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

Charleston Area Medical Center INC

Charleston Area Medical Center INC was paid $199.84M by Medicaid between Jan 2018 and Dec 2024, across 736 billing codes. Its largest line is 99285, emergency room visit (most serious) — 12% of everything it billed.

33Billing provider infoCHARLESTON AREA MEDICAL CENTER INC
CHARLESTON, WV 25301
33aNPI1952390239assigned 10/19/2005
28Total paid$199.84M
24GClaims4,024,224
24DCodes billed736
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in West Virginia

Rank by total paid#1 of 26
Median peer was paid$18.33M
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.

Box 24A · Dates of service

Paid by month

$0$5.0M$10M2018201920202021202220232024
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
2018712,859$52.36M
2019540,421$43.02M
2020683,852$46.52M
2021682,410$21.07M
2022452,338$12.39M
2023525,321$13.69M
2024incomplete427,023$10.78M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 12% 58,239 49,719 $24.93M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 9.1% 104,236 92,738 $18.22M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 4.5% 95,002 86,470 $9.09M
41899 Unlisted procedure, dentoalveolar structures 3.6% 6,371 5,098 $7.25M
J9271 Injection, pembrolizumab, 1 mg 2.5% 907 580 $4.97M
74177 Computed tomography, abdomen and pelvis; with contrast material 2.1% 15,623 13,887 $4.12M
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.9% 257,049 209,267 $3.76M
36415 Collection of venous blood by venipuncture 1.4% 144,015 98,845 $2.82M
G0378 Hospital observation service, per hour 1.3% 6,926 5,721 $2.65M
J3010 Injection, fentanyl citrate, 0.1 mg 1.3% 40,746 28,681 $2.58M
83605 1.3% 139,468 108,264 $2.52M
J2405 Injection, ondansetron hydrochloride, per 1 mg 1.1% 59,235 43,397 $2.30M
724 more codes
80047 1.1% 115,392 $2.14M
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 1.0% 8,019 $2.03M
J2704 Injection, propofol, 10 mg <1% 33,274 $1.99M
80053 Comprehensive metabolic panel <1% 118,339 $1.93M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 11,581 $1.81M
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 1,549 $1.81M
99214 Doctor's office visit, returning patient (more involved) <1% 96,972 $1.78M
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 95,669 $1.72M
70450 Computed tomography, head or brain; without contrast material <1% 19,926 $1.65M
J1745 Injection, infliximab, excludes biosimilar, 10 mg <1% 927 $1.62M
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 31,681 $1.61M
93458 <1% 2,319 $1.54M
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 20,070 $1.54M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 11,731 $1.50M
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries <1% 1,958 $1.46M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 5,216 $1.44M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 43,641 $1.41M
84484 <1% 59,175 $1.34M
71046 Radiologic examination, chest; 2 views <1% 46,582 $1.31M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 23,140 $1.29M
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 31,627 $1.27M
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 29,107 $1.24M
84443 Thyroid stimulating hormone (TSH) <1% 63,894 $1.22M
81001 <1% 99,236 $1.21M
80048 Basic metabolic panel (calcium, ionized) <1% 55,425 $1.15M
99213 Doctor's office visit, returning patient (routine) <1% 59,472 $1.15M
