Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › TROY › SAMARITAN HOSPITAL OF TROY, NEW YORK

SAMARITAN HOSPITAL OF TROY, NEW YORK

NPI: 1043267727 · TROY, NY 12180 · Radiation Oncology Physician · NPI assigned 05/28/2006

$132.15M
Total Medicaid Paid
2,081,354
Total Claims
1,843,933
Beneficiaries
542
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTERK, GARY (CREDENTIALING MANAGER)
Parent OrganizationSAMARITAN HOSPITAL OF TROY, NEW YORK
NPI Enumeration Date05/28/2006

Related Entities

Other providers sharing the same authorized official: TERK, GARY

ProviderCityStateTotal Paid
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY ALBANY NY $35.39M
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. ALBANY NY $6.57M
SUNNYVIEW HOSPITAL AND REHABILITATION CENTER SCHENECTADY NY $3.89M
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. TROY NY $70K
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. SARATOGA SPRINGS NY $46K
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. ALBANY NY $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,647 $51K
2019 121,275 $8.69M
2020 338,092 $19.83M
2021 371,388 $23.36M
2022 418,287 $26.20M
2023 473,255 $30.42M
2024 355,410 $23.59M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G9005 Coordinated care fee, risk adjusted maintenance 131,014 131,014 $43.35M
99283 Emergency department visit for the evaluation and management, moderate severity 52,531 48,786 $6.63M
99284 Emergency department visit for the evaluation and management, high severity 40,245 37,866 $5.02M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 58,838 52,017 $4.54M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 46,888 39,615 $3.95M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 41,365 38,206 $3.15M
96361 Intravenous infusion, hydration; each additional hour 15,159 12,828 $3.14M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 26,081 24,648 $3.14M
99282 Emergency department visit for the evaluation and management, low to moderate severity 22,795 21,763 $2.88M
74177 Computed tomography, abdomen and pelvis; with contrast material 10,818 10,595 $2.65M
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 9,786 4,000 $2.57M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 44,015 14,290 $2.44M
70450 Computed tomography, head or brain; without contrast material 8,918 8,656 $2.25M
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 5,971 5,867 $1.97M
90834 Psychotherapy, 45 minutes with patient 20,314 13,918 $1.81M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 3,070 3,058 $1.69M
H2019 Therapeutic behavioral services, per 15 minutes 2,979 2,893 $1.60M
80053 Comprehensive metabolic panel 79,646 71,589 $1.57M
93975 5,270 5,129 $1.53M
90832 Psychotherapy, 30 minutes with patient 18,368 13,337 $1.27M
99281 Emergency department visit for the evaluation and management, self-limited or minor 8,797 8,263 $1.10M
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,656 1,648 $1.09M
71275 Computed tomographic angiography, chest, with contrast material 3,677 3,628 $1.08M
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 14,320 13,993 $1.07M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 7,118 6,180 $950K
74176 Computed tomography, abdomen and pelvis; without contrast material 3,589 3,516 $866K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 25,625 9,346 $753K
36415 Collection of venous blood by venipuncture 133,842 101,214 $736K
11045 987 434 $727K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 8,540 8,206 $627K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 15,301 13,482 $618K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 14,572 13,909 $594K
12001 1,475 1,470 $579K
77067 Screening mammography, bilateral, including computer-aided detection 6,740 6,730 $577K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 872 864 $566K
