Medicaid Provider Spending

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

PUBLIC HOSPITAL DIST NO 1 SKAGIT

NPI: 1053357244 · MOUNT VERNON, WA 98274 · General Acute Care Hospital · NPI assigned 06/22/2006

$88.65M
Total Medicaid Paid
2,607,790
Total Claims
2,183,364
Beneficiaries
633
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCESENA, TAMARA (CFO)
NPI Enumeration Date06/22/2006

Related Entities

Other providers sharing the same authorized official: CESENA, TAMARA

ProviderCityStateTotal Paid
PUBLIC HOSPITAL DIST NO 1 SKAGIT MOUNT VERNON WA $24.73M
PUBLIC HOSPITAL DIST NO 1 SKAGIT DARRINGTON WA $1.06M
PUBLIC HOSPITAL DISTRICT NO 1 SKAGIT ARLINGTON WA $974K
PUBLIC HOSPITAL DIST NO 1 SKAGIT GRANITE FALLS WA $263K
PUBLIC HOSPITAL DIST NO 1 SKAGIT ARLINGTON WA $13K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 337,028 $12.44M
2019 355,556 $12.59M
2020 318,718 $10.64M
2021 398,005 $13.04M
2022 428,481 $13.98M
2023 427,288 $14.05M
2024 342,714 $11.91M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 452,469 364,073 $39.90M
96361 Intravenous infusion, hydration; each additional hour 15,024 12,179 $3.92M
99283 Emergency department visit for the evaluation and management, moderate severity 24,890 23,279 $3.19M
99284 Emergency department visit for the evaluation and management, high severity 23,870 22,176 $2.87M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 24,452 21,908 $2.60M
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 26,795 25,448 $1.78M
74177 Computed tomography, abdomen and pelvis; with contrast material 8,058 7,669 $1.77M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 3,695 3,523 $1.13M
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 5,739 3,103 $1.10M
99282 Emergency department visit for the evaluation and management, low to moderate severity 9,146 8,749 $1.08M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 12,241 8,366 $1.05M
70450 Computed tomography, head or brain; without contrast material 6,666 6,140 $889K
J0585 Injection, onabotulinumtoxina, 1 unit 4,361 3,244 $887K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 4,091 3,978 $830K
45380 Colonoscopy, flexible; with biopsy, single or multiple 2,284 2,158 $828K
80053 Comprehensive metabolic panel 101,520 86,029 $722K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 5,771 3,047 $715K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 4,844 4,129 $682K
17110 3,545 3,341 $589K
G0378 Hospital observation service, per hour 12,035 5,520 $581K
20610 4,721 4,361 $542K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,595 2,483 $492K
59025 Fetal non-stress test 3,445 1,630 $483K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1,812 1,751 $479K
64615 2,443 2,307 $461K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 6,096 3,406 $450K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 1,966 1,910 $393K
76705 Ultrasound, abdominal, real time with image documentation; limited 3,981 3,755 $375K
90460 Immunization administration through 18 years of age via any route, first or only component 16,026 15,787 $372K
71275 Computed tomographic angiography, chest, with contrast material 1,786 1,715 $339K
36415 Collection of venous blood by venipuncture 169,173 135,587 $333K
96415 1,589 1,122 $302K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1,809 1,769 $296K
76830 Ultrasound, transvaginal 3,305 3,178 $288K
