Medicaid Provider Spending

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

EDWARD W SPARROW HOSPITAL ASSOCIATION

NPI: 1073588711 · LANSING, MI 48912 · Substance Use Disorder Rehabilitation Hospital Unit · NPI assigned 02/17/2006

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

Authorized official RUSSIAN, MISTY controls 20+ related entities in our dataset. Read more

$125.88M
Total Medicaid Paid
4,162,433
Total Claims
3,709,504
Beneficiaries
711
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUSSIAN, MISTY (SUPERVISOR, PROVIDER ENROLLMENT)
Parent OrganizationSPARROW HEALTH SYSTEM
NPI Enumeration Date02/17/2006

Related Entities

Other providers sharing the same authorized official: RUSSIAN, MISTY

ProviderCityStateTotal Paid
METROPOLITAN HOSPITAL WYOMING MI $100.96M
SPARROW IONIA HOSPITAL IONIA MI $13.76M
SPARROW EATON HOSPITAL CHARLOTTE MI $13.22M
SPARROW CLINTON HOSPITAL SAINT JOHNS MI $8.68M
EDWARD W. SPARROW HOSPITAL ASSOCIATION LANSING MI $5.81M
SPARROW CARSON HOSPITAL CARSON CITY MI $5.48M
EDWARD W. SPARROW HOSPITAL ASSOCIATION EAST LANSING MI $5.43M
SPARROW IONIA HOSPITAL IONIA MI $3.49M
SPARROW EATON HOSPITAL CHARLOTTE MI $3.12M
EDWARD W. SPARROW HOSPITAL ASSOCIATION LANSING MI $2.77M
EDWARD W. SPARROW HOSPITAL ASSOCIATION LANSING MI $2.61M
EDWARD W SPARROW HOSPITAL ASSOCIATION LANSING MI $2.48M
EDWARD W. SPARROW HOSPITAL ASSOCIATION MASON MI $2.44M
SPARROW COMMUNITY CARE LANSING MI $2.31M
EDWARD W SPARROW HOSPITAL ASSOCIATION LANSING MI $2.31M
EDWARD W SPARROW HOSPITAL ASSOCIATION LANSING MI $1.85M
EDWARD W. SPARROW HOSPITAL ASSOCIATION LANSING MI $1.83M
EDWARD W. SPARROW HOSPITAL ASSOCIATION LANSING MI $1.65M
SPARROW IONIA HOSPITAL PORTLAND MI $1.61M
SPARROW CARSON HOSPITAL ITHACA MI $1.54M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 319,548 $13.15M
2019 519,210 $13.34M
2020 512,052 $14.26M
2021 697,400 $20.83M
2022 728,255 $22.51M
2023 748,687 $22.76M
2024 637,281 $19.02M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 71,663 64,864 $26.02M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 263,887 227,559 $16.59M
99284 Emergency department visit for the evaluation and management, high severity 60,029 56,082 $12.40M
99283 Emergency department visit for the evaluation and management, moderate severity 64,980 58,917 $8.15M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 43,396 38,624 $4.09M
74177 Computed tomography, abdomen and pelvis; with contrast material 16,976 16,393 $1.95M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 20,878 17,380 $1.91M
70450 Computed tomography, head or brain; without contrast material 16,342 15,533 $1.74M
97530 Therapeutic activities, direct patient contact, each 15 minutes 47,660 18,580 $1.69M
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 52,932 48,770 $1.69M
71046 Radiologic examination, chest; 2 views 44,069 41,497 $1.65M
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 18,785 18,424 $1.31M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 66,201 21,628 $1.30M
96375 Therapeutic injection; each additional sequential IV push 40,015 32,925 $1.27M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 5,707 5,670 $1.24M
59025 Fetal non-stress test 13,579 8,413 $1.24M
96361 Intravenous infusion, hydration; each additional hour 33,459 28,564 $1.20M
95810 Polysomnography; sleep staging with 4 or more additional parameters 2,481 2,463 $1.17M
64493 2,014 1,975 $1.10M
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 11,185 9,906 $1.09M
64483 2,158 2,112 $1.04M
99282 Emergency department visit for the evaluation and management, low to moderate severity 12,956 12,288 $919K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1,954 1,931 $888K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 5,540 3,240 $783K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 60,842 59,117 $727K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 59,759 58,052 $707K
