Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › WI › Madison › NPI 1922043744
Hospital

University of Wisconsin Hospitals and Clinics Authority

University of Wisconsin Hospitals and Clinics Authority was paid $120.16M by Medicaid between Jan 2018 and Dec 2024, across 963 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 15% of everything it billed.

33Billing provider infoUNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY
MADISON, WI 53792
33aNPI1922043744assigned 06/17/2006
28Total paid$120.16M
24GClaims4,116,346
24DCodes billed963
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Wisconsin

Rank by total paid#1 of 60
Median peer was paid$2.90M
This provider vs. median41×

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$1.0M$2.0M$3.0M2018201920202021202220232024
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
2018448,732$13.48M
2019478,750$15.23M
2020441,614$13.20M
2021624,384$16.77M
2022653,431$16.86M
2023781,182$23.47M
2024incomplete688,253$21.15M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15% 273,073 218,838 $18.10M
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6.1% 84,559 66,963 $7.28M
T2023 Targeted case management; per month 5.7% 16,284 16,153 $6.79M
96361 Intravenous infusion, hydration; each additional hour 4.1% 42,385 29,542 $4.93M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 2.3% 45,827 40,620 $2.71M
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2.2% 42,603 37,790 $2.70M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 2.2% 46,442 41,408 $2.65M
A0431 Ambulance service, conventional air services, transport, one way (rotary wing) 2.1% 1,743 1,256 $2.54M
80053 Comprehensive metabolic panel 2.1% 79,593 63,979 $2.48M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2.0% 34,233 20,996 $2.46M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 1.5% 34,034 29,750 $1.79M
Q3014 Telehealth originating site facility fee 1.4% 44,704 37,014 $1.67M
951 more codes
80048 Basic metabolic panel (calcium, ionized) 1.3% 61,317 $1.58M
99215 Doctor's office visit, returning patient (complex) 1.1% 15,097 $1.37M
99203 Doctor's office visit, new patient (routine) 1.1% 19,409 $1.29M
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 10,860 $1.18M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 5,415 $1.02M
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 11,797 $1.01M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 10,477 $1.00M
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 14,942 $986K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 49,094 $978K
A0436 Rotary wing air mileage, per statute mile <1% 1,733 $975K
77386 <1% 7,997 $970K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 121,685 $833K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 9,054 $811K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 102,383 $790K
64643 <1% 5,001 $777K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 6,384 $739K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 18,656 $735K
P9016 Red blood cells, leukocytes reduced, each unit <1% 1,113 $718K
70450 Computed tomography, head or brain; without contrast material <1% 11,692 $706K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 10,854 $701K
81001 <1% 60,484 $699K
J0588 Injection, incobotulinumtoxin a, 1 unit <1% 6,223 $595K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 3,745 $587K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 14,699 $578K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 13,661 $573K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 8,966 $562K
99204 Doctor's office visit, new patient (more involved) <1% 6,803 $547K
J1569 Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg <1% 1,349 $540K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 43,003 $536K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 12,298 $496K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 9,187 $486K
76770 <1% 5,385 $472K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 18,836 $463K
87631 <1% 4,906 $444K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 925 $429K
64642 <1% 3,345 $427K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 2,213 $410K
80061 Lipid panel <1% 16,422 $397K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 15,097 $372K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 2,089 $372K