95810 Polysomnography; sleep staging with 4 or more additional parameters 591 586 $282K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 11,833 5,003 $279K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 961 919 $277K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 99,918 80,931 $268K
11102 1,106 1,068 $256K
71046 Radiologic examination, chest; 2 views 14,426 13,824 $252K
84443 Thyroid stimulating hormone (TSH) 32,636 31,370 $247K
76700 Ultrasound, abdominal, real time with image documentation; complete 2,185 2,151 $228K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13,999 13,522 $226K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,802 1,717 $225K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 3,955 3,786 $223K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 731 710 $223K
70551 Magnetic resonance imaging, brain; without contrast material 1,188 1,152 $215K
12001 1,048 1,020 $208K
97530 Therapeutic activities, direct patient contact, each 15 minutes 8,218 4,674 $184K
73630 9,320 8,689 $179K
88305 Level IV - Surgical pathology, gross and microscopic examination 9,452 9,039 $176K
73221 933 905 $173K
93017 2,102 2,045 $173K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2,196 2,162 $173K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 11,236 10,813 $173K
76801 2,683 2,413 $172K
71260 Computed tomography, thorax, diagnostic; with contrast material 2,035 1,964 $168K
93971 1,938 1,867 $166K
11750 479 437 $166K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 1,510 1,465 $165K
52000 369 355 $161K
10060 942 894 $161K
J9271 Injection, pembrolizumab, 1 mg 32 24 $158K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,261 3,073 $158K
80061 Lipid panel 22,221 21,769 $151K
96375 Therapeutic injection; each additional sequential IV push 20,663 14,882 $151K
73562 7,207 6,877 $140K
73110 6,258 5,310 $140K
73130 6,564 5,866 $139K
73610 7,117 6,458 $138K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 17,871 15,736 $138K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 30,245 25,917 $136K
73030 6,628 6,126 $133K
72141 766 755 $125K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 21,138 13,977 $123K
84484 17,044 12,143 $121K
29125 720 686 $118K
90461 8,232 8,116 $114K
83036 Hemoglobin; glycosylated (A1C) 23,664 23,083 $111K
76770 1,173 1,144 $111K
87507 1,709 1,654 $110K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,689 1,616 $109K
17000 1,205 1,161 $107K
70496 647 619 $106K
84439 12,816 12,443 $106K
71250 1,369 1,325 $105K
72125 Computed tomography, cervical spine; without contrast material 1,946 1,848 $101K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 11,230 10,788 $99K
90715 6,376 6,215 $92K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 17,665 13,644 $91K
71045 Radiologic examination, chest; single view 14,417 12,993 $91K
80048 Basic metabolic panel (calcium, ionized) 16,302 13,051 $90K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 13,691 13,439 $90K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 1,754 1,570 $89K
64450 432 363 $85K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 4,706 2,132 $85K
97597 2,804 1,748 $83K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,585 2,361 $83K
72100 3,530 3,432 $78K
96900 2,751 577 $78K
95886 731 706 $76K
69210 1,703 1,654 $76K
87086 Culture, bacterial; quantitative colony count, urine 22,353 20,898 $75K
85027 22,047 20,140 $75K
96367 2,311 1,777 $74K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,993 1,780 $73K
11100 265 250 $71K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,246 1,139 $71K
