Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NORTON HOSPITALS INC

NPI: 1043348808 · LOUISVILLE, KY 40202 · Psychiatric Hospital Unit · NPI assigned 03/01/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official GAST, SHELLEY controls 20+ related entities in our dataset. Read more

$419.58M
Total Medicaid Paid
5,948,130
Total Claims
4,240,714
Beneficiaries
892
Codes Billed
2018-01
First Month
2022-11
Last Month

Provider Details

Authorized OfficialGAST, SHELLEY (VP MANAGED CARE)
NPI Enumeration Date03/01/2007

Related Entities

Other providers sharing the same authorized official: GAST, SHELLEY

ProviderCityStateTotal Paid
NORTON HOSPITALS, INC LOUISVILLE KY $299.00M
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $135.33M
NORTON CHILDRENS MEDICAL GROUP, LLC LOUISVILLE KY $107.36M
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $48.97M
NORTON CLARK HOSPITAL, LLC JEFFERSONVILLE IN $19.62M
NORTON - KINGS DAUGHTERS HEALTH INC MADISON IN $11.81M
NORTON SCOTT HOSPITAL, LLC SCOTTSBURG IN $9.17M
NORTON CLARK PHYSICIAN PRACTICES, LLC CLARKSVILLE IN $7.07M
NORTON HOSPITALS INC LOUISVILLE KY $3.38M
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $1.21M
NORTON CHILDREN'S MEDICAL GROUP, LLC LOUISVILLE KY $1.15M
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $957K
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $808K
NORTON SCOTT HOSPITAL, LLC SCOTTSBURG IN $560K
NORTON HOSPITALS, INC LOUISVILLE KY $438K
COMMUNITY MEDICAL ASSOCIATES, INC. LOUISVILLE KY $357K
NORTON CLARK PHYSICIAN PRACTICES, LLC SELLERSBURG IN $273K
NORTON CHILDREN'S MEDICAL GROUP, LLC LOUISVILLE KY $260K
NORTON CHILDREN'S MEDICAL GROUP, LLC LOUISVILLE KY $238K
NORTON CHILDREN'S MEDICAL GROUP, LLC LOUISVILLE KY $189K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,259,556 $71.11M
2019 1,244,257 $75.93M
2020 1,141,455 $74.04M
2021 1,278,407 $106.80M
2022 1,024,455 $91.70M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 172,180 145,714 $53.75M
99283 Emergency department visit for the evaluation and management, moderate severity 181,711 162,844 $40.47M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 64,361 45,968 $19.07M
74177 Computed tomography, abdomen and pelvis; with contrast material 31,946 28,254 $11.98M
99282 Emergency department visit for the evaluation and management, low to moderate severity 57,392 52,311 $11.55M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 19,342 16,684 $9.35M
G0378 Hospital observation service, per hour 52,668 23,231 $8.21M
C1776 Joint device (implantable) 782 683 $7.51M
J9271 Injection, pembrolizumab, 1 mg 1,347 808 $7.31M
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 5,303 4,322 $7.18M
70450 Computed tomography, head or brain; without contrast material 35,783 30,019 $7.11M
70551 Magnetic resonance imaging, brain; without contrast material 11,598 10,516 $5.87M
72148 Magnetic resonance imaging, lumbar spine; without contrast material 10,752 9,778 $5.84M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 10,518 8,487 $5.46M
96375 Therapeutic injection; each additional sequential IV push 74,558 46,152 $4.62M
J1745 Injection, infliximab, excludes biosimilar, 10 mg 1,592 1,311 $4.56M
78815 Positron emission tomography (PET) for limited area imaging 2,061 1,675 $3.86M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 135,986 62,486 $3.58M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 75,838 25,602 $3.54M
74176 Computed tomography, abdomen and pelvis; without contrast material 11,581 10,152 $3.45M
71275 Computed tomographic angiography, chest, with contrast material 10,934 9,633 $3.31M
77386 7,611 595 $3.29M
72141 5,800 5,083 $3.19M
96361 Intravenous infusion, hydration; each additional hour 93,860 49,004 $3.18M
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 25,135 23,307 $3.03M
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 9,681 5,145 $2.98M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 7,735 6,068 $2.82M
J0585 Injection, onabotulinumtoxina, 1 unit 6,172 5,324 $2.65M
71260 Computed tomography, thorax, diagnostic; with contrast material 8,810 6,365 $2.58M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 19,271 10,046 $2.51M
58661 1,182 911 $2.40M
J3490 Unclassified drugs 234,043 62,614 $2.39M
80053 Comprehensive metabolic panel 244,382 168,889 $2.37M
