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

Spectrum Health Hospitals

Spectrum Health Hospitals was paid $243.22M by Medicaid between Jan 2018 and Dec 2024, across 1025 billing codes. Its largest line is 99284, emergency room visit (serious) — 12% of everything it billed.

33Billing provider infoSPECTRUM HEALTH HOSPITALS
GRAND RAPIDS, MI 49503
33aNPI1922090554assigned 08/19/2005
28Total paid$243.22M
24GClaims7,025,479
24DCodes billed1025
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Michigan

Rank by total paid#2 of 86
Median peer was paid$21.55M
This provider vs. median11×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official COX, MATTHEW controls 20+ related entities in our dataset. Read more
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
2018685,049$21.70M
2019598,917$18.94M
2020807,895$26.90M
20211,290,559$44.65M
20221,253,601$44.55M
20231,255,962$44.82M
2024incomplete1,133,496$41.66M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 12% 145,643 131,689 $30.11M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 11% 73,523 66,977 $27.29M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 8.1% 154,792 143,786 $19.81M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 6.0% 242,360 201,656 $14.68M
42820 Tonsillectomy and adenoidectomy; younger than age 12 3.5% 3,216 3,202 $8.44M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 3.2% 83,122 73,708 $7.72M
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 2.2% 90,133 84,488 $5.40M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.6% 142,946 53,244 $3.93M
G0378 Hospital observation service, per hour 1.6% 37,600 21,923 $3.89M
Q5104 Injection, infliximab-abda, biosimilar, (renflexis), 10 mg 1.5% 3,364 2,782 $3.60M
74177 Computed tomography, abdomen and pelvis; with contrast material 1.4% 24,823 24,046 $3.35M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.3% 10,057 10,008 $3.08M
1013 more codes
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.2% 12,198 $2.90M
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 1.1% 26,567 $2.63M
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 33,148 $2.42M
41899 Unlisted procedure, dentoalveolar structures <1% 4,238 $2.14M
47562 <1% 748 $2.09M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 7,555 $1.97M
96361 Intravenous infusion, hydration; each additional hour <1% 57,515 $1.83M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 9,538 $1.82M
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 3,952 $1.77M
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 4,048 $1.72M
44970 <1% 596 $1.72M
71046 Radiologic examination, chest; 2 views <1% 43,695 $1.70M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 10,175 $1.66M
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 3,862 $1.65M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 16,946 $1.52M
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 3,183 $1.47M
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 14,597 $1.46M
G0379 Direct admission of patient for hospital observation care <1% 1,907 $1.46M
J1745 Injection, infliximab, excludes biosimilar, 10 mg <1% 1,222 $1.44M
96375 Therapeutic injection; each additional sequential IV push <1% 66,924 $1.44M
93975 <1% 10,306 $1.20M
J1459 Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg <1% 1,420 $1.18M
95782 <1% 2,298 $1.16M
82947 <1% 61,191 $1.13M
36415 Collection of venous blood by venipuncture <1% 375,552 $1.12M
43249 <1% 1,512 $1.12M
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% 64,391 $1.12M
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 18,366 $1.09M
J3380 Injection, vedolizumab, intravenous, 1 mg <1% 375 $1.05M
78815 Positron emission tomography (PET) for limited area imaging <1% 1,510 $1.05M
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 72,853 $1.00M
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 71,841 $978K
59025 Fetal non-stress test <1% 10,422 $953K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 6,224 $940K
J2350 Injection, ocrelizumab, 1 mg <1% 64 $906K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 58,009 $876K
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% 15,053 $855K
70551 Magnetic resonance imaging, brain; without contrast material <1% 7,879 $844K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 21,430 $830K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 11,412 $787K
92526 <1% 17,168 $749K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 1,287 $743K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 23,256 $721K
70450 Computed tomography, head or brain; without contrast material <1% 17,233 $717K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 10,311 $706K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 40,884 $695K
