mammography, bilateral, including computer-aided detection <1% 19,882 $208K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 22,149 $208K
97165 <1% 2,754 $206K
Q5115 Injection, rituximab-abbs, biosimilar, (truxima), 10 mg <1% 68 $203K
0001A <1% 6,659 $198K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 708 $197K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent <1% 3,652 $197K
ATP14 <1% 25,713 $180K
10005 <1% 572 $180K
0002A <1% 5,736 $178K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 4,090 $172K
81025 <1% 31,040 $170K
72156 <1% 1,843 $170K
76882 <1% 1,809 $166K
77470 <1% 715 $164K
87632 <1% 1,605 $161K
77065 Tomosynthesis, mammo <1% 3,802 $161K
70491 <1% 1,367 $156K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) <1% 17,763 $155K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 5,435 $153K
72158 <1% 1,303 $149K
77061 <1% 1,444 $148K
D7140 Extraction, erupted tooth or exposed root <1% 3,161 $148K
87536 <1% 3,647 $147K
83690 <1% 32,110 $146K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 2,870 $146K
90750 <1% 2,288 $145K
93296 <1% 5,015 $142K
90791 Psychiatric diagnostic evaluation <1% 2,049 $141K
73030 <1% 7,352 $139K
83605 <1% 17,916 $137K
73630 <1% 8,662 $136K
74246 <1% 909 $134K
83550 <1% 28,149 $133K
87481 <1% 5,839 $131K
88307 <1% 2,017 $127K
81001 <1% 72,039 $124K
86141 <1% 20,282 $123K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 2,463 $123K
10060 <1% 712 $123K
11100 <1% 507 $123K
D0140 Limited oral evaluation - problem focused <1% 4,577 $122K
80076 <1% 93,281 $120K
85610 <1% 55,166 $118K
11056 <1% 1,377 $117K
73610 <1% 6,720 $116K
73564 <1% 7,047 $115K
D2150 Silver amalgam - two surfaces, primary or permanent <1% 2,287 $113K
87340 <1% 14,956 $112K
88341 <1% 2,687 $111K
95886 <1% 590 $110K
77336 <1% 1,683 $110K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk <1% 135 $108K
86235 <1% 2,855 $108K
87077 <1% 18,854 $108K
97162 <1% 2,266 $107K
73502 <1% 6,392 $107K
17000 <1% 1,325 $106K
D1206 Topical application of fluoride varnish <1% 3,941 $105K
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% 8,404 $104K
73130 <1% 6,683 $104K
83540 <1% 28,959 $102K
91065 <1% 633 $102K
72100 <1% 5,308 $101K
82784 <1% 11,079 $101K
82803 <1% 6,659 $100K
77290 <1% 189 $98K
82746 <1% 12,222 $97K
80050 General health panel <1% 6,482 $96K
D0210 Intraoral - complete series of radiographic images <1% 2,432 $96K
73562 <1% 6,439 $95K
78431 <1% 221 $95K
J1650 Injection, enoxaparin sodium, 10 mg <1% 6,538 $95K
86762 <1% 8,403 $95K
ATP03 <1% 31,074 $95K
88342 <1% 5,106 $94K
77002 <1% 2,488 $93K
86003 <1% 2,128 $90K
J7999 Compounded drug, not otherwise classified <1% 7,711 $89K
86900 <1% 33,467 $89K
95117 <1% 4,185 $88K
72157 <1% 1,620 $88K
77295 <1% 171 $87K
0124A <1% 3,420 $87K
72125 Computed tomography, cervical spine; without contrast material <1% 3,384 $87K
92587 <1% 452 $85K
70498 <1% 1,829 $82K
84439 <1% 16,954 $82K
87070 <1% 14,744 $82K
ATP17 <1% 11,566 $82K
74178 <1% 595 $81K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 3,261 $81K
87088 <1% 15,016 $81K
91200 <1% 1,091 $81K
77338 <1% 1,075 $80K
94060 <1% 1,428 $78K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 9,198 $77K
