Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › BROOKLYN › MAIMONIDES MEDICAL CENTER

MAIMONIDES MEDICAL CENTER

NPI: 1093777492 · BROOKLYN, NY 11219 · General Acute Care Hospital · NPI assigned 04/03/2006

$260.81M
Total Medicaid Paid
3,389,055
Total Claims
2,959,894
Beneficiaries
767
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKOBUS, KAREN (VICE PRESIDENT,PROFESSIONAL AFFAIRS)
NPI Enumeration Date04/03/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 24,962 $1.23M
2019 242,965 $14.42M
2020 517,183 $35.53M
2021 680,152 $46.30M
2022 653,972 $68.37M
2023 714,059 $59.71M
2024 555,762 $35.25M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 173,713 144,495 $24.76M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 150,495 134,651 $21.76M
99283 Emergency department visit for the evaluation and management, moderate severity 73,978 68,586 $16.59M
J9271 Injection, pembrolizumab, 1 mg 1,361 1,063 $12.56M
99284 Emergency department visit for the evaluation and management, high severity 54,511 49,951 $10.53M
90834 Psychotherapy, 45 minutes with patient 45,513 29,693 $10.33M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 42,965 36,250 $7.04M
90832 Psychotherapy, 30 minutes with patient 40,111 27,348 $6.99M
99215 Prolong outpt/office vis 26,777 24,254 $4.84M
99282 Emergency department visit for the evaluation and management, low to moderate severity 15,727 15,090 $3.67M
36415 Collection of venous blood by venipuncture 125,665 89,696 $3.51M
96361 Intravenous infusion, hydration; each additional hour 14,336 12,413 $2.98M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 28,703 25,819 $2.96M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 16,975 13,014 $2.76M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 15,459 15,281 $2.72M
80048 Basic metabolic panel (calcium, ionized) 78,966 73,470 $2.45M
G0378 Hospital observation service, per hour 3,649 3,573 $2.40M
Q5111 Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg 908 665 $2.31M
19083 1,393 1,384 $2.31M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 18,290 17,365 $2.28M
74177 Computed tomography, abdomen and pelvis; with contrast material 12,346 12,104 $2.25M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 25,237 18,460 $2.22M
77412 7,197 780 $2.08M
90853 Group psychotherapy (other than of a multiple-family group) 18,975 4,754 $2.02M
J0897 Injection, denosumab, 1 mg 1,079 1,037 $1.91M
93320 6,894 6,884 $1.89M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 10,599 10,535 $1.80M
47562 661 657 $1.79M
59025 Fetal non-stress test 8,873 7,329 $1.72M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 13,375 8,245 $1.71M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 14,589 14,508 $1.71M
J9306 Injection, pertuzumab, 1 mg 372 277 $1.65M
54161 1,232 1,230 $1.65M
80053 Comprehensive metabolic panel 65,073 47,279 $1.62M
70450 Computed tomography, head or brain; without contrast material 8,081 7,859 $1.57M
J1439 Injection, ferric carboxymaltose, 1 mg 2,073 1,518 $1.51M
90791 Psychiatric diagnostic evaluation 5,381 5,344 $1.46M
99281 Emergency department visit for the evaluation and management, self-limited or minor 5,929 5,625 $1.43M
96415 5,441 3,732 $1.42M
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,706 1,690 $1.40M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,827 1,825 $1.35M
J9355 Injection, trastuzumab, excludes biosimilar, 10 mg 329 222 $1.34M
90792 Psychiatric diagnostic evaluation with medical services 6,238 5,791 $1.30M
78815 Positron emission tomography (PET) for limited area imaging 2,253 2,186 $1.22M
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 6,410 5,686 $1.21M
92551 18,950 18,924 $1.14M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 8,911 6,834 $1.11M
76641 21,219 11,840 $1.07M
81025 24,548 23,549 $1.05M
