Medicaid Provider Spending

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

ST CLAIRE MEDICAL CENTER INC

NPI: 1124078696 · MOREHEAD, KY 40351 · Physical Medicine & Rehabilitation Physician · NPI assigned 05/12/2006

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

Authorized official LLOYD, DONALD controls 20+ related entities in our dataset. Read more

$71.27M
Total Medicaid Paid
1,862,443
Total Claims
1,403,848
Beneficiaries
475
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLLOYD, DONALD (CEO/ PRESIDENT)
NPI Enumeration Date05/12/2006

Related Entities

Other providers sharing the same authorized official: LLOYD, DONALD

ProviderCityStateTotal Paid
ST CLAIRE MEDICAL CENTER INC. MOREHEAD KY $4.05M
ST. CLAIRE MEDICAL CENTER, INC MOREHEAD KY $3.32M
ST CLAIRE MEDICAL CENTER, INC., MOREHEAD KY $3.31M
ST CLAIRE MEDICAL CENTER, INC MOREHEAD KY $3.29M
ST. CLAIRE MEDICAL CENTER, INC MOREHEAD KY $3.11M
ST CLAIRE MEDICAL CENTER, INC., MOREHEAD KY $2.42M
ST. CLAIRE MEDICAL CENTER MOREHEAD KY $2.40M
ST. CLAIRE MEDICAL CENTER, INC. MOREHEAD KY $2.09M
ST CLAIRE REGIONAL RADIOLOGY PHYSICIANS SERVICES MOREHEAD KY $1.83M
ST CLAIRE MEDICAL CENTER, INC., MOREHEAD KY $1.46M
ST. CLAIRE MEDICAL CENTER,INC OLIVE HILL KY $1.13M
ST. CLAIRE MEDICAL CENTER, INC OWINGSVILLE KY $964K
ST. CLAIRE MEDICAL CENTER,INC SANDY HOOK KY $948K
ST. CLAIRE MEDICAL CENTER, INC FRENCHBURG KY $877K
ST CLAIRE MEDICAL CENTER, INC MOREHEAD KY $760K
ST. CLAIRE MEDICAL CENTER, INC MOREHEAD KY $672K
ST. CLAIRE MEDICAL CENTER, INC. MOREHEAD KY $411K
ST. CLAIRE MEDICAL CENTER INC. MOREHEAD KY $371K
ST CLAIRE MEDICAL CENTER INC. MOREHEAD KY $115K
ST. CLAIRE MEDICAL CENTER, INC. MOREHEAD KY $20K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 274,687 $9.65M
2019 293,243 $10.01M
2020 220,834 $8.50M
2021 264,124 $10.09M
2022 266,231 $10.68M
2023 295,934 $11.27M
2024 247,390 $11.07M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 40,907 33,263 $6.92M
99283 Emergency department visit for the evaluation and management, moderate severity 33,091 28,493 $4.10M
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 18,394 9,179 $2.73M
0202U Oncology (prostate), multianalyte, gene expression profiling 6,948 6,244 $2.29M
74177 Computed tomography, abdomen and pelvis; with contrast material 9,576 6,523 $2.07M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 9,109 6,814 $1.99M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 68,580 56,051 $1.86M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 66,220 57,228 $1.85M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 33,782 21,546 $1.74M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 45,244 39,780 $1.31M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 46,203 39,582 $1.27M
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 14,377 8,739 $1.25M
70450 Computed tomography, head or brain; without contrast material 7,815 5,607 $1.19M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 5,396 4,913 $1.19M
96361 Intravenous infusion, hydration; each additional hour 26,607 14,351 $1.15M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 15,324 5,192 $1.08M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 14,144 4,955 $1.03M
93458 1,164 353 $979K
80053 Comprehensive metabolic panel 89,696 73,138 $914K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 16,956 13,767 $902K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 2,475 1,701 $893K
74176 Computed tomography, abdomen and pelvis; without contrast material 5,686 3,753 $890K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 3,215 2,003 $812K
96375 Therapeutic injection; each additional sequential IV push 11,948 9,310 $776K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 11,935 9,861 $735K
97530 Therapeutic activities, direct patient contact, each 15 minutes 9,235 3,444 $699K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 28,506 22,141 $681K
76705 Ultrasound, abdominal, real time with image documentation; limited 4,771 4,275 $665K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 8,069 6,196 $664K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 93,264 67,016 $663K
