Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MS › GULFPORT › MEMORIAL HOSPITAL AT GULFPORT

MEMORIAL HOSPITAL AT GULFPORT

NPI: 1073606901 · GULFPORT, MS 39501 · General Acute Care Hospital · NPI assigned 10/02/2006

$87.40M
Total Medicaid Paid
2,864,898
Total Claims
2,108,490
Beneficiaries
577
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialNICAUD, KENT (CEO)
NPI Enumeration Date10/02/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 395,032 $12.16M
2019 374,999 $11.26M
2020 340,787 $9.46M
2021 451,360 $14.10M
2022 468,578 $15.18M
2023 452,071 $13.85M
2024 382,071 $11.38M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 44,577 36,827 $7.67M
99283 Emergency department visit for the evaluation and management, moderate severity 48,786 41,151 $6.42M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 27,144 21,773 $5.07M
G0378 Hospital observation service, per hour 12,636 9,054 $4.28M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 62,992 49,835 $3.53M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 83,673 66,271 $3.12M
J9271 Injection, pembrolizumab, 1 mg 806 514 $3.08M
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 11,853 10,113 $2.81M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 29,304 22,927 $2.74M
96361 Intravenous infusion, hydration; each additional hour 25,640 16,298 $1.76M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 20,503 11,705 $1.64M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 11,934 5,656 $1.59M
93458 2,233 1,759 $1.41M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 126,691 87,423 $1.27M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 8,880 7,665 $1.18M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 15,530 12,328 $1.15M
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 3,596 3,061 $1.10M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 4,857 4,155 $1.01M
95004 Percutaneous tests with allergenic extracts, immediate type reaction 404 353 $973K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 15,319 9,847 $969K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 28,607 21,030 $966K
74177 Computed tomography, abdomen and pelvis; with contrast material 7,893 6,847 $954K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 9,039 7,367 $913K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 51,165 36,208 $906K
J0585 Injection, onabotulinumtoxina, 1 unit 2,722 1,776 $860K
71046 Radiologic examination, chest; 2 views 24,371 20,647 $850K
80053 Comprehensive metabolic panel 130,730 96,959 $749K
71045 Radiologic examination, chest; single view 27,498 22,108 $718K
78815 Positron emission tomography (PET) for limited area imaging 1,781 1,611 $707K
96375 Therapeutic injection; each additional sequential IV push 30,435 18,802 $685K
J0897 Injection, denosumab, 1 mg 1,211 1,017 $654K
99282 Emergency department visit for the evaluation and management, low to moderate severity 7,558 6,752 $635K
88305 Level IV - Surgical pathology, gross and microscopic examination 11,577 7,332 $587K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 16,774 13,041 $564K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,816 1,561 $562K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 152,204 103,873 $559K
70450 Computed tomography, head or brain; without contrast material 12,829 10,982 $516K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 11,700 9,307 $504K
20610 4,982 3,872 $502K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 15,057 13,045 $496K
86885 7,711 5,812 $476K
87507 1,975 1,694 $457K
99215 Prolong outpt/office vis 5,927 4,789 $454K
36415 Collection of venous blood by venipuncture 213,383 140,034 $438K
J1439 Injection, ferric carboxymaltose, 1 mg 1,730 915 $376K
86900 7,838 6,034 $367K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 317 303 $365K