87081 <1% 19,633 $77K
11981 <1% 268 $76K
88185 <1% 384 $74K
86901 <1% 33,275 $74K
D1208 Topical application of fluoride, excluding varnish <1% 2,554 $74K
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed <1% 986 $73K
J1644 Injection, heparin sodium, per 1000 units <1% 10,519 $72K
99385 <1% 1,007 $72K
ATP11 <1% 12,249 $72K
70486 <1% 1,126 $70K
ATP16 <1% 9,041 $70K
64615 <1% 369 $69K
G0105 Colorectal cancer screening; colonoscopy on individual at high risk <1% 89 $68K
82570 <1% 33,537 $68K
76942 <1% 1,025 $67K
87040 <1% 6,087 $67K
80053 Comprehensive metabolic panel <1% 83,591 $66K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 35,133 $66K
94726 <1% 1,610 $65K
J9310 Injection, rituximab, 100 mg <1% 102 $64K
84146 <1% 5,237 $64K
74174 <1% 1,167 $64K
86787 <1% 6,410 $64K
82670 <1% 3,474 $62K
87799 <1% 6,622 $62K
0004A <1% 2,630 $61K
88173 <1% 958 $61K
99381 <1% 795 $61K
84403 <1% 4,267 $60K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 5,833 $60K
62370 <1% 1,853 $60K
95885 <1% 320 $60K
87186 <1% 12,438 $59K
84153 <1% 6,323 $59K
96367 <1% 490 $59K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 31,193 $59K
86355 <1% 4,468 $59K
93321 <1% 714 $58K
J9999 Not otherwise classified, antineoplastic drugs <1% 2,216 $57K
ATP18 <1% 8,099 $57K
83001 <1% 4,746 $56K
73110 <1% 3,549 $56K
77001 <1% 1,385 $56K
77066 Tomosynthesis, mammo <1% 3,814 $56K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results <1% 1,274 $56K
76775 <1% 684 $56K
87653 <1% 1,959 $55K
81003 <1% 38,128 $55K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 423 $55K
86706 <1% 8,159 $53K
87522 Neg quan hep c or qual rna <1% 2,419 $52K
D2331 <1% 1,251 $52K
85730 <1% 9,912 $52K
83516 <1% 5,927 $51K
92610 <1% 403 $51K
82043 <1% 24,418 $50K
86140 <1% 19,273 $49K
90847 Family psychotherapy with the patient present, 50 minutes <1% 540 $49K
84425 <1% 4,125 $48K
86360 <1% 2,670 $48K
D0150 Comprehensive oral evaluation - new or established patient <1% 2,146 $48K
85379 <1% 7,283 $48K
J7050 Infusion, normal saline solution, 250 cc <1% 23,852 $47K
D0220 Intraoral - periapical first radiographic image <1% 4,729 $47K
73560 <1% 3,177 $47K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 3,023 $47K
11982 <1% 241 $47K
76937 <1% 1,944 $47K
73080 <1% 1,866 $46K
94729 <1% 2,331 $46K
90677 <1% 2,039 $46K
75574 <1% 390 $45K
93325 <1% 1,181 $45K
86160 <1% 3,974 $45K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 29,239 $45K
76857 <1% 708 $45K
64483 <1% 132 $44K
J1170 Injection, hydromorphone, up to 4 mg <1% 14,303 $43K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials <1% 3,541 $43K
80061 Lipid panel <1% 83,173 $43K
76604 <1% 538 $42K
99496 <1% 675 $42K
74018 <1% 1,328 $42K
72040 <1% 2,036 $41K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 17,787 $41K
85652 <1% 29,975 $40K
86038 <1% 6,114 $40K
90746 <1% 1,832 $39K
83520 <1% 4,358 $39K
90853 Group psychotherapy (other than of a multiple-family group) <1% 2,079 $39K
83021 <1% 2,320 $38K
86359 <1% 2,672 $38K
99386 <1% 651 $38K
86832 <1% 572 $38K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 938 $38K
80197 <1% 13,502 $37K
90472 Immunization administration, each additional vaccine (list separately) <1% 12,911 $37K