49452 <1% 1,589 $645K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 23,802 $643K
58661 <1% 234 $630K
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% 2,601 $627K
86900 <1% 25,719 $617K
95715 <1% 3,194 $612K
80050 General health panel <1% 22,056 $610K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 1,833 $593K
76830 Ultrasound, transvaginal <1% 10,413 $586K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 19,724 $579K
76770 <1% 9,880 $573K
97162 <1% 12,398 $572K
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) <1% 22,637 $566K
80061 Lipid panel <1% 60,021 $560K
71275 Computed tomographic angiography, chest, with contrast material <1% 7,795 $534K
95816 <1% 3,602 $528K
52356 <1% 217 $521K
80053 Comprehensive metabolic panel <1% 244,201 $510K
77386 <1% 1,868 $509K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 10,327 $504K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 5,098 $498K
C9399 Unclassified drugs or biologicals <1% 7,748 $497K
36430 <1% 2,904 $492K
71045 Radiologic examination, chest; single view <1% 14,036 $489K
97161 <1% 9,942 $483K
72141 <1% 3,476 $471K
77067 Screening mammography, bilateral, including computer-aided detection <1% 9,915 $450K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 3,633 $442K
J2357 Injection, omalizumab, 5 mg <1% 460 $436K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 6,165 $422K
42830 <1% 283 $413K
92587 <1% 2,845 $413K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 49,055 $409K
43235 <1% 1,205 $406K
72125 Computed tomography, cervical spine; without contrast material <1% 5,115 $401K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 24,511 $399K
72197 <1% 1,469 $393K
84443 Thyroid stimulating hormone (TSH) <1% 61,306 $391K
76801 <1% 6,631 $383K
19083 <1% 484 $381K
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% 45,045 $379K
J1439 Injection, ferric carboxymaltose, 1 mg <1% 1,129 $361K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 4,703 $350K
75561 <1% 1,359 $335K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk <1% 777 $323K
81229 <1% 637 $321K
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% 1,032 $320K
20680 <1% 366 $312K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 7,516 $309K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg <1% 319 $303K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 935 $302K
74183 <1% 2,158 $302K
70498 <1% 2,529 $295K
96415 <1% 6,443 $294K
58558 <1% 227 $293K
J9271 Injection, pembrolizumab, 1 mg <1% 51 $293K
49650 <1% 92 $287K
96409 <1% 2,512 $287K
95700 <1% 3,224 $280K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 217,813 $279K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 10,346 $276K
G0432 Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening <1% 25,078 $274K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 25,608 $255K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 391 $251K
77334 <1% 787 $250K
0002A <1% 7,419 $248K
58571 <1% 51 $247K
76642 <1% 6,335 $242K
92523 <1% 2,489 $235K
70491 <1% 2,179 $232K
93971 <1% 4,629 $231K
25605 <1% 304 $230K
87506 <1% 2,452 $222K
10060 <1% 2,418 $219K
86780 <1% 28,135 $214K
90671 <1% 988 $213K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 3,463 $207K
76536 <1% 4,510 $207K
93458 <1% 130 $201K
J7297 Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg <1% 253 $200K
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% 13,028 $199K
72158 <1% 2,013 $197K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 2,884 $196K
54161 <1% 294 $193K
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision <1% 12,836 $192K
0001A <1% 7,816 $190K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 11,847 $189K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 17,594 $185K
77066 Tomosynthesis, mammo <1% 3,383 $184K
36561 <1% 150 $182K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 8,025 $181K
72156 <1% 1,426 $181K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 2,652 $181K
97165 <1% 4,064 $181K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 4,629 $179K
95811 <1% 482 $178K
73221 <1% 1,512 $177K
87086 Culture, bacterial; quantitative colony count, urine <1% 72,552 $173K
49083 <1% 488 $173K
83036 Hemoglobin; glycosylated (A1C) <1% 50,704 $171K
86480 <1% 6,350 $170K
73222 <1% 436 $168K
82728 <1% 29,403 $162K
96367 <1% 4,331 $162K
93970 <1% 1,704 $160K
71250 <1% 3,005 $159K
94060 <1% 1,051 $159K
85027 <1% 91,836 $157K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 4,912 $154K
97597 <1% 1,989 $154K
P9016 Red blood cells, leukocytes reduced, each unit <1% 1,236 $153K
86003 <1% 4,797 $151K
77336 <1% 2,445 $151K
92611 <1% 3,175 $146K