87428 6,941 5,995 $359K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 11,779 9,532 $352K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 4,109 3,716 $351K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 31,459 18,020 $350K
74176 Computed tomography, abdomen and pelvis; without contrast material 4,269 3,743 $322K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 2,195 1,913 $321K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 3,244 1,852 $301K
87486 11,711 10,013 $290K
87581 11,712 10,014 $288K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 7,990 4,374 $280K
83880 20,609 16,029 $279K
71260 Computed tomography, thorax, diagnostic; with contrast material 3,754 3,291 $275K
84443 Thyroid stimulating hormone (TSH) 33,566 28,053 $256K
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 4,567 3,539 $241K
J1453 Injection, fosaprepitant, 1 mg 3,211 1,640 $233K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 1,032 862 $218K
70551 Magnetic resonance imaging, brain; without contrast material 2,480 2,201 $215K
99205 Prolong outpt/office vis 2,195 1,756 $211K
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 3,895 3,347 $211K
93017 3,938 3,361 $206K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 10,295 8,736 $184K
93970 2,989 2,624 $183K
80061 Lipid panel 34,045 29,335 $182K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 815 719 $179K
99490 Ccm add 20min 13,241 12,285 $179K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 2,439 2,146 $173K
36430 1,919 1,115 $172K
73630 4,732 3,785 $164K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 14,099 12,203 $163K
72100 3,788 3,356 $163K
73560 5,384 3,923 $162K
97602 3,121 1,312 $159K
96367 5,347 2,899 $158K
94060 2,356 2,136 $152K
76700 Ultrasound, abdominal, real time with image documentation; complete 3,202 2,842 $151K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 6,513 5,423 $147K
84484 30,093 20,529 $144K
93880 2,722 2,437 $141K
73130 3,990 2,974 $140K
76801 1,997 1,644 $140K
73030 4,702 3,816 $139K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 6,159 5,157 $137K
94726 2,350 2,131 $135K
80048 Basic metabolic panel (calcium, ionized) 31,673 21,540 $132K
73610 3,738 2,989 $131K
87088 28,409 23,469 $130K
86901 7,808 6,027 $124K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1,220 1,033 $123K
64493 545 415 $120K
71250 3,805 3,377 $119K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,697 3,982 $117K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,391 2,099 $116K
74018 2,934 2,472 $113K
71275 Computed tomographic angiography, chest, with contrast material 1,702 1,488 $110K
72141 1,377 1,202 $110K
74022 2,119 1,814 $109K
72125 Computed tomography, cervical spine; without contrast material 2,863 2,551 $106K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,010 4,906 $105K
73110 2,915 2,170 $103K
77334 479 271 $102K
77067 Screening mammography, bilateral, including computer-aided detection 1,265 1,158 $102K
36600 3,475 2,908 $102K
43248 668 554 $101K
96416 865 442 $100K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 8,921 7,361 $98K
95913 586 528 $95K
84703 18,085 14,870 $94K
86923 1,291 825 $94K
82948 38,512 16,360 $94K
81001 54,372 44,211 $94K
76770 2,074 1,843 $91K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 3,365 3,106 $89K
82553 18,710 13,651 $89K
74178 911 812 $87K
95912 524 454 $86K
96415 2,810 1,540 $86K
88307 719 440 $85K
83036 Hemoglobin; glycosylated (A1C) 26,267 22,580 $84K
73502 3,470 2,966 $82K
96417 3,029 1,653 $81K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 414 374 $80K
82805 2,956 2,495 $78K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 5,196 4,299 $72K
85730 24,578 19,672 $71K
77336 1,510 716 $71K
76536 1,618 1,458 $70K
82550 22,341 16,354 $69K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,489 1,932 $69K
77300 280 200 $68K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 6,046 4,942 $67K
93925 1,356 1,215 $66K
85610 31,643 23,673 $65K
87186 11,222 9,324 $65K
95117 3,051 1,072 $64K
72040 1,906 1,690 $63K
