Medicaid Provider Spending

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

RENOWN REGIONAL MEDICAL CENTER

NPI: 1124098421 · RENO, NV 89502 · General Acute Care Hospital · NPI assigned 01/26/2006

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

Authorized official MOORE, BRETT controls 20+ related entities in our dataset. Read more

$63.69M
Total Medicaid Paid
3,397,789
Total Claims
2,574,332
Beneficiaries
633
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMOORE, BRETT (CFO ACUTE CARE)
NPI Enumeration Date01/26/2006

Related Entities

Other providers sharing the same authorized official: MOORE, BRETT

ProviderCityStateTotal Paid
COMMUNITY CARE SERVICES LLC RENO NV $15.07M
RENOWN SOUTH MEADOWS MEDICAL CENTER RENO NV $7.26M
RENOWN MEDICAL SCHOOL ASSOCIATES NORTH, INC. RENO NV $5.43M
COMMUNITY CARE SERVICES LLC RENO NV $3.79M
COMMUNITY CARE SERVICES LLC RENO NV $2.60M
HOMETOWN HEALTH MANAGEMENT COMPANY RENO NV $1.69M
EASTERN SIERRA MEDICAL GROUP LLC SILVER SPRINGS NV $1.08M
COMMUNITY CARE SERVICES LLC RENO NV $1.07M
COMMUNITY CARE SERVICES LLC RENO NV $1.04M
HOMETOWN HEALTH MANAGEMENT COMPANY SPARKS NV $849K
COMMUNITY CARE SERVICES LLC FERNLEY NV $845K
RENOWN REGIONAL MEDICAL CENTER RENO NV $677K
COMMUNITY CARE SERVICES LLC RENO NV $530K
COMMUNITY CARE SERVICES LLC RENO NV $455K
RENOWN TRANSITIONAL CARE SERVICES RENO NV $420K
COMMUNITY CARE SERVICES LLC RENO NV $331K
COMMUNITY CARE SERVICES LLC RENO NV $293K
COMMUNITY CARE SERVICES LLC RENO NV $225K
COMMUNITY CARE SERVICES LLC RENO NV $102K
COMMUNITY CARE SERVICES LLC RENO NV $76K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 281,457 $4.11M
2019 536,356 $9.94M
2020 499,527 $9.23M
2021 542,326 $9.96M
2022 527,356 $10.66M
2023 532,252 $10.35M
2024 478,515 $9.44M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 96,776 81,530 $9.18M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 54,201 44,188 $8.07M
99283 Emergency department visit for the evaluation and management, moderate severity 68,753 60,591 $3.58M
G0378 Hospital observation service, per hour 18,638 14,610 $3.28M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 60,646 54,225 $2.78M
74177 Computed tomography, abdomen and pelvis; with contrast material 13,267 11,857 $2.19M
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 28,273 24,914 $1.56M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 10,418 5,521 $1.30M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 44,908 36,803 $873K
J9271 Injection, pembrolizumab, 1 mg 168 106 $860K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 2,125 1,882 $789K
99282 Emergency department visit for the evaluation and management, low to moderate severity 22,679 20,711 $764K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 22,074 13,263 $751K
41899 Unlisted procedure, dentoalveolar structures 1,195 1,042 $749K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 3,273 3,017 $694K
70450 Computed tomography, head or brain; without contrast material 15,419 13,497 $635K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 28,880 24,795 $615K
80053 Comprehensive metabolic panel 164,798 127,635 $587K
71275 Computed tomographic angiography, chest, with contrast material 3,857 3,401 $558K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 6,746 6,140 $524K
90378 1,284 1,016 $503K
96375 Therapeutic injection; each additional sequential IV push 45,511 30,924 $484K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 22,368 18,967 $460K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 36,472 20,997 $442K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 23,878 22,321 $430K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 21,970 19,169 $428K
