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

Children's Hospital

Children's Hospital was paid $242.96M by Medicaid between Jan 2018 and Dec 2024, across 566 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 24% of everything it billed.

33Billing provider infoCHILDREN'S HOSPITAL
WASHINGTON, DC 20010
33aNPI1912939703assigned 07/06/2006
28Total paid$242.96M
24GClaims2,196,636
24DCodes billed566
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in District of Columbia

Rank by total paid#1 of 22
Median peer was paid$2.28M
This provider vs. median107×

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
2018341,643$34.23M
2019379,753$31.65M
2020271,684$18.28M
2021371,515$32.86M
2022323,052$41.74M
2023252,281$38.23M
2024incomplete256,708$45.98M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 24% 264,410 222,193 $58.07M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 17% 155,024 141,958 $41.09M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 6.7% 61,743 56,961 $16.19M
99281 Emergency department visit for the evaluation and management, self-limited or minor 3.5% 35,329 31,917 $8.39M
99282 Emergency department visit for the evaluation and management, low to moderate severity 2.7% 34,135 32,647 $6.54M
42820 Tonsillectomy and adenoidectomy; younger than age 12 2.7% 2,399 2,251 $6.47M
96361 Intravenous infusion, hydration; each additional hour 2.5% 8,234 6,761 $6.02M
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2.1% 15,238 13,364 $5.03M
G0378 Hospital observation service, per hour 2.0% 19,758 11,677 $4.92M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.8% 12,475 11,874 $4.34M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 1.4% 14,134 12,540 $3.49M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.4% 17,601 16,491 $3.39M
554 more codes
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.4% 17,238 $3.39M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 1.4% 5,535 $3.38M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.1% 14,184 $2.77M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.1% 4,205 $2.76M
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 1.1% 1,276 $2.65M
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 4,103 $2.35M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 10,116 $2.10M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 9,176 $1.87M
41899 Unlisted procedure, dentoalveolar structures <1% 932 $1.82M
92550 <1% 8,419 $1.76M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 8,746 $1.76M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 8,355 $1.62M
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 11,324 $1.51M
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 1,206 $1.49M
94644 <1% 9,360 $1.30M
70450 Computed tomography, head or brain; without contrast material <1% 2,855 $1.29M
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 4,903 $1.26M
70551 Magnetic resonance imaging, brain; without contrast material <1% 3,002 $1.22M
99214 Doctor's office visit, returning patient (more involved) <1% 3,448 $1.18M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 7,956 $1.16M
54161 <1% 416 $1.11M
42830 <1% 347 $1.03M
36430 <1% 1,677 $1.03M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 1,918 $998K
0225U <1% 4,268 $964K
94010 <1% 7,343 $939K
76770 <1% 3,148 $845K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 31,496 $840K
96112 <1% 848 $816K
90791 Psychiatric diagnostic evaluation <1% 1,308 $774K