71046 Radiologic examination, chest; 2 views 18,759 12,828 $616K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 8,248 5,215 $589K
88305 Level IV - Surgical pathology, gross and microscopic examination 6,474 5,668 $526K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 6,398 3,939 $516K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 21,896 15,109 $492K
36415 Collection of venous blood by venipuncture 140,646 76,564 $488K
20610 6,988 4,754 $464K
71275 Computed tomographic angiography, chest, with contrast material 2,639 1,928 $450K
99282 Emergency department visit for the evaluation and management, low to moderate severity 5,367 4,788 $442K
93017 2,578 2,399 $436K
84443 Thyroid stimulating hormone (TSH) 28,963 26,931 $425K
76700 Ultrasound, abdominal, real time with image documentation; complete 2,197 2,017 $421K
73630 5,007 4,317 $416K
77067 Screening mammography, bilateral, including computer-aided detection 4,190 3,959 $372K
S9129 Occupational therapy, in the home, per diem 10,493 3,745 $372K
99219 2,159 1,875 $357K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 2,268 1,195 $355K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1,314 1,212 $353K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 1,146 1,070 $345K
95811 619 564 $342K
71045 Radiologic examination, chest; single view 13,603 9,251 $322K
73610 3,397 2,870 $314K
72125 Computed tomography, cervical spine; without contrast material 1,594 1,401 $295K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 4,195 1,746 $283K
80061 Lipid panel 24,350 21,703 $281K
76770 2,064 1,673 $281K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,356 1,139 $267K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 12,120 10,387 $256K
94060 2,920 2,186 $245K
73030 2,952 2,489 $238K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 1,399 1,313 $233K
73130 2,791 2,419 $233K
73110 2,915 2,268 $226K
71250 1,318 1,105 $216K
71271 1,098 919 $210K
73562 2,104 1,833 $204K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 5,461 3,035 $200K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 5,779 5,353 $190K
87507 635 572 $184K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 5,716 5,330 $184K
J3010 Injection, fentanyl citrate, 0.1 mg 8,996 6,260 $182K
80074 4,449 4,037 $182K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 192 166 $181K
87086 Culture, bacterial; quantitative colony count, urine 22,378 19,091 $178K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 629 445 $178K
76830 Ultrasound, transvaginal 1,808 1,529 $177K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 379 328 $176K
J1885 Injection, ketorolac tromethamine, per 15 mg 16,429 12,296 $175K
94726 1,726 1,634 $174K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2,080 1,920 $172K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 3,638 1,738 $170K
59025 Fetal non-stress test 1,250 896 $164K
83036 Hemoglobin; glycosylated (A1C) 21,004 19,572 $162K
84484 16,065 9,558 $158K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 21,466 20,601 $158K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 10,285 4,872 $158K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 634 573 $156K
72110 1,722 1,489 $153K
93971 1,724 1,543 $153K
73564 1,537 1,399 $151K
82607 11,816 11,026 $149K
81025 20,114 17,453 $148K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 2,875 1,263 $146K
82805 2,426 2,107 $144K
J2250 Injection, midazolam hydrochloride, per 1 mg 9,398 7,244 $141K
87522 Neg quan hep c or qual rna 3,959 3,483 $141K
76536 1,065 983 $137K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 46,789 26,757 $136K
J2785 Injection, regadenoson, 0.1 mg 948 883 $136K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 7,850 5,778 $131K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 14,241 9,307 $120K
70551 Magnetic resonance imaging, brain; without contrast material 500 439 $118K
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 2,966 2,050 $115K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 423 327 $114K