99281 Emergency department visit for the evaluation and management, self-limited or minor 14,392 13,210 $2.36M
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 99,987 72,435 $2.33M
62323 6,270 4,779 $2.29M
47562 1,361 941 $2.20M
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 4,518 3,995 $2.20M
58571 873 497 $2.15M
93458 1,473 775 $2.02M
72125 Computed tomography, cervical spine; without contrast material 8,748 7,484 $2.02M
76770 11,851 11,269 $1.93M
71045 Radiologic examination, chest; single view 58,733 46,506 $1.79M
42820 Tonsillectomy and adenoidectomy; younger than age 12 1,235 1,188 $1.75M
93017 7,795 6,723 $1.74M
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 2,168 2,075 $1.71M
71250 7,816 6,246 $1.71M
44970 744 642 $1.71M
93320 7,092 6,405 $1.70M
71046 Radiologic examination, chest; 2 views 39,451 35,381 $1.65M
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 67,824 25,800 $1.58M
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 71,114 57,130 $1.57M
76705 Ultrasound, abdominal, real time with image documentation; limited 12,656 11,764 $1.48M
45380 Colonoscopy, flexible; with biopsy, single or multiple 3,131 2,636 $1.46M
J2323 Injection, natalizumab, 1 mg 338 280 $1.42M
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 30,682 19,196 $1.38M
J2350 Injection, ocrelizumab, 1 mg 78 66 $1.35M
95810 Polysomnography; sleep staging with 4 or more additional parameters 3,062 2,834 $1.34M
85025 Blood count; complete (CBC), automated, and automated differential WBC count 248,520 183,140 $1.30M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 6,243 5,522 $1.27M
77067 Screening mammography, bilateral, including computer-aided detection 15,893 15,194 $1.27M
76830 Ultrasound, transvaginal 9,940 9,022 $1.25M
36512 1,578 1,386 $1.20M
72131 4,351 3,654 $1.19M
72146 2,295 2,060 $1.16M
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 2,346 2,013 $1.14M
41899 Unlisted procedure, dentoalveolar structures 2,200 1,987 $1.13M
74019 17,156 16,096 $1.11M
36415 Collection of venous blood by venipuncture 286,765 123,111 $1.08M
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 4,837 4,607 $1.07M
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 2,229 1,855 $1.06M
96376 18,657 11,278 $1.06M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 25,127 7,299 $1.06M
73221 2,237 1,965 $1.04M
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 21,395 18,218 $1.02M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 23,047 16,556 $988K
70496 2,906 2,390 $953K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 7,996 7,572 $925K
J3380 Injection, vedolizumab, intravenous, 1 mg 185 166 $914K
J2505 Injection, pegfilgrastim, 6 mg 282 174 $908K
77334 1,979 1,079 $895K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,763 1,354 $858K
70491 3,166 2,627 $849K
88305 Level IV - Surgical pathology, gross and microscopic examination 12,466 9,800 $843K
70486 3,713 3,313 $825K
J0185 Injection, aprepitant, 1 mg 3,892 2,125 $815K
93975 6,370 5,919 $808K
62321 2,023 1,650 $803K
70498 2,833 2,467 $800K
74018 13,334 11,930 $800K
76536 6,391 5,966 $797K
93971 7,314 6,593 $790K
83880 39,430 33,980 $785K
72158 1,640 1,395 $781K
64615 6,479 4,890 $775K
76642 8,720 8,093 $770K
36561 874 552 $753K
P9016 Red blood cells, leukocytes reduced, each unit 4,628 3,108 $744K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 5,709 2,324 $728K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 25,240 22,010 $722K
97530 Therapeutic activities, direct patient contact, each 15 minutes 17,590 6,828 $707K
J9312 Injection, rituximab, 10 mg 193 90 $705K
74178 1,445 1,138 $704K
77412 3,548 369 $704K
C1769 Guide wire 8,049 6,611 $684K
64721 970 800 $663K
54161 1,219 1,182 $655K
20680 695 603 $629K
96367 11,764 4,763 $624K
95713 2,282 1,385 $609K
74183 1,233 992 $606K
70544 1,704 1,363 $590K
Q5118 Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg 329 117 $586K
93325 8,727 8,055 $583K
96415 4,387 3,250 $580K
93970 4,050 3,617 $575K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 12,189 6,599 $574K
72156 1,123 946 $571K
77063 Screening digital breast tomosynthesis, bilateral 14,784 12,959 $570K
76700 Ultrasound, abdominal, real time with image documentation; complete 3,258 3,021 $562K
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 2,375 1,856 $555K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 29,525 25,564 $547K