J2323 Injection, natalizumab, 1 mg 107 102 $546K
76770 1,744 1,730 $527K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 15,499 15,186 $485K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 10,120 9,928 $484K
H2018 Psychosocial rehabilitation services, per diem 1,240 1,059 $472K
G0378 Hospital observation service, per hour 4,717 2,986 $458K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 3,261 3,041 $456K
93970 1,121 1,106 $451K
Q3014 Telehealth originating site facility fee 14,462 12,801 $438K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 875 869 $379K
T1015 Clinic visit/encounter, all-inclusive 1,318 1,312 $355K
90791 Psychiatric diagnostic evaluation 2,926 2,678 $354K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 2,863 2,286 $351K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 3,763 3,729 $350K
97161 4,075 4,054 $339K
12011 840 838 $328K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,829 1,816 $325K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 9,652 9,475 $324K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 15,502 15,186 $311K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 17,872 15,285 $310K
76801 3,268 3,005 $309K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,996 3,516 $305K
70496 1,180 1,171 $300K
10060 1,070 1,053 $300K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,816 3,718 $291K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 3,272 3,242 $282K
99215 Prolong outpt/office vis 5,497 3,308 $275K
76705 Ultrasound, abdominal, real time with image documentation; limited 5,648 5,565 $273K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,388 3,368 $268K
76830 Ultrasound, transvaginal 5,732 5,637 $250K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,930 1,902 $223K
29125 1,159 1,147 $223K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,335 2,315 $219K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,601 2,584 $217K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 9,204 9,091 $215K
97162 2,076 2,061 $204K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,544 2,432 $199K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 25,020 23,806 $198K
64400 502 472 $197K
0223U 843 834 $191K
70491 704 693 $187K
90853 Group psychotherapy (other than of a multiple-family group) 2,753 929 $184K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 260 258 $183K
76641 3,757 3,747 $182K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 415 415 $181K
86900 5,859 5,613 $180K
88305 Level IV - Surgical pathology, gross and microscopic examination 5,714 5,648 $178K
71250 1,488 1,479 $161K
93971 2,798 2,749 $159K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1,627 1,066 $158K
88342 3,266 3,247 $158K
80061 Lipid panel 15,193 14,980 $157K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 4,878 1,849 $157K
29515 824 818 $155K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,573 2,349 $152K
86850 5,367 5,164 $146K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,810 1,781 $143K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 18,554 16,280 $136K
76700 Ultrasound, abdominal, real time with image documentation; complete 1,047 1,046 $132K
12002 326 324 $131K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,578 1,568 $131K
70551 Magnetic resonance imaging, brain; without contrast material 403 401 $130K
84443 Thyroid stimulating hormone (TSH) 16,994 16,527 $129K
71046 Radiologic examination, chest; 2 views 22,007 21,368 $127K
90460 Immunization administration through 18 years of age via any route, first or only component 8,784 8,381 $127K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3,453 2,301 $122K
77063 Screening digital breast tomosynthesis, bilateral 6,723 6,714 $122K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 28,623 25,648 $121K
83880 4,288 4,073 $115K