76830 Ultrasound, transvaginal 12,442 12,065 $707K
80061 Lipid panel 61,208 60,885 $666K
64490 1,225 1,194 $611K
78815 Positron emission tomography (PET) for limited area imaging 901 890 $594K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 30,214 28,261 $584K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,850 1,807 $575K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 14,269 5,034 $571K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 4,853 4,809 $542K
74176 Computed tomography, abdomen and pelvis; without contrast material 5,469 5,286 $524K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 2,912 2,888 $513K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 2,982 1,638 $504K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 23,034 9,288 $470K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 32,080 11,911 $456K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 8,677 8,508 $452K
71275 Computed tomographic angiography, chest, with contrast material 5,291 5,154 $449K
70496 2,927 2,886 $444K
76700 Ultrasound, abdominal, real time with image documentation; complete 7,306 7,235 $425K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,037 1,007 $423K
G0378 Hospital observation service, per hour 19,937 11,276 $421K
76801 7,159 6,398 $419K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 44,136 43,919 $414K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 10,530 9,841 $398K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 819 816 $394K
84443 Thyroid stimulating hormone (TSH) 89,252 86,340 $375K
82947 29,241 27,146 $371K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 6,060 5,989 $361K
80053 Comprehensive metabolic panel 178,736 158,895 $354K
20610 2,590 2,140 $354K
94060 2,411 2,394 $334K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 31,006 30,404 $328K
76819 Fetal biophysical profile; without non-stress testing 5,242 3,072 $326K
95811 722 713 $322K
77067 Screening mammography, bilateral, including computer-aided detection 6,675 6,670 $319K
71260 Computed tomography, thorax, diagnostic; with contrast material 5,678 5,571 $318K
76705 Ultrasound, abdominal, real time with image documentation; limited 5,369 5,222 $314K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 553 552 $313K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 610 594 $293K
93976 5,235 5,036 $291K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 215,335 182,561 $270K
86481 7,345 7,314 $264K
93971 4,755 4,607 $253K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 33,549 27,873 $247K
97162 5,052 5,002 $240K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 29,547 29,393 $240K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 21,394 20,829 $237K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 23,766 23,687 $233K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 2,053 2,043 $229K
Q3014 Telehealth originating site facility fee 15,536 14,295 $228K
71045 Radiologic examination, chest; single view 6,998 6,689 $222K
93970 2,068 2,035 $217K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 1,759 1,738 $217K
76770 3,745 3,679 $208K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 6,547 5,433 $208K
90378 205 164 $206K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 2,117 2,099 $204K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 6,096 4,490 $199K
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 629 627 $195K
90677 1,270 1,269 $191K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 330 328 $187K
97161 2,601 2,590 $187K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 14,603 14,587 $174K
83036 Hemoglobin; glycosylated (A1C) 57,163 56,614 $173K
90651 1,580 1,577 $169K
G0379 Direct admission of patient for hospital observation care 247 242 $163K