76705 Ultrasound, abdominal, real time with image documentation; limited 8,113 7,382 $424K
77067 Screening mammography, bilateral, including computer-aided detection 5,734 5,462 $420K
78815 Positron emission tomography (PET) for limited area imaging 689 657 $405K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 21,970 19,169 $396K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 20,954 19,436 $386K
70551 Magnetic resonance imaging, brain; without contrast material 3,521 3,120 $386K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 164,805 123,033 $369K
72125 Computed tomography, cervical spine; without contrast material 5,033 4,547 $367K
74176 Computed tomography, abdomen and pelvis; without contrast material 4,284 3,834 $359K
59025 Fetal non-stress test 10,167 7,147 $355K
47562 281 250 $335K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 4,947 4,577 $334K
76830 Ultrasound, transvaginal 4,581 4,245 $321K
58661 381 285 $319K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 2,589 2,402 $316K
71260 Computed tomography, thorax, diagnostic; with contrast material 3,825 3,525 $315K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,741 4,432 $310K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 5,905 2,875 $305K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 20,007 14,404 $289K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 15,256 14,050 $271K
70496 1,491 1,281 $255K
70498 1,426 1,245 $252K
84443 Thyroid stimulating hormone (TSH) 39,333 34,873 $248K
71045 Radiologic examination, chest; single view 44,020 37,141 $244K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 54,050 40,702 $226K
64615 868 802 $224K
70486 2,303 2,091 $214K
77066 Tomosynthesis, mammo 1,536 1,489 $205K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 1,290 1,143 $199K
J1745 Injection, infliximab, excludes biosimilar, 10 mg 301 231 $192K
76700 Ultrasound, abdominal, real time with image documentation; complete 2,390 2,278 $182K
77334 509 346 $182K
72131 2,722 2,468 $181K
95819 607 569 $170K
36415 Collection of venous blood by venipuncture 195,621 152,298 $170K
72141 1,562 1,463 $168K
90677 690 662 $156K
76801 3,442 2,752 $154K
93971 3,513 3,148 $152K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 3,971 3,243 $152K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,830 1,533 $150K
90791 Psychiatric diagnostic evaluation 5,801 5,087 $150K
J2505 Injection, pegfilgrastim, 6 mg 79 52 $145K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 8,065 7,454 $143K
0450 Emergency room services 3,119 2,801 $140K
95816 544 524 $139K
80061 Lipid panel 34,808 32,046 $138K
72128 1,852 1,696 $126K
76536 1,706 1,630 $126K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 11,033 10,150 $124K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,947 2,636 $123K
77386 687 56 $123K
71250 1,624 1,534 $122K
10060 1,419 1,303 $120K
71046 Radiologic examination, chest; 2 views 9,443 8,566 $111K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 3,488 3,124 $109K
86900 12,302 10,316 $108K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 8,909 5,182 $105K
36430 1,397 803 $105K
84484 34,951 21,046 $102K
J0585 Injection, onabotulinumtoxina, 1 unit 1,388 934 $101K
J1569 Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg 254 87 $99K
83690 37,703 31,388 $95K
76642 3,018 2,441 $94K
80074 2,798 2,467 $94K
96376 16,555 9,329 $94K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 2,125 1,881 $90K
99281 Emergency department visit for the evaluation and management, self-limited or minor 2,956 2,709 $90K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 6,825 5,048 $89K
83036 Hemoglobin; glycosylated (A1C) 34,245 31,570 $87K
