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

Seventh-Day Adventists Loma Linda University Medical Center

Seventh-Day Adventists Loma Linda University Medical Center was paid $253.66M by Medicaid between Jan 2018 and Nov 2024, across 682 billing codes. Its largest line is 0450, Emergency room services — 26% of everything it billed.

33Billing provider infoSEVENTH-DAY ADVENTISTS LOMA LINDA UNIVERSITY MEDICAL CENTER
LOMA LINDA, CA 92354
33aNPI1912914821assigned 08/02/2006
28Total paid$253.66M
24GClaims3,899,170
24DCodes billed682
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Rehabilitation Hospital Unit providers in California

Rank by total paid#1 of 22
Median peer was paid$308K
This provider vs. median823×

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
2018459,265$26.14M
2019500,317$32.78M
2020485,252$30.61M
2021572,421$36.35M
2022577,582$37.28M
2023672,518$46.05M
2024incomplete631,815$44.45M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
0450 Emergency room services 26% 105,812 94,396 $64.90M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 14% 50,654 45,688 $36.16M
L8699 Prosthetic implant, not otherwise specified 4.6% 4,377 2,760 $11.70M
J9271 Injection, pembrolizumab, 1 mg 4.3% 3,887 1,373 $10.96M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 2.1% 8,224 8,084 $5.31M
78815 Positron emission tomography (PET) for limited area imaging 2.0% 2,886 2,863 $4.97M
S5102 Adult day care, billed per dayDay care services, adult; per diem 1.8% 55,320 3,311 $4.45M
90999 Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient 1.6% 30,338 2,292 $4.01M
0360 1.4% 28,764 12,986 $3.62M
J9312 Injection, rituximab, 10 mg 1.3% 2,470 1,080 $3.40M
J3490 Unclassified drugs 1.2% 221,940 87,612 $2.92M
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 1.0% 13,758 13,207 $2.65M
670 more codes
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 20,247 $2.37M
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 66,392 $2.26M
J2505 Injection, pegfilgrastim, 6 mg <1% 1,287 $2.18M
77523 <1% 1,616 $2.14M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 13,045 $2.07M
J9035 Injection, bevacizumab, 10 mg <1% 1,302 $1.98M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 86,501 $1.95M
99284 Emergency room visit (serious) <1% 7,509 $1.93M
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 19,716 $1.93M
J9355 Injection, trastuzumab, excludes biosimilar, 10 mg <1% 1,045 $1.93M
J1569 Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg <1% 1,656 $1.88M
99221 <1% 10,986 $1.81M
J7050 Infusion, normal saline solution, 250 cc <1% 96,536 $1.58M
J9299 Injection, nivolumab, 1 mg <1% 818 $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 <1% 18,036 $1.50M
99285 Emergency room visit (most serious) <1% 3,592 $1.41M
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 4,547 $1.38M
70551 Magnetic resonance imaging, brain; without contrast material <1% 3,965 $1.35M
J2506 Injection, pegfilgrastim, excludes biosimilar, 0.5 mg <1% 1,705 $1.28M
96375 Therapeutic injection; each additional sequential IV push <1% 41,357 $1.17M
95782 <1% 1,100 $1.05M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 39,895 $997K
99070 <1% 297,203 $979K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 15,299 $951K
80053 Comprehensive metabolic panel <1% 145,831 $941K
0710 <1% 23,804 $936K
Q4081 Injection, epoetin alfa, 100 units (for esrd on dialysis) <1% 17,960 $899K
95713 <1% 1,082 $888K
P9016 Red blood cells, leukocytes reduced, each unit <1% 2,819 $815K
77334 <1% 2,891 $810K
70450 Computed tomography, head or brain; without contrast material <1% 15,794 $769K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 6,033 $760K