80197 <1% 12,506 $370K
83036 Hemoglobin; glycosylated (A1C) <1% 22,537 $366K
96040 <1% 2,782 $348K
70551 Magnetic resonance imaging, brain; without contrast material <1% 3,424 $343K
93321 <1% 3,032 $337K
41899 Unlisted procedure, dentoalveolar structures <1% 880 $337K
71275 Computed tomographic angiography, chest, with contrast material <1% 4,584 $330K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 1,013 $326K
97162 <1% 9,656 $321K
92567 <1% 7,467 $317K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 8,932 $310K
96367 <1% 4,655 $310K
96138 <1% 2,256 $291K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 11,202 $290K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 4,890 $281K
84443 Thyroid stimulating hormone (TSH) <1% 24,441 $279K
J0475 Injection, baclofen, 10 mg <1% 2,572 $277K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 8,128 $277K
93320 <1% 2,221 $271K
G0378 Hospital observation service, per hour <1% 14,491 $265K
92523 <1% 2,825 $261K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 3,432 $258K
93308 <1% 1,708 $256K
82728 <1% 15,459 $255K
80051 <1% 10,415 $249K
96139 <1% 2,244 $240K
82565 <1% 24,291 $232K
93325 <1% 5,585 $230K
87081 <1% 5,550 $229K
96415 <1% 2,260 $228K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 4,088 $228K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 4,264 $227K
C9257 Injection, bevacizumab, 0.25 mg <1% 1,885 $225K
82962 <1% 34,931 $223K
87086 Culture, bacterial; quantitative colony count, urine <1% 18,976 $223K
74183 <1% 2,550 $223K
52000 <1% 946 $222K
84484 <1% 34,068 $221K
93356 <1% 2,329 $220K
77336 <1% 4,010 $217K
82247 <1% 14,061 $214K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 14,300 $212K
G0175 Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present <1% 4,590 $211K
87077 <1% 14,806 $204K
62370 <1% 1,551 $202K
76497 <1% 9,611 $197K
20553 <1% 2,993 $196K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 1,481 $195K
87070 <1% 7,270 $195K
84702 <1% 11,986 $194K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 3,528 $193K
74230 <1% 2,127 $191K
81025 <1% 18,525 $191K
64615 <1% 2,850 $191K
20610 <1% 3,587 $190K
85027 <1% 34,436 $189K
36430 <1% 1,867 $189K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 4,555 $188K
83880 <1% 8,811 $184K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 2,935 $182K
86832 <1% 3,569 $170K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 2,693 $167K
49083 <1% 1,013 $167K
90837 Psychotherapy session, about an hour <1% 2,912 $165K
95816 <1% 1,411 $165K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 8,505 $164K
92609 <1% 3,796 $162K
83735 <1% 40,382 $161K
31575 <1% 2,261 $158K
95874 <1% 3,968 $158K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 814 $157K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 6,425 $153K
72141 <1% 2,435 $152K
83970 <1% 7,457 $152K
96130 <1% 1,158 $151K
96417 <1% 2,956 $148K
72197 <1% 1,507 $147K
49452 <1% 730 $146K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 2,604 $146K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 2,101 $144K
83605 <1% 22,530 $143K
86833 <1% 3,598 $141K
93304 <1% 702 $140K
84439 <1% 9,466 $139K
20611 <1% 1,385 $137K
64644 <1% 1,838 $136K
86850 <1% 16,195 $133K
97166 <1% 3,882 $133K
71250 <1% 5,562 $130K
87507 <1% 404 $130K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 5,655 $129K
70546 <1% 1,377 $127K
70496 <1% 1,678 $125K
85610 <1% 25,430 $125K
97161 <1% 4,556 $124K
87536 <1% 2,238 $123K
J2357 Injection, omalizumab, 5 mg <1% 591 $122K
72125 Computed tomography, cervical spine; without contrast material <1% 4,948 $117K
43235 <1% 638 $115K
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography <1% 1,927 $114K
92579 <1% 2,178 $112K
52310 <1% 465 $109K
17250 <1% 860 $109K
82784 <1% 10,211 $109K
67028 Intravitreal injection of a pharmacologic agent <1% 2,967 $108K
82803 <1% 6,672 $107K
82040 <1% 6,457 $106K
93017 <1% 2,863 $106K
86780 <1% 6,272 $105K
70498 <1% 1,475 $104K
16020 <1% 2,048 $104K
70491 <1% 1,653 $104K
83690 <1% 25,894 $104K
94010 <1% 7,960 $102K
72158 <1% 1,168 $101K
77412 <1% 888 $101K
99205 Prolong outpt/office vis <1% 1,265 $100K
93296 <1% 4,470 $98K
92526 <1% 2,374 $97K
86803 <1% 7,978 $96K
97116 <1% 5,104 $96K
86480 <1% 2,046 $95K