95819 <1% 2,330 $770K
12011 <1% 1,779 $716K
93325 <1% 7,955 $699K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 47,883 $696K
P9016 Red blood cells, leukocytes reduced, each unit <1% 1,522 $687K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 4,501 $679K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 4,080 $663K
96127 <1% 13,257 $651K
12001 <1% 1,510 $625K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 2,068 $585K
96040 <1% 3,607 $570K
92523 <1% 2,042 $547K
95782 <1% 461 $534K
80053 Comprehensive metabolic panel <1% 39,097 $527K
95951 <1% 559 $493K
99381 <1% 2,291 $484K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 2,225 $477K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 1,595 $438K
95816 <1% 1,037 $431K
92579 <1% 5,703 $408K
49452 <1% 715 $398K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 308 $391K
90832 Psychotherapy session, about 30 minutes <1% 1,266 $383K
95715 <1% 492 $376K
J1745 Injection, infliximab, excludes biosimilar, 10 mg <1% 110 $375K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 1,598 $353K
97161 <1% 1,462 $338K
90651 <1% 1,100 $335K
90847 Family psychotherapy with the patient present, 50 minutes <1% 1,004 $334K
16020 <1% 1,164 $332K
90837 Psychotherapy session, about an hour <1% 1,106 $326K
90834 Psychotherapy session, about 45 minutes <1% 1,044 $321K
76536 <1% 1,583 $313K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 11,757 $286K
92587 <1% 4,991 $282K
83655 <1% 17,566 $275K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 12,016 $266K
93976 <1% 1,703 $263K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 31,542 $258K
94060 <1% 1,915 $240K
10060 <1% 554 $238K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 201 $224K
95700 <1% 1,299 $224K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 47,923 $223K
99215 Doctor's office visit, returning patient (complex) <1% 680 $219K
86922 <1% 2,486 $214K
97802 <1% 1,262 $211K
80061 Lipid panel <1% 21,762 $197K
29075 <1% 500 $195K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 756 $192K
96415 <1% 292 $189K
92567 <1% 4,739 $188K
76882 <1% 1,043 $178K
93320 <1% 5,649 $173K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 2,945 $168K
83036 Hemoglobin; glycosylated (A1C) <1% 20,618 $165K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 14,623 $165K
71046 Radiologic examination, chest; 2 views <1% 14,009 $165K
96138 <1% 357 $160K
29125 <1% 532 $157K
92557 <1% 1,928 $149K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 576 $143K
12051 <1% 320 $141K
96156 <1% 592 $138K
80048 Basic metabolic panel (calcium, ionized) <1% 8,552 $137K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 738 $136K
87899 <1% 19,206 $134K
86592 <1% 17,385 $133K
87799 <1% 3,567 $130K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 17,953 $124K
G0379 Direct admission of patient for hospital observation care <1% 1,118 $124K
99383 <1% 629 $121K
P9040 Red blood cells, leukocytes reduced, irradiated, each unit <1% 398 $121K
76775 <1% 576 $120K
86703 <1% 21,878 $119K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 113 $117K
J1561 Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg <1% 67 $110K
36415 Collection of venous blood by venipuncture <1% 44,338 $108K
73590 <1% 3,999 $104K
85018 <1% 19,794 $103K
76825 <1% 1,239 $102K
96130 <1% 151 $96K
92555 <1% 3,686 $94K
92552 <1% 2,305 $93K
96160 <1% 1,935 $93K
74018 <1% 2,905 $92K
96139 <1% 258 $90K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 702 $89K
