Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › NOVI › HENRY FORD HEALTH PROVIDENCE HOSPITAL

HENRY FORD HEALTH PROVIDENCE HOSPITAL

NPI: 1144210253 · NOVI, MI 48374 · General Acute Care Hospital · NPI assigned 10/28/2005

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

Authorized official DAMSCHRODER, ROBIN controls 14+ related entities in our dataset. Read more

$72.76M
Total Medicaid Paid
2,182,213
Total Claims
1,840,869
Beneficiaries
437
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDAMSCHRODER, ROBIN (PRESIDENT, VAL BASED ENT & CFO)
NPI Enumeration Date10/28/2005

Related Entities

Other providers sharing the same authorized official: DAMSCHRODER, ROBIN

ProviderCityStateTotal Paid
HENRY FORD HEALTH SYSTEM DETROIT MI $334.91M
HENRY FORD HEALTH ST. JOHN HOSPITAL CHICAGO IL $159.41M
HENRY FORD WYANDOTTE HOSPITAL WYANDOTTE MI $60.54M
HENRY FORD HEALTH MACOMB OAKLAND HOSPITAL WARREN MI $59.25M
W.A. FOOTE MEMORIAL HOSPITAL JACKSON MI $41.32M
HENRY FORD MACOMB HOSPITAL CORPORATION CLINTON TWP MI $40.96M
HENRY FORD HEALTH GENESYS HOSPITAL GRAND BLANC MI $31.39M
HENRY FORD HEALTH MACOMB OAKLAND HOSPITAL MADISON HEIGHTS MI $24.76M
HENRY FORD HEALTH SYSTEM WEST BLOOMFIELD MI $19.27M
HENRY FORD HEALTH ROCHESTER HOSPITAL ROCHESTER MI $11.98M
HENRY FORD HEALTH RIVER DISTRICT HOSPITAL EAST CHINA MI $4.59M
W.A. FOOTE MEMORIAL HOSPITAL JACKSON MI $2.11M
HENRY FORD HEALTH PROVIDENCE HOSPITAL NOVI MI $255K
HENRY FORD HEALTH ST. JOHN HOSPITAL DETROIT MI $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 327,428 $9.70M
2019 325,371 $10.36M
2020 273,703 $8.64M
2021 326,545 $11.23M
2022 334,681 $11.67M
2023 354,783 $12.10M
2024 239,702 $9.06M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 47,093 43,957 $15.19M
99284 Emergency department visit for the evaluation and management, high severity 73,316 68,228 $12.06M
99283 Emergency department visit for the evaluation and management, moderate severity 62,747 58,992 $7.94M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 105,933 97,139 $5.46M
G0378 Hospital observation service, per hour 16,279 14,518 $4.27M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 51,773 47,401 $4.17M
96361 Intravenous infusion, hydration; each additional hour 30,972 26,353 $1.20M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 6,587 6,495 $1.10M
99282 Emergency department visit for the evaluation and management, low to moderate severity 11,302 9,883 $951K
80061 Lipid panel 2,791 2,715 $911K
71046 Radiologic examination, chest; 2 views 26,386 25,458 $779K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1,910 1,886 $772K
70450 Computed tomography, head or brain; without contrast material 11,456 11,125 $768K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 7,931 7,655 $755K
74177 Computed tomography, abdomen and pelvis; with contrast material 7,178 7,042 $710K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,517 1,490 $699K
77067 Screening mammography, bilateral, including computer-aided detection 12,632 12,589 $599K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 3,462 1,692 $560K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 32,250 27,600 $531K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 21,646 20,805 $510K
71045 Radiologic examination, chest; single view 15,462 14,823 $483K
20610 3,263 3,083 $483K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 19,151 5,073 $472K
93458 329 323 $471K
82947 24,999 16,376 $456K
76830 Ultrasound, transvaginal 7,883 7,701 $395K
74176 Computed tomography, abdomen and pelvis; without contrast material 5,135 5,046 $395K
96375 Therapeutic injection; each additional sequential IV push 24,760 20,635 $393K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,222 1,209 $388K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 8,363 8,175 $375K
99281 Emergency department visit for the evaluation and management, self-limited or minor 6,063 5,355 $367K
