Medicaid Provider Spending

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

NPI: 1154373843 · COLUMBIA, SC 29203 · General Acute Care Hospital · NPI assigned 05/17/2006

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

Authorized official MILLER, POLLY controls 20+ related entities in our dataset. Read more

$74.58M
Total Medicaid Paid
1,294,731
Total Claims
1,127,486
Beneficiaries
486
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMILLER, POLLY (SVP FINANCE, ENTERPRISE CONTRACTING)
NPI Enumeration Date05/17/2006

Related Entities

Other providers sharing the same authorized official: MILLER, POLLY

ProviderCityStateTotal Paid
PRISMA HEALTH-MIDLANDS COLUMBIA SC $68.26M
PRISMA HEALTH-UPSTATE GREENVILLE SC $25.04M
PRISMA HEALTH-UPSTATE GREENVILLE SC $21.98M
PRISMA HEALTH-UPSTATE GREENVILLE SC $19.69M
PRISMA HEALTH-UPSTATE SENECA SC $15.64M
PRISMA HEALTH-MIDLANDS COLUMBIA SC $11.77M
PRISMA HEALTH-UPSTATE GREENVILLE SC $10.74M
GREENVILLE HEALTH CORPORATION GREENVILLE SC $8.90M
PRISMA HEALTH-UPSTATE GREENVILLE SC $8.32M
PRISMA HEALTH-UPSTATE GREENVILLE SC $7.45M
PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC $7.44M
PRISMA HEALTH-MIDLANDS COULMBIA SC $7.43M
PRISMA HEALTH-MIDLANDS COLUMBIA SC $6.88M
PRISMA HEALTH TUOMEY SUMTER SC $6.84M
PRISMA HEALTH-MIDLANDS COLUMBIA SC $6.77M
PRISMA HEALTH-UPSTATE GREENVILLE SC $6.37M
PRISMA HEALTH-UPSTATE GREENVILLE SC $5.00M
PRISMA HEALTH-UPSTATE GREENVILLE SC $4.65M
PRISMA HEALTH-MIDLANDS COLUMBIA SC $4.63M
PRISMA HEALTH-UPSTATE SENECA SC $4.48M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 128,742 $7.31M
2019 163,631 $8.41M
2020 202,594 $9.40M
2021 244,441 $12.03M
2022 233,398 $13.58M
2023 179,265 $12.65M
2024 142,660 $11.21M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
36415 Collection of venous blood by venipuncture 39,840 35,108 $7.39M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 61,026 20,186 $4.31M
81025 16,078 15,455 $3.88M
99283 Emergency department visit for the evaluation and management, moderate severity 50,115 46,981 $3.74M
80048 Basic metabolic panel (calcium, ionized) 25,475 22,198 $3.16M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 10,353 9,570 $2.86M
80053 Comprehensive metabolic panel 29,762 26,738 $2.61M
99282 Emergency department visit for the evaluation and management, low to moderate severity 13,927 13,108 $2.14M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1,779 1,764 $2.12M
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12,898 9,906 $1.92M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 26,132 23,221 $1.84M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 28,801 23,717 $1.73M
81003 17,051 12,702 $1.68M
96361 Intravenous infusion, hydration; each additional hour 12,823 9,161 $1.67M
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 9,021 8,754 $1.39M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 9,366 9,189 $1.21M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,897 3,863 $1.17M
70551 Magnetic resonance imaging, brain; without contrast material 1,737 1,709 $1.14M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 7,486 5,300 $943K
88305 Level IV - Surgical pathology, gross and microscopic examination 4,044 3,995 $936K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,843 1,839 $933K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 10,053 9,335 $897K
86850 6,213 5,545 $884K
99284 Emergency department visit for the evaluation and management, high severity 23,840 22,632 $796K
88304 2,254 2,245 $789K
71046 Radiologic examination, chest; 2 views 15,733 15,300 $708K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15,077 12,619 $694K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 15,757 15,319 $645K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 4,824 4,610 $619K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 8,269 2,953 $616K
97530 Therapeutic activities, direct patient contact, each 15 minutes 10,885 4,015 $587K
84156 1,622 1,444 $577K
97161 8,176 8,040 $570K