D1351 Sealant - per tooth <1% 1,015 $37K
83655 <1% 3,474 $37K
99205 Prolong outpt/office vis <1% 226 $37K
0054A <1% 1,830 $37K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,598 $36K
90732 <1% 2,613 $35K
84402 <1% 2,390 $35K
J2704 Injection, propofol, 10 mg <1% 25,393 $34K
87497 <1% 3,786 $34K
87184 <1% 7,981 $34K
86357 <1% 2,245 $34K
0071A <1% 786 $34K
94621 <1% 303 $33K
76870 <1% 332 $33K
ATP07 <1% 5,627 $33K
86833 <1% 541 $32K
J3475 Injection, magnesium sulfate, per 500 mg <1% 9,492 $32K
86334 <1% 3,859 $32K
86704 <1% 4,657 $32K
95816 <1% 156 $31K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 6,423 $31K
ATP09 <1% 5,569 $31K
J2791 Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu <1% 138 $31K
72146 <1% 875 $31K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 312 $30K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 3,962 $30K
93975 <1% 321 $30K
86147 <1% 1,138 $30K
86765 <1% 3,473 $30K
D0272 Bitewings - two radiographic images <1% 1,089 $30K
83002 <1% 2,428 $29K
72170 <1% 1,559 $29K
88304 <1% 1,614 $29K
70548 <1% 176 $28K
73552 <1% 1,340 $28K
86225 <1% 4,269 $28K
86769 <1% 1,282 $27K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 1,705 $27K
93880 <1% 435 $26K
20550 <1% 173 $26K
73700 <1% 535 $25K
84590 <1% 3,874 $25K
88360 <1% 478 $25K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 181 $25K
84480 <1% 2,982 $25K
90662 <1% 8,001 $25K
87338 <1% 2,823 $24K
20552 <1% 193 $24K
91320 <1% 1,725 $24K
Q0139 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for esrd on dialysis) <1% 62 $24K
90670 <1% 5,734 $24K
99443 <1% 4,447 $24K
83020 <1% 2,244 $23K
D2160 <1% 495 $23K
75561 <1% 116 $23K
84156 <1% 14,463 $23K
49083 <1% 73 $23K
82950 <1% 5,407 $22K
73140 <1% 964 $22K
86618 <1% 2,229 $22K
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) <1% 80 $22K
90480 <1% 2,259 $22K
90714 <1% 891 $22K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 42,619 $21K
72070 <1% 738 $21K
99495 <1% 544 $21K
71271 <1% 881 $21K
0072A <1% 461 $21K
87517 <1% 1,079 $21K
86677 <1% 1,988 $21K
D2140 <1% 570 $20K
82330 <1% 3,107 $20K
Q3014 Telehealth originating site facility fee <1% 13,432 $20K
ATP10 <1% 3,844 $20K
A9585 Injection, gadobutrol, 0.1 ml <1% 26,979 $20K
82533 <1% 2,301 $19K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 469 $19K
19081 <1% 28 $19K
99397 <1% 927 $19K
86923 <1% 1,283 $19K
73590 <1% 2,077 $19K
96409 <1% 36 $19K
72131 <1% 635 $19K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 11,642 $18K
J0690 Injection, cefazolin sodium, 500 mg <1% 9,670 $18K
96900 <1% 433 $18K
84165 <1% 4,533 $18K
ATP23 <1% 1,992 $18K
87625 <1% 992 $18K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 914 $18K
87102 <1% 3,415 $18K
80179 <1% 1,425 $17K
64494 <1% 563 $17K
88108 <1% 661 $17K
J1756 Injection, iron sucrose, 1 mg <1% 409 $17K
86708 <1% 2,581 $16K
93976 <1% 174 $16K
84100 <1% 35,003 $16K
86200 <1% 2,357 $16K
94664 <1% 487 $16K
86735 <1% 1,926 $15K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 4,845 $15K
82088 <1% 778 $15K
82105 <1% 1,879 $15K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 169 $15K
73060 <1% 427 $14K
82785 <1% 1,637 $14K
99188 <1% 1,139 $14K