J2405 Injection, ondansetron hydrochloride, per 1 mg 7,027 5,161 $111K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 2,093 1,959 $109K
87902 477 431 $109K
90832 Psychotherapy, 30 minutes with patient 4,953 3,364 $108K
96376 3,555 2,201 $107K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 6,699 6,291 $107K
47562 157 91 $103K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 5,081 1,973 $101K
73221 391 356 $101K
87631 701 655 $97K
83690 15,937 13,883 $97K
73090 1,144 931 $96K
J3490 Unclassified drugs 2,167 1,598 $95K
85027 14,684 11,714 $92K
99222 Initial hospital care, per day, moderate complexity 715 636 $92K
J0696 Injection, ceftriaxone sodium, per 250 mg 3,316 1,648 $91K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 2,316 1,938 $86K
81001 26,263 22,267 $82K
41899 Unlisted procedure, dentoalveolar structures 125 100 $80K
88304 1,581 1,459 $78K
J2270 Injection, morphine sulfate, up to 10 mg 5,247 2,886 $78K
74018 2,695 2,351 $76K
73080 786 667 $74K
99215 Prolong outpt/office vis 2,777 2,575 $74K
72131 464 351 $72K
73590 942 768 $72K
94762 1,334 1,184 $71K
95806 761 676 $71K
G0378 Hospital observation service, per hour 507 476 $70K
C1874 Stent, coated/covered, with delivery system 117 110 $70K
80048 Basic metabolic panel (calcium, ionized) 9,105 7,012 $67K
87077 10,851 7,248 $65K
90837 Psychotherapy, 53 minutes with patient 2,389 1,600 $65K
J8501 Aprepitant, oral, 5 mg 960 825 $64K
83880 2,218 1,861 $62K
90715 3,651 3,019 $61K
12001 559 521 $61K
97535 Self-care/home management training, each 15 minutes 1,229 807 $61K
87806 1,963 1,779 $60K
J0330 Injection, succinylcholine chloride, up to 20 mg 3,298 1,478 $60K
84702 4,309 3,216 $60K
97161 2,333 1,465 $60K
95886 759 656 $59K
70486 282 267 $58K
94729 1,885 1,790 $58K
93975 373 338 $58K
93880 284 243 $58K
J0690 Injection, cefazolin sodium, 500 mg 2,469 1,274 $57K
87186 7,455 6,396 $56K
90834 Psychotherapy, 45 minutes with patient 2,968 2,020 $55K
45380 Colonoscopy, flexible; with biopsy, single or multiple 208 145 $54K
73140 734 628 $53K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 527 441 $52K
90472 Immunization administration, each additional vaccine (list separately) 10,370 10,125 $52K
G0297 Low dose ct scan (ldct) for lung cancer screening 408 363 $51K
36600 1,215 1,096 $51K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,846 1,723 $49K
82728 4,316 3,937 $49K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 2,396 2,282 $47K
83605 5,249 4,192 $47K
29515 722 644 $46K
87040 5,434 2,611 $45K
J0694 Injection, cefoxitin sodium, 1 gm 1,364 758 $45K
86850 5,287 4,255 $45K
84439 5,488 5,045 $45K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 288 277 $44K
82746 3,508 3,282 $43K
51798 1,649 1,493 $43K
J1200 Injection, diphenhydramine hcl, up to 50 mg 2,225 1,576 $42K
72141 135 124 $41K
87430 2,700 2,530 $38K
73502 1,619 1,322 $38K
90791 Psychiatric diagnostic evaluation 1,678 1,395 $37K
J2704 Injection, propofol, 10 mg 1,783 1,346 $37K
95810 Polysomnography; sleep staging with 4 or more additional parameters 61 54 $37K
74022 392 348 $36K
83550 4,851 4,577 $36K
83735 6,598 5,385 $35K
85610 10,472 7,173 $35K
76870 253 237 $35K
82962 11,276 5,872 $34K
78815 Positron emission tomography (PET) for limited area imaging 82 57 $33K
87493 1,179 1,090 $32K
81000 10,206 6,487 $32K
83540 5,588 5,244 $31K
97162 1,116 700 $31K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 239 175 $31K
J2360 Injection, orphenadrine citrate, up to 60 mg 1,805 1,560 $31K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 1,070 1,008 $29K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 135 54 $28K
81003 10,423 8,845 $27K
97166 556 507 $27K
81002 10,309 7,603 $27K
29125 442 412 $25K
88142 1,203 1,138 $24K
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 2,775 2,537 $24K
83970 782 709 $24K
77066 Tomosynthesis, mammo 224 201 $23K
82043 5,061 2,696 $23K
85007 6,192 3,692 $21K
76000 387 341 $20K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 782 741 $20K
