Managed care
Mid Atlantic Pemanente Medical Group
Mid Atlantic Pemanente Medical Group was paid $317.63M by Medicaid between Jan 2018 and Dec 2024, across 656 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 16% of everything it billed.
33Billing provider infoMID ATLANTIC PEMANENTE MEDICAL GROUP
ROCKVILLE, MD 20852
ROCKVILLE, MD 20852
33aNPI1811062763assigned 11/22/2006
33bProvider typeHealth Maintenance Organization
28Total paid$317.63M
24GClaims10,112,770
24DCodes billed656
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Health Maintenance Organization providers in Maryland
Rank by total paid#1 of 8
Median peer was paid$2.92M
This provider vs. median109×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 141,305 | $5.23M | |
| 2019 | 304,636 | $8.14M | |
| 2020 | 1,316,493 | $37.50M | |
| 2021 | 1,972,245 | $64.56M | |
| 2022 | 2,089,255 | $66.55M | |
| 2023 | 2,212,328 | $69.92M | |
| 2024incomplete | 2,076,508 | $65.72M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 575,655 | 548,993 | $50.80M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 7.1% | 179,556 | 172,754 | $22.63M |
| 90670 | 3.5% | 50,508 | 48,486 | $11.22M | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.2% | 90,301 | 88,707 | $10.13M |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 3.1% | 106,591 | 102,827 | $9.99M |
| 81420 | Fetal chromosomal aneuploidy genomic sequence analysis panel | 3.0% | 13,246 | 12,850 | $9.64M |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.9% | 386,577 | 376,290 | $9.07M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.7% | 85,268 | 75,399 | $8.57M |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.1% | 122,337 | 109,440 | $6.81M |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.9% | 50,301 | 49,370 | $6.17M |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 1.9% | 154,970 | 146,112 | $5.90M |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 1.9% | 155,174 | 146,310 | $5.89M |
644 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 103,292 | $5.67M |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 1.7% | 54,156 | $5.28M |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.7% | 35,053 | $5.26M |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 1.6% | 33,883 | $5.06M |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.5% | 140,949 | $4.67M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.5% | 42,006 | $4.64M |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 1.1% | 27,542 | $3.40M |
| 90686 | 1.1% | 166,617 | $3.36M | |
| 36415 | Collection of venous blood by venipuncture | <1% | 686,676 | $3.15M |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 175,818 | $2.96M |
| 90677 | <1% | 10,063 | $2.87M | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 118,654 | $2.82M |
| V2020 | Frames, purchases | <1% | 59,058 | $2.57M |
| 80061 | Lipid panel | <1% | 191,598 | $2.55M |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 21,843 | $2.51M |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 84,603 | $2.48M |
| 90723 | <1% | 36,387 | $2.37M | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 13,416 | $2.29M |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 230,740 | $2.23M |
| 80051 | <1% | 309,147 | $2.16M | |
| 99442 | <1% | 26,309 | $2.13M | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 10,673 | $2.03M |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 32,944 | $1.94M |