50590 407 389 $1.00M
J1950 Injection, leuprolide acetate (for depot suspension), per 3.75 mg 583 564 $972K
76700 Ultrasound, abdominal, real time with image documentation; complete 3,064 2,988 $938K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 10,224 10,159 $934K
77067 Screening mammography, bilateral, including computer-aided detection 10,269 10,003 $926K
41899 Unlisted procedure, dentoalveolar structures 588 588 $921K
J2505 Injection, pegfilgrastim, 6 mg 292 222 $921K
99205 Prolong outpt/office vis 4,518 4,453 $915K
Q5118 Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg 843 374 $905K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 14,745 6,008 $904K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 3,772 3,676 $811K
77336 2,579 1,189 $778K
77049 2,166 2,116 $751K
87581 22,718 22,126 $713K
77066 Tomosynthesis, mammo 7,083 6,821 $704K
86850 21,452 19,792 $696K
93304 2,331 2,190 $683K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 2,132 2,088 $674K
90847 Family psychotherapy with the patient present, 50 minutes 2,552 2,368 $672K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 7,882 7,784 $671K
0202U Oncology (prostate), multianalyte, gene expression profiling 16,715 16,351 $664K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,687 1,665 $663K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 34,879 33,771 $656K
45380 Colonoscopy, flexible; with biopsy, single or multiple 658 656 $633K
76770 2,523 2,454 $631K
88305 Level IV - Surgical pathology, gross and microscopic examination 11,449 11,187 $626K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 14,738 14,548 $605K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,957 2,902 $604K
12011 1,642 1,635 $597K
T1013 Sign language or oral interpretive services, per 15 minutes 16,723 15,753 $592K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 1,270 1,268 $583K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 6,319 6,262 $573K
44970 237 237 $561K
12001 1,517 1,513 $560K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 351 351 $549K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 20,910 17,277 $544K
87631 5,754 5,679 $534K
82803 32,477 31,032 $532K
77065 Tomosynthesis, mammo 6,397 5,992 $515K
77062 6,048 5,831 $507K
95117 7,855 4,698 $497K
D0120 Periodic oral evaluation - established patient 17,458 15,221 $487K
J9202 Goserelin acetate implant, per 3.6 mg 821 770 $486K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 3,004 2,968 $481K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 5,378 5,376 $461K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 585 583 $444K
Q5114 Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg 242 172 $441K
49505 191 185 $439K
10E0XZZ 1,193 80 $438K
88307 1,786 1,768 $434K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 5,230 4,587 $431K
90460 Immunization administration through 18 years of age via any route, first or only component 11,581 11,540 $430K
71260 Computed tomography, thorax, diagnostic; with contrast material 4,133 4,003 $419K
90461 10,276 10,245 $419K
80076 47,856 45,235 $417K
J7120 Ringers lactate infusion, up to 1000 cc 24,626 13,245 $414K
93308 1,824 1,805 $410K
94010 6,370 6,253 $403K
95782 433 433 $402K
93325 10,022 9,733 $401K
70551 Magnetic resonance imaging, brain; without contrast material 1,834 1,807 $396K
D1120 Prophylaxis - child 11,035 11,017 $383K
93880 1,224 1,205 $380K
19301 158 157 $370K
42820 Tonsillectomy and adenoidectomy; younger than age 12 224 224 $366K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 1,785 1,381 $355K
90686 24,089 24,017 $351K
G0008 Administration of influenza virus vaccine 19,422 19,366 $337K
93458 198 197 $334K
71275 Computed tomographic angiography, chest, with contrast material 1,563 1,537 $320K
96161 7,463 7,451 $308K
76825 1,580 1,564 $301K