90715 4,541 4,522 $113K
87634 2,432 2,365 $112K
G9001 Coordinated care fee, initial rate 1,489 1,489 $112K
99385 1,113 1,101 $109K
86901 5,868 5,618 $106K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 572 568 $102K
70498 1,170 1,162 $102K
97530 Therapeutic activities, direct patient contact, each 15 minutes 3,757 1,977 $100K
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 3,132 2,846 $100K
80048 Basic metabolic panel (calcium, ionized) 7,009 6,184 $99K
97035 5,572 2,284 $97K
77065 Tomosynthesis, mammo 1,088 1,007 $96K
90837 Psychotherapy, 53 minutes with patient 1,118 879 $94K
70486 1,437 1,425 $93K
97165 1,223 1,219 $90K
77066 Tomosynthesis, mammo 956 946 $89K
59025 Fetal non-stress test 563 429 $89K
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 3,468 3,388 $83K
76536 1,755 1,750 $78K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 71,878 64,098 $78K
99232 Subsequent hospital care, per day, moderate complexity 1,746 634 $78K
72125 Computed tomography, cervical spine; without contrast material 2,360 2,311 $75K
83036 Hemoglobin; glycosylated (A1C) 13,073 12,826 $73K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 239 237 $73K
90686 4,057 4,040 $71K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 10,992 10,861 $70K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 2,441 2,425 $70K
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) 223 161 $70K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 845 810 $69K
76775 1,199 1,191 $64K
77080 856 856 $63K
88142 2,648 2,643 $63K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 767 750 $63K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 164 164 $62K
85610 13,543 8,778 $61K
71271 1,053 1,052 $60K
36416 4,406 1,928 $56K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 482 474 $54K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 654 627 $47K
H2010 Comprehensive medication services, per 15 minutes 824 545 $46K
99223 Prolong inpt eval add15 m 487 484 $45K
87428 1,285 1,224 $42K
84439 7,504 7,367 $41K
96367 814 687 $41K
82607 4,435 4,366 $39K
96375 Therapeutic injection; each additional sequential IV push 20,554 17,981 $39K
90461 2,745 2,740 $39K
29505 202 201 $39K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 955 938 $38K
74183 96 96 $37K
77062 358 358 $35K
90651 1,190 1,190 $34K
99406 1,930 1,867 $34K
86780 4,379 4,299 $34K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 2,840 2,794 $33K
93976 84 81 $32K
M0222 Intravenous injection, bebtelovimab, includes injection and post administration monitoring 170 168 $32K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 106 104 $32K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 748 739 $31K
72131 314 301 $31K
99386 318 315 $30K
97116 1,004 614 $30K
47562 12 12 $30K
Q0222 Injection, bebtelovimab, 175 mg 44 43 $29K
82805 2,713 2,457 $29K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 33,790 28,922 $28K
95806 468 463 $27K
81420 Fetal chromosomal aneuploidy genomic sequence analysis panel 53 53 $25K
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 598 595 $24K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 15 15 $24K
99222 Initial hospital care, per day, moderate complexity 334 330 $24K
86703 1,634 1,631 $24K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 223 213 $23K
90670 1,432 1,427 $23K
87660 6,665 6,531 $23K
82728 3,820 3,600 $22K
72100 1,605 1,600 $22K
90677 773 768 $22K
76870 873 855 $22K
90633 1,181 1,178 $21K
87480 6,509 6,377 $20K
87086 Culture, bacterial; quantitative colony count, urine 10,527 10,137 $20K
80047 929 909 $20K
85027 10,234 9,635 $19K
99233 Prolong inpt eval add15 m 357 188 $19K
83655 1,616 1,596 $19K
90648 1,193 1,189 $19K
0352U 994 966 $19K
88304 572 568 $19K
87510 6,474 6,345 $19K
81025 6,311 6,104 $18K