| 92015 | Determination of refractive state | <1% | 91,847 | $1.75M |
| 83721 | <1% | 165,307 | $1.72M | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 32,855 | $1.71M |
| 85027 | <1% | 265,059 | $1.70M | |
| 82565 | <1% | 333,368 | $1.70M | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13,350 | $1.63M |
| 86803 | <1% | 115,668 | $1.63M | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 43,322 | $1.58M |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 11,941 | $1.50M |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 43,172 | $1.49M |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 187,455 | $1.45M |
| 86780 | <1% | 107,780 | $1.43M | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 24,536 | $1.39M |
| 86480 | <1% | 28,366 | $1.39M | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 83,294 | $1.30M |
| 82947 | <1% | 330,283 | $1.29M | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 3,640 | $1.25M |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 13,790 | $1.24M |
| 84520 | <1% | 315,924 | $1.24M | |
| 80076 | <1% | 152,351 | $1.23M | |
| 90648 | <1% | 55,309 | $1.21M | |
| 86008 | <1% | 10,286 | $1.12M | |
| 93000 | <1% | 68,873 | $1.11M | |
| 88142 | <1% | 53,595 | $1.08M | |
| 82274 | <1% | 64,842 | $1.03M | |
| 76830 | Ultrasound, transvaginal | <1% | 7,688 | $1.03M |
| 81229 | <1% | 883 | $930K | |
| 82728 | <1% | 68,442 | $922K | |
| 92551 | <1% | 62,446 | $861K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 4,696 | $854K |
| 90633 | <1% | 28,417 | $844K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 9,926 | $784K |
| 90681 | <1% | 11,530 | $765K | |
| 87506 | <1% | 2,831 | $732K | |
| 82607 | <1% | 47,702 | $714K | |
| 95800 | <1% | 4,666 | $707K | |
| 87340 | <1% | 67,602 | $690K | |
| 99205 | Prolong outpt/office vis | <1% | 2,890 | $681K |
| 99441 | <1% | 13,915 | $653K | |
| 99460 | <1% | 8,032 | $646K | |
| 83655 | <1% | 53,259 | $643K | |
| 81025 | <1% | 76,404 | $634K | |
| 99443 | <1% | 4,811 | $603K | |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | <1% | 16,831 | $584K |
| 82746 | <1% | 39,587 | $577K | |
| 90480 | <1% | 9,473 | $569K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 70,937 | $568K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 3,698 | $566K |
| 83550 | <1% | 65,090 | $563K | |
| 90656 | <1% | 25,681 | $550K | |
| 99243 | <1% | 4,090 | $538K | |
| 82570 | <1% | 99,009 | $515K | |
| 87536 | <1% | 6,077 | $500K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 8,618 | $494K |
| 82043 | <1% | 89,389 | $490K | |
| 84153 | <1% | 24,084 | $439K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 12,487 | $436K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 4,555 | $432K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 6,494 | $430K |
| 83540 | <1% | 66,117 | $425K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 2,017 | $409K |
| 80053 | Comprehensive metabolic panel | <1% | 39,136 | $409K |
| 84460 | <1% | 75,916 | $400K | |
| 84702 | <1% | 28,029 | $398K | |
| 0001A | <1% | 8,265 | $379K | |
| 86235 | <1% | 4,910 | $367K | |
| 76642 | <1% | 3,613 | $364K | |
| 0002A | <1% | 7,382 | $347K | |
| 98968 | <1% | 10,170 | $344K | |
| 90734 | <1% | 1,807 | $338K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 2,752 | $337K |
| 87081 | <1% | 49,131 | $327K | |
| 84484 | <1% | 24,901 | $322K | |
| 83880 | <1% | 8,236 | $316K | |
| 81001 | <1% | 100,528 | $316K | |
| 91320 | <1% | 2,283 | $313K | |