96375 Therapeutic injection; each additional sequential IV push <1% 34,049 $1.14M
80076 <1% 71,242 $1.14M
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 13,670 $1.14M
77386 <1% 4,201 $1.13M
81025 <1% 21,838 $1.07M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 3,860 $1.04M
78815 Positron emission tomography (PET) for limited area imaging <1% 1,923 $1.02M
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 6,417 $983K
82948 <1% 11,975 $979K
96361 Intravenous infusion, hydration; each additional hour <1% 34,015 $976K
47562 <1% 360 $924K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 9,039 $879K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 4,219 $872K
J0690 Injection, cefazolin sodium, 500 mg <1% 12,431 $871K
C1874 Stent, coated/covered, with delivery system <1% 470 $813K
80074 <1% 16,695 $810K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 21,548 $790K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 21,529 $789K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 15,950 $772K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 4,033 $745K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 15,889 $733K
99215 Doctor's office visit, returning patient (complex) <1% 35,052 $720K
71275 Computed tomographic angiography, chest, with contrast material <1% 4,709 $680K
85610 <1% 54,477 $677K
83690 <1% 46,975 $669K
85027 <1% 38,799 $665K
72125 Computed tomography, cervical spine; without contrast material <1% 5,782 $642K
83036 Hemoglobin; glycosylated (A1C) <1% 43,010 $631K
80061 Lipid panel <1% 39,780 $623K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 12,076 $622K
J3490 Unclassified drugs <1% 2,975 $615K
84703 <1% 25,869 $558K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 21,221 $544K
J1170 Injection, hydromorphone, up to 4 mg <1% 10,338 $544K
93975 <1% 3,025 $543K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 23,465 $533K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 4,435 $525K
43282 <1% 489 $492K
88307 <1% 2,863 $477K
87040 <1% 18,959 $471K
87086 Culture, bacterial; quantitative colony count, urine <1% 30,358 $469K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 11,964 $465K
81514 <1% 2,466 $456K
0202U Oncology (prostate), multianalyte, gene expression profiling <1% 13,961 $443K
71045 Radiologic examination, chest; single view <1% 19,966 $440K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 22,117 $439K
70551 Magnetic resonance imaging, brain; without contrast material <1% 2,575 $436K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 8,389 $435K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 4,350 $434K
83735 <1% 39,720 $429K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 2,410 $422K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 17,081 $420K
76830 Ultrasound, transvaginal <1% 5,294 $405K
86850 <1% 15,988 $401K
88304 <1% 3,255 $394K
73564 <1% 5,232 $387K
88342 <1% 6,341 $383K
59025 Fetal non-stress test <1% 8,286 $373K
77067 Screening mammography, bilateral, including computer-aided detection <1% 5,206 $362K
74022 <1% 10,090 $361K
86900 <1% 16,096 $345K
87507 <1% 1,386 $343K
86901 <1% 16,087 $342K
85730 <1% 17,100 $338K
96415 <1% 3,558 $327K
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 3,764 $325K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 608 $324K
87070 <1% 18,305 $322K
86140 <1% 26,909 $318K
71250 <1% 3,580 $312K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 9,736 $299K