71260 Computed tomography, thorax, diagnostic; with contrast material 3,107 3,038 $305K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 4,887 4,628 $275K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1,532 1,516 $270K
80048 Basic metabolic panel (calcium, ionized) 62,283 52,248 $268K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 9,160 9,085 $252K
76705 Ultrasound, abdominal, real time with image documentation; limited 4,372 4,122 $197K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 467 466 $185K
62323 580 565 $183K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 6,279 6,208 $173K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 2,159 2,144 $171K
76801 3,295 3,132 $156K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 9,297 8,697 $148K
93975 1,553 1,515 $146K
72141 1,210 1,207 $145K
45380 Colonoscopy, flexible; with biopsy, single or multiple 330 329 $144K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 1,179 1,136 $143K
93971 3,411 3,313 $142K
77063 Screening digital breast tomosynthesis, bilateral 11,193 11,171 $139K
93970 1,729 1,706 $138K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 10,411 10,166 $135K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 10,050 3,178 $133K
76700 Ultrasound, abdominal, real time with image documentation; complete 1,875 1,860 $117K
71275 Computed tomographic angiography, chest, with contrast material 1,929 1,901 $116K
97530 Therapeutic activities, direct patient contact, each 15 minutes 5,940 2,684 $111K
70496 1,578 1,539 $108K
76642 3,144 2,818 $103K
76770 2,069 2,043 $102K
76536 2,181 2,162 $100K
97161 1,985 1,914 $97K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 35,873 33,422 $96K
10060 1,031 1,007 $95K
Q3014 Telehealth originating site facility fee 5,765 5,507 $90K
93017 2,907 2,869 $87K
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 3,099 3,013 $87K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,797 2,725 $76K
88305 Level IV - Surgical pathology, gross and microscopic examination 8,888 8,625 $73K
93351 935 915 $73K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 3,287 1,313 $71K
58558 54 53 $70K
97162 1,532 1,505 $67K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,377 1,353 $66K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 10,156 9,952 $65K
59025 Fetal non-stress test 874 570 $63K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 10,159 9,954 $61K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,281 1,187 $59K
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision 5,404 5,258 $57K
71250 1,344 1,332 $56K
73564 6,100 5,796 $55K
72131 1,770 1,747 $54K
90686 2,754 2,690 $53K
70486 2,058 2,037 $53K
70551 Magnetic resonance imaging, brain; without contrast material 631 619 $52K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 2,903 2,894 $52K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 2,910 2,229 $50K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 400 400 $49K
20611 317 302 $48K
72125 Computed tomography, cervical spine; without contrast material 5,240 5,135 $48K
36430 477 376 $47K
77065 Tomosynthesis, mammo 1,045 952 $44K
73502 2,940 2,830 $41K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 902 787 $39K
72110 1,262 1,246 $38K
77066 Tomosynthesis, mammo 652 646 $37K
99385 1,323 1,309 $36K
78815 Positron emission tomography (PET) for limited area imaging 49 49 $36K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,486 1,465 $35K
73030 5,285 5,012 $35K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,529 1,517 $34K
71271 663 663 $34K
12001 1,249 1,227 $33K
80053 Comprehensive metabolic panel 30,410 25,533 $32K
99495 555 536 $30K
77080 570 568 $29K
73562 2,344 1,914 $28K
72100 2,187 2,164 $27K
90460 Immunization administration through 18 years of age via any route, first or only component 2,175 2,111 $27K
P9016 Red blood cells, leukocytes reduced, each unit 374 291 $26K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 54 54 $26K
73221 194 187 $26K
86900 11,297 10,702 $25K
73610 4,047 3,860 $25K
73630 4,736 4,567 $25K
74178 209 207 $24K
70491 264 263 $23K
97165 657 640 $23K
88304 2,223 2,176 $22K
86780 568 553 $20K