| 87338 | <1% | 18,850 | $309K | |
| 84403 | <1% | 11,825 | $301K | |
| 83970 | <1% | 7,276 | $298K | |
| 83690 | <1% | 42,887 | $293K | |
| 86762 | <1% | 20,377 | $274K | |
| 82105 | <1% | 15,829 | $260K | |
| 88185 | <1% | 430 | $253K | |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 1,079 | $252K |
| 99173 | <1% | 69,434 | $244K | |
| 86706 | <1% | 22,782 | $239K | |
| 81162 | <1% | 134 | $237K | |
| 82670 | <1% | 8,367 | $228K | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 1,858 | $221K |
| 83001 | <1% | 12,143 | $221K | |
| 84439 | <1% | 24,373 | $218K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 2,612 | $213K |
| 86787 | <1% | 16,991 | $206K | |
| 86704 | <1% | 17,139 | $205K | |
| 83020 | <1% | 16,215 | $205K | |
| 72100 | <1% | 4,622 | $204K | |
| 90716 | <1% | 2,360 | $194K | |
| 92134 | <1% | 4,082 | $186K | |
| 87517 | <1% | 4,520 | $184K | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 2,320 | $179K |
| 87522 | Neg quan hep c or qual rna | <1% | 4,305 | $177K |
| 84146 | <1% | 9,279 | $177K | |
| 80074 | <1% | 3,744 | $176K | |
| 81220 | CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants | <1% | 311 | $173K |
| 90710 | <1% | 732 | $173K | |
| 87186 | <1% | 18,515 | $170K | |
| 97161 | <1% | 1,713 | $169K | |
| 83735 | <1% | 24,768 | $166K | |
| 86850 | <1% | 18,705 | $164K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,267 | $162K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 647 | $160K |
| 86705 | <1% | 13,737 | $160K | |
| 80349 | <1% | 8,073 | $158K | |
| V2750 | Anti-reflective coating, per lens | <1% | 5,371 | $158K |
| 87901 | <1% | 622 | $157K | |
| 87077 | <1% | 18,265 | $155K | |
| 86038 | <1% | 12,903 | $154K | |
| 76801 | <1% | 1,190 | $153K | |
| 82784 | <1% | 11,824 | $153K | |
| 88262 | <1% | 1,249 | $153K | |
| 83002 | <1% | 8,338 | $151K | |
| 98967 | <1% | 6,045 | $151K | |
| 99245 | <1% | 586 | $143K | |
| 80306 | <1% | 8,431 | $142K | |
| 0004A | <1% | 3,047 | $142K | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 11,443 | $141K |
| 76770 | <1% | 1,235 | $138K | |
| 84450 | <1% | 26,795 | $138K | |
| 80050 | General health panel | <1% | 13,699 | $138K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 1,417 | $136K |
| 86140 | <1% | 26,349 | $136K | |
| 71271 | <1% | 842 | $134K | |
| 83605 | <1% | 11,581 | $134K | |
| 73630 | <1% | 3,384 | $133K | |
| 96112 | <1% | 1,013 | $133K | |
| 86003 | <1% | 7,225 | $132K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 5,504 | $130K |
| 87040 | <1% | 8,118 | $127K | |
| 88230 | <1% | 1,208 | $126K | |
| 83516 | <1% | 10,258 | $126K | |
| 90381 | <1% | 246 | $125K | |
| 84270 | <1% | 5,857 | $124K | |
| 84703 | <1% | 16,629 | $123K | |
| 86361 | <1% | 4,654 | $122K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 3,724 | $120K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 883 | $119K |
| 82627 | <1% | 5,405 | $118K | |
| 85610 | <1% | 27,517 | $117K | |
| 82248 | <1% | 23,503 | $115K | |
| 85379 | <1% | 12,482 | $113K | |
| 87070 | <1% | 13,040 | $113K | |
| 90707 | <1% | 2,253 | $111K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 13,165 | $111K |
| 84402 | <1% | 4,394 | $110K | |
| 80348 | <1% | 4,193 | $109K | |
| 73564 | <1% | 1,884 | $105K | |
| 84425 | <1% | 5,483 | $103K | |
| 92002 | <1% | 1,049 | $98K | |
| 84207 | <1% | 3,523 | $97K | |
| 87255 | <1% | 2,834 | $95K | |
| 76818 | <1% | 619 | $91K | |