95811 1,281 1,151 $545K
84484 70,752 45,414 $541K
72197 1,017 816 $534K
54300 512 494 $532K
J0897 Injection, denosumab, 1 mg 544 395 $512K
73630 11,289 9,647 $512K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 6,555 5,775 $505K
96417 4,617 2,623 $505K
59025 Fetal non-stress test 13,190 10,426 $497K
76801 6,915 6,032 $493K
77066 Tomosynthesis, mammo 4,420 4,028 $484K
C1781 Mesh (implantable) 914 839 $480K
Q5111 Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg 215 124 $436K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 13,739 12,408 $434K
78227 1,213 960 $432K
67311 391 352 $429K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 3,818 2,414 $424K
19083 831 664 $422K
58558 486 393 $413K
95782 697 651 $412K
77300 1,595 959 $411K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 9,330 3,724 $406K
J2469 Injection, palonosetron hcl, 25 mcg 4,861 2,690 $402K
77336 4,481 1,582 $400K
36430 3,310 1,818 $397K
J9306 Injection, pertuzumab, 1 mg 82 65 $391K
78264 1,688 1,272 $370K
76870 3,241 2,959 $367K
43235 1,151 796 $362K
51600 2,737 2,623 $362K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17,044 12,214 $361K
73610 9,684 8,406 $358K
93225 3,899 3,316 $355K
73562 9,067 6,853 $352K
36593 2,188 1,779 $347K
52332 667 425 $341K
74455 3,050 2,879 $340K
A9575 Injection, gadoterate meglumine, 0.1 ml 15,065 13,373 $338K
J1756 Injection, iron sucrose, 1 mg 6,000 2,689 $334K
C1874 Stent, coated/covered, with delivery system 151 134 $333K
73030 8,036 6,094 $332K
72157 611 532 $328K
64642 1,046 752 $327K
77290 2,387 796 $324K
J9299 Injection, nivolumab, 1 mg 88 38 $321K
64643 902 713 $321K
77065 Tomosynthesis, mammo 4,397 3,743 $318K
J2785 Injection, regadenoson, 0.1 mg 4,685 4,047 $318K
64493 649 507 $315K
73130 8,889 7,373 $310K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 7,378 2,776 $309K
80048 Basic metabolic panel (calcium, ionized) 44,052 31,856 $307K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 23,467 19,499 $307K
J9310 Injection, rituximab, 100 mg 94 41 $303K
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) 741 445 $301K
93798 9,740 1,504 $301K
C1762 Connective tissue, human (includes fascia lata) 85 79 $297K
78492 288 130 $296K
95951 1,611 1,046 $295K
95812 1,127 1,091 $294K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 5,189 4,513 $291K
93351 733 645 $290K
77295 293 223 $290K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 4,541 3,827 $286K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 17,230 16,102 $284K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 17,442 16,112 $284K
95816 1,832 1,729 $284K
72128 1,309 1,116 $281K
G0382 Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 1,704 1,617 $281K
72132 1,350 846 $277K
84443 Thyroid stimulating hormone (TSH) 19,097 16,952 $273K
86920 4,936 2,936 $268K
G0260 Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography 938 724 $267K
51728 1,419 1,374 $265K
95700 2,237 2,043 $259K
J1459 Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg 224 108 $258K
88341 2,451 1,852 $256K
72110 5,108 4,320 $255K
C1887 Catheter, guiding (may include infusion/perfusion capability) 2,614 2,181 $254K
95716 850 687 $251K
95886 1,770 1,622 $247K
93922 2,389 1,865 $246K
95813 1,189 1,079 $245K
78431 212 176 $243K
C1788 Port, indwelling (implantable) 679 598 $242K
83735 46,813 34,861 $239K
88342 6,005 5,104 $239K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk 549 429 $235K
74230 2,164 1,855 $232K
J1439 Injection, ferric carboxymaltose, 1 mg 418 244 $232K
96411 2,715 1,663 $231K
77080 4,000 3,257 $229K
95819 1,397 1,289 $227K
73090 6,436 5,677 $226K
50590 116 83 $226K
86850 30,007 23,129 $224K
78306 1,159 659 $224K
73590 6,133 5,093 $219K
73110 6,283 5,339 $216K
72100 4,588 3,907 $216K
J9022 Injection, atezolizumab, 10 mg 53 25 $216K
97161 7,614 4,019 $215K
93880 2,030 1,619 $213K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 1,348 1,275 $208K
76885 1,710 1,621 $205K
G0297 Low dose ct scan (ldct) for lung cancer screening 1,493 1,327 $205K
88185 839 581 $202K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 15,723 14,533 $200K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 7,919 6,863 $200K
82728 15,539 12,822 $198K
C2617 Stent, non-coronary, temporary, without delivery system 1,413 1,205 $196K
84703 47,640 42,118 $194K
81025 44,551 40,269 $193K