97803 <1% 601 $85K
0002A <1% 1,621 $85K
84443 Thyroid stimulating hormone (TSH) <1% 11,250 $84K
J3490 Unclassified drugs <1% 79,787 $83K
87497 <1% 2,558 $82K
95712 <1% 190 $82K
69210 <1% 1,040 $79K
0001A <1% 1,629 $76K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 334 $76K
87040 <1% 3,172 $74K
82728 <1% 7,616 $72K
72170 <1% 2,027 $72K
96450 <1% 141 $71K
76870 <1% 648 $70K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 1,791 $70K
94645 <1% 1,897 $67K
73630 <1% 4,746 $64K
86480 <1% 2,542 $61K
72081 <1% 1,610 $61K
84439 <1% 6,368 $57K
85007 <1% 12,771 $56K
80197 <1% 3,318 $54K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 2,129 $52K
73610 <1% 5,427 $52K
72082 <1% 923 $52K
92582 <1% 1,677 $52K
70486 <1% 335 $50K
73140 <1% 3,437 $49K
82784 <1% 6,235 $49K
83735 <1% 13,459 $47K
64642 <1% 77 $47K
76000 <1% 1,603 $47K
77072 <1% 1,257 $46K
93304 <1% 85 $44K
85027 <1% 13,335 $44K
92586 <1% 182 $43K
73130 <1% 4,304 $42K
83020 <1% 4,269 $42K
73090 <1% 4,334 $42K
80069 <1% 2,949 $42K
76827 <1% 1,221 $42K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 11,149 $41K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 106 $41K
81001 <1% 19,857 $41K
93225 <1% 1,368 $41K
86850 <1% 4,951 $40K
83970 <1% 1,378 $40K
87536 <1% 1,154 $40K
73100 <1% 1,660 $38K
92553 <1% 563 $38K
99384 <1% 205 $38K
82664 <1% 1,043 $37K
96367 <1% 824 $37K
99382 <1% 167 $36K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 842 $34K
81479 Unlisted molecular pathology procedure <1% 570 $34K
92626 <1% 282 $34K
87070 <1% 4,356 $34K
73552 <1% 1,506 $33K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,624 $32K
73080 <1% 2,591 $32K
J8499 Prescription drug, oral, non chemotherapeutic, nos <1% 7,402 $32K
74021 <1% 3,189 $32K
0072A <1% 393 $32K
0071A <1% 420 $31K
73560 <1% 925 $31K
92593 <1% 388 $30K
86359 <1% 2,019 $30K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 586 $30K
86900 <1% 5,019 $29K
69200 <1% 331 $29K
86945 <1% 1,772 $28K
86140 <1% 7,226 $28K
87086 Culture, bacterial; quantitative colony count, urine <1% 10,232 $28K
73562 <1% 2,603 $27K
11900 <1% 66 $27K
96131 <1% 150 $27K
86360 <1% 1,991 $27K
90792 Psychiatric diagnostic evaluation with medical services <1% 52 $27K
J7799 Noc drugs, other than inhalation drugs, administered through dme <1% 3,197 $26K
84100 <1% 12,827 $26K
84460 <1% 9,761 $25K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 41 $25K
95012 <1% 566 $25K
93226 <1% 1,366 $25K
92585 <1% 78 $25K
85045 <1% 10,662 $25K
90686 <1% 621 $24K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 12,772 $23K
87507 <1% 86 $23K
97750 <1% 339 $23K
73564 <1% 1,056 $23K
D1120 Dental cleaning, child <1% 502 $23K
90620 <1% 395 $22K
76885 <1% 95 $22K
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 22,142 $22K
83615 <1% 4,602 $21K
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% 659 $21K
86834 <1% 199 $21K
31575 <1% 184 $21K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 5,982 $20K
82652 <1% 656 $20K
92551 <1% 1,908 $19K
82330 <1% 2,773 $19K
87486 <1% 659 $19K
86835 <1% 199 $19K
88300 <1% 2,418 $18K
83001 <1% 1,482 $18K
D0120 Dental checkup, returning patient <1% 543 $18K
82947 <1% 3,648 $18K
D1206 Topical application of fluoride varnish <1% 643 $18K
36592 <1% 354 $18K
83498 <1% 1,251 $18K
85610 <1% 4,679 $18K
96409 <1% 861 $18K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 3,902 $17K
82785 <1% 1,699 $17K
85014 <1% 4,890 $17K
86003 <1% 2,067 $17K
83525 <1% 1,081 $16K
