Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MS › JACKSON › STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER

STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER

NPI: 1154317527 · JACKSON, MS 39216 · General Acute Care Hospital · NPI assigned 09/21/2005

$506.72M
Total Medicaid Paid
10,036,136
Total Claims
7,533,013
Beneficiaries
1278
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGRIMSLEY, JEFFREY (ASSOCIATE CFO-CLINICAL OPERATIONS)
NPI Enumeration Date09/21/2005

Related Entities

Other providers sharing the same authorized official: GRIMSLEY, JEFFREY

ProviderCityStateTotal Paid
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER CANTON MS $13.96M
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER LEXINGTON MS $7.52M
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER LEXINGTON MS $1.07M
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON MS $597K
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER LEXINGTON MS $507K
STATE OF MISSISSIPPI- UNIVERSITY OF MISSISSIPPI MEDICAL CENTER VAIDEN MS $137K
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON MS $82K
STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER GRENADA MS $37K
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER WEST MS $11K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,572,285 $79.07M
2019 1,522,368 $81.63M
2020 1,257,730 $64.21M
2021 1,462,986 $74.91M
2022 1,601,732 $71.56M
2023 1,523,060 $76.33M
2024 1,095,975 $59.00M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 206,015 169,148 $36.16M
G0378 Hospital observation service, per hour 42,333 31,676 $27.38M
99283 Emergency department visit for the evaluation and management, moderate severity 240,282 204,376 $24.50M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 105,125 85,877 $24.31M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 355,806 311,459 $19.47M
42820 Tonsillectomy and adenoidectomy; younger than age 12 6,393 5,168 $14.18M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 322,995 277,959 $12.91M
J9271 Injection, pembrolizumab, 1 mg 1,990 1,300 $12.26M
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 10,976 9,038 $8.55M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 53,114 46,652 $7.62M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 35,653 31,098 $6.43M
86902 21,040 7,108 $6.07M
J0585 Injection, onabotulinumtoxina, 1 unit 7,600 6,118 $5.90M
99215 Prolong outpt/office vis 73,018 61,562 $5.37M
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 20,497 3,739 $5.26M
99233 Prolong inpt eval add15 m 115,857 37,788 $5.16M
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 20,840 2,997 $4.91M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 28,970 25,511 $4.58M
99232 Subsequent hospital care, per day, moderate complexity 131,523 47,005 $4.56M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 26,489 15,278 $4.44M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 40,792 32,299 $4.32M
99282 Emergency department visit for the evaluation and management, low to moderate severity 53,463 47,001 $3.54M
86885 47,024 33,042 $3.42M
A0431 Ambulance service, conventional air services, transport, one way (rotary wing) 1,969 1,779 $3.27M
74177 Computed tomography, abdomen and pelvis; with contrast material 32,204 28,440 $3.11M
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 19,235 12,652 $3.08M
94375 22,412 19,669 $3.03M
J1745 Injection, infliximab, excludes biosimilar, 10 mg 1,655 1,323 $2.92M
J2323 Injection, natalizumab, 1 mg 1,727 1,456 $2.87M
77386 12,195 973 $2.84M
99244 Office or other outpatient consultation, moderate to high complexity 26,750 23,467 $2.84M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 84,517 21,625 $2.79M
95810 Polysomnography; sleep staging with 4 or more additional parameters 6,189 5,390 $2.77M
J2505 Injection, pegfilgrastim, 6 mg 1,101 765 $2.77M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 118,075 102,567 $2.71M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 22,817 8,607 $2.64M
71045 Radiologic examination, chest; single view 239,658 157,448 $2.62M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 320,888 260,363 $2.55M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 32,844 29,267 $2.53M
86900 47,838 33,442 $2.52M
36430 13,172 8,259 $2.51M
76820 67,811 43,117 $2.51M
99479 Subsequent intensive care, per day, very low birth weight infant 26,744 6,018 $2.47M
54161 2,541 2,249 $2.46M
78815 Positron emission tomography (PET) for limited area imaging 6,592 5,698 $2.42M
42830 1,515 1,145 $2.39M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 30,836 28,292 $2.33M
J9312 Injection, rituximab, 10 mg 916 533 $2.31M
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 75,636 63,521 $2.28M
20680 1,668 1,283 $2.28M
76819 Fetal biophysical profile; without non-stress testing 47,975 26,046 $2.22M
J2357 Injection, omalizumab, 5 mg 2,292 915 $2.21M
99243 28,575 24,902 $2.13M
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 23,485 20,103 $2.09M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 19,008 12,896 $2.08M
71046 Radiologic examination, chest; 2 views 77,369 64,528 $2.04M
88305 Level IV - Surgical pathology, gross and microscopic examination 60,216 42,168 $2.02M
64642 9,411 8,008 $1.98M
80053 Comprehensive metabolic panel 222,646 166,419 $1.97M
95812 15,180 13,179 $1.93M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 25,447 21,844 $1.90M
76770 34,387 30,375 $1.90M
P9016 Red blood cells, leukocytes reduced, each unit 11,425 7,154 $1.87M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 4,931 3,744 $1.80M
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 14,973 12,380 $1.78M
J0897 Injection, denosumab, 1 mg 2,674 2,195 $1.73M
70450 Computed tomography, head or brain; without contrast material 47,485 41,068 $1.71M
87428 23,300 20,292 $1.69M
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 43,107 32,275 $1.66M
93304 11,346 9,268 $1.64M
