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

Mount Sinai Hospital was paid $278.96M by Medicaid between Jan 2018 and Dec 2024, across 933 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 8.7% of everything it billed.

33Billing provider infoMOUNT SINAI HOSPITAL
NEW YORK, NY 10029
33aNPI1932103413assigned 06/13/2005
33bProvider typeAmbulance
28Total paid$278.96M
24GClaims5,011,660
24DCodes billed933
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Ambulance providers in New York

Rank by total paid#1 of 219
Median peer was paid$322K
This provider vs. median866×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$2.0M$4.0M$6.0M2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201848,581$2.06M
2019369,807$16.99M
2020799,944$44.79M
20211,060,420$58.85M
20221,050,782$58.79M
2023970,967$56.66M
2024incomplete711,159$40.82M
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 8.7% 224,175 189,406 $24.19M
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 8.5% 221,364 192,009 $23.73M
J2350 Injection, ocrelizumab, 1 mg 5.0% 483 458 $13.88M
J9271 Injection, pembrolizumab, 1 mg 4.4% 1,391 1,126 $12.31M
J1745 Injection, infliximab, excludes biosimilar, 10 mg 4.2% 3,608 3,253 $11.72M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 2.9% 50,569 47,716 $8.21M
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.7% 53,588 46,984 $7.45M
J9144 Injection, daratumumab, 10 mg and hyaluronidase-fihj 2.2% 1,512 1,016 $6.27M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 2.2% 38,827 36,161 $6.03M
J9299 Injection, nivolumab, 1 mg 2.2% 678 504 $6.02M
36415 Collection of venous blood by venipuncture 2.0% 495,218 234,324 $5.66M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 1.9% 32,899 31,347 $5.31M
921 more codes
G0378 Hospital observation service, per hour 1.9% 4,707 $5.23M
J3380 Injection, vedolizumab, intravenous, 1 mg 1.8% 1,020 $4.93M
90834 Psychotherapy session, about 45 minutes 1.7% 32,537 $4.61M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.5% 49,769 $4.28M
J1561 Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg 1.4% 2,431 $4.02M
J2323 Injection, natalizumab, 1 mg 1.3% 710 $3.61M
93458 1.3% 2,363 $3.57M
96415 1.3% 9,952 $3.56M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1.2% 22,649 $3.33M
J2505 Injection, pegfilgrastim, 6 mg 1.1% 815 $2.99M
90832 Psychotherapy session, about 30 minutes 1.0% 23,669 $2.86M
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 <1% 49,089 $2.57M
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 11,356 $2.04M
80053 Comprehensive metabolic panel <1% 132,109 $1.82M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 18,409 $1.72M
96361 Intravenous infusion, hydration; each additional hour <1% 15,521 $1.72M
99204 Doctor's office visit, new patient (more involved) <1% 11,735 $1.72M
J1930 Injection, lanreotide, 1 mg <1% 331 $1.53M
87536 <1% 18,465 $1.48M
J0485 Injection, belatacept, 1 mg <1% 1,877 $1.46M
C9600 Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch <1% 852 $1.43M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 8,342 $1.39M
90460 Immunization administration through 18 years of age via any route, first or only component <1% 38,517 $1.36M
36475 <1% 1,732 $1.35M
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 54,144 $1.35M
99203 Doctor's office visit, new patient (routine) <1% 10,427 $1.28M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 13,735 $1.26M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 14,066 $1.20M
90945 <1% 21,946 $1.16M
J2506 Injection, pegfilgrastim, excludes biosimilar, 0.5 mg <1% 564 $1.16M
90836 <1% 10,380 $1.09M
J3357 Ustekinumab, for subcutaneous injection, 1 mg <1% 77 $1.08M
J0882 Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) <1% 21,759 $1.08M
J2501 Injection, paricalcitol, 1 mcg <1% 34,218 $1.02M
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 5,762 $947K
99205 Prolong outpt/office vis <1% 5,663 $937K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 1,683 $912K
93975 <1% 4,221 $901K
J9217 Leuprolide acetate (for depot suspension), 7.5 mg <1% 1,454 $889K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 53,207 $876K
J9145 Injection, daratumumab, 10 mg <1% 332 $872K
77067 Screening mammography, bilateral, including computer-aided detection <1% 11,088 $861K
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) <1% 2,390 $845K
86900 <1% 40,181 $831K