86376 <1% 1,472 $14K
82024 <1% 664 $14K
82627 <1% 849 $14K
90691 <1% 590 $13K
29581 <1% 142 $13K
87529 <1% 569 $13K
88184 <1% 493 $13K
87210 <1% 4,951 $13K
90696 <1% 866 $13K
83993 <1% 1,188 $13K
0031A <1% 405 $13K
86146 <1% 814 $13K
86255 <1% 1,740 $13K
81229 <1% 13 $12K
70543 <1% 40 $12K
85045 <1% 6,468 $12K
ATP04 <1% 2,197 $12K
90734 <1% 2,468 $12K
J0248 Injection, remdesivir, 1 mg <1% 31 $12K
82610 <1% 3,135 $12K
64450 <1% 58 $12K
87252 <1% 595 $11K
95076 <1% 12 $11K
86431 <1% 3,769 $11K
80299 <1% 982 $11K
G0008 Administration of influenza virus vaccine <1% 11,182 $11K
J3370 Injection, vancomycin hcl, 500 mg <1% 2,872 $11K
96376 <1% 7,136 $11K
90461 <1% 3,383 $11K
87106 <1% 1,468 $11K
36415 Collection of venous blood by venipuncture <1% 131,369 $11K
87400 <1% 747 $11K
J1726 Injection, hydroxyprogesterone caproate, (makena), 10 mg <1% 217 $11K
88112 <1% 370 $11K
C1769 Guide wire <1% 2,760 $11K
93923 <1% 186 $11K
77081 <1% 448 $11K
11901 <1% 70 $11K
11721 <1% 459 $11K
0051A <1% 287 $10K
80143 <1% 1,321 $10K
87205 <1% 4,452 $10K
87177 <1% 2,044 $10K
84134 <1% 1,805 $10K
83921 <1% 1,178 $10K
80164 <1% 1,836 $10K
87046 <1% 1,640 $10K
81450 <1% 111 $10K
82550 <1% 8,970 $10K
0081A <1% 224 $10K
87209 <1% 1,043 $9K
86800 <1% 1,105 $9K
J1030 Injection, methylprednisolone acetate, 40 mg <1% 5,274 $9K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 2,293 $9K
ATP12 <1% 1,449 $9K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 454 $9K
D0330 Panoramic radiographic image <1% 227 $9K
82274 <1% 1,208 $9K
84244 <1% 838 $9K
87045 <1% 1,593 $8K
73523 <1% 741 $8K
88313 <1% 361 $8K
J3262 Injection, tocilizumab, 1 mg <1% 53 $8K
90716 <1% 1,509 $8K
D2330 <1% 227 $8K
77332 <1% 79 $8K
82565 <1% 9,137 $8K
J2270 Injection, morphine sulfate, up to 10 mg <1% 7,192 $8K
83721 <1% 2,379 $8K
92083 <1% 214 $8K
97116 <1% 351 $8K
80175 <1% 1,747 $8K
82951 <1% 658 $8K
95913 <1% 88 $8K
90792 Psychiatric diagnostic evaluation with medical services <1% 887 $8K
87324 <1% 1,433 $7K
80177 <1% 1,334 $7K
64650 <1% 24 $7K
J7300 Intrauterine copper contraceptive (paragard) <1% 129 $7K
0154A <1% 211 $7K
20605 <1% 53 $7K
J7120 Ringers lactate infusion, up to 1000 cc <1% 4,453 $7K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 2,858 $7K
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% 9,054 $7K
83615 <1% 6,991 $7K
76376 <1% 646 $7K
78264 <1% 38 $7K
73720 <1% 31 $7K
84445 <1% 181 $7K
ATP05 <1% 1,088 $7K
0082A <1% 147 $7K
90707 <1% 1,685 $7K
J3489 Injection, zoledronic acid, 1 mg <1% 205 $7K
72195 <1% 53 $6K
85007 <1% 3,598 $6K
93299 <1% 169 $6K
93298 <1% 288 $6K
84144 <1% 421 $6K
86039 <1% 1,021 $6K
94618 <1% 161 $6K
84550 <1% 8,958 $6K
82010 <1% 1,185 $6K
D0145 Oral evaluation for a patient under three years of age <1% 227 $6K
G0127 Trimming of dystrophic nails, any number <1% 2,968 $6K
85613 <1% 1,018 $6K
74221 <1% 51 $6K
90656 <1% 625 $6K
84630 <1% 631 $6K
86694 <1% 538 $6K
58558 <1% 13 $6K
ATP02 <1% 1,445 $6K
J2060 Injection, lorazepam, 2 mg <1% 4,097 $6K
85597 <1% 535 $5K
90632 <1% 314 $5K
86665 <1% 318 $5K
85018 <1% 2,744 $5K
84432 <1% 643 $5K
69209 <1% 43 $5K
87641 <1% 206 $5K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 19 $5K