J0897 Injection, denosumab, 1 mg <1% 1,122 $736K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 35,006 $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% 1,498 $707K
95811 <1% 2,388 $681K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 36,819 $655K
74183 <1% 2,051 $621K
J1745 Injection, infliximab, excludes biosimilar, 10 mg <1% 699 $615K
J2704 Injection, propofol, 10 mg <1% 36,147 $612K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 13,336 $610K
J7120 Ringers lactate infusion, up to 1000 cc <1% 27,742 $610K
77300 <1% 1,775 $600K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 1,115 $594K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 1,919 $588K
90945 <1% 11,226 $587K
0456 <1% 21,011 $586K
97750 <1% 12,049 $583K
77417 <1% 13,747 $565K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 3,765 $538K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 44,537 $535K
0510 <1% 14,272 $515K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 1,400 $507K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 10,628 $505K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 1,635 $489K
72141 <1% 1,393 $488K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 114,102 $484K
71250 <1% 3,710 $478K
71046 Radiologic examination, chest; 2 views <1% 38,330 $476K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 44,541 $475K
96415 <1% 8,474 $461K
77295 <1% 756 $450K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 6,948 $447K
0516 <1% 13,777 $446K
99238 Hospital discharge day management, 30 minutes or less <1% 13,423 $440K
72197 <1% 1,495 $427K
96417 <1% 6,141 $417K
93325 <1% 4,851 $399K
95700 <1% 1,327 $390K
54161 <1% 2,361 $389K
86923 <1% 4,894 $383K
77336 <1% 5,348 $369K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 25,239 $360K
72156 <1% 571 $354K
97799 <1% 13,857 $331K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries <1% 2,136 $326K
77412 <1% 4,990 $323K
77290 <1% 2,101 $322K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 43,299 $310K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 4,682 $304K
A9577 Injection, gadobenate dimeglumine (multihance), per ml <1% 12,556 $301K
95806 <1% 2,276 $300K
85027 <1% 59,218 $293K
96361 Intravenous infusion, hydration; each additional hour <1% 20,738 $293K
93976 <1% 5,148 $291K
70491 <1% 1,963 $284K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 7,569 $283K
J0185 Injection, aprepitant, 1 mg <1% 3,512 $282K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 8,118 $278K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 24,528 $275K
0750 <1% 3,390 $268K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 1,887 $267K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 1,058 $266K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 14,937 $260K
86922 <1% 369 $259K
99218 <1% 1,444 $257K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 7,258 $255K
71275 Computed tomographic angiography, chest, with contrast material <1% 4,043 $253K
99232 Hospital visit by a doctor, follow-up day <1% 3,880 $250K
V2632 Posterior chamber intraocular lens <1% 1,375 $249K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 6,870 $244K
J9202 Goserelin acetate implant, per 3.6 mg <1% 379 $244K
93351 <1% 1,928 $237K
88341 <1% 1,574 $237K
93975 <1% 3,427 $234K
76830 Ultrasound, transvaginal <1% 6,250 $232K
97763 <1% 6,555 $231K
J0690 Injection, cefazolin sodium, 500 mg <1% 15,415 $231K
72158 <1% 350 $230K
70496 <1% 2,442 $227K
93320 <1% 4,188 $227K
J2350 Injection, ocrelizumab, 1 mg <1% 13 $225K
0370 <1% 3,049 $221K
J7060 5% dextrose/water (500 ml = 1 unit) <1% 11,912 $214K
70498 <1% 2,866 $210K
J9310 Injection, rituximab, 100 mg <1% 187 $206K
80048 Basic metabolic panel (calcium, ionized) <1% 26,889 $205K
93970 <1% 2,674 $205K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 6,444 $203K