81001 22,650 21,398 $465K
87086 Culture, bacterial; quantitative colony count, urine 13,265 12,768 $436K
99281 Emergency department visit for the evaluation and management, self-limited or minor 2,499 2,310 $403K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,925 3,915 $390K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 14,815 13,908 $374K
95782 378 378 $355K
80069 4,022 2,962 $346K
70450 Computed tomography, head or brain; without contrast material 4,694 4,540 $319K
87480 3,054 2,998 $299K
54360 680 680 $288K
84702 4,226 3,757 $282K
85027 10,842 9,897 $281K
74018 4,756 4,448 $270K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 417 416 $269K
76770 1,753 1,739 $269K
87081 5,948 5,894 $269K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,827 1,768 $268K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 6,091 6,039 $268K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,011 4,523 $263K
87070 1,728 1,671 $262K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 49,974 42,637 $252K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,378 4,368 $250K
87481 602 599 $248K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 5,635 5,323 $248K
92551 3,266 3,261 $246K
87210 3,379 3,267 $242K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 3,026 1,927 $227K
76830 Ultrasound, transvaginal 1,310 1,288 $217K
76705 Ultrasound, abdominal, real time with image documentation; limited 3,044 2,964 $205K
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 9,004 8,729 $196K
95700 606 595 $191K
76700 Ultrasound, abdominal, real time with image documentation; complete 885 879 $190K
86900 6,832 6,111 $185K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,988 3,980 $178K
D2930 Prefabricated stainless steel crown - primary tooth 299 299 $177K
96375 Therapeutic injection; each additional sequential IV push 7,032 5,853 $171K
87077 4,556 4,427 $169K
82657 216 216 $168K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 696 683 $161K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2,380 2,357 $161K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,264 3,258 $161K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 14,869 12,859 $158K
73130 1,693 1,558 $158K
80061 Lipid panel 9,358 9,283 $156K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,793 1,425 $155K
36416 1,205 1,182 $154K
G0378 Hospital observation service, per hour 12,650 9,461 $153K
71045 Radiologic examination, chest; single view 6,712 6,292 $151K
85018 2,986 2,797 $151K
83655 2,042 2,012 $133K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,830 2,784 $131K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 23,776 20,780 $130K
42820 Tonsillectomy and adenoidectomy; younger than age 12 1,221 1,216 $123K
93971 352 344 $118K
85347 440 373 $118K
77063 Screening digital breast tomosynthesis, bilateral 894 894 $117K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 116 114 $113K
83036 Hemoglobin; glycosylated (A1C) 9,403 9,298 $102K
73630 1,698 1,574 $101K
86780 7,668 7,576 $97K
73560 1,681 1,539 $91K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 8,765 8,678 $87K
93017 989 987 $86K
73030 1,106 1,040 $84K
96376 4,382 2,905 $84K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,443 1,437 $82K
73610 1,073 1,012 $81K
82565 423 413 $80K
77067 Screening mammography, bilateral, including computer-aided detection 2,412 2,412 $79K
93922 156 155 $78K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,972 1,949 $77K
76937 1,187 1,089 $77K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 1,546 1,538 $72K
97165 1,323 1,306 $72K
12011 295 294 $69K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 5,725 4,620 $69K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,249 2,209 $67K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,145 1,126 $64K
95806 297 296 $63K
71260 Computed tomography, thorax, diagnostic; with contrast material 549 544 $58K
73110 719 659 $58K
72100 1,044 1,029 $57K
95811 151 151 $53K
54161 356 356 $51K