S0020 Injection, bupivicaine hydrochloride, 30 ml <1% 269 $5K
C7900 Service for diagnosis, evaluation, or treatment of a mental health or substance use disorder, 15-29 minutes, provided remotely by hospital staff who are licensed to provide mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service <1% 731 $5K
84681 <1% 462 $5K
86828 <1% 459 $5K
83718 <1% 798 $5K
87116 <1% 868 $5K
93356 <1% 1,471 $5K
87075 <1% 1,023 $5K
0064A <1% 217 $4K
0012A <1% 207 $4K
57456 <1% 14 $4K
86580 <1% 628 $4K
85384 <1% 773 $4K
10061 <1% 28 $4K
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 654 $4K
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 3,257 $4K
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg <1% 1,164 $4K
85014 <1% 2,032 $4K
97166 <1% 51 $4K
88312 <1% 521 $4K
86162 <1% 390 $4K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 28,218 $4K
83519 <1% 441 $4K
84305 <1% 357 $4K
83525 <1% 567 $4K
J0780 Injection, prochlorperazine, up to 10 mg <1% 1,023 $4K
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% 95 $4K
86352 <1% 105 $4K
99153 Mod sedat endo service >5yrs <1% 7,868 $4K
99204 Doctor's office visit, new patient (more involved) <1% 39 $4K
C7901 Service for diagnosis, evaluation, or treatment of a mental health or substance use disorder, 30-60 minutes, provided remotely by hospital staff who are licensed to provided mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service <1% 2,951 $4K
80074 <1% 106 $4K
81206 <1% 260 $4K
73090 <1% 326 $4K
86356 <1% 439 $4K
0011A <1% 211 $4K
89051 <1% 1,192 $4K
J0692 Injection, cefepime hydrochloride, 500 mg <1% 512 $3K
86644 <1% 433 $3K
96127 <1% 336 $3K
0003A <1% 181 $3K
86870 <1% 240 $3K
84132 <1% 4,253 $3K
ATP19 <1% 471 $3K
88346 <1% 152 $3K
0074A <1% 80 $3K
90682 <1% 170 $3K
ATP13 <1% 376 $3K
88350 <1% 61 $3K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 14,436 $3K
82947 <1% 2,832 $3K
87015 <1% 848 $3K
D0270 <1% 374 $3K
0052A <1% 62 $3K
86682 <1% 436 $3K
80178 <1% 920 $3K
83498 <1% 130 $3K
D0230 Intraoral - periapical each additional radiographic image <1% 446 $3K
87206 <1% 882 $2K
82150 <1% 577 $2K
77370 <1% 19 $2K
99152 <1% 5,751 $2K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries <1% 2,062 $2K
72110 <1% 192 $2K
J1020 Injection, methylprednisolone acetate, 20 mg <1% 2,784 $2K
99442 <1% 884 $2K
89343 <1% 65 $2K
93225 <1% 52 $2K
83930 <1% 707 $2K
82390 <1% 363 $2K
84300 <1% 1,107 $2K
82952 <1% 657 $2K
98940 <1% 368 $2K
87150 <1% 186 $2K
J7030 Infusion, normal saline solution , 1000 cc <1% 1,243 $2K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 1,421 $2K
84163 <1% 133 $2K
93280 <1% 259 $2K
90620 <1% 38 $2K
82140 <1% 306 $2K
77012 <1% 208 $2K
17003 <1% 420 $2K
86593 <1% 724 $2K
82725 <1% 189 $2K
83835 <1% 187 $2K
84154 <1% 268 $2K
36430 <1% 12 $2K
84270 <1% 146 $2K
84460 <1% 6,892 $2K
86941 <1% 205 $2K
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 1,621 $2K
82248 <1% 4,742 $2K
83010 <1% 348 $2K
73718 <1% 12 $2K
82525 <1% 169 $2K
73218 <1% 14 $2K
87563 <1% 69 $2K
94727 <1% 42 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 3,577 $2K
82465 <1% 910 $2K
D2335 <1% 30 $2K
82787 <1% 112 $2K
82103 <1% 221 $2K
82085 <1% 291 $2K