G0475 Hiv antigen/antibody, combination assay, screening 1,020 1,014 $17K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 167 167 $17K
90734 881 881 $16K
86803 2,372 2,351 $16K
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 801 791 $16K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 896 364 $16K
82746 1,822 1,787 $16K
77061 194 194 $15K
73630 3,054 2,946 $15K
87653 609 606 $15K
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 592 572 $15K
74018 1,387 1,337 $15K
82043 3,651 3,507 $14K
90723 770 767 $14K
83970 514 502 $14K
73564 1,973 1,937 $14K
90472 Immunization administration, each additional vaccine (list separately) 2,058 2,045 $14K
81001 26,632 25,205 $13K
87563 683 676 $13K
99239 Hospital discharge day management, more than 30 minutes 210 208 $13K
84153 870 846 $13K
99460 283 283 $13K
86480 313 310 $13K
90698 763 761 $12K
84702 6,228 5,518 $12K
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring 40 40 $12K
74178 64 64 $11K
T1017 Targeted case management, each 15 minutes 68 57 $11K
36430 43 38 $11K
H0031 Mental health assessment, by non-physician 60 51 $11K
90674 410 409 $11K
73030 2,371 2,293 $11K
83735 13,095 11,671 $11K
97014 594 293 $11K
97535 Self-care/home management training, each 15 minutes 630 521 $10K
83540 3,119 3,052 $10K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 436 427 $10K
29130 53 53 $10K
P9016 Red blood cells, leukocytes reduced, each unit 28 25 $10K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 510 505 $10K
87340 1,999 1,955 $10K
96415 146 129 $9K
99238 Hospital discharge day management, 30 minutes or less 238 235 $9K
86618 1,516 1,276 $9K
82570 2,862 2,721 $9K
90681 388 386 $9K
84481 974 956 $8K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 97 90 $8K
90680 479 478 $8K
87150 264 261 $8K
99205 Prolong outpt/office vis 78 77 $8K
83550 2,096 2,072 $8K
86580 598 551 $8K
73502 1,039 1,015 $7K
81003 14,071 13,542 $7K
90682 302 299 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,554 2,489 $7K
86762 1,217 1,185 $7K
73610 2,716 2,652 $7K
54150 101 101 $7K
78815 Positron emission tomography (PET) for limited area imaging 16 16 $7K
80074 366 362 $7K
88307 103 103 $7K
80076 839 822 $7K
90656 518 516 $7K
73130 2,558 2,474 $7K
94060 77 77 $6K
86038 874 855 $6K
71045 Radiologic examination, chest; single view 8,144 7,859 $6K
90744 369 368 $6K
74174 53 53 $6K
G0297 Low dose ct scan (ldct) for lung cancer screening 47 47 $6K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 966 879 $6K
73562 877 861 $5K
84403 236 231 $5K
90707 277 277 $5K
90710 260 258 $5K
86140 2,568 2,487 $5K
0002A 136 136 $5K
86765 892 878 $5K
99442 89 83 $4K
87186 3,432 3,353 $4K
94760 37,185 32,450 $4K
90620 205 205 $4K
J3490 Unclassified drugs 279 264 $4K
72141 12 12 $4K
97166 54 53 $4K
86769 119 119 $4K
86696 455 415 $4K
86235 88 78 $4K
90716 195 195 $4K
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 223 223 $4K
87077 3,808 3,740 $4K
99404 43 42 $4K
86617 405 335 $4K
73110 1,581 1,537 $4K
83690 19,012 17,714 $4K
99401 81 81 $4K
86787 848 823 $4K
87507 27 27 $3K
92551 52 52 $3K
0011A 142 142 $3K
99231 Subsequent hospital care, per day, straightforward or low complexity 128 63 $3K
82550 1,962 1,851 $3K
96127 1,773 1,727 $3K
84550 1,175 1,136 $3K
90661 117 117 $3K
90696 157 155 $3K
97150 Therapeutic procedure(s), group (2 or more individuals) 53 24 $3K
87468 88 87 $3K
82784 367 352 $3K
86701 317 316 $3K
90700 118 118 $3K
84484 21,611 18,424 $3K
J1631 Injection, haloperidol decanoate, per 50 mg 477 215 $3K
84703 22,404 21,140 $3K
0001A 157 156 $3K
0012A 97 97 $3K
73140 1,202 1,181 $3K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 211 206 $3K
93000 732 698 $3K
86431 570 488 $3K
97760 172 132 $3K
85018 1,500 1,398 $3K
84100 2,266 2,089 $3K
86706 435 425 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg 17,325 15,814 $2K
97010 199 102 $2K
0071A 80 80 $2K
83520 181 172 $2K
93798 81 13 $2K