J9299 Injection, nivolumab, 1 mg 279 195 $1.58M
90460 Immunization administration through 18 years of age via any route, first or only component 60,503 53,804 $1.54M
71260 Computed tomography, thorax, diagnostic; with contrast material 22,925 20,346 $1.50M
85025 Blood count; complete (CBC), automated, and automated differential WBC count 256,322 185,772 $1.44M
70551 Magnetic resonance imaging, brain; without contrast material 14,045 12,597 $1.41M
A0436 Rotary wing air mileage, per statute mile 1,964 1,773 $1.38M
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 53,872 34,533 $1.37M
97530 Therapeutic activities, direct patient contact, each 15 minutes 38,347 11,113 $1.35M
88307 15,018 12,102 $1.34M
81229 2,919 2,516 $1.33M
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 53,907 34,544 $1.27M
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 82,205 39,611 $1.25M
92587 7,797 6,844 $1.19M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 23,757 20,359 $1.15M
90791 Psychiatric diagnostic evaluation 13,764 11,589 $1.15M
96361 Intravenous infusion, hydration; each additional hour 26,423 20,536 $1.14M
J9035 Injection, bevacizumab, 10 mg 723 560 $1.12M
74018 70,404 48,060 $1.12M
49580 567 480 $1.12M
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 16,899 15,281 $1.11M
36415 Collection of venous blood by venipuncture 367,472 271,260 $1.11M
95716 2,369 1,176 $1.10M
86923 15,615 6,149 $1.10M
95951 3,235 1,418 $1.07M
86922 12,464 4,563 $1.05M
90837 Psychotherapy, 53 minutes with patient 13,975 8,853 $1.04M
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 2,598 2,196 $1.02M
99238 Hospital discharge day management, 30 minutes or less 21,830 19,189 $1.02M
J0475 Injection, baclofen, 10 mg 1,701 1,431 $1.02M
J1951 Injection, leuprolide acetate for depot suspension (fensolvi), 0.25 mg 64 40 $1.02M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 25,835 20,946 $1.01M
72082 16,643 14,395 $1.00M
99480 Subsequent intensive care, per day, low birth weight infant 11,611 2,386 $986K
86920 11,038 4,379 $982K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 622 417 $927K
76705 Ultrasound, abdominal, real time with image documentation; limited 21,666 18,639 $908K
36512 1,449 1,209 $890K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 1,413 1,091 $886K
45380 Colonoscopy, flexible; with biopsy, single or multiple 2,411 1,790 $884K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 20,615 16,592 $837K
84443 Thyroid stimulating hormone (TSH) 64,687 54,854 $833K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 15,762 13,389 $830K
99223 Prolong inpt eval add15 m 11,601 9,672 $829K
72170 16,158 14,129 $784K
86901 47,836 33,437 $778K
77077 13,431 11,685 $765K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 11,799 9,592 $754K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 11,852 9,234 $732K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 49,846 41,914 $720K
76825 3,186 2,502 $718K
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 11,681 9,792 $709K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 34,227 29,585 $707K
J1459 Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg 481 168 $704K
D7140 Extraction, erupted tooth or exposed root 1,178 710 $659K
99205 Prolong outpt/office vis 7,172 6,024 $652K
87536 12,607 10,703 $642K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 17,018 14,329 $628K
99281 Emergency department visit for the evaluation and management, self-limited or minor 12,404 10,448 $626K
96375 Therapeutic injection; each additional sequential IV push 22,979 17,018 $611K
99170 7,663 6,458 $609K
49591 284 211 $589K
94726 6,525 5,837 $589K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 15,847 13,954 $582K
72141 4,732 3,935 $577K
93320 36,613 31,781 $576K
73590 16,673 12,800 $572K
77412 5,127 519 $570K
72156 3,011 2,547 $568K
88342 10,489 7,688 $567K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 33,754 26,601 $567K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 10,234 7,167 $567K
76000 4,688 3,748 $566K
96367 13,004 6,426 $566K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 5,792 3,932 $554K
97161 11,042 9,371 $552K
73562 18,651 15,057 $545K
73610 16,472 13,378 $545K
31720 4,788 3,025 $541K
01922 5,252 4,659 $536K
J0561 Injection, penicillin g benzathine, 100,000 units 4,312 3,366 $536K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 117,766 97,670 $531K
95782 871 761 $527K
73630 15,470 12,562 $524K
P9040 Red blood cells, leukocytes reduced, irradiated, each unit 3,729 2,447 $523K
A0425 Ground mileage, per statute mile 2,078 1,576 $518K
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 4,051 3,590 $506K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 24,446 20,972 $504K
72158 2,555 2,142 $497K
93308 7,048 5,783 $496K
77334 1,847 1,257 $495K
80048 Basic metabolic panel (calcium, ionized) 74,355 56,683 $493K
96415 8,834 6,022 $492K
72157 2,553 2,144 $485K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 3,964 3,305 $483K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 1,061 795 $481K
95816 5,359 4,699 $480K
87070 53,563 44,001 $457K
J9310 Injection, rituximab, 100 mg 176 110 $452K
81025 55,030 44,310 $447K
93325 61,168 51,336 $446K
64493 1,069 930 $445K
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 7,008 6,265 $445K
74183 3,297 2,761 $439K
83036 Hemoglobin; glycosylated (A1C) 58,452 50,850 $437K
94728 6,468 5,672 $436K
94150 3,950 2,181 $432K
73090 11,654 8,770 $430K
62323 1,587 1,398 $429K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 720 677 $425K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 11,004 3,798 $423K
80061 Lipid panel 41,713 36,255 $422K
85027 86,769 63,624 $414K
99231 Subsequent hospital care, per day, straightforward or low complexity 21,653 9,070 $414K
76821 8,348 5,459 $405K
83880 19,045 15,463 $402K
73552 12,847 10,453 $402K
81001 101,066 81,410 $399K
59514 646 565 $393K