D2332 <1% 27 $2K
86705 <1% 211 $1K
C1887 Catheter, guiding (may include infusion/perfusion capability) <1% 541 $1K
86341 <1% 123 $1K
D9110 <1% 63 $1K
93350 <1% 79 $1K
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% 3,491 $1K
95018 <1% 12 $1K
95911 <1% 12 $1K
D7111 <1% 18 $1K
92133 <1% 71 $1K
82310 <1% 1,254 $1K
90474 <1% 1,972 $1K
86805 <1% 14 $1K
G0009 Administration of pneumococcal vaccine <1% 2,584 $1K
J0897 Injection, denosumab, 1 mg <1% 15 $1K
95250 <1% 83 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 27 $1K
J1630 Injection, haloperidol, up to 5 mg <1% 1,021 $1K
87640 <1% 206 $1K
72050 <1% 97 $1K
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 1,511 $1K
88348 <1% 39 $1K
84207 <1% 64 $1K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 17 $1K
86317 <1% 96 $984.13
P9040 Red blood cells, leukocytes reduced, irradiated, each unit <1% 573 $980.10
95024 <1% 37 $972.43
83935 <1% 397 $959.13
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 2,627 $957.91
11103 <1% 12 $937.60
90688 <1% 61 $916.27
82962 <1% 10,201 $909.95
73200 <1% 26 $886.15
86664 <1% 100 $821.89
90678 <1% 46 $821.64
82542 <1% 83 $814.25
82731 <1% 15 $797.04
87505 <1% 16 $792.05
94761 <1% 319 $785.50
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 314 $759.43
90636 <1% 12 $744.45
87329 <1% 105 $739.46
84450 <1% 4,116 $738.97
93926 <1% 13 $732.47
82270 <1% 363 $732.12
83695 <1% 154 $718.11
J0561 Injection, penicillin g benzathine, 100,000 units <1% 17 $679.68
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit <1% 561 $679.65
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg <1% 1,007 $646.36
83521 <1% 930 $642.95
84446 <1% 86 $630.62
82247 <1% 1,093 $618.79
11720 <1% 15 $615.92
84166 <1% 68 $605.45
90836 <1% 253 $597.94
88302 <1% 54 $572.90
80069 <1% 2,642 $569.71
87181 <1% 206 $563.72
99493 <1% 29 $559.18
83090 <1% 58 $551.88
97750 <1% 62 $538.15
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 863 $533.47
G0297 Low dose ct scan (ldct) for lung cancer screening <1% 17 $508.32
82985 <1% 56 $481.25
74220 <1% 27 $470.86
84080 <1% 84 $466.34
84466 <1% 50 $464.94
0053A <1% 14 $458.70
82378 <1% 50 $454.20
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 2,428 $452.39
84145 <1% 2,615 $438.51
90674 <1% 13 $435.24
74175 <1% 42 $432.22
S0028 Injection, famotidine, 20 mg <1% 462 $416.82
85347 <1% 132 $388.09
73000 <1% 14 $380.35
0034A <1% 15 $366.96
84436 <1% 142 $341.85
85240 <1% 26 $326.60
J1836 Injection, metronidazole, 10 mg <1% 268 $317.78
ATP06 <1% 78 $315.12
96158 <1% 19 $312.97
71100 <1% 29 $312.22
86645 <1% 27 $295.80
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 5,779 $290.27
99383 <1% 15 $289.13
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg <1% 407 $279.98
82040 <1% 1,811 $279.55
62368 <1% 14 $278.30
J1920 Injection, labetalol hydrochloride, 5 mg <1% 120 $275.06
84295 <1% 1,297 $266.04
93283 <1% 12 $254.22
82166 <1% 18 $238.42
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 29 $231.88
0013A <1% 12 $229.35
82977 <1% 887 $224.80
86308 <1% 58 $221.32
99177 <1% 128 $218.05
84478 <1% 940 $205.15
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg <1% 114 $199.25
87147 <1% 50 $197.58