J1644 Injection, heparin sodium, per 1000 units <1% 15,056 $299K
80305 <1% 10,194 $297K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 3,466 $296K
87480 <1% 10,419 $295K
87660 <1% 10,378 $295K
87510 <1% 10,378 $294K
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 5,880 $294K
74178 <1% 827 $292K
76826 <1% 2,648 $291K
93971 <1% 3,722 $289K
96417 <1% 2,634 $289K
J2270 Injection, morphine sulfate, up to 10 mg <1% 8,942 $282K
43775 <1% 616 $282K
93017 <1% 4,494 $280K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 4,112 $277K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 290 $276K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 3,787 $273K
Q9951 Low osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml <1% 1,176 $273K
84439 <1% 20,124 $270K
96367 <1% 4,477 $269K
99205 Prolong outpt/office vis <1% 12,344 $268K
99204 Doctor's office visit, new patient (more involved) <1% 14,669 $265K
80320 <1% 6,178 $263K
93880 <1% 3,823 $262K
72141 <1% 1,027 $260K
83880 <1% 8,167 $260K
J2550 Injection, promethazine hcl, up to 50 mg <1% 4,353 $258K
77336 <1% 2,297 $252K
J3370 Injection, vancomycin hcl, 500 mg <1% 4,440 $247K
82607 <1% 14,991 $245K
59050 <1% 3,696 $243K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 4,508 $233K
J1815 Injection, insulin, per 5 units <1% 8,191 $231K
C1769 Guide wire <1% 4,059 $221K
95816 <1% 1,203 $221K
76536 <1% 3,425 $221K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 7,754 $218K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 907 $215K
J1453 Injection, fosaprepitant, 1 mg <1% 1,974 $208K
87205 <1% 7,894 $208K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 6,327 $206K
84100 <1% 12,346 $205K
J1650 Injection, enoxaparin sodium, 10 mg <1% 7,238 $205K
85379 <1% 9,678 $203K
73130 <1% 5,200 $201K
84702 <1% 6,918 $200K
93970 <1% 2,044 $199K
99203 Doctor's office visit, new patient (routine) <1% 9,778 $198K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 7,942 $195K
87186 <1% 10,294 $194K
82803 <1% 7,755 $191K
70498 <1% 1,178 $190K
73030 <1% 5,585 $190K
70486 <1% 1,282 $189K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml <1% 1,888 $186K
J2785 Injection, regadenoson, 0.1 mg <1% 2,362 $182K
70491 <1% 1,250 $172K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 5,843 $171K
87902 <1% 911 $167K
76825 <1% 1,080 $167K
73610 <1% 5,635 $166K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 19,236 $165K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 262 $164K
J2505 Injection, pegfilgrastim, 6 mg <1% 139 $162K
73630 <1% 5,567 $161K
C1758 Catheter, ureteral <1% 814 $154K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 1,917 $153K
87522 Neg quan hep c or qual rna <1% 4,707 $153K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 380 $152K
72110 <1% 4,303 $146K
84466 <1% 10,867 $144K
86780 <1% 8,932 $142K
87450 <1% 3,651 $141K
81003 <1% 23,059 $140K
88185 <1% 1,836 $139K
73110 <1% 4,482 $139K
96376 <1% 3,489 $139K
86481 <1% 1,612 $137K
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) <1% 1,322 $135K
76000 <1% 1,085 $135K
85652 <1% 15,585 $133K
96411 <1% 814 $132K
82728 <1% 9,063 $132K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 1,217 $129K
70496 <1% 747 $129K
J8501 Aprepitant, oral, 5 mg <1% 865 $128K
80329 <1% 1,516 $128K
87075 <1% 1,541 $127K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 6,312 $127K
87077 <1% 6,347 $127K
72158 <1% 269 $124K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 8,919 $124K