86235 1,832 1,475 $63K
93971 1,879 1,649 $61K
82728 10,246 8,675 $60K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,008 899 $60K
64483 211 177 $58K
87040 11,218 6,340 $57K
83690 15,160 12,561 $57K
59025 Fetal non-stress test 533 407 $56K
97597 1,221 823 $55K
83735 18,980 12,670 $55K
82607 8,135 6,982 $53K
86756 4,359 3,905 $52K
73590 1,435 1,159 $50K
G0483 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; 22 or more drug class(es), including metabolite(s) if performed 407 300 $49K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 652 614 $47K
64616 219 188 $47K
73562 1,612 1,255 $47K
76642 1,594 1,414 $47K
96411 1,420 789 $44K
85027 13,154 9,618 $44K
84439 9,671 8,243 $42K
J2505 Injection, pegfilgrastim, 6 mg 36 25 $41K
88304 1,423 1,095 $41K
86318 3,611 3,075 $41K
72110 959 849 $41K
84702 3,867 2,972 $40K
95813 364 329 $40K
83605 9,065 7,106 $39K
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 2,181 1,866 $38K
70486 855 753 $38K
72114 937 851 $37K
96401 1,284 627 $37K
93922 1,227 1,088 $37K
86803 4,674 3,939 $37K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 372 317 $34K
83655 3,546 3,291 $34K
77065 Tomosynthesis, mammo 1,071 912 $33K
82075 1,801 1,484 $33K
72131 949 836 $32K
83520 3,312 2,142 $32K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1,864 1,588 $31K
P9016 Red blood cells, leukocytes reduced, each unit 428 255 $31K
87070 5,086 4,090 $31K
86780 3,649 2,933 $29K
87340 5,196 4,277 $29K
77412 362 40 $28K
73090 714 573 $27K
77066 Tomosynthesis, mammo 538 478 $27K
83970 2,088 1,818 $27K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 1,541 1,312 $26K
77386 130 12 $26K
74019 485 432 $26K
95816 274 230 $26K
87807 2,399 1,995 $24K
86481 601 503 $24K
83540 8,782 7,442 $23K
73070 659 544 $23K
80305 3,220 2,821 $23K
82746 3,517 2,994 $23K
52000 137 119 $22K
92557 262 218 $21K
81025 3,720 3,160 $21K
70491 243 220 $21K
82784 2,296 1,640 $20K
86704 2,956 2,474 $19K
86038 3,521 2,891 $19K
12001 189 170 $19K
12011 203 171 $19K
96523 1,207 778 $19K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 700 553 $19K
Q5119 Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg 25 13 $18K
64615 126 106 $18K
86140 6,428 4,938 $18K
84481 2,295 1,929 $18K
83550 4,996 4,265 $18K
86708 2,386 1,982 $17K
85378 3,829 3,275 $17K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 23,321 16,425 $17K
93296 1,644 1,490 $16K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 2,439 2,103 $16K
94010 448 339 $16K
93351 117 106 $16K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2,713 2,204 $15K
86160 1,962 1,548 $15K
71101 331 277 $15K
80076 2,773 2,173 $14K
85652 11,317 8,482 $14K
81003 10,055 8,039 $14K
88112 591 495 $13K
73565 543 479 $13K
82570 5,901 5,051 $13K
J0640 Injection, leucovorin calcium, per 50 mg 626 305 $13K
86376 2,164 1,770 $13K
90686 1,310 1,160 $13K
82077 1,470 1,297 $13K
87480 1,047 886 $12K
97165 681 581 $12K
87660 995 860 $12K
72070 286 247 $12K
83883 1,696 1,276 $12K
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision 678 586 $12K
72050 260 241 $12K
87510 1,050 897 $11K
J0561 Injection, penicillin g benzathine, 100,000 units 65 53 $11K
99281 Emergency department visit for the evaluation and management, self-limited or minor 255 222 $11K
10061 60 50 $11K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 156 135 $11K
87205 4,125 3,302 $11K
G0379 Direct admission of patient for hospital observation care 1,463 1,032 $11K
62323 110 78 $10K
82951 1,511 1,038 $10K
80069 3,259 2,574 $10K
86762 1,214 981 $10K
36573 24 24 $10K
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg 111 46 $10K
82042 3,627 3,023 $10K
73523 183 170 $10K
82247 2,668 1,324 $10K
J7060 5% dextrose/water (500 ml = 1 unit) 4,233 1,628 $10K
72158 76 64 $9K
73552 273 237 $9K
84403 895 764 $9K
99495 882 788 $9K
86225 1,648 1,347 $9K
87493 504 430 $9K
84153 1,546 1,312 $9K
86769 467 375 $8K
72170 177 161 $8K
73221 93 84 $8K