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% 3,842 $141K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 3,811 $140K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 34,214 $140K
J1569 Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg <1% 235 $137K
97166 <1% 3,107 $136K
64400 <1% 973 $133K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies <1% 135 $132K
52332 <1% 108 $125K
77065 Tomosynthesis, mammo <1% 3,079 $125K
95819 <1% 836 $123K
86870 <1% 935 $123K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 1,796 $122K
P9040 Red blood cells, leukocytes reduced, irradiated, each unit <1% 525 $121K
19318 <1% 39 $120K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 473 $119K
84702 <1% 25,179 $117K
70543 <1% 339 $117K
80074 <1% 5,404 $114K
93308 <1% 1,196 $114K
92610 <1% 3,028 $114K
72100 <1% 4,929 $111K
96450 <1% 688 $110K
87653 <1% 8,418 $109K
97163 <1% 2,566 $109K
76882 <1% 2,974 $108K
64615 <1% 770 $105K
80048 Basic metabolic panel (calcium, ionized) <1% 49,070 $104K
64450 <1% 1,266 $101K
90686 <1% 15,968 $101K
96376 <1% 24,379 $100K
G0475 Hiv antigen/antibody, combination assay, screening <1% 7,776 $99K
87077 <1% 32,544 $98K
74018 <1% 7,301 $97K
70486 <1% 3,093 $96K
97116 <1% 7,489 $95K
83970 <1% 5,733 $94K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 1,473 $92K
90651 <1% 2,714 $91K
78264 <1% 455 $90K
77300 <1% 463 $89K
88184 <1% 1,916 $89K
77063 Screening digital breast tomosynthesis, bilateral <1% 7,507 $89K
83550 <1% 24,120 $88K
90750 <1% 599 $87K
84439 <1% 22,202 $87K
72146 <1% 1,419 $87K
83655 <1% 13,711 $86K
90472 Immunization administration, each additional vaccine (list separately) <1% 4,663 $86K
87563 <1% 5,210 $86K
10005 <1% 295 $84K
67311 <1% 85 $84K
84403 <1% 6,501 $83K
87081 <1% 33,296 $82K
74178 <1% 584 $79K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 2,841 $78K
93017 <1% 2,926 $78K
82607 <1% 13,393 $77K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 91,228 $77K
97535 Self-care/home management training, each 15 minutes <1% 6,767 $75K
73610 <1% 9,412 $74K
87186 <1% 23,721 $72K
97802 <1% 1,977 $69K
91322 <1% 666 $69K
88342 <1% 5,123 $69K
97760 <1% 2,133 $68K
83540 <1% 24,508 $67K
58662 <1% 26 $66K
73562 <1% 7,507 $66K
76886 <1% 1,574 $66K
87529 <1% 3,052 $66K
27447 <1% 12 $66K
74240 <1% 848 $65K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 13,481 $64K
L4350 Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf <1% 1,370 $63K
82670 <1% 4,544 $63K
74230 <1% 701 $63K
64721 <1% 91 $62K
90739 <1% 747 $62K
93351 <1% 275 $61K
73630 <1% 8,348 $61K
87205 <1% 48,869 $60K
77072 <1% 1,278 $60K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 5,206 $57K
93798 <1% 914 $55K
73030 <1% 5,709 $55K
G0257 Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility <1% 1,346 $54K
74174 <1% 415 $54K
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 5,426 $53K
93225 <1% 1,833 $53K
73130 <1% 6,701 $53K
82784 <1% 11,616 $51K
72157 <1% 735 $50K
71271 <1% 1,051 $50K
87070 <1% 17,525 $50K
31575 <1% 639 $48K
95076 <1% 245 $48K
97763 <1% 1,456 $48K
31624 <1% 131 $47K
92652 <1% 349 $46K
87340 <1% 20,810 $46K
74220 <1% 616 $46K
76881 <1% 705 $46K
95712 <1% 680 $45K
88307 <1% 4,168 $45K
84402 <1% 3,515 $45K
73110 <1% 5,190 $44K
73140 <1% 3,645 $44K
85610 <1% 35,506 $44K
83880 <1% 11,501 $44K
86235 <1% 1,517 $43K
C8908 Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral <1% 220 $43K
86140 <1% 28,828 $43K
86008 <1% 976 $43K
83735 <1% 45,689 $43K
90480 <1% 1,135 $43K
82746 <1% 6,714 $43K
81001 <1% 132,368 $42K
83001 <1% 4,762 $41K
82570 <1% 23,900 $41K
84146 <1% 4,392 $41K
G0105 Colorectal cancer screening; colonoscopy on individual at high risk <1% 93 $40K
77412 <1% 324 $40K
76870 <1% 2,591 $40K
73700 <1% 833 $40K
70496 <1% 2,621 $39K
80076 <1% 11,011 $39K
86923 <1% 3,035 $39K
90791 Psychiatric diagnostic evaluation <1% 334 $38K
86038 <1% 6,756 $38K
72040 <1% 2,024 $38K
Q5105 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units <1% 683 $38K
J1610 Injection, glucagon hydrochloride, per 1 mg <1% 441 $37K
J1561 Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg <1% 50 $36K
83516 <1% 6,949 $36K
96161 <1% 2,408 $36K
92585 <1% 320 $34K
42821 <1% 25 $34K
84425 <1% 3,519 $34K
58670 <1% 12 $33K
74455 <1% 317 $33K
58301 <1% 255 $33K
99381 <1% 481 $32K
85055 <1% 5,454 $32K
36224 <1% 15 $32K
87808 <1% 18,992 $31K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 10,136 $31K
76080 <1% 178 $30K
78227 <1% 106 $29K
87522 Neg quan hep c or qual rna <1% 1,674 $29K
L4360 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise <1% 222 $29K
G0422 Intensive cardiac rehabilitation; with or without continuous ecg monitoring with exercise, per session <1% 503 $29K
76819 Fetal biophysical profile; without non-stress testing <1% 469 $29K
73502 <1% 2,998 $28K