| 72040 | <1% | 2,091 | $91K | |
| 86710 | <1% | 6,433 | $91K | |
| 99242 | <1% | 942 | $90K | |
| 86160 | <1% | 3,922 | $88K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 462 | $88K |
| 76536 | <1% | 714 | $86K | |
| 77080 | <1% | 2,044 | $86K | |
| 83498 | <1% | 3,129 | $83K | |
| 86146 | <1% | 1,286 | $83K | |
| 87653 | <1% | 2,397 | $83K | |
| 83718 | <1% | 9,734 | $81K | |
| 0124A | <1% | 2,235 | $81K | |
| 87493 | <1% | 2,216 | $81K | |
| 81381 | <1% | 508 | $80K | |
| 90651 | <1% | 5,076 | $80K | |
| 87900 | <1% | 621 | $80K | |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 565 | $79K |
| 86696 | <1% | 4,045 | $79K | |
| 87563 | <1% | 2,002 | $78K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 785 | $76K |
| 85652 | <1% | 27,585 | $74K | |
| 82550 | <1% | 11,200 | $74K | |
| 77066 | Tomosynthesis, mammo | <1% | 424 | $74K |
| 77065 | Tomosynthesis, mammo | <1% | 524 | $71K |
| 98966 | <1% | 5,185 | $70K | |
| 67028 | Intravitreal injection of a pharmacologic agent | <1% | 525 | $70K |
| 84165 | <1% | 4,049 | $69K | |
| 86225 | <1% | 5,058 | $68K | |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 1,921 | $68K |
| 92133 | <1% | 1,704 | $68K | |
| 84445 | <1% | 1,620 | $68K | |
| 86769 | <1% | 1,432 | $67K | |
| 86376 | <1% | 4,641 | $67K | |
| 80324 | <1% | 3,004 | $67K | |
| 99462 | <1% | 1,846 | $66K | |
| 95806 | <1% | 735 | $65K | |
| 86735 | <1% | 4,959 | $64K | |
| 86618 | <1% | 3,788 | $64K | |
| 86765 | <1% | 5,107 | $63K | |
| 92227 | <1% | 3,959 | $63K | |
| 85730 | <1% | 10,787 | $63K | |
| 99201 | <1% | 1,373 | $61K | |
| 86147 | <1% | 1,367 | $61K | |
| 80365 | <1% | 2,855 | $60K | |
| 87625 | <1% | 1,485 | $59K | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 275 | $59K |
| 80354 | <1% | 2,985 | $59K | |
| 83520 | <1% | 3,148 | $59K | |
| 90647 | <1% | 1,921 | $59K | |
| 81206 | <1% | 404 | $59K | |
| 86200 | <1% | 4,576 | $59K | |
| 80356 | <1% | 2,667 | $58K | |
| 80359 | <1% | 2,836 | $56K | |
| 20610 | <1% | 586 | $56K | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 250 | $56K |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 243 | $56K |
| 80373 | <1% | 2,704 | $56K | |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 625 | $55K |
| 86695 | <1% | 4,034 | $54K | |
| 82652 | <1% | 1,412 | $53K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 1,915 | $53K |
| 84100 | <1% | 10,617 | $52K | |
| 73610 | <1% | 1,233 | $52K | |
| 84550 | <1% | 11,345 | $51K | |
| 82247 | <1% | 10,464 | $51K | |
| 82465 | <1% | 11,444 | $50K | |
| 92567 | <1% | 3,007 | $50K | |
| 86900 | <1% | 16,804 | $49K | |
| 86901 | <1% | 16,800 | $49K | |
| 90696 | <1% | 570 | $48K | |
| 86800 | <1% | 3,078 | $48K | |
| 74018 | <1% | 1,486 | $48K | |
| 82951 | <1% | 3,742 | $48K | |
| 86431 | <1% | 8,427 | $47K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 1,106 | $47K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 979 | $47K |
| 86708 | <1% | 3,763 | $47K | |
| 0071A | <1% | 1,622 | $46K | |
| 84630 | <1% | 4,153 | $46K | |
| 82533 | <1% | 2,744 | $46K | |
| 84480 | <1% | 3,239 | $46K | |
| 80069 | <1% | 5,289 | $45K | |
| 90474 | <1% | 3,326 | $45K | |
| 87177 | <1% | 5,548 | $44K | |
| 84156 | <1% | 12,186 | $44K | |
| 85014 | <1% | 18,725 | $44K | |
| 85018 | <1% | 18,609 | $43K | |
| 91318 | <1% | 677 | $43K | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 1,012 | $43K |
| 80361 | <1% | 2,139 | $42K | |
| 73110 | <1% | 931 | $42K | |