82962 34,148 26,202 $300K
96367 3,926 2,522 $298K
76642 6,781 5,619 $297K
86901 21,469 19,816 $292K
D2930 Prefabricated stainless steel crown - primary tooth 2,044 1,455 $291K
99173 15,973 15,951 $286K
19081 167 165 $286K
83880 6,210 6,016 $285K
95115 4,065 2,738 $280K
77061 4,181 4,008 $278K
88342 2,709 2,658 $276K
D7140 Extraction, erupted tooth or exposed root 4,931 3,928 $273K
96375 Therapeutic injection; each additional sequential IV push 20,547 15,995 $267K
96416 1,064 670 $264K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,395 2,382 $263K
J1453 Injection, fosaprepitant, 1 mg 2,211 1,582 $263K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 5,342 2,368 $258K
86769 10,659 10,397 $248K
76705 Ultrasound, abdominal, real time with image documentation; limited 5,441 5,239 $247K
77386 660 69 $247K
72197 761 742 $244K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 14,735 14,545 $233K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 6,364 6,293 $231K
86900 21,751 20,095 $230K
51798 900 114 $227K
87632 3,453 3,389 $224K
77387 1,160 131 $222K
12002 577 575 $215K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 11,714 7,246 $213K
90846 Family psychotherapy without the patient present, 50 minutes 1,158 1,052 $210K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,516 1,513 $208K
D8670 Periodic orthodontic treatment visit 1,083 1,054 $206K
J9035 Injection, bevacizumab, 10 mg 68 40 $205K
86480 3,391 3,364 $205K
93970 566 565 $205K
77063 Screening digital breast tomosynthesis, bilateral 10,251 9,985 $204K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 1,007 946 $202K
90472 Immunization administration, each additional vaccine (list separately) 6,121 6,102 $202K
36430 1,613 1,382 $201K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2,869 2,492 $199K
J1745 Injection, infliximab, excludes biosimilar, 10 mg 57 54 $196K
88341 1,415 1,391 $195K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 80,849 67,412 $194K
90836 1,559 1,102 $190K
77290 568 520 $190K
93454 129 126 $189K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 3,484 3,442 $187K
D2391 Resin-based composite - one surface, posterior, primary or permanent 3,488 2,902 $186K
95811 243 241 $185K
D1110 Prophylaxis - adult 4,563 4,546 $180K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,299 1,297 $177K
87486 23,913 23,268 $173K
58558 121 120 $172K
90750 1,128 1,120 $168K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,413 1,025 $165K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 5,752 2,763 $165K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,734 2,652 $165K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 2,953 2,948 $162K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12,637 12,283 $161K
96127 18,380 17,695 $160K
80061 Lipid panel 17,376 17,212 $157K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,562 1,501 $157K
96417 3,101 2,247 $156K
D1208 Topical application of fluoride, excluding varnish 12,804 12,787 $155K
71250 1,618 1,575 $155K
90715 7,376 7,357 $150K
71046 Radiologic examination, chest; 2 views 20,515 20,062 $148K
J2785 Injection, regadenoson, 0.1 mg 2,172 2,170 $146K
77001 277 271 $145K
74183 435 421 $142K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 6,966 6,891 $141K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 13,993 13,669 $140K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 53,072 50,369 $139K
42830 64 64 $138K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,733 1,728 $137K
85610 32,671 28,158 $136K
93017 4,617 4,599 $135K
41010 81 81 $133K
97530 Therapeutic activities, direct patient contact, each 15 minutes 2,958 1,437 $133K
77334 650 570 $132K
P9021 Red blood cells, each unit 515 456 $129K
Q5103 Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg 114 100 $128K