77067 Screening mammography, bilateral, including computer-aided detection 8,236 7,372 $387K
54640 197 146 $384K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 18,606 13,854 $384K
72125 Computed tomography, cervical spine; without contrast material 8,840 7,377 $381K
86003 8,056 3,970 $380K
92579 4,375 3,970 $380K
73130 9,479 7,399 $373K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 17,516 5,127 $366K
97165 6,636 5,621 $365K
73030 12,793 10,570 $355K
77072 4,865 4,091 $355K
67311 181 144 $350K
70496 5,188 4,353 $347K
86870 2,693 1,642 $346K
70491 3,647 3,087 $342K
77336 5,279 2,171 $341K
43762 3,593 3,057 $341K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 4,747 3,475 $341K
93451 511 333 $339K
82728 35,219 27,265 $333K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 1,046 938 $329K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 28,166 24,923 $328K
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 16,858 14,899 $327K
86360 11,675 9,942 $325K
20610 6,266 5,156 $322K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 7,305 6,217 $322K
77300 1,432 1,132 $320K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 6,391 4,343 $312K
82803 22,472 17,524 $311K
S9110 Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month 38,622 1,865 $311K
95720 2,545 1,389 $311K
59425 3,912 3,122 $304K
J1453 Injection, fosaprepitant, 1 mg 2,337 1,341 $302K
00170 Anesthesia for intraoral procedures, including biopsy 3,282 2,990 $300K
92060 6,809 5,923 $299K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 5,065 3,837 $298K
73110 7,485 5,792 $297K
A0427 Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 1,237 1,047 $297K
71275 Computed tomographic angiography, chest, with contrast material 4,336 3,792 $293K
70498 4,868 4,079 $289K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 1,671 1,384 $287K
92526 6,956 2,498 $284K
73560 8,337 6,553 $284K
88184 2,148 1,353 $282K
87086 Culture, bacterial; quantitative colony count, urine 43,415 36,278 $275K
73080 6,758 5,204 $270K
76536 5,481 4,740 $270K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 13,967 12,340 $265K
72100 5,832 5,060 $265K
93017 2,853 2,522 $262K
84439 33,425 28,423 $262K
95811 544 495 $261K
96417 6,415 3,772 $259K
92523 2,095 1,773 $257K
93976 6,286 5,166 $256K
82947 90,920 50,266 $255K
99242 4,701 4,085 $250K
92567 13,535 11,983 $246K
95700 2,051 1,763 $245K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 769 676 $243K
19083 456 396 $242K
99245 2,116 1,865 $241K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 2,810 2,730 $239K
72197 1,198 1,007 $239K
96523 9,039 6,378 $238K
96130 2,953 2,630 $238K
70486 4,026 3,264 $237K
93970 5,946 4,949 $236K
99220 2,205 1,931 $236K
59426 2,657 1,742 $236K
71250 5,726 4,978 $233K
81420 Fetal chromosomal aneuploidy genomic sequence analysis panel 998 871 $232K
73060 5,867 4,514 $231K
99460 3,806 3,329 $231K
82248 56,209 41,415 $230K
93886 1,430 1,194 $228K
92015 Determination of refractive state 11,543 9,573 $228K
73100 5,602 4,078 $227K
99255 2,426 1,956 $226K
83970 9,619 8,132 $226K
86780 25,478 19,416 $221K
73620 5,035 3,698 $220K
72146 1,324 1,083 $219K
43235 855 748 $219K
76642 7,883 6,464 $218K
74178 1,645 1,442 $213K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 9,094 2,824 $213K
94762 3,209 1,961 $211K
83605 29,246 20,979 $205K
73070 4,550 3,480 $205K
90834 Psychotherapy, 45 minutes with patient 4,395 2,930 $204K
70543 876 724 $204K
72040 5,932 5,027 $203K
73120 2,786 2,003 $202K
92585 1,201 1,070 $201K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 3,149 2,497 $200K
76827 3,594 2,732 $197K
86832 1,369 1,042 $196K
73502 7,445 6,317 $195K
86833 1,369 1,042 $194K
42821 108 80 $193K
74019 3,489 2,859 $191K
83735 47,816 30,789 $191K
12011 1,596 1,279 $190K
64643 7,905 6,737 $190K
93225 2,286 1,975 $189K
96409 1,627 1,120 $189K
87563 8,295 5,540 $187K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 8,357 7,337 $186K
74230 3,314 2,879 $185K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,727 2,362 $185K
70250 3,011 2,462 $180K
74022 4,728 3,727 $179K
93975 1,538 1,241 $178K
86235 4,829 2,382 $177K
95819 2,034 1,759 $177K
94060 1,301 1,129 $176K
99201 8,519 7,646 $175K
77066 Tomosynthesis, mammo 3,512 2,980 $174K
95911 729 613 $174K
87077 23,674 17,272 $170K
92652 1,180 985 $169K
99462 5,656 4,053 $169K
J9070 Cyclophosphamide, 100 mg 687 452 $168K
85046 37,286 25,198 $167K
76830 Ultrasound, transvaginal 3,305 2,694 $166K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 2,690 2,181 $165K
99239 Hospital discharge day management, more than 30 minutes 3,967 3,405 $164K
31231 1,298 1,179 $163K
80047 20,346 16,936 $163K
99468 437 344 $159K
99254 2,276 1,831 $157K
73564 1,380 1,177 $156K
86481 2,451 2,180 $156K
44970 31 26 $156K
P9037 Platelets, pheresis, leukocytes reduced, irradiated, each unit 464 222 $155K
83021 12,100 8,364 $153K
97162 3,888 3,320 $153K
86140 36,707 29,610 $152K
80074 4,752 3,850 $151K
96401 4,772 2,381 $150K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 631 513 $148K
80069 24,672 18,384 $147K
92588 903 805 $147K
99253 2,205 1,832 $146K
90792 Psychiatric diagnostic evaluation with medical services 1,942 1,563 $146K
J9217 Leuprolide acetate (for depot suspension), 7.5 mg 537 440 $145K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,260 3,022 $143K
86480 3,491 2,838 $143K
83655 12,662 11,293 $141K
76506 5,636 4,687 $140K
92582 1,692 1,426 $140K
93880 2,148 1,896 $139K
85610 49,654 36,993 $139K
97116 11,097 4,446 $138K
76801 2,194 1,762 $138K
96131 2,166 1,911 $137K
77065 Tomosynthesis, mammo 3,266 2,766 $137K
88304 6,022 4,753 $134K
74240 1,588 1,413 $134K
10060 1,047 881 $133K
72070 2,401 1,975 $129K
49083 427 210 $128K
82784 15,710 9,162 $128K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 433 320 $127K
93321 18,095 14,649 $125K
86077 4,723 3,922 $123K
49650 43 37 $122K
99222 Initial hospital care, per day, moderate complexity 3,276 2,600 $122K
69210 3,539 3,044 $122K
72190 2,132 1,783 $121K