88307 483 463 $19K
74018 2,631 2,506 $19K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 2,026 1,974 $18K
73130 3,841 3,760 $18K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 4,450 3,918 $18K
88342 1,211 1,174 $17K
90674 594 588 $17K
74019 1,978 1,942 $17K
90670 258 247 $16K
29125 692 673 $16K
96160 1,476 1,364 $15K
73110 2,462 2,328 $15K
93350 51 51 $14K
90472 Immunization administration, each additional vaccine (list separately) 1,091 981 $14K
93880 218 213 $13K
90656 752 729 $12K
12011 424 418 $12K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 223 223 $12K
90651 227 226 $12K
99406 830 771 $11K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 43 43 $11K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 163 145 $11K
99386 405 400 $11K
90732 99 96 $10K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 864 858 $10K
19083 12 12 $8K
73700 170 168 $8K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 11,154 7,801 $8K
97116 1,608 1,025 $7K
83036 Hemoglobin; glycosylated (A1C) 7,010 6,805 $7K
72197 27 27 $7K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 620 590 $7K
76881 126 116 $7K
64415 82 80 $7K
72040 708 704 $6K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 3,549 3,360 $6K
12002 257 253 $6K
70498 1,428 1,392 $6K
29515 67 64 $6K
0003A 160 159 $6K
73590 1,619 1,554 $5K
A9270 Non-covered item or service 176,817 72,665 $5K
80051 4,812 4,485 $5K
64447 160 157 $5K
73080 1,032 1,010 $5K
90688 291 289 $5K
76000 658 638 $5K
72050 133 132 $5K
72170 1,609 1,586 $4K
86920 422 384 $4K
94010 167 158 $4K
90756 170 168 $4K
90661 247 247 $4K
73560 622 597 $4K
73140 694 681 $4K
0001A 114 114 $4K
97035 688 232 $4K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 89 37 $4K
71101 522 514 $4K
93308 66 61 $4K
83037 849 829 $3K
99496 56 55 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 85,422 69,848 $3K
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 366 325 $3K
81025 23,343 22,274 $3K
0002A 85 85 $3K
Q0112 All potassium hydroxide (koh) preparations 680 654 $3K
36415 Collection of venous blood by venipuncture 3,034 2,913 $3K
97163 66 63 $3K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 17,171 14,718 $3K
G0297 Low dose ct scan (ldct) for lung cancer screening 66 66 $3K
90677 14 14 $3K
90461 771 747 $2K
82565 5,167 4,757 $2K
93976 69 67 $2K
85610 15,995 14,019 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 16,737 16,389 $2K
73090 826 800 $2K
84484 26,366 23,091 $2K
93225 37 36 $2K
85379 6,019 5,884 $2K
72128 95 95 $2K
73070 207 189 $2K
74022 6,262 6,081 $2K
76882 56 54 $2K
77091 57 57 $2K
97012 343 90 $2K
88341 297 291 $2K
76818 35 12 $2K
0012A 47 47 $2K
95867 739 723 $2K
G0008 Administration of influenza virus vaccine 455 436 $2K
96376 9,726 6,483 $2K
J1815 Injection, insulin, per 5 units 7,507 3,365 $2K
81002 7,196 6,324 $1K
82962 3,810 2,413 $1K
0011A 51 51 $1K
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 166 162 $1K
83050 125 116 $1K
86850 9,152 8,666 $1K
97535 Self-care/home management training, each 15 minutes 519 406 $1K
88112 74 72 $1K
84443 Thyroid stimulating hormone (TSH) 4,442 4,299 $1K
0124A 42 41 $1K
76820 443 147 $1K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 8,987 8,805 $1K
70470 12 12 $1K
85027 18,577 15,481 $1K
97014 138 39 $1K
84702 8,789 7,948 $1K
90662 74 74 $992.33
97166 24 24 $881.40
0013A 23 23 $870.55
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,046 3,971 $860.75
83880 5,597 5,321 $858.16
85730 12,447 11,091 $839.75
88142 56 56 $815.07
36416 3,376 3,195 $810.07
86580 154 138 $791.91
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 3,683 3,625 $752.24
73552 162 160 $713.53
73060 128 116 $654.28
86901 11,282 10,688 $576.31
83735 29,093 23,410 $532.37
82247 1,750 1,663 $492.77
73600 44 42 $489.85
72070 24 24 $482.28
82948 117 113 $480.74
88311 163 155 $472.90
J2359 Injection, olanzapine, 0.5 mg 44 27 $469.16
81003 28,413 26,990 $465.96
95937 347 342 $408.02
99493 12 12 $404.62
J2785 Injection, regadenoson, 0.1 mg 1,013 1,000 $400.00
87070 5,056 4,916 $345.46