87086 Culture, bacterial; quantitative colony count, urine 28,815 25,069 $84K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 4,967 4,214 $83K
86780 13,520 12,261 $81K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 11,665 9,639 $78K
87660 9,396 8,308 $78K
83880 9,004 7,451 $78K
70491 740 671 $78K
90715 5,137 4,697 $77K
87150 3,966 3,505 $76K
J7030 Infusion, normal saline solution , 1000 cc 63,924 31,759 $75K
87510 9,396 8,308 $73K
87480 9,396 8,308 $73K
93970 1,230 1,073 $72K
76775 2,721 2,521 $71K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 942 901 $70K
80048 Basic metabolic panel (calcium, ionized) 33,478 25,006 $69K
84703 23,172 19,931 $66K
12011 1,563 1,439 $65K
12001 1,756 1,603 $62K
74018 5,626 4,972 $62K
77063 Screening digital breast tomosynthesis, bilateral 5,454 5,223 $62K
96415 3,497 1,973 $62K
J2785 Injection, regadenoson, 0.1 mg 1,823 1,597 $61K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 6,052 5,412 $59K
Q5103 Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg 110 90 $58K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,471 1,289 $58K
83970 2,586 2,315 $58K
73610 3,792 3,341 $57K
85027 33,770 26,663 $57K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 2,099 1,797 $55K
73630 3,782 3,290 $55K
86480 1,709 1,534 $54K
88305 Level IV - Surgical pathology, gross and microscopic examination 8,338 5,538 $53K
96417 2,834 1,467 $51K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 189 180 $50K
73130 3,244 2,767 $50K
57265 67 52 $49K
73700 577 520 $48K
86803 8,636 7,996 $48K
84702 9,081 6,819 $47K
73564 2,425 2,071 $47K
73030 3,877 3,274 $47K
97602 2,977 1,601 $45K
72100 3,053 2,791 $45K
87186 12,608 9,994 $45K
87040 14,928 7,450 $45K
84403 2,613 2,391 $43K
83605 13,770 9,463 $43K
73110 2,374 2,066 $42K
74183 153 144 $41K
87077 17,919 12,971 $41K
J7120 Ringers lactate infusion, up to 1000 cc 29,464 23,553 $40K
90686 9,560 8,941 $40K
76870 1,232 1,114 $40K
81001 37,446 32,117 $39K
77065 Tomosynthesis, mammo 403 367 $38K
87070 9,926 8,548 $38K
84439 18,802 16,643 $36K
82607 9,182 8,311 $36K
82728 8,327 7,350 $36K
97597 3,577 1,888 $36K
96367 4,567 2,880 $35K
88307 2,168 1,415 $34K
73562 2,124 1,709 $34K
80050 General health panel 779 765 $34K
87522 Neg quan hep c or qual rna 1,492 1,351 $33K
12002 823 760 $33K
73221 242 216 $32K
29125 1,085 983 $32K
93017 2,758 2,454 $32K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 20,554 18,252 $32K
74240 415 403 $32K
82077 7,259 6,269 $32K
44970 32 29 $31K
42820 Tonsillectomy and adenoidectomy; younger than age 12 52 51 $30K
85610 31,466 22,410 $29K
77080 1,599 1,568 $29K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 332 313 $29K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 2,116 2,031 $29K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 894 820 $29K
0240U 1,973 1,789 $28K
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 411 383 $28K
72156 167 143 $26K
J8597 Antiemetic drug, oral, not otherwise specified 17,888 15,470 $26K
36591 3,808 1,848 $26K
83735 19,960 12,991 $26K
77412 233 25 $26K
74175 161 145 $25K
84145 3,603 2,894 $25K
86762 3,968 3,639 $24K
97165 1,887 1,376 $23K
77336 1,780 736 $23K
Q5121 Injection, infliximab-axxq, biosimilar, (avsola), 10 mg 119 95 $22K
73080 1,341 1,224 $22K
85730 14,753 12,461 $22K
96361 Intravenous infusion, hydration; each additional hour 1,653 1,009 $22K
73590 1,953 1,608 $22K
97161 1,772 1,285 $22K
99152 3,088 2,401 $21K
81025 11,340 9,984 $21K
87340 5,885 5,395 $21K
72040 1,467 1,324 $21K
83013 475 453 $20K
72110 781 738 $20K
99070 1,246 702 $20K
86235 1,017 493 $20K
73090 1,480 1,257 $19K
96409 341 137 $19K
J2270 Injection, morphine sulfate, up to 10 mg 12,758 9,043 $19K