92586 <1% 404 $28K
90732 <1% 302 $28K
93246 <1% 2,161 $27K
54640 <1% 15 $27K
87799 <1% 2,868 $26K
86160 <1% 3,258 $26K
82950 <1% 9,649 $26K
72082 <1% 806 $25K
77338 <1% 156 $25K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 372 $25K
97803 <1% 1,163 $25K
93296 <1% 1,648 $25K
80197 <1% 5,017 $24K
93304 <1% 126 $24K
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring <1% 92 $24K
64415 <1% 1,108 $24K
95909 <1% 160 $24K
93750 <1% 478 $23K
87147 <1% 11,603 $23K
82533 <1% 3,087 $23K
86769 <1% 1,064 $23K
84481 <1% 2,666 $23K
73080 <1% 3,516 $23K
94621 <1% 164 $23K
90670 <1% 6,176 $22K
80069 <1% 8,097 $22K
64642 <1% 64 $22K
87497 <1% 2,802 $22K
84478 <1% 1,379 $22K
83002 <1% 2,598 $22K
97035 <1% 4,196 $22K
85652 <1% 26,634 $22K
49591 <1% 14 $22K
82043 <1% 8,741 $22K
43247 <1% 55 $22K
88304 <1% 5,414 $21K
0071A <1% 578 $21K
93242 <1% 2,570 $21K
83013 <1% 588 $20K
86376 <1% 2,782 $20K
96116 <1% 135 $20K
82105 <1% 3,053 $20K
78816 <1% 26 $20K
85007 <1% 28,779 $19K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 1,577 $19K
73564 <1% 1,244 $19K
92522 <1% 331 $19K
95910 <1% 131 $19K
72070 <1% 573 $18K
86665 <1% 2,674 $18K
73590 <1% 4,215 $18K
Q5103 Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg <1% 44 $18K
84100 <1% 19,348 $18K
96127 <1% 4,803 $18K
38222 <1% 12 $17K
72131 <1% 539 $17K
82785 <1% 2,490 $17K
90746 <1% 268 $17K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring <1% 63 $17K
96411 <1% 442 $17K
86706 <1% 3,810 $17K
84305 <1% 2,085 $16K
58300 <1% 986 $16K
86200 <1% 2,582 $16K
84156 <1% 15,137 $15K
91010 <1% 66 $15K
86225 <1% 2,758 $15K
97022 <1% 2,549 $15K
75574 <1% 227 $15K
83993 <1% 1,573 $15K
95908 <1% 101 $15K
0054A <1% 495 $15K
0072A <1% 403 $15K
82951 <1% 2,043 $15K
95951 <1% 113 $15K
85240 <1% 2,217 $15K
72110 <1% 402 $15K
86696 <1% 1,554 $15K
86364 <1% 2,935 $14K
85246 <1% 1,904 $14K
84144 <1% 1,338 $14K
77080 <1% 241 $14K
70487 <1% 182 $14K
95117 <1% 656 $13K
82977 <1% 4,353 $13K
77301 <1% 24 $13K
88112 <1% 1,666 $13K
84590 <1% 2,396 $13K
92557 <1% 246 $13K
72072 <1% 902 $13K
G0008 Administration of influenza virus vaccine <1% 1,979 $13K
83690 <1% 43,673 $13K
84630 <1% 2,525 $13K
98968 <1% 750 $12K
87517 <1% 617 $12K
92579 <1% 923 $12K
94010 <1% 1,201 $12K
87328 <1% 1,934 $12K
78999 <1% 96 $12K
0012A <1% 371 $12K
78830 <1% 18 $12K
73660 <1% 861 $12K
43242 <1% 14 $12K
82565 <1% 35,386 $12K
82627 <1% 1,112 $12K
73090 <1% 3,495 $11K
84703 <1% 74,130 $11K
84153 <1% 1,389 $11K
90656 <1% 1,454 $11K
76000 <1% 2,657 $11K
G0109 Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes <1% 302 $11K
85097 <1% 99 $11K
43762 <1% 85 $11K
85730 <1% 11,491 $11K
0124A <1% 300 $11K
92604 <1% 156 $11K
25600 <1% 98 $11K
90621 <1% 390 $10K
C1769 Guide wire <1% 9,058 $10K
86255 <1% 1,623 $10K
87329 <1% 1,920 $10K
82247 <1% 4,810 $10K
82550 <1% 5,872 $10K
86695 <1% 1,554 $10K
73552 <1% 2,323 $10K
83615 <1% 9,295 $10K
82248 <1% 5,295 $10K
81025 <1% 11,446 $10K
74019 <1% 2,019 $10K
86431 <1% 3,652 $10K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 2,839 $10K
J7050 Infusion, normal saline solution, 250 cc <1% 80,499 $10K
86147 <1% 461 $10K
86905 <1% 172 $10K
80164 <1% 2,050 $10K
0004A <1% 272 $9K
90734 <1% 1,875 $9K
73521 <1% 549 $9K
84446 <1% 1,443 $9K
0011A <1% 391 $9K
0052A <1% 246 $9K
0031A <1% 254 $9K
29105 <1% 113 $9K
90678 <1% 29 $9K
85245 <1% 1,116 $9K
96417 <1% 215 $8K
20610 <1% 90 $8K
84550 <1% 5,129 $8K
85046 <1% 7,973 $8K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 738 $8K
86704 <1% 1,660 $8K
97130 <1% 288 $8K
86341 <1% 402 $8K
69610 <1% 12 $8K
73060 <1% 1,466 $8K
91320 <1% 92 $8K
43237 <1% 13 $8K
71101 <1% 598 $8K
0051A <1% 202 $7K
86146 <1% 345 $7K
99495 <1% 121 $7K
82274 <1% 890 $7K
78320 <1% 40 $7K
83021 <1% 2,731 $7K
85018 <1% 7,782 $7K
82525 <1% 1,271 $7K
84484 <1% 37,345 $7K
76010 <1% 525 $7K
76604 <1% 242 $7K
73200 <1% 157 $7K
87184 <1% 2,046 $7K
85397 <1% 700 $7K
72170 <1% 1,118 $7K
36590 <1% 12 $7K
40899 <1% 72 $7K
99385 <1% 97 $6K
70544 <1% 117 $6K
64405 <1% 46 $6K
73000 <1% 1,274 $6K
78306 <1% 38 $6K
73722 <1% 14 $6K
74160 <1% 54 $6K
84165 <1% 1,266 $6K
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision <1% 501 $6K
C1753 Catheter, intravascular ultrasound <1% 403 $6K
36416 <1% 17,523 $6K
93880 <1% 65 $6K
Q0114 Fern test <1% 1,107 $6K
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) <1% 1,866 $6K
86803 <1% 1,075 $6K
64447 <1% 522 $6K
91200 <1% 91 $5K
86762 <1% 10,184 $5K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 36 $5K
84681 <1% 593 $5K
J7120 Ringers lactate infusion, up to 1000 cc <1% 58,680 $5K
84460 <1% 2,106 $5K
87206 <1% 4,712 $5K
82140 <1% 1,765 $5K
86304 <1% 663 $5K
87109 <1% 569 $5K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 276 $5K
31622 <1% 12 $5K