73140 3,867 3,384 $71K
96376 8,794 5,398 $70K
87040 6,850 3,867 $69K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 217 209 $69K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1,954 862 $69K
10061 318 304 $67K
93975 997 950 $65K
42820 Tonsillectomy and adenoidectomy; younger than age 12 37 37 $64K
83605 7,503 6,235 $61K
82728 9,627 9,326 $60K
90651 3,470 3,429 $59K
97162 1,823 1,719 $58K
11055 490 464 $57K
73080 2,857 2,461 $57K
73560 3,429 3,190 $55K
11721 4,261 4,083 $55K
J2469 Injection, palonosetron hcl, 25 mcg 1,258 809 $55K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 3,998 3,854 $54K
90686 12,297 12,100 $54K
11900 343 334 $54K
72040 2,351 2,297 $51K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 3,848 3,769 $51K
74018 3,006 2,852 $50K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 4,102 3,146 $50K
73502 2,827 2,653 $48K
76870 454 441 $46K
83690 18,303 16,421 $46K
95811 100 100 $45K
11056 491 464 $45K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 2,344 1,915 $45K
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 3,086 2,801 $44K
98928 1,760 1,418 $43K
J7030 Infusion, normal saline solution , 1000 cc 35,665 24,025 $41K
83880 3,972 3,660 $40K
97161 1,109 1,067 $39K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1,899 932 $39K
76536 411 408 $37K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 1,041 984 $36K
11104 119 116 $36K
90677 1,561 1,521 $35K
70498 673 643 $35K
82607 4,986 4,862 $35K
98927 1,820 1,664 $35K
83735 18,791 15,341 $35K
86140 11,115 10,330 $33K
95115 1,760 647 $33K
87077 10,987 9,885 $32K
12011 161 158 $32K
97803 759 627 $32K
90670 4,020 3,954 $31K
84702 5,125 3,978 $31K
84145 2,778 2,289 $31K
72110 1,366 1,339 $31K
83655 2,073 2,052 $31K
20550 254 240 $31K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 1,027 836 $30K
81001 19,218 17,614 $30K
83550 7,817 7,597 $29K
86592 5,733 5,598 $29K
83970 1,620 1,523 $29K
87070 5,883 5,431 $28K
73090 1,470 1,222 $28K
85379 4,034 3,861 $28K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 448 433 $28K
81025 23,886 22,164 $28K
73590 1,508 1,368 $27K
86480 1,712 1,657 $26K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 5,906 5,775 $26K
83540 7,955 7,703 $26K
70486 367 360 $26K
97602 290 121 $25K
70491 164 160 $25K
94060 578 561 $25K
87181 10,069 9,178 $25K
98926 1,552 1,438 $25K
82075 5,849 4,576 $25K
95806 66 63 $25K
82570 6,698 6,157 $24K
0071A 635 622 $24K
J2704 Injection, propofol, 10 mg 16,369 14,165 $24K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 27 27 $24K
85610 13,363 10,740 $24K
80305 8,850 8,069 $24K
12002 150 144 $24K
82962 24,717 12,658 $23K
86803 4,085 3,986 $23K
99152 2,916 2,763 $22K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 12,251 7,289 $22K
87088 8,332 7,979 $22K
87081 5,129 5,035 $22K
87486 1,041 984 $22K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 2,142 2,103 $22K
83516 2,318 1,496 $21K
97802 340 339 $21K
82746 3,458 3,376 $21K
87511 1,569 1,532 $20K
86850 5,743 5,133 $19K
J3010 Injection, fentanyl citrate, 0.1 mg 15,898 11,778 $19K
87340 4,853 4,714 $19K
86900 6,225 5,544 $19K
90472 Immunization administration, each additional vaccine (list separately) 1,898 1,865 $19K
72050 870 852 $19K
11901 165 164 $18K
0001A 470 451 $18K
78815 Positron emission tomography (PET) for limited area imaging 41 39 $18K
J7120 Ringers lactate infusion, up to 1000 cc 12,781 11,443 $17K
82784 2,068 1,866 $17K
73564 592 569 $17K
81002 30,523 27,743 $17K