82805 <1% 4,191 $95K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 434 $95K
87653 <1% 1,188 $94K
93971 <1% 3,649 $92K
76830 Ultrasound, transvaginal <1% 3,395 $92K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 1,846 $90K
87102 <1% 6,627 $88K
92610 <1% 1,642 $88K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 23,097 $88K
84466 <1% 10,979 $88K
95886 <1% 1,807 $85K
95700 <1% 685 $84K
95819 <1% 791 $84K
87497 <1% 3,336 $83K
87799 <1% 5,408 $83K
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% 2,034 $83K
72156 <1% 917 $81K
90686 <1% 10,055 $81K
92611 <1% 1,372 $81K
82105 <1% 3,519 $81K
90834 Psychotherapy session, about 45 minutes <1% 1,179 $80K
62369 <1% 826 $80K
76536 <1% 2,017 $80K
87641 <1% 3,706 $79K
83655 <1% 2,700 $78K
96131 <1% 768 $78K
97165 <1% 2,574 $77K
77301 <1% 411 $75K
87640 <1% 2,726 $75K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 1,878 $73K
82607 <1% 5,911 $72K
29405 <1% 754 $71K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 28,766 $71K
96156 <1% 1,220 $71K
97113 <1% 2,958 $70K
29075 <1% 969 $69K
84450 <1% 17,815 $69K
80050 General health panel <1% 5,704 $69K
93975 <1% 1,418 $69K
43762 <1% 1,515 $68K
12001 <1% 1,063 $68K
80069 <1% 2,422 $68K
82570 <1% 15,296 $68K
87522 Neg quan hep c or qual rna <1% 2,232 $67K
82077 <1% 7,897 $67K
77300 <1% 1,496 $67K
84460 <1% 20,647 $66K
96136 <1% 854 $66K
91322 <1% 1,031 $66K
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed <1% 1,204 $64K
96137 <1% 811 $64K
94060 <1% 2,375 $63K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 4,790 $63K
86003 <1% 8,868 $61K
97163 <1% 2,286 $61K
76857 <1% 3,535 $60K
93798 <1% 983 $60K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 58,662 $60K
92524 <1% 1,508 $59K
70486 <1% 1,623 $59K
95716 <1% 420 $58K
84145 <1% 4,211 $58K
96101 <1% 317 $57K
92557 <1% 1,899 $57K
94660 <1% 1,678 $57K
80164 <1% 1,231 $56K
81003 <1% 3,061 $56K
70544 <1% 859 $56K
86359 <1% 2,172 $55K
J0178 Injection, aflibercept, 1 mg <1% 383 $55K
64616 <1% 476 $55K
82310 <1% 4,995 $54K
51784 <1% 1,024 $54K
87340 <1% 6,873 $54K
64400 <1% 579 $54K
72157 <1% 617 $54K
82043 <1% 4,620 $54K
96368 <1% 797 $52K
83540 <1% 11,162 $52K
80143 <1% 4,399 $52K
86140 <1% 16,224 $52K
86762 <1% 1,834 $52K
92083 <1% 2,517 $52K
31622 <1% 213 $52K
92582 <1% 1,622 $52K
71046 Radiologic examination, chest; 2 views <1% 22,416 $51K
76499 <1% 1,340 $51K
86704 <1% 4,404 $51K
90670 <1% 2,674 $51K
76882 <1% 1,577 $51K
97535 Self-care/home management training, each 15 minutes <1% 3,596 $51K
76642 <1% 1,880 $51K
77002 <1% 2,224 $51K
77334 <1% 1,272 $50K
72146 <1% 854 $49K
87186 <1% 10,252 $49K
86360 <1% 1,614 $48K
86900 <1% 15,522 $48K
73221 <1% 891 $48K
82947 <1% 12,121 $48K
77067 Screening mammography, bilateral, including computer-aided detection <1% 2,075 $47K
74018 <1% 4,552 $47K
95117 <1% 1,683 $47K
77080 <1% 830 $47K
84100 <1% 16,481 $46K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants <1% 180 $46K
87015 <1% 2,572 $46K
86706 <1% 5,241 $46K
82977 <1% 9,212 $46K
72082 <1% 2,636 $45K
92552 <1% 1,055 $44K
96119 <1% 255 $44K
92607 <1% 769 $43K
64450 <1% 785 $43K
95885 <1% 950 $43K
11102 <1% 522 $42K
87506 <1% 318 $42K
92555 <1% 1,147 $41K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 177 $41K
72128 <1% 1,732 $41K
96111 <1% 179 $41K
86923 <1% 3,482 $41K
87205 <1% 13,619 $41K
50200 <1% 390 $40K
90651 <1% 1,394 $40K
96152 <1% 1,185 $40K
92504 <1% 2,498 $40K
87040 <1% 5,645 $40K
85379 <1% 6,513 $39K
80179 <1% 4,251 $39K
94618 <1% 2,362 $38K
12011 <1% 628 $38K
96150 <1% 567 $38K
82550 <1% 5,603 $38K
64405 <1% 461 $37K
29581 <1% 353 $37K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 680 $37K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 36,310 $36K
85652 <1% 13,978 $36K
93976 <1% 1,260 $35K
J9271 Injection, pembrolizumab, 1 mg <1% 31 $35K
93797 <1% 824 $35K
96116 <1% 259 $34K
82950 <1% 839 $34K
87493 <1% 1,125 $34K
82533 <1% 2,367 $34K
82670 <1% 902 $33K
84075 <1% 11,393 $33K
84403 <1% 1,683 $33K
92134 <1% 7,581 $32K
93225 <1% 2,136 $31K
82140 <1% 2,170 $31K
85730 <1% 8,434 $31K
64447 <1% 296 $31K
84156 <1% 11,087 $30K
J9299 Injection, nivolumab, 1 mg <1% 33 $30K
82746 <1% 3,536 $29K
76870 <1% 1,010 $29K
86901 <1% 15,523 $29K
84132 <1% 6,595 $28K
90677 <1% 1,541 $28K
90680 <1% 1,965 $28K
81229 <1% 60 $28K
51705 <1% 922 $28K
77338 <1% 436 $28K
86038 <1% 3,073 $28K
86235 <1% 914 $28K