73620 91 90 $339.09
73000 15 14 $338.31
93325 625 622 $330.00
90715 968 939 $314.03
82248 2,106 1,929 $295.45
87086 Culture, bacterial; quantitative colony count, urine 8,914 8,540 $284.96
70360 219 212 $280.57
93270 26 25 $274.26
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 3,242 3,203 $269.94
84520 3,747 3,492 $263.12
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 1,748 1,722 $250.00
86140 2,883 2,642 $237.67
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 13 13 $234.36
81001 23,988 22,545 $230.55
J2704 Injection, propofol, 10 mg 13,904 13,353 $226.45
J1644 Injection, heparin sodium, per 1000 units 10,713 5,835 $220.25
J1885 Injection, ketorolac tromethamine, per 15 mg 39,745 34,647 $211.43
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 943 698 $209.83
82728 1,495 1,388 $207.95
84703 1,109 1,067 $205.12
73100 28 26 $193.77
86592 105 99 $188.57
87040 3,992 3,757 $157.42
84450 2,872 2,667 $155.72
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 3,106 2,975 $154.92
84460 2,788 2,598 $150.19
87186 2,321 2,248 $149.59
85651 1,760 1,667 $147.47
83615 2,129 1,878 $146.65
90658 12 12 $139.86
73120 39 39 $130.10
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 28 26 $128.25
83605 5,811 5,236 $126.79
83690 20,559 18,773 $121.41
87077 2,005 1,954 $120.67
98928 14 14 $119.68
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 4,505 3,510 $118.66
J7030 Infusion, normal saline solution , 1000 cc 46,249 37,416 $107.84
93320 265 263 $106.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 31,074 26,812 $98.75
84439 469 453 $98.20
80076 5,846 5,638 $95.64
84100 8,089 5,639 $94.87
94761 1,126 1,058 $86.00
87088 2,696 2,629 $83.62
82570 835 705 $83.08
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) 15 12 $81.59
J1030 Injection, methylprednisolone acetate, 40 mg 159 153 $78.65
94799 199 181 $69.39
87205 1,479 1,398 $69.38
82607 302 289 $68.98
82805 125 116 $65.22
76870 334 331 $65.05
94760 1,784 1,587 $64.00
84145 801 765 $58.52
J2270 Injection, morphine sulfate, up to 10 mg 13,594 10,496 $54.29
84156 711 589 $51.85
J2765 Injection, metoclopramide hcl, up to 10 mg 8,767 7,730 $39.17
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19 19 $38.77
82550 2,323 2,022 $38.34
82150 2,817 2,717 $37.51
84550 523 467 $35.25
85045 460 324 $34.63
96127 15 15 $33.64
J2360 Injection, orphenadrine citrate, up to 60 mg 1,711 1,550 $27.55
83550 176 168 $26.57
94664 250 238 $24.68
86308 580 575 $24.52
J0696 Injection, ceftriaxone sodium, per 250 mg 10,993 9,665 $22.44
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 416 370 $22.11
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 622 601 $22.08
J7120 Ringers lactate infusion, up to 1000 cc 5,158 4,141 $20.85
J1170 Injection, hydromorphone, up to 4 mg 8,167 5,281 $18.78
82746 39 38 $16.40
J1200 Injection, diphenhydramine hcl, up to 50 mg 17,066 14,664 $16.28
84075 1,364 1,318 $16.06
81015 2,687 2,588 $14.64
83986 145 141 $14.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 2,256 2,154 $12.37
81000 106 97 $12.27
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 15,902 15,290 $12.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 7,506 6,910 $11.56
82010 826 746 $11.23
82375 124 116 $10.20
J1836 Injection, metronidazole, 10 mg 152 95 $9.86
J0780 Injection, prochlorperazine, up to 10 mg 1,837 1,618 $9.53
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 5,812 4,980 $7.62
90633 68 67 $7.00
82310 77 67 $6.48
85384 122 108 $5.23
J1100 Injection, dexamethasone sodium phosphate, 1 mg 12,105 11,224 $5.10
J3010 Injection, fentanyl citrate, 0.1 mg 14,302 13,242 $4.11
87081 28 28 $3.63
J1650 Injection, enoxaparin sodium, 10 mg 4,168 2,310 $3.47
J3490 Unclassified drugs 13,749 10,806 $3.05
87210 26 25 $2.96
J1920 Injection, labetalol hydrochloride, 5 mg 189 171 $1.55
J2250 Injection, midazolam hydrochloride, per 1 mg 13,809 13,166 $1.55
J3475 Injection, magnesium sulfate, per 500 mg 2,643 2,213 $0.43
J2800 Injection, methocarbamol, up to 10 ml 677 657 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 673 655 $0.00