J7120 Ringers lactate infusion, up to 1000 cc 23,023 21,420 $48K
72040 564 554 $48K
88300 122 122 $48K
85610 6,742 5,004 $45K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 510 505 $45K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 236 236 $44K
73090 415 384 $44K
95951 211 93 $43K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,629 1,617 $42K
82043 2,423 2,407 $41K
86140 5,091 4,564 $40K
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 1,505 1,468 $38K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 397 396 $38K
71275 Computed tomographic angiography, chest, with contrast material 759 741 $37K
95957 423 203 $35K
72125 Computed tomography, cervical spine; without contrast material 1,140 1,118 $35K
80074 1,162 1,152 $34K
87428 275 269 $33K
71250 84 82 $33K
84703 598 587 $33K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 3,409 1,664 $32K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 79 79 $32K
97535 Self-care/home management training, each 15 minutes 1,025 811 $32K
74019 753 741 $31K
84443 Thyroid stimulating hormone (TSH) 9,444 9,281 $30K
95813 109 107 $30K
80076 1,936 1,882 $29K
83735 13,091 10,606 $29K
86902 945 776 $28K
92523 353 352 $28K
J3490 Unclassified drugs 6,990 5,167 $27K
0202U Oncology (prostate), multianalyte, gene expression profiling 177 175 $25K
92526 391 201 $25K
73590 420 381 $25K
93888 141 141 $24K
76536 189 186 $24K
82728 3,260 3,095 $24K
12001 122 122 $24K
82950 2,668 2,651 $24K
59025 Fetal non-stress test 714 473 $24K
97162 510 501 $23K
84439 2,570 2,537 $23K
76642 300 293 $21K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 141 140 $20K
41899 Unlisted procedure, dentoalveolar structures 421 415 $19K
94760 1,306 830 $18K
70496 80 78 $18K
84145 2,263 1,865 $18K
76886 102 97 $18K
84484 7,057 5,299 $18K
J7030 Infusion, normal saline solution , 1000 cc 5,472 4,806 $17K
73502 334 310 $17K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 379 355 $17K
76376 42 42 $17K
93880 56 54 $17K
76000 423 410 $17K
99215 Prolong outpt/office vis 646 561 $16K
85014 653 611 $16K
76801 650 596 $16K
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 85 84 $16K
85660 755 639 $16K
87807 284 282 $15K
P9016 Red blood cells, leukocytes reduced, each unit 1,075 896 $15K
82330 415 398 $15K
42830 53 53 $15K
A4649 Surgical supply; miscellaneous 175 157 $15K
88142 1,494 1,489 $15K
87631 1,230 1,216 $14K
82570 4,014 3,807 $14K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 163 163 $14K
76818 444 258 $14K
99174 200 198 $14K
74230 49 49 $14K
76870 66 64 $13K
77072 374 374 $13K
93923 39 37 $13K
72141 12 12 $12K
90686 6,389 6,373 $12K
93970 40 40 $12K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 13,027 12,367 $12K
J3010 Injection, fentanyl citrate, 0.1 mg 14,868 13,814 $11K
J2270 Injection, morphine sulfate, up to 10 mg 3,866 3,212 $11K
J2704 Injection, propofol, 10 mg 2,223 2,043 $11K
J2405 Injection, ondansetron hydrochloride, per 1 mg 16,135 14,614 $11K
82550 1,575 1,318 $11K
0002A 288 288 $10K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 4,533 4,104 $10K
76885 64 64 $10K
73070 59 55 $10K
83020 3,372 3,135 $9K
83001 321 320 $9K
S5010 5% dextrose and 0.45% normal saline, 1000 ml 1,452 865 $8K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 66 60 $8K
82105 418 415 $8K
10060 38 37 $8K
70360 69 69 $8K
93976 1,601 1,530 $8K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 781 704 $8K
0072A 220 219 $8K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 387 165 $7K
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 650 641 $7K
84146 293 290 $7K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 70 65 $7K
86361 487 481 $7K
86706 393 387 $6K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 76 76 $6K
82272 132 131 $6K
90715 3,602 3,572 $6K
90460 Immunization administration through 18 years of age via any route, first or only component 12,335 12,267 $6K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 10,698 10,422 $6K
96367 174 158 $6K
J1815 Injection, insulin, per 5 units 574 267 $6K
82805 381 347 $6K
