Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › LOMA LINDA › SEVENTH-DAY ADVENTISTS LOMA LINDA UNIVERSITY MEDICAL CENTER

SEVENTH-DAY ADVENTISTS LOMA LINDA UNIVERSITY MEDICAL CENTER

NPI: 1912914821 · LOMA LINDA, CA 92354 · Rehabilitation Hospital Unit · NPI assigned 08/02/2006

$253.66M
Total Medicaid Paid
3,899,170
Total Claims
2,700,382
Beneficiaries
682
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHILLARD, ANTHONY (CEO)
NPI Enumeration Date08/02/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 459,265 $26.14M
2019 500,317 $32.78M
2020 485,252 $30.61M
2021 572,421 $36.35M
2022 577,582 $37.28M
2023 672,518 $46.05M
2024 631,815 $44.45M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0450 Emergency room services 105,812 94,396 $64.90M
99283 Emergency department visit for the evaluation and management, moderate severity 50,654 45,688 $36.16M
L8699 Prosthetic implant, not otherwise specified 4,377 2,760 $11.70M
J9271 Injection, pembrolizumab, 1 mg 3,887 1,373 $10.96M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 8,224 8,084 $5.31M
78815 Positron emission tomography (PET) for limited area imaging 2,886 2,863 $4.97M
S5102 Day care services, adult; per diem 55,320 3,311 $4.45M
90999 Unlisted dialysis procedure, inpatient or outpatient 30,338 2,292 $4.01M
0360 28,764 12,986 $3.62M
J9312 Injection, rituximab, 10 mg 2,470 1,080 $3.40M
J3490 Unclassified drugs 221,940 87,612 $2.92M
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 13,758 13,207 $2.65M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 20,247 11,928 $2.37M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 66,392 56,435 $2.26M
J2505 Injection, pegfilgrastim, 6 mg 1,287 906 $2.18M
77523 1,616 151 $2.14M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 13,045 12,723 $2.07M
J9035 Injection, bevacizumab, 10 mg 1,302 473 $1.98M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 86,501 17,039 $1.95M
99284 Emergency department visit for the evaluation and management, high severity 7,509 6,997 $1.93M
74177 Computed tomography, abdomen and pelvis; with contrast material 19,716 19,120 $1.93M
J9355 Injection, trastuzumab, excludes biosimilar, 10 mg 1,045 651 $1.93M
J1569 Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg 1,656 431 $1.88M
99221 10,986 10,727 $1.81M
J7050 Infusion, normal saline solution, 250 cc 96,536 36,060 $1.58M
J9299 Injection, nivolumab, 1 mg 818 212 $1.52M
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 18,036 16,554 $1.50M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 3,592 3,382 $1.41M
95810 Polysomnography; sleep staging with 4 or more additional parameters 4,547 4,489 $1.38M
70551 Magnetic resonance imaging, brain; without contrast material 3,965 3,812 $1.35M
J2506 Injection, pegfilgrastim, excludes biosimilar, 0.5 mg 1,705 1,216 $1.28M
96375 Therapeutic injection; each additional sequential IV push 41,357 29,202 $1.17M
95782 1,100 1,083 $1.05M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 39,895 36,454 $997K
99070 297,203 107,310 $979K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 15,299 10,523 $951K
80053 Comprehensive metabolic panel 145,831 120,214 $941K
0710 23,804 17,907 $936K
Q4081 Injection, epoetin alfa, 100 units (for esrd on dialysis) 17,960 1,764 $899K
95713 1,082 1,078 $888K
P9016 Red blood cells, leukocytes reduced, each unit 2,819 2,086 $815K