A6209 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 69 37 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 1,406 1,352 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 2,264 2,167 $0.00
A9575 Injection, gadoterate meglumine, 0.1 ml 1,459 1,429 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 1,361 1,323 $0.00
C9113 Injection, pantoprazole sodium, per vial 774 515 $0.00
J7510 Prednisolone oral, per 5 mg 641 611 $0.00
87075 63 62 $0.00
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 25 25 $0.00
90700 26 25 $0.00
76942 1,291 1,253 $0.00
C1776 Joint device (implantable) 149 126 $0.00
90734 44 44 $0.00
99053 71 68 $0.00
91312 42 41 $0.00
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 85 81 $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 331 296 $0.00
85347 200 152 $0.00
80164 198 183 $0.00
J3370 Injection, vancomycin hcl, 500 mg 275 156 $0.00
J1171 Injection, hydromorphone, 0.1 mg 194 121 $0.00
91300 423 400 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 456 451 $0.00
90710 12 12 $0.00
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 268 192 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 40 40 $0.00
90714 27 24 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 101 62 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 40 39 $0.00
J1245 Injection, dipyridamole, per 10 mg 99 84 $0.00
J1953 Injection, levetiracetam, 10 mg 101 87 $0.00
A6457 Tubular dressing with or without elastic, any width, per linear yard 68 38 $0.00
84295 13 12 $0.00
80074 16 14 $0.00
82374 13 12 $0.00
76377 559 546 $0.00
J0690 Injection, cefazolin sodium, 500 mg 8,960 7,538 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 29 29 $0.00
J2060 Injection, lorazepam, 2 mg 9,825 6,569 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 1,330 1,158 $0.00
J7060 5% dextrose/water (500 ml = 1 unit) 1,520 1,422 $0.00
J0500 Injection, dicyclomine hcl, up to 20 mg 2,983 2,758 $0.00
95940 876 857 $0.00
J7042 5% dextrose/normal saline (500 ml = 1 unit) 618 469 $0.00
J7050 Infusion, normal saline solution, 250 cc 2,631 2,246 $0.00
J7121 5% dextrose in lactated ringers infusion, up to 1000 cc 1,411 1,183 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 2,310 2,171 $0.00
A9585 Injection, gadobutrol, 0.1 ml 1,028 995 $0.00
J3480 Injection, potassium chloride, per 2 meq 1,456 1,166 $0.00
J1630 Injection, haloperidol, up to 5 mg 2,699 1,865 $0.00
J3230 Injection, chlorpromazine hcl, up to 50 mg 47 40 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 3,229 3,112 $0.00
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 941 303 $0.00
C1769 Guide wire 2,906 2,744 $0.00
A6197 Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing 4,622 1,883 $0.00
J1940 Injection, furosemide, up to 20 mg 832 538 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 656 635 $0.00
J8540 Dexamethasone, oral, 0.25 mg 392 378 $0.00
J3411 Injection, thiamine hcl, 100 mg 196 146 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 165 161 $0.00
87340 38 38 $0.00
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 202 125 $0.00
A6022 Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq. in., each 1,002 490 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 88 83 $0.00
84132 13 13 $0.00
85018 13 12 $0.00
C1889 Implantable/insertable device, not otherwise classified 30 30 $0.00
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 44 40 $0.00
J3360 Injection, diazepam, up to 5 mg 343 261 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 40 40 $0.00
91301 155 152 $0.00
82435 13 12 $0.00
94644 87 83 $0.00
A4648 Tissue marker, implantable, any type, each 37 37 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 139 135 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 100 70 $0.00
J1790 Injection, droperidol, up to 5 mg 34 30 $0.00
C1781 Mesh (implantable) 13 13 $0.00
90647 78 74 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 45 43 $0.00
J0456 Injection, azithromycin, 500 mg 31 26 $0.00
90723 32 29 $0.00
73503 29 27 $0.00