81025 <1% 52,455 $779K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 7,152 $779K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 1,194 $760K
Q5104 Injection, infliximab-abda, biosimilar, (renflexis), 10 mg <1% 612 $755K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 15,801 $717K
46607 <1% 916 $716K
J0897 Injection, denosumab, 1 mg <1% 485 $699K
80061 Lipid panel <1% 51,753 $687K
P9040 Red blood cells, leukocytes reduced, irradiated, each unit <1% 2,716 $686K
77336 <1% 2,257 $655K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 8,886 $631K
96375 Therapeutic injection; each additional sequential IV push <1% 24,606 $624K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 5,456 $604K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 30,025 $602K
86901 <1% 40,044 $590K
C1874 Stent, coated/covered, with delivery system <1% 961 $586K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 5,409 $576K
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% 37,684 $569K
93970 <1% 3,804 $565K
70450 Computed tomography, head or brain; without contrast material <1% 5,256 $559K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 2,660 $558K
90792 Psychiatric diagnostic evaluation with medical services <1% 2,708 $558K
H0035 Mental health partial hospitalization, treatment, less than 24 hours <1% 2,372 $551K
86480 <1% 10,288 $540K
J9312 Injection, rituximab, 10 mg <1% 93 $527K
36430 <1% 3,190 $520K
Q5103 Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg <1% 870 $515K
90677 <1% 3,557 $505K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 18,068 $498K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 13,551 $495K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 6,023 $495K
80048 Basic metabolic panel (calcium, ionized) <1% 49,051 $488K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 4,472 $487K
90853 Group psychotherapy (other than of a multiple-family group) <1% 8,118 $486K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 7,159 $484K
54161 <1% 483 $466K
J2357 Injection, omalizumab, 5 mg <1% 244 $462K
Q5115 Injection, rituximab-abbs, biosimilar, (truxima), 10 mg <1% 319 $439K
86850 <1% 39,848 $432K
86361 <1% 13,737 $430K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 35,143 $426K
88185 <1% 2,721 $408K
77386 <1% 1,623 $394K
Q5111 Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg <1% 258 $390K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 5,880 $390K
90651 <1% 5,128 $382K
90686 <1% 31,606 $381K
90935 Hemodialysis procedure with single evaluation by a physician <1% 6,258 $373K
J0791 Injection, crizanlizumab-tmca, 5 mg <1% 100 $372K
90846 Family psychotherapy without the patient present, 50 minutes <1% 2,886 $371K
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% 52,285 $367K
93017 <1% 4,880 $363K
96367 <1% 5,704 $363K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 2,206 $362K
59025 Fetal non-stress test <1% 3,373 $345K
J9999 Not otherwise classified, antineoplastic drugs <1% 40 $342K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 3,131 $321K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 3,590 $318K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 3,721 $308K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 26,326 $307K
J9355 Injection, trastuzumab, excludes biosimilar, 10 mg <1% 86 $302K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 9,960 $300K
80050 General health panel <1% 12,366 $295K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 4,755 $294K
90847 Family psychotherapy with the patient present, 50 minutes <1% 1,235 $292K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 20,748 $287K
C9062 Injection, daratumumab 10 mg and hyaluronidase-fihj <1% 63 $285K
J9022 Injection, atezolizumab, 10 mg <1% 30 $282K
38222 <1% 1,010 $279K
83880 <1% 15,894 $277K
49082 <1% 546 $273K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 27,105 $269K
97162 <1% 2,669 $265K
71275 Computed tomographic angiography, chest, with contrast material <1% 2,157 $264K
G0008 Administration of influenza virus vaccine <1% 13,195 $263K
90791 Psychiatric diagnostic evaluation <1% 1,287 $260K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 3,557 $260K
82040 <1% 44,880 $259K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 2,375 $251K
77412 <1% 806 $249K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 3,484 $245K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 12,908 $243K