31575 2,085 1,823 $120K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 43,489 36,775 $120K
84403 5,396 4,587 $117K
92597 1,863 1,515 $116K
90832 Psychotherapy, 30 minutes with patient 3,150 2,370 $116K
93971 4,160 3,679 $115K
87040 14,664 10,040 $115K
84484 13,926 9,256 $115K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 2,688 2,054 $115K
84702 10,967 7,614 $115K
74455 1,002 885 $115K
82570 28,546 21,898 $113K
59025 Fetal non-stress test 3,105 2,571 $112K
78816 211 175 $111K
97166 2,619 2,157 $110K
93922 3,745 3,329 $109K
87186 16,602 12,856 $109K
96101 1,039 868 $109K
81003 50,093 39,423 $108K
86160 14,779 6,331 $107K
01961 431 395 $107K
84100 37,614 25,527 $106K
80197 13,988 8,694 $103K
95813 714 605 $103K
95115 3,382 1,591 $103K
74170 1,179 1,061 $103K
85730 24,792 19,786 $102K
82607 10,513 9,155 $101K
69631 33 24 $101K
93296 7,716 7,041 $100K
88185 2,547 1,323 $99K
12001 924 740 $99K
36556 248 168 $99K
78306 853 781 $99K
77301 191 152 $97K
76870 1,405 1,142 $97K
77295 142 121 $97K
96110 Developmental screening, with scoring and documentation, per standardized instrument 9,219 8,248 $97K
75625 150 136 $96K
73600 1,842 1,338 $96K
72110 1,749 1,552 $96K
90472 Immunization administration, each additional vaccine (list separately) 8,262 7,354 $96K
J2997 Injection, alteplase recombinant, 1 mg 614 463 $95K
17110 1,363 1,141 $94K
80076 14,559 12,391 $92K
88300 8,243 6,781 $92K
T1017 Targeted case management, each 15 minutes 2,008 801 $91K
43760 701 608 $91K
83550 15,923 13,559 $90K
64450 346 284 $90K
82330 10,008 6,986 $89K
95874 10,359 8,815 $87K
92134 7,958 7,390 $87K
11043 537 367 $87K
87497 5,404 3,582 $85K
83516 5,884 4,437 $85K
96411 1,481 983 $85K
94664 4,843 4,265 $85K
J1561 Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg 89 39 $84K
51701 1,307 1,137 $84K
J1602 Injection, golimumab, 1 mg, for intravenous use 66 41 $84K
76885 1,544 1,368 $82K
29450 619 291 $81K
93000 6,499 6,157 $80K
90670 21,984 20,291 $80K
83615 18,527 13,384 $80K
87807 7,558 6,541 $79K
37225 56 51 $78K
97533 2,498 896 $78K
87522 Neg quan hep c or qual rna 2,735 2,424 $77K
73700 1,188 920 $75K
49593 33 24 $75K
90686 28,355 24,147 $75K
93798 3,039 531 $74K
83540 17,304 14,482 $73K
83002 4,375 3,666 $73K
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 5,961 5,173 $73K
77470 286 252 $72K
82533 5,202 3,709 $72K
73000 1,398 1,023 $71K
67028 Intravitreal injection of a pharmacologic agent 1,561 1,452 $71K
12002 519 380 $71K
84156 25,797 20,730 $70K
82785 5,715 4,222 $70K
83520 5,075 4,098 $69K
29125 954 801 $69K
82550 12,291 9,686 $68K
83001 4,288 3,591 $68K
88173 2,426 1,438 $67K
96137 1,574 1,409 $67K
82670 2,816 2,283 $67K
94250 1,398 1,180 $66K
85660 18,894 7,065 $66K
Q5115 Injection, rituximab-abbs, biosimilar, (truxima), 10 mg 34 16 $65K
86147 1,253 998 $65K
84402 2,761 2,410 $65K
85652 30,243 25,097 $65K
96450 475 300 $65K
88141 4,375 3,969 $64K
85007 21,383 14,109 $64K
92551 9,819 7,987 $64K
P9011 Blood, split unit 836 568 $64K
62270 224 191 $64K
87340 9,783 8,199 $63K
87906 925 811 $62K
J2182 Injection, mepolizumab, 1 mg 37 37 $61K
72050 1,072 890 $61K
86803 6,972 5,983 $61K
88108 4,518 3,153 $60K
84305 3,309 2,831 $59K
92611 1,160 1,009 $59K
88313 2,453 1,450 $59K
99442 2,411 2,051 $59K
77014 2,206 339 $58K
83690 12,724 10,261 $58K
77290 297 230 $58K
36591 13,109 8,622 $58K
J1050 Injection, medroxyprogesterone acetate, 1 mg 1,101 1,023 $57K
95715 244 131 $57K
J2469 Injection, palonosetron hcl, 25 mcg 337 199 $57K
74220 540 469 $56K
96136 1,927 1,702 $55K
82375 7,441 5,064 $54K
86038 5,685 4,651 $54K
82043 13,069 11,512 $54K
88341 6,473 3,329 $53K
84153 4,718 4,027 $53K
90935 Hemodialysis procedure with single evaluation by a physician 2,816 1,409 $53K
70544 465 354 $53K
31624 183 119 $52K
86317 1,598 785 $52K
87799 4,870 2,965 $52K
82105 4,712 3,984 $52K
99471 115 87 $51K
99217 1,223 1,075 $51K
73522 1,025 883 $51K
73221 447 379 $50K
86376 3,977 3,382 $50K
82746 5,380 4,636 $49K
95117 1,828 811 $49K
72131 972 789 $49K
62370 551 470 $49K
80177 4,563 3,824 $49K
88312 2,004 1,023 $49K
84550 14,804 11,209 $48K
90732 980 792 $48K
77075 767 654 $48K
78708 221 196 $48K
82610 3,944 3,250 $48K
93295 2,984 2,837 $48K
75561 235 187 $47K
86762 4,923 3,971 $47K
99221 1,159 950 $47K
82810 7,699 5,235 $47K
87205 13,920 10,831 $46K
84146 2,788 2,391 $46K
86225 4,783 3,725 $45K
86880 1,825 776 $45K
97542 1,618 1,208 $45K
82565 13,444 11,722 $44K
92553 804 665 $44K
31622 105 78 $44K
83498 1,771 1,511 $43K
96161 9,637 8,800 $43K
86592 12,115 10,344 $42K
Q5103 Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg 51 38 $42K
82627 2,051 1,759 $42K
90734 2,044 1,637 $42K
82024 1,374 1,141 $41K
96402 1,164 961 $41K
92557 673 593 $41K
93923 993 910 $41K
85018 22,082 15,295 $41K
71271 1,015 824 $41K
99443 1,024 903 $41K
L8613 Ossicula implant 1,225 1,065 $41K
J9267 Injection, paclitaxel, 1 mg 2,566 1,382 $40K
99173 14,465 12,113 $39K
93531 47 39 $39K
87507 143 117 $39K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 722 590 $39K
36561 27 26 $38K
83883 2,887 2,256 $38K
76937 15,583 12,067 $38K
82378 2,881 2,231 $37K
A0225 Ambulance service, neonatal transport, base rate, emergency transport, one way 196 152 $37K
86706 5,126 4,399 $37K
J9045 Injection, carboplatin, 50 mg 3,057 1,763 $36K
84165 5,807 4,919 $36K
51600 1,225 1,082 $36K
77338 268 205 $36K
90461 17,330 16,526 $36K
90750 497 406 $35K
00126 620 566 $35K
74174 293 254 $35K
P9041 Infusion, albumin (human), 5%, 50 ml 514 331 $35K
93458 31 26 $35K
86704 4,495 3,863 $35K
83050 7,588 5,039 $34K
82977 6,481 4,950 $34K
73720 143 113 $34K
75710 74 69 $34K
54360 15 14 $33K
86039 3,838 3,042 $32K
90961 475 455 $32K
85045 11,390 8,786 $32K
99381 666 602 $32K
84132 12,533 8,947 $31K
64635 41 39 $31K
87517 1,374 1,202 $31K
93282 1,927 1,664 $31K
21235 12 12 $30K
76604 691 526 $30K
76857 553 411 $30K
54300 15 12 $30K
93297 2,890 2,648 $30K
86255 2,031 1,476 $29K
96373 418 326 $28K
81373 606 424 $28K