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 767 $121K
80335 <1% 1,430 $120K
76770 <1% 1,850 $119K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 8,735 $119K
93925 <1% 1,324 $118K
52356 <1% 100 $118K
J0897 Injection, denosumab, 1 mg <1% 140 $116K
84144 <1% 3,319 $114K
76642 <1% 2,250 $110K
10060 <1% 1,289 $110K
96401 <1% 974 $107K
93922 <1% 3,629 $107K
74018 <1% 4,159 $107K
96368 <1% 1,381 $104K
83540 <1% 11,551 $104K
84132 <1% 2,505 $103K
73502 <1% 3,942 $102K
76827 <1% 1,136 $100K
82746 <1% 6,891 $99K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 1,084 $99K
20610 <1% 1,945 $97K
C1781 Mesh (implantable) <1% 507 $96K
82330 <1% 4,165 $96K
J1756 Injection, iron sucrose, 1 mg <1% 3,221 $94K
C2617 Stent, non-coronary, temporary, without delivery system <1% 520 $93K
96402 <1% 354 $92K
86920 <1% 1,641 $92K
80050 General health panel <1% 2,827 $90K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 2,696 $89K
C1887 Catheter, guiding (may include infusion/perfusion capability) <1% 1,644 $88K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 4,187 $88K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 1,308 $88K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 2,596 $85K
72100 <1% 3,287 $84K
77334 <1% 665 $84K
P9016 Red blood cells, leukocytes reduced, each unit <1% 607 $83K
77301 <1% 132 $82K
76775 <1% 1,955 $80K
36430 <1% 860 $79K
C1889 Implantable/insertable device, not otherwise classified <1% 128 $79K
80179 <1% 6,645 $78K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 2,636 $78K
58661 <1% 26 $78K
70487 <1% 144 $74K
77066 Tomosynthesis, mammo <1% 973 $74K
12001 <1% 1,071 $72K
84403 <1% 2,899 $72K
82140 <1% 4,263 $72K
C1753 Catheter, intravascular ultrasound <1% 103 $72K
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg <1% 523 $69K
95819 <1% 258 $69K
76870 <1% 1,062 $68K
72156 <1% 170 $68K
86803 <1% 3,120 $68K
97161 <1% 1,706 $68K
75574 <1% 854 $68K
77300 <1% 385 $67K
94729 <1% 2,555 $66K
81596 <1% 667 $65K
73090 <1% 1,657 $64K
72072 <1% 1,779 $64K
J2469 Injection, palonosetron hcl, 25 mcg <1% 2,592 $64K
J0561 Injection, penicillin g benzathine, 100,000 units <1% 592 $62K
80143 <1% 5,344 $62K
82150 <1% 2,317 $62K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 1,141 $61K
J2060 Injection, lorazepam, 2 mg <1% 4,082 $61K
74019 <1% 2,716 $61K
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 3,235 $61K
94726 <1% 2,289 $61K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 595 $60K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 3,095 $60K
70320 <1% 206 $60K
82550 <1% 4,716 $58K
73590 <1% 2,066 $57K
90715 <1% 1,308 $57K
82565 <1% 5,891 $56K
88184 <1% 1,834 $56K
88312 <1% 66 $56K
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% 564 $54K
87102 <1% 1,002 $54K
83615 <1% 4,164 $54K
82947 <1% 7,456 $54K
J9355 Injection, trastuzumab, excludes biosimilar, 10 mg <1% 28 $53K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 1,228 $52K
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% 573 $52K
82784 <1% 3,707 $52K
83970 <1% 1,881 $52K
D1208 Topical application of fluoride, excluding varnish <1% 68 $52K
73080 <1% 1,583 $52K
84145 <1% 2,942 $52K
88341 <1% 704 $52K
86038 <1% 3,163 $51K
58571 <1% 38 $51K
73221 <1% 280 $50K
52000 <1% 280 $49K
12011 <1% 349 $49K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 4,559 $49K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 585 $49K
76001 <1% 124 $49K
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm <1% 428 $48K