85651 1,004 960 $2K
97163 16 16 $2K
74019 143 142 $2K
76819 Fetal biophysical profile; without non-stress testing 44 26 $2K
84146 148 142 $2K
72040 106 106 $2K
87088 927 908 $2K
85652 2,424 2,282 $2K
85379 3,850 3,789 $2K
87522 Neg quan hep c or qual rna 51 51 $2K
82947 1,849 1,435 $2K
87070 1,713 1,632 $2K
83001 115 115 $2K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,589 1,443 $2K
0124A 116 115 $2K
86695 261 253 $2K
73560 173 170 $2K
83002 98 98 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,783 2,550 $2K
99221 27 26 $1K
81329 13 13 $1K
86200 142 138 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 12 12 $1K
H0014 Alcohol and/or drug services; ambulatory detoxification 12 12 $1K
84425 78 74 $1K
99381 12 12 $1K
99001 195 123 $1K
85730 3,273 3,153 $1K
73590 639 621 $1K
81002 3,188 2,508 $1K
99383 12 12 $1K
86141 199 197 $1K
90480 133 133 $1K
J2680 Injection, fluphenazine decanoate, up to 25 mg 91 24 $1K
82950 289 285 $1K
84402 44 44 $1K
90673 40 40 $1K
J2310 Injection, naloxone hydrochloride, per 1 mg 57 51 $1K
0072A 41 41 $1K
96368 35 34 $1K
A9575 Injection, gadoterate meglumine, 0.1 ml 1,708 1,680 $1K
82248 355 331 $1K
83615 980 848 $1K
76642 26 26 $1K
96376 4,975 3,984 $981.71
G0432 Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening 61 61 $975.96
73080 728 719 $953.80
0064A 47 47 $934.13
J7030 Infusion, normal saline solution , 1000 cc 15,697 14,253 $926.55
82150 388 372 $897.82
97032 51 28 $884.37
94729 78 78 $858.80
83525 85 82 $837.16
94726 52 52 $835.39
83516 76 70 $823.29
91320 69 69 $769.65
0004A 52 52 $752.35
J1100 Injection, dexamethasone sodium phosphate, 1 mg 5,091 4,644 $726.26
86920 31 26 $717.08
90662 76 76 $699.05
90685 39 39 $678.30
82105 88 86 $625.35
71101 144 143 $612.80
J7050 Infusion, normal saline solution, 250 cc 2,063 1,583 $595.54
83605 6,496 5,851 $592.31
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 13 13 $592.13
87040 3,884 3,012 $577.48
92250 14 14 $576.30
87147 301 295 $558.06
0054A 30 30 $554.95
94010 14 14 $540.76
G0008 Administration of influenza virus vaccine 126 126 $539.78
87205 778 722 $502.99
94664 856 827 $473.87
86225 73 69 $464.33
90619 28 28 $453.34
84156 243 221 $445.63
87210 393 376 $420.60
72070 24 24 $420.03
70360 25 25 $416.21
73090 342 330 $400.42
85014 1,228 1,178 $390.02
36591 103 66 $389.58
88341 25 25 $365.05
85007 1,718 1,569 $357.32
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) 41 41 $343.47
J0736 Injection, clindamycin phosphate, 300 mg 160 151 $313.12
S0077 Injection, clindamycin phosphate, 300 mg 132 124 $294.79
J2919 Injection, methylprednisolone sodium succinate, 5 mg 266 227 $293.25
86665 13 13 $290.24
99441 14 13 $279.22
90621 12 12 $263.59
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 792 640 $263.24
J1200 Injection, diphenhydramine hcl, up to 50 mg 7,939 7,368 $251.31
P9604 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge 68 29 $237.12
87581 13 13 $236.52
J7120 Ringers lactate infusion, up to 1000 cc 9,016 8,381 $230.05
71100 26 26 $219.23
S0028 Injection, famotidine, 20 mg 548 515 $218.72
J3475 Injection, magnesium sulfate, per 500 mg 1,645 1,483 $214.23
C1769 Guide wire 387 381 $205.04
86376 13 13 $198.82
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 933 739 $193.28
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 626 597 $186.78
86308 717 708 $184.55
86800 12 12 $182.28
J0696 Injection, ceftriaxone sodium, per 250 mg 4,252 4,051 $177.32
73660 50 50 $166.44
J3480 Injection, potassium chloride, per 2 meq 478 338 $160.90
80348 196 188 $160.50
J2270 Injection, morphine sulfate, up to 10 mg 6,462 5,545 $145.31
82247 266 251 $139.23
S0020 Injection, bupivicaine hydrochloride, 30 ml 277 277 $138.54
86300 14 13 $126.21
80362 488 470 $124.45
82270 139 130 $124.07
84436 108 102 $122.82
86664 12 12 $122.32
99358 Prolong nursin fac eval 15m 546 540 $112.58