| 86334 | <1% | 1,757 | $42K | |
| 82310 | <1% | 7,479 | $41K | |
| 82378 | <1% | 2,220 | $41K | |
| 86304 | <1% | 1,976 | $41K | |
| 83993 | <1% | 2,086 | $40K | |
| 87210 | <1% | 7,068 | $40K | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 2,946 | $40K |
| 82157 | <1% | 1,335 | $38K | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 926 | $38K |
| 84144 | <1% | 1,908 | $38K | |
| 0072A | <1% | 1,338 | $38K | |
| 86039 | <1% | 3,403 | $37K | |
| 83883 | <1% | 1,448 | $37K | |
| 90700 | <1% | 1,692 | $36K | |
| 97803 | <1% | 666 | $36K | |
| 84590 | <1% | 3,312 | $36K | |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 92 | $36K |
| 83615 | <1% | 6,016 | $36K | |
| 83921 | <1% | 1,741 | $36K | |
| 87808 | <1% | 2,374 | $35K | |
| 73221 | <1% | 153 | $34K | |
| 88184 | <1% | 426 | $34K | |
| 82977 | <1% | 4,772 | $34K | |
| 91319 | <1% | 385 | $34K | |
| 84132 | <1% | 7,144 | $34K | |
| 73030 | <1% | 844 | $33K | |
| 97802 | <1% | 491 | $33K | |
| 70360 | <1% | 983 | $33K | |
| 97162 | <1% | 345 | $33K | |
| 85045 | <1% | 8,038 | $32K | |
| 87905 | <1% | 2,621 | $32K | |
| 80323 | <1% | 1,994 | $31K | |
| 87205 | <1% | 7,102 | $31K | |
| 83090 | <1% | 1,733 | $31K | |
| 80197 | <1% | 2,242 | $30K | |
| 87046 | <1% | 3,354 | $30K | |
| V2025 | Deluxe frame | <1% | 1,516 | $30K |
| 87045 | <1% | 3,214 | $30K | |
| 87634 | <1% | 415 | $28K | |
| 84481 | <1% | 1,770 | $28K | |
| 82525 | <1% | 2,298 | $28K | |
| 73130 | <1% | 635 | $28K | |
| 82397 | <1% | 2,242 | $28K | |
| 82024 | <1% | 723 | $27K | |
| 90715 | <1% | 717 | $27K | |
| 82040 | <1% | 5,371 | $26K | |
| 86665 | <1% | 996 | $26K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 148 | $25K |
| 88189 | <1% | 289 | $25K | |
| 99241 | <1% | 493 | $24K | |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 551 | $24K |
| 93304 | <1% | 150 | $24K | |
| 84252 | <1% | 1,401 | $24K | |
| 83630 | <1% | 1,284 | $24K | |
| 82150 | <1% | 3,474 | $23K | |
| 84154 | <1% | 1,269 | $23K | |
| 80346 | <1% | 1,013 | $23K | |
| 81257 | <1% | 221 | $22K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 236 | $22K |
| 82542 | <1% | 928 | $21K | |
| 84182 | <1% | 178 | $21K | |
| 81243 | <1% | 369 | $21K | |
| A9585 | Injection, gadobutrol, 0.1 ml | <1% | 726 | $20K |
| 11900 | <1% | 315 | $20K | |
| 85240 | <1% | 1,183 | $20K | |
| 86592 | <1% | 4,655 | $20K | |
| 84466 | <1% | 1,583 | $19K | |
| 84305 | <1% | 988 | $19K | |
| 72070 | <1% | 518 | $19K | |
| 86021 | <1% | 1,145 | $18K | |
| 87449 | <1% | 1,500 | $18K | |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 233 | $18K |
| 84075 | <1% | 3,371 | $17K | |
| 84681 | <1% | 840 | $17K | |
| 74183 | <1% | 44 | $17K | |
| 86812 | <1% | 662 | $17K | |
| 87807 | <1% | 1,251 | $17K | |
| 83525 | <1% | 1,549 | $17K | |
| 81403 | <1% | 105 | $17K | |
| 82390 | <1% | 1,617 | $17K | |
| 84155 | <1% | 4,456 | $16K | |
| 87209 | <1% | 914 | $16K | |
| 85008 | <1% | 4,641 | $16K | |
| 81402 | <1% | 106 | $16K | |
| 87109 | <1% | 1,027 | $15K | |
| 93320 | <1% | 257 | $15K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 459 | $15K |
| 99383 | <1% | 116 | $15K | |
| 0064A | <1% | 370 | $15K | |
| 0054A | <1% | 396 | $15K | |
| 82103 | <1% | 1,108 | $15K | |
| 82164 | <1% | 1,026 | $15K | |
| 92310 | <1% | 1,159 | $14K | |
| 90713 | <1% | 580 | $14K | |
| 86382 | <1% | 465 | $14K | |
| 85613 | <1% | 1,464 | $14K | |
| 81241 | <1% | 195 | $14K | |
| 82952 | <1% | 3,524 | $14K | |