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 3,936 3,896 $127K
J2469 Injection, palonosetron hcl, 25 mcg 3,272 2,185 $127K
88142 4,898 4,893 $127K
D0150 Comprehensive oral evaluation - new or established patient 4,036 3,391 $125K
A9575 Injection, gadoterate meglumine, 0.1 ml 9,029 5,438 $124K
97010 4,581 2,076 $124K
J9070 Cyclophosphamide, 100 mg 463 231 $124K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,625 1,608 $124K
77014 1,505 167 $122K
88112 916 892 $119K
97161 983 886 $119K
93296 3,837 3,826 $118K
Q5117 Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg 128 68 $118K
97162 922 876 $118K
45390 90 90 $114K
88304 4,123 4,091 $114K
10060 392 381 $111K
90670 9,715 9,695 $109K
D0272 Bitewings - two radiographic images 9,269 9,249 $108K
90651 3,618 3,615 $108K
D1351 Sealant - per tooth 2,403 1,238 $105K
20610 148 141 $104K
76536 1,526 1,456 $103K
99381 752 752 $102K
97014 4,045 1,537 $98K
70491 638 618 $97K
P9040 Red blood cells, leukocytes reduced, irradiated, each unit 299 253 $97K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 2,914 2,913 $94K
99443 1,019 998 $93K
94728 430 422 $92K
76827 1,579 1,562 $92K
90647 8,896 8,882 $91K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 6,965 6,909 $88K
83655 5,669 5,642 $87K
54150 50 50 $87K
84443 Thyroid stimulating hormone (TSH) 17,619 17,093 $86K
99442 1,134 1,095 $85K
96411 1,707 1,207 $84K
96402 2,116 2,011 $83K
90723 9,028 9,016 $83K
93242 606 601 $82K
76937 519 513 $79K
85730 25,480 24,630 $78K
D0140 Limited oral evaluation - problem focused 4,053 3,672 $75K
82728 8,536 8,144 $74K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 667 318 $73K
87653 1,992 1,975 $71K
13132 105 105 $71K
76098 358 317 $69K
70544 283 282 $68K
J1756 Injection, iron sucrose, 1 mg 1,664 912 $68K
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 5,767 5,461 $67K
A9505 Thallium tl-201 thallous chloride, diagnostic, per millicurie 1,389 1,385 $67K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 23,425 21,722 $67K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 55 55 $67K
70486 1,569 1,541 $66K
J2506 Injection, pegfilgrastim, excludes biosimilar, 0.5 mg 62 49 $66K
J7300 Intrauterine copper contraceptive (paragard) 79 79 $66K
77300 307 294 $65K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,104 1,083 $65K
97124 2,768 1,419 $64K
97163 530 484 $63K
76870 1,002 969 $63K
90633 5,317 5,311 $60K
93971 850 826 $60K
49500 26 26 $60K
90837 Psychotherapy, 53 minutes with patient 246 221 $59K
25600 131 131 $59K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 782 753 $58K
D0330 Panoramic radiographic image 2,262 2,256 $57K
83036 Hemoglobin; glycosylated (A1C) 13,570 13,451 $56K
94760 12,250 11,622 $54K
87481 1,854 1,832 $53K
94060 1,383 1,354 $53K
92526 431 217 $52K
84466 6,656 6,412 $52K
90681 5,859 5,851 $52K
84439 9,816 9,650 $52K
13152 85 85 $52K
94729 1,315 1,285 $51K
G0009 Administration of pneumococcal vaccine 4,892 4,882 $50K
97803 1,218 1,129 $49K
84133 22,809 21,969 $49K
95816 175 175 $49K
86923 980 859 $48K
J9217 Leuprolide acetate (for depot suspension), 7.5 mg 188 184 $48K
94726 1,340 1,310 $48K
J0640 Injection, leucovorin calcium, per 50 mg 1,261 569 $48K
81015 14,439 13,547 $47K
76885 620 595 $47K
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 2,095 2,088 $46K
41115 26 26 $46K
87086 Culture, bacterial; quantitative colony count, urine 16,898 16,357 $45K
70496 268 267 $45K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 2,193 996 $45K
Q5119 Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg 33 16 $45K
90620 2,620 2,618 $45K
D0220 Intraoral - periapical first radiographic image 6,064 5,948 $45K
90707 3,381 3,368 $44K
3E0234Z 105 16 $43K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 3,930 3,888 $42K
90746 856 852 $42K
81513 542 539 $42K