J0360 Injection, hydralazine hcl, up to 20 mg <1% 1,607 $47K
C1760 Closure device, vascular (implantable/insertable) <1% 288 $47K
93976 <1% 707 $47K
72040 <1% 1,452 $47K
82570 <1% 6,558 $47K
86706 <1% 2,819 $46K
J3480 Injection, potassium chloride, per 2 meq <1% 2,616 $46K
J3475 Injection, magnesium sulfate, per 500 mg <1% 4,019 $46K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 133 $46K
77338 <1% 213 $46K
86762 <1% 1,640 $45K
J1580 Injection, garamycin, gentamicin, up to 80 mg <1% 509 $45K
94060 <1% 1,613 $45K
83520 <1% 1,904 $45K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 154 $44K
87338 <1% 2,636 $44K
J0640 Injection, leucovorin calcium, per 50 mg <1% 1,016 $44K
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries <1% 369 $43K
84550 <1% 3,583 $43K
84520 <1% 1,646 $42K
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision <1% 1,505 $42K
84153 <1% 1,912 $42K
74183 <1% 178 $41K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 2,981 $40K
86708 <1% 1,497 $40K
90686 <1% 3,142 $40K
93926 <1% 553 $40K
77065 Tomosynthesis, mammo <1% 823 $39K
76801 <1% 551 $39K
72050 <1% 787 $39K
73562 <1% 1,150 $39K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring <1% 91 $39K
82270 <1% 2,471 $39K
77080 <1% 650 $37K
J2360 Injection, orphenadrine citrate, up to 60 mg <1% 1,843 $37K
86256 <1% 847 $37K
86003 <1% 725 $36K
78264 <1% 205 $36K
93613 <1% 16 $35K
G0143 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under physician supervision <1% 1,186 $35K
G0297 Low dose ct scan (ldct) for lung cancer screening <1% 383 $35K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 686 $34K
80164 <1% 1,541 $34K
82105 <1% 1,292 $34K
97162 <1% 788 $33K
J9263 Injection, oxaliplatin, 0.5 mg <1% 302 $33K
J9045 Injection, carboplatin, 50 mg <1% 488 $33K
69210 <1% 328 $33K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 674 $33K
87340 <1% 2,112 $33K
74420 <1% 348 $33K
95886 <1% 542 $32K
72052 <1% 583 $32K
90714 <1% 1,909 $31K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 1,117 $31K
82378 <1% 1,137 $31K
C9113 Injection, pantoprazole sodium, per vial <1% 1,910 $30K
73552 <1% 927 $30K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 1,378 $30K
82977 <1% 1,974 $29K
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg <1% 268 $29K
76937 <1% 663 $29K
76820 <1% 531 $29K
84156 <1% 3,774 $29K
86704 <1% 1,763 $29K
84295 <1% 1,208 $29K
78227 <1% 110 $28K
82043 <1% 3,239 $28K
84146 <1% 985 $28K
A9537 Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries <1% 405 $28K
83002 <1% 1,308 $28K
86235 <1% 348 $28K
86376 <1% 1,569 $27K
84480 <1% 1,791 $26K
80069 <1% 3,780 $26K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 1,210 $25K
90832 Psychotherapy session, about 30 minutes <1% 585 $25K
73700 <1% 138 $25K
84112 <1% 304 $25K
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% 1,472 $25K
88302 <1% 108 $24K
88360 <1% 236 $24K
J9267 Injection, paclitaxel, 1 mg <1% 311 $24K
77072 <1% 1,019 $24K
77063 Screening digital breast tomosynthesis, bilateral <1% 1,436 $24K
73140 <1% 667 $24K
84481 <1% 1,297 $23K
A4314 Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) <1% 974 $23K
82670 <1% 782 $23K
82533 <1% 679 $23K
76819 Fetal biophysical profile; without non-stress testing <1% 387 $23K
93798 <1% 937 $23K
64483 <1% 91 $23K
A9577 Injection, gadobenate dimeglumine (multihance), per ml <1% 2,050 $23K
84450 <1% 909 $22K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 2,152 $22K