J7050 Infusion, normal saline solution, 250 cc 22,626 10,769 $16K
87581 1,041 984 $16K
A9585 Injection, gadobutrol, 0.1 ml 3,403 3,235 $16K
84403 1,440 1,371 $16K
82043 4,565 4,448 $16K
77336 294 118 $15K
87481 2,513 1,778 $15K
80074 1,070 1,049 $15K
51798 3,267 3,088 $14K
93296 1,503 1,478 $14K
87205 7,783 7,262 $14K
20553 131 121 $14K
94726 530 519 $14K
86787 2,743 2,505 $13K
73100 468 389 $13K
90750 177 171 $13K
76937 666 612 $13K
82105 1,220 1,157 $13K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 13,798 13,108 $13K
43235 28 28 $13K
83001 1,140 1,116 $12K
84153 1,542 1,501 $12K
71101 770 750 $12K
0002A 330 327 $12K
99153 Mod sedat endo service >5yrs 1,567 1,467 $12K
94729 553 539 $12K
76819 Fetal biophysical profile; without non-stress testing 223 170 $12K
85651 5,284 4,988 $12K
86255 710 661 $12K
96417 1,170 668 $12K
82247 2,430 1,681 $11K
93970 127 125 $11K
88142 744 730 $11K
J1170 Injection, hydromorphone, up to 4 mg 11,536 7,089 $11K
J0897 Injection, denosumab, 1 mg 67 64 $11K
82805 1,842 1,550 $11K
86038 2,522 2,117 $10K
73501 576 540 $10K
11045 39 24 $10K
73000 421 355 $10K
C1769 Guide wire 1,546 1,413 $10K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3,048 2,723 $10K
82550 3,421 2,706 $10K
76820 253 195 $10K
69209 416 404 $10K
83050 1,761 1,492 $10K
86901 6,354 5,636 $10K
83520 835 753 $10K
58300 84 78 $10K
84146 821 798 $10K
0124A 375 355 $9K
85014 2,714 2,176 $9K
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 21,356 20,276 $9K
72072 476 464 $9K
87522 Neg quan hep c or qual rna 339 319 $9K
86762 2,528 2,453 $8K
73120 327 289 $8K
90734 1,305 1,297 $8K
82248 2,515 1,748 $8K
88307 152 144 $8K
64721 13 13 $8K
80076 1,412 1,356 $8K
86704 1,708 1,655 $8K
85007 3,359 2,851 $8K
88342 749 714 $8K
0072A 203 200 $7K
72197 26 26 $7K
72070 430 423 $7K
82950 1,860 1,800 $7K
87075 1,834 1,607 $7K
J1885 Injection, ketorolac tromethamine, per 15 mg 15,879 13,935 $7K
86706 1,691 1,652 $7K
83002 803 781 $7K
81000 8,146 7,100 $7K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 6,040 5,001 $7K
86695 939 912 $7K
99281 Emergency department visit for the evaluation and management, self-limited or minor 67 66 $7K
76942 110 105 $7K
0064A 228 223 $7K
J1050 Injection, medroxyprogesterone acetate, 1 mg 761 732 $7K
36000 2,080 2,036 $7K
0054A 249 244 $7K
0202U Oncology (prostate), multianalyte, gene expression profiling 8,220 7,861 $7K
84460 2,905 2,833 $7K
85652 4,596 4,419 $7K
85018 4,081 3,363 $7K
88304 1,278 1,247 $6K
11730 44 42 $6K
0004A 224 218 $6K
20605 44 39 $6K
87428 6,050 5,930 $6K
76882 68 63 $6K
84550 2,774 2,604 $6K
87529 247 182 $6K
73660 402 383 $6K
87521 Neg quan hep c or qual rna 209 199 $6K
98925 478 453 $6K
84156 2,181 1,899 $5K
86696 1,089 991 $5K
90707 1,342 1,330 $5K
87210 1,880 1,809 $5K
84481 635 614 $5K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 501 475 $5K
92557 255 253 $5K
82375 1,775 1,508 $5K
84703 1,687 1,646 $5K
77002 59 54 $5K
83615 2,371 2,071 $5K
84450 2,240 2,183 $5K
A9575 Injection, gadoterate meglumine, 0.1 ml 795 700 $5K
86200 1,275 1,234 $5K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 123 121 $5K
81003 4,503 4,270 $5K
74022 231 222 $5K
51702 511 440 $5K
J0690 Injection, cefazolin sodium, 500 mg 5,202 4,435 $5K
20600 40 40 $5K
86694 317 307 $5K
29105 43 43 $5K
83883 476 435 $5K
J2250 Injection, midazolam hydrochloride, per 1 mg 5,024 4,358 $5K
87653 291 286 $5K
92652 78 72 $4K
80069 976 810 $4K
93308 26 26 $4K
84402 416 398 $4K
93299 333 327 $4K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 15,287 12,519 $4K
