Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › HYANNIS › CAPE COD HOSPITAL INC

CAPE COD HOSPITAL INC

NPI: 1114984671 · HYANNIS, MA 02601 · General Acute Care Hospital · NPI assigned 04/28/2006

$86.94M
Total Medicaid Paid
1,928,192
Total Claims
1,598,125
Beneficiaries
488
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDAYTON, REBECCA (VP OF REVENUE CYCLE)
NPI Enumeration Date04/28/2006

Related Entities

Other providers sharing the same authorized official: DAYTON, REBECCA

ProviderCityStateTotal Paid
FALMOUTH HOSPITAL ASSOCIATION INC FALMOUTH MA $25.40M
MEDICAL AFFILIATES OF CAPE COD, INC. HYANNIS MA $5.91M
URGI CENTER MEDICAL GROUP SANDWICH MA $5.85M
PHYSICIANS OF CAPE COD HOSPITAL HYANNIS MA $5.21M
EMERGENCY PHYSICIANS OF FALMOUTH FALMOUTH MA $2.69M
PHYSICIANS OF FALMOUTH HOSPITAL FALMOUTH MA $346K
CAPE COD HOSPITAL INC HYANNIS MA $291K
RADIOLOGISTS OF CAPE COD HOSPITAL HYANNIS MA $51K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 331,258 $14.84M
2019 264,764 $11.49M
2020 220,047 $8.29M
2021 293,001 $11.37M
2022 297,575 $13.28M
2023 279,934 $14.92M
2024 241,613 $12.74M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 65,542 57,582 $11.35M
99283 Emergency department visit for the evaluation and management, moderate severity 52,843 47,358 $8.00M
96361 Intravenous infusion, hydration; each additional hour 21,297 17,902 $7.64M
99284 Emergency department visit for the evaluation and management, high severity 42,054 37,559 $6.34M
G0378 Hospital observation service, per hour 26,102 10,827 $2.89M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 24,971 20,570 $2.88M
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 43,011 37,447 $2.43M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15,797 13,938 $2.32M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 33,881 10,588 $2.09M
74177 Computed tomography, abdomen and pelvis; with contrast material 12,719 11,976 $1.97M
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 6,432 5,074 $1.84M
59025 Fetal non-stress test 6,364 3,399 $1.74M
70450 Computed tomography, head or brain; without contrast material 12,575 11,585 $1.58M
S9485 Crisis intervention mental health services, per diem 3,020 2,234 $1.36M
99282 Emergency department visit for the evaluation and management, low to moderate severity 7,711 7,285 $1.17M
74176 Computed tomography, abdomen and pelvis; without contrast material 5,244 4,965 $960K
77067 Screening mammography, bilateral, including computer-aided detection 12,606 12,356 $947K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 6,906 5,922 $917K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 19,486 6,895 $853K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,366 5,086 $828K
71275 Computed tomographic angiography, chest, with contrast material 4,360 4,164 $783K
93971 3,819 3,618 $736K
76705 Ultrasound, abdominal, real time with image documentation; limited 6,653 6,246 $711K
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 25,482 20,630 $687K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 6,376 5,498 $672K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 4,142 3,967 $665K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 19,996 17,167 $620K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 5,470 5,246 $608K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 7,136 4,213 $599K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 14,755 13,411 $539K
76830 Ultrasound, transvaginal 5,683 5,430 $535K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 2,734 2,676 $531K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 3,753 1,292 $503K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 102,257 81,449 $469K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 21,940 19,657 $437K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 2,730 1,200 $436K
71046 Radiologic examination, chest; 2 views 16,897 16,032 $432K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 1,755 1,571 $424K
76642 5,025 4,216 $409K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 11,285 10,136 $406K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 15,413 13,692 $397K