81514 945 928 $162K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 60,460 52,223 $159K
70491 1,415 1,380 $144K
86780 26,236 26,078 $144K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 28,210 26,094 $143K
93017 3,122 3,072 $137K
76536 2,579 2,568 $129K
82607 27,765 27,593 $128K
86900 20,426 19,112 $127K
86803 23,610 23,502 $118K
76642 3,109 3,071 $114K
73221 896 879 $109K
72110 4,708 4,663 $108K
90686 7,288 7,266 $107K
88305 Level IV - Surgical pathology, gross and microscopic examination 11,574 11,149 $99K
70551 Magnetic resonance imaging, brain; without contrast material 944 921 $98K
0001A 3,471 3,394 $98K
77066 Tomosynthesis, mammo 1,768 1,758 $97K
10060 1,044 1,018 $92K
58301 655 648 $92K
84439 33,261 32,742 $91K
74174 618 613 $91K
87086 Culture, bacterial; quantitative colony count, urine 54,325 51,313 $88K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 1,907 1,824 $88K
87536 3,169 3,126 $87K
72141 818 808 $87K
96367 3,257 2,650 $86K
91320 799 797 $83K
90472 Immunization administration, each additional vaccine (list separately) 4,414 4,398 $81K
82728 19,446 19,211 $80K
76882 2,216 2,177 $79K
90460 Immunization administration through 18 years of age via any route, first or only component 2,527 2,508 $78K
87653 6,921 6,863 $76K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 7,634 7,549 $76K
77065 Tomosynthesis, mammo 1,837 1,691 $75K
92523 681 679 $74K
73610 6,751 6,424 $74K
87506 1,073 1,064 $73K
93225 1,662 1,648 $73K
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 28,701 25,264 $72K
19083 96 94 $72K
82652 6,295 6,256 $72K
93226 2,157 2,138 $70K
80074 4,514 4,495 $66K
97165 1,502 1,480 $65K
73030 6,173 6,004 $64K
76820 5,937 3,476 $63K
90832 Psychotherapy, 30 minutes with patient 820 652 $63K
71250 1,432 1,417 $63K
87340 17,420 17,309 $62K
73110 5,104 4,764 $62K
70486 2,526 2,473 $62K
85027 35,855 33,674 $60K
87563 7,163 7,015 $60K
0002A 1,685 1,685 $58K
73630 7,202 6,984 $58K
36415 Collection of venous blood by venipuncture 47,256 39,481 $57K
83550 21,347 21,112 $57K
87631 7,656 7,361 $56K
92526 1,357 545 $56K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 212 212 $54K
43235 156 154 $53K
97116 4,727 2,406 $53K
84702 18,270 14,177 $53K
96417 1,530 999 $52K
73564 5,395 5,308 $52K
77063 Screening digital breast tomosynthesis, bilateral 4,153 4,151 $52K
83013 2,659 2,649 $51K
84207 5,576 5,566 $50K
74018 5,561 5,250 $50K
86003 2,569 1,990 $50K
96415 1,263 845 $50K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 10,884 9,575 $49K
84403 5,707 5,604 $49K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 15,061 14,774 $49K
20611 327 275 $49K
73130 6,292 6,113 $48K
95782 100 100 $47K
J1439 Injection, ferric carboxymaltose, 1 mg 98 64 $44K
90732 495 495 $44K
83540 22,012 21,753 $43K
80048 Basic metabolic panel (calcium, ionized) 26,044 21,587 $43K
73562 2,729 2,704 $42K
93229 306 306 $42K
87077 18,727 17,429 $41K
97014 5,224 2,089 $40K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 8,824 8,070 $40K
93975 348 347 $39K
83970 3,131 3,057 $37K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 3,270 3,081 $36K
93798 591 111 $35K
73502 3,086 3,019 $34K
36591 1,126 675 $34K
86360 2,439 2,432 $34K
86850 20,659 19,600 $34K
83516 5,875 4,605 $33K
86762 7,718 7,580 $33K
76818 566 382 $33K
73560 1,821 1,758 $32K
90750 416 416 $32K
82670 3,603 3,546 $32K
J2505 Injection, pegfilgrastim, 6 mg 16 12 $31K
J0585 Injection, onabotulinumtoxina, 1 unit 59 50 $30K
87522 Neg quan hep c or qual rna 2,352 2,306 $30K
87186 14,139 13,358 $30K
87209 1,700 1,573 $30K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk 70 69 $30K
72125 Computed tomography, cervical spine; without contrast material 7,865 7,597 $29K
83880 11,327 10,534 $29K
84481 6,022 5,859 $29K
36430 184 145 $28K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 3,935 3,931 $28K