80164 2,739 2,316 $28K
49500 18 14 $28K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 51 41 $28K
87102 4,441 3,393 $28K
J9041 Injection, bortezomib, 0.1 mg 136 39 $28K
27096 362 321 $28K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 181 155 $28K
86146 690 536 $28K
62328 110 77 $28K
74270 311 260 $27K
85014 18,856 15,159 $27K
93280 1,870 1,654 $27K
72120 423 339 $27K
80143 1,873 1,514 $27K
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 3,346 2,592 $27K
A9575 Injection, gadoterate meglumine, 0.1 ml 22,372 19,618 $27K
87535 1,005 820 $26K
90651 2,335 1,653 $26K
92610 667 548 $26K
86787 3,012 2,135 $26K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 433 406 $26K
87045 2,543 2,103 $26K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 4,772 4,037 $26K
95822 968 759 $25K
86800 1,970 1,651 $25K
77427 997 511 $25K
86665 1,616 864 $25K
84295 10,422 7,193 $24K
70480 358 280 $24K
76882 340 274 $24K
87081 5,606 4,663 $24K
76377 1,178 997 $24K
99235 242 184 $24K
82139 1,702 1,416 $24K
00920 353 302 $23K
83519 1,481 1,047 $23K
80179 1,640 1,369 $23K
87075 3,456 2,535 $23K
93298 1,642 1,506 $23K
99219 315 271 $23K
86304 1,762 1,399 $22K
27606 15 13 $22K
83525 2,116 1,780 $22K
86200 2,416 1,833 $22K
A4565 Slings 1,462 1,200 $21K
82820 3,325 1,795 $21K
81243 1,340 1,125 $21K
01920 126 108 $21K
64615 172 132 $20K
84681 1,269 1,021 $20K
72128 358 309 $20K
86790 2,308 1,955 $20K
85379 2,519 2,141 $19K
87046 2,540 2,100 $19K
J9263 Injection, oxaliplatin, 0.5 mg 495 277 $19K
77370 309 268 $19K
J2506 Injection, pegfilgrastim, excludes biosimilar, 0.5 mg 24 12 $19K
C1769 Guide wire 9,896 7,406 $19K
86355 675 498 $18K
69200 384 282 $18K
95886 2,212 1,942 $18K
87486 634 516 $18K
29580 263 94 $18K
87581 634 516 $18K
93356 1,478 1,162 $18K
77280 215 164 $17K
87210 5,420 4,180 $17K
92555 2,522 2,192 $17K
86359 605 449 $17K
78803 72 65 $17K
73140 330 260 $16K
85060 1,473 1,097 $16K
84134 1,759 1,485 $16K
88172 206 161 $16K
J1726 Injection, hydroxyprogesterone caproate, (makena), 10 mg 60 27 $16K
J7030 Infusion, normal saline solution , 1000 cc 14,200 6,047 $16K
86334 1,664 1,487 $16K
86431 3,567 2,993 $15K
82340 2,564 2,123 $15K
92504 840 751 $15K
93242 725 652 $15K
93283 962 858 $15K
86301 1,066 822 $15K
82247 3,600 2,448 $15K
99441 944 777 $15K
0202U Oncology (prostate), multianalyte, gene expression profiling 1,928 1,631 $15K
19081 26 25 $15K
99051 1,352 1,167 $15K
82379 985 818 $14K
00731 550 465 $14K
95910 103 89 $14K
11044 45 24 $14K
80235 815 684 $14K
70546 79 66 $14K
J2405 Injection, ondansetron hydrochloride, per 1 mg 63,833 43,489 $14K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 50,597 35,974 $14K
82140 1,336 977 $14K
88311 3,066 2,310 $14K
77076 223 171 $14K
92133 1,561 1,239 $13K
82435 5,330 4,134 $13K
87899 1,724 572 $13K
85097 129 95 $13K
84480 1,135 992 $13K
84244 783 609 $13K
95885 1,083 935 $13K
87116 1,758 1,309 $13K
95251 1,000 897 $13K
86696 941 767 $13K
85384 1,949 1,352 $13K
76080 65 52 $13K
85347 3,660 1,774 $12K
J0178 Injection, aflibercept, 1 mg 17 16 $12K
C1776 Joint device (implantable) 423 341 $12K
86357 457 332 $12K
84446 1,160 990 $12K
82150 2,677 2,064 $12K
94729 5,380 4,865 $12K
76981 1,911 1,582 $12K
58100 201 152 $12K
95713 48 41 $12K
25605 17 14 $12K
90620 348 268 $12K
J9370 Vincristine sulfate, 1 mg 3,367 2,010 $12K
76775 263 224 $12K
81404 647 483 $12K
36593 99 62 $11K
84450 2,690 2,172 $11K
G0381 Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 386 201 $11K
85613 929 690 $11K
95909 93 87 $11K
J3489 Injection, zoledronic acid, 1 mg 803 689 $11K
92604 174 154 $11K
89051 2,838 2,026 $11K
90962 245 222 $11K
94642 115 91 $10K
85397 421 356 $10K
99308 Subsequent nursing facility care, per day, straightforward 697 574 $10K
84238 504 425 $10K
82085 1,340 1,049 $10K
83935 1,801 1,442 $10K
36000 4,913 4,035 $10K
83010 1,263 954 $10K
00790 95 85 $10K
69209 261 236 $10K
C1760 Closure device, vascular (implantable/insertable) 3,029 2,410 $10K
V5020 Conformity evaluation 1,468 1,211 $10K
82088 351 268 $10K
51798 1,621 1,524 $10K
82157 389 332 $10K
G0382 Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 425 365 $10K
82542 500 412 $9K
38222 15 14 $9K
90674 1,734 933 $9K
92552 1,021 919 $9K
Q9950 Injection, sulfur hexafluoride lipid microspheres, per ml 356 222 $9K
86695 938 767 $9K
87430 401 389 $9K
99252 231 189 $9K
80306 699 582 $9K
86644 821 650 $9K
80183 804 681 $9K
99236 Prolong inpt eval add15 m 69 53 $9K
99152 7,035 6,219 $8K
99457 1,111 1,084 $8K
93312 56 43 $8K
80203 831 717 $8K
85240 566 461 $8K
84590 1,006 859 $8K
93284 771 649 $8K
64644 43 38 $8K
50435 12 12 $8K
77012 770 639 $8K
72081 768 703 $8K
99383 155 127 $8K
85246 410 346 $8K
99382 173 153 $8K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 13 12 $8K
84445 200 166 $8K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 480 328 $8K
0071A 362 339 $8K
90715 3,806 3,106 $7K
96160 3,745 3,031 $7K
83789 387 318 $7K
29105 99 77 $7K
93246 325 286 $7K
84425 609 530 $7K
88189 137 113 $7K
88346 90 56 $7K
99417 Prolong home eval add 15m 1,141 990 $7K
84478 1,124 940 $7K
86063 1,427 1,123 $7K
J1030 Injection, methylprednisolone acetate, 40 mg 1,561 1,427 $7K
11981 91 81 $6K
94618 147 126 $6K
87902 34 25 $6K
81406 893 627 $6K
82951 683 564 $6K
J3010 Injection, fentanyl citrate, 0.1 mg 65,055 49,658 $6K
82657 368 291 $6K
85732 1,221 752 $6K
11900 211 187 $6K
94070 50 27 $6K
87206 1,621 1,215 $6K
80195 697 398 $6K
92083 346 224 $5K
86215 398 319 $5K
86777 595 473 $5K
12013 56 48 $5K
49465 70 65 $5K
99454 800 788 $5K
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 26,581 18,808 $5K
00840 107 89 $5K
P9047 Infusion, albumin (human), 25%, 50 ml 46 27 $5K
82164 472 400 $5K
92081 139 117 $5K
D2940 109 96 $5K
J9201 Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg 241 116 $5K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 95 81 $5K
64405 48 46 $5K
0072A 295 275 $5K
82652 213 191 $5K
84460 997 863 $5K
31500 100 66 $5K