96415 2,087 1,360 $374K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 9,481 8,405 $356K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 484 476 $334K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 3,995 2,882 $318K
76801 3,121 2,631 $290K
J3490 Unclassified drugs 12,428 7,475 $280K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 880 863 $276K
62323 602 594 $269K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,637 1,484 $260K
70551 Magnetic resonance imaging, brain; without contrast material 997 964 $245K
71250 3,305 3,213 $245K
93970 881 854 $244K
76536 2,245 2,136 $235K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 3,348 2,992 $235K
76700 Ultrasound, abdominal, real time with image documentation; complete 1,509 1,414 $233K
ATP14 26,525 20,213 $223K
76819 Fetal biophysical profile; without non-stress testing 2,192 1,754 $216K
77063 Screening digital breast tomosynthesis, bilateral 12,559 12,309 $212K
64493 294 277 $208K
72141 918 878 $194K
93975 1,652 1,548 $180K
70496 855 828 $179K
77065 Tomosynthesis, mammo 2,772 2,424 $173K
97162 2,580 2,468 $170K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,869 990 $159K
77066 Tomosynthesis, mammo 2,495 2,412 $153K
93017 1,776 1,688 $151K
97014 2,903 1,124 $149K
84484 22,979 17,187 $140K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 5,596 5,238 $138K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,572 1,535 $136K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 377 349 $134K
83690 30,037 26,605 $134K
ATP15 14,998 11,947 $133K
77412 610 78 $132K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 5,363 5,022 $131K
71045 Radiologic examination, chest; single view 27,955 25,154 $130K
97161 1,795 1,751 $130K
73630 4,847 4,454 $130K
ATP08 18,367 14,457 $130K
72100 4,760 4,544 $129K
76770 815 795 $129K
87086 Culture, bacterial; quantitative colony count, urine 25,002 22,756 $129K
77336 1,616 676 $122K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 871 764 $121K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,243 1,216 $118K
96367 3,389 2,738 $117K
80053 Comprehensive metabolic panel 67,781 55,528 $116K
73221 565 489 $111K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,164 1,712 $108K
83880 6,175 5,686 $108K
84443 Thyroid stimulating hormone (TSH) 10,890 10,016 $106K
77080 1,533 1,462 $106K
74174 644 625 $104K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 15,406 12,030 $103K
84703 17,276 15,479 $99K
71260 Computed tomography, thorax, diagnostic; with contrast material 2,216 2,122 $98K
J1459 Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg 98 37 $97K
94060 997 979 $97K
83735 24,020 19,954 $96K
88305 Level IV - Surgical pathology, gross and microscopic examination 6,356 6,010 $91K
83605 13,688 11,519 $90K
97035 2,668 1,103 $89K
87040 13,931 7,410 $89K
87430 7,402 7,123 $89K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5,544 5,016 $88K
J7999 Compounded drug, not otherwise classified 2,502 1,867 $86K
73030 3,940 3,602 $86K
90715 3,392 3,170 $86K
73610 3,976 3,669 $83K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 4,955 2,210 $83K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 7,621 4,931 $82K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 42,416 36,485 $82K
73130 2,875 2,566 $81K
49083 178 78 $75K
12001 368 344 $74K
45380 Colonoscopy, flexible; with biopsy, single or multiple 183 183 $73K
86850 11,241 9,782 $71K
73502 2,833 2,580 $70K
88342 2,898 2,668 $68K
73110 2,498 2,290 $67K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 25,823 22,850 $65K
72040 1,583 1,545 $63K
96375 Therapeutic injection; each additional sequential IV push 29,754 24,046 $62K
36430 237 157 $62K
85027 16,063 12,929 $62K
80048 Basic metabolic panel (calcium, ionized) 45,004 38,053 $58K
73562 1,953 1,731 $57K
76813 451 445 $56K
85610 22,202 19,403 $49K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 1,076 1,026 $48K
72125 Computed tomography, cervical spine; without contrast material 4,941 4,636 $46K