84403 905 819 $20K
87070 2,456 2,146 $20K
85730 4,297 3,752 $19K
85379 2,233 2,036 $19K
86803 1,475 1,390 $19K
J2765 Injection, metoclopramide hcl, up to 10 mg 1,475 1,189 $19K
72050 191 164 $19K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,898 1,494 $19K
93970 100 92 $18K
74246 221 210 $18K
77063 Screening digital breast tomosynthesis, bilateral 500 453 $18K
86140 3,758 3,245 $17K
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 326 186 $17K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 1,000 274 $17K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,973 1,790 $17K
84481 1,086 1,005 $16K
76642 286 254 $15K
87046 1,469 719 $15K
86038 1,531 1,413 $15K
92523 112 104 $14K
83883 1,193 982 $14K
86780 1,317 1,274 $14K
87340 1,429 1,369 $14K
72100 203 181 $14K
45384 91 46 $14K
86900 4,765 3,778 $14K
C1769 Guide wire 268 198 $14K
74019 171 160 $14K
84146 757 702 $14K
73560 200 165 $13K
J1650 Injection, enoxaparin sodium, 10 mg 624 287 $13K
86901 4,687 3,756 $12K
27096 25 25 $12K
76801 83 78 $12K
90474 3,762 3,699 $12K
85651 3,328 2,957 $12K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 548 521 $12K
95816 58 53 $12K
87081 1,701 1,638 $12K
83001 700 652 $12K
74420 60 53 $12K
J1030 Injection, methylprednisolone acetate, 40 mg 2,563 2,157 $11K
90686 5,490 5,278 $11K
86003 223 111 $11K
G0475 Hiv antigen/antibody, combination assay, screening 468 382 $11K
96127 1,515 1,406 $11K
84100 2,695 2,168 $11K
83921 611 566 $11K
76882 131 118 $11K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 1,407 641 $10K
J0500 Injection, dicyclomine hcl, up to 20 mg 205 117 $10K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 433 408 $10K
87210 2,021 1,161 $10K
20553 254 209 $10K
86762 797 758 $10K
J8540 Dexamethasone, oral, 0.25 mg 761 316 $9K
J2550 Injection, promethazine hcl, up to 50 mg 1,144 746 $9K
82570 1,980 1,680 $9K
86480 162 151 $9K
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 400 379 $9K
84145 441 349 $9K
87045 1,002 776 $9K
87807 614 591 $9K
70491 38 37 $8K
87209 481 458 $8K
86703 725 685 $8K
86592 1,997 1,862 $8K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 90 80 $8K
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 129 122 $8K
80069 839 679 $8K
J3370 Injection, vancomycin hcl, 500 mg 524 333 $8K
J1790 Injection, droperidol, up to 5 mg 707 539 $8K
88307 69 55 $8K
J1040 Injection, methylprednisolone acetate, 80 mg 1,759 1,619 $8K
84550 1,865 1,708 $8K
10061 67 57 $7K
82977 1,069 969 $7K
83002 454 425 $7K
83516 604 486 $7K
86317 524 488 $7K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 232 212 $7K
11721 1,008 900 $7K
96367 233 173 $7K
J0780 Injection, prochlorperazine, up to 10 mg 386 232 $7K
52000 50 38 $7K
17110 156 141 $7K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 29 26 $6K
88312 149 139 $6K
86318 383 346 $6K
84153 432 404 $6K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 369 348 $6K
87427 499 244 $6K
83525 591 545 $6K
90670 4,675 4,574 $6K
91322 149 146 $6K
10060 111 82 $5K
76942 227 185 $5K
95910 56 42 $5K
82550 864 734 $5K
70498 28 25 $5K
G0476 Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test 239 222 $5K
84156 1,556 1,261 $5K
94618 113 101 $5K
86677 196 110 $5K
20605 75 72 $5K
11043 94 37 $5K
12002 44 42 $5K
82950 1,000 960 $4K
94664 157 120 $4K
84112 48 40 $4K
87177 498 472 $4K
86376 362 338 $4K
51701 129 117 $4K
93225 311 231 $4K
99201 167 159 $4K
87088 307 154 $4K
84703 613 569 $4K
90480 198 196 $4K
91321 85 85 $4K
82330 341 293 $4K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 204 199 $3K
74247 30 25 $3K
72114 45 36 $3K
83013 47 46 $3K
73060 43 38 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 174 166 $3K
86704 318 304 $3K
99188 489 473 $3K
90677 1,035 1,013 $3K
J2175 Injection, meperidine hydrochloride, per 100 mg 287 223 $3K
86430 560 515 $3K
90632 238 217 $3K
J2919 Injection, methylprednisolone sodium succinate, 5 mg 258 198 $3K
J1170 Injection, hydromorphone, up to 4 mg 191 98 $3K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 181 49 $3K
93226 127 119 $3K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 52 45 $3K