76770 <1% 4,394 $203K
93247 <1% 1,882 $202K
70543 <1% 770 $197K
J1453 Injection, fosaprepitant, 1 mg <1% 1,880 $197K
97139 <1% 8,742 $194K
C9290 Injection, bupivacaine liposome, 1 mg <1% 1,116 $193K
J1170 Injection, hydromorphone, up to 4 mg <1% 12,171 $191K
49083 <1% 1,972 $189K
J0485 Injection, belatacept, 1 mg <1% 991 $188K
J9306 Injection, pertuzumab, 1 mg <1% 291 $186K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 28,338 $185K
70486 <1% 2,765 $183K
77067 Screening mammography, bilateral, including computer-aided detection <1% 1,536 $183K
71045 Radiologic examination, chest; single view <1% 20,020 $182K
72125 Computed tomography, cervical spine; without contrast material <1% 5,358 $173K
95819 <1% 1,776 $171K
93971 <1% 4,092 $157K
84703 <1% 46,833 $155K
A4657 Syringe, with or without needle, each <1% 6,371 $155K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 5,790 $154K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 13,358 $153K
82962 <1% 41,087 $152K
77301 <1% 133 $152K
67113 <1% 266 $149K
84443 Thyroid stimulating hormone (TSH) <1% 18,338 $146K
76536 <1% 3,037 $144K
74178 <1% 883 $144K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 19,370 $142K
83735 <1% 31,227 $138K
83970 <1% 3,187 $137K
80197 <1% 7,349 $137K
J0490 Injection, belimumab, 10 mg <1% 160 $136K
0250 <1% 7,954 $134K
0361 <1% 833 $133K
76937 <1% 2,765 $133K
90837 Psychotherapy session, about an hour <1% 1,471 $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) <1% 2,174 $133K
94060 <1% 3,160 $132K
99499 <1% 1,178 $131K
86850 <1% 21,696 $130K
96367 <1% 3,880 $128K
73221 <1% 542 $128K
75574 <1% 509 $128K
97165 <1% 2,871 $128K
93623 <1% 40 $125K
81001 <1% 79,176 $121K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 9,580 $119K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 2,335 $118K
86900 <1% 28,386 $113K
92522 <1% 988 $106K
72157 <1% 268 $105K
J2469 Injection, palonosetron hcl, 25 mcg <1% 4,040 $105K
J1756 Injection, iron sucrose, 1 mg <1% 4,166 $105K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 66 $104K
74174 <1% 774 $104K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 5,479 $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 <1% 569 $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% 1,153 $100K
84484 <1% 48,333 $100K
82378 <1% 4,345 $100K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 7,583 $99K
76642 <1% 1,918 $98K
88307 <1% 1,895 $98K
54640 <1% 303 $96K
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 7,395 $95K
86901 <1% 25,737 $94K
97802 <1% 637 $94K
95708 <1% 274 $93K
0762 <1% 5,157 $93K
96411 <1% 1,953 $92K
94729 <1% 2,328 $92K
86999 <1% 2,595 $91K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 5,134 $90K
36415 Collection of venous blood by venipuncture <1% 31,687 $89K
14040 <1% 794 $88K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 308 $88K
95816 <1% 903 $87K
87077 <1% 21,126 $87K
87088 <1% 27,421 $85K
S0020 Injection, bupivicaine hydrochloride, 30 ml <1% 4,372 $84K
93017 <1% 1,536 $83K
99217 <1% 2,414 $83K
83690 <1% 38,024 $83K
93451 <1% 77 $80K
87799 <1% 1,502 $79K
J1644 Injection, heparin sodium, per 1000 units <1% 6,660 $78K
92523 <1% 847 $78K
93308 <1% 2,096 $77K
88342 <1% 2,752 $77K
J9267 Injection, paclitaxel, 1 mg <1% 4,237 $77K
93225 <1% 1,829 $77K
88185 <1% 352 $77K
76801 <1% 2,722 $77K
J9263 Injection, oxaliplatin, 0.5 mg <1% 4,864 $76K
J2323 Injection, natalizumab, 1 mg <1% 154 $74K
J7030 Infusion, normal saline solution , 1000 cc <1% 4,676 $74K
87070 <1% 9,301 $74K
84100 <1% 24,738 $73K
77066 Tomosynthesis, mammo <1% 545 $71K
70487 <1% 1,015 $70K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 701 $70K
0761 <1% 1,929 $70K
96523 <1% 875 $69K