77334 2,891 1,671 $810K
70450 Computed tomography, head or brain; without contrast material 15,794 15,062 $769K
71260 Computed tomography, thorax, diagnostic; with contrast material 6,033 5,958 $760K
J0897 Injection, denosumab, 1 mg 1,122 880 $736K
J3010 Injection, fentanyl citrate, 0.1 mg 35,006 27,058 $708K
G6015 Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session 1,498 146 $707K
95811 2,388 2,355 $681K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 36,819 29,155 $655K
74183 2,051 2,027 $621K
J1745 Injection, infliximab, excludes biosimilar, 10 mg 699 483 $615K
J2704 Injection, propofol, 10 mg 36,147 25,350 $612K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 13,336 12,500 $610K
J7120 Ringers lactate infusion, up to 1000 cc 27,742 24,730 $610K
77300 1,775 1,460 $600K
J0585 Injection, onabotulinumtoxina, 1 unit 1,115 507 $594K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1,919 1,879 $588K
90945 11,226 412 $587K
0456 21,011 19,324 $586K
97750 12,049 5,989 $583K
77417 13,747 2,250 $565K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,765 3,495 $538K
J2405 Injection, ondansetron hydrochloride, per 1 mg 44,537 33,992 $535K
0510 14,272 11,151 $515K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,400 1,366 $507K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 10,628 3,620 $505K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 1,635 1,497 $489K
72141 1,393 1,369 $488K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 114,102 94,674 $484K
71250 3,710 3,601 $478K
71046 Radiologic examination, chest; 2 views 38,330 35,992 $476K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 44,541 38,495 $475K
96415 8,474 5,405 $461K
77295 756 708 $450K
99231 Subsequent hospital care, per day, straightforward or low complexity 6,948 6,866 $447K
0516 13,777 12,258 $446K
99238 Hospital discharge day management, 30 minutes or less 13,423 11,472 $440K
72197 1,495 1,485 $427K
96417 6,141 3,847 $417K
93325 4,851 4,743 $399K
95700 1,327 1,325 $390K
54161 2,361 2,269 $389K
86923 4,894 3,303 $383K
77336 5,348 2,313 $369K
J2250 Injection, midazolam hydrochloride, per 1 mg 25,239 22,559 $360K
72156 571 571 $354K
97799 13,857 4,016 $331K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 2,136 2,116 $326K
77412 4,990 615 $323K
77290 2,101 1,530 $322K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 43,299 39,455 $310K
74176 Computed tomography, abdomen and pelvis; without contrast material 4,682 4,559 $304K
A9577 Injection, gadobenate dimeglumine (multihance), per ml 12,556 12,382 $301K
95806 2,276 2,263 $300K
85027 59,218 50,769 $293K
96361 Intravenous infusion, hydration; each additional hour 20,738 17,603 $293K
93976 5,148 4,905 $291K
70491 1,963 1,931 $284K
76700 Ultrasound, abdominal, real time with image documentation; complete 7,569 7,269 $283K
J0185 Injection, aprepitant, 1 mg 3,512 1,465 $282K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 8,118 7,361 $278K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 24,528 20,165 $275K
0750 3,390 1,382 $268K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 1,887 1,866 $267K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 1,058 1,037 $266K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 14,937 10,742 $260K
86922 369 221 $259K
99218 1,444 1,419 $257K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 7,258 4,251 $255K