82610 <1% 1,473 $16K
87631 <1% 421 $16K
80076 <1% 2,145 $16K
A0427 Emergency ambulance ride, advanced life support <1% 2,292 $16K
83516 <1% 1,865 $16K
86901 <1% 5,011 $16K
92060 <1% 706 $16K
92592 <1% 175 $15K
85651 <1% 6,702 $15K
82570 <1% 3,544 $15K
J0690 Injection, cefazolin sodium, 500 mg <1% 3,087 $15K
92588 <1% 243 $15K
82607 <1% 1,379 $15K
86902 <1% 1,182 $15K
84403 <1% 1,592 $14K
87077 <1% 5,600 $14K
81002 <1% 15,467 $14K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 566 $14K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 12,065 $14K
90670 <1% 85 $14K
81025 <1% 16,874 $13K
93308 <1% 26 $13K
73110 <1% 1,124 $13K
97165 <1% 58 $13K
84436 <1% 1,586 $13K
94664 <1% 6,142 $13K
73030 <1% 1,210 $13K
70360 <1% 615 $12K
83880 <1% 873 $12K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 4,240 $12K
95117 <1% 291 $12K
87205 <1% 12,037 $12K
83540 <1% 3,645 $12K
82465 <1% 2,745 $12K
93321 <1% 448 $11K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 1,185 $11K
80050 General health panel <1% 750 $11K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 5,982 $11K
83002 <1% 1,419 $11K
99070 <1% 1,047 $11K
97162 <1% 66 $11K
83550 <1% 3,191 $10K
51728 <1% 28 $10K
92504 <1% 196 $10K
29065 <1% 35 $10K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 4,402 $10K
86828 <1% 207 $10K
97763 <1% 143 $10K
96375 Therapeutic injection; each additional sequential IV push <1% 5,081 $10K
73521 <1% 345 $10K
70544 <1% 26 $9K
71045 Radiologic examination, chest; single view <1% 1,135 $9K
73070 <1% 470 $9K
24640 <1% 14 $9K
84702 <1% 1,355 $8K
82248 <1% 3,316 $8K
77080 <1% 96 $8K
87101 <1% 923 $8K
89050 <1% 831 $8K
84450 <1% 3,505 $8K
88185 <1% 122 $8K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 266 $8K
73000 <1% 389 $8K
87581 <1% 628 $8K
86355 <1% 570 $8K
A0434 Specialty care transport (sct) <1% 467 $8K
82150 <1% 1,966 $8K
83605 <1% 2,479 $7K
85730 <1% 4,078 $7K
84402 <1% 914 $7K
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen <1% 6,689 $7K
99000 <1% 3,290 $7K
97760 <1% 54 $7K
A0425 Ground mileage, per statute mile <1% 3,935 $7K
82948 <1% 3,986 $7K
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) <1% 7,232 $7K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 6,885 $7K
82977 <1% 2,314 $7K
73060 <1% 709 $7K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 7,455 $6K
87535 <1% 162 $6K
86803 <1% 637 $6K
84305 <1% 623 $6K
92652 <1% 74 $6K
82139 <1% 473 $6K
31526 <1% 13 $6K
87186 <1% 4,906 $6K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 4,527 $6K
J7642 Glycopyrrolate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram <1% 336 $5K
J2270 Injection, morphine sulfate, up to 10 mg <1% 3,475 $5K
12002 <1% 13 $5K
73660 <1% 472 $5K
87529 <1% 335 $5K
93886 <1% 17 $5K
86357 <1% 556 $5K
83690 <1% 4,045 $5K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 6,618 $5K
92610 <1% 12 $5K
90619 <1% 22 $5K
88304 <1% 468 $5K
86364 <1% 926 $5K
17250 <1% 13 $5K
82525 <1% 288 $5K
J3535 Drug administered through a metered dose inhaler <1% 8,020 $5K
82803 <1% 1,978 $5K
51784 <1% 43 $4K
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram <1% 10,660 $4K
82247 <1% 1,253 $4K
C1889 Implantable/insertable device, not otherwise classified <1% 920 $4K
84146 <1% 480 $4K
87340 <1% 988 $4K
84550 <1% 2,009 $4K
11981 <1% 13 $4K
S0020 Injection, bupivicaine hydrochloride, 30 ml <1% 983 $4K
82550 <1% 1,694 $4K
J9370 Vincristine sulfate, 1 mg <1% 435 $4K
83520 <1% 687 $4K
92595 <1% 133 $4K
82657 <1% 657 $4K