97162 1,292 999 $19K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,839 2,254 $19K
86140 12,073 10,030 $19K
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 818 643 $19K
85379 5,353 4,734 $18K
J1885 Injection, ketorolac tromethamine, per 15 mg 36,290 21,584 $18K
73140 976 886 $18K
72170 1,652 1,445 $17K
94010 530 480 $16K
94060 418 404 $16K
72158 78 77 $16K
84481 2,184 2,028 $16K
82746 5,126 4,630 $16K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,905 2,704 $16K
86850 12,002 10,114 $16K
81003 21,430 18,876 $16K
J3490 Unclassified drugs 10,897 7,559 $16K
J1170 Injection, hydromorphone, up to 4 mg 12,126 8,089 $16K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 276 262 $15K
57288 31 26 $15K
90732 358 307 $15K
J9312 Injection, rituximab, 10 mg 38 12 $15K
84153 2,139 1,990 $15K
87081 4,531 4,224 $15K
69210 674 594 $15K
99199 Unlisted special service, procedure or report 298 256 $15K
82784 3,169 2,663 $14K
82570 13,200 10,849 $14K
J0897 Injection, denosumab, 1 mg 73 52 $14K
76819 Fetal biophysical profile; without non-stress testing 373 299 $14K
81511 1,257 1,161 $14K
86901 15,437 12,754 $14K
82670 633 595 $14K
82962 30,341 11,397 $14K
J2405 Injection, ondansetron hydrochloride, per 1 mg 52,935 36,195 $13K
94726 367 357 $13K
73502 893 804 $13K
86003 422 178 $13K
J1453 Injection, fosaprepitant, 1 mg 1,165 580 $13K
73560 1,168 912 $12K
83550 7,609 6,850 $12K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 32,584 22,657 $12K
84146 1,487 1,341 $12K
74019 819 744 $12K
77300 279 231 $12K
J0696 Injection, ceftriaxone sodium, per 250 mg 9,292 6,303 $12K
49083 91 40 $11K
83540 8,868 7,960 $11K
86038 2,983 2,653 $11K
96523 1,279 748 $10K
J0780 Injection, prochlorperazine, up to 10 mg 3,077 2,418 $10K
J1650 Injection, enoxaparin sodium, 10 mg 10,981 3,677 $10K
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 4,510 1,660 $10K
84425 1,691 1,577 $10K
84207 887 837 $10K
81002 9,677 7,846 $10K
83001 1,489 1,382 $10K
J2704 Injection, propofol, 10 mg 19,087 15,750 $10K
82043 7,992 7,537 $10K
84402 1,170 1,082 $9K
83516 2,720 1,780 $9K
82803 1,537 1,199 $9K
82105 1,217 1,132 $9K
83002 1,301 1,207 $8K
93922 272 258 $8K
97535 Self-care/home management training, each 15 minutes 1,166 663 $8K
88342 823 647 $8K
93880 160 142 $8K
11043 62 37 $8K
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 2,851 2,300 $8K
54161 17 12 $8K
85055 1,216 749 $8K
80081 161 159 $8K
J0690 Injection, cefazolin sodium, 500 mg 16,985 11,792 $8K
84270 1,157 1,069 $8K
82950 3,400 3,241 $8K
85652 11,371 9,418 $8K
82274 1,249 1,181 $7K
64445 28 27 $7K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 6,906 4,198 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,127 1,042 $7K
84100 8,970 6,247 $7K
85007 8,098 5,887 $7K
70487 71 60 $7K
99153 Mod sedat endo service >5yrs 1,718 1,340 $7K
94760 8,209 6,077 $7K
A4212 Non-coring needle or stylet with or without catheter 6,468 3,137 $7K
82550 4,017 2,930 $7K
94799 105 82 $7K
80143 1,373 1,149 $7K
95249 502 464 $6K
96411 512 262 $6K
97166 463 350 $6K
87493 442 378 $6K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 354 298 $6K
J7050 Infusion, normal saline solution, 250 cc 9,302 5,052 $6K
J3010 Injection, fentanyl citrate, 0.1 mg 27,255 20,132 $6K
72197 18 17 $6K
80179 1,178 1,063 $6K
82140 1,557 1,194 $6K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 2,958 2,014 $6K
82533 1,246 960 $5K
J2323 Injection, natalizumab, 1 mg 25 12 $5K
90656 470 467 $5K
J1200 Injection, diphenhydramine hcl, up to 50 mg 12,256 8,251 $5K
73100 381 308 $5K
86376 1,343 1,239 $5K
80069 1,759 1,438 $5K
73552 414 352 $5K
87205 5,705 4,482 $5K
86706 1,551 1,374 $5K
84156 5,065 4,166 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 76 67 $4K