71275 Computed tomographic angiography, chest, with contrast material 4,043 3,952 $253K
99232 Subsequent hospital care, per day, moderate complexity 3,880 3,843 $250K
V2632 Posterior chamber intraocular lens 1,375 1,360 $249K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 6,870 6,662 $244K
J9202 Goserelin acetate implant, per 3.6 mg 379 351 $244K
93351 1,928 1,901 $237K
88341 1,574 1,490 $237K
93975 3,427 3,293 $234K
76830 Ultrasound, transvaginal 6,250 6,066 $232K
97763 6,555 2,324 $231K
J0690 Injection, cefazolin sodium, 500 mg 15,415 13,740 $231K
72158 350 350 $230K
70496 2,442 2,376 $227K
93320 4,188 4,124 $227K
J2350 Injection, ocrelizumab, 1 mg 13 12 $225K
0370 3,049 2,879 $221K
J7060 5% dextrose/water (500 ml = 1 unit) 11,912 5,052 $214K
70498 2,866 2,798 $210K
J9310 Injection, rituximab, 100 mg 187 70 $206K
80048 Basic metabolic panel (calcium, ionized) 26,889 22,501 $205K
93970 2,674 2,584 $205K
88305 Level IV - Surgical pathology, gross and microscopic examination 6,444 6,255 $203K
76770 4,394 4,267 $203K
93247 1,882 1,867 $202K
70543 770 760 $197K
J1453 Injection, fosaprepitant, 1 mg 1,880 1,163 $197K
97139 8,742 1,783 $194K
C9290 Injection, bupivacaine liposome, 1 mg 1,116 667 $193K
J1170 Injection, hydromorphone, up to 4 mg 12,171 8,924 $191K
49083 1,972 1,064 $189K
J0485 Injection, belatacept, 1 mg 991 275 $188K
J9306 Injection, pertuzumab, 1 mg 291 54 $186K
J1885 Injection, ketorolac tromethamine, per 15 mg 28,338 25,499 $185K
70486 2,765 2,699 $183K
77067 Screening mammography, bilateral, including computer-aided detection 1,536 1,534 $183K
71045 Radiologic examination, chest; single view 20,020 18,932 $182K
72125 Computed tomography, cervical spine; without contrast material 5,358 5,231 $173K
95819 1,776 1,760 $171K
93971 4,092 3,925 $157K
84703 46,833 43,165 $155K
A4657 Syringe, with or without needle, each 6,371 701 $155K
76705 Ultrasound, abdominal, real time with image documentation; limited 5,790 5,619 $154K
J1200 Injection, diphenhydramine hcl, up to 50 mg 13,358 9,513 $153K
82962 41,087 26,742 $152K
77301 133 132 $152K
67113 266 258 $149K
84443 Thyroid stimulating hormone (TSH) 18,338 15,476 $146K
76536 3,037 2,964 $144K
74178 883 860 $144K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 19,370 14,768 $142K
83735 31,227 22,580 $138K
83970 3,187 2,647 $137K
80197 7,349 3,355 $137K
J0490 Injection, belimumab, 10 mg 160 73 $136K
0250 7,954 4,381 $134K
0361 833 632 $133K
76937 2,765 2,647 $133K
90837 Psychotherapy, 53 minutes with patient 1,471 736 $133K
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) 2,174 2,073 $133K
94060 3,160 3,104 $132K
99499 1,178 1,010 $131K
86850 21,696 19,349 $130K
96367 3,880 2,548 $128K
73221 542 492 $128K
75574 509 507 $128K
97165 2,871 2,445 $128K
93623 40 40 $125K
81001 79,176 69,929 $121K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 9,580 4,214 $119K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,335 2,239 $118K
86900 28,386 19,874 $113K
92522 988 980 $106K
72157 268 267 $105K
J2469 Injection, palonosetron hcl, 25 mcg 4,040 2,472 $105K
J1756 Injection, iron sucrose, 1 mg 4,166 794 $105K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 66 66 $104K
74174 774 766 $104K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 5,479 5,264 $101K
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 569 328 $101K