54163 239 216 $193K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 12,341 11,554 $191K
83690 51,759 44,945 $189K
J2704 Injection, propofol, 10 mg 65,379 50,086 $188K
88307 2,312 1,862 $188K
22551 51 39 $187K
12011 3,738 3,441 $186K
72040 3,871 3,333 $183K
76882 1,942 1,787 $182K
J2997 Injection, alteplase recombinant, 1 mg 4,075 1,981 $180K
77062 4,024 3,349 $178K
81229 241 217 $178K
86900 33,444 25,428 $177K
29881 131 125 $175K
10060 2,731 2,418 $169K
C1760 Closure device, vascular (implantable/insertable) 962 788 $168K
94060 1,674 1,304 $165K
74240 1,484 1,374 $164K
27447 201 42 $161K
97162 4,737 2,644 $160K
Q5103 Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg 85 63 $158K
80061 Lipid panel 12,380 8,167 $158K
A4648 Tissue marker, implantable, any type, each 1,678 1,282 $156K
76819 Fetal biophysical profile; without non-stress testing 2,197 1,845 $156K
75574 402 341 $155K
12001 3,252 2,994 $154K
76825 873 767 $153K
77072 2,476 2,384 $152K
94726 1,932 1,769 $151K
86902 3,155 1,801 $148K
87086 Culture, bacterial; quantitative colony count, urine 38,012 34,757 $147K
93226 3,517 3,218 $147K
73560 3,794 3,247 $146K
97535 Self-care/home management training, each 15 minutes 8,530 5,266 $144K
73700 681 579 $144K
J9202 Goserelin acetate implant, per 3.6 mg 320 283 $143K
73070 4,619 3,958 $142K
74174 319 224 $142K
85730 37,971 32,340 $142K
92611 1,857 1,710 $140K
29580 3,797 1,214 $138K
81001 82,416 72,005 $136K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 8,134 7,625 $136K
49083 555 173 $135K
A9555 Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries 821 417 $135K
76800 926 901 $134K
77061 3,550 2,873 $134K
82565 11,257 6,777 $134K
51784 1,464 1,383 $133K
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 8,698 7,948 $132K
77002 1,700 1,223 $131K
99157 2,467 2,321 $130K
73502 3,601 2,814 $130K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 5,248 4,801 $130K
73521 2,181 2,039 $128K
94010 3,033 2,390 $125K
54640 96 86 $125K
Q5107 Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg 97 38 $124K
85027 31,670 26,658 $124K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 4,914 1,934 $123K
85610 46,352 37,678 $123K
97116 6,219 2,939 $123K
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 3,071 2,634 $122K
95910 847 697 $121K
C1726 Catheter, balloon dilatation, non-vascular 783 647 $121K
20936 317 221 $121K
20930 234 178 $121K
62304 230 195 $119K
J1453 Injection, fosaprepitant, 1 mg 518 302 $113K
86003 1,464 1,207 $112K
87486 5,201 4,869 $110K
96409 1,218 760 $110K
72082 1,119 1,049 $110K
73552 2,804 2,353 $106K
86922 1,505 796 $106K
84439 10,967 9,858 $106K
96416 730 401 $105K
87581 5,188 4,878 $105K
72072 2,670 2,208 $103K
55175 407 390 $103K
84702 11,588 9,707 $100K
76937 1,530 1,261 $99K
88304 4,560 4,053 $99K
96402 1,552 1,238 $98K
73060 2,925 2,530 $97K
29581 2,443 685 $97K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 49,710 23,445 $96K
95806 1,075 994 $95K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 5,439 5,145 $94K
Q9950 Injection, sulfur hexafluoride lipid microspheres, per ml 2,856 1,863 $91K
77075 632 602 $91K
C8908 Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral 188 138 $90K
64644 306 194 $89K
J9035 Injection, bevacizumab, 10 mg 25 12 $88K
86901 31,001 25,226 $88K
70480 308 287 $88K
83036 Hemoglobin; glycosylated (A1C) 10,466 9,057 $88K
J9355 Injection, trastuzumab, excludes biosimilar, 10 mg 32 12 $87K
93308 576 401 $86K
87040 15,977 10,447 $86K
92526 1,550 814 $86K
88360 581 455 $86K
77001 1,119 916 $85K
43762 634 549 $82K
12002 1,421 1,300 $82K
83540 11,143 10,107 $81K
49585 90 88 $79K
82784 5,513 3,776 $78K
73222 185 166 $78K
84112 1,940 1,726 $78K
73140 2,842 2,533 $77K
87522 Neg quan hep c or qual rna 2,219 2,046 $77K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,890 3,137 $77K
70487 296 266 $77K
96368 4,028 745 $77K
82607 5,745 4,477 $76K
76942 857 733 $76K
73200 239 205 $74K
10005 207 171 $74K
71271 1,941 1,629 $74K
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 1,067 799 $74K
51797 961 932 $73K
83605 10,123 8,030 $73K
94729 1,692 1,554 $73K
87070 19,251 17,085 $72K
86945 2,466 1,023 $70K
58563 27 27 $69K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 21,944 20,755 $67K
42830 79 73 $67K
76000 757 707 $67K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 719 661 $67K
80074 2,070 1,902 $66K