86780 7,125 7,037 $41K
82607 4,769 4,709 $41K
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 181 176 $41K
J7050 Infusion, normal saline solution, 250 cc 5,902 5,264 $41K
J9267 Injection, paclitaxel, 1 mg 2,079 754 $41K
90677 1,802 1,800 $40K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 2,033 2,010 $40K
90716 3,185 3,178 $39K
86803 5,557 5,503 $38K
83970 879 854 $38K
36561 29 28 $38K
C9600 Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch 30 30 $37K
85027 10,533 10,439 $36K
A4606 Oxygen probe for use with oximeter device, replacement 3,023 2,850 $36K
88360 309 303 $35K
82378 2,933 2,521 $35K
76882 933 900 $35K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 5,863 4,915 $34K
19085 13 13 $34K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 849 803 $34K
97116 1,268 866 $34K
C1726 Catheter, balloon dilatation, non-vascular 3,234 2,198 $33K
D0274 Bitewings - four radiographic images 1,801 1,793 $33K
96409 327 157 $32K
85004 36,804 34,746 $32K
99417 Prolong home eval add 15m 1,309 1,227 $31K
71045 Radiologic examination, chest; single view 10,329 9,978 $31K
82670 1,411 1,385 $31K
84484 16,506 14,911 $30K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 250 250 $30K
84702 10,196 9,204 $29K
J2426 Injection, paliperidone palmitate extended release (invega sustenna), 1 mg 492 459 $29K
90734 3,220 3,219 $29K
96523 598 451 $28K
97802 532 531 $28K
93351 170 168 $28K
83540 6,760 6,510 $28K
84403 1,343 1,328 $28K
83001 1,878 1,855 $27K
82784 2,376 2,317 $27K
83615 8,828 7,299 $27K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 8,027 7,368 $27K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 2,406 2,367 $27K
36410 1,307 1,196 $27K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 249 231 $26K
92610 186 186 $26K
82746 3,203 3,172 $26K
D0230 Intraoral - periapical each additional radiographic image 1,892 1,891 $26K
83002 1,763 1,744 $25K
87340 5,626 5,560 $25K
J7030 Infusion, normal saline solution , 1000 cc 6,590 6,133 $25K
82248 6,715 5,046 $25K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 220 216 $24K
86300 1,510 1,403 $24K
D0210 Intraoral - complete series of radiographic images 1,457 1,444 $24K
81002 8,031 7,781 $24K
D8660 833 827 $24K
13131 40 40 $24K
77072 1,684 1,560 $23K
J9045 Injection, carboplatin, 50 mg 1,271 619 $23K
83020 2,514 2,472 $23K
90700 2,656 2,653 $23K
86880 1,111 1,072 $23K
86920 435 429 $23K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 119 118 $23K
J9263 Injection, oxaliplatin, 0.5 mg 553 255 $22K
D9310 672 670 $22K
93321 2,210 2,081 $22K
C9290 Injection, bupivacaine liposome, 1 mg 1,917 1,758 $22K
36406 815 745 $22K
72125 Computed tomography, cervical spine; without contrast material 985 975 $22K
76775 456 454 $22K
74220 490 475 $22K
93225 240 236 $21K
83735 12,676 11,934 $21K
86304 1,722 1,560 $21K
99441 329 319 $21K
93925 61 60 $20K
12052 29 29 $20K
87641 769 760 $20K
96401 239 120 $20K
99406 1,028 934 $19K
90696 2,146 2,145 $19K
19499 13 13 $19K
90378 173 172 $19K
84703 6,345 6,291 $19K
J9190 Injection, fluorouracil, 500 mg 1,687 736 $19K
86762 2,041 2,025 $19K
83921 1,349 1,336 $19K
76857 661 648 $19K
90656 1,724 1,724 $19K
74174 220 214 $19K
84146 1,178 1,170 $18K
84153 1,741 1,680 $18K
C1769 Guide wire 2,404 2,313 $17K
88321 227 224 $17K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 538 533 $17K
90710 2,041 2,041 $16K
93280 1,235 1,176 $16K
C1781 Mesh (implantable) 340 335 $16K
95812 58 56 $16K
58300 130 128 $16K
95807 40 39 $15K
12013 42 42 $15K
P9016 Red blood cells, leukocytes reduced, each unit 37 37 $15K
86706 2,464 2,419 $15K
70498 247 245 $15K
D0340 292 292 $14K
83520 1,498 1,494 $14K
86301 1,005 707 $14K
83516 1,044 943 $14K
J1626 Injection, granisetron hydrochloride, 100 mcg 3,905 2,093 $14K
75574 102 87 $14K
87070 4,419 4,322 $14K
12051 28 28 $14K