C8924 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, follow-up or limited study <1% 37 $5K
86787 <1% 2,663 $5K
86360 <1% 280 $5K
87338 <1% 606 $5K
74270 <1% 51 $4K
87102 <1% 3,159 $4K
86618 <1% 641 $4K
29515 <1% 52 $4K
90832 Psychotherapy session, about 30 minutes <1% 56 $4K
83921 <1% 455 $4K
87536 <1% 115 $4K
87324 <1% 788 $4K
51798 <1% 1,612 $4K
G0515 Development of cognitive skills to improve attention, memory, problem solving (includes compensatory training), direct (one-on-one) patient contact, each 15 minutes <1% 136 $4K
84450 <1% 1,767 $4K
85300 <1% 696 $4K
90473 <1% 564 $4K
82330 <1% 8,614 $4K
86359 <1% 281 $4K
88173 <1% 1,560 $4K
82390 <1% 832 $4K
16020 <1% 155 $4K
87040 <1% 11,062 $4K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 50,202 $4K
72050 <1% 79 $4K
C1726 Catheter, balloon dilatation, non-vascular <1% 2,757 $4K
L0172 Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf <1% 477 $4K
C1729 Catheter, drainage <1% 978 $4K
80178 <1% 1,599 $4K
87902 <1% 26 $4K
82103 <1% 665 $4K
83521 <1% 326 $4K
86800 <1% 534 $4K
86256 <1% 581 $4K
84480 <1% 563 $4K
83498 <1% 422 $4K
98967 <1% 330 $4K
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous <1% 216 $4K
87075 <1% 2,643 $4K
77085 <1% 79 $4K
93922 <1% 196 $4K
85379 <1% 7,533 $3K
86645 <1% 527 $3K
90834 Psychotherapy session, about 45 minutes <1% 40 $3K
82952 <1% 1,584 $3K
0154A <1% 83 $3K
97129 <1% 317 $3K
85014 <1% 13,448 $3K
92651 <1% 50 $3K
99406 <1% 250 $3K
87428 <1% 99 $3K
99496 <1% 51 $3K
86039 <1% 593 $3K
82024 <1% 203 $3K
84207 <1% 268 $3K
86381 <1% 264 $3K
83090 <1% 437 $3K
93298 <1% 207 $3K
86141 <1% 457 $3K
86705 <1% 731 $3K
83525 <1% 484 $3K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 250 $3K
82150 <1% 1,472 $3K
85384 <1% 1,530 $3K
73100 <1% 884 $3K
80159 <1% 278 $3K
92552 <1% 144 $3K
84132 <1% 9,610 $3K
82652 <1% 296 $3K
86308 <1% 2,239 $3K
88271 <1% 121 $3K
86036 <1% 522 $3K
86355 <1% 209 $3K
93312 <1% 14 $3K
86334 <1% 256 $3K
88360 <1% 437 $3K
70546 <1% 40 $3K
97014 <1% 354 $3K
62270 <1% 15 $2K
73720 <1% 13 $2K
85576 <1% 90 $2K
83014 <1% 618 $2K
77290 <1% 15 $2K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants <1% 25 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 13,655 $2K
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation <1% 1,088 $2K
82805 <1% 773 $2K
86812 <1% 172 $2K
84134 <1% 371 $2K
72126 <1% 138 $2K
90716 <1% 2,121 $2K
87252 <1% 219 $2K
86231 <1% 366 $2K
94726 <1% 330 $2K
87254 <1% 236 $2K
J3475 Injection, magnesium sulfate, per 500 mg <1% 4,381 $2K
90837 Psychotherapy session, about an hour <1% 23 $2K
72081 <1% 367 $2K
73560 <1% 413 $2K
71100 <1% 184 $2K
88237 <1% 128 $2K
84145 <1% 2,208 $2K
85613 <1% 449 $2K
C2617 Stent, non-coronary, temporary, without delivery system <1% 1,203 $2K
82310 <1% 1,023 $2K
88264 <1% 113 $2K
99188 <1% 2,509 $2K
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 69,151 $2K
36410 <1% 1,104 $2K
76377 <1% 5,961 $2K
J7042 5% dextrose/normal saline (500 ml = 1 unit) <1% 2,396 $2K
C1889 Implantable/insertable device, not otherwise classified <1% 1,714 $2K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 4,483 $2K
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm <1% 3,615 $2K
96381 <1% 121 $2K
90620 <1% 70 $2K
81241 <1% 53 $2K
86317 <1% 247 $2K
80165 <1% 356 $2K
J0561 Injection, penicillin g benzathine, 100,000 units <1% 17 $2K
Q2036 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) <1% 254 $2K
90648 <1% 6,032 $2K
82542 <1% 888 $2K
77073 <1% 315 $2K
96132 <1% 157 $2K
A9270 Non-covered item or service <1% 11,027 $2K
86644 <1% 351 $1K
86357 <1% 93 $1K
Q3014 Telehealth originating site facility fee <1% 70 $1K
80177 <1% 813 $1K
82465 <1% 525 $1K
90688 <1% 134 $1K
80175 <1% 237 $1K
73070 <1% 361 $1K
G0297 Low dose ct scan (ldct) for lung cancer screening <1% 30 $1K
83605 <1% 16,631 $1K
88300 <1% 3,737 $1K
86708 <1% 205 $1K
87116 <1% 1,857 $1K
90662 <1% 59 $1K
20553 <1% 15 $1K
70250 <1% 235 $981.81
29075 <1% 12 $979.79
72190 <1% 127 $957.42
0053A <1% 28 $938.25
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% 53 $927.68
64999 <1% 16 $926.16
90694 <1% 80 $919.02
73600 <1% 168 $904.52
88344 <1% 12 $904.25
86850 <1% 22,973 $884.47
72220 <1% 67 $868.75
84075 <1% 398 $866.73
73620 <1% 192 $850.48
92602 <1% 12 $832.68
83520 <1% 2,039 $812.41
82378 <1% 126 $806.60
86592 <1% 347 $805.34
98966 <1% 119 $789.51
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals <1% 285 $787.44
J1611 Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 mg <1% 24 $783.06
J2997 Injection, alteplase recombinant, 1 mg <1% 15 $780.07
70480 <1% 13 $778.08
82010 <1% 3,280 $775.65
88313 <1% 816 $760.61
87210 <1% 4,220 $734.75
0074A <1% 32 $730.26
89230 <1% 24 $681.91
84520 <1% 368 $665.34
97167 <1% 14 $645.02
0073A <1% 17 $638.01