95951 <1% 170 $28K
86160 <1% 3,055 $28K
17110 <1% 583 $27K
90734 <1% 1,526 $27K
77063 Screening digital breast tomosynthesis, bilateral <1% 1,573 $27K
31579 <1% 234 $27K
83615 <1% 7,100 $26K
97167 <1% 671 $26K
82150 <1% 3,251 $26K
90911 <1% 249 $26K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 1,727 $26K
51741 <1% 735 $24K
83520 <1% 1,301 $24K
83021 <1% 893 $24K
83516 <1% 1,835 $24K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 11,608 $24K
82330 <1% 2,488 $23K
85048 <1% 3,434 $23K
G0008 Administration of influenza virus vaccine <1% 5,807 $23K
94003 <1% 92 $23K
72131 <1% 849 $22K
71555 <1% 165 $22K
84295 <1% 1,683 $21K
52356 <1% 31 $21K
87206 <1% 6,362 $20K
97602 <1% 1,454 $20K
81000 <1% 1,342 $20K
84520 <1% 10,063 $20K
84153 <1% 1,560 $20K
84481 <1% 1,556 $19K
76881 <1% 663 $19K
88307 <1% 3,042 $19K
64415 <1% 113 $19K
76942 <1% 5,213 $19K
93970 <1% 513 $19K
85018 <1% 7,902 $19K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 248 $19K
93226 <1% 2,137 $19K
97597 <1% 509 $19K
10060 <1% 352 $19K
87529 <1% 444 $18K
90791 Psychiatric diagnostic evaluation <1% 1,111 $18K
92522 <1% 400 $18K
43760 <1% 263 $18K
82525 <1% 1,078 $18K
70543 <1% 147 $18K
85014 <1% 5,960 $18K
90716 <1% 605 $18K
88342 <1% 7,039 $18K
86708 <1% 2,123 $18K
72170 <1% 4,877 $17K
86769 <1% 608 $17K
81329 <1% 160 $17K
88341 <1% 3,517 $17K
85049 <1% 1,477 $17K
90647 <1% 2,276 $17K
83993 <1% 523 $16K
84146 <1% 807 $16K
96376 <1% 15,564 $16K
73130 <1% 4,340 $16K
77066 Tomosynthesis, mammo <1% 886 $16K
82465 <1% 769 $16K
P9047 Infusion, albumin (human), 25%, 50 ml <1% 158 $16K
J1745 Injection, infliximab, excludes biosimilar, 10 mg <1% 41 $15K
84630 <1% 1,539 $15K
0001A <1% 1,561 $15K
64483 <1% 111 $15K
73630 <1% 5,385 $15K
J0741 Injection, cabotegravir and rilpivirine, 2mg/3mg <1% 13 $15K
0002A <1% 1,401 $15K
84550 <1% 4,200 $15K
76937 <1% 1,310 $15K
90715 <1% 2,829 $15K
31624 <1% 57 $15K
87075 <1% 2,766 $14K
86356 <1% 528 $14K
73610 <1% 5,087 $14K
94726 <1% 2,272 $14K
86364 <1% 1,756 $14K
69210 <1% 663 $14K
36415 Collection of venous blood by venipuncture <1% 118,055 $14K
86355 <1% 557 $14K
89051 <1% 2,797 $14K
83001 <1% 733 $14K
90480 <1% 1,019 $14K
73502 <1% 3,563 $14K
84305 <1% 535 $14K
74174 <1% 198 $14K
86592 <1% 1,523 $13K
96450 <1% 104 $13K
20552 <1% 201 $13K
86255 <1% 1,330 $13K
92133 <1% 2,477 $13K
95911 <1% 324 $13K
73090 <1% 2,386 $13K
71045 Radiologic examination, chest; single view <1% 14,731 $12K
73030 <1% 4,699 $12K
82785 <1% 561 $12K
90633 <1% 1,633 $12K
94729 <1% 3,497 $12K
80175 <1% 395 $12K
96375 Therapeutic injection; each additional sequential IV push <1% 31,031 $12K
77062 <1% 503 $12K
73560 <1% 3,729 $12K
20550 <1% 159 $12K
J1453 Injection, fosaprepitant, 1 mg <1% 609 $12K
92250 <1% 3,137 $12K
51702 <1% 895 $11K
97760 <1% 813 $11K
73110 <1% 4,061 $11K
97763 <1% 683 $11K
94799 <1% 10,453 $11K
96402 <1% 533 $11K
75561 <1% 88 $11K
96158 <1% 349 $11K
93922 <1% 570 $10K
87517 <1% 456 $10K
83521 <1% 692 $10K
85046 <1% 2,322 $10K
82103 <1% 726 $10K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 225 $10K
84155 <1% 3,981 $10K
77295 <1% 55 $10K
87184 <1% 2,203 $10K
86225 <1% 1,107 $10K
73590 <1% 3,535 $10K
84165 <1% 1,889 $9K
38222 <1% 65 $9K
80177 <1% 562 $9K
0202U Oncology (prostate), multianalyte, gene expression profiling <1% 578 $9K
82024 <1% 147 $9K
87902 <1% 52 $9K
95930 <1% 56 $9K
83525 <1% 678 $9K
92587 <1% 360 $9K
67311 <1% 12 $9K
80375 <1% 519 $9K
80178 <1% 339 $9K
73700 <1% 254 $9K
51798 <1% 4,121 $9K
42830 <1% 20 $9K
72040 <1% 2,245 $9K
90656 <1% 1,066 $8K
72100 <1% 2,894 $8K
83992 <1% 520 $8K
90723 <1% 2,265 $8K
G0379 Direct admission of patient for hospital observation care <1% 337 $8K
96132 <1% 58 $8K
11900 <1% 158 $8K
94664 <1% 930 $8K
82378 <1% 490 $8K
96120 <1% 87 $8K
36561 <1% 26 $8K
86334 <1% 800 $8K
88304 <1% 2,503 $8K
43249 <1% 42 $8K
85045 <1% 2,743 $8K
88185 <1% 1,475 $8K
73140 <1% 2,027 $8K
86618 <1% 545 $8K
84425 <1% 588 $8K
31231 <1% 331 $7K
80324 <1% 518 $7K
86644 <1% 744 $7K
82248 <1% 1,799 $7K
92556 <1% 584 $7K
73552 <1% 2,072 $7K
88184 <1% 1,043 $7K
17311 <1% 46 $7K
82010 <1% 955 $7K
86787 <1% 1,098 $7K
82390 <1% 731 $7K
73080 <1% 2,020 $7K
76981 <1% 421 $7K
73564 <1% 1,769 $7K
96164 <1% 159 $7K
77065 Tomosynthesis, mammo <1% 540 $7K
88142 <1% 409 $7K
77073 <1% 979 $6K
92608 <1% 227 $6K
85007 <1% 1,500 $6K