92134 <1% 4,141 $240K
C1760 Closure device, vascular (implantable/insertable) <1% 2,423 $239K
88307 <1% 2,133 $235K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 3,986 $235K
87631 <1% 6,576 $233K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 150,745 $231K
76641 <1% 4,028 $227K
49083 <1% 388 $221K
95819 <1% 688 $220K
77063 Screening digital breast tomosynthesis, bilateral <1% 10,457 $216K
99385 <1% 1,869 $212K
99381 <1% 2,762 $211K
Q5121 Injection, infliximab-axxq, biosimilar, (avsola), 10 mg <1% 466 $207K
J2785 Injection, regadenoson, 0.1 mg <1% 2,412 $206K
C1888 Catheter, ablation, non-cardiac, endovascular (implantable) <1% 1,926 $199K
75574 <1% 1,284 $199K
J1453 Injection, fosaprepitant, 1 mg <1% 2,496 $194K
C1769 Guide wire <1% 5,672 $192K
90715 <1% 8,482 $190K
76819 Fetal biophysical profile; without non-stress testing <1% 3,970 $189K
Q5107 Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg <1% 242 $188K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 2,466 $185K
90671 <1% 1,102 $184K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 713 $183K
T2022 Case management, per month <1% 1,596 $181K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies <1% 268 $180K
99443 <1% 2,969 $178K
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% 1,689 $178K
93976 <1% 933 $175K
96401 <1% 3,698 $175K
93971 <1% 3,496 $174K
88341 <1% 2,114 $171K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 6,432 $171K
77300 <1% 589 $169K
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision <1% 8,422 $168K
76770 <1% 1,209 $168K
88342 <1% 5,096 $166K
94375 <1% 2,310 $165K
19083 <1% 154 $165K
96417 <1% 3,776 $162K
J0561 Injection, penicillin g benzathine, 100,000 units <1% 1,399 $161K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 4,595 $159K
93356 <1% 1,381 $159K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 1,088 $158K
97802 <1% 3,300 $158K
87522 Neg quan hep c or qual rna <1% 5,051 $156K
77334 <1% 679 $155K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 1,021 $154K
77066 Tomosynthesis, mammo <1% 1,628 $153K
90670 <1% 8,519 $152K
0002A <1% 3,997 $149K
11900 <1% 994 $143K
82728 <1% 19,065 $140K
17380 <1% 495 $139K
96416 <1% 432 $139K
99386 <1% 1,247 $138K
82784 <1% 17,121 $138K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 227 $137K
J9173 Injection, durvalumab, 10 mg <1% 14 $137K
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) <1% 1,570 $136K
83036 Hemoglobin; glycosylated (A1C) <1% 52,627 $136K
C1887 Catheter, guiding (may include infusion/perfusion capability) <1% 3,463 $134K
J9070 Cyclophosphamide, 100 mg <1% 529 $132K
36000 <1% 11,250 $129K
86769 <1% 4,354 $128K
77065 Tomosynthesis, mammo <1% 1,913 $127K
99442 <1% 3,158 $127K
0001A <1% 3,494 $125K
88112 <1% 2,896 $124K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 2,485 $123K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 3,134 $123K
Q9957 Injection, perflutren lipid microspheres, per ml <1% 2,414 $122K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 51,052 $121K
90837 Psychotherapy session, about an hour <1% 653 $120K
90750 <1% 1,034 $120K
80069 <1% 9,026 $118K
83655 <1% 9,709 $117K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 1,121 $116K
43235 <1% 179 $116K
31575 <1% 524 $116K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 3,340 $114K
P9047 Infusion, albumin (human), 25%, 50 ml <1% 748 $111K
96376 <1% 5,458 $111K
93320 <1% 1,074 $110K
76937 <1% 1,371 $109K
91200 <1% 3,054 $107K
J2469 Injection, palonosetron hcl, 25 mcg <1% 3,849 $106K
87507 <1% 895 $105K
76642 <1% 2,207 $105K
94060 <1% 928 $104K
86803 <1% 23,259 $104K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 2,569 $102K
87799 <1% 2,702 $102K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 19,711 $102K
17110 <1% 512 $101K
93880 <1% 682 $101K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 7,735 $100K
52000 <1% 176 $100K
87497 <1% 3,471 $99K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 2,260 $98K
92083 <1% 2,299 $98K
90674 <1% 3,829 $98K
97165 <1% 1,065 $97K
99384 <1% 666 $97K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 1,253 $97K
90732 <1% 1,633 $96K
90746 <1% 2,167 $95K
83615 <1% 32,725 $95K
87517 <1% 2,728 $93K
80076 <1% 9,000 $93K
76801 <1% 1,525 $93K
76813 <1% 1,495 $92K
83021 <1% 5,505 $92K
88275 <1% 685 $91K
88271 <1% 735 $91K
97803 <1% 2,169 $90K
96402 <1% 2,311 $90K