C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, other than peel-away 2,537 1,950 $5K
80299 385 318 $5K
94010 637 575 $5K
85651 1,603 1,365 $5K
82017 337 299 $5K
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 2,145 1,675 $4K
D1120 Prophylaxis - child 104 90 $4K
70360 122 83 $4K
84166 567 517 $4K
0296T 410 355 $4K
93299 249 241 $4K
36620 473 359 $4K
87420 299 287 $4K
99464 304 260 $4K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 3,776 3,009 $4K
00400 72 57 $4K
99354 56 52 $4K
83919 247 211 $4K
81405 714 528 $4K
86860 44 37 $4K
78264 39 38 $4K
92595 934 794 $4K
J1756 Injection, iron sucrose, 1 mg 3,689 1,698 $4K
77080 252 243 $4K
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter 337 273 $4K
J1097 Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml 773 618 $4K
A9562 Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries 142 120 $4K
82731 74 58 $4K
82390 463 387 $4K
99490 Ccm add 20min 1,030 881 $4K
96377 238 174 $4K
99384 96 70 $4K
54162 25 24 $4K
97014 470 192 $4K
90746 92 86 $4K
84210 337 285 $4K
L4386 Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 562 469 $4K
J1170 Injection, hydromorphone, up to 4 mg 12,027 8,117 $4K
96910 84 29 $4K
84157 1,225 976 $4K
99465 86 70 $4K
86337 220 199 $4K
72192 123 77 $4K
99358 Prolong nursin fac eval 15m 146 139 $4K
11100 71 65 $4K
90847 Family psychotherapy with the patient present, 50 minutes 52 42 $4K
V5264 Ear mold/insert, not disposable, any type 1,381 1,110 $4K
29065 68 54 $4K
99477 15 12 $4K
86162 348 223 $4K
82310 1,190 936 $4K
62322 111 94 $4K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 2,284 1,976 $4K
36416 27,199 22,609 $4K
86593 1,268 1,025 $3K
D2930 Prefabricated stainless steel crown - primary tooth 13 12 $3K
82945 1,053 850 $3K
17250 65 56 $3K
90656 1,214 1,188 $3K
90945 134 41 $3K
11982 13 12 $3K
88333 19 15 $3K
A6196 Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing 2,273 1,515 $3K
83835 237 188 $3K
95712 16 13 $3K
31615 28 26 $3K
29075 49 44 $3K
00300 49 36 $3K
73521 44 39 $3K
91040 46 26 $3K
84481 230 159 $3K
84207 158 139 $3K
80175 317 272 $3K
77263 28 28 $3K
97016 152 57 $3K
88331 69 51 $3K
96376 5,292 4,264 $3K
96368 1,323 785 $3K
76818 59 41 $3K
10005 13 13 $3K
80185 258 224 $3K
90710 1,349 1,135 $3K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 5,684 4,327 $3K
90966 75 69 $3K
88302 395 282 $3K
76942 2,474 2,017 $3K
29581 64 24 $3K
01968 46 42 $3K
95990 13 12 $3K
20552 15 14 $2K
77001 1,022 860 $2K
J1040 Injection, methylprednisolone acetate, 80 mg 310 300 $2K
90870 33 12 $2K
80201 228 195 $2K
Q4036 Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass 99 43 $2K
82016 278 197 $2K
J9000 Injection, doxorubicin hydrochloride, 10 mg 287 183 $2K
C9447 Injection, phenylephrine and ketorolac, 4 ml vial 21 18 $2K
81407 418 348 $2K
88142 522 502 $2K
11104 53 29 $2K
82172 158 140 $2K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 64 40 $2K
96132 45 44 $2K
84155 2,029 1,531 $2K
77002 1,578 1,353 $2K
86364 707 562 $2K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 4,709 4,159 $2K
93285 116 110 $2K
J1815 Injection, insulin, per 5 units 1,945 774 $2K
93271 33 21 $2K
41010 24 24 $2K
17311 14 12 $2K
96133 25 25 $2K
A6021 Collagen dressing, sterile, size 16 sq. in. or less, each 1,431 933 $2K
51702 32 29 $2K
87338 157 144 $2K
J2270 Injection, morphine sulfate, up to 10 mg 34,533 23,331 $2K
75630 118 111 $2K
81050 692 612 $2K
G0109 Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes 53 41 $2K
86308 408 337 $2K
86684 182 92 $2K
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 1,112 859 $2K
87493 66 55 $2K
90853 Group psychotherapy (other than of a multiple-family group) 108 85 $2K
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 2,182 1,688 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg 9,116 6,466 $2K
75635 16 13 $2K
99475 14 12 $2K
90785 274 170 $2K
00750 13 12 $2K
81380 50 45 $2K
00320 25 18 $2K
81403 200 180 $2K
L4360 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 75 71 $2K
93227 92 81 $2K
J7999 Compounded drug, not otherwise classified 187 170 $1K
31579 44 38 $1K
77332 19 12 $1K
86711 276 218 $1K
90633 7,368 6,621 $1K
93294 152 151 $1K
88112 150 100 $1K
00140 48 31 $1K
83993 95 77 $1K
81332 94 79 $1K
L8509 Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type 777 694 $1K
90696 1,136 950 $1K
82103 99 85 $1K
83930 324 230 $1K
52000 15 14 $1K
70487 18 12 $1K
G8984 Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals 403 350 $1K
94617 20 12 $1K
92626 30 25 $1K
J7060 5% dextrose/water (500 ml = 1 unit) 3,639 1,220 $1K
64400 13 13 $1K
99309 Subsequent nursing facility care, per day, low to moderate complexity 286 180 $1K
99306 Prolong nursin fac eval 15m 12 12 $1K
87449 207 101 $1K
C1887 Catheter, guiding (may include infusion/perfusion capability) 6,694 4,928 $1K
00160 16 13 $1K
86677 86 69 $1K
J9171 Injection, docetaxel, 1 mg 17 14 $1K
83921 81 76 $1K
93793 538 386 $1K
84466 151 121 $1K
V5010 Assessment for hearing aid 310 276 $1K
83521 1,362 1,045 $1K
93279 43 39 $1K
82010 204 166 $1K
V5140 Binaural, behind the ear 21 14 $1K
90756 78 76 $1K
86060 130 111 $1K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 2,062 1,439 $1K
81002 443 371 $1K
92082 78 55 $1K
96112 21 12 $1K
76828 18 14 $1K
85670 264 212 $1K
82465 308 272 $1K
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) 94 92 $1K
73660 22 15 $1K
94200 194 164 $997.34
00813 18 14 $990.00
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 148 140 $983.30
90677 3,298 3,151 $982.16
0124A 63 52 $955.66
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 2,583 2,293 $955.50
99458 364 327 $947.13
96127 290 248 $941.68
84432 91 77 $930.13
87015 228 167 $920.57
81370 16 12 $907.02
J9260 Injection, methotrexate sodium, 50 mg 901 506 $906.45
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 29 24 $891.55
83701 45 37 $877.09
86341 662 384 $876.02
99401 44 36 $875.06
A6209 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 1,147 595 $863.82