86431 3,192 2,578 $8K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 968 897 $8K
82962 4,489 3,808 $8K
86300 854 704 $8K
82565 2,609 2,179 $8K
80143 633 546 $7K
97161 357 296 $7K
62321 44 38 $7K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 14 12 $7K
76819 Fetal biophysical profile; without non-stress testing 111 84 $7K
G0008 Administration of influenza virus vaccine 2,239 1,978 $7K
73700 189 163 $7K
71271 195 169 $7K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,788 1,332 $7K
82150 1,747 1,497 $7K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 12 12 $6K
87522 Neg quan hep c or qual rna 230 192 $6K
36416 34,970 20,220 $6K
93225 177 158 $6K
96402 291 226 $6K
J2770 Injection, quinupristin/dalfopristin, 500 mg (150/350) 71 53 $6K
0002A 291 268 $6K
73140 122 110 $6K
84156 3,818 3,109 $6K
90662 555 520 $5K
82043 2,178 1,979 $5K
12002 63 56 $5K
J3010 Injection, fentanyl citrate, 0.1 mg 17,121 13,271 $5K
87536 149 124 $5K
92567 233 204 $5K
J2405 Injection, ondansetron hydrochloride, per 1 mg 31,768 21,584 $5K
82803 378 275 $5K
93226 174 156 $5K
72052 133 115 $5K
92610 264 238 $5K
80179 414 362 $5K
84100 2,374 1,485 $5K
99232 Subsequent hospital care, per day, moderate complexity 388 168 $5K
86200 801 689 $5K
84165 1,491 1,256 $5K
J9190 Injection, fluorouracil, 500 mg 1,490 385 $5K
82378 616 521 $5K
80164 572 459 $5K
84550 2,482 2,116 $4K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 207 188 $4K
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml 1,574 1,344 $4K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 17,365 11,049 $4K
87150 177 150 $4K
29581 82 40 $4K
87641 410 334 $4K
J9045 Injection, carboplatin, 50 mg 539 285 $4K
86039 816 677 $4K
43235 18 13 $4K
86706 634 522 $4K
73080 97 76 $4K
96376 7,850 4,366 $4K
93242 297 270 $4K
82248 1,175 928 $4K
97530 Therapeutic activities, direct patient contact, each 15 minutes 596 331 $4K
0001A 334 297 $4K
41899 Unlisted procedure, dentoalveolar structures 37 27 $4K
29125 89 67 $3K
80047 498 285 $3K
11721 185 167 $3K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 8,709 4,065 $3K
86360 136 118 $3K
97116 965 641 $3K
85045 1,532 1,002 $3K
94375 30 24 $3K
86592 1,177 944 $3K
77290 15 13 $3K
87640 411 339 $3K
31720 18 17 $3K
73564 80 60 $3K
87210 837 745 $3K
83516 311 200 $3K
J7050 Infusion, normal saline solution, 250 cc 7,640 3,859 $3K
87081 716 548 $3K
84520 852 763 $3K
72146 40 37 $3K
93660 12 12 $3K
83615 950 733 $3K
84146 185 162 $3K
97162 151 124 $2K
82105 356 279 $2K
82140 413 281 $2K
86334 381 333 $2K
90732 104 94 $2K
10060 25 24 $2K
29515 37 27 $2K
76830 Ultrasound, transvaginal 34 32 $2K
84132 1,065 745 $2K
82947 740 651 $2K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 179 166 $2K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 29 25 $2K
86480 47 40 $2K
85018 1,327 963 $2K
88173 41 29 $2K
82085 424 343 $2K
99496 166 149 $2K
87077 321 237 $2K
31231 15 15 $2K
86787 149 137 $2K
99152 3,446 2,715 $1K
86147 44 27 $1K
82785 226 165 $1K
86308 358 295 $1K
86355 76 66 $1K
J9263 Injection, oxaliplatin, 0.5 mg 179 50 $1K
83013 27 25 $1K
J1756 Injection, iron sucrose, 1 mg 793 361 $1K
86357 76 66 $1K
88342 34 29 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 14,646 11,693 $1K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 2,536 2,157 $1K
80299 127 107 $1K
90674 129 117 $1K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 4,835 3,815 $1K
G0444 Annual depression screening, 5 to 15 minutes 741 705 $1K
72072 28 24 $1K
84402 81 75 $1K
87449 195 175 $1K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 4,713 3,442 $1K
93299 101 89 $1K
87116 198 165 $1K
76981 113 99 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 3,673 3,131 $1K
96377 44 25 $973.32
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 264 216 $930.52
80202 111 49 $911.80
70496 15 12 $905.59
90473 17 16 $850.20
0003A 50 47 $832.47
73060 34 29 $803.78
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 707 569 $790.08