69209 113 105 $3K
95911 15 15 $2K
78226 14 14 $2K
72072 13 12 $2K
J2795 Injection, ropivacaine hydrochloride, 1 mg 52 43 $2K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 57 36 $2K
70496 13 12 $2K
72128 14 12 $2K
97597 72 55 $2K
73700 12 12 $2K
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose 53 26 $2K
J1815 Injection, insulin, per 5 units 391 176 $2K
0001A 105 104 $2K
82010 291 262 $2K
20552 75 61 $2K
J2003 Injection, lidocaine hydrochloride, 1 mg 268 242 $2K
90792 Psychiatric diagnostic evaluation with medical services 72 62 $2K
92551 398 379 $2K
11056 130 83 $2K
94010 40 38 $2K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 14 13 $2K
Q3014 Telehealth originating site facility fee 1,631 977 $2K
87428 69 63 $2K
29105 63 27 $2K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 16 13 $2K
98926 313 283 $2K
93923 13 12 $2K
80055 38 30 $2K
J1010 Injection, methylprednisolone acetate, 1 mg 423 357 $1K
72170 32 27 $1K
86308 296 279 $1K
90847 Family psychotherapy with the patient present, 50 minutes 74 49 $1K
90651 768 761 $1K
90734 1,291 1,266 $1K
97165 32 27 $1K
82272 311 299 $1K
A9537 Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries 26 26 $1K
12011 12 12 $1K
93924 13 13 $1K
82784 190 130 $1K
82627 55 52 $1K
90633 3,492 3,394 $1K
82785 84 78 $1K
95885 13 13 $1K
98927 192 181 $1K
73070 14 13 $1K
73100 16 12 $1K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 535 353 $949.30
90656 329 325 $948.01
86256 87 79 $937.76
89055 207 199 $899.23
77062 14 13 $853.02
73600 21 12 $850.18
G0008 Administration of influenza virus vaccine 93 79 $832.41
82248 180 162 $806.59
83615 147 133 $780.02
J1171 Injection, hydromorphone, 0.1 mg 25 20 $769.57
11730 13 13 $767.02
90680 3,432 3,365 $761.23
83498 24 24 $745.56
86708 73 70 $735.38
82105 42 40 $732.22
90649 133 131 $725.97
0011A 71 64 $707.28
86235 20 12 $668.07
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) 57 52 $657.11
82951 55 51 $631.88
J3475 Injection, magnesium sulfate, per 500 mg 67 50 $610.64
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 27 27 $598.15
86696 41 40 $576.66
87075 81 68 $532.31
J1940 Injection, furosemide, up to 20 mg 96 30 $504.62
86665 28 13 $494.60
V2632 Posterior chamber intraocular lens 19 13 $480.24
86617 32 19 $478.59
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 86 40 $460.72
85045 108 95 $442.17
J1580 Injection, garamycin, gentamicin, up to 80 mg 39 28 $434.15
90710 1,286 1,263 $429.15
86695 41 40 $406.69
A6021 Collagen dressing, sterile, size 16 sq. in. or less, each 52 28 $382.20
85018 144 123 $375.99
99173 257 252 $375.62
J0561 Injection, penicillin g benzathine, 100,000 units 12 12 $357.27
51702 13 12 $357.12
87400 16 15 $353.72
86705 37 35 $352.11
90723 2,692 2,661 $338.14
80164 26 25 $333.53
77085 14 12 $316.62
86663 26 25 $310.16
87301 32 32 $290.94
80076 29 26 $278.43
84402 13 12 $274.36
83520 26 25 $273.90
96368 14 12 $244.49
93296 85 78 $238.92
87350 18 16 $238.65
J2060 Injection, lorazepam, 2 mg 32 25 $212.95
86664 14 13 $208.40
88300 12 12 $202.47
84460 47 46 $191.80
84450 47 46 $190.02
90700 1,131 1,102 $184.02
90648 2,637 2,600 $176.37
90716 1,090 1,060 $169.71
90707 1,033 1,000 $168.73
86431 31 31 $163.52
86039 15 15 $157.79
86580 31 24 $146.53
86800 13 12 $140.33
82365 14 12 $135.67
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 14 12 $132.12
82952 39 36 $131.75
0071A 12 12 $124.00
98925 21 18 $122.00
82150 13 13 $103.32
99205 Prolong outpt/office vis 13 13 $92.72
84520 33 33 $85.32
90696 821 798 $78.87
90662 36 25 $73.04
90697 1,187 1,156 $71.61
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 14 12 $68.81
90685 335 331 $58.82
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 21 12 $52.62
A6196 Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing 28 13 $35.83
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml 17 17 $35.33
J7120 Ringers lactate infusion, up to 1000 cc 14 12 $31.24
36416 14 12 $29.18
93280 16 12 $18.08
90647 413 402 $4.63
Q0243 Injection, casirivimab and imdevimab, 2400 mg 98 91 $0.00