76536 <1% 1,196 $90K
87428 <1% 4,722 $89K
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% 5,739 $89K
83883 <1% 10,960 $86K
91320 <1% 1,159 $86K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 2,439 $85K
92060 <1% 1,796 $84K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 1,316 $82K
85610 <1% 38,158 $82K
83735 <1% 32,000 $81K
C1889 Implantable/insertable device, not otherwise classified <1% 1,919 $81K
96411 <1% 1,568 $80K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 2,073 $79K
83970 <1% 2,521 $79K
82248 <1% 45,362 $78K
11721 <1% 2,415 $78K
93225 <1% 1,191 $78K
82607 <1% 10,609 $77K
58100 <1% 341 $75K
J0583 Injection, bivalirudin, 1 mg <1% 832 $75K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 6,418 $75K
90734 <1% 3,868 $74K
84443 Thyroid stimulating hormone (TSH) <1% 22,562 $73K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 3,795 $73K
G0009 Administration of pneumococcal vaccine <1% 3,388 $72K
36591 <1% 1,996 $72K
J3490 Unclassified drugs <1% 2,637 $72K
99402 <1% 1,495 $72K
86706 <1% 15,009 $71K
92250 <1% 1,818 $69K
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes <1% 2,165 $67K
90739 <1% 816 $65K
57454 <1% 220 $65K
82670 <1% 3,702 $64K
84403 <1% 4,711 $64K
86923 <1% 4,165 $61K
97116 <1% 1,854 $61K
71046 Radiologic examination, chest; 2 views <1% 17,545 $61K
94729 <1% 1,586 $61K
99051 <1% 6,445 $60K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 653 $60K
92133 <1% 1,818 $59K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 4,011 $59K
86780 <1% 24,579 $58K
82977 <1% 35,186 $57K
88184 <1% 2,171 $57K
41899 Unlisted procedure, dentoalveolar structures <1% 46 $56K
70496 <1% 629 $56K
84100 <1% 22,786 $55K
99441 <1% 3,180 $55K
J2796 Injection, romiplostim, 10 micrograms <1% 26 $55K
93925 <1% 380 $55K
J9263 Injection, oxaliplatin, 0.5 mg <1% 404 $55K
59430 <1% 292 $54K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 137 $53K
86334 <1% 4,743 $52K
0124A <1% 1,470 $51K
10060 <1% 298 $51K
81002 <1% 46,154 $51K
90716 <1% 2,815 $51K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 84 $50K
87340 <1% 18,690 $50K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg <1% 66 $50K
82570 <1% 17,237 $50K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 4,039 $50K
84550 <1% 19,715 $48K
88237 <1% 593 $48K
90620 <1% 1,088 $48K
83540 <1% 17,751 $48K
77301 <1% 90 $48K
92567 <1% 1,361 $47K
94726 <1% 742 $47K
83550 <1% 17,224 $47K
11102 <1% 119 $46K
86003 <1% 2,648 $46K
0224U <1% 1,201 $46K
76830 Ultrasound, transvaginal <1% 2,073 $45K
92557 <1% 1,112 $45K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 221 $45K
95700 <1% 285 $44K
92015 Determination of refractive state <1% 1,637 $44K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 1,910 $43K
G0010 Administration of hepatitis b vaccine <1% 2,398 $43K
84439 <1% 9,785 $43K
90461 <1% 2,246 $43K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 1,651 $43K
90707 <1% 2,974 $42K
J7304 Contraceptive supply, hormone containing patch, each <1% 321 $42K
85027 <1% 27,246 $42K
83520 <1% 4,437 $42K
85730 <1% 26,109 $41K
58300 <1% 404 $40K
88304 <1% 2,822 $40K
90694 <1% 1,827 $40K
87086 Culture, bacterial; quantitative colony count, urine <1% 19,089 $40K
0004A <1% 1,070 $40K
12001 <1% 190 $39K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 58 $38K
82378 <1% 3,715 $37K
83001 <1% 2,730 $37K
93308 <1% 294 $37K
90472 Immunization administration, each additional vaccine (list separately) <1% 3,069 $37K
99401 <1% 915 $37K
76942 <1% 368 $37K
S4993 Contraceptive pills for birth control <1% 4,690 $37K
86360 <1% 1,259 $37K
86704 <1% 8,455 $36K
93226 <1% 626 $36K
82107 <1% 856 $35K
90680 <1% 6,855 $35K
90480 <1% 1,186 $35K
99417 Prolong home eval add 15m <1% 1,331 $35K
88313 <1% 2,667 $35K
83002 <1% 2,565 $35K
92579 <1% 615 $34K
82043 <1% 11,880 $34K
84270 <1% 2,909 $34K
84460 <1% 14,653 $33K
82150 <1% 8,879 $33K
86762 <1% 3,978 $33K
86765 <1% 4,081 $33K
90678 <1% 167 $33K
T1013 Sign language or oral interpretive services, per 15 minutes <1% 2,147 $33K
84702 <1% 11,901 $32K
92550 <1% 631 $31K
86870 <1% 1,307 $29K
86922 <1% 1,625 $29K
86140 <1% 14,755 $28K
95708 <1% 105 $28K
70551 Magnetic resonance imaging, brain; without contrast material <1% 212 $28K
93242 <1% 470 $27K
93325 <1% 927 $27K
95800 <1% 307 $27K
84146 <1% 1,976 $27K
64615 <1% 37 $27K
J0741 Injection, cabotegravir and rilpivirine, 2mg/3mg <1% 29 $26K
84165 <1% 6,631 $26K