77065 Tomosynthesis, mammo <1% 661 $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 <1% 12,163 $68K
A9562 Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries <1% 106 $68K
J9045 Injection, carboplatin, 50 mg <1% 2,442 $68K
70546 <1% 182 $68K
74160 <1% 317 $67K
96368 <1% 2,606 $67K
85730 <1% 32,591 $65K
J0640 Injection, leucovorin calcium, per 50 mg <1% 2,543 $65K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 9,142 $65K
94726 <1% 1,749 $65K
87497 <1% 1,175 $63K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 797 $62K
J3473 Injection, hyaluronidase, recombinant, 1 usp unit <1% 1,759 $62K
93656 <1% 26 $62K
J3475 Injection, magnesium sulfate, per 500 mg <1% 6,200 $61K
82805 <1% 3,686 $60K
73630 <1% 6,149 $60K
87430 <1% 6,588 $59K
83880 <1% 8,814 $59K
72131 <1% 973 $58K
A9270 Non-covered item or service <1% 42,761 $58K
99224 <1% 826 $58K
78306 <1% 481 $58K
85610 <1% 36,214 $58K
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 4,089 $57K
97803 <1% 801 $57K
72146 <1% 235 $56K
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 3,718 $55K
73610 <1% 5,222 $54K
73130 <1% 5,677 $54K
78264 <1% 238 $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% 1,500 $53K
86945 <1% 875 $50K
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries <1% 344 $50K
93243 <1% 439 $49K
74170 <1% 294 $48K
76942 <1% 742 $47K
75561 <1% 146 $46K
97166 <1% 1,122 $46K
76641 <1% 659 $45K
96402 <1% 1,608 $45K
73564 <1% 4,336 $44K
93880 <1% 442 $43K
74018 <1% 6,309 $43K
83615 <1% 6,182 $43K
93312 <1% 407 $42K
J3480 Injection, potassium chloride, per 2 meq <1% 4,226 $42K
J9201 Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg <1% 1,118 $41K
J9070 Cyclophosphamide, 100 mg <1% 142 $41K
J2997 Injection, alteplase recombinant, 1 mg <1% 484 $40K
96377 <1% 1,786 $40K
G0378 Hospital observation service, per hour <1% 5,133 $39K
C9399 Unclassified drugs or biologicals <1% 321 $38K
82728 <1% 3,971 $38K
77338 <1% 135 $38K
77062 <1% 203 $37K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 390 $37K
36561 <1% 154 $37K
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg <1% 4,215 $36K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 1,451 $35K
84702 <1% 5,535 $35K
86833 <1% 1,066 $35K
73030 <1% 4,250 $35K
73110 <1% 3,599 $34K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 3,891 $34K
83605 <1% 13,439 $34K
83036 Hemoglobin; glycosylated (A1C) <1% 6,164 $33K
72100 <1% 2,963 $33K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 6,888 $33K
86832 <1% 1,087 $33K
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg <1% 1,955 $33K
93454 <1% 53 $33K
J2270 Injection, morphine sulfate, up to 10 mg <1% 11,856 $32K
82330 <1% 4,413 $31K
76776 <1% 739 $31K
76813 <1% 470 $31K
99225 <1% 451 $31K
84439 <1% 4,552 $31K
J2785 Injection, regadenoson, 0.1 mg <1% 339 $30K
74240 <1% 398 $30K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 2,096 $30K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 507 $29K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 940 $29K
G0277 Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval <1% 230 $29K
93246 <1% 1,885 $29K
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 3,722 $28K
J3370 Injection, vancomycin hcl, 500 mg <1% 2,629 $28K
82570 <1% 5,018 $28K
J0461 Injection, atropine sulfate, 0.01 mg <1% 1,976 $27K
88304 <1% 1,865 $27K
76870 <1% 1,537 $27K
J0780 Injection, prochlorperazine, up to 10 mg <1% 4,832 $27K
85007 <1% 11,751 $26K
67042 <1% 26 $25K
73700 <1% 313 $25K
0272 <1% 11,954 $24K
73590 <1% 4,090 $24K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 1,494 $23K
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg <1% 1,413 $23K
J0137 Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg <1% 2,102 $23K
84550 <1% 4,601 $23K
90715 <1% 2,466 $23K
90791 Psychiatric diagnostic evaluation <1% 138 $23K