58558 <1% 75 $22K
86225 <1% 1,135 $22K
84460 <1% 894 $22K
93270 <1% 356 $21K
J2175 Injection, meperidine hydrochloride, per 100 mg <1% 129 $21K
12002 <1% 351 $21K
76377 <1% 286 $21K
87529 <1% 441 $21K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 81 $20K
73560 <1% 1,289 $20K
86304 <1% 554 $20K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 84 $20K
29125 <1% 223 $20K
94010 <1% 869 $20K
93226 <1% 116 $19K
83655 <1% 1,725 $19K
84305 <1% 962 $19K
86800 <1% 1,011 $19K
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml <1% 240 $19K
82103 <1% 660 $19K
54161 <1% 20 $18K
82785 <1% 869 $18K
J9035 Injection, bevacizumab, 10 mg <1% 33 $18K
78226 <1% 115 $18K
80197 <1% 2,706 $18K
83001 <1% 817 $17K
J7510 Prednisolone oral, per 5 mg <1% 681 $17K
85014 <1% 1,435 $17K
82397 <1% 620 $17K
J1940 Injection, furosemide, up to 20 mg <1% 1,999 $17K
73060 <1% 622 $17K
J0153 Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) <1% 241 $17K
83525 <1% 995 $17K
82040 <1% 31 $17K
88142 <1% 505 $16K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 206 $16K
72131 <1% 31 $16K
76882 <1% 389 $16K
31575 <1% 227 $16K
93978 <1% 316 $15K
71101 <1% 357 $15K
71271 <1% 276 $15K
64493 <1% 53 $15K
80055 <1% 441 $15K
85044 <1% 1,671 $15K
83516 <1% 1,218 $15K
88173 <1% 406 $15K
51798 <1% 1,227 $15K
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring <1% 36 $15K
84436 <1% 986 $15K
72146 <1% 74 $14K
Q9957 Injection, perflutren lipid microspheres, per ml <1% 220 $14K
36561 <1% 38 $14K
86308 <1% 928 $14K
82657 <1% 213 $14K
73070 <1% 664 $14K
72170 <1% 439 $14K
86431 <1% 1,464 $13K
96379 <1% 143 $13K
82248 <1% 1,567 $13K
43235 <1% 20 $13K
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 81 $12K
64494 <1% 49 $12K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 1,806 $12K
87324 <1% 157 $12K
86665 <1% 484 $12K
78306 <1% 39 $11K
C1726 Catheter, balloon dilatation, non-vascular <1% 499 $11K
10061 <1% 67 $11K
86709 <1% 421 $11K
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% 607 $11K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 568 $11K
A9576 Injection, gadoteridol, (prohance multipack), per ml <1% 240 $10K
J2997 Injection, alteplase recombinant, 1 mg <1% 68 $10K
96523 <1% 403 $10K
J0694 Injection, cefoxitin sodium, 1 gm <1% 798 $10K
88300 <1% 295 $10K
J1953 Injection, levetiracetam, 10 mg <1% 199 $10K
80202 <1% 242 $10K
95956 <1% 16 $10K
81599 <1% 168 $10K
82652 <1% 316 $10K
72081 <1% 383 $10K
82390 <1% 450 $10K
80177 <1% 290 $9K
84134 <1% 374 $9K
80178 <1% 347 $9K
85018 <1% 1,065 $9K
92083 <1% 394 $9K
89051 <1% 520 $9K
95716 <1% 18 $9K
90472 Immunization administration, each additional vaccine (list separately) <1% 490 $9K
87206 <1% 705 $9K
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% 317 $8K
82010 <1% 423 $8K
74174 <1% 112 $8K
51701 <1% 176 $8K
88143 <1% 272 $8K
86618 <1% 456 $8K
76885 <1% 60 $8K
86334 <1% 361 $7K
87449 <1% 374 $7K
87081 <1% 278 $7K
83883 <1% 196 $7K
95953 <1% 13 $7K
93660 <1% 85 $7K
86403 <1% 313 $7K
93000 <1% 381 $7K
83010 <1% 170 $7K
Q3014 Telehealth originating site facility fee <1% 236 $7K
64721 <1% 29 $7K
84402 <1% 334 $6K
84479 <1% 232 $6K
83721 <1% 217 $6K
88311 <1% 282 $6K
86664 <1% 270 $6K
90677 <1% 80 $6K
82172 <1% 116 $6K
52310 <1% 40 $6K
87799 <1% 424 $6K
84165 <1% 547 $6K
86663 <1% 273 $6K
76942 <1% 95 $6K
49083 <1% 68 $5K
92133 <1% 697 $5K
94664 <1% 139 $5K
86255 <1% 500 $5K
71100 <1% 159 $5K
87497 <1% 383 $5K