86160 <1% 692 $3K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 1,522 $3K
85660 <1% 1,145 $3K
72156 <1% 13 $3K
82670 <1% 355 $3K
90715 <1% 579 $3K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 37 $3K
84480 <1% 857 $3K
82043 <1% 1,182 $3K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 380 $3K
86706 <1% 697 $3K
87088 <1% 5,473 $3K
88184 <1% 111 $3K
82565 <1% 795 $3K
92133 <1% 124 $3K
84630 <1% 336 $3K
83789 <1% 545 $3K
87045 <1% 248 $3K
90685 <1% 99 $2K
89051 <1% 926 $2K
82627 <1% 236 $2K
82747 <1% 323 $2K
C1769 Guide wire <1% 900 $2K
0352U <1% 229 $2K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 727 $2K
80329 <1% 93 $2K
74240 <1% 14 $2K
36591 <1% 89 $2K
84155 <1% 954 $2K
84478 <1% 1,453 $2K
92650 <1% 44 $2K
86038 <1% 402 $2K
80047 <1% 129 $2K
D7140 Extraction, erupted tooth or exposed root <1% 21 $2K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 895 $2K
84156 <1% 1,234 $2K
90688 <1% 42 $2K
A4649 Surgical supply; miscellaneous <1% 310 $2K
84134 <1% 200 $2K
94729 <1% 65 $2K
81229 <1% 19 $2K
92556 <1% 123 $1K
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 1,839 $1K
73600 <1% 66 $1K
80320 <1% 104 $1K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 1,072 $1K
80164 <1% 63 $1K
72100 <1% 95 $1K
85379 <1% 186 $1K
83993 <1% 126 $1K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 522 $1K
A0426 Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) <1% 101 $1K
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 2,254 $1K
84295 <1% 1,843 $1K
82261 <1% 209 $1K
86701 <1% 181 $1K
V5011 Fitting/orientation/checking of hearing aid <1% 26 $1K
86769 <1% 246 $1K
74230 <1% 12 $1K
82533 <1% 84 $1K
92511 <1% 14 $999.78
G0109 Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes <1% 14 $996.35
94726 <1% 12 $944.88
G9019 Oseltamivir phosphate, oral, per 75 mg (for use in a medicare-approved demonstration project) <1% 491 $941.38
74019 <1% 143 $937.54
84484 <1% 656 $912.46
82726 <1% 292 $897.73
82552 <1% 178 $888.48
J0780 Injection, prochlorperazine, up to 10 mg <1% 609 $841.41
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram <1% 3,354 $841.31
85240 <1% 130 $834.28
82960 <1% 304 $826.34
J3475 Injection, magnesium sulfate, per 500 mg <1% 1,300 $825.77
J8540 Dexamethasone, oral, 0.25 mg <1% 14,619 $808.49
84446 <1% 203 $805.56
83721 <1% 55 $788.22
97164 <1% 16 $780.54
90656 <1% 89 $742.72
D0140 Limited oral evaluation - problem focused <1% 18 $722.65
84255 <1% 141 $706.36
92604 <1% 25 $680.09
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 67 $635.04
84590 <1% 172 $618.38
81003 <1% 5,350 $600.07
J1644 Injection, heparin sodium, per 1000 units <1% 474 $592.07
84520 <1% 605 $588.93
99292 <1% 183 $572.95
J2704 Injection, propofol, 10 mg <1% 7,295 $562.14
86376 <1% 25 $559.98
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis <1% 12 $552.00
86702 <1% 181 $537.28
84132 <1% 1,937 $516.54
84300 <1% 418 $506.09
S0077 Injection, clindamycin phosphate, 300 mg <1% 56 $505.09
73502 <1% 27 $496.72
D0272 Bitewings - two radiographic images <1% 16 $495.80
87102 <1% 125 $465.50
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 622 $465.25
87181 <1% 119 $432.13
72070 <1% 13 $413.86
86808 <1% 12 $411.93
85520 <1% 15 $399.96
96376 <1% 738 $396.71
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 14 $393.50
82776 <1% 195 $373.00
82760 <1% 195 $373.00
90734 <1% 71 $366.88
85246 <1% 74 $358.26
82272 <1% 112 $349.14
86704 <1% 96 $328.94
86747 <1% 14 $326.10
87046 <1% 161 $324.91