86706 6,573 6,542 $28K
93351 241 238 $28K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,601 1,582 $27K
73140 2,098 2,044 $27K
87529 1,835 1,804 $27K
90480 879 875 $27K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 9,915 7,922 $27K
83001 4,471 4,453 $26K
96112 257 257 $26K
82746 6,363 6,330 $26K
84146 4,187 4,154 $26K
87177 3,361 3,030 $26K
81025 9,763 9,463 $26K
81001 62,871 58,620 $25K
86704 5,049 5,035 $24K
82043 13,593 13,464 $24K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 94 94 $24K
0004A 666 665 $24K
93296 1,402 1,395 $24K
88307 852 836 $23K
86140 39,883 36,532 $23K
87480 3,399 3,353 $22K
87510 3,397 3,351 $22K
86235 2,478 2,296 $22K
86038 6,220 6,178 $22K
90791 Psychiatric diagnostic evaluation 288 288 $21K
83735 41,698 36,086 $21K
74019 1,358 1,335 $21K
86359 1,902 1,896 $21K
57454 168 168 $20K
95813 181 175 $20K
0124A 749 748 $20K
82570 12,471 11,859 $20K
58300 1,303 1,287 $20K
84402 2,422 2,399 $20K
73590 3,296 3,124 $20K
90670 1,407 1,400 $20K
83002 3,301 3,283 $19K
12001 1,353 1,338 $19K
84144 2,785 2,641 $19K
76825 64 64 $19K
87660 2,901 2,864 $18K
88342 1,249 1,228 $18K
77336 338 145 $18K
87070 8,288 8,081 $18K
80076 31,165 28,902 $18K
86769 1,884 1,854 $18K
83655 4,089 4,061 $18K
73090 2,798 2,583 $18K
74022 2,416 2,358 $18K
97535 Self-care/home management training, each 15 minutes 1,367 935 $17K
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose 197 101 $17K
99495 274 274 $17K
71271 281 281 $15K
85610 28,496 23,229 $15K
74178 105 104 $15K
72040 1,243 1,228 $15K
87210 12,107 11,778 $15K
72050 435 434 $15K
90678 59 59 $15K
70498 2,882 2,840 $15K
J1453 Injection, fosaprepitant, 1 mg 220 127 $15K
82784 3,548 3,183 $15K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4,366 4,262 $14K
Q5111 Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg 16 12 $14K
90746 393 393 $14K
87625 909 906 $14K
82627 2,115 2,109 $14K
86255 3,332 2,644 $13K
0054A 412 411 $13K
76813 266 266 $13K
80069 4,848 4,126 $13K
73080 2,007 1,920 $13K
81003 40,095 37,756 $13K
72072 529 526 $13K
82105 2,490 2,428 $12K
71111 734 725 $12K
0011A 520 520 $12K
0012A 358 358 $12K
86480 529 526 $12K
87481 361 328 $12K
72158 121 117 $12K
99496 207 206 $11K
83020 2,725 2,702 $11K
86870 256 235 $11K
82950 5,790 5,776 $11K
72131 263 261 $11K
85652 18,448 17,164 $11K
73070 1,038 981 $11K
97163 209 208 $10K
90656 586 586 $10K
77334 44 25 $10K
0071A 286 286 $10K
74230 157 150 $10K
84425 1,990 1,979 $10K
86376 2,272 2,265 $10K
82785 2,150 2,141 $10K
52000 31 31 $10K
96523 632 494 $10K
86665 1,695 1,463 $10K
Q5103 Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg 19 12 $10K
97035 1,858 795 $10K
82533 2,211 2,012 $10K
0072A 260 257 $10K
93270 686 685 $9K
86225 2,266 2,249 $9K
84480 1,927 1,907 $9K
73552 1,976 1,932 $9K
86901 20,143 19,092 $9K
93298 505 505 $9K
88304 2,238 2,204 $9K
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 3,304 2,792 $8K
58100 98 97 $8K
84703 33,553 31,196 $8K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 389 386 $8K
86696 1,297 1,289 $8K
86787 1,979 1,807 $8K
86708 2,373 2,362 $8K
77080 142 142 $8K
86812 1,039 1,036 $8K
82248 5,938 4,543 $8K
82626 844 841 $8K
86200 1,965 1,962 $8K
73522 495 491 $8K
90675 48 28 $8K
73000 458 413 $8K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 451 447 $7K
93880 96 94 $7K
86430 4,147 4,135 $7K
93308 78 75 $7K
86671 1,178 971 $7K
84550 5,520 5,348 $7K
95913 27 27 $7K
94762 122 114 $7K
74183 53 52 $7K
93922 654 646 $7K
84410 664 657 $7K
84153 1,203 1,169 $7K
77072 162 162 $7K
82140 2,785 2,344 $7K
88112 949 934 $7K
83690 22,622 20,488 $7K
84165 2,153 2,137 $7K
97166 135 133 $7K
82565 32,870 30,587 $7K
87338 1,302 1,298 $7K
82247 3,995 2,669 $6K
82962 4,777 4,505 $6K
86160 1,209 994 $6K
82024 546 528 $6K
72197 25 25 $6K
95819 77 77 $6K
64450 28 27 $6K
87205 6,637 6,417 $6K