92524 <1% 12 $633.40
84244 <1% 66 $632.31
92567 <1% 3,204 $625.73
86258 <1% 50 $620.01
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 1,041 $612.50
87015 <1% 1,842 $610.99
69210 <1% 107 $604.38
87521 Neg quan hep c or qual rna <1% 42 $603.04
77075 <1% 13 $599.19
87209 <1% 68 $594.19
96138 <1% 158 $587.19
83930 <1% 973 $578.68
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 4,492 $559.18
82139 <1% 77 $553.44
87106 <1% 133 $552.95
85045 <1% 749 $533.47
0064A <1% 14 $529.90
J7030 Infusion, normal saline solution , 1000 cc <1% 92,604 $521.16
86709 <1% 188 $518.84
82164 <1% 88 $512.62
84154 <1% 55 $510.41
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% 12 $483.00
0003A <1% 13 $478.00
62322 <1% 12 $475.52
81003 <1% 3,306 $469.73
82365 <1% 431 $458.52
76506 <1% 12 $458.40
81479 Unlisted molecular pathology procedure <1% 25 $456.05
S9442 Birthing classes, non-physician provider, per session <1% 14 $453.74
84295 <1% 8,410 $435.48
90744 <1% 1,781 $433.92
85660 <1% 225 $430.24
86698 <1% 126 $416.36
96402 <1% 14 $403.81
69209 <1% 202 $392.61
12011 <1% 2,651 $368.24
86922 <1% 71 $359.54
94618 <1% 126 $355.63
84080 <1% 47 $354.65
G0499 Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive hbsag result <1% 25 $350.24
89051 <1% 3,515 $348.85
82379 <1% 64 $342.21
92551 <1% 44 $339.78
86060 <1% 106 $337.35
30901 <1% 12 $333.05
96136 <1% 111 $332.90
83835 <1% 44 $332.89
87101 <1% 78 $321.44
87177 <1% 68 $294.35
88312 <1% 1,031 $292.57
83051 <1% 144 $286.65
82077 <1% 4,711 $285.45
46600 <1% 72 $264.53
86880 <1% 360 $257.66
76775 <1% 110 $254.79
99213 Doctor's office visit, returning patient (routine) <1% 69 $247.95
80305 <1% 1,015 $236.22
83721 <1% 42 $228.54
86765 <1% 76 $224.28
87385 <1% 72 $220.06
93290 <1% 695 $211.67
82955 <1% 58 $209.90
0296T <1% 660 $208.01
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 53,391 $205.52
90653 <1% 17 $199.39
82731 <1% 67 $197.02
87449 <1% 62 $184.21
82803 <1% 8,667 $170.67
76942 <1% 3,263 $162.37
92582 <1% 12 $162.30
36591 <1% 14 $161.97
84432 <1% 27 $161.22
J3010 Injection, fentanyl citrate, 0.1 mg <1% 66,798 $153.28
93325 <1% 11,914 $152.04
C9113 Injection, pantoprazole sodium, per vial <1% 3,564 $149.35
86682 <1% 28 $144.59
85303 <1% 25 $144.06
99214 Doctor's office visit, returning patient (more involved) <1% 37 $142.50
84300 <1% 118 $138.12
J8501 Aprepitant, oral, 5 mg <1% 2,677 $137.74
96040 <1% 654 $134.92
88302 <1% 109 $131.79
86337 <1% 12 $131.45
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 51,271 $129.69
82085 <1% 40 $120.11
88275 <1% 13 $119.01
88341 <1% 2,323 $115.73
87305 <1% 66 $112.36
84112 <1% 140 $111.16
83935 <1% 46 $108.80
85049 <1% 66 $107.77
83010 <1% 149 $105.51
12001 <1% 2,739 $104.34
70360 <1% 42 $102.17
88142 <1% 13 $101.84
86707 <1% 16 $101.70
12002 <1% 1,266 $100.76
87807 <1% 15 $99.58
76380 <1% 31 $95.84
83695 <1% 16 $93.96
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 72,368 $91.85
85306 <1% 13 $91.20
86593 <1% 38 $90.82
86985 <1% 58 $88.75
77001 <1% 318 $86.71
82272 <1% 573 $84.12
87350 <1% 13 $80.21
86735 <1% 15 $80.08
49424 <1% 182 $75.16
80143 <1% 3,526 $74.48
L3808 Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment <1% 83 $68.41
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 90,447 $67.80
93321 <1% 1,727 $61.21
76937 <1% 1,663 $54.78
99152 <1% 4,202 $45.14
80183 <1% 14 $44.41
82157 <1% 12 $41.68
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 7,988 $41.22
82044 <1% 138 $40.92
81002 <1% 216 $40.33
A9577 Injection, gadobenate dimeglumine (multihance), per ml <1% 10,024 $39.60
J2704 Injection, propofol, 10 mg <1% 60,835 $35.93
83986 <1% 442 $35.73
81000 <1% 298 $33.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 60 $30.80
88720 <1% 30 $30.40
92650 <1% 147 $29.79
82270 <1% 13 $29.28
90715 <1% 7,748 $28.97
82075 <1% 5,502 $28.62
J1644 Injection, heparin sodium, per 1000 units <1% 8,894 $27.41
87185 <1% 33 $26.00
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 11,677 $25.49
82945 <1% 156 $25.34
87181 <1% 16 $23.39
82375 <1% 66 $21.63
80179 <1% 3,272 $20.60
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 79 $19.36
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 12,203 $18.64
87899 <1% 39 $17.58
J1170 Injection, hydromorphone, up to 4 mg <1% 22,780 $17.14
92555 <1% 97 $16.28
91303 <1% 127 $16.00
93320 <1% 9,951 $14.99
82800 <1% 1,083 $12.99
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 32,173 $10.84
87071 <1% 209 $10.29
J0360 Injection, hydralazine hcl, up to 20 mg <1% 2,887 $9.81
J2270 Injection, morphine sulfate, up to 10 mg <1% 28,420 $9.08
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 1,868 $8.90
86703 <1% 19 $8.61
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% 1,467 $8.06