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries <1% 56 $5K
86200 <1% 540 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 192 $5K
J9190 Injection, fluorouracil, 500 mg <1% 160 $5K
87641 <1% 234 $5K
83993 <1% 169 $5K
70360 <1% 261 $5K
86696 <1% 286 $5K
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg <1% 133 $5K
J1630 Injection, haloperidol, up to 5 mg <1% 302 $5K
88112 <1% 138 $5K
73120 <1% 166 $5K
96409 <1% 88 $5K
19083 <1% 27 $5K
90636 <1% 93 $5K
99152 <1% 1,112 $5K
J3364 Injection, urokinase, 5000 iu vial <1% 45 $5K
70355 <1% 57 $5K
73000 <1% 181 $5K
93225 <1% 238 $4K
73522 <1% 178 $4K
J9060 Injection, cisplatin, powder or solution, 10 mg <1% 39 $4K
64495 <1% 17 $4K
25600 <1% 26 $4K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session <1% 474 $4K
92557 <1% 80 $4K
93312 <1% 83 $4K
86160 <1% 193 $4K
0003M <1% 90 $4K
73718 <1% 16 $4K
A9270 Non-covered item or service <1% 26,427 $4K
86364 <1% 427 $4K
82044 <1% 260 $4K
86300 <1% 103 $4K
36600 <1% 185 $4K
73620 <1% 133 $3K
87150 <1% 17 $3K
93882 <1% 40 $3K
86695 <1% 286 $3K
J2310 Injection, naloxone hydrochloride, per 1 mg <1% 85 $3K
99153 Mod sedat endo service >5yrs <1% 727 $3K
72190 <1% 51 $3K
93350 <1% 14 $3K
97602 <1% 402 $3K
97116 <1% 516 $3K
90670 <1% 73 $3K
62270 <1% 29 $3K
Q9950 Injection, sulfur hexafluoride lipid microspheres, per ml <1% 1,242 $3K
31231 <1% 30 $3K
90732 <1% 83 $3K
J0500 Injection, dicyclomine hcl, up to 20 mg <1% 75 $3K
J0461 Injection, atropine sulfate, 0.01 mg <1% 241 $3K
82627 <1% 112 $3K
86147 <1% 68 $3K
J3411 Injection, thiamine hcl, 100 mg <1% 42 $3K
S9444 Parenting classes, non-physician provider, per session <1% 273 $3K
80081 <1% 40 $3K
77280 <1% 19 $2K
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 144 $2K
J9206 Injection, irinotecan, 20 mg <1% 50 $2K
82679 <1% 114 $2K
84445 <1% 58 $2K
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) <1% 24 $2K
80230 <1% 91 $2K
74220 <1% 73 $2K
83630 <1% 99 $2K
99195 <1% 47 $2K
92611 <1% 26 $2K
97165 <1% 101 $2K
76813 <1% 33 $2K
70480 <1% 12 $2K
88313 <1% 29 $2K
51702 <1% 59 $2K
36590 <1% 16 $2K
99201 <1% 45 $2K
C1729 Catheter, drainage <1% 265 $2K
74230 <1% 12 $2K
95700 <1% 20 $2K
82247 <1% 163 $2K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 67 $2K
J0780 Injection, prochlorperazine, up to 10 mg <1% 169 $2K
86039 <1% 150 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 78 $2K
92579 <1% 27 $2K
72220 <1% 31 $2K
77370 <1% 15 $2K
92134 <1% 191 $1K
96377 <1% 55 $1K
97802 <1% 27 $1K
82465 <1% 41 $1K
83921 <1% 63 $1K
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 687 $1K
80347 <1% 401 $1K
80366 <1% 77 $1K
84478 <1% 38 $1K
77470 <1% 13 $1K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 29 $1K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram <1% 34 $1K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 33 $1K
29515 <1% 12 $1K
93289 <1% 143 $1K
84300 <1% 145 $1K
83521 <1% 120 $1K
95913 <1% 12 $1K
J0610 Injection, calcium gluconate (fresenius kabi), per 10 ml <1% 80 $988.87
97166 <1% 14 $986.03
81237 <1% 45 $980.00
L1830 Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf <1% 14 $957.19
82610 <1% 57 $953.93
82024 <1% 28 $921.44
95911 <1% 17 $903.00
80156 <1% 32 $877.72
72114 <1% 12 $876.00
J0456 Injection, azithromycin, 500 mg <1% 123 $873.38
86146 <1% 12 $866.03
83021 <1% 14 $864.66
83704 <1% 39 $862.87
P9047 Infusion, albumin (human), 25%, 50 ml <1% 13 $852.25
82436 <1% 113 $850.76
83020 <1% 14 $848.60