97750 2,715 1,992 $65K
72050 1,448 1,158 $65K
J9070 Cyclophosphamide, 100 mg 300 101 $62K
71101 1,974 1,452 $62K
70470 165 122 $62K
Q5115 Injection, rituximab-abbs, biosimilar, (truxima), 10 mg 27 14 $61K
86140 17,813 15,065 $61K
29105 1,019 954 $61K
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 4,678 1,416 $61K
29125 1,622 1,503 $61K
85007 26,304 22,687 $60K
81003 45,356 41,056 $60K
Q5117 Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg 22 13 $60K
58300 148 130 $60K
59820 57 51 $59K
J0696 Injection, ceftriaxone sodium, per 250 mg 18,400 12,856 $59K
C9463 Injection, aprepitant, 1 mg 253 143 $59K
J9173 Injection, durvalumab, 10 mg 57 13 $59K
J7060 5% dextrose/water (500 ml = 1 unit) 34,217 13,982 $59K
83021 4,340 2,678 $59K
94762 1,833 1,285 $59K
G0105 Colorectal cancer screening; colonoscopy on individual at high risk 128 106 $58K
C1889 Implantable/insertable device, not otherwise classified 31 26 $58K
29826 107 97 $58K
90715 4,455 4,113 $58K
29827 50 43 $57K
J3489 Injection, zoledronic acid, 1 mg 740 611 $57K
83516 2,118 1,764 $56K
82803 3,944 3,195 $56K
70250 941 804 $55K
J0690 Injection, cefazolin sodium, 500 mg 28,232 20,542 $55K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,530 2,085 $54K
62270 322 267 $53K
64635 65 50 $53K
80069 8,431 6,843 $52K
76827 783 729 $52K
91200 770 734 $52K
J9045 Injection, carboplatin, 50 mg 2,206 1,212 $51K
92610 756 631 $51K
J2795 Injection, ropivacaine hydrochloride, 1 mg 9,526 7,551 $50K
72170 1,594 1,312 $50K
25605 161 143 $50K
97168 1,350 1,262 $50K
88313 982 761 $49K
82150 14,109 12,735 $48K
70360 1,571 1,468 $47K
J7120 Ringers lactate infusion, up to 1000 cc 31,446 24,979 $47K
87077 11,134 9,676 $47K
94660 791 554 $47K
36600 3,526 3,081 $47K
85379 10,258 9,368 $47K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 9,569 7,120 $46K
Q0222 Injection, bebtelovimab, 175 mg 187 132 $46K
99155 1,976 1,840 $46K
Q9958 High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml 3,255 3,164 $46K
36902 63 27 $45K
72081 595 571 $45K
87902 284 273 $45K
51741 764 722 $45K
97164 1,244 1,160 $45K
84100 11,565 8,152 $44K
J0330 Injection, succinylcholine chloride, up to 20 mg 12,158 10,158 $43K
94760 3,843 2,540 $43K
72020 819 699 $43K
96450 248 197 $43K
77076 603 530 $42K
64494 526 443 $42K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 65,999 48,657 $42K
C1729 Catheter, drainage 1,504 764 $42K
97166 1,289 844 $42K
99153 Mod sedat endo service >5yrs 959 818 $41K
J3010 Injection, fentanyl citrate, 0.1 mg 55,552 46,132 $41K
54304 44 44 $41K
82330 3,749 2,926 $40K
J0561 Injection, penicillin g benzathine, 100,000 units 843 791 $40K
94664 8,625 6,319 $39K
78708 189 159 $39K
96523 1,823 1,304 $39K
77280 713 228 $39K
J2405 Injection, ondansetron hydrochloride, per 1 mg 82,422 64,132 $38K
27130 15 12 $38K
94644 2,901 2,735 $38K
73000 1,180 1,066 $38K
86923 2,002 999 $38K
73080 1,264 1,004 $37K
87186 9,096 8,120 $36K
J1885 Injection, ketorolac tromethamine, per 15 mg 57,161 40,052 $36K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 4,105 2,770 $36K
J3370 Injection, vancomycin hcl, 500 mg 6,122 3,330 $36K
72070 889 730 $36K
82550 6,528 5,274 $36K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 1,988 1,171 $36K
88348 107 103 $35K
84145 2,396 2,112 $35K
72195 70 64 $35K
74270 241 223 $35K
J0780 Injection, prochlorperazine, up to 10 mg 9,448 7,803 $34K
64483 72 64 $34K
J0640 Injection, leucovorin calcium, per 50 mg 1,314 436 $33K
93976 398 371 $33K
J1170 Injection, hydromorphone, up to 4 mg 24,080 15,993 $33K
36591 1,578 1,199 $33K
J9267 Injection, paclitaxel, 1 mg 1,427 615 $33K
93926 359 291 $32K
86665 3,162 2,087 $31K
87205 14,420 12,970 $31K
73620 1,034 879 $31K
82378 1,686 1,375 $31K
82746 2,444 2,193 $31K
75565 97 90 $31K
83970 927 750 $30K
85652 13,223 11,210 $30K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 7,736 6,658 $30K
83615 4,697 3,978 $29K
J2250 Injection, midazolam hydrochloride, per 1 mg 57,348 45,797 $29K
99152 1,137 936 $29K
23350 252 234 $29K
93321 311 288 $29K
80197 1,967 1,086 $29K
G0381 Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 297 289 $28K
A9537 Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries 985 921 $28K
97167 727 516 $28K
95874 383 347 $28K
14040 98 97 $28K
85576 766 560 $27K
85045 9,130 6,143 $27K
J0878 Injection, daptomycin, 1 mg 98 14 $27K
87400 8,325 4,027 $27K