80076 1,659 1,536 $4K
84550 3,904 3,462 $4K
G0498 Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies, with continuation of the infusion in the community setting (e.g., home, domiciliary, rest home or assisted living) using a portable pump provided by the office/clinic, includes follow up office/clinic visit at the conclusion of the infusion 199 107 $4K
72050 191 178 $4K
86923 767 372 $4K
J7060 5% dextrose/water (500 ml = 1 unit) 7,628 2,675 $4K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 283 277 $4K
90670 5,961 5,754 $4K
J1630 Injection, haloperidol, up to 5 mg 4,955 3,794 $4K
83655 585 547 $4K
84252 611 584 $4K
J3370 Injection, vancomycin hcl, 500 mg 1,905 1,091 $4K
86800 1,021 920 $4K
86704 1,080 973 $4K
73620 374 321 $4K
89060 1,093 930 $4K
J2060 Injection, lorazepam, 2 mg 7,444 5,531 $4K
99406 791 728 $4K
J1644 Injection, heparin sodium, per 1000 units 8,975 3,213 $4K
86364 1,220 978 $4K
87899 818 536 $4K
82330 1,549 1,202 $4K
71101 210 195 $4K
72070 239 219 $4K
86160 1,518 689 $4K
88142 360 338 $4K
83993 335 312 $4K
82010 1,252 974 $3K
83525 791 726 $3K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 4,778 4,136 $3K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 11,896 4,974 $3K
80164 1,047 891 $3K
86200 753 685 $3K
84480 1,121 1,018 $3K
83615 2,215 1,765 $3K
77295 12 12 $3K
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" 250 170 $3K
94729 386 377 $3K
82378 652 465 $3K
76885 26 25 $3K
84112 424 356 $3K
88304 2,435 2,033 $3K
80055 107 104 $3K
95886 96 82 $3K
J3475 Injection, magnesium sulfate, per 500 mg 4,404 2,746 $3K
J2765 Injection, metoclopramide hcl, up to 10 mg 5,203 4,145 $3K
97530 Therapeutic activities, direct patient contact, each 15 minutes 309 113 $3K
88341 420 193 $3K
77280 49 25 $3K
11045 263 131 $3K
72157 31 27 $3K
72081 143 138 $3K
82951 409 396 $3K
J0360 Injection, hydralazine hcl, up to 20 mg 1,561 1,104 $3K
78264 12 12 $3K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 4,450 2,846 $3K
84134 772 675 $3K
83520 687 425 $3K
86431 1,847 1,642 $3K
82731 163 139 $3K
0250 847 599 $3K
74022 171 158 $3K
51798 796 535 $3K
J0561 Injection, penicillin g benzathine, 100,000 units 114 77 $3K
82024 104 96 $2K
87807 415 382 $2K
73060 256 209 $2K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 162 95 $2K
92250 59 57 $2K
73501 224 200 $2K
86592 1,061 927 $2K
80197 508 305 $2K
87529 137 77 $2K
87641 211 182 $2K
96368 748 350 $2K
84466 706 654 $2K
86225 524 453 $2K
87045 623 565 $2K
92610 89 81 $2K
82977 1,275 970 $2K
12013 58 53 $2K
84630 596 557 $2K
82565 2,184 1,827 $2K
87075 818 601 $2K
36592 110 38 $2K
85018 3,208 2,336 $2K
74181 13 12 $2K
82248 1,229 917 $2K
85014 3,184 2,380 $2K
J1750 Injection, iron dextran, 50 mg 12 12 $2K
J2250 Injection, midazolam hydrochloride, per 1 mg 19,505 12,742 $2K
85046 1,568 1,187 $2K
96127 342 305 $2K
97802 140 126 $2K
73070 177 144 $2K
84305 166 153 $2K
J1940 Injection, furosemide, up to 20 mg 1,489 804 $2K
72072 77 71 $2K
72146 13 13 $2K
73521 66 63 $2K
82652 46 41 $2K
93246 167 161 $1K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 63 55 $1K
86141 348 305 $1K
73600 160 131 $1K
95250 13 13 $1K
87400 328 171 $1K
J3480 Injection, potassium chloride, per 2 meq 1,623 914 $1K
96158 243 156 $1K
93325 147 131 $1K
G0008 Administration of influenza virus vaccine 1,420 1,161 $1K
J3360 Injection, diazepam, up to 5 mg 276 233 $1K
29105 16 12 $1K
84165 578 495 $1K
87046 341 310 $1K
J1953 Injection, levetiracetam, 10 mg 291 209 $1K
82247 456 336 $1K
87486 77 69 $1K
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg 746 585 $1K
99195 16 14 $1K
97163 48 41 $996.33
93308 13 13 $981.49
87581 77 69 $957.60
86341 94 57 $953.40