82947 1,211 1,187 $4K
90732 387 373 $4K
85732 2,460 2,097 $4K
72156 13 13 $4K
90648 2,362 2,321 $4K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 970 886 $4K
17004 163 155 $4K
64405 323 268 $4K
82565 1,612 1,541 $4K
94761 1,879 1,243 $4K
96368 524 336 $4K
J3490 Unclassified drugs 4,610 3,374 $4K
92567 432 430 $4K
73522 189 187 $4K
72202 246 240 $4K
J2270 Injection, morphine sulfate, up to 10 mg 3,463 2,499 $4K
84100 2,246 1,791 $4K
J2060 Injection, lorazepam, 2 mg 3,603 2,655 $4K
80175 236 228 $4K
J1756 Injection, iron sucrose, 1 mg 752 370 $4K
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 15 13 $4K
95819 25 25 $4K
91322 501 487 $4K
71271 39 38 $3K
90480 668 609 $3K
J3370 Injection, vancomycin hcl, 500 mg 1,742 957 $3K
78264 14 14 $3K
97166 94 85 $3K
31575 45 45 $3K
11720 77 75 $3K
95909 83 78 $3K
29130 12 12 $3K
0052A 86 86 $3K
C1776 Joint device (implantable) 26 26 $3K
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 1,470 1,412 $3K
J1030 Injection, methylprednisolone acetate, 40 mg 2,022 1,730 $3K
98929 128 116 $3K
94799 644 522 $3K
73620 147 142 $3K
92610 103 92 $3K
74183 14 14 $3K
J7060 5% dextrose/water (500 ml = 1 unit) 3,518 1,540 $3K
94664 330 322 $3K
90620 1,227 1,208 $3K
80143 765 715 $3K
86431 853 838 $3K
82274 373 367 $3K
84165 764 710 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg 5,711 4,188 $2K
J1644 Injection, heparin sodium, per 1000 units 7,276 2,717 $2K
86160 533 503 $2K
0051A 73 71 $2K
82670 283 275 $2K
87147 926 847 $2K
J0330 Injection, succinylcholine chloride, up to 20 mg 1,199 1,110 $2K
82077 2,548 2,291 $2K
93798 55 12 $2K
77080 38 38 $2K
83013 113 110 $2K
74420 13 12 $2K
J1815 Injection, insulin, per 5 units 5,835 1,721 $2K
95911 12 12 $2K
72170 167 158 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg 22,528 17,030 $2K
Q9957 Injection, perflutren lipid microspheres, per ml 213 203 $2K
80177 138 129 $2K
82553 214 139 $2K
87808 1,349 1,307 $2K
92526 52 30 $2K
86376 210 207 $2K
82652 223 218 $2K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 585 546 $2K
84436 287 279 $2K
97165 41 37 $2K
74019 97 94 $2K
J2795 Injection, ropivacaine hydrochloride, 1 mg 1,928 1,594 $2K
86430 545 521 $1K
J2785 Injection, regadenoson, 0.1 mg 367 347 $1K
80179 705 659 $1K
90746 97 96 $1K
92551 70 67 $1K
72114 38 38 $1K
86162 426 409 $1K
82977 365 316 $1K
76000 78 77 $1K
94644 102 92 $1K
C1889 Implantable/insertable device, not otherwise classified 27 26 $1K
73700 29 26 $1K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,476 1,224 $1K
0074A 27 26 $1K
36430 19 12 $1K
83721 597 583 $1K
82140 194 179 $1K
86317 215 210 $1K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 377 345 $1K
C1758 Catheter, ureteral 1,393 1,323 $1K
36416 982 883 $1K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 472 460 $1K
72082 40 40 $1K
G0008 Administration of influenza virus vaccine 1,504 1,460 $1K
82150 220 210 $1K
72120 54 53 $1K
72146 13 13 $1K
84520 680 661 $1K
0081A 25 25 $1K
84479 250 244 $1K
84112 199 181 $969.29
90688 249 248 $955.43
82677 46 45 $947.71
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 16 16 $936.00
73552 57 55 $930.91
72131 13 13 $914.41
87186 334 297 $912.86
97535 Self-care/home management training, each 15 minutes 67 52 $887.62
86364 402 392 $877.20
82378 154 130 $874.65
90678 125 117 $870.86
86308 242 234 $832.65
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 7,358 3,608 $831.85
J2765 Injection, metoclopramide hcl, up to 10 mg 2,937 2,548 $825.86