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 3,467 $7.26
J2800 Injection, methocarbamol, up to 10 ml <1% 328 $7.25
J1790 Injection, droperidol, up to 5 mg <1% 2,080 $7.01
84157 <1% 487 $6.95
J0780 Injection, prochlorperazine, up to 10 mg <1% 12,192 $5.51
J1836 Injection, metronidazole, 10 mg <1% 12 $2.13
82962 <1% 13 $1.95
J2060 Injection, lorazepam, 2 mg <1% 7,000 $1.70
J3480 Injection, potassium chloride, per 2 meq <1% 4,843 $1.10
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 69 $0.84
J1171 Injection, hydromorphone, 0.1 mg <1% 657 $0.09
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 0% 690 $0.00
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg 0% 553 $0.00
90723 0% 4,820 $0.00
J7060 5% dextrose/water (500 ml = 1 unit) 0% 5,112 $0.00
95886 0% 464 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 0% 3,200 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 0% 4,823 $0.00
90680 0% 6,146 $0.00
88311 0% 953 $0.00
90696 0% 1,699 $0.00
J1940 Injection, furosemide, up to 20 mg 0% 2,208 $0.00
88185 0% 1,683 $0.00
90698 0% 3,063 $0.00
J1250 Injection, dobutamine hydrochloride, per 250 mg 0% 134 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 0% 12,951 $0.00
J3411 Injection, thiamine hcl, 100 mg 0% 1,650 $0.00
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 0% 758 $0.00
J7121 5% dextrose in lactated ringers infusion, up to 1000 cc 0% 10,120 $0.00
C9290 Injection, bupivacaine liposome, 1 mg 0% 776 $0.00
J1630 Injection, haloperidol, up to 5 mg 0% 7,150 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 0% 4,966 $0.00
J0500 Injection, dicyclomine hcl, up to 20 mg 0% 882 $0.00
94644 0% 861 $0.00
91301 0% 797 $0.00
90632 0% 280 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 0% 1,219 $0.00
J0690 Injection, cefazolin sodium, 500 mg 0% 22,753 $0.00
J9250 Methotrexate sodium, 5 mg 0% 757 $0.00
J7999 Compounded drug, not otherwise classified 0% 341 $0.00
91307 0% 1,034 $0.00
86901 0% 1,390 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 0% 2,235 $0.00
C1886 Catheter, extravascular tissue ablation, any modality (insertable) 0% 106 $0.00
J2785 Injection, regadenoson, 0.1 mg 0% 1,912 $0.00
96368 0% 134 $0.00
A4217 Sterile water/saline, 500 ml 0% 58 $0.00
L8699 Prosthetic implant, not otherwise specified 0% 572 $0.00
87176 0% 417 $0.00
99153 Mod sedat endo service >5yrs 0% 1,677 $0.00
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 0% 5,053 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 0% 233 $0.00
J2790 Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) 0% 108 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 0% 567 $0.00
A9585 Injection, gadobutrol, 0.1 ml 0% 723 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 0% 51 $0.00
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 0% 202 $0.00
C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, other than peel-away 0% 275 $0.00
J2469 Injection, palonosetron hcl, 25 mcg 0% 292 $0.00
A9573 Injection, gadopiclenol, 1 ml 0% 2,199 $0.00
Q0240 Injection, casirivimab and imdevimab, 600 mg 0% 119 $0.00
A4648 Tissue marker, implantable, any type, each 0% 420 $0.00
94660 0% 59 $0.00
95885 0% 97 $0.00
J0280 Injection, aminophyllin, up to 250 mg 0% 67 $0.00
J0610 Injection, calcium gluconate (fresenius kabi), per 10 ml 0% 200 $0.00
82438 0% 24 $0.00
51600 0% 173 $0.00
J8540 Dexamethasone, oral, 0.25 mg 0% 1,057 $0.00
A9540 Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries 0% 84 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 0% 1,389 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 0% 59 $0.00
96139 0% 135 $0.00
76998 0% 136 $0.00
85008 0% 70 $0.00
81511 0% 58 $0.00
80320 0% 15 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 0% 321 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 1,298 $0.00
J0461 Injection, atropine sulfate, 0.01 mg 0% 13 $0.00
C1730 Catheter, electrophysiology, diagnostic, other than 3d mapping (19 or fewer electrodes) 0% 12 $0.00
C1781 Mesh (implantable) 0% 107 $0.00
84270 0% 53 $0.00
91306 0% 12 $0.00
82657 0% 16 $0.00
C1778 Lead, neurostimulator (implantable) 0% 12 $0.00
J2805 Injection, sincalide, 5 micrograms 0% 25 $0.00
30300 0% 13 $0.00
C1892 Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away 0% 13 $0.00
G0288 Reconstruction, computed tomographic angiography of aorta for surgical planning for vascular surgery 0% 15 $0.00
83883 0% 14 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 0% 831 $0.00
Q9958 High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml 0% 772 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 0% 2,323 $0.00
90700 0% 1,503 $0.00
A9576 Injection, gadoteridol, (prohance multipack), per ml 0% 1,230 $0.00
L1830 Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf 0% 575 $0.00