Q5103 Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg 27 26 $46K
86317 2,579 1,252 $46K
84702 3,761 2,966 $46K
87070 7,579 6,895 $46K
71271 1,307 1,234 $45K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 292 262 $44K
87077 8,876 8,108 $44K
85730 11,113 10,150 $44K
94729 898 884 $44K
70498 958 912 $44K
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) 198 122 $42K
88341 1,719 1,510 $41K
70486 965 906 $41K
73564 2,704 2,501 $41K
87186 7,103 6,600 $38K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 96 96 $38K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 1,902 1,737 $37K
81001 19,130 17,382 $37K
77386 147 13 $35K
85379 5,051 4,817 $34K
96368 1,902 1,515 $32K
97750 460 432 $32K
81003 22,027 20,321 $32K
73140 930 879 $30K
93880 380 375 $30K
87081 5,269 5,070 $27K
0012A 1,414 1,268 $27K
86618 2,350 2,046 $27K
76881 279 233 $26K
72070 937 877 $26K
J0897 Injection, denosumab, 1 mg 63 62 $26K
12002 131 127 $25K
94726 528 523 $25K
82948 8,500 3,989 $25K
0011A 2,108 1,560 $24K
77334 50 40 $24K
86900 11,358 9,887 $24K
70491 200 188 $23K
86140 6,924 5,928 $23K
81025 4,139 3,710 $23K
82803 1,784 1,534 $22K
86901 11,311 9,846 $22K
91200 265 238 $22K
76870 187 177 $22K
0001A 961 769 $21K
A9575 Injection, gadoterate meglumine, 0.1 ml 3,546 3,308 $21K
87632 147 141 $21K
84439 3,706 3,551 $21K
87088 4,001 3,686 $20K
77085 438 435 $20K
0002A 731 671 $20K
77280 82 79 $20K
87476 916 825 $20K
77062 919 909 $20K
73080 1,211 1,111 $19K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,120 1,095 $18K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 470 215 $18K
77061 384 340 $17K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 6,155 5,593 $16K
88142 783 776 $16K
82248 14,457 12,868 $16K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 112 91 $16K
87631 173 156 $16K
59426 95 95 $15K
59430 110 109 $14K
12011 64 63 $14K
96523 342 248 $13K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 591 582 $13K
82140 1,775 1,533 $13K
82728 2,002 1,824 $13K
77290 26 26 $13K
71101 909 837 $12K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 254 237 $11K
74018 841 766 $11K
73590 792 721 $11K
83036 Hemoglobin; glycosylated (A1C) 2,095 2,014 $11K
76981 134 114 $10K
ATP17 1,686 1,637 $10K
80076 10,496 9,738 $10K
76982 112 110 $10K
85652 5,868 5,273 $10K
19083 13 13 $10K
97535 Self-care/home management training, each 15 minutes 95 67 $10K
85007 4,410 3,522 $10K
82607 1,262 1,182 $9K
87522 Neg quan hep c or qual rna 294 286 $9K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 12 12 $9K
90656 494 478 $9K
72131 269 265 $9K
76882 69 67 $9K
M0222 Intravenous injection, bebtelovimab, includes injection and post administration monitoring 56 53 $9K
83550 2,117 1,966 $9K
87210 2,311 2,168 $9K
99218 82 38 $9K
94727 388 378 $8K
43235 13 13 $8K
ATP16 1,056 779 $8K
94664 272 260 $8K
90674 494 450 $8K
80061 Lipid panel 4,488 4,325 $8K
74183 39 37 $7K
87205 2,939 2,484 $7K
86803 713 697 $7K
0031A 604 381 $7K
74019 719 674 $7K
88313 524 514 $6K
84153 426 420 $6K
10005 13 12 $6K
G0481 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; 8-14 drug class(es), including metabolite(s) if performed 98 89 $6K
J2405 Injection, ondansetron hydrochloride, per 1 mg 15,533 13,546 $6K
87420 499 488 $6K
99281 Emergency department visit for the evaluation and management, self-limited or minor 46 27 $5K
20553 31 31 $5K
87046 266 187 $5K
J3010 Injection, fentanyl citrate, 0.1 mg 8,100 6,902 $5K
73090 333 315 $5K
64494 207 180 $5K
80050 General health panel 290 267 $5K
27096 13 13 $5K
J2250 Injection, midazolam hydrochloride, per 1 mg 6,531 6,129 $5K
86880 1,357 1,151 $4K
83970 192 181 $4K
87506 25 25 $4K
J7030 Infusion, normal saline solution , 1000 cc 10,138 8,249 $4K
97166 55 54 $4K
97012 91 38 $4K
J1644 Injection, heparin sodium, per 1000 units 2,298 1,340 $4K
86703 450 437 $4K
87340 458 445 $4K
J1885 Injection, ketorolac tromethamine, per 15 mg 9,508 8,181 $4K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 7,356 6,462 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 14 14 $3K