77301 19 13 $27K
J1650 Injection, enoxaparin sodium, 10 mg 9,456 4,442 $27K
97165 656 493 $27K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 4,919 4,044 $26K
76376 303 288 $26K
P9041 Infusion, albumin (human), 5%, 50 ml 1,149 965 $25K
22853 78 66 $25K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 7,295 6,671 $25K
87634 804 779 $25K
86780 3,008 2,673 $25K
87210 14,038 10,010 $25K
88184 731 597 $25K
86664 2,332 2,080 $25K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 287 254 $25K
A9585 Injection, gadobutrol, 0.1 ml 1,029 794 $25K
G0257 Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility 128 74 $25K
24640 304 292 $24K
95911 126 99 $24K
82785 1,339 1,268 $24K
83883 2,018 1,021 $24K
70543 44 42 $24K
90375 17 12 $24K
73660 966 833 $24K
96401 355 157 $24K
77470 47 40 $23K
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 1,433 1,306 $23K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 7,478 3,819 $23K
Q9957 Injection, perflutren lipid microspheres, per ml 350 236 $22K
J9190 Injection, fluorouracil, 500 mg 3,009 665 $22K
C1758 Catheter, ureteral 1,726 1,195 $22K
74160 74 49 $22K
62328 69 54 $22K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 12,929 6,608 $22K
82947 3,808 2,905 $22K
84132 6,151 4,967 $21K
72126 126 68 $21K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 26,347 22,154 $21K
58662 14 13 $21K
86334 1,280 1,096 $21K
86038 1,867 1,700 $20K
29515 522 479 $20K
43245 26 26 $20K
86870 404 313 $20K
70260 178 162 $20K
J2370 Injection, phenylephrine hcl, up to 1 ml 9,707 7,316 $19K
J2270 Injection, morphine sulfate, up to 10 mg 21,286 17,077 $19K
86304 1,142 849 $19K
11043 65 38 $19K
77012 105 97 $19K
88302 1,106 940 $18K
87075 2,274 1,928 $18K
90686 2,504 2,399 $18K
86328 434 333 $18K
92585 167 149 $17K
31624 26 26 $17K
88108 699 587 $17K
84403 752 683 $17K
88312 571 425 $17K
95885 244 233 $17K
J1626 Injection, granisetron hydrochloride, 100 mcg 3,084 1,276 $17K
A9562 Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries 304 290 $17K
94621 58 44 $17K
74022 436 400 $17K
73718 47 38 $16K
86803 1,724 1,562 $16K
85660 2,582 1,697 $16K
87340 2,521 2,248 $16K
J2805 Injection, sincalide, 5 micrograms 286 265 $16K
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 4,465 1,029 $16K
82533 1,081 837 $16K
J1200 Injection, diphenhydramine hcl, up to 50 mg 18,435 13,443 $16K
64636 48 37 $16K
86301 622 500 $16K
J0360 Injection, hydralazine hcl, up to 20 mg 3,378 2,488 $16K
43760 178 154 $16K
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 850 754 $16K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 3,904 3,453 $16K
99156 974 896 $15K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 4,350 1,546 $15K
86663 2,203 2,079 $15K
86706 1,997 1,845 $15K
36590 53 43 $15K
43249 46 25 $15K
84238 540 494 $15K
G0008 Administration of influenza virus vaccine 308 227 $14K
C9113 Injection, pantoprazole sodium, per vial 7,442 4,949 $14K
85240 966 876 $14K
87046 2,405 1,496 $14K
81002 2,645 2,287 $14K
94645 687 640 $14K
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml 1,155 809 $13K
J0500 Injection, dicyclomine hcl, up to 20 mg 701 631 $13K
90688 2,537 2,358 $13K
82105 864 700 $13K
53020 12 12 $13K
80164 1,263 1,091 $13K
38222 45 42 $13K
J1040 Injection, methylprednisolone acetate, 80 mg 3,257 2,815 $13K
72083 117 110 $13K
87529 628 418 $13K
73564 411 348 $13K
36416 3,769 2,864 $12K
86704 1,036 948 $12K
84165 1,438 1,241 $12K
83520 933 832 $12K
86147 355 243 $12K
85384 1,635 1,318 $12K
84481 873 811 $12K
87799 387 268 $12K
83921 662 612 $11K
64718 13 12 $11K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 15 13 $11K
20610 88 75 $11K
83655 943 871 $11K
85014 5,766 4,528 $11K
78582 71 60 $11K
84156 2,554 2,110 $11K
J0248 Injection, remdesivir, 1 mg 76 32 $11K
90460 Immunization administration through 18 years of age via any route, first or only component 3,239 3,049 $11K
82570 2,548 2,187 $11K
J9263 Injection, oxaliplatin, 0.5 mg 363 87 $10K
84460 2,150 1,922 $10K
83001 694 639 $10K
80076 1,360 1,109 $10K
86800 711 655 $10K
C2628 Catheter, occlusion 98 91 $10K
87088 2,920 2,714 $10K
84146 623 586 $10K
82248 2,327 1,680 $10K
76506 72 69 $10K
J9370 Vincristine sulfate, 1 mg 1,689 1,078 $10K
95909 112 82 $10K
84550 2,557 2,151 $10K
86008 127 118 $10K
J1610 Injection, glucagon hydrochloride, per 1 mg 122 106 $10K
84153 406 324 $10K