J2175 Injection, meperidine hydrochloride, per 100 mg 1,569 1,123 $943.87
82785 190 161 $904.22
87653 62 59 $903.98
89051 700 527 $894.97
84681 128 118 $877.64
86304 91 81 $868.91
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 1,351 1,223 $844.44
88312 282 230 $833.58
10005 13 12 $803.03
J7121 5% dextrose in lactated ringers infusion, up to 1000 cc 241 199 $792.46
77073 26 24 $728.58
J9190 Injection, fluorouracil, 500 mg 247 96 $693.14
J1050 Injection, medroxyprogesterone acetate, 1 mg 198 186 $690.59
29515 15 14 $675.58
74220 15 14 $666.81
C1729 Catheter, drainage 1,044 539 $660.30
64400 16 12 $629.34
69209 77 64 $613.98
86258 253 138 $601.03
97605 49 13 $551.98
82952 305 291 $546.13
77077 18 13 $536.42
84460 346 306 $520.05
J0330 Injection, succinylcholine chloride, up to 20 mg 2,275 1,899 $518.62
99177 146 143 $508.11
77470 14 13 $491.50
87328 109 91 $488.03
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 35 30 $487.56
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 204 160 $484.45
87631 1,789 1,584 $476.76
C9113 Injection, pantoprazole sodium, per vial 383 230 $476.06
J2919 Injection, methylprednisolone sodium succinate, 5 mg 165 133 $460.84
J3411 Injection, thiamine hcl, 100 mg 215 169 $447.00
96159 153 96 $443.55
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 29 28 $433.18
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 76 68 $430.91
86147 24 12 $419.51
51702 50 37 $398.58
J2310 Injection, naloxone hydrochloride, per 1 mg 48 38 $396.84
J0171 Injection, adrenalin, epinephrine, 0.1 mg 444 316 $395.33
J9370 Vincristine sulfate, 1 mg 122 62 $387.72
73660 26 24 $385.80
87329 96 79 $377.61
84450 239 217 $354.34
70360 30 24 $332.47
C1887 Catheter, guiding (may include infusion/perfusion capability) 671 473 $328.20
J1920 Injection, labetalol hydrochloride, 5 mg 370 309 $320.70
0031A 19 16 $320.04
86308 122 112 $315.43
85384 117 81 $312.58
88112 43 38 $310.68
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 18 12 $307.86
82150 158 132 $295.57
84520 328 295 $284.98
80177 87 84 $283.12
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 155 137 $281.52
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 12 12 $278.41
82107 27 27 $267.08
70355 56 52 $262.35
88313 20 12 $255.15
83883 72 37 $254.23
83521 143 66 $250.07
87420 105 99 $246.28
73000 18 16 $245.52
J0137 Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg 122 111 $216.80
90744 2,787 2,713 $210.75
88300 548 468 $208.71
86665 26 12 $205.20
90621 78 78 $203.43
J2370 Injection, phenylephrine hcl, up to 1 ml 1,638 1,284 $203.17
87102 109 80 $200.91
82627 26 25 $196.50
J1171 Injection, hydromorphone, 0.1 mg 287 211 $190.01
94664 65 51 $185.28
96110 Developmental screening, with scoring and documentation, per standardized instrument 41 40 $185.00
86039 59 53 $175.26
86162 12 12 $162.96
64447 45 40 $161.22
88360 25 14 $158.76
84155 518 448 $157.15
85347 136 92 $156.50
92558 144 141 $149.77
G0475 Hiv antigen/antibody, combination assay, screening 294 260 $143.56
90698 4,307 4,190 $142.35
83021 15 13 $142.09
84144 14 13 $137.06
0042T 119 95 $134.72
85520 61 38 $133.95
87338 13 13 $127.63
73120 16 13 $124.80
82272 140 115 $123.72
P9016 Red blood cells, leukocytes reduced, each unit 1,252 593 $123.51
86593 56 51 $122.94
C1781 Mesh (implantable) 277 249 $119.93
96161 131 127 $118.62
86787 32 25 $115.36
J0640 Injection, leucovorin calcium, per 50 mg 56 15 $111.43
J2470 Injection, pantoprazole sodium, 40 mg 75 50 $109.84
90662 712 574 $102.27
97116 40 12 $100.24
93280 12 12 $99.56
88302 312 203 $96.80
J1815 Injection, insulin, per 5 units 1,062 427 $91.69
82040 206 142 $90.54
C1769 Guide wire 3,058 2,113 $80.60
88720 27 27 $79.54
87076 61 44 $77.28