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) 1,153 1,115 $100K
84484 48,333 28,588 $100K
82378 4,345 3,291 $100K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 7,583 2,936 $99K
76642 1,918 1,814 $98K
88307 1,895 1,823 $98K
54640 303 284 $96K
J2370 Injection, phenylephrine hcl, up to 1 ml 7,395 5,506 $95K
86901 25,737 19,722 $94K
97802 637 637 $94K
95708 274 149 $93K
0762 5,157 2,922 $93K
96411 1,953 1,237 $92K
94729 2,328 2,279 $92K
86999 2,595 1,731 $91K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 5,134 4,941 $90K
36415 Collection of venous blood by venipuncture 31,687 24,777 $89K
14040 794 783 $88K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 308 304 $88K
95816 903 899 $87K
87077 21,126 11,027 $87K
87088 27,421 25,040 $85K
S0020 Injection, bupivicaine hydrochloride, 30 ml 4,372 4,204 $84K
93017 1,536 1,500 $83K
99217 2,414 1,667 $83K
83690 38,024 34,818 $83K
93451 77 70 $80K
87799 1,502 1,202 $79K
J1644 Injection, heparin sodium, per 1000 units 6,660 4,302 $78K
92523 847 706 $78K
93308 2,096 2,004 $77K
88342 2,752 2,619 $77K
J9267 Injection, paclitaxel, 1 mg 4,237 1,004 $77K
93225 1,829 1,790 $77K
88185 352 269 $77K
76801 2,722 2,443 $77K
J9263 Injection, oxaliplatin, 0.5 mg 4,864 1,069 $76K
J2323 Injection, natalizumab, 1 mg 154 61 $74K
J7030 Infusion, normal saline solution , 1000 cc 4,676 2,949 $74K
87070 9,301 8,492 $74K
84100 24,738 17,682 $73K
77066 Tomosynthesis, mammo 545 543 $71K
70487 1,015 1,004 $70K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 701 694 $70K
0761 1,929 1,739 $70K
96523 875 772 $69K
77065 Tomosynthesis, mammo 661 634 $69K
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 12,163 8,444 $68K
A9562 Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries 106 102 $68K
J9045 Injection, carboplatin, 50 mg 2,442 1,186 $68K
70546 182 181 $68K
74160 317 316 $67K
96368 2,606 1,629 $67K
85730 32,591 30,313 $65K
J0640 Injection, leucovorin calcium, per 50 mg 2,543 788 $65K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 9,142 8,137 $65K
94726 1,749 1,712 $65K
87497 1,175 904 $63K
99281 Emergency department visit for the evaluation and management, self-limited or minor 797 759 $62K
J3473 Injection, hyaluronidase, recombinant, 1 usp unit 1,759 1,279 $62K
93656 26 26 $62K
J3475 Injection, magnesium sulfate, per 500 mg 6,200 3,762 $61K
82805 3,686 3,330 $60K
73630 6,149 5,400 $60K
87430 6,588 6,257 $59K
83880 8,814 8,173 $59K
72131 973 964 $58K
A9270 Non-covered item or service 42,761 8,951 $58K
99224 826 824 $58K
78306 481 472 $58K
85610 36,214 32,926 $58K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 4,089 3,779 $57K
97803 801 794 $57K
72146 235 235 $56K
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 3,718 2,731 $55K
73610 5,222 4,691 $54K
73130 5,677 5,010 $54K
78264 238 229 $54K
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) 1,500 1,407 $53K
86945 875 444 $50K
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 344 333 $50K
93243 439 439 $49K
74170 294 291 $48K
76942 742 727 $47K
75561 146 146 $46K
97166 1,122 957 $46K
76641 659 466 $45K
96402 1,608 1,511 $45K
73564 4,336 3,747 $44K
93880 442 429 $43K
74018 6,309 5,941 $43K
83615 6,182 4,320 $43K
93312 407 403 $42K
J3480 Injection, potassium chloride, per 2 meq 4,226 2,182 $42K
J9201 Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg 1,118 330 $41K
J9070 Cyclophosphamide, 100 mg 142 62 $41K