| 90750 | <1% | 117 | $14K | |
| 85246 | <1% | 679 | $13K | |
| 88342 | <1% | 95 | $13K | |
| 87329 | <1% | 1,092 | $13K | |
| 81219 | <1% | 108 | $13K | |
| 0081A | <1% | 471 | $13K | |
| 87906 | <1% | 94 | $13K | |
| 85245 | <1% | 648 | $13K | |
| 82077 | <1% | 746 | $13K | |
| 86308 | <1% | 2,442 | $12K | |
| 80353 | <1% | 691 | $12K | |
| 78815 | Positron emission tomography (PET) for limited area imaging | <1% | 12 | $12K |
| 84080 | <1% | 903 | $12K | |
| 93325 | <1% | 440 | $12K | |
| 82088 | <1% | 259 | $12K | |
| 90837 | Psychotherapy session, about an hour | <1% | 86 | $11K |
| 87350 | <1% | 1,097 | $11K | |
| 97164 | <1% | 157 | $11K | |
| 86341 | <1% | 339 | $11K | |
| 81270 | <1% | 133 | $11K | |
| 87902 | <1% | 42 | $11K | |
| 87147 | <1% | 1,685 | $11K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 663 | $11K |
| 97165 | <1% | 107 | $11K | |
| 86301 | <1% | 512 | $11K | |
| A9575 | Injection, gadoterate meglumine, 0.1 ml | <1% | 726 | $10K |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | <1% | 25 | $10K |
| 94729 | <1% | 166 | $10K | |
| 86707 | <1% | 900 | $10K | |
| 96381 | <1% | 523 | $10K | |
| 86593 | <1% | 2,280 | $10K | |
| 86317 | <1% | 96 | $10K | |
| 87324 | <1% | 792 | $9K | |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 1,935 | $9K |
| 72197 | <1% | 26 | $9K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 24 | $9K |
| 87641 | <1% | 259 | $9K | |
| 83519 | <1% | 244 | $9K | |
| 87341 | <1% | 847 | $9K | |
| 84432 | <1% | 541 | $9K | |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | <1% | 27 | $9K |
| 92557 | <1% | 213 | $8K | |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 144 | $8K |
| Q5103 | Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg | <1% | 14 | $8K |
| 87529 | <1% | 115 | $8K | |
| 81002 | <1% | 2,443 | $8K | |
| 88304 | <1% | 143 | $8K | |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 26 | $8K |
| 93015 | <1% | 94 | $8K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 37 | $8K |
| 83010 | <1% | 611 | $8K | |
| 84295 | <1% | 1,717 | $7K | |
| 92504 | <1% | 210 | $7K | |
| 90839 | <1% | 47 | $7K | |
| 87101 | <1% | 945 | $7K | |
| 71045 | Radiologic examination, chest; single view | <1% | 248 | $7K |
| 70486 | <1% | 48 | $7K | |
| 90691 | <1% | 119 | $7K | |
| 88341 | <1% | 14 | $7K | |
| 92550 | <1% | 313 | $7K | |
| 90678 | <1% | 16 | $7K | |
| 86644 | <1% | 520 | $7K | |
| 88271 | <1% | 55 | $7K | |
| 87106 | <1% | 627 | $7K | |
| 92523 | <1% | 39 | $6K | |
| 82330 | <1% | 529 | $6K | |
| V2744 | Tint, photochromatic, per lens | <1% | 853 | $6K |
| 72082 | <1% | 167 | $6K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 464 | $6K |
| V2520 | Contact lens, hydrophilic, spherical, per lens | <1% | 716 | $6K |
| 88312 | <1% | 28 | $6K | |
| 93224 | <1% | 78 | $6K | |
| 77061 | <1% | 43 | $6K | |
| 86335 | <1% | 194 | $6K | |
| 86141 | <1% | 444 | $6K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 71 | $6K |
| 87149 | <1% | 85 | $6K | |
| 88173 | <1% | 24 | $6K | |
| 99385 | <1% | 37 | $6K | |
| 90380 | <1% | 12 | $5K | |
| 87593 | <1% | 61 | $5K | |
| 77072 | <1% | 197 | $5K | |
| 0154A | <1% | 184 | $5K | |
| 95816 | <1% | 13 | $5K | |
| 89320 | <1% | 370 | $5K | |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 27 | $5K |
| 73502 | <1% | 88 | $5K | |
| 73080 | <1% | 127 | $5K | |
| 94726 | <1% | 80 | $5K | |
| 0082A | <1% | 170 | $5K | |
| 86663 | <1% | 360 | $5K | |