84480 14 14 $111.28
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 15 15 $106.10
J2704 Injection, propofol, 10 mg 5,044 4,986 $101.94
87641 12 12 $98.59
82040 273 265 $96.45
72170 92 91 $95.08
86364 16 16 $94.55
86334 21 12 $90.70
87185 36 35 $88.99
80164 24 24 $85.23
84132 767 744 $82.81
80354 410 395 $79.74
80177 37 37 $79.72
87207 465 464 $78.43
84460 81 81 $77.34
86735 12 12 $77.25
86666 33 18 $66.16
J1170 Injection, hydromorphone, up to 4 mg 3,265 2,831 $60.11
84450 43 43 $55.48
86704 13 13 $54.09
J1885 Injection, ketorolac tromethamine, per 15 mg 14,730 13,920 $52.09
84165 24 14 $48.70
J0690 Injection, cefazolin sodium, 500 mg 3,122 2,855 $46.00
82140 13 13 $43.71
87075 55 55 $42.23
J3010 Injection, fentanyl citrate, 0.1 mg 9,515 9,341 $40.77
J0171 Injection, adrenalin, epinephrine, 0.1 mg 195 189 $34.32
J2765 Injection, metoclopramide hcl, up to 10 mg 4,850 4,509 $31.87
82565 26 26 $31.86
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 56 53 $30.47
73620 14 12 $30.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 226 224 $29.69
J1790 Injection, droperidol, up to 5 mg 1,014 905 $29.20
80320 988 920 $28.75
82803 332 325 $28.35
84155 185 178 $26.76
87073 97 96 $26.08
J2250 Injection, midazolam hydrochloride, per 1 mg 9,878 9,664 $25.71
J1644 Injection, heparin sodium, per 1000 units 416 305 $24.31
J0574 Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine 14 12 $23.03
82272 26 26 $15.69
J3370 Injection, vancomycin hcl, 500 mg 535 442 $15.50
84075 90 89 $14.59
81015 829 792 $13.04
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 387 334 $12.91
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 543 540 $12.48
82310 80 79 $11.42
83721 42 42 $10.50
J0780 Injection, prochlorperazine, up to 10 mg 833 794 $8.97
81000 81 69 $8.14
80329 205 197 $8.02
82962 274 265 $7.47
J1650 Injection, enoxaparin sodium, 10 mg 1,015 565 $6.72
J2060 Injection, lorazepam, 2 mg 2,733 2,426 $6.54
A9270 Non-covered item or service 192 152 $6.36
J1815 Injection, insulin, per 5 units 633 436 $5.21
J1630 Injection, haloperidol, up to 5 mg 831 784 $4.83
J0330 Injection, succinylcholine chloride, up to 20 mg 469 466 $2.30
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 1,817 1,737 $2.19
73060 42 39 $0.14
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 13 13 $0.13
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 268 246 $0.09
C9113 Injection, pantoprazole sodium, per vial 140 93 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 126 126 $0.00
G9920 Screening performed and negative 431 427 $0.00
3078F 6,234 6,061 $0.00
99354 12 12 $0.00
99359 Prolong nursin fac eval 15m 206 204 $0.00
J1953 Injection, levetiracetam, 10 mg 70 52 $0.00
87400 32 16 $0.00
J0670 Injection, mepivacaine hydrochloride, per 10 ml 58 58 $0.00
J1171 Injection, hydromorphone, 0.1 mg 75 63 $0.00
97012 28 12 $0.00
91300 90 88 $0.00
S9401 Anticoagulation clinic, inclusive of all services except laboratory tests, per session 241 166 $0.00
3077F 27 27 $0.00
J7510 Prednisolone oral, per 5 mg 26 26 $0.00
C1758 Catheter, ureteral 12 12 $0.00
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 16 15 $0.00
A4312 Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone 12 12 $0.00
J0692 Injection, cefepime hydrochloride, 500 mg 21 13 $0.00
3074F 8,287 8,033 $0.00
3008F 3,923 3,875 $0.00
3079F 1,434 1,400 $0.00
3075F 145 143 $0.00
90474 43 43 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 160 160 $0.00
3044F 698 662 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 181 168 $0.00
J1940 Injection, furosemide, up to 20 mg 14 13 $0.00
3080F 14 14 $0.00
J3360 Injection, diazepam, up to 5 mg 14 14 $0.00
1220F 56 56 $0.00
91301 87 85 $0.00
A4344 Indwelling catheter, foley type, two-way, all silicone or polyurethane, each 12 12 $0.00
87807 19 19 $0.00
J0456 Injection, azithromycin, 500 mg 12 12 $0.00