J2997 Injection, alteplase recombinant, 1 mg 484 383 $40K
96377 1,786 1,278 $40K
G0378 Hospital observation service, per hour 5,133 3,094 $39K
C9399 Unclassified drugs or biologicals 321 315 $38K
82728 3,971 3,592 $38K
77338 135 132 $38K
77062 203 203 $37K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 390 384 $37K
36561 154 147 $37K
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg 4,215 1,114 $36K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 1,451 1,006 $35K
84702 5,535 4,729 $35K
86833 1,066 1,013 $35K
73030 4,250 3,829 $35K
73110 3,599 3,261 $34K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 3,891 3,598 $34K
83605 13,439 11,241 $34K
83036 Hemoglobin; glycosylated (A1C) 6,164 6,015 $33K
72100 2,963 2,832 $33K
J0696 Injection, ceftriaxone sodium, per 250 mg 6,888 6,385 $33K
86832 1,087 1,026 $33K
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 1,955 1,222 $33K
93454 53 52 $33K
J2270 Injection, morphine sulfate, up to 10 mg 11,856 10,133 $32K
82330 4,413 3,943 $31K
76776 739 688 $31K
76813 470 463 $31K
99225 451 450 $31K
84439 4,552 4,024 $31K
J2785 Injection, regadenoson, 0.1 mg 339 336 $30K
74240 398 379 $30K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 2,096 1,540 $30K
45380 Colonoscopy, flexible; with biopsy, single or multiple 507 475 $29K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 940 882 $29K
G0277 Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval 230 13 $29K
93246 1,885 1,870 $29K
J2765 Injection, metoclopramide hcl, up to 10 mg 3,722 3,505 $28K
J3370 Injection, vancomycin hcl, 500 mg 2,629 1,970 $28K
82570 5,018 2,851 $28K
J0461 Injection, atropine sulfate, 0.01 mg 1,976 1,231 $27K
88304 1,865 1,848 $27K
76870 1,537 1,448 $27K
J0780 Injection, prochlorperazine, up to 10 mg 4,832 4,549 $27K
85007 11,751 9,397 $26K
67042 26 26 $25K
73700 313 296 $25K
0272 11,954 9,628 $24K
73590 4,090 3,536 $24K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,494 1,421 $23K
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg 1,413 896 $23K
J0137 Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg 2,102 1,211 $23K
84550 4,601 3,116 $23K
90715 2,466 2,392 $23K
90791 Psychiatric diagnostic evaluation 138 137 $23K
94618 940 922 $22K
72128 477 474 $22K
90832 Psychotherapy, 30 minutes with patient 363 330 $22K
T1024 Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter 186 159 $21K
74220 671 642 $21K
43762 530 508 $21K
73090 3,895 3,432 $21K
96401 245 90 $21K
C1769 Guide wire 1,067 930 $21K
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 10,814 2,397 $21K
73080 2,800 2,587 $20K
87536 398 393 $20K
87147 7,401 2,466 $20K
73562 2,269 1,889 $20K
10060 975 931 $20K
86300 1,477 729 $20K
74328 103 102 $19K
95813 235 226 $19K
87040 8,082 4,958 $19K
30140 237 138 $19K
85347 1,479 844 $19K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,788 944 $18K
77470 162 154 $18K
86301 1,037 798 $18K
78709 83 83 $18K
80061 Lipid panel 2,369 2,250 $18K
88184 361 282 $18K
83550 3,090 2,846 $18K
86803 1,379 1,279 $17K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 195 169 $17K
97161 948 892 $17K
86304 918 779 $17K
J9190 Injection, fluorouracil, 500 mg 714 377 $17K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 132 131 $16K
J0129 Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) 28 24 $16K
J9060 Injection, cisplatin, powder or solution, 10 mg 480 210 $16K