82803 <1% 4,132 $26K
86141 <1% 4,096 $26K
97542 <1% 434 $26K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 7,090 $26K
C9399 Unclassified drugs or biologicals <1% 16 $25K
81001 <1% 25,492 $25K
90648 <1% 4,795 $24K
73562 <1% 2,350 $24K
90698 <1% 4,908 $24K
90633 <1% 4,683 $24K
81206 <1% 194 $24K
80197 <1% 4,191 $23K
J0640 Injection, leucovorin calcium, per 50 mg <1% 783 $23K
73630 <1% 3,142 $23K
87070 <1% 5,959 $23K
96409 <1% 288 $23K
87480 <1% 2,257 $23K
92551 <1% 538 $23K
99383 <1% 245 $23K
87510 <1% 2,246 $22K
85045 <1% 11,357 $22K
72125 Computed tomography, cervical spine; without contrast material <1% 1,160 $22K
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg <1% 1,931 $22K
87660 <1% 2,207 $22K
82533 <1% 2,599 $22K
45190 <1% 13 $22K
80051 <1% 2,179 $22K
96377 <1% 980 $22K
90656 <1% 2,359 $21K
86355 <1% 938 $21K
81003 <1% 21,228 $21K
84075 <1% 10,623 $21K
73610 <1% 2,496 $20K
86787 <1% 3,916 $20K
86300 <1% 1,627 $19K
59841 <1% 25 $19K
0072A <1% 465 $19K
J9045 Injection, carboplatin, 50 mg <1% 615 $19K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 1,430 $19K
J1439 Injection, ferric carboxymaltose, 1 mg <1% 28 $18K
54640 <1% 12 $18K
J1750 Injection, iron dextran, 50 mg <1% 101 $18K
92202 <1% 607 $18K
77338 <1% 90 $18K
88173 <1% 480 $18K
73130 <1% 2,644 $18K
Q9950 Injection, sulfur hexafluoride lipid microspheres, per ml <1% 342 $18K
73110 <1% 1,996 $17K
85651 <1% 14,808 $17K
84402 <1% 1,066 $17K
0003A <1% 470 $17K
82105 <1% 4,762 $17K
84156 <1% 7,257 $16K
84484 <1% 24,696 $16K
0071A <1% 423 $16K
99245 <1% 87 $16K
12011 <1% 118 $16K
86160 <1% 2,334 $16K
86357 <1% 956 $15K
86359 <1% 864 $15K
96127 <1% 2,622 $15K
87077 <1% 5,041 $15K
J9190 Injection, fluorouracil, 500 mg <1% 705 $15K
J1756 Injection, iron sucrose, 1 mg <1% 446 $15K
0358T <1% 505 $15K
96368 <1% 1,173 $15K
73030 <1% 2,147 $15K
88360 <1% 335 $15K
84153 <1% 2,882 $14K
87902 <1% 54 $14K
36465 <1% 47 $14K
74174 <1% 194 $14K
72100 <1% 1,022 $14K
85384 <1% 2,943 $14K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 9,505 $14K
11982 <1% 66 $14K
86592 <1% 13,805 $13K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 10,522 $13K
46601 <1% 38 $13K
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) <1% 1,728 $13K
84450 <1% 8,820 $13K
90744 <1% 2,894 $13K
90723 <1% 2,918 $13K
82962 <1% 18,512 $12K
70486 <1% 312 $12K
76870 <1% 334 $12K
73560 <1% 1,438 $12K
D0140 Limited oral evaluation - problem focused <1% 300 $12K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 1,695 $12K
87186 <1% 5,351 $12K
82565 <1% 9,440 $12K
73502 <1% 1,036 $12K
86376 <1% 1,259 $12K
95012 <1% 955 $11K
82746 <1% 2,050 $11K
97166 <1% 134 $11K
0064A <1% 274 $11K
82950 <1% 2,914 $11K
82232 <1% 1,335 $11K
86708 <1% 2,478 $11K
83010 <1% 1,672 $11K
93798 <1% 665 $11K
83690 <1% 19,801 $11K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 6,778 $11K
90662 <1% 714 $11K
92555 <1% 193 $10K
85018 <1% 6,831 $10K
J2704 Injection, propofol, 10 mg <1% 17,845 $10K
20610 <1% 78 $10K
87640 <1% 553 $10K
82627 <1% 582 $10K
90710 <1% 1,815 $9K
88142 <1% 450 $9K
85378 <1% 3,945 $9K
90661 <1% 288 $9K
86200 <1% 1,107 $9K
86039 <1% 2,686 $9K
86880 <1% 606 $9K
86301 <1% 1,177 $9K
82550 <1% 4,020 $9K
86735 <1% 1,683 $9K
82785 <1% 1,043 $8K
87081 <1% 2,254 $8K
90378 <1% 28 $8K
82247 <1% 11,688 $8K
95249 <1% 146 $8K
0081A <1% 183 $8K
71045 Radiologic examination, chest; single view <1% 3,853 $8K
73590 <1% 1,526 $8K
99201 <1% 93 $8K
J8540 Dexamethasone, oral, 0.25 mg <1% 6,062 $8K
11720 <1% 269 $8K
86800 <1% 884 $7K
0082A <1% 162 $7K
86235 <1% 1,457 $7K
87641 <1% 424 $7K
0054A <1% 182 $7K
90700 <1% 1,849 $7K
90632 <1% 154 $7K
90696 <1% 1,792 $7K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 6,105 $7K
87653 <1% 291 $7K
88311 <1% 910 $7K
87210 <1% 3,046 $7K
0154A <1% 152 $7K
G9012 Other specified case management service not elsewhere classified <1% 76 $7K
81420 Fetal chromosomal aneuploidy genomic sequence analysis panel <1% 38 $7K
J9075 Injection, cyclophosphamide, not otherwise specified, 5 mg <1% 42 $7K
36246 <1% 14 $6K
93750 <1% 168 $6K
Q5101 Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram <1% 69 $6K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 72 $6K
67028 Intravitreal injection of a pharmacologic agent <1% 97 $6K
72082 <1% 117 $6K
76775 <1% 133 $6K
80074 <1% 434 $6K
J1170 Injection, hydromorphone, up to 4 mg <1% 3,323 $6K
84305 <1% 360 $6K