| 86702 | <1% | 347 | $5K | |
| 90632 | <1% | 103 | $5K | |
| 83021 | <1% | 256 | $4K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 117 | $4K |
| 00920 | <1% | 29 | $4K | |
| 76885 | <1% | 31 | $4K | |
| 81240 | <1% | 69 | $4K | |
| 81050 | <1% | 897 | $4K | |
| 87075 | <1% | 395 | $4K | |
| V2105 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens | <1% | 82 | $4K |
| V2108 | Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 100 | $4K |
| 94010 | <1% | 130 | $4K | |
| J7999 | Compounded drug, not otherwise classified | <1% | 212 | $4K |
| 82955 | <1% | 397 | $4K | |
| 80178 | <1% | 570 | $4K | |
| 80164 | <1% | 280 | $4K | |
| 0052A | <1% | 110 | $4K | |
| 76820 | <1% | 60 | $4K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 644 | $4K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 53 | $4K |
| 86709 | <1% | 315 | $3K | |
| 85303 | <1% | 261 | $3K | |
| 72141 | <1% | 14 | $3K | |
| 71250 | <1% | 24 | $3K | |
| 85660 | <1% | 627 | $3K | |
| 84244 | <1% | 156 | $3K | |
| 88188 | <1% | 54 | $3K | |
| 54150 | <1% | 19 | $3K | |
| 82656 | <1% | 279 | $3K | |
| 94060 | <1% | 69 | $3K | |
| 0051A | <1% | 97 | $3K | |
| 84436 | <1% | 452 | $3K | |
| 86617 | <1% | 99 | $3K | |
| 86255 | <1% | 105 | $3K | |
| 86645 | <1% | 217 | $3K | |
| 86701 | <1% | 338 | $3K | |
| 81279 | <1% | 16 | $3K | |
| 81339 | <1% | 16 | $3K | |
| 73140 | <1% | 64 | $3K | |
| 85306 | <1% | 184 | $3K | |
| 82085 | <1% | 284 | $3K | |
| 99417 | Prolong home eval add 15m | <1% | 41 | $3K |
| 99223 | Prolong inpt eval add15 m | <1% | 14 | $3K |
| 87581 | <1% | 71 | $2K | |
| 86300 | <1% | 140 | $2K | |
| 85300 | <1% | 218 | $2K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 36 | $2K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 49 | $2K |
| 64615 | <1% | 13 | $2K | |
| 80047 | <1% | 197 | $2K | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 114 | $2K |
| 93971 | <1% | 17 | $2K | |
| 99386 | <1% | 12 | $2K | |
| 0074A | <1% | 69 | $2K | |
| 0011A | <1% | 49 | $2K | |
| 0111A | <1% | 70 | $2K | |
| 86162 | <1% | 104 | $2K | |
| 90746 | <1% | 42 | $2K | |
| 97799 | <1% | 97 | $2K | |
| 87799 | <1% | 57 | $2K | |
| 99384 | <1% | 12 | $2K | |
| 91321 | <1% | 12 | $2K | |
| 85004 | <1% | 261 | $2K | |
| 73521 | <1% | 37 | $2K | |
| 76882 | <1% | 28 | $1K | |
| 86340 | <1% | 124 | $1K | |
| 81207 | <1% | 13 | $1K | |
| 86777 | <1% | 117 | $1K | |
| 89051 | <1% | 240 | $1K | |
| 90674 | <1% | 58 | $1K | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 52 | $1K |
| 77062 | <1% | 12 | $1K | |
| 90685 | <1% | 62 | $1K | |
| 95125 | <1% | 211 | $1K | |
| 84478 | <1% | 224 | $1K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 13 | $1K |
| 83521 | <1% | 97 | $1K | |
| 59025 | Fetal non-stress test | <1% | 22 | $1K |
| 99221 | <1% | 13 | $1K | |
| 92587 | <1% | 43 | $969.92 | |
| 92570 | <1% | 25 | $952.23 | |
| 86355 | <1% | 25 | $943.25 | |
| 82668 | <1% | 56 | $892.21 | |
| 97750 | <1% | 25 | $880.10 | |
| 0003A | <1% | 19 | $847.80 | |
| 96900 | <1% | 37 | $806.99 | |
| 81256 | <1% | 12 | $784.32 | |
| 89240 | <1% | 535 | $763.35 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 781 | $757.61 |
| 36416 | <1% | 746 | $749.57 | |
| 88300 | <1% | 38 | $738.53 | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 19 | $706.18 |
| V2204 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 14 | $704.00 |
| 73562 | <1% | 13 | $703.57 | |
| 93296 | <1% | 28 | $703.00 | |
| 87497 | <1% | 17 | $678.03 | |