72128 <1% 26 $196.75
86663 <1% 29 $177.15
84075 <1% 890 $153.12
73503 <1% 48 $150.82
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) <1% 5,733 $149.41
82340 <1% 52 $148.50
90633 <1% 3,055 $139.50
96368 <1% 16 $134.50
86304 <1% 13 $132.93
80183 <1% 26 $130.19
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 1,700 $118.15
J1040 Injection, methylprednisolone acetate, 80 mg <1% 19 $115.16
74019 <1% 27 $114.10
82180 <1% 28 $106.67
87299 <1% 26 $106.29
82131 <1% 12 $104.34
86709 <1% 12 $102.70
96040 <1% 1,635 $102.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 118 $99.03
80235 <1% 40 $95.64
93786 <1% 31 $93.52
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 307 $85.06
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 2,478 $79.19
80201 <1% 15 $73.57
J1940 Injection, furosemide, up to 20 mg <1% 747 $66.01
J0610 Injection, calcium gluconate (fresenius kabi), per 10 ml <1% 417 $63.79
J1956 Injection, levofloxacin, 250 mg <1% 30 $62.14
80156 <1% 13 $60.12
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination <1% 164 $57.26
G0442 Annual alcohol misuse screening, 5 to 15 minutes <1% 49 $55.10
99494 <1% 15 $55.03
J0670 Injection, mepivacaine hydrochloride, per 10 ml <1% 306 $48.65
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 752 $47.43
J8540 Dexamethasone, oral, 0.25 mg <1% 325 $45.76
89060 <1% 14 $39.12
80158 <1% 12 $37.24
51701 <1% 57 $35.97
90713 <1% 171 $35.37
90710 <1% 1,153 $32.65
86036 <1% 476 $29.85
87185 <1% 14 $29.34
36410 <1% 326 $28.98
85598 <1% 13 $28.86
84520 <1% 1,644 $26.19
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose <1% 652 $24.56
95991 <1% 17 $18.20
86381 <1% 154 $17.82
G0444 Annual depression screening, 5 to 15 minutes <1% 12 $8.32
J0613 Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg <1% 111 $6.96
J1171 Injection, hydromorphone, 0.1 mg <1% 135 $4.35
90685 <1% 301 $2.36
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg <1% 659 $1.59
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) <1% 1,747 $1.47
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml <1% 958 $0.39
G0010 Administration of hepatitis b vaccine <1% 101 $0.09
90749 <1% 14 $0.05
90698 0% 2,859 $0.00
J3480 Injection, potassium chloride, per 2 meq 0% 418 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 0% 3,449 $0.00
90744 0% 1,872 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 0% 222 $0.00
82435 0% 552 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 0% 474 $0.00
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 0% 349 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 0% 165 $0.00
90680 0% 3,180 $0.00
D1330 0% 387 $0.00
91301 0% 138 $0.00
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 0% 159 $0.00
J2785 Injection, regadenoson, 0.1 mg 0% 453 $0.00
90697 0% 110 $0.00
A9555 Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries 0% 213 $0.00
G8982 Changing & maintaining body position functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 116 $0.00
88300 0% 12 $0.00
81596 0% 268 $0.00
91303 0% 283 $0.00
95012 0% 314 $0.00
93246 0% 39 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 207 $0.00
90723 0% 336 $0.00
96139 0% 13 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 40 $0.00