J1030 Injection, methylprednisolone acetate, 40 mg 3,083 2,558 $783.98
77080 12 12 $761.40
J1200 Injection, diphenhydramine hcl, up to 50 mg 7,145 4,388 $749.83
86696 68 54 $737.19
93308 14 14 $694.62
83993 44 42 $689.65
J0696 Injection, ceftriaxone sodium, per 250 mg 10,503 7,011 $642.56
87101 183 159 $624.24
87324 127 117 $622.70
J3475 Injection, magnesium sulfate, per 500 mg 2,448 1,504 $616.29
87206 170 128 $613.26
83001 59 38 $604.34
A9575 Injection, gadoterate meglumine, 0.1 ml 4,091 3,180 $598.68
G0257 Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility 62 43 $595.66
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 73 66 $589.74
J2250 Injection, midazolam hydrochloride, per 1 mg 13,381 10,499 $587.12
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 10,197 8,073 $542.13
89051 130 103 $535.80
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units 19 14 $523.03
J1170 Injection, hydromorphone, up to 4 mg 6,680 4,402 $513.51
86580 29 28 $506.34
82670 29 24 $494.34
86695 70 54 $493.07
83519 57 39 $487.32
90670 34 31 $480.22
94760 6,539 4,658 $476.28
99233 Prolong inpt eval add15 m 15 12 $457.95
86665 16 13 $443.52
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 41 38 $439.10
87046 63 58 $406.52
J9267 Injection, paclitaxel, 1 mg 101 49 $401.94
87045 63 58 $400.52
86021 55 49 $386.68
96368 2,199 952 $380.20
83630 25 25 $380.12
93924 14 13 $376.69
99221 13 12 $370.27
J0461 Injection, atropine sulfate, 0.01 mg 763 570 $365.65
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 227 217 $358.90
86663 38 25 $345.06
92523 14 12 $327.22
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 1,736 1,392 $269.89
85014 288 172 $266.67
J1040 Injection, methylprednisolone acetate, 80 mg 1,655 1,376 $265.05
85347 91 53 $239.77
94729 2,342 2,126 $224.84
64494 556 418 $201.42
82533 29 26 $200.18
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 1,807 1,628 $200.00
85613 40 27 $199.52
90715 2,009 1,813 $194.62
87209 13 12 $189.81
82652 19 13 $189.28
86664 16 13 $186.89
82164 28 24 $185.26
84144 16 14 $183.26
J2270 Injection, morphine sulfate, up to 10 mg 10,252 7,112 $177.13
83020 31 19 $173.21
86738 20 12 $171.54
0296T 13 12 $159.96
87427 17 17 $152.98
80051 51 40 $148.62
82787 14 12 $142.14
82103 33 27 $138.11
95886 1,301 1,117 $130.22
J2919 Injection, methylprednisolone sodium succinate, 5 mg 459 324 $121.99
82104 29 24 $121.06
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 964 670 $117.75
J2060 Injection, lorazepam, 2 mg 3,385 2,582 $111.42
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 5,598 2,057 $110.31
82272 60 39 $109.22
96160 14 12 $107.59
Q9961 High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml 126 97 $100.80
87177 13 12 $93.97
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 68 60 $88.32
G0260 Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography 19 12 $77.46
J3370 Injection, vancomycin hcl, 500 mg 1,768 893 $73.13
90661 15 15 $67.32
J1020 Injection, methylprednisolone acetate, 20 mg 308 257 $66.00
85049 21 14 $58.63
82525 12 12 $56.41
86003 15 14 $52.37
84630 13 13 $52.06
84145 2,303 1,966 $49.66
J2175 Injection, meperidine hydrochloride, per 100 mg 822 587 $49.40
J1940 Injection, furosemide, up to 20 mg 3,613 1,659 $48.92
J0690 Injection, cefazolin sodium, 500 mg 6,618 4,379 $45.76
J1650 Injection, enoxaparin sodium, 10 mg 1,973 835 $37.15
82952 14 14 $36.30
Q2036 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) 66 55 $36.27
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg 284 212 $27.72
J2550 Injection, promethazine hcl, up to 50 mg 1,575 1,120 $23.50
J3480 Injection, potassium chloride, per 2 meq 85 54 $22.07
84460 12 12 $19.05
J1920 Injection, labetalol hydrochloride, 5 mg 75 67 $18.42
J7510 Prednisolone oral, per 5 mg 98 72 $17.51
83721 13 13 $13.77
G0009 Administration of pneumococcal vaccine 387 344 $12.25
J1171 Injection, hydromorphone, 0.1 mg 117 91 $9.27