95910 <1% 186 $6K
11104 <1% 56 $6K
83002 <1% 414 $6K
86765 <1% 650 $6K
86200 <1% 589 $6K
75574 <1% 73 $6K
73562 <1% 3,183 $6K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 35,950 $6K
J0881 Injection, darbepoetin alfa, 1 microgram (non-esrd use) <1% 82 $5K
31720 <1% 363 $5K
88313 <1% 3,544 $5K
94762 <1% 67 $5K
J0185 Injection, aprepitant, 1 mg <1% 177 $5K
0004A <1% 834 $5K
J9217 Leuprolide acetate (for depot suspension), 7.5 mg <1% 74 $5K
88312 <1% 1,636 $5K
87625 <1% 210 $5K
73100 <1% 1,245 $5K
90620 <1% 179 $5K
86735 <1% 564 $5K
86665 <1% 414 $5K
96416 <1% 38 $5K
77091 <1% 692 $5K
81002 <1% 269 $5K
J1611 Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 mg <1% 172 $4K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 319 $4K
12002 <1% 74 $4K
84255 <1% 212 $4K
78264 <1% 36 $4K
99152 <1% 5,006 $4K
80076 <1% 113 $4K
90707 <1% 817 $4K
82610 <1% 297 $4K
95812 <1% 32 $4K
88112 <1% 1,431 $4K
Q5118 Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg <1% 25 $4K
87338 <1% 96 $4K
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 264 $4K
73070 <1% 1,384 $4K
11100 <1% 70 $4K
J1170 Injection, hydromorphone, up to 4 mg <1% 32,056 $4K
84446 <1% 308 $3K
74220 <1% 137 $3K
77061 <1% 126 $3K
91200 <1% 340 $3K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 36,342 $3K
51600 <1% 89 $3K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 2,793 $3K
77280 <1% 62 $3K
94761 <1% 6,303 $3K
82104 <1% 300 $3K
0124A <1% 262 $3K
74240 <1% 32 $3K
90696 <1% 409 $3K
90732 <1% 707 $3K
90832 Psychotherapy session, about 30 minutes <1% 54 $3K
90685 <1% 102 $3K
90714 <1% 463 $3K
90847 Family psychotherapy with the patient present, 50 minutes <1% 50 $3K
96153 <1% 576 $3K
90846 Family psychotherapy without the patient present, 50 minutes <1% 38 $3K
90381 <1% 20 $3K
86015 <1% 371 $3K
97750 <1% 259 $3K
84590 <1% 313 $3K
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% 3,679 $3K
62323 <1% 13 $2K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 633 $2K
0054A <1% 237 $2K
82951 <1% 38 $2K
77072 <1% 233 $2K
77081 <1% 343 $2K
70487 <1% 28 $2K
29065 <1% 31 $2K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 15 $2K
G0482 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; 15-21 drug class(es), including metabolite(s) if performed <1% 105 $2K
82945 <1% 135 $2K
92136 <1% 493 $2K
83921 <1% 153 $2K
89050 <1% 262 $2K
P9045 Infusion, albumin (human), 5%, 250 ml <1% 50 $2K
95974 <1% 12 $2K
92553 <1% 30 $2K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 29,437 $2K
G0659 Drug test(s), definitive, utilizing 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), excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase), performed without method or drug-specific calibration, without matrix-matched quality control material, or without use of stable isotope or other universally recognized internal standard(s) for each drug, drug metabolite or drug class per specimen; qualitative or quantitative, all sources, includes specimen validity testing, per day, any number of drug classes <1% 40 $2K
0071A <1% 327 $2K
72198 <1% 12 $2K
86308 <1% 350 $2K
G0249 Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the home and reporting of test results to physician; testing not occurring more frequently than once a week; testing materials, billing units of service include 4 tests <1% 214 $2K
J1610 Injection, glucagon hydrochloride, per 1 mg <1% 69 $2K
88172 <1% 577 $2K
84402 <1% 102 $2K
74019 <1% 889 $2K
93246 <1% 136 $2K
86376 <1% 205 $2K
84207 <1% 113 $2K
76885 <1% 25 $2K
82379 <1% 108 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 7,579 $2K
82397 <1% 81 $2K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 73 $2K
85576 <1% 141 $2K
90700 <1% 546 $2K
90691 <1% 264 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 29,583 $2K
90710 <1% 518 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 46,806 $2K
88360 <1% 497 $2K
85246 <1% 96 $2K
83718 <1% 471 $2K
85245 <1% 94 $2K
85520 <1% 135 $2K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 12 $2K
73060 <1% 699 $2K
77085 <1% 189 $2K
0072A <1% 236 $2K
92551 <1% 55 $2K
86304 <1% 93 $2K
81015 <1% 111 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 39 $2K
51728 <1% 39 $2K
82627 <1% 58 $2K
96409 <1% 1,058 $1K
C8928 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report <1% 30 $1K
82340 <1% 189 $1K