86705 126 110 $845.84
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 2,149 1,678 $784.38
84520 187 156 $774.60
93926 13 13 $773.71
G8981 Changing & maintaining body position functional limitation, current status, at therapy episode outset and at reporting intervals 114 92 $764.84
96118 43 29 $763.46
51784 43 36 $744.36
82955 111 104 $733.67
58300 16 12 $731.62
93226 16 13 $728.40
J0330 Injection, succinylcholine chloride, up to 20 mg 4,656 3,463 $714.97
85520 70 51 $706.18
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 263 227 $704.70
73650 24 13 $699.65
76776 32 25 $699.11
0001A 54 44 $697.81
87076 135 78 $676.71
87901 632 570 $676.34
82787 30 27 $664.39
00520 19 12 $662.20
G0257 Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility 99 48 $661.56
96138 263 245 $651.55
84630 80 74 $650.76
G8989 Self care functional limitation, discharge status, at discharge from therapy or to end reporting 365 308 $635.54
88350 23 12 $634.91
J7510 Prednisolone oral, per 5 mg 2,020 1,420 $632.92
Q9968 Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg 15 12 $630.10
99195 14 12 $626.50
00635 14 12 $625.23
86664 66 43 $625.15
95012 404 362 $622.66
82952 221 191 $620.22
88177 147 126 $598.04
G0008 Administration of influenza virus vaccine 471 467 $568.38
J0640 Injection, leucovorin calcium, per 50 mg 19 12 $566.72
90698 5,007 4,659 $565.60
93978 34 15 $564.73
77063 Screening digital breast tomosynthesis, bilateral 2,447 2,232 $557.81
95941 13 12 $552.00
93270 17 15 $547.06
86335 65 62 $546.09
86618 38 30 $539.67
86663 66 43 $536.44
J9060 Injection, cisplatin, powder or solution, 10 mg 65 29 $534.14
72080 15 12 $528.56
Q4008 Cast supplies, long arm cast, pediatric (0-10 years), fiberglass 48 40 $527.07
85049 151 80 $522.14
V5011 Fitting/orientation/checking of hearing aid 2,812 2,362 $521.10
95938 13 12 $515.71
87529 22 12 $512.46
A6212 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing 664 514 $507.63
75774 134 123 $507.48
82040 191 154 $503.66
86769 13 13 $498.04
84154 41 38 $494.24
64494 1,011 870 $460.39
74021 20 17 $460.08
87184 95 80 $457.36
J1650 Injection, enoxaparin sodium, 10 mg 7,967 3,108 $455.47
99307 143 138 $449.53
G0452 Molecular pathology procedure; physician interpretation and report 16 16 $448.54
V2020 Frames, purchases 116 82 $448.11
80169 46 40 $438.41
0173A 23 13 $433.53
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 2,409 2,098 $420.65
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg 2,206 1,825 $415.51
99091 58 54 $415.23
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 19 18 $396.66
G0297 Low dose ct scan (ldct) for lung cancer screening 185 181 $395.96
87181 74 60 $394.33
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 2,078 1,724 $391.20
V5160 Dispensing fee, binaural 44 15 $390.00
0077U 474 428 $388.96
J1010 Injection, methylprednisolone acetate, 1 mg 136 112 $384.43
83020 33 33 $382.33
81408 92 69 $379.71
78582 14 13 $375.59
90647 7,630 7,018 $374.33
G0380 Level 1 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 147 75 $363.30
95718 16 13 $353.82
J9250 Methotrexate sodium, 5 mg 646 348 $353.48
87209 26 25 $348.90
C1780 Lens, intraocular (new technology) 29 27 $348.00
J1953 Injection, levetiracetam, 10 mg 2,955 2,144 $344.43
99251 18 14 $326.81
83090 36 29 $320.46
90700 114 89 $320.00
87641 13 12 $313.14
99156 16 14 $298.33
90714 2,366 1,958 $295.26
90688 23 23 $291.34
J3370 Injection, vancomycin hcl, 500 mg 4,239 1,850 $287.99
87400 28 14 $281.76
82626 13 12 $277.43
87305 51 24 $274.23
99453 96 95 $272.16
81511 1,202 1,039 $272.00
86645 23 14 $265.11
J9190 Injection, fluorouracil, 500 mg 36 13 $264.73
00811 14 12 $263.03
36247 439 328 $262.27
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 4,377 2,281 $261.20
90707 1,272 1,107 $241.83
J2250 Injection, midazolam hydrochloride, per 1 mg 27,666 22,314 $237.96
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 635 520 $236.88
A4648 Tissue marker, implantable, any type, each 991 871 $236.00
77003 14 13 $235.83
93244 18 18 $234.87
86648 12 12 $225.24
A9901 Dme delivery, set up, and/or dispensing service component of another hcpcs code 52 43 $225.00
D0210 Intraoral - complete series of radiographic images 13 13 $222.66
C1889 Implantable/insertable device, not otherwise classified 60 52 $220.84
36568 19 12 $217.59
58340 18 12 $210.30
95806 14 13 $203.25
88240 37 13 $195.68
84145 579 476 $187.26
G0425 Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth 44 31 $186.90
86687 32 27 $183.40
D1206 Topical application of fluoride varnish 27 24 $181.83
93018 38 36 $181.22
84075 47 43 $178.38
87177 26 25 $174.47
93016 75 54 $172.62
51736 28 24 $169.53
99241 15 14 $163.70
80184 15 12 $151.47
D0150 Comprehensive oral evaluation - new or established patient 14 12 $148.86
80156 13 12 $144.69
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml 874 736 $142.18
86008 80 66 $132.85
97535 Self-care/home management training, each 15 minutes 496 279 $129.91
87350 12 12 $128.07
92340 Fitting of spectacles, except for aphakia; monofocal 13 13 $126.88
92250 26 12 $121.80
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 631 517 $117.89
82270 30 25 $117.51
90685 314 284 $114.85
99226 183 124 $113.46
64999 19 13 $112.25
93291 13 13 $108.59
88334 16 12 $106.96
97150 Therapeutic procedure(s), group (2 or more individuals) 419 222 $106.88
80186 15 12 $104.93
93248 13 12 $102.70
G0453 Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure) 19 12 $90.00
J3475 Injection, magnesium sulfate, per 500 mg 171 117 $85.52
A6261 Wound filler, gel/paste, per fluid ounce, not otherwise specified 93 67 $85.28
95982 13 12 $85.11
86005 12 12 $82.85
92583 29 26 $81.25
90474 14 12 $79.92
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 2,778 2,134 $78.10
J1817 Insulin for administration through dme (i.e., insulin pump) per 50 units 343 180 $75.20
J0612 Injection, calcium gluconate, not otherwise specified, 10 mg 104 67 $70.46
92594 108 94 $69.69