82247 2,174 1,492 $10K
82140 762 638 $9K
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg 10,454 7,776 $9K
92523 100 92 $9K
77399 114 97 $9K
76857 99 88 $9K
88182 204 175 $9K
P9035 Platelets, pheresis, leukocytes reduced, each unit 22 12 $9K
73720 16 13 $9K
88173 339 281 $9K
93312 28 24 $9K
87045 1,643 1,542 $9K
22845 44 38 $9K
87427 1,468 1,388 $9K
84295 2,831 2,414 $9K
M0222 Intravenous injection, bebtelovimab, includes injection and post administration monitoring 93 88 $9K
J7042 5% dextrose/normal saline (500 ml = 1 unit) 5,802 4,366 $9K
J3475 Injection, magnesium sulfate, per 500 mg 7,110 4,653 $9K
85597 599 483 $8K
12013 149 133 $8K
29505 140 131 $8K
85018 4,580 3,489 $8K
74328 71 68 $8K
75561 18 15 $8K
89051 1,793 1,553 $8K
93923 68 59 $8K
72220 225 205 $7K
J3480 Injection, potassium chloride, per 2 meq 4,516 2,345 $7K
G0383 Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 36 35 $7K
82668 298 247 $7K
87081 1,174 1,027 $7K
77338 33 25 $7K
J1644 Injection, heparin sodium, per 1000 units 5,770 3,530 $7K
88377 53 43 $7K
83525 518 487 $7K
86146 299 190 $7K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 131 125 $7K
82270 2,467 1,908 $6K
81243 141 130 $6K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 325 130 $6K
70490 30 21 $6K
J2310 Injection, naloxone hydrochloride, per 1 mg 967 723 $6K
82977 1,030 819 $6K
84305 328 311 $6K
96377 134 83 $6K
86769 332 310 $6K
10022 45 40 $6K
86480 124 114 $6K
82945 1,201 1,024 $6K
J1953 Injection, levetiracetam, 10 mg 2,223 1,531 $6K
84157 1,267 1,106 $6K
36569 14 12 $6K
84436 971 879 $6K
54360 34 33 $6K
86308 2,432 2,303 $6K
97014 386 140 $5K
90675 20 12 $5K
85397 209 202 $5K
73723 18 12 $5K
95711 82 81 $5K
27096 18 16 $5K
83010 537 472 $5K
90732 253 219 $5K
87483 39 36 $5K
J9201 Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg 203 51 $5K
86481 58 53 $5K
85347 950 804 $5K
83002 320 285 $5K
82435 1,889 1,520 $5K
84480 472 424 $5K
J9206 Injection, irinotecan, 20 mg 275 67 $5K
72192 15 15 $5K
82010 1,197 1,032 $5K
77049 15 13 $5K
52000 14 14 $5K
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 1,871 846 $4K
Q3014 Telehealth originating site facility fee 336 274 $4K
99215 Prolong outpt/office vis 205 162 $4K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 1,797 1,288 $4K
70481 31 25 $4K
86703 711 665 $4K
95912 13 13 $4K
J1956 Injection, levofloxacin, 250 mg 1,685 1,249 $4K
J3411 Injection, thiamine hcl, 100 mg 2,453 1,815 $4K
73100 174 149 $4K
85246 201 193 $4K
J2765 Injection, metoclopramide hcl, up to 10 mg 6,082 4,810 $4K
92587 77 71 $4K
85613 492 469 $4K
85612 291 282 $4K
95908 52 43 $4K
86708 367 346 $4K
85245 201 191 $3K
86431 684 643 $3K
94618 147 133 $3K
49452 13 13 $3K
80177 298 272 $3K
J2060 Injection, lorazepam, 2 mg 5,891 4,494 $3K
C1730 Catheter, electrophysiology, diagnostic, other than 3d mapping (19 or fewer electrodes) 15 12 $3K
87102 417 360 $3K
J0456 Injection, azithromycin, 500 mg 1,420 904 $3K
86160 223 152 $3K
J0461 Injection, atropine sulfate, 0.01 mg 1,030 704 $3K
J0694 Injection, cefoxitin sodium, 1 gm 769 528 $3K
82310 517 400 $3K
83003 50 37 $3K
84450 406 339 $3K
85244 182 170 $3K
82670 132 107 $3K
77003 45 41 $3K
69209 51 50 $3K
75625 15 14 $3K
88112 137 115 $3K
87420 863 828 $3K
90632 156 149 $2K
J9000 Injection, doxorubicin hydrochloride, 10 mg 133 74 $2K
86376 235 227 $2K
75710 14 13 $2K
M0239 Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring 24 16 $2K
J1940 Injection, furosemide, up to 20 mg 2,791 1,287 $2K
J2790 Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) 40 39 $2K
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg 75 56 $2K
69200 42 41 $2K
88300 228 199 $2K
87149 71 38 $2K
86617 128 88 $2K
J0881 Injection, darbepoetin alfa, 1 microgram (non-esrd use) 23 12 $2K
A9540 Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries 71 64 $2K
87177 337 316 $2K
86757 137 78 $2K
81479 Unlisted molecular pathology procedure 82 70 $2K
92567 122 114 $2K
82747 119 113 $2K
J9171 Injection, docetaxel, 1 mg 16 13 $2K
73600 69 62 $2K
88311 263 222 $2K
87015 470 386 $2K
82397 129 121 $2K
A9270 Non-covered item or service 30,293 8,788 $2K
74420 31 28 $2K
77417 34 12 $2K
84520 1,195 1,038 $2K
83930 432 376 $2K
83521 60 42 $2K
84134 166 146 $2K
95873 70 51 $2K
82043 305 280 $2K
82731 101 91 $2K
J9060 Injection, cisplatin, powder or solution, 10 mg 104 50 $2K
86356 17 12 $2K