G0109 Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes 342 188 $16K
84132 6,421 5,540 $16K
P9041 Infusion, albumin (human), 5%, 50 ml 89 51 $16K
J1580 Injection, garamycin, gentamicin, up to 80 mg 1,016 931 $16K
0681 21 21 $16K
C1771 Repair device, urinary, incontinence, with sling graft 12 12 $15K
73502 1,252 1,202 $15K
87340 1,921 1,754 $15K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 3,143 1,326 $15K
30520 210 189 $15K
87205 4,465 3,773 $14K
C1874 Stent, coated/covered, with delivery system 12 12 $14K
A4913 Miscellaneous dialysis supplies, not otherwise specified 877 204 $14K
0459 1,174 1,123 $14K
84156 3,963 2,083 $14K
J9075 Injection, cyclophosphamide, not otherwise specified, 5 mg 324 63 $14K
76604 1,263 1,214 $14K
77321 142 127 $13K
87186 2,370 2,063 $13K
J0360 Injection, hydralazine hcl, up to 20 mg 1,153 1,040 $13K
72070 1,137 1,082 $13K
77063 Screening digital breast tomosynthesis, bilateral 416 415 $13K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 696 676 $12K
87390 960 945 $12K
73552 2,105 1,864 $12K
96376 2,727 2,071 $12K
85018 6,170 5,544 $12K
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 2,332 2,240 $12K
77001 148 148 $12K
86140 7,371 6,806 $12K
43235 163 155 $12K
97116 2,479 1,137 $11K
J1940 Injection, furosemide, up to 20 mg 2,042 1,589 $11K
93505 31 29 $11K
87522 Neg quan hep c or qual rna 233 228 $11K
73060 2,349 2,148 $11K
J2795 Injection, ropivacaine hydrochloride, 1 mg 711 413 $11K
J9217 Leuprolide acetate (for depot suspension), 7.5 mg 51 51 $11K
J1805 Injection, esmolol hydrochloride, 10 mg 579 468 $11K
J2720 Injection, protamine sulfate, per 10 mg 602 467 $11K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 819 518 $10K
94010 551 544 $10K
36591 614 371 $10K
93356 234 233 $10K
Q9968 Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg 90 86 $10K
72040 1,095 1,035 $10K
J2919 Injection, methylprednisolone sodium succinate, 5 mg 723 426 $10K
82810 765 525 $9K
82105 197 173 $9K
41899 Unlisted procedure, dentoalveolar structures 209 198 $9K
J0330 Injection, succinylcholine chloride, up to 20 mg 1,520 1,469 $9K
87210 3,882 3,748 $9K
86706 999 906 $9K
86702 990 974 $9K
30465 20 14 $9K
87517 159 155 $9K
J2060 Injection, lorazepam, 2 mg 2,413 2,019 $9K
0760 392 355 $9K
85379 2,491 2,361 $9K
82550 5,222 4,279 $8K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 1,219 907 $8K
87102 841 689 $8K
76882 983 921 $8K
0270 8,321 6,891 $8K
73140 591 558 $8K
82248 1,393 1,234 $8K
82607 655 619 $8K
J1250 Injection, dobutamine hydrochloride, per 250 mg 503 483 $8K
75572 53 53 $8K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 56 56 $7K
J2800 Injection, methocarbamol, up to 10 ml 1,186 991 $7K
88313 193 186 $7K
89051 1,065 965 $7K
84520 2,776 2,212 $7K
74022 1,338 1,293 $7K
82784 984 494 $7K
J9206 Injection, irinotecan, 20 mg 289 103 $7K
J1171 Injection, hydromorphone, 0.1 mg 328 182 $7K
72170 1,730 1,685 $7K
87075 568 503 $7K
86701 990 974 $7K
82435 3,575 3,264 $6K
93242 439 439 $6K
84145 1,980 1,864 $6K
85652 6,392 6,017 $6K
S0077 Injection, clindamycin phosphate, 300 mg 753 639 $6K
71270 161 150 $6K
J0153 Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) 119 108 $6K
84295 3,695 3,360 $6K
J0612 Injection, calcium gluconate, not otherwise specified, 10 mg 714 192 $6K
J9000 Injection, doxorubicin hydrochloride, 10 mg 174 105 $6K