J0401 Injection, aripiprazole (abilify maintena), 1 mg 12 12 $14K
86140 7,254 7,012 $13K
D8080 Comprehensive orthodontic treatment of the adolescent dentition 15 15 $13K
D1354 795 288 $13K
C1889 Implantable/insertable device, not otherwise classified 159 155 $13K
43242 12 12 $13K
G0010 Administration of hepatitis b vaccine 856 851 $13K
74018 2,595 2,540 $12K
86704 2,166 2,122 $12K
73562 1,904 1,833 $12K
77295 58 56 $12K
92567 348 348 $12K
J3489 Injection, zoledronic acid, 1 mg 183 180 $12K
84402 573 573 $12K
73130 2,024 1,966 $11K
86376 1,036 947 $11K
74240 79 78 $11K
73610 2,023 1,943 $11K
62270 19 13 $11K
78306 54 53 $11K
73110 2,008 1,938 $10K
97164 198 172 $10K
88300 1,022 1,002 $10K
73630 1,990 1,919 $10K
84100 9,011 8,798 $10K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 12 12 $10K
96368 722 499 $10K
72100 692 638 $10K
82805 1,902 1,840 $10K
25605 24 24 $10K
99383 84 84 $10K
54300 80 80 $10K
95806 178 178 $9K
59840 13 13 $9K
82627 489 489 $9K
82565 2,095 1,868 $9K
Q5101 Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram 53 26 $9K
72141 37 37 $9K
85044 6,485 5,834 $9K
10005 13 13 $9K
73030 1,555 1,503 $8K
84305 574 573 $8K
A4648 Tissue marker, implantable, any type, each 476 473 $8K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 14,562 10,741 $8K
B4083 Stomach tube - levine type 1,055 1,049 $8K
24640 25 25 $8K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 576 576 $8K
86787 1,253 1,238 $8K
57425 12 12 $8K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 67 67 $7K
81001 7,776 7,468 $7K
87507 56 56 $7K
87184 3,420 3,339 $7K
88173 310 307 $7K
84481 2,031 1,990 $7K
82947 1,820 1,731 $7K
J1050 Injection, medroxyprogesterone acetate, 1 mg 116 116 $7K
76604 99 98 $7K
73560 646 617 $7K
72170 1,157 1,109 $7K
74178 25 24 $7K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 136 134 $7K
J2704 Injection, propofol, 10 mg 23,490 12,860 $7K
D1206 Topical application of fluoride varnish 391 391 $7K
85651 6,029 5,827 $6K
84480 1,175 1,150 $6K
90732 92 90 $6K
C1760 Closure device, vascular (implantable/insertable) 192 187 $6K
82977 1,775 1,697 $6K
26720 12 12 $6K
87634 682 673 $6K
G0297 Low dose ct scan (ldct) for lung cancer screening 38 38 $6K
82043 1,636 1,631 $6K
D9430 302 296 $6K
73590 1,851 1,802 $6K
76830 Ultrasound, transvaginal 47 42 $6K
73620 833 818 $6K
D2335 29 29 $6K
93299 509 508 $6K
69210 36 36 $6K
73120 635 623 $6K
93246 37 37 $6K
86038 1,221 1,209 $5K
D2330 54 53 $5K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 180 173 $5K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 12 12 $5K
86360 163 159 $5K
93298 200 199 $5K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 13,221 9,344 $5K
A0425 Ground mileage, per statute mile 633 600 $5K
J3490 Unclassified drugs 2,457 2,135 $5K
83030 1,427 1,424 $5K
82570 2,015 1,885 $5K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 1,807 1,770 $5K
90849 65 33 $5K
84165 957 900 $5K
88108 64 56 $5K
85240 359 347 $5K
86256 584 582 $5K
83519 501 501 $5K
71271 79 76 $5K
90662 228 225 $5K
97168 82 74 $5K
J7042 5% dextrose/normal saline (500 ml = 1 unit) 1,275 1,257 $5K
92587 56 53 $5K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 536 511 $4K
73090 2,056 1,997 $4K
86359 163 159 $4K
80320 2,692 2,597 $4K
93978 12 12 $4K
77332 43 39 $4K
84156 2,029 1,883 $4K
73080 1,592 1,552 $4K
C1887 Catheter, guiding (may include infusion/perfusion capability) 854 835 $4K
97165 41 41 $4K
82652 266 266 $4K
0072A 78 78 $4K
82105 690 629 $4K
83690 16,473 15,807 $4K
84550 2,041 1,910 $4K
86160 350 345 $4K
87536 78 77 $4K
73600 629 617 $4K
86665 455 451 $4K
85379 2,668 2,625 $4K
85245 179 177 $4K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 607 503 $4K
J1200 Injection, diphenhydramine hcl, up to 50 mg 6,236 4,335 $3K
84436 1,293 1,270 $3K
0071A 110 110 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,211 2,192 $3K