94618 <1% 940 $22K
72128 <1% 477 $22K
90832 Psychotherapy session, about 30 minutes <1% 363 $22K
T1024 Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter <1% 186 $21K
74220 <1% 671 $21K
43762 <1% 530 $21K
73090 <1% 3,895 $21K
96401 <1% 245 $21K
C1769 Guide wire <1% 1,067 $21K
J2371 Injection, phenylephrine hydrochloride, 20 micrograms <1% 10,814 $21K
73080 <1% 2,800 $20K
87536 <1% 398 $20K
87147 <1% 7,401 $20K
73562 <1% 2,269 $20K
10060 <1% 975 $20K
86300 <1% 1,477 $20K
74328 <1% 103 $19K
95813 <1% 235 $19K
87040 <1% 8,082 $19K
30140 <1% 237 $19K
85347 <1% 1,479 $19K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 1,788 $18K
77470 <1% 162 $18K
86301 <1% 1,037 $18K
78709 <1% 83 $18K
80061 Lipid panel <1% 2,369 $18K
88184 <1% 361 $18K
83550 <1% 3,090 $18K
86803 <1% 1,379 $17K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 195 $17K
97161 <1% 948 $17K
86304 <1% 918 $17K
J9190 Injection, fluorouracil, 500 mg <1% 714 $17K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 132 $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) <1% 28 $16K
J9060 Injection, cisplatin, powder or solution, 10 mg <1% 480 $16K
G0109 Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes <1% 342 $16K
84132 <1% 6,421 $16K
P9041 Infusion, albumin (human), 5%, 50 ml <1% 89 $16K
J1580 Injection, garamycin, gentamicin, up to 80 mg <1% 1,016 $16K
0681 <1% 21 $16K
C1771 Repair device, urinary, incontinence, with sling graft <1% 12 $15K
73502 <1% 1,252 $15K
87340 <1% 1,921 $15K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 3,143 $15K
30520 <1% 210 $15K
87205 <1% 4,465 $14K
C1874 Stent, coated/covered, with delivery system <1% 12 $14K
A4913 Miscellaneous dialysis supplies, not otherwise specified <1% 877 $14K
0459 <1% 1,174 $14K
84156 <1% 3,963 $14K
J9075 Injection, cyclophosphamide, not otherwise specified, 5 mg <1% 324 $14K
76604 <1% 1,263 $14K
77321 <1% 142 $13K
87186 <1% 2,370 $13K
J0360 Injection, hydralazine hcl, up to 20 mg <1% 1,153 $13K
72070 <1% 1,137 $13K
77063 Screening digital breast tomosynthesis, bilateral <1% 416 $13K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 696 $12K
87390 <1% 960 $12K
73552 <1% 2,105 $12K
96376 <1% 2,727 $12K
85018 <1% 6,170 $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 <1% 2,332 $12K
77001 <1% 148 $12K
86140 <1% 7,371 $12K
43235 <1% 163 $12K
97116 <1% 2,479 $11K
J1940 Injection, furosemide, up to 20 mg <1% 2,042 $11K
93505 <1% 31 $11K
87522 Neg quan hep c or qual rna <1% 233 $11K
73060 <1% 2,349 $11K
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 711 $11K
J9217 Leuprolide acetate (for depot suspension), 7.5 mg <1% 51 $11K
J1805 Injection, esmolol hydrochloride, 10 mg <1% 579 $11K
J2720 Injection, protamine sulfate, per 10 mg <1% 602 $11K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 819 $10K
94010 <1% 551 $10K
36591 <1% 614 $10K
93356 <1% 234 $10K
Q9968 Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg <1% 90 $10K
72040 <1% 1,095 $10K
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 723 $10K
82810 <1% 765 $9K
82105 <1% 197 $9K
41899 Unlisted procedure, dentoalveolar structures <1% 209 $9K
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 1,520 $9K
87210 <1% 3,882 $9K
86706 <1% 999 $9K
86702 <1% 990 $9K
30465 <1% 20 $9K
87517 <1% 159 $9K
J2060 Injection, lorazepam, 2 mg <1% 2,413 $9K
0760 <1% 392 $9K
85379 <1% 2,491 $9K
82550 <1% 5,222 $8K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 1,219 $8K
87102 <1% 841 $8K
76882 <1% 983 $8K
0270 <1% 8,321 $8K
73140 <1% 591 $8K
82248 <1% 1,393 $8K
82607 <1% 655 $8K
J1250 Injection, dobutamine hydrochloride, per 250 mg <1% 503 $8K
75572 <1% 53 $8K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 56 $7K
J2800 Injection, methocarbamol, up to 10 ml <1% 1,186 $7K