90461 0% 13,271 $0.00
29125 0% 1,027 $0.00
90710 0% 1,753 $0.00
85347 0% 1,312 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 0% 5,210 $0.00
82397 0% 406 $0.00
82610 0% 1,230 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 0% 4,169 $0.00
75565 0% 543 $0.00
90380 0% 100 $0.00
0042T 0% 330 $0.00
J9370 Vincristine sulfate, 1 mg 0% 2,255 $0.00
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 0% 1,947 $0.00
95874 0% 12 $0.00
J1580 Injection, garamycin, gentamicin, up to 80 mg 0% 131 $0.00
93226 0% 1,496 $0.00
J1953 Injection, levetiracetam, 10 mg 0% 367 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 0% 310 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 0% 1,042 $0.00
A9537 Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries 0% 192 $0.00
77002 0% 1,084 $0.00
76376 0% 79 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 0% 4,853 $0.00
90707 0% 2,117 $0.00
J0694 Injection, cefoxitin sodium, 1 gm 0% 704 $0.00
J3370 Injection, vancomycin hcl, 500 mg 0% 2,841 $0.00
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg 0% 224 $0.00
90633 0% 4,379 $0.00
C8937 Computer-aided detection, including computer algorithm analysis of breast mri image data for lesion detection/characterization, pharmacokinetic analysis, with further physician review for interpretation (list separately in addition to code for primary procedure) 0% 176 $0.00
77012 0% 493 $0.00
91321 0% 376 $0.00
0722T 0% 45 $0.00
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 0% 157 $0.00
C1760 Closure device, vascular (implantable/insertable) 0% 466 $0.00
C1776 Joint device (implantable) 0% 311 $0.00
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 0% 418 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 0% 518 $0.00
90685 0% 170 $0.00
94729 0% 634 $0.00
93356 0% 1,317 $0.00
23350 0% 163 $0.00
90714 0% 108 $0.00
27093 0% 15 $0.00
Q0244 Injection, casirivimab and imdevimab, 1200 mg 0% 456 $0.00
A9575 Injection, gadoterate meglumine, 0.1 ml 0% 313 $0.00
C1788 Port, indwelling (implantable) 0% 510 $0.00
91300 0% 15,078 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 737 $0.00
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg 0% 102 $0.00
Q0243 Injection, casirivimab and imdevimab, 2400 mg 0% 80 $0.00
82523 0% 31 $0.00
J7070 Infusion, d5w, 1000 cc 0% 70 $0.00
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg 0% 44 $0.00
91312 0% 630 $0.00
J1453 Injection, fosaprepitant, 1 mg 0% 147 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 0% 43 $0.00
L3913 Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment 0% 68 $0.00
51701 0% 88 $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% 31 $0.00
Q0245 Injection, bamlanivimab and etesevimab, 2100 mg 0% 114 $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% 315 $0.00
J1756 Injection, iron sucrose, 1 mg 0% 105 $0.00
64643 0% 79 $0.00
0159T 0% 30 $0.00
96133 0% 116 $0.00
J0692 Injection, cefepime hydrochloride, 500 mg 0% 19 $0.00
C1874 Stent, coated/covered, with delivery system 0% 14 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 0% 153 $0.00
J9260 Injection, methotrexate sodium, 50 mg 0% 58 $0.00
15853 0% 28 $0.00
96137 0% 25 $0.00
J3250 Injection, trimethobenzamide hcl, up to 200 mg 0% 51 $0.00
G8984 Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals 0% 57 $0.00
J2310 Injection, naloxone hydrochloride, per 1 mg 0% 28 $0.00
J2720 Injection, protamine sulfate, per 10 mg 0% 12 $0.00
41800 0% 38 $0.00
99215 Doctor's office visit, returning patient (complex) 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 officialCOX, MATTHEW (CFO)
Same official

Other billing entities under COX, MATTHEW

Full network →
ProviderLocationPaid
Oakwood Healthcare, INC.Dearborn, MI$165.61M
William Beaumont HospitalRoyal Oak, MI$162.64M
William Beaumont HospitalTroy, MI$84.88M
Lakeland Hospitals at Niles and ST Joseph, INCSaint Joseph, MI$78.22M
Botsford General HospitalFarmington Hills, MI$72.21M
William Beaumont HospitalGrosse Pointe, MI$61.49M
Oakwood Healthcare, INC.Wayne, MI$55.44M
Oakwood Healthcare, INC.Taylor, MI$50.28M
Oakwood Healthcare, INC.Trenton, MI$23.26M
Spectrum Health UnitedGreenville, MI$20.99M
Mecosta County Medical CenterBig Rapids, MI$19.50M
Pennock HospitalHastings, MI$15.24M
Reed City Hospital CorporationReed City, MI$15.02M
Zeeland Community HospitalZeeland, MI$10.12M
Lakeland Community Hospital WatervlietWatervliet, MI$9.85M
Lakeland Community Hospital WatervlietNiles, MI$9.05M
Visiting Nurse Services of Western MichiganGrand Rapids, MI$4.54M
Lakeland Hospitals at Niles and ST Joseph, INCBenton Harbor, MI$3.33M
Banner Mesa Surgery Center LLCMesa, AZ$2.80M
Lakeland Community Hospital WatervlietWatervliet, MI$2.55M

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