86696 185 185 $3K
81003 4,649 4,543 $3K
D0350 273 273 $3K
90743 87 87 $3K
96377 173 130 $3K
73502 418 407 $3K
80069 380 380 $3K
86695 180 180 $3K
J9171 Injection, docetaxel, 1 mg 20 13 $3K
86870 140 133 $3K
0002A 188 187 $3K
10061 12 12 $3K
92523 13 13 $3K
C8908 Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral 12 12 $3K
77280 14 14 $3K
82533 208 203 $3K
Q3014 Telehealth originating site facility fee 360 304 $3K
86664 455 451 $3K
51701 12 12 $3K
85246 165 164 $3K
A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler 177 174 $3K
74230 30 30 $3K
87040 4,202 4,091 $2K
74181 12 12 $2K
D2331 27 26 $2K
C1874 Stent, coated/covered, with delivery system 25 25 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 307 299 $2K
0001A 172 172 $2K
84144 115 111 $2K
86225 447 439 $2K
86255 370 350 $2K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 1,053 884 $2K
86800 225 223 $2K
73552 536 524 $2K
96376 2,634 2,556 $2K
73060 889 878 $2K
76801 14 14 $2K
82550 1,895 1,854 $2K
73700 12 12 $2K
99152 1,198 1,171 $2K
93282 26 26 $2K
C1758 Catheter, ureteral 715 688 $2K
87563 65 63 $2K
J8540 Dexamethasone, oral, 0.25 mg 1,177 1,101 $2K
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 45 44 $1K
85250 31 31 $1K
90688 233 233 $1K
83883 173 167 $1K
97035 143 84 $1K
29125 12 12 $1K
82247 355 285 $1K
C1773 Retrieval device, insertable (used to retrieve fractured medical devices) 208 206 $1K
S0028 Injection, famotidine, 20 mg 3,040 2,496 $1K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 5,571 2,927 $1K
90675 28 12 $1K
96167 12 12 $1K
85045 1,225 1,208 $1K
86707 196 195 $1K
82150 755 730 $1K
77417 133 60 $1K
J2250 Injection, midazolam hydrochloride, per 1 mg 10,008 9,341 $1K
92555 35 35 $1K
76813 14 14 $1K
0296T 12 12 $1K
99384 14 14 $1K
83498 52 52 $1K
87517 27 26 $1K
J2405 Injection, ondansetron hydrochloride, per 1 mg 19,950 16,231 $1K
86708 166 165 $1K
92588 13 13 $1K
86235 89 70 $1K
88720 283 239 $992.06
92611 12 12 $972.08
76376 138 134 $969.52
85280 40 40 $904.73
73140 98 97 $875.52
0003A 21 21 $870.36
73100 58 57 $862.06
J3010 Injection, fentanyl citrate, 0.1 mg 10,255 9,523 $824.68
99354 17 16 $800.93
80164 315 309 $759.43
88311 51 51 $758.29
70360 157 156 $741.44
J0690 Injection, cefazolin sodium, 500 mg 6,137 5,512 $736.87
J2270 Injection, morphine sulfate, up to 10 mg 9,025 8,757 $734.48
J3475 Injection, magnesium sulfate, per 500 mg 1,757 1,439 $719.04
72082 27 27 $708.36
J0280 Injection, aminophyllin, up to 250 mg 275 275 $654.68
97018 235 95 $640.13
80329 1,389 1,364 $628.91
J9206 Injection, irinotecan, 20 mg 27 12 $617.03
82157 26 26 $606.97
86431 183 182 $606.53
A4614 Peak expiratory flow rate meter, hand held 61 60 $605.74
87075 342 331 $605.26
81404 28 28 $586.60
A7015 Aerosol mask, used with dme nebulizer 139 133 $577.26
86922 18 12 $564.89
90671 33 33 $527.17
99153 Mod sedat endo service >5yrs 571 556 $503.55
J9370 Vincristine sulfate, 1 mg 60 37 $501.67
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 20 19 $500.60
83993 44 44 $499.62
84145 474 466 $455.41
D0470 13 13 $442.00
86580 56 56 $440.50
85384 195 179 $429.84
C1788 Port, indwelling (implantable) 17 16 $422.80
J0694 Injection, cefoxitin sodium, 1 gm 937 778 $421.88
87493 12 12 $420.23
A7016 Dome and mouthpiece, used with small volume ultrasonic nebulizer 128 126 $410.90
J3480 Injection, potassium chloride, per 2 meq 699 515 $389.85
J1885 Injection, ketorolac tromethamine, per 15 mg 23,507 13,442 $380.12
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation 12 12 $379.56
J0696 Injection, ceftriaxone sodium, per 250 mg 3,981 3,114 $365.91
88333 12 12 $355.53
90473 46 46 $347.50
87420 57 57 $346.08
87102 66 65 $342.34
90744 42 42 $336.89
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 28 26 $335.42
99024 927 821 $330.08