88313 <1% 193 $7K
89051 <1% 1,065 $7K
84520 <1% 2,776 $7K
74022 <1% 1,338 $7K
82784 <1% 984 $7K
J9206 Injection, irinotecan, 20 mg <1% 289 $7K
J1171 Injection, hydromorphone, 0.1 mg <1% 328 $7K
72170 <1% 1,730 $7K
87075 <1% 568 $7K
86701 <1% 990 $7K
82435 <1% 3,575 $6K
93242 <1% 439 $6K
84145 <1% 1,980 $6K
85652 <1% 6,392 $6K
S0077 Injection, clindamycin phosphate, 300 mg <1% 753 $6K
71270 <1% 161 $6K
J0153 Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) <1% 119 $6K
84295 <1% 3,695 $6K
J0612 Injection, calcium gluconate, not otherwise specified, 10 mg <1% 714 $6K
J9000 Injection, doxorubicin hydrochloride, 10 mg <1% 174 $6K
36430 <1% 136 $6K
78451 <1% 15 $6K
J1040 Injection, methylprednisolone acetate, 80 mg <1% 326 $6K
76000 <1% 24 $6K
88331 <1% 232 $5K
82247 <1% 732 $5K
92610 <1% 274 $5K
88350 <1% 13 $5K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml <1% 508 $5K
0259 <1% 10,143 $5K
A4315 Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone <1% 92 $5K
86704 <1% 626 $5K
77075 <1% 491 $5K
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml <1% 61 $5K
82274 <1% 1,141 $5K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 100 $5K
62270 <1% 120 $5K
70480 <1% 42 $5K
A6258 Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing <1% 420 $5K
92526 <1% 75 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,160 $5K
93321 <1% 207 $5K
97162 <1% 255 $5K
12001 <1% 661 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 2,556 $4K
70481 <1% 44 $4K
86593 <1% 1,479 $4K
90839 <1% 941 $4K
J8540 Dexamethasone, oral, 0.25 mg <1% 348 $4K
73100 <1% 773 $4K
82553 <1% 2,318 $4K
73560 <1% 569 $4K
A4217 Sterile water/saline, 500 ml <1% 969 $4K
86334 <1% 186 $4K
82746 <1% 319 $4K
82150 <1% 1,567 $4K
58571 <1% 13 $4K
61782 <1% 41 $4K
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries <1% 368 $4K
J3489 Injection, zoledronic acid, 1 mg <1% 139 $4K
82310 <1% 434 $4K
0296T <1% 404 $4K
L2112 Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment <1% 25 $4K
73720 <1% 12 $3K
84153 <1% 300 $3K
87184 <1% 1,234 $3K
78018 <1% 14 $3K
83521 <1% 302 $3K
A9573 Injection, gadopiclenol, 1 ml <1% 150 $3K
31267 <1% 18 $3K
86480 <1% 185 $3K
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg <1% 283 $3K
86902 <1% 55 $3K
83520 <1% 259 $3K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 19 $3K
85046 <1% 852 $3K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 672 $3K
10005 <1% 58 $3K
82108 <1% 331 $3K
90853 Group psychotherapy (other than of a multiple-family group) <1% 78 $3K
J7042 5% dextrose/normal saline (500 ml = 1 unit) <1% 2,070 $3K
82010 <1% 1,355 $3K
93662 <1% 24 $3K
73501 <1% 537 $2K
64642 <1% 38 $2K
73070 <1% 807 $2K
91010 <1% 56 $2K
54360 <1% 24 $2K
J1630 Injection, haloperidol, up to 5 mg <1% 1,372 $2K
J1650 Injection, enoxaparin sodium, 10 mg <1% 957 $2K
93613 <1% 27 $2K
J0736 Injection, clindamycin phosphate, 300 mg <1% 168 $2K
86769 <1% 51 $2K
J2252 Injection, midazolam in 0.8% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg <1% 116 $2K
51702 <1% 312 $2K
12011 <1% 355 $2K
80299 <1% 243 $2K
85384 <1% 317 $2K
J1836 Injection, metronidazole, 10 mg <1% 161 $2K
51701 <1% 142 $2K
58661 <1% 13 $2K
64643 <1% 85 $2K
J9171 Injection, docetaxel, 1 mg <1% 61 $2K
88300 <1% 450 $2K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 59 $2K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram <1% 607 $2K
86308 <1% 852 $2K
86762 <1% 135 $2K
84165 <1% 181 $2K
80143 <1% 1,886 $2K
43760 <1% 63 $2K
70355 <1% 312 $2K
57288 <1% 24 $2K
J1953 Injection, levetiracetam, 10 mg <1% 187 $1K
A0429 Emergency ambulance ride, basic life support <1% 96 $1K
77080 <1% 40 $1K
J1920 Injection, labetalol hydrochloride, 5 mg <1% 196 $1K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 599 $1K