97035 133 66 $1K
86360 36 31 $1K
87324 301 269 $1K
82805 37 33 $1K
76604 13 12 $1K
J8540 Dexamethasone, oral, 0.25 mg 2,429 2,204 $1K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 33 30 $1K
82379 89 81 $1K
86880 253 151 $1K
82525 81 74 $1K
86618 138 122 $1K
J2550 Injection, promethazine hcl, up to 50 mg 2,438 1,825 $1K
87535 29 28 $1K
J9260 Injection, methotrexate sodium, 50 mg 345 203 $1K
J0290 Injection, ampicillin sodium, 500 mg 390 214 $1K
84432 107 96 $1K
90461 145 133 $1K
87116 190 152 $1K
94200 325 307 $1K
84270 70 58 $1K
16020 29 24 $985.72
30300 39 38 $968.26
82810 77 67 $954.92
83986 632 568 $946.65
80202 96 48 $926.36
74241 16 12 $916.46
94667 61 50 $884.86
69210 12 12 $807.89
87206 203 164 $740.10
J1020 Injection, methylprednisolone acetate, 20 mg 311 274 $729.84
86592 217 178 $727.44
80175 66 50 $701.07
81241 13 13 $692.80
72202 12 12 $638.60
83498 34 26 $633.08
84681 18 16 $619.53
82657 28 27 $618.62
82542 29 24 $618.39
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg 75 62 $593.93
J2175 Injection, meperidine hydrochloride, per 100 mg 948 760 $592.44
84479 89 82 $555.66
85303 52 50 $544.18
85306 44 41 $542.12
0031A 16 14 $501.60
64495 12 12 $496.47
99151 30 30 $489.64
99195 21 13 $488.00
82365 57 52 $474.89
J1580 Injection, garamycin, gentamicin, up to 80 mg 341 269 $454.31
86644 18 16 $453.06
73020 14 12 $419.52
J0692 Injection, cefepime hydrochloride, 500 mg 174 54 $410.87
J1790 Injection, droperidol, up to 5 mg 321 283 $391.03
86762 86 80 $390.86
82652 13 13 $380.24
83020 29 26 $370.64
85300 45 43 $356.68
70160 12 12 $338.10
86359 16 12 $336.40
86355 16 12 $336.40
J1630 Injection, haloperidol, up to 5 mg 514 420 $294.45
84402 17 13 $286.52
84207 12 12 $285.78
82232 30 26 $275.06
82627 20 13 $273.42
82139 17 15 $265.86
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 19 16 $263.41
82950 30 28 $246.95
J3360 Injection, diazepam, up to 5 mg 17 16 $225.08
84075 34 31 $216.05
J1250 Injection, dobutamine hydrochloride, per 250 mg 75 71 $215.00
86021 17 16 $208.45
0279U 29 28 $207.54
85250 14 14 $206.58
71010 16 12 $195.64
84155 16 13 $188.86
J2210 Injection, methylergonovine maleate, up to 0.2 mg 12 12 $174.09
86225 21 12 $167.49
80183 14 13 $153.22
86300 12 12 $142.55
85670 33 29 $133.00
80178 33 25 $121.03
87425 16 16 $119.80
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg 146 68 $116.81
86705 26 26 $112.34
84300 39 35 $111.32
J2800 Injection, methocarbamol, up to 10 ml 29 26 $92.54
84630 13 12 $91.12
J9250 Methotrexate sodium, 5 mg 32 25 $90.93
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 110 108 $80.57
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 331 288 $71.64
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 20 13 $69.51
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 1,113 701 $58.67
90685 17 16 $54.64
84133 13 12 $28.38
J0280 Injection, aminophyllin, up to 250 mg 13 12 $20.58
G8984 Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals 269 215 $15.81
G8996 Swallowing functional limitation, current status at therapy episode outset and at reporting intervals 109 76 $12.00
J3105 Injection, terbutaline sulfate, up to 1 mg 28 26 $9.32
C8937 Computer-aided detection, including computer algorithm analysis of breast mri image data for lesion detection/characterization, pharmacokinetic analysis, with further physician review for interpretation (list separately in addition to code for primary procedure) 16 15 $1.17
G8985 Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 308 234 $1.00
Q0244 Injection, casirivimab and imdevimab, 1200 mg 16 16 $0.13
Q0243 Injection, casirivimab and imdevimab, 2400 mg 16 12 $0.01
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 1,017 737 $0.00
G8997 Swallowing functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 114 79 $0.00
G8981 Changing & maintaining body position functional limitation, current status, at therapy episode outset and at reporting intervals 188 165 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 354 266 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 68 41 $0.00
G8982 Changing & maintaining body position functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 205 189 $0.00
G8998 Swallowing functional limitation, discharge status, at discharge from therapy or to end reporting 53 43 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 55 29 $0.00