C1763 Connective tissue, non-human (includes synthetic) <1% 13 $839.00
83789 <1% 90 $836.38
86769 <1% 29 $836.21
87899 <1% 54 $834.20
86870 <1% 14 $809.54
84133 <1% 113 $792.56
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals <1% 122 $764.61
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting <1% 131 $764.61
84432 <1% 40 $738.11
80364 <1% 185 $731.10
58100 <1% 12 $715.50
V5264 Ear mold/insert, not disposable, any type <1% 18 $681.86
86812 <1% 31 $678.28
76506 <1% 12 $676.40
92552 <1% 39 $674.70
36000 <1% 44 $653.61
76818 <1% 22 $630.15
92567 <1% 41 $619.90
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 215 $594.45
93288 <1% 119 $591.52
82077 <1% 3,132 $575.21
73565 <1% 25 $535.50
87653 <1% 17 $495.82
87517 <1% 14 $485.78
86301 <1% 28 $432.55
88108 <1% 21 $429.00
85597 <1% 24 $389.94
86593 <1% 94 $352.05
83550 <1% 63 $340.65
82668 <1% 31 $327.45
81015 <1% 107 $303.22
86677 <1% 12 $291.48
83498 <1% 13 $285.37
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 249 $271.47
80051 <1% 88 $260.43
0077U <1% 325 $256.47
84630 <1% 27 $248.65
82951 <1% 15 $247.07
85613 <1% 27 $242.20
90656 <1% 33 $234.67
84425 <1% 12 $220.75
84410 <1% 14 $207.27
J3489 Injection, zoledronic acid, 1 mg <1% 14 $205.47
36902 <1% 13 $196.00
90662 <1% 123 $193.85
83090 <1% 13 $189.76
86625 <1% 17 $186.00
94760 <1% 149 $178.93
73100 <1% 20 $172.00
86705 <1% 14 $167.76
84446 <1% 12 $164.20
J1610 Injection, glucagon hydrochloride, per 1 mg <1% 13 $154.99
86787 <1% 15 $145.24
87116 <1% 17 $136.30
87045 <1% 17 $133.88
80299 <1% 32 $132.64
86231 <1% 14 $126.87
84155 <1% 26 $117.23
72070 <1% 12 $116.61
85384 <1% 15 $111.93
83695 <1% 33 $110.82
83930 <1% 18 $87.60
82340 <1% 16 $73.95
D0140 Limited oral evaluation - problem focused <1% 22 $70.00
82310 <1% 15 $58.67
83935 <1% 17 $52.59
85347 <1% 44 $47.92
J2305 Injection, nitroglycerin, 5 mg <1% 119 $35.66
82374 <1% 58 $26.80
J2371 Injection, phenylephrine hydrochloride, 20 micrograms <1% 793 $23.04
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg <1% 767 $21.63
82435 <1% 57 $20.93
G0008 Administration of influenza virus vaccine <1% 15 $18.90
J1643 Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units <1% 205 $17.94
J1171 Injection, hydromorphone, 0.1 mg <1% 54 $13.66
J1596 Injection, glycopyrrolate, 0.1 mg <1% 170 $9.82
G0498 Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies, with continuation of the infusion in the community setting (e.g., home, domiciliary, rest home or assisted living) using a portable pump provided by the office/clinic, includes follow up office/clinic visit at the conclusion of the infusion <1% 21 $7.38
75571 <1% 31 $3.94
J2003 Injection, lidocaine hydrochloride, 1 mg <1% 294 $3.77
C1788 Port, indwelling (implantable) <1% 54 $3.17
J0137 Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg <1% 61 $0.85
J1920 Injection, labetalol hydrochloride, 5 mg <1% 26 $0.51
J2598 Injection, vasopressin, 1 unit <1% 12 $0.18
J2004 Injection, lidocaine hcl with epinephrine, 1 mg <1% 28 $0.07
90674 <1% 13 $0.06
80354 0% 110 $0.00
J0184 Injection, amisulpride, 1 mg 0% 18 $0.00
C9250 Human plasma fibrin sealant, vapor-heated, solvent-detergent (artiss), 2 ml 0% 32 $0.00
90935 Hemodialysis procedure with single evaluation by a physician 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.

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Authorized officialHOVIS, CHAD (VP OF FINANCE)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.