36430 136 98 $6K
78451 15 15 $6K
J1040 Injection, methylprednisolone acetate, 80 mg 326 256 $6K
76000 24 24 $6K
88331 232 227 $5K
82247 732 635 $5K
92610 274 271 $5K
88350 13 12 $5K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 508 490 $5K
0259 10,143 5,118 $5K
A4315 Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone 92 91 $5K
86704 626 548 $5K
77075 491 476 $5K
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml 61 53 $5K
82274 1,141 1,099 $5K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 100 90 $5K
62270 120 107 $5K
70480 42 42 $5K
A6258 Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing 420 413 $5K
92526 75 40 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,160 1,035 $5K
93321 207 197 $5K
97162 255 245 $5K
12001 661 643 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,556 2,415 $4K
70481 44 43 $4K
86593 1,479 1,452 $4K
90839 941 895 $4K
J8540 Dexamethasone, oral, 0.25 mg 348 236 $4K
73100 773 697 $4K
82553 2,318 1,568 $4K
73560 569 492 $4K
A4217 Sterile water/saline, 500 ml 969 773 $4K
86334 186 166 $4K
82746 319 307 $4K
82150 1,567 1,384 $4K
58571 13 13 $4K
61782 41 39 $4K
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 368 360 $4K
J3489 Injection, zoledronic acid, 1 mg 139 129 $4K
82310 434 304 $4K
0296T 404 390 $4K
L2112 Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment 25 25 $4K
73720 12 12 $3K
84153 300 285 $3K
87184 1,234 1,121 $3K
78018 14 14 $3K
83521 302 138 $3K
A9573 Injection, gadopiclenol, 1 ml 150 147 $3K
31267 18 12 $3K
86480 185 178 $3K
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 283 153 $3K
86902 55 40 $3K
83520 259 133 $3K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 19 19 $3K
85046 852 667 $3K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 672 466 $3K
10005 58 58 $3K
82108 331 264 $3K
90853 Group psychotherapy (other than of a multiple-family group) 78 15 $3K
J7042 5% dextrose/normal saline (500 ml = 1 unit) 2,070 1,944 $3K
82010 1,355 1,227 $3K
93662 24 24 $3K
73501 537 512 $2K
64642 38 38 $2K
73070 807 705 $2K
91010 56 56 $2K
54360 24 24 $2K
J1630 Injection, haloperidol, up to 5 mg 1,372 1,215 $2K
J1650 Injection, enoxaparin sodium, 10 mg 957 628 $2K
93613 27 27 $2K
J0736 Injection, clindamycin phosphate, 300 mg 168 154 $2K
86769 51 48 $2K
J2252 Injection, midazolam in 0.8% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg 116 111 $2K
51702 312 289 $2K
12011 355 339 $2K
80299 243 215 $2K
85384 317 289 $2K
J1836 Injection, metronidazole, 10 mg 161 143 $2K
51701 142 137 $2K
58661 13 13 $2K
64643 85 81 $2K
J9171 Injection, docetaxel, 1 mg 61 25 $2K
88300 450 435 $2K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 59 58 $2K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 607 561 $2K
86308 852 783 $2K
86762 135 105 $2K
84165 181 163 $2K
80143 1,886 1,786 $2K
43760 63 60 $2K
70355 312 306 $2K
57288 24 24 $2K
J1953 Injection, levetiracetam, 10 mg 187 146 $1K
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 96 51 $1K
77080 40 40 $1K
J1920 Injection, labetalol hydrochloride, 5 mg 196 185 $1K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 599 498 $1K
86592 477 460 $1K
70250 156 140 $1K
74019 564 542 $1K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 135 125 $1K
87116 126 95 $1K
71100 54 53 $1K
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg 166 88 $1K
P9047 Infusion, albumin (human), 25%, 50 ml 15 12 $1K