82542 <1% 400 $6K
87040 <1% 7,224 $6K
70498 <1% 451 $6K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 2,389 $6K
86905 <1% 262 $6K
76882 <1% 202 $6K
81267 <1% 47 $6K
C1781 Mesh (implantable) <1% 98 $5K
C1876 Stent, non-coated/non-covered, with delivery system <1% 12 $5K
J2371 Injection, phenylephrine hydrochloride, 20 micrograms <1% 1,168 $5K
76857 <1% 263 $5K
88108 <1% 153 $5K
86701 <1% 803 $5K
82677 <1% 408 $5K
93922 <1% 129 $5K
99153 Mod sedat endo service >5yrs <1% 2,679 $5K
81207 <1% 61 $5K
85245 <1% 356 $5K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment <1% 29 $5K
84425 <1% 579 $5K
92020 <1% 124 $5K
73090 <1% 1,191 $5K
92201 <1% 116 $5K
75716 <1% 78 $5K
84480 <1% 1,303 $5K
81374 <1% 91 $5K
86665 <1% 384 $5K
82397 <1% 659 $5K
88160 <1% 237 $5K
92002 <1% 51 $5K
11981 <1% 27 $5K
86644 <1% 530 $5K
72170 <1% 513 $5K
86431 <1% 1,516 $4K
73070 <1% 764 $4K
S0028 Injection, famotidine, 20 mg <1% 7,346 $4K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 11,366 $4K
D9222 <1% 29 $4K
88300 <1% 561 $4K
85240 <1% 411 $4K
82310 <1% 3,221 $4K
D0330 Panoramic radiographic image <1% 134 $4K
58301 <1% 40 $4K
95816 <1% 14 $4K
95886 <1% 53 $4K
86696 <1% 522 $4K
A4648 Tissue marker, implantable, any type, each <1% 432 $4K
85246 <1% 358 $4K
72131 <1% 106 $4K
J9370 Vincristine sulfate, 1 mg <1% 402 $4K
83605 <1% 6,963 $4K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 4,959 $4K
10005 <1% 16 $3K
D0150 Comprehensive oral evaluation - new or established patient <1% 119 $3K
82024 <1% 105 $3K
92587 <1% 154 $3K
87338 <1% 600 $3K
J1644 Injection, heparin sodium, per 1000 units <1% 5,704 $3K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 5,949 $3K
J0690 Injection, cefazolin sodium, 500 mg <1% 6,501 $3K
J9171 Injection, docetaxel, 1 mg <1% 35 $3K
87205 <1% 4,088 $3K
99152 <1% 3,056 $3K
83519 <1% 343 $3K
88262 <1% 36 $3K
96523 <1% 71 $3K
86225 <1% 919 $3K
J0610 Injection, calcium gluconate (fresenius kabi), per 10 ml <1% 589 $3K
88720 <1% 1,383 $3K
76514 <1% 98 $3K
84166 <1% 581 $3K
86580 <1% 347 $3K
C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, other than peel-away <1% 70 $3K
84163 <1% 277 $3K
73700 <1% 27 $3K
84520 <1% 8,707 $3K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 13,683 $3K
J1380 Injection, estradiol valerate, up to 10 mg <1% 709 $3K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 17,803 $3K
76820 <1% 131 $3K
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 2,967 $3K
M0239 Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring <1% 15 $3K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 106 $3K
82947 <1% 5,781 $3K
84132 <1% 4,753 $3K
86147 <1% 271 $3K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 2,791 $3K
86255 <1% 900 $3K
86593 <1% 6,787 $3K
84295 <1% 6,432 $3K
76604 <1% 148 $2K
86777 <1% 339 $2K
88172 <1% 62 $2K
D1110 Prophylaxis - adult <1% 58 $2K
88312 <1% 124 $2K
96380 <1% 111 $2K
92582 <1% 25 $2K
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 360 $2K
62270 <1% 14 $2K
82108 <1% 65 $2K
83695 <1% 247 $2K
74018 <1% 477 $2K
82985 <1% 438 $2K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 15 $2K
91318 <1% 39 $2K
97167 <1% 25 $2K
C1753 Catheter, intravascular ultrasound <1% 26 $2K
A9585 Injection, gadobutrol, 0.1 ml <1% 545 $2K
82103 <1% 282 $2K
82610 <1% 208 $2K
82553 <1% 1,708 $2K
99244 Office or other outpatient consultation, moderate to high complexity <1% 13 $2K
99173 <1% 449 $2K
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 2,515 $2K
Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units <1% 24 $2K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 286 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 14,695 $2K
86336 <1% 423 $2K
J1815 Injection, insulin, per 5 units <1% 1,558 $2K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 1,724 $2K
90381 <1% 75 $2K
86304 <1% 182 $2K
97161 <1% 28 $2K
75625 <1% 52 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,303 $2K
0012A <1% 44 $2K
99421 <1% 24 $2K
89051 <1% 1,890 $2K
92611 <1% 12 $2K
90653 <1% 158 $2K
95957 <1% 14 $2K
82330 <1% 1,668 $2K
J2270 Injection, morphine sulfate, up to 10 mg <1% 4,729 $2K
70491 <1% 14 $2K
1036F <1% 39,793 $2K
84481 <1% 293 $2K
86707 <1% 319 $1K
82435 <1% 5,982 $1K
51701 <1% 13 $1K
J3475 Injection, magnesium sulfate, per 500 mg <1% 1,267 $1K
77062 <1% 12 $1K
77061 <1% 12 $1K
C1773 Retrieval device, insertable (used to retrieve fractured medical devices) <1% 38 $1K