90710 1,909 1,845 $70.05
85049 68 54 $68.18
J7510 Prednisolone oral, per 5 mg 32 28 $65.56
82103 13 13 $64.19
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 54 26 $60.51
J2800 Injection, methocarbamol, up to 10 ml 25 12 $58.80
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 755 703 $56.08
80178 26 25 $55.75
84132 191 125 $50.24
J2795 Injection, ropivacaine hydrochloride, 1 mg 98 54 $47.00
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 19,453 17,174 $46.23
84478 55 38 $45.79
90633 2,654 2,577 $44.26
84436 26 25 $42.21
86015 12 12 $40.32
87147 41 26 $37.73
83519 17 14 $36.88
83695 14 12 $35.24
72020 20 13 $33.30
A4338 Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each 381 292 $33.05
G0009 Administration of pneumococcal vaccine 322 274 $32.44
A9576 Injection, gadoteridol, (prohance multipack), per ml 747 685 $30.50
84300 31 25 $26.56
84160 75 66 $24.71
80047 55 46 $23.74
89055 13 13 $23.28
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 13 12 $22.39
90723 128 121 $22.01
J9263 Injection, oxaliplatin, 0.5 mg 72 14 $16.49
81050 14 12 $16.40
83721 26 24 $15.69
0270 22 12 $15.56
94761 38 38 $13.53
J1596 Injection, glycopyrrolate, 0.1 mg 178 133 $12.81
88311 48 38 $12.51
G0103 Prostate cancer screening; prostate specific antigen test (psa) 151 145 $12.46
A9270 Non-covered item or service 119,849 11,272 $12.45
J0574 Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine 14 12 $11.30
87015 13 12 $9.12
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 1,138 764 $8.21
J1836 Injection, metronidazole, 10 mg 74 50 $7.62
J1580 Injection, garamycin, gentamicin, up to 80 mg 51 45 $7.56
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 84 70 $5.61
A6403 Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing 56 52 $4.19
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 1,363 1,165 $3.99
A6454 Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard 350 300 $3.96
90651 1,095 1,061 $3.42
90696 649 626 $3.28
90734 554 529 $1.93
90685 699 677 $1.38
90680 3,691 3,588 $1.00
90707 191 185 $0.77
90716 186 180 $0.72
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 536 455 $0.68
90700 853 839 $0.29
90648 704 685 $0.04
91303 17 14 $0.02
Q0244 Injection, casirivimab and imdevimab, 1200 mg 13 12 $0.01
90647 215 206 $0.01
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 388 311 $0.00
00170 Anesthesia for intraoral procedures, including biopsy 111 98 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 2,009 1,525 $0.00
G8989 Self care functional limitation, discharge status, at discharge from therapy or to end reporting 90 65 $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 418 324 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 69 60 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 2,602 1,890 $0.00
99001 99 94 $0.00
A4314 Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) 34 25 $0.00
C1771 Repair device, urinary, incontinence, with sling graft 82 66 $0.00
95708 29 18 $0.00
91300 14 12 $0.00
01922 26 25 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 96 79 $0.00
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 550 518 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 304 242 $0.00
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 65 62 $0.00
A6223 Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing 43 39 $0.00
G0257 Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility 36 17 $0.00
A6222 Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 92 73 $0.00
A4648 Tissue marker, implantable, any type, each 43 38 $0.00
95700 18 16 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 299 239 $0.00
90697 77 76 $0.00
A9585 Injection, gadobutrol, 0.1 ml 61 51 $0.00