82533 77 71 $814.34
84478 518 504 $804.56
J3475 Injection, magnesium sulfate, per 500 mg 1,544 1,007 $769.91
74174 16 16 $762.26
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 247 228 $730.00
86300 73 63 $719.33
90656 131 131 $703.90
96402 73 64 $694.35
J2370 Injection, phenylephrine hcl, up to 1 ml 1,852 1,516 $680.88
J1200 Injection, diphenhydramine hcl, up to 50 mg 5,824 4,075 $633.16
86708 125 123 $619.78
73060 51 49 $604.25
87641 65 65 $590.23
82040 214 200 $588.45
91321 32 31 $570.77
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 2,936 2,735 $552.40
0003A 13 13 $527.50
87807 477 472 $526.06
84155 466 418 $525.13
Q2034 Influenza virus vaccine, split virus, for intramuscular use (agriflu) 387 377 $510.56
80164 42 38 $498.97
0082A 12 12 $496.48
0352U 1,340 1,296 $488.08
88360 13 12 $463.73
95874 274 226 $460.61
93289 51 48 $459.87
93288 63 60 $409.77
17003 249 243 $408.78
84075 162 153 $390.64
85045 182 168 $375.78
J1790 Injection, droperidol, up to 5 mg 735 576 $373.49
90662 477 458 $358.07
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 28 26 $355.86
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 279 138 $354.62
86800 99 96 $350.52
88312 87 83 $342.99
80178 37 37 $321.30
86231 119 119 $318.77
86580 52 43 $318.70
86003 45 39 $315.95
81374 108 106 $311.06
J2550 Injection, promethazine hcl, up to 50 mg 1,377 1,047 $309.38
C1892 Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away 40 40 $306.95
97116 43 24 $300.16
83010 36 36 $283.87
88341 58 56 $280.27
86780 25 24 $278.03
J3480 Injection, potassium chloride, per 2 meq 504 233 $275.06
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 1,136 935 $273.69
94760 133 117 $268.05
82310 148 142 $262.45
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 6,254 5,561 $261.44
86336 46 45 $259.83
J1650 Injection, enoxaparin sodium, 10 mg 171 93 $236.26
85049 148 144 $235.22
90716 1,299 1,289 $233.86
82009 25 24 $232.91
95024 12 12 $222.57
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 1,016 789 $220.60
72220 13 13 $208.04
86705 40 38 $206.89
90710 1,346 1,322 $201.92
87338 24 24 $199.88
82172 36 35 $196.22
A6449 Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard 2,591 1,657 $193.40
99497 14 13 $192.26
90680 2,782 2,721 $177.47
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 40 38 $172.27
86735 24 24 $171.20
90792 Psychiatric diagnostic evaluation with medical services 13 13 $157.24
87184 66 62 $155.75
0296T 13 13 $142.69
90698 2,281 2,250 $137.14
86778 13 13 $135.33
99495 25 24 $135.23
J3372 Injection, vancomycin hcl (xellia), not therapeutically equivalent to j3370, 500 mg 134 80 $132.58
86225 60 56 $126.46
87045 14 14 $123.81
95004 Percutaneous tests with allergenic extracts, immediate type reaction 12 12 $123.65
36600 30 29 $123.20
83718 18 18 $122.80
J1580 Injection, garamycin, gentamicin, up to 80 mg 166 150 $115.90
J1171 Injection, hydromorphone, 0.1 mg 211 128 $114.30
J2175 Injection, meperidine hydrochloride, per 100 mg 74 69 $113.32
86765 23 23 $109.97
87563 26 26 $109.23
J7070 Infusion, d5w, 1000 cc 67 39 $107.46
83020 14 13 $106.40
J0171 Injection, adrenalin, epinephrine, 0.1 mg 44 39 $105.31
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 12 12 $105.26
0353U 1,435 1,396 $103.19
85613 17 12 $101.97
82951 12 12 $99.33
J0780 Injection, prochlorperazine, up to 10 mg 57 50 $98.53
G0433 Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening 268 259 $94.70
84132 63 57 $93.49