90837 Psychotherapy, 53 minutes with patient 81 47 $6K
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring 26 26 $6K
11982 61 61 $6K
87040 7,231 6,668 $6K
43762 42 41 $6K
76000 425 408 $6K
64400 44 41 $6K
83993 1,285 1,280 $6K
86695 1,303 1,290 $6K
41899 Unlisted procedure, dentoalveolar structures 39 39 $6K
86765 1,495 1,489 $6K
12011 747 745 $5K
80164 1,681 1,521 $5K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 252 251 $5K
92611 125 123 $5K
85660 2,325 2,320 $5K
84156 4,866 4,358 $5K
82951 1,207 1,201 $5K
25600 56 56 $5K
84442 1,366 1,356 $5K
85730 17,857 16,899 $5K
86709 1,612 1,588 $5K
11981 102 102 $5K
88341 391 367 $5K
99281 Emergency department visit for the evaluation and management, self-limited or minor 121 120 $4K
72074 195 194 $4K
73060 1,324 1,270 $4K
12002 444 442 $4K
72170 770 764 $4K
90834 Psychotherapy, 45 minutes with patient 54 49 $4K
86664 1,473 1,462 $4K
95806 52 52 $4K
93925 41 41 $4K
84436 1,711 1,687 $4K
84100 4,979 4,209 $4K
84520 27,498 25,629 $4K
17110 54 49 $4K
86705 1,103 1,087 $4K
96411 105 70 $4K
84484 33,542 28,460 $4K
82977 1,781 1,687 $3K
82550 8,650 7,811 $3K
0003A 101 101 $3K
82150 2,371 2,295 $3K
86800 720 717 $3K
96127 5,866 5,655 $3K
81002 3,311 3,255 $3K
83615 2,407 2,216 $3K
83605 34,788 30,147 $3K
83986 2,932 2,840 $3K
85240 512 504 $3K
87641 333 331 $3K
87517 237 233 $3K
72156 26 26 $3K
80051 22,331 20,721 $3K
64447 255 243 $3K
84460 2,188 1,955 $3K
84145 1,989 1,864 $3K
73660 256 252 $3K
87902 68 65 $3K
84445 135 133 $3K
96111 37 37 $3K
85246 293 291 $3K
97597 36 25 $2K
93280 176 173 $2K
82330 1,775 1,620 $2K
85045 2,914 2,507 $2K
84132 5,906 5,495 $2K
94726 1,731 1,722 $2K
95700 13 13 $2K
C8908 Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral 12 12 $2K
87075 1,721 1,653 $2K
70487 25 25 $2K
70360 692 673 $2K
85379 8,678 8,394 $2K
P9047 Infusion, albumin (human), 25%, 50 ml 31 14 $2K
97130 87 25 $2K
29125 409 387 $2K
Q9950 Injection, sulfur hexafluoride lipid microspheres, per ml 335 309 $2K
83090 469 463 $2K
86037 175 174 $2K
86039 612 604 $2K
87493 254 254 $2K
84450 1,652 1,430 $2K
77300 17 12 $2K
70544 24 24 $2K
82272 1,543 1,512 $2K
83498 178 177 $2K
75561 12 12 $2K
87634 108 108 $2K
97803 657 627 $2K
72100 55 53 $2K
87420 776 764 $2K
76885 37 37 $2K
77290 13 13 $2K
29105 30 27 $2K
87581 570 566 $2K
87486 571 567 $2K
P9016 Red blood cells, leukocytes reduced, each unit 17 15 $2K
99406 105 105 $2K
90716 424 424 $2K
80197 396 298 $2K
82172 202 200 $2K
83010 521 509 $1K
80178 948 873 $1K
90620 55 55 $1K
93291 177 175 $1K
86308 2,197 2,161 $1K
84080 359 358 $1K
M0239 Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring 13 13 $1K
92610 38 38 $1K
51798 1,239 1,197 $1K
G0008 Administration of influenza virus vaccine 509 502 $1K
85576 1,059 957 $1K
75574 12 12 $1K
82803 4,989 4,645 $1K
85397 126 123 $1K
83520 179 179 $1K
73700 25 25 $1K
97129 90 25 $1K
0121A 31 31 $1K
84134 285 263 $1K
93283 73 73 $1K
85018 2,350 2,312 $1K
G0297 Low dose ct scan (ldct) for lung cancer screening 26 26 $1K
82948 7,501 5,851 $1K
84681 170 167 $997.13
84305 195 192 $969.22
82952 748 745 $964.79
85245 125 123 $932.46
86593 505 501 $931.50
74420 263 253 $903.28
84075 730 564 $825.95
93271 14 14 $779.74
73565 78 77 $778.83
86592 465 461 $756.61
82378 124 115 $698.19
90694 79 77 $694.49
73600 176 174 $649.66
86923 136 107 $643.06
0051A 19 19 $638.01
0052A 18 18 $638.01
83525 137 125 $629.93
85613 223 155 $622.07
86618 133 133 $599.40
69209 265 263 $577.04
Q0114 Fern test 140 136 $570.69
82010 2,268 1,996 $555.29
87521 Neg quan hep c or qual rna 126 125 $520.44
98927 120 110 $520.06
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 29,081 27,693 $499.85
86304 139 124 $487.08
G0451 Development testing, with interpretation and report, per standardized instrument form 41 41 $487.03
85384 374 361 $469.46
96161 40 38 $462.07