| 92025 | <1% | 15 | $638.55 | |
| 97014 | <1% | 49 | $627.44 | |
| 90717 | <1% | 15 | $611.62 | |
| 87535 | <1% | 18 | $596.53 | |
| 86870 | <1% | 110 | $595.50 | |
| 82104 | <1% | 49 | $589.26 | |
| 82610 | <1% | 33 | $571.56 | |
| 85305 | <1% | 52 | $568.89 | |
| 86325 | <1% | 13 | $567.18 | |
| 86360 | <1% | 12 | $563.76 | |
| 86922 | <1% | 61 | $562.98 | |
| V2111 | Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens | <1% | 14 | $560.00 |
| 92579 | <1% | 14 | $555.51 | |
| 86920 | <1% | 60 | $538.90 | |
| 92552 | <1% | 12 | $523.32 | |
| 84300 | <1% | 100 | $495.88 | |
| 80230 | <1% | 14 | $493.68 | |
| 82140 | <1% | 33 | $480.81 | |
| 83835 | <1% | 28 | $474.32 | |
| 73560 | <1% | 13 | $471.67 | |
| 87486 | <1% | 13 | $456.17 | |
| 92250 | <1% | 14 | $455.89 | |
| 86359 | <1% | 12 | $452.76 | |
| 85049 | <1% | 102 | $452.48 | |
| 85384 | <1% | 62 | $425.82 | |
| 86880 | <1% | 55 | $411.48 | |
| 82785 | <1% | 24 | $395.04 | |
| 0112A | <1% | 14 | $392.42 | |
| 73090 | <1% | 13 | $392.31 | |
| 92555 | <1% | 12 | $385.20 | |
| 80177 | <1% | 29 | $371.00 | |
| V2745 | Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens | <1% | 26 | $365.22 |
| 0083A | <1% | 12 | $336.36 | |
| 86664 | <1% | 27 | $330.55 | |
| 86750 | <1% | 26 | $315.01 | |
| 82365 | <1% | 27 | $305.73 | |
| 83789 | <1% | 12 | $289.32 | |
| 82945 | <1% | 69 | $275.10 | |
| 87207 | <1% | 41 | $255.63 | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 14 | $231.42 |
| 82530 | <1% | 14 | $227.23 | |
| 87184 | <1% | 13 | $221.26 | |
| 86336 | <1% | 13 | $202.67 | |
| 87015 | <1% | 26 | $196.32 | |
| 85670 | <1% | 39 | $188.82 | |
| V2783 | Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens | <1% | 115 | $176.50 |
| 80183 | <1% | 13 | $172.25 | |
| 86682 | <1% | 12 | $169.13 | |
| 83825 | <1% | 12 | $133.02 | |
| 84157 | <1% | 30 | $132.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 34 | $82.80 |
| J2270 | Injection, morphine sulfate, up to 10 mg | <1% | 13 | $75.82 |
| 83935 | <1% | 12 | $67.11 | |
| J3490 | Unclassified drugs | <1% | 41 | $58.30 |
| 84133 | <1% | 12 | $56.76 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 39 | $42.83 |
| 81003 | <1% | 13 | $36.01 | |
| V2799 | Vision item or service, miscellaneous | <1% | 964 | $30.00 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 125 | $21.61 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 42 | $14.58 |
| 80358 | <1% | 20 | $8.78 | |
| J7611 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg | <1% | 12 | $3.00 |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 13 | $1.82 |
| 91307 | 0% | 6,507 | $0.00 | |
| 99024 | 0% | 853 | $0.00 | |
| 91305 | 0% | 1,635 | $0.00 | |
| V2781 | Progressive lens, per lens | 0% | 633 | $0.00 |
| 91301 | 0% | 52 | $0.00 | |
| 0500F | 0% | 52 | $0.00 | |
| 91306 | 0% | 376 | $0.00 | |
| 91315 | 0% | 236 | $0.00 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | 0% | 20 | $0.00 |
| 91303 | 0% | 36 | $0.00 | |
| 0503F | 0% | 12 | $0.00 | |
| 97804 | 0% | 12 | $0.00 | |
| 91317 | 0% | 40 | $0.00 | |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | 0% | 32,557 | $0.00 |
| 0502F | 0% | 45,817 | $0.00 | |
| 91300 | 0% | 28,678 | $0.00 | |
| 91312 | 0% | 2,448 | $0.00 | |
| 91308 | 0% | 2,397 | $0.00 | |
| 91311 | 0% | 207 | $0.00 | |
| 99446 | 0% | 24 | $0.00 | |
| 0034A | 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 officialTAYLOR, SHARON (VICE PRESIDENT OF FINANCE)