93923 13 13 $1K
49500 17 12 $1K
88112 26 25 $1K
73521 84 84 $1K
86870 42 37 $1K
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) 13 12 $1K
86235 77 77 $1K
82140 377 341 $1K
90686 105 103 $1K
0258 1,675 1,059 $994.47
74230 26 26 $993.50
62328 12 12 $983.12
50200 27 27 $943.39
0271 1,673 1,419 $935.63
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 353 117 $928.93
88173 38 38 $926.34
97003 23 12 $906.62
93924 12 12 $825.71
J2175 Injection, meperidine hydrochloride, per 100 mg 46 42 $818.28
20680 15 12 $812.00
83020 74 51 $807.04
93319 15 15 $781.14
J1010 Injection, methylprednisolone acetate, 1 mg 46 42 $775.94
87206 162 130 $771.24
73200 15 15 $771.01
71020 168 164 $724.45
97018 303 119 $704.39
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 35 14 $689.15
84460 358 351 $653.72
88360 28 25 $647.72
84450 360 354 $639.62
S0164 Injection, pantoprazole sodium, 40 mg 106 96 $632.49
99195 32 24 $630.35
82977 45 45 $624.51
80074 12 12 $536.08
93797 24 13 $535.04
84403 28 27 $513.13
82945 282 267 $508.29
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 175 114 $502.12
88311 193 192 $501.16
80076 130 123 $498.05
84157 294 281 $484.36
86780 83 81 $406.46
36224 13 12 $403.13
82525 29 26 $309.19
84478 72 62 $288.81
84630 33 28 $279.91
84255 16 12 $256.20
64644 21 18 $240.00
86318 105 104 $230.01
94760 27 26 $228.27
86787 24 14 $227.58
P9612 Catheterization for collection of specimen, single patient, all places of service 1,142 1,034 $225.53
94770 37 36 $224.37
97026 140 54 $223.16
G0380 Level 1 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) 13 12 $222.80
88346 12 12 $222.00
88302 27 27 $208.57
87106 27 27 $201.00
0042T 88 88 $197.85
J1120 Injection, acetazolamide sodium, up to 500 mg 12 12 $193.19
12002 126 119 $186.80
G1010 Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program 1,807 1,622 $183.29
82365 14 12 $182.93
86735 14 14 $176.48
86765 14 14 $174.30
86665 27 13 $154.80
73620 13 13 $154.38
87045 42 40 $150.34
J2470 Injection, pantoprazole sodium, 40 mg 39 29 $148.67
73660 14 12 $130.80
J2359 Injection, olanzapine, 0.5 mg 37 28 $123.78
J0694 Injection, cefoxitin sodium, 1 gm 13 13 $123.41
86777 12 12 $121.62
86644 12 12 $117.72
70360 40 39 $108.35
74000 52 48 $108.03
73000 33 31 $98.17
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15 12 $92.86
87427 27 26 $92.70
81003 337 319 $92.14
31720 114 97 $85.12
82043 12 12 $75.42
71010 28 24 $74.45
36600 14 14 $73.69
0621 16 13 $71.75
86664 13 12 $68.22
85651 157 153 $67.31
87324 12 12 $66.16
87449 12 12 $66.16
86663 13 12 $60.31
0100U 91 90 $55.12
80164 57 53 $43.27
87185 28 25 $37.99
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 16 16 $34.49
76010 14 14 $25.40
A6453 Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard 192 152 $2.62
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 101 53 $0.01
0637 1,070 521 $0.00
C1758 Catheter, ureteral 30 26 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 14 12 $0.00
77076 12 12 $0.00
94664 17 12 $0.00
85396 12 12 $0.00
J3411 Injection, thiamine hcl, 100 mg 20 13 $0.00
A6449 Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard 55 49 $0.00
80320 78 77 $0.00
0636 37 34 $0.00
Q0247 Injection, sotrovimab, 500 mg 20 20 $0.00
A6222 Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 12 12 $0.00
G0008 Administration of influenza virus vaccine 17 17 $0.00