91321 <1% 37 $1K
84445 <1% 30 $1K
90474 <1% 111 $1K
73060 <1% 259 $1K
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg <1% 153 $1K
87350 <1% 298 $1K
J9000 Injection, doxorubicin hydrochloride, 10 mg <1% 58 $1K
97163 <1% 13 $1K
82374 <1% 3,993 $1K
J3370 Injection, vancomycin hcl, 500 mg <1% 1,592 $1K
85597 <1% 79 $1K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 15 $1K
76885 <1% 13 $1K
71250 <1% 16 $1K
73140 <1% 203 $1K
73600 <1% 140 $1K
90611 <1% 201 $1K
91319 <1% 15 $1K
85347 <1% 1,852 $1K
73552 <1% 177 $1K
10061 <1% 12 $1K
87652 <1% 66 $1K
99397 <1% 12 $1K
93799 <1% 490 $1K
84681 <1% 68 $994.72
84155 <1% 4,757 $983.12
D1120 Dental cleaning, child <1% 28 $981.08
S0020 Injection, bupivicaine hydrochloride, 30 ml <1% 2,805 $957.31
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg <1% 379 $954.27
85670 <1% 263 $948.81
D0274 Bitewings - four radiographic images <1% 40 $940.68
87899 <1% 237 $930.25
99382 <1% 12 $928.76
88302 <1% 111 $924.18
OP250 <1% 471 $919.54
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 330 $900.39
83921 <1% 78 $897.22
0011A <1% 21 $881.80
92025 <1% 14 $828.35
J3480 Injection, potassium chloride, per 2 meq <1% 799 $817.91
83498 <1% 40 $815.10
J9206 Injection, irinotecan, 20 mg <1% 43 $771.92
80177 <1% 224 $735.95
86038 <1% 279 $735.89
95885 <1% 12 $718.26
82960 <1% 401 $712.28
83051 <1% 297 $704.62
86356 <1% 90 $701.33
84466 <1% 95 $692.33
82390 <1% 140 $674.52
91308 <1% 401 $665.67
69210 <1% 12 $646.99
90380 <1% 51 $641.48
C1819 Surgical tissue localization and excision device (implantable) <1% 41 $635.36
0052A <1% 15 $634.46
84145 <1% 360 $622.97
99188 <1% 106 $615.77
80145 <1% 63 $614.05
D0120 Dental checkup, returning patient <1% 18 $600.33
86705 <1% 150 $595.19
76818 <1% 15 $587.44
76812 <1% 13 $586.87
J9267 Injection, paclitaxel, 1 mg <1% 34 $581.92
D9430 <1% 33 $557.60
86828 <1% 13 $554.28
87535 <1% 30 $552.49
73080 <1% 51 $545.89
72110 <1% 25 $544.07
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 3,660 $539.66
84154 <1% 121 $520.30
C8930 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; including performance of continuous electrocardiographic monitoring, with physician supervision <1% 24 $510.89
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 3,890 $508.12
93351 <1% 14 $503.45
J9060 Injection, cisplatin, powder or solution, 10 mg <1% 28 $501.06
83525 <1% 49 $491.49
90682 <1% 22 $478.49
11056 <1% 12 $474.41
86778 <1% 57 $471.07
87102 <1% 198 $464.19
51702 <1% 15 $458.94
83516 <1% 20 $458.50
86688 <1% 67 $454.72
85613 <1% 85 $451.51
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen <1% 7,117 $438.50
86146 <1% 50 $438.08
82172 <1% 40 $427.31
99406 <1% 12 $399.12
73564 <1% 12 $397.69
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination <1% 12 $396.12
86645 <1% 78 $383.07
87206 <1% 357 $382.30
86695 <1% 56 $381.67
76810 <1% 33 $381.12
J0780 Injection, prochlorperazine, up to 10 mg <1% 268 $372.00
82810 <1% 293 $365.29
D0220 Intraoral - periapical first radiographic image <1% 43 $362.24
94010 <1% 13 $357.28
82955 <1% 67 $347.05
80164 <1% 93 $342.70
99415 Prolong outpt/office vis <1% 88 $338.24
80321 <1% 81 $330.75
87324 <1% 105 $328.97
87075 <1% 179 $301.92
4004F <1% 11,378 $290.98
86687 <1% 67 $286.16
92136 <1% 12 $271.76
90647 <1% 55 $268.29
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 904 $264.39
84260 <1% 14 $264.15
91312 <1% 1,166 $256.99
81268 <1% 48 $250.36
A0425 Ground mileage, per statute mile <1% 31 $243.89
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 5,630 $236.39
80195 <1% 39 $230.19
84157 <1% 140 $227.96
86709 <1% 54 $227.77
J7509 Methylprednisolone oral, per 4 mg <1% 88 $221.75
76814 <1% 17 $209.89
99408 <1% 14 $209.70
87116 <1% 133 $209.47
82085 <1% 30 $203.40
84300 <1% 203 $199.94
82575 <1% 68 $195.02
90713 <1% 12 $194.02
84207 <1% 12 $191.00
87449 <1% 228 $185.52
90685 <1% 24 $177.11
J0153 Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) <1% 15 $164.56
86328 <1% 24 $162.95
72070 <1% 17 $158.96
76512 <1% 14 $156.45
86682 <1% 26 $156.17
82951 <1% 25 $150.48
87220 <1% 126 $147.73
82945 <1% 87 $137.55
D0230 Intraoral - periapical each additional radiographic image <1% 26 $133.72
C1729 Catheter, drainage <1% 28 $131.87
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 108 $131.84
85520 <1% 16 $129.28
J1940 Injection, furosemide, up to 20 mg <1% 639 $127.88