86592 <1% 477 $1K
70250 <1% 156 $1K
74019 <1% 564 $1K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 135 $1K
87116 <1% 126 $1K
71100 <1% 54 $1K
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg <1% 166 $1K
P9047 Infusion, albumin (human), 25%, 50 ml <1% 15 $1K
93923 <1% 13 $1K
49500 <1% 17 $1K
88112 <1% 26 $1K
73521 <1% 84 $1K
86870 <1% 42 $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) <1% 13 $1K
86235 <1% 77 $1K
82140 <1% 377 $1K
90686 <1% 105 $1K
0258 <1% 1,675 $994.47
74230 <1% 26 $993.50
62328 <1% 12 $983.12
50200 <1% 27 $943.39
0271 <1% 1,673 $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 <1% 353 $928.93
88173 <1% 38 $926.34
97003 <1% 23 $906.62
93924 <1% 12 $825.71
J2175 Injection, meperidine hydrochloride, per 100 mg <1% 46 $818.28
20680 <1% 15 $812.00
83020 <1% 74 $807.04
93319 <1% 15 $781.14
J1010 Injection, methylprednisolone acetate, 1 mg <1% 46 $775.94
87206 <1% 162 $771.24
73200 <1% 15 $771.01
71020 <1% 168 $724.45
97018 <1% 303 $704.39
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals <1% 35 $689.15
84460 <1% 358 $653.72
88360 <1% 28 $647.72
84450 <1% 360 $639.62
S0164 Injection, pantoprazole sodium, 40 mg <1% 106 $632.49
99195 <1% 32 $630.35
82977 <1% 45 $624.51
80074 <1% 12 $536.08
93797 <1% 24 $535.04
84403 <1% 28 $513.13
82945 <1% 282 $508.29
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm <1% 175 $502.12
88311 <1% 193 $501.16
80076 <1% 130 $498.05
84157 <1% 294 $484.36
86780 <1% 83 $406.46
36224 <1% 13 $403.13
82525 <1% 29 $309.19
84478 <1% 72 $288.81
84630 <1% 33 $279.91
84255 <1% 16 $256.20
64644 <1% 21 $240.00
86318 <1% 105 $230.01
94760 <1% 27 $228.27
86787 <1% 24 $227.58
P9612 Catheterization for collection of specimen, single patient, all places of service <1% 1,142 $225.53
94770 <1% 37 $224.37
97026 <1% 140 $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) <1% 13 $222.80
88346 <1% 12 $222.00
88302 <1% 27 $208.57
87106 <1% 27 $201.00
0042T <1% 88 $197.85
J1120 Injection, acetazolamide sodium, up to 500 mg <1% 12 $193.19
12002 <1% 126 $186.80
G1010 Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program <1% 1,807 $183.29
82365 <1% 14 $182.93
86735 <1% 14 $176.48
86765 <1% 14 $174.30
86665 <1% 27 $154.80
73620 <1% 13 $154.38
87045 <1% 42 $150.34
J2470 Injection, pantoprazole sodium, 40 mg <1% 39 $148.67
73660 <1% 14 $130.80
J2359 Injection, olanzapine, 0.5 mg <1% 37 $123.78
J0694 Injection, cefoxitin sodium, 1 gm <1% 13 $123.41
86777 <1% 12 $121.62
86644 <1% 12 $117.72
70360 <1% 40 $108.35
74000 <1% 52 $108.03
73000 <1% 33 $98.17
99213 Doctor's office visit, returning patient (routine) <1% 15 $92.86
87427 <1% 27 $92.70
81003 <1% 337 $92.14
31720 <1% 114 $85.12
82043 <1% 12 $75.42
71010 <1% 28 $74.45
36600 <1% 14 $73.69
0621 <1% 16 $71.75
86664 <1% 13 $68.22
85651 <1% 157 $67.31
87324 <1% 12 $66.16
87449 <1% 12 $66.16
86663 <1% 13 $60.31
0100U <1% 91 $55.12
80164 <1% 57 $43.27
87185 <1% 28 $37.99
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 16 $34.49
76010 <1% 14 $25.40
A6453 Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard <1% 192 $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 <1% 101 $0.01
0637 0% 1,070 $0.00
C1758 Catheter, ureteral 0% 30 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 0% 14 $0.00
77076 0% 12 $0.00
94664 0% 17 $0.00
85396 0% 12 $0.00
J3411 Injection, thiamine hcl, 100 mg 0% 20 $0.00
A6449 Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard 0% 55 $0.00
80320 0% 78 $0.00
0636 0% 37 $0.00
Q0247 Injection, sotrovimab, 500 mg 0% 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 0% 12 $0.00
G0008 Administration of influenza virus vaccine 0% 17 $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 officialHILLARD, ANTHONY (CEO)