36592 765 375 $69.68
84300 33 24 $69.12
82525 14 14 $67.81
82540 26 13 $61.32
87220 12 12 $55.63
75716 12 12 $55.02
80321 119 104 $53.01
0346T 351 316 $48.81
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg 26 12 $42.45
D1208 Topical application of fluoride, excluding varnish 12 12 $38.10
J0696 Injection, ceftriaxone sodium, per 250 mg 941 806 $36.33
G8990 Other physical or occupational therapy primary functional limitation, current status, at therapy episode outset and at reporting intervals 117 99 $34.90
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose 24 14 $33.63
L4387 Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf 14 14 $31.94
G9171 Voice functional limitation, current status at therapy episode outset and at reporting intervals 113 99 $28.70
C9113 Injection, pantoprazole sodium, per vial 1,323 673 $24.96
J0692 Injection, cefepime hydrochloride, 500 mg 434 150 $23.33
A6222 Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 28 13 $21.10
A6206 Contact layer, sterile, 16 sq. in. or less, each dressing 17 13 $20.55
90739 33 26 $19.47
A7507 Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each 263 230 $16.12
J0610 Injection, calcium gluconate (fresenius kabi), per 10 ml 568 446 $15.55
81596 353 318 $11.47
J7614 Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg 45 44 $9.60
J8540 Dexamethasone, oral, 0.25 mg 62 25 $6.27
Q0169 Promethazine hydrochloride, 12.5 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 73 52 $0.70
90681 5,156 4,825 $0.00
C1729 Catheter, drainage 2,263 1,564 $0.00
J1644 Injection, heparin sodium, per 1000 units 14 12 $0.00
77062 198 170 $0.00
A9577 Injection, gadobenate dimeglumine (multihance), per ml 564 486 $0.00
0502F 7,838 5,764 $0.00
64495 269 248 $0.00
86015 15 12 $0.00
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 1,561 341 $0.00
3078F 324 292 $0.00
G0444 Annual depression screening, 5 to 15 minutes 85 74 $0.00
J2800 Injection, methocarbamol, up to 10 ml 1,201 485 $0.00
3077F 360 329 $0.00
G8985 Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 405 350 $0.00
64636 25 25 $0.00
G0473 Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes 79 70 $0.00
81479 Unlisted molecular pathology procedure 924 669 $0.00
94667 82 72 $0.00
C2628 Catheter, occlusion 210 152 $0.00
C1714 Catheter, transluminal atherectomy, directional 148 137 $0.00
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 87 81 $0.00
L4361 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf 14 14 $0.00
3046F 99 85 $0.00
C1788 Port, indwelling (implantable) 58 54 $0.00
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography 68 65 $0.00
76810 66 51 $0.00
81401 62 55 $0.00
J1171 Injection, hydromorphone, 0.1 mg 233 183 $0.00
P9073 Platelets, pheresis, pathogen-reduced, each unit 58 29 $0.00
87631 54 42 $0.00
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 23 12 $0.00
76376 22 15 $0.00
L1830 Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf 26 25 $0.00
C1765 Adhesion barrier 18 13 $0.00
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 15 13 $0.00
G0270 Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes 13 12 $0.00
V5261 Hearing aid, digital, binaural, bte 12 12 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 411 236 $0.00
C2623 Catheter, transluminal angioplasty, drug-coated, non-laser 19 17 $0.00
J2785 Injection, regadenoson, 0.1 mg 2,390 2,112 $0.00
3008F 8,899 8,361 $0.00
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 541 484 $0.00
90744 1,475 1,417 $0.00
99024 3,489 2,569 $0.00
90680 3,186 3,018 $0.00
90723 11,252 10,619 $0.00
C1892 Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away 184 161 $0.00
C1726 Catheter, balloon dilatation, non-vascular 413 321 $0.00
0500F 348 330 $0.00
V2632 Posterior chamber intraocular lens 1,401 1,121 $0.00
94668 952 422 $0.00
C1877 Stent, non-coated/non-covered, without delivery system 198 134 $0.00
77417 28 12 $0.00
G8991 Other physical or occupational therapy primary functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 117 99 $0.00
90716 999 898 $0.00
3048F 12 12 $0.00
99153 Mod sedat endo service >5yrs 2,729 2,484 $0.00
3080F 280 252 $0.00
90697 1,247 1,077 $0.00
G0009 Administration of pneumococcal vaccine 103 100 $0.00
3351F 164 154 $0.00
3074F 311 283 $0.00
97804 127 102 $0.00
C9290 Injection, bupivacaine liposome, 1 mg 338 224 $0.00
3075F 66 56 $0.00
C2617 Stent, non-coronary, temporary, without delivery system 429 338 $0.00
A0426 Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) 74 54 $0.00
L8699 Prosthetic implant, not otherwise specified 99 67 $0.00
G9172 Voice functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge or to end reporting 113 99 $0.00
3079F 186 168 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 70 39 $0.00
3044F 37 35 $0.00
G8986 Carrying, moving & handling objects functional limitation, discharge status, at discharge from therapy or to end reporting 48 46 $0.00
C1734 Orthopedic/device/drug matrix for opposing bone-to-bone or soft tissue-to bone (implantable) 36 25 $0.00
49424 47 40 $0.00
G8982 Changing & maintaining body position functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 114 92 $0.00
C1773 Retrieval device, insertable (used to retrieve fractured medical devices) 74 50 $0.00
C2618 Probe/needle, cryoablation 60 52 $0.00
0503F 787 713 $0.00
C1781 Mesh (implantable) 158 126 $0.00
G9173 Voice functional limitation, discharge status at discharge from therapy or to end reporting 113 99 $0.00
L3808 Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment 16 12 $0.00
11045 27 25 $0.00
76812 32 25 $0.00
90378 41 30 $0.00
96139 55 52 $0.00
A9540 Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries 13 12 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 18 12 $0.00
A0434 Specialty care transport (sct) 14 13 $0.00
3353F 13 12 $0.00
90619 45 35 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 23 14 $0.00
J7507 Tacrolimus, immediate release, oral, 1 mg 34 12 $0.00