J1245 Injection, dipyridamole, per 10 mg <1% 24 $127.86
J1596 Injection, glycopyrrolate, 0.1 mg <1% 309 $126.80
J0692 Injection, cefepime hydrochloride, 500 mg <1% 155 $120.69
84134 <1% 25 $118.24
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen <1% 6,126 $118.23
S0030 Injection, metronidazole, 500 mg <1% 389 $117.30
71100 <1% 98 $112.57
85014 <1% 651 $112.25
84311 <1% 195 $103.93
J9250 Methotrexate sodium, 5 mg <1% 72 $103.57
80143 <1% 162 $102.89
J0461 Injection, atropine sulfate, 0.01 mg <1% 35 $90.42
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm <1% 165 $90.24
82952 <1% 104 $88.11
J2060 Injection, lorazepam, 2 mg <1% 606 $86.16
J1630 Injection, haloperidol, up to 5 mg <1% 858 $84.91
J0360 Injection, hydralazine hcl, up to 20 mg <1% 167 $83.78
D9310 <1% 13 $83.59
74019 <1% 12 $82.20
80179 <1% 134 $82.05
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram <1% 2,508 $81.50
J2550 Injection, promethazine hcl, up to 50 mg <1% 195 $81.11
H0049 Alcohol and/or drug screening <1% 15 $72.72
73620 <1% 28 $61.99
81257 <1% 15 $61.36
83993 <1% 14 $56.40
84133 <1% 38 $56.19
J0280 Injection, aminophyllin, up to 250 mg <1% 12 $53.08
87430 <1% 13 $52.00
J1650 Injection, enoxaparin sodium, 10 mg <1% 155 $51.52
91307 <1% 860 $51.14
S0077 Injection, clindamycin phosphate, 300 mg <1% 26 $51.02
83050 <1% 62 $50.57
80320 <1% 377 $47.54
87254 <1% 12 $47.32
82375 <1% 39 $42.63
82465 <1% 12 $35.21
84436 <1% 12 $34.20
J1030 Injection, methylprednisolone acetate, 40 mg <1% 13 $28.70
J1171 Injection, hydromorphone, 0.1 mg <1% 19 $28.17
84478 <1% 13 $25.15
83935 <1% 12 $21.39
91305 <1% 183 $20.19
91306 <1% 120 $19.04
82948 <1% 131 $19.00
80329 <1% 134 $17.98
G9902 Patient screened for tobacco use and identified as a tobacco user <1% 5,710 $16.98
91300 <1% 3,593 $14.01
J1836 Injection, metronidazole, 10 mg <1% 70 $9.85
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg <1% 17 $9.53
82436 <1% 12 $7.43
87176 <1% 21 $6.40
J1598 Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to j1596, 0.1 mg <1% 87 $6.14
J1580 Injection, garamycin, gentamicin, up to 80 mg <1% 12 $3.11
J7510 Prednisolone oral, per 5 mg <1% 63 $2.98
J2003 Injection, lidocaine hydrochloride, 1 mg <1% 115 $2.59
91317 <1% 15 $2.00
J1920 Injection, labetalol hydrochloride, 5 mg <1% 38 $1.98
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg <1% 103 $0.64
C9113 Injection, pantoprazole sodium, per vial <1% 20 $0.57
G9740 Hospice services given to patient any time during the measurement period <1% 193 $0.46
G9687 Hospice services provided to patient any time during the measurement period <1% 306 $0.43
G9903 Patient screened for tobacco use and identified as a tobacco non-user <1% 20 $0.17
3078F <1% 4,043 $0.11
G9691 Patient had hospice services any time during the measurement period <1% 24 $0.10
3074F <1% 3,373 $0.09
3077F <1% 1,047 $0.08
3080F <1% 244 $0.04
3079F <1% 584 $0.02
3044F <1% 1,206 $0.01
3048F <1% 1,507 $0.01
3049F 0% 436 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 1,546 $0.00
91315 0% 130 $0.00
99429 0% 3,433 $0.00
3075F 0% 467 $0.00
1111F 0% 165 $0.00
G8756 No documentation of blood pressure measurement, reason not given 0% 279 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 0% 129 $0.00
D1310 0% 17 $0.00
1123F 0% 416 $0.00
G9231 Documentation of end stage renal disease (esrd), dialysis, renal transplant before or during the measurement period or pregnancy during the measurement period 0% 153 $0.00
0503F 0% 17 $0.00
C2617 Stent, non-coronary, temporary, without delivery system 0% 12 $0.00
C1726 Catheter, balloon dilatation, non-vascular 0% 12 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 16 $0.00
81599 0% 15 $0.00
91301 0% 12 $0.00
3051F 0% 52 $0.00
99080 0% 10,720 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 0% 523 $0.00
G8938 Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible 0% 1,790 $0.00
3050F 0% 484 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 1,177 $0.00
3046F 0% 53 $0.00
4040F 0% 82 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 0% 13 $0.00
93571 0% 24 $0.00
3725F 0% 12 $0.00
3045F 0% 36 $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 officialSCANLON, DON (CEO MEDICAL CENTER)
Same official

Other billing entities under SCANLON, DON

Full network →
ProviderLocationPaid
Mount Sinai HospitalNew York, NY$4.35M
Mount Sinai HospitalNew York, NY$8K

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