86381 <1% 141 $1K
87634 <1% 14 $1K
86431 <1% 409 $1K
80305 <1% 49 $1K
74420 <1% 30 $1K
97802 <1% 193 $1K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 1,052 $1K
99153 Mod sedat endo service >5yrs <1% 4,344 $1K
62270 <1% 12 $1K
80195 <1% 41 $1K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 32 $1K
93298 <1% 122 $1K
M0220 Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), includes injection and post administration monitoring <1% 26 $1K
90472 Immunization administration, each additional vaccine (list separately) <1% 3,777 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 23,461 $1K
96401 <1% 228 $1K
90739 <1% 216 $1K
70549 <1% 12 $1K
51726 <1% 14 $1K
78306 <1% 12 $1K
J7050 Infusion, normal saline solution, 250 cc <1% 35,229 $1K
87071 <1% 32 $1K
97803 <1% 288 $1K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results <1% 59 $1K
92591 <1% 15 $1K
C1776 Joint device (implantable) <1% 364 $1K
J2704 Injection, propofol, 10 mg <1% 26,220 $1K
84134 <1% 333 $993.27
99070 <1% 113 $970.73
C1760 Closure device, vascular (implantable/insertable) <1% 1,353 $960.72
82657 <1% 15 $950.19
J7120 Ringers lactate infusion, up to 1000 cc <1% 9,403 $936.25
J1756 Injection, iron sucrose, 1 mg <1% 316 $935.13
92652 <1% 13 $926.49
A9577 Injection, gadobenate dimeglumine (multihance), per ml <1% 15,509 $922.68
C1769 Guide wire <1% 3,777 $921.94
87088 <1% 127 $917.65
84681 <1% 247 $906.65
76512 <1% 44 $904.72
82542 <1% 16 $895.79
83090 <1% 56 $866.97
85347 <1% 380 $839.82
90717 <1% 33 $825.76
90694 <1% 440 $811.07
84157 <1% 198 $802.60
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) <1% 16 $799.14
97810 <1% 233 $779.56
80183 <1% 25 $772.98
90662 <1% 405 $768.04
Q9957 Injection, perflutren lipid microspheres, per ml <1% 1,902 $763.58
93299 <1% 12 $750.87
36416 <1% 1,220 $746.12
80346 <1% 519 $735.09
0121A <1% 71 $732.08
J0690 Injection, cefazolin sodium, 500 mg <1% 9,838 $728.33
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% 3,597 $724.84
83498 <1% 29 $706.50
91300 <1% 169 $697.99
J2060 Injection, lorazepam, 2 mg <1% 3,728 $678.54
73600 <1% 1,112 $674.09
84300 <1% 316 $667.86
C1726 Catheter, balloon dilatation, non-vascular <1% 731 $656.74
92520 <1% 13 $648.34
74455 <1% 14 $647.46
95912 <1% 12 $643.79
70250 <1% 48 $642.68
86036 <1% 92 $640.55
97164 <1% 13 $639.91
92025 <1% 327 $625.87
98960 <1% 411 $624.55
17000 <1% 28 $617.47
95713 <1% 12 $603.35
91321 <1% 236 $602.59
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 1,891 $598.82
82435 <1% 261 $597.73
85240 <1% 79 $590.70
88173 <1% 831 $589.26
86361 <1% 38 $583.23
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 7,088 $579.55
84432 <1% 29 $569.34
77090 <1% 122 $561.41
84270 <1% 28 $542.66
86800 <1% 49 $537.06
87449 <1% 93 $528.15
83876 <1% 40 $519.75
80364 <1% 790 $519.60
62368 <1% 31 $514.12
A9581 Injection, gadoxetate disodium, 1 ml <1% 251 $497.49
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 8,591 $493.74
84244 <1% 25 $484.92
87116 <1% 80 $474.33
80326 <1% 266 $454.74
A9573 Injection, gadopiclenol, 1 ml <1% 2,809 $444.48
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 3,787 $441.76
J1815 Injection, insulin, per 5 units <1% 5,443 $441.74
J3480 Injection, potassium chloride, per 2 meq <1% 2,933 $441.26
87385 <1% 79 $422.89
88237 <1% 14 $421.64
59025 Fetal non-stress test <1% 22 $419.93
87427 <1% 29 $418.79
86709 <1% 47 $409.51
J2997 Injection, alteplase recombinant, 1 mg <1% 27 $403.21
76825 <1% 15 $402.13
C1887 Catheter, guiding (may include infusion/perfusion capability) <1% 2,406 $400.53
84478 <1% 35 $397.95
83010 <1% 58 $394.05
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 4,073 $392.61
80359 <1% 527 $387.81
J1644 Injection, heparin sodium, per 1000 units <1% 5,919 $385.66
93280 <1% 24 $385.57
80372 <1% 520 $381.20
80356 <1% 520 $381.20
70355 <1% 15 $379.00
80358 <1% 520 $378.57
80373 <1% 520 $378.57
80353 <1% 520 $377.25
80348 <1% 520 $377.25
80354 <1% 520 $377.25
80360 <1% 520 $377.25
80361 <1% 520 $377.25
80365 <1% 520 $377.25
83883 <1% 71 $368.90
86301 <1% 38 $362.37
80176 <1% 70 $357.55
82239 <1% 27 $353.80
85613 <1% 42 $352.25
90672 <1% 20 $338.87
97035 <1% 51 $328.29
93880 <1% 14 $321.66
92060 <1% 122 $312.46
95991 <1% 16 $291.12
96411 <1% 613 $285.92
82652 <1% 12 $283.52
72070 <1% 273 $277.76
86039 <1% 35 $274.22
88331 <1% 152 $273.42