J1650 Injection, enoxaparin sodium, 10 mg 107 66 $3K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 271 270 $3K
80164 599 548 $3K
29125 32 28 $3K
88304 1,746 1,712 $3K
87536 100 99 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 228 225 $3K
J2704 Injection, propofol, 10 mg 8,679 7,822 $3K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 17,388 16,381 $3K
84481 271 264 $3K
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring 18 13 $3K
J2060 Injection, lorazepam, 2 mg 4,913 4,105 $3K
80179 669 613 $3K
86706 325 319 $3K
80178 764 658 $3K
82746 305 294 $3K
82378 277 212 $2K
J1170 Injection, hydromorphone, up to 4 mg 5,626 4,253 $2K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 15 14 $2K
86704 229 225 $2K
84402 117 116 $2K
86708 242 236 $2K
86308 531 504 $2K
96417 964 532 $2K
36415 Collection of venous blood by venipuncture 38,284 29,472 $2K
86480 82 67 $2K
Q3014 Telehealth originating site facility fee 1,965 1,838 $2K
72146 27 27 $2K
ATP02 529 440 $2K
83540 665 625 $2K
82784 242 213 $2K
86038 204 196 $2K
82150 395 378 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg 3,513 2,821 $2K
P9016 Red blood cells, leukocytes reduced, each unit 101 73 $2K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 55 49 $2K
82652 101 98 $2K
97163 39 37 $2K
73552 294 270 $2K
J7120 Ringers lactate infusion, up to 1000 cc 3,254 2,862 $2K
87469 223 211 $2K
82043 598 584 $2K
10061 13 12 $2K
77002 42 38 $2K
84100 4,037 3,290 $1K
84146 94 91 $1K
20552 12 12 $1K
86200 134 129 $1K
0071A 28 28 $1K
82550 2,775 2,508 $1K
ATP09 238 204 $1K
88173 13 12 $1K
90686 143 141 $1K
82105 92 90 $1K
83001 84 84 $1K
ATP18 241 233 $1K
87484 180 169 $1K
87045 202 187 $1K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 13 12 $1K
76775 13 13 $1K
90472 Immunization administration, each additional vaccine (list separately) 61 59 $1K
91322 23 22 $1K
J0690 Injection, cefazolin sodium, 500 mg 3,848 3,314 $1K
82950 195 191 $935.58
87324 144 132 $927.40
86592 282 270 $926.25
J2270 Injection, morphine sulfate, up to 10 mg 2,598 2,184 $918.56
ATP03 258 252 $904.70
ATP11 187 183 $874.56
72050 12 12 $874.39
J7210 Injection, factor viii, (antihemophilic factor, recombinant), (afstyla), 1 i.u. 40 38 $872.52
ATP07 163 151 $868.29
86320 68 60 $855.07
73560 18 14 $852.43
97803 15 13 $792.40
S0028 Injection, famotidine, 20 mg 21 15 $780.89
87207 193 114 $778.94
82009 313 276 $774.19
83002 52 52 $768.54
86696 46 42 $733.14
82565 1,967 1,760 $720.36
J1200 Injection, diphenhydramine hcl, up to 50 mg 3,521 2,797 $696.24
J3475 Injection, magnesium sulfate, per 500 mg 2,117 1,731 $695.59
J7050 Infusion, normal saline solution, 250 cc 5,496 3,441 $686.60
97597 133 82 $635.24
36591 1,020 759 $599.90
73700 14 14 $599.55
ATP04 130 118 $580.42
J0137 Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg 902 817 $557.84
80074 17 17 $556.68
84460 1,090 953 $550.31
73060 62 57 $548.70
83721 115 111 $530.32
86430 130 128 $528.50
J1630 Injection, haloperidol, up to 5 mg 811 683 $525.85
96376 7,740 5,413 $525.43
86361 87 86 $521.18
86695 46 42 $512.49
84165 83 75 $498.15
90832 Psychotherapy, 30 minutes with patient 57 43 $497.91
81002 381 376 $468.64
83615 844 720 $446.28
90480 36 35 $441.09
86709 47 46 $425.94
84450 1,042 882 $410.73
84134 59 46 $406.08
82570 120 106 $376.42
ATP10 132 127 $376.32
0013A 16 15 $366.96
86003 12 12 $366.52
84550 454 387 $354.13
94799 27 26 $349.94
72170 54 50 $348.37
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 74 65 $338.30
86617 49 44 $333.95
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 1,108 965 $333.04
84156 148 130 $312.91
73660 14 13 $302.88
85018 273 208 $297.16
86923 38 27 $295.65
G0297 Low dose ct scan (ldct) for lung cancer screening 14 13 $252.35
86376 24 24 $240.16
82962 4,979 2,419 $217.80
82553 44 40 $207.74
84403 16 15 $206.34
84520 770 724 $206.34
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,580 1,362 $205.60
87177 31 29 $201.74
82947 160 154 $201.07
86141 27 27 $200.25
J1040 Injection, methylprednisolone acetate, 80 mg 731 724 $179.80
86694 14 13 $178.08
73000 13 12 $172.83