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 182 164 $9.17
90694 288 258 $8.71
J3490 Unclassified drugs 31,484 9,368 $6.98
90472 Immunization administration, each additional vaccine (list separately) 504 441 $6.46
J1644 Injection, heparin sodium, per 1000 units 10,521 3,677 $5.40
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg 49 43 $0.96
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 298 235 $0.54
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 3,750 3,163 $0.00
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 988 749 $0.00
99406 661 536 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 1,021 758 $0.00
J0610 Injection, calcium gluconate (fresenius kabi), per 10 ml 92 76 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 189 173 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 1,525 1,221 $0.00
77063 Screening digital breast tomosynthesis, bilateral 414 396 $0.00
C1766 Introducer/sheath, guiding, intracardiac electrophysiological, steerable, other than peel-away 1,789 1,404 $0.00
J1790 Injection, droperidol, up to 5 mg 748 621 $0.00
C1769 Guide wire 4,932 3,500 $0.00
J1815 Injection, insulin, per 5 units 278 168 $0.00
88311 226 185 $0.00
J2785 Injection, regadenoson, 0.1 mg 2,913 2,479 $0.00
J1630 Injection, haloperidol, up to 5 mg 197 144 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 190 161 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 1,711 1,284 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 2,200 1,716 $0.00
99153 Mod sedat endo service >5yrs 1,833 1,398 $0.00
80050 General health panel 211 205 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 250 145 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 1,202 931 $0.00
88341 15 13 $0.00
77001 447 386 $0.00
J3360 Injection, diazepam, up to 5 mg 24 18 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 166 124 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 397 164 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 109 94 $0.00
J2704 Injection, propofol, 10 mg 982 778 $0.00
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 253 196 $0.00
J1250 Injection, dobutamine hydrochloride, per 250 mg 13 12 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 293 251 $0.00
99439 177 166 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 46 42 $0.00
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 24 24 $0.00
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 523 282 $0.00
C1726 Catheter, balloon dilatation, non-vascular 55 43 $0.00
C9600 Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch 15 12 $0.00
90677 14 13 $0.00
64484 21 13 $0.00
C2617 Stent, non-coronary, temporary, without delivery system 24 15 $0.00
80320 66 51 $0.00
C9113 Injection, pantoprazole sodium, per vial 4,250 2,397 $0.00
A9505 Thallium tl-201 thallous chloride, diagnostic, per millicurie 1,874 1,588 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 397 298 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 2,121 1,613 $0.00
J2950 Injection, promazine hcl, up to 25 mg 216 141 $0.00
C1757 Catheter, thrombectomy/embolectomy 19 13 $0.00
64495 233 171 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 1,237 1,068 $0.00
J1953 Injection, levetiracetam, 10 mg 524 406 $0.00
77387 101 12 $0.00
C1874 Stent, coated/covered, with delivery system 148 117 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 2,446 1,879 $0.00
76937 154 137 $0.00
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 82 72 $0.00
93325 286 246 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 346 271 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 225 190 $0.00
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg 304 247 $0.00
C1776 Joint device (implantable) 76 66 $0.00
90653 19 19 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 35 31 $0.00
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) 57 51 $0.00
99244 Office or other outpatient consultation, moderate to high complexity 26 25 $0.00