J1650 Injection, enoxaparin sodium, 10 mg <1% 4,393 $271.85
97032 <1% 16 $270.25
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% 69 $261.59
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 3,601 $261.21
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 22,627 $258.00
80347 <1% 267 $256.52
82374 <1% 91 $256.24
85732 <1% 42 $251.73
J7030 Infusion, normal saline solution , 1000 cc <1% 11,847 $248.80
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 988 $245.47
J2785 Injection, regadenoson, 0.1 mg <1% 220 $242.39
86705 <1% 34 $238.20
85250 <1% 16 $236.04
97811 <1% 190 $232.18
86147 <1% 18 $231.57
C1729 Catheter, drainage <1% 462 $226.06
90653 <1% 103 $220.98
J0780 Injection, prochlorperazine, up to 10 mg <1% 3,519 $220.12
76376 <1% 683 $216.65
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 8,732 $213.68
J1630 Injection, haloperidol, up to 5 mg <1% 3,311 $204.46
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 2,412 $196.86
86357 <1% 13 $195.38
0003A <1% 20 $194.96
20561 <1% 127 $194.70
76827 <1% 15 $191.48
0081A <1% 24 $190.80
J9370 Vincristine sulfate, 1 mg <1% 505 $187.53
J2270 Injection, morphine sulfate, up to 10 mg <1% 3,045 $186.30
76391 <1% 15 $185.70
51797 <1% 42 $178.82
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 3,182 $177.63
88311 <1% 552 $175.55
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 11,325 $175.00
J3370 Injection, vancomycin hcl, 500 mg <1% 3,935 $170.29
97542 <1% 13 $168.46
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 3,139 $160.74
82139 <1% 15 $160.32
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 2,573 $156.77
73000 <1% 395 $146.02
J0697 Injection, sterile cefuroxime sodium, per 750 mg <1% 5,440 $142.10
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 3,297 $139.89
80355 <1% 267 $139.81
99188 <1% 881 $137.26
82232 <1% 28 $132.21
87350 <1% 14 $123.30
87176 <1% 37 $122.54
J3475 Injection, magnesium sulfate, per 500 mg <1% 2,499 $118.67
J3411 Injection, thiamine hcl, 100 mg <1% 1,762 $112.61
86707 <1% 13 $109.08
87106 <1% 12 $106.94
36591 <1% 64 $106.11
82952 <1% 26 $101.25
85384 <1% 46 $101.19
92201 <1% 277 $98.10
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 540 $93.55
0082A <1% 13 $90.24
87045 <1% 29 $87.27
92511 <1% 37 $82.60
91312 <1% 547 $81.90
95970 <1% 41 $81.25
99459 <1% 32 $77.36
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 1,119 $76.74
95012 <1% 57 $73.87
96165 <1% 168 $71.83
82085 <1% 12 $71.09
83930 <1% 15 $70.14
83935 <1% 13 $65.19
87305 <1% 16 $61.90
91318 <1% 18 $55.56
85660 <1% 14 $51.38
86880 <1% 24 $50.13
86886 <1% 18 $50.00
77293 <1% 13 $47.00
51701 <1% 13 $45.52
J0613 Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg <1% 45 $42.55
84540 <1% 34 $41.36
C9399 Unclassified drugs or biologicals <1% 584 $40.32
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) <1% 2,037 $39.11
0051A <1% 12 $38.16
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme <1% 3,532 $35.96
A4648 Tissue marker, implantable, any type, each <1% 994 $34.25
J8540 Dexamethasone, oral, 0.25 mg <1% 5,727 $32.89
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 1,378 $32.76
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 379 $32.15
97150 Therapeutic procedure(s), group (2 or more individuals) <1% 20 $31.90
87046 <1% 31 $28.39
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 3,836 $27.56
96159 <1% 121 $25.74
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm <1% 1,288 $25.43
77001 <1% 105 $23.04
95250 <1% 14 $22.92
90474 <1% 516 $22.40
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 306 $19.84
J7060 5% dextrose/water (500 ml = 1 unit) <1% 5,427 $19.21
J1790 Injection, droperidol, up to 5 mg <1% 840 $18.76
36592 <1% 16 $18.47
96381 <1% 31 $18.15
73660 <1% 15 $18.07
J2175 Injection, meperidine hydrochloride, per 100 mg <1% 851 $16.74
J7042 5% dextrose/normal saline (500 ml = 1 unit) <1% 1,627 $10.51
J1920 Injection, labetalol hydrochloride, 5 mg <1% 491 $8.98
G0009 Administration of pneumococcal vaccine <1% 124 $8.74
A4215 Needle, sterile, any size, each <1% 572 $8.08
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 1,465 $6.32
J0360 Injection, hydralazine hcl, up to 20 mg <1% 367 $5.95
J0461 Injection, atropine sulfate, 0.01 mg <1% 87 $4.63
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 190 $4.23