87205 368 356 $321.93
Q9962 High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml 100 74 $309.60
J0330 Injection, succinylcholine chloride, up to 20 mg 1,790 925 $306.44
90672 61 61 $304.52
94618 26 26 $293.49
85613 65 63 $290.31
80178 151 148 $277.19
74019 150 147 $264.31
D0270 38 38 $261.53
85270 13 12 $245.02
82785 25 25 $241.99
80050 General health panel 12 12 $240.82
90685 103 103 $214.20
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 13 12 $209.46
73000 25 25 $195.53
87338 31 31 $192.45
86709 41 40 $182.76
73070 73 68 $177.42
87116 55 55 $170.69
91307 215 199 $168.73
86618 14 14 $168.26
81005 165 162 $165.05
J2370 Injection, phenylephrine hcl, up to 1 ml 308 242 $159.65
82948 2,454 2,070 $159.46
84520 39 38 $157.97
A4649 Surgical supply; miscellaneous 1,618 1,601 $153.82
90381 15 15 $150.68
72040 13 12 $150.15
86334 12 12 $138.51
86765 12 12 $128.03
82272 53 51 $123.87
J1580 Injection, garamycin, gentamicin, up to 80 mg 519 492 $123.21
94761 30 27 $122.52
88302 30 30 $116.06
86694 12 12 $115.33
J0171 Injection, adrenalin, epinephrine, 0.1 mg 610 382 $111.67
J1631 Injection, haloperidol decanoate, per 50 mg 81 76 $97.95
C9113 Injection, pantoprazole sodium, per vial 91 89 $89.60
82985 12 12 $78.86
J3370 Injection, vancomycin hcl, 500 mg 203 160 $70.81
87206 41 41 $69.35
72070 15 12 $65.38
87350 14 14 $61.34
87045 24 24 $59.46
A4570 Splint 560 556 $58.62
92579 13 13 $54.20
J2765 Injection, metoclopramide hcl, up to 10 mg 2,830 2,744 $51.57
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 2,733 2,526 $50.90
83550 12 12 $40.64
86593 14 14 $39.10
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 120 61 $35.90
87177 12 12 $35.60
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 990 971 $29.54
J1790 Injection, droperidol, up to 5 mg 208 200 $28.76
93284 13 12 $28.69
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 1,745 1,653 $27.83
89051 28 27 $25.20
S0020 Injection, bupivicaine hydrochloride, 30 ml 178 178 $24.85
J7510 Prednisolone oral, per 5 mg 100 98 $21.23
J1940 Injection, furosemide, up to 20 mg 45 36 $18.98
A6455 Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard 192 190 $17.14
J7999 Compounded drug, not otherwise classified 137 137 $16.00
80156 12 12 $14.57
J1170 Injection, hydromorphone, up to 4 mg 55 55 $12.07
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 825 698 $9.53
Q9960 High osmolar contrast material, 200-249 mg/ml iodine concentration, per ml 659 506 $8.72
A4616 Tubing (oxygen), per foot 111 106 $8.43
J2795 Injection, ropivacaine hydrochloride, 1 mg 341 323 $8.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 74 60 $7.84
82010 131 124 $7.68
J2060 Injection, lorazepam, 2 mg 277 268 $7.58
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 283 258 $7.42
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 1,347 1,301 $6.44
J1596 Injection, glycopyrrolate, 0.1 mg 164 164 $6.44
J2599 Injection, vasopressin (american regent), not therapeutically equivalent to j2598, 1 unit 12 12 $5.80
91300 289 267 $3.96
86710 79 79 $2.38
J1836 Injection, metronidazole, 10 mg 156 154 $0.13
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 92 92 $0.06
99080 2,563 529 $0.00
S0030 Injection, metronidazole, 500 mg 69 69 $0.00
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg 53 50 $0.00
99499 14 12 $0.00
L8613 Ossicula implant 14 14 $0.00
82140 15 14 $0.00
A4590 Special casting material (e.g., fiberglass) 30 30 $0.00
J1630 Injection, haloperidol, up to 5 mg 305 295 $0.00
99429 490 402 $0.00
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) 56 56 $0.00
Q4050 Cast supplies, for unlisted types and materials of casts 14 13 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 71 52 $0.00
C9399 Unclassified drugs or biologicals 92 92 $0.00
J3411 Injection, thiamine hcl, 100 mg 52 25 $0.00