J3360 Injection, diazepam, up to 5 mg 34 15 $92.70
87427 14 14 $91.14
J1630 Injection, haloperidol, up to 5 mg 804 670 $88.94
J8540 Dexamethasone, oral, 0.25 mg 3,432 2,966 $88.74
A6454 Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard 1,511 644 $86.21
91305 504 484 $79.94
J1956 Injection, levofloxacin, 250 mg 54 50 $75.52
83525 12 12 $72.75
86258 30 29 $69.99
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 1,321 950 $69.39
82465 18 18 $66.69
90633 2,751 2,725 $64.70
87046 14 14 $62.11
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg 103 41 $61.42
J1010 Injection, methylprednisolone acetate, 1 mg 214 159 $59.89
J1940 Injection, furosemide, up to 20 mg 106 80 $57.09
90696 1,218 1,196 $55.92
86334 12 12 $54.60
96110 Developmental screening, with scoring and documentation, per standardized instrument 23 22 $54.45
82390 12 12 $52.41
93297 12 12 $51.96
96127 13 13 $49.79
82952 12 12 $49.63
90619 1,062 1,036 $48.59
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 1,650 1,469 $45.70
84295 27 26 $43.76
82374 27 26 $43.76
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 660 646 $43.25
Q0177 Hydroxyzine pamoate, 25 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 1,297 797 $36.08
90723 876 847 $35.80
88720 33 28 $35.06
90700 1,193 1,177 $34.58
J2919 Injection, methylprednisolone sodium succinate, 5 mg 157 135 $29.80
90744 1,369 1,353 $28.90
90681 368 363 $23.78
J7042 5% dextrose/normal saline (500 ml = 1 unit) 32 24 $22.98
J3411 Injection, thiamine hcl, 100 mg 55 37 $19.35
87101 13 13 $17.30
J1836 Injection, metronidazole, 10 mg 21 12 $13.24
99406 493 483 $12.41
81015 331 324 $12.14
Q4012 Cast supplies, short arm cast, pediatric (0-10 years), fiberglass 14 12 $10.68
A9270 Non-covered item or service 7,878 3,243 $10.62
A4615 Cannula, nasal 305 291 $9.11
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 215 197 $8.40
G0009 Administration of pneumococcal vaccine 154 150 $7.61
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 1,478 1,002 $5.12
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 30 26 $3.18
A4300 Implantable access catheter, (e.g., venous, arterial, epidural subarachnoid, or peritoneal, etc.) external access 17 13 $1.33
Q0244 Injection, casirivimab and imdevimab, 1200 mg 17 16 $0.03
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 3,781 3,244 $0.01
A6196 Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing 155 69 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 216 185 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 157 138 $0.00
G8990 Other physical or occupational therapy primary functional limitation, current status, at therapy episode outset and at reporting intervals 166 165 $0.00
91308 44 43 $0.00
91311 14 14 $0.00
91300 1,091 1,023 $0.00
G8996 Swallowing functional limitation, current status at therapy episode outset and at reporting intervals 12 12 $0.00
91312 423 400 $0.00
G8997 Swallowing functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 12 12 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 12 12 $0.00
85060 13 13 $0.00
J3489 Injection, zoledronic acid, 1 mg 17 17 $0.00
90697 24 24 $0.00
91307 923 844 $0.00
90381 39 33 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 470 395 $0.00
G8991 Other physical or occupational therapy primary functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 190 189 $0.00
91301 32 31 $0.00
91306 226 223 $0.00
P9612 Catheterization for collection of specimen, single patient, all places of service 12 12 $0.00