J2371 Injection, phenylephrine hydrochloride, 20 micrograms <1% 224 $4.10
J1940 Injection, furosemide, up to 20 mg <1% 482 $3.62
J0692 Injection, cefepime hydrochloride, 500 mg <1% 427 $3.06
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg <1% 353 $2.60
J1836 Injection, metronidazole, 10 mg <1% 223 $2.16
A6211 Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing <1% 31 $1.78
J1953 Injection, levetiracetam, 10 mg <1% 205 $1.58
J2003 Injection, lidocaine hydrochloride, 1 mg <1% 779 $1.20
G0475 Hiv antigen/antibody, combination assay, screening <1% 36 $1.15
J0670 Injection, mepivacaine hydrochloride, per 10 ml <1% 85 $0.77
J1171 Injection, hydromorphone, 0.1 mg <1% 627 $0.36
J1596 Injection, glycopyrrolate, 0.1 mg <1% 235 $0.28
C2617 Stent, non-coronary, temporary, without delivery system 0% 343 $0.00
J2560 Injection, phenobarbital sodium, up to 120 mg 0% 164 $0.00
91317 0% 18 $0.00
P9612 Catheterization for collection of specimen, single patient, all places of service 0% 13 $0.00
G8981 Changing & maintaining body position functional limitation, current status, at therapy episode outset and at reporting intervals 0% 61 $0.00
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg 0% 69 $0.00
72020 0% 62 $0.00
42975 0% 74 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 0% 210 $0.00
J9045 Injection, carboplatin, 50 mg 0% 46 $0.00
G8998 Swallowing functional limitation, discharge status, at discharge from therapy or to end reporting 0% 42 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 0% 43 $0.00
G8982 Changing & maintaining body position functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 65 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 0% 34 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 44 $0.00
72190 0% 13 $0.00
C2624 Implantable wireless pulmonary artery pressure sensor with delivery catheter, including all system components 0% 35 $0.00
72080 0% 13 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 0% 81 $0.00
J9250 Methotrexate sodium, 5 mg 0% 53 $0.00
J1805 Injection, esmolol hydrochloride, 10 mg 0% 32 $0.00
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 0% 16 $0.00
J2305 Injection, nitroglycerin, 5 mg 0% 67 $0.00
91315 0% 55 $0.00
94668 0% 27 $0.00
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 0% 17 $0.00
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 0% 12 $0.00
A9300 Exercise equipment 0% 25 $0.00
91307 0% 13 $0.00
91305 0% 12 $0.00
90461 0% 235 $0.00
91308 0% 103 $0.00
92202 0% 61 $0.00
C1788 Port, indwelling (implantable) 0% 26 $0.00
99177 0% 728 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 643 $0.00
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 0% 260 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 0% 392 $0.00
G8984 Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals 0% 230 $0.00
G8985 Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 248 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 706 $0.00
95983 0% 15 $0.00
G8996 Swallowing functional limitation, current status at therapy episode outset and at reporting intervals 0% 42 $0.00
J2310 Injection, naloxone hydrochloride, per 1 mg 0% 60 $0.00
J7510 Prednisolone oral, per 5 mg 0% 33 $0.00
J0137 Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg 0% 81 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 0% 99 $0.00
29105 0% 12 $0.00
G8997 Swallowing functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 42 $0.00
J1580 Injection, garamycin, gentamicin, up to 80 mg 0% 59 $0.00
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg 0% 13 $0.00
69209 0% 13 $0.00
J9999 Not otherwise classified, antineoplastic drugs 0% 64 $0.00
77387 0% 92 $0.00
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg 0% 45 $0.00
A9999 Miscellaneous dme supply or accessory, not otherwise specified 0% 32 $0.00
J3489 Injection, zoledronic acid, 1 mg 0% 12 $0.00
77089 0% 12 $0.00
Q9958 High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml 0% 16 $0.00
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 0% 16 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

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Authorized officialKAPLAN, ALAN (CEO)
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Other billing entities under KAPLAN, ALAN

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