J7626 Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg <1% 39 $314.81
73120 <1% 28 $304.78
86008 <1% 78 $304.76
85384 <1% 192 $302.41
82379 <1% 61 $297.72
81005 <1% 318 $271.38
80183 <1% 12 $248.94
J1170 Injection, hydromorphone, up to 4 mg <1% 118 $243.09
92594 <1% 13 $239.45
J0561 Injection, penicillin g benzathine, 100,000 units <1% 61 $234.66
J7699 Noc drugs, inhalation solution administered through dme <1% 687 $234.40
86225 <1% 75 $228.82
D0220 Intraoral - periapical first radiographic image <1% 13 $210.44
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 155 $210.04
81015 <1% 3,769 $188.20
82805 <1% 189 $175.70
82105 <1% 14 $173.26
82542 <1% 25 $170.97
J7510 Prednisolone oral, per 5 mg <1% 299 $153.33
86665 <1% 16 $141.33
51797 <1% 28 $90.81
87808 <1% 684 $90.23
77075 <1% 12 $87.08
84481 <1% 15 $77.78
85245 <1% 27 $69.94
86308 <1% 51 $68.03
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen <1% 7,160 $65.89
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg <1% 29 $65.62
86317 <1% 27 $64.67
J0200 Injection, alatrofloxacin mesylate, 100 mg <1% 545 $37.62
86141 <1% 127 $32.57
92015 Determination of refractive state <1% 2,611 $30.00
L8699 Prosthetic implant, not otherwise specified <1% 631 $29.10
80143 <1% 143 $27.15
90713 <1% 45 $22.00
80179 <1% 127 $15.95
86756 <1% 12 $14.51
88720 <1% 28 $14.00
82077 <1% 169 $13.91
87147 <1% 13 $12.66
87177 <1% 13 $12.01
76010 <1% 189 $10.00
A6210 Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing <1% 65 $9.28
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg <1% 354 $3.53
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 65 $1.44
J2780 Injection, ranitidine hydrochloride, 25 mg <1% 26 $1.08
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg <1% 61 $0.27
0250 0% 2,604 $0.00
96368 0% 48 $0.00
0710 0% 157 $0.00
90680 0% 32 $0.00
90744 0% 114 $0.00
29130 0% 15 $0.00
0270 0% 38 $0.00
0370 0% 110 $0.00
72157 0% 12 $0.00
90716 0% 23 $0.00
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 0% 25 $0.00
V5264 Ear mold/insert, not disposable, any type 0% 29 $0.00
A6257 Transparent film, sterile, 16 sq. in. or less, each dressing 0% 26 $0.00
96168 0% 15 $0.00
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 0% 15 $0.00
90698 0% 37 $0.00
V5275 Ear impression, each 0% 12 $0.00
80358 0% 13 $0.00
94200 0% 12 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 0% 620 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 0% 143 $0.00
84145 0% 29 $0.00
Q9958 High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml 0% 84 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 45 $0.00
0272 0% 83 $0.00
69209 0% 40 $0.00
90710 0% 37 $0.00
0451 0% 809 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 0% 39 $0.00
82375 0% 23 $0.00
71048 0% 26 $0.00
93356 0% 16 $0.00
A6211 Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing 0% 13 $0.00
96167 0% 66 $0.00
J0735 Injection, clonidine hydrochloride, 1 mg 0% 14 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 0% 14 $0.00
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 0% 29 $0.00
90707 0% 22 $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 officialNELSON, PHILLICIA (EXECUTIVE DIRECTOR, PAYOR RELATIONS)
Same official

Other billing entities under NELSON, PHILLICIA

Full network →
ProviderLocationPaid
Children's HospitalWashington, DC$115.27M
Hospital for Sick ChildrenWashington, DC$4.66M
Children's HospitalWashington, DC$2.75M

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