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 307 276 $171.10
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 342 310 $156.83
82247 340 254 $155.34
83516 22 14 $153.53
80159 44 27 $152.56
83655 13 13 $149.88
83020 12 12 $145.97
85014 155 134 $127.84
86160 12 12 $123.80
P9047 Infusion, albumin (human), 25%, 50 ml 15 12 $107.36
80197 27 12 $105.28
80156 20 19 $105.21
82040 176 167 $98.78
90853 Group psychotherapy (other than of a multiple-family group) 61 13 $96.21
86920 15 12 $95.48
90694 48 46 $82.20
80051 202 191 $77.63
80177 14 13 $68.35
80185 12 12 $68.35
G0008 Administration of influenza virus vaccine 936 919 $61.60
82010 15 12 $57.68
84436 18 18 $56.64
80175 13 13 $54.68
ATP13 12 12 $54.45
ATP06 14 14 $48.48
84132 60 52 $47.30
82977 32 29 $44.52
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 325 309 $42.60
88311 171 167 $35.47
81015 44 39 $34.54
85045 19 16 $28.84
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 976 953 $27.02
90899 61 13 $25.48
J2765 Injection, metoclopramide hcl, up to 10 mg 1,892 1,711 $16.90
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 677 568 $13.23
90653 25 25 $5.60
82310 13 13 $5.33
C9113 Injection, pantoprazole sodium, per vial 739 578 $2.23
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 4,224 3,751 $1.99
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg 73 67 $1.00
51702 269 246 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 310 295 $0.00
99152 652 605 $0.00
91300 1,047 752 $0.00
G0176 Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more) 1,136 301 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 465 427 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 301 278 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 608 569 $0.00
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg 58 54 $0.00
G0177 Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more) 1,142 250 $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 72 59 $0.00
G0129 Occupational therapy services requiring the skills of a qualified occupational therapist, furnished as a component of a partial hospitalization or intensive outpatient treatment program, per session (45 minutes or more) 1,268 276 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 230 223 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 260 250 $0.00
J3370 Injection, vancomycin hcl, 500 mg 19 12 $0.00
51701 193 188 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 13 13 $0.00
J1020 Injection, methylprednisolone acetate, 20 mg 48 46 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 236 173 $0.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 72 69 $0.00
77387 63 12 $0.00
84145 14 12 $0.00
J7510 Prednisolone oral, per 5 mg 13 13 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 650 599 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 470 431 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 28 26 $0.00
96411 39 27 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 319 316 $0.00
C1769 Guide wire 816 752 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 316 291 $0.00
87493 39 37 $0.00
J8501 Aprepitant, oral, 5 mg 439 329 $0.00
94760 505 374 $0.00
G0410 Group psychotherapy other than of a multiple-family group, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes 920 206 $0.00
J3480 Injection, potassium chloride, per 2 meq 248 169 $0.00
J8540 Dexamethasone, oral, 0.25 mg 1,563 798 $0.00
G0103 Prostate cancer screening; prostate specific antigen test (psa) 171 171 $0.00
91301 1,916 1,635 $0.00
80069 28 27 $0.00
0346T 134 108 $0.00
91303 332 225 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 68 45 $0.00
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 100 96 $0.00
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 101 56 $0.00
99153 Mod sedat endo service >5yrs 149 120 $0.00
P9603 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled 250 198 $0.00
80320 174 152 $0.00
J1790 Injection, droperidol, up to 5 mg 19 19 $0.00
88300 12 12 $0.00
J3535 Drug administered through a metered dose inhaler 21 12 $0.00