0031A 12 12 $454.20
84466 108 108 $453.18
J0131 Injection, acetaminophen, not otherwise specified,10 mg 2,975 2,668 $446.54
88302 164 161 $424.29
97802 77 77 $420.00
77073 54 54 $414.91
94010 57 57 $406.53
72081 13 13 $392.94
97760 14 12 $389.42
86735 99 98 $381.91
81511 13 13 $381.81
93299 21 21 $376.80
73620 68 66 $374.96
87593 15 15 $370.89
85390 65 64 $369.29
0081A 13 13 $360.72
83930 1,406 1,304 $350.38
86231 34 34 $348.26
90734 534 533 $343.36
82103 135 134 $331.58
84432 43 43 $304.95
84630 82 82 $276.58
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 68 64 $270.25
82390 93 93 $266.96
80177 93 91 $257.21
86147 53 53 $251.66
87498 38 38 $241.30
72202 27 27 $234.42
86632 32 16 $233.51
86141 55 55 $232.82
72220 27 26 $221.13
86631 32 16 $219.95
76870 1,507 1,461 $207.49
82800 2,862 2,593 $206.84
83521 24 24 $206.03
96376 10,561 7,665 $205.80
90662 13 13 $202.70
84155 337 222 $191.42
84295 4,932 4,598 $187.83
90688 21 21 $170.39
82656 40 40 $170.37
86644 66 66 $167.78
87181 25 24 $150.59
90474 12 12 $148.23
73100 25 24 $144.02
84446 38 38 $140.56
85049 1,029 999 $136.33
87279 73 72 $129.54
84590 40 40 $124.96
93282 12 12 $120.36
98926 52 50 $108.16
83921 25 25 $103.41
88142 80 80 $101.54
J3475 Injection, magnesium sulfate, per 500 mg 1,545 1,370 $91.13
J2270 Injection, morphine sulfate, up to 10 mg 4,520 3,640 $89.35
82435 4,805 4,487 $86.97
86431 32 32 $78.31
87425 69 69 $70.85
82040 51 50 $63.70
80202 48 24 $60.69
86256 12 12 $59.44
83874 104 99 $58.96
82180 25 25 $57.61
69210 14 14 $54.34
90715 8,280 8,249 $54.16
J0736 Injection, clindamycin phosphate, 300 mg 69 58 $53.51
Q0245 Injection, bamlanivimab and etesevimab, 2100 mg 246 246 $52.06
86580 28 26 $49.88
82365 64 63 $48.25
82672 13 13 $45.40
84478 37 30 $44.38
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous 13 13 $39.34
86645 13 13 $38.58
86677 16 16 $33.30
85014 1,427 1,344 $33.26
87102 24 24 $32.05
J1885 Injection, ketorolac tromethamine, per 15 mg 12,611 10,990 $26.05
85007 113 98 $25.92
88300 129 126 $21.46
87184 14 12 $20.16
86777 13 13 $18.64
88313 31 29 $16.19
J1650 Injection, enoxaparin sodium, 10 mg 2,460 1,320 $15.88
82465 28 27 $14.47
82374 2,707 2,552 $11.60
80299 14 14 $10.20
82274 16 16 $8.96
91312 789 787 $8.44
Q0247 Injection, sotrovimab, 500 mg 27 27 $4.14
Q0239 Injection, bamlanivimab-xxxx, 700 mg 17 17 $2.54
J1836 Injection, metronidazole, 10 mg 12 12 $2.13
J1170 Injection, hydromorphone, up to 4 mg 1,750 1,322 $1.77
Q0244 Injection, casirivimab and imdevimab, 1200 mg 67 67 $1.20
J0696 Injection, ceftriaxone sodium, per 250 mg 2,485 2,064 $1.07
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 1,371 1,359 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 2,095 2,036 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 3,509 3,508 $0.00
99152 5,784 5,475 $0.00
A9577 Injection, gadobenate dimeglumine (multihance), per ml 637 605 $0.00
64491 1,020 976 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 3,033 2,918 $0.00
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 781 777 $0.00
C1760 Closure device, vascular (implantable/insertable) 706 688 $0.00
88173 14 14 $0.00
90707 426 426 $0.00
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 2,962 1,037 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 8,624 7,244 $0.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,048 1,724 $0.00
94729 1,457 1,455 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 763 738 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,748 1,522 $0.00
90648 1,423 1,419 $0.00
A9578 Injection, gadobenate dimeglumine (multihance multipack), per ml 4,178 4,087 $0.00
J1756 Injection, iron sucrose, 1 mg 278 140 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 91 90 $0.00
64495 1,685 1,634 $0.00
90633 847 846 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 247 239 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 743 724 $0.00