G8981 Changing & maintaining body position functional limitation, current status, at therapy episode outset and at reporting intervals 0% 96 $0.00
89322 0% 25 $0.00
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 0% 12 $0.00
87484 0% 14 $0.00
J1790 Injection, droperidol, up to 5 mg 0% 68 $0.00
J0611 Injection, calcium gluconate (wg critical care), per 10 ml 0% 52 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 0% 54 $0.00
96132 0% 28 $0.00
93788 0% 31 $0.00
L1810 Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 0% 13 $0.00
J3411 Injection, thiamine hcl, 100 mg 0% 17 $0.00
G8986 Carrying, moving & handling objects functional limitation, discharge status, at discharge from therapy or to end reporting 0% 12 $0.00
J0461 Injection, atropine sulfate, 0.01 mg 0% 43 $0.00
81370 0% 13 $0.00
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 0% 14 $0.00
D2750 0% 19 $0.00
88331 0% 14 $0.00
C1819 Surgical tissue localization and excision device (implantable) 0% 13 $0.00
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 0% 18 $0.00
95874 0% 13 $0.00
90648 0% 1,518 $0.00
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 0% 789 $0.00
C1758 Catheter, ureteral 0% 40 $0.00
L0626 Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 0% 284 $0.00
91300 0% 10,320 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 1,048 $0.00
90700 0% 1,063 $0.00
A9577 Injection, gadobenate dimeglumine (multihance), per ml 0% 27 $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% 1,152 $0.00
80348 0% 478 $0.00
86015 0% 139 $0.00
G8985 Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 309 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 7,160 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 363 $0.00
80361 0% 403 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 0% 199 $0.00
Q9956 Injection, octafluoropropane microspheres, per ml 0% 767 $0.00
G8984 Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals 0% 283 $0.00
91312 0% 867 $0.00
90672 0% 76 $0.00
C1729 Catheter, drainage 0% 214 $0.00
96133 0% 28 $0.00
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 0% 105 $0.00
C9113 Injection, pantoprazole sodium, per vial 0% 306 $0.00
80346 0% 480 $0.00
L1820 Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 0% 16 $0.00
78434 0% 120 $0.00
80362 0% 403 $0.00
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 0% 92 $0.00
D0160 0% 16 $0.00
84155 0% 29 $0.00
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 0% 24 $0.00
A9575 Injection, gadoterate meglumine, 0.1 ml 0% 62 $0.00
80365 0% 478 $0.00
G8989 Self care functional limitation, discharge status, at discharge from therapy or to end reporting 0% 13 $0.00
96136 0% 12 $0.00
0121A 0% 16 $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% 18 $0.00
A9526 Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries 0% 12 $0.00
11101 0% 12 $0.00
C1788 Port, indwelling (implantable) 0% 12 $0.00
96138 0% 13 $0.00
86008 0% 12 $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.

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Authorized officialMORASH, DANIEL (CFO)
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