76827 51 51 $0.00
J7510 Prednisolone oral, per 5 mg 48 45 $0.00
90681 207 207 $0.00
90461 1,268 1,262 $0.00
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 378 309 $0.00
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 12 12 $0.00
93325 120 117 $0.00
90700 351 351 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 166 136 $0.00
91308 44 44 $0.00
J0737 Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg 26 26 $0.00
Q9956 Injection, octafluoropropane microspheres, per ml 155 153 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 59 59 $0.00
C1729 Catheter, drainage 110 99 $0.00
90710 53 53 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 15 13 $0.00
84163 13 13 $0.00
J3370 Injection, vancomycin hcl, 500 mg 60 31 $0.00
A4565 Slings 28 26 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 12 12 $0.00
82731 14 14 $0.00
82375 15 13 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 33 32 $0.00
G0444 Annual depression screening, 5 to 15 minutes 36 36 $0.00
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 17 12 $0.00
99151 13 12 $0.00
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 14 14 $0.00
90696 140 140 $0.00
C1769 Guide wire 1,850 1,773 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 1,174 1,099 $0.00
C9290 Injection, bupivacaine liposome, 1 mg 1,499 1,435 $0.00
94760 2,600 2,129 $0.00
90680 613 610 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,963 1,790 $0.00
J3480 Injection, potassium chloride, per 2 meq 697 391 $0.00
90723 1,144 1,141 $0.00
64484 1,781 1,656 $0.00
J2785 Injection, regadenoson, 0.1 mg 713 703 $0.00
64492 912 873 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 119 117 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 1,337 914 $0.00
J7042 5% dextrose/normal saline (500 ml = 1 unit) 220 170 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 2,056 1,611 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 364 294 $0.00
J1815 Injection, insulin, per 5 units 298 184 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 353 294 $0.00
95886 988 971 $0.00
J1630 Injection, haloperidol, up to 5 mg 759 649 $0.00
64494 1,876 1,815 $0.00
A4648 Tissue marker, implantable, any type, each 263 255 $0.00
99459 774 764 $0.00
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 150 131 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 635 598 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 42 42 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 15 13 $0.00
91307 17 17 $0.00
96368 460 381 $0.00
64415 53 52 $0.00
81015 424 402 $0.00
J2704 Injection, propofol, 10 mg 198 188 $0.00
J0690 Injection, cefazolin sodium, 500 mg 259 231 $0.00
99153 Mod sedat endo service >5yrs 103 102 $0.00
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 998 945 $0.00
J2791 Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu 155 152 $0.00
C1773 Retrieval device, insertable (used to retrieve fractured medical devices) 29 28 $0.00
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 411 410 $0.00
J3490 Unclassified drugs 42 41 $0.00
91305 146 146 $0.00
J8540 Dexamethasone, oral, 0.25 mg 163 162 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 213 206 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 24 24 $0.00
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 12 12 $0.00
J0461 Injection, atropine sulfate, 0.01 mg 52 50 $0.00
80050 General health panel 18 17 $0.00
64445 12 12 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 14 12 $0.00
Q0164 Prochlorperazine maleate, 5 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 19 12 $0.00
C2617 Stent, non-coronary, temporary, without delivery system 47 45 $0.00
J0500 Injection, dicyclomine hcl, up to 20 mg 16 15 $0.00
C1778 Lead, neurostimulator (implantable) 12 12 $0.00
90647 12 12 $0.00