82607 1,316 1,305 $6K
69209 52 51 $5K
86901 6,842 6,115 $5K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 3,517 2,872 $5K
S0315 Disease management program; initial assessment and initiation of the program 146 146 $5K
82962 131 112 $5K
80177 171 156 $5K
87040 2,020 1,799 $5K
83037 96 96 $5K
76819 Fetal biophysical profile; without non-stress testing 541 288 $5K
86038 414 406 $5K
70250 12 12 $5K
86592 342 340 $5K
85045 8,179 7,061 $5K
87205 1,713 1,663 $5K
J1885 Injection, ketorolac tromethamine, per 15 mg 8,075 7,237 $5K
99188 1,187 1,186 $5K
73552 71 67 $4K
74176 Computed tomography, abdomen and pelvis; without contrast material 39 37 $4K
82040 43 43 $4K
43762 27 24 $4K
73080 28 27 $4K
85651 88 80 $4K
83540 2,409 2,362 $4K
11981 24 24 $4K
94664 1,482 1,066 $4K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 61 59 $4K
90647 2,372 2,372 $3K
J0696 Injection, ceftriaxone sodium, per 250 mg 3,638 2,924 $3K
99173 867 865 $3K
83880 2,356 2,103 $3K
92610 105 102 $3K
86695 42 39 $3K
84132 368 341 $3K
84466 1,887 1,849 $3K
82670 83 83 $3K
J2060 Injection, lorazepam, 2 mg 982 778 $3K
85379 513 505 $3K
J1650 Injection, enoxaparin sodium, 10 mg 470 185 $3K
74022 89 89 $3K
84134 561 541 $3K
86803 4,388 4,352 $3K
0001A 366 365 $3K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 15,442 15,019 $3K
90656 499 499 $3K
90670 2,905 2,904 $3K
A9585 Injection, gadobutrol, 0.1 ml 1,203 1,164 $3K
99205 Prolong outpt/office vis 116 115 $2K
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 85 85 $2K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 272 272 $2K
97116 436 211 $2K
87486 25 25 $2K
0071A 315 315 $2K
90677 736 736 $2K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 1,217 639 $2K
72170 55 54 $2K
84425 737 727 $2K
97113 30 13 $2K
76377 17 17 $2K
J1050 Injection, medroxyprogesterone acetate, 1 mg 4,038 4,021 $2K
97597 73 54 $2K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 105 104 $2K
J3475 Injection, magnesium sulfate, per 500 mg 753 633 $2K
93297 12 12 $2K
86480 275 273 $2K
73060 12 12 $2K
85730 3,246 2,966 $2K
90633 2,627 2,625 $2K
J2550 Injection, promethazine hcl, up to 50 mg 640 477 $2K
80081 66 66 $2K
74240 12 12 $2K
83690 5,970 5,648 $2K
J1170 Injection, hydromorphone, up to 4 mg 3,866 2,325 $2K
J7042 5% dextrose/normal saline (500 ml = 1 unit) 451 313 $1K
0082A 47 47 $1K
83516 341 338 $1K
85384 194 172 $1K
70498 76 76 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5,018 4,937 $1K
87536 553 544 $1K
Q3014 Telehealth originating site facility fee 29 29 $1K
74220 12 12 $1K
Q9957 Injection, perflutren lipid microspheres, per ml 160 157 $1K
82077 490 475 $993.30
J7050 Infusion, normal saline solution, 250 cc 1,889 1,550 $956.15
J3480 Injection, potassium chloride, per 2 meq 737 537 $954.64
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,544 1,242 $931.89
90651 1,180 1,179 $931.48
84100 2,299 1,750 $912.22
84481 432 432 $869.80
91320 188 188 $853.81
87660 2,979 2,928 $820.08
86580 52 49 $813.70
90472 Immunization administration, each additional vaccine (list separately) 218 214 $812.26
87340 3,963 3,910 $742.28
83605 1,229 1,104 $714.91
0004A 128 128 $710.34
86308 14 14 $697.91
92522 12 12 $684.77
G0257 Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility 235 88 $672.81
82784 597 584 $660.39
94644 745 706 $634.69
J2250 Injection, midazolam hydrochloride, per 1 mg 6,111 5,986 $613.57
0124A 274 274 $604.46
87522 Neg quan hep c or qual rna 126 125 $581.64
J1644 Injection, heparin sodium, per 1000 units 1,353 875 $559.27
80143 70 68 $551.50
58300 12 12 $550.82
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 333 264 $531.58
86364 134 133 $516.25
J0360 Injection, hydralazine hcl, up to 20 mg 30 28 $498.75
99383 12 12 $482.90
86920 1,211 1,017 $482.59
86696 58 53 $448.45
86704 136 134 $402.18
83615 1,116 815 $378.63
90707 564 564 $367.90
0054A 134 134 $360.66
85652 2,996 2,785 $339.84
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 22 18 $337.66
87075 132 131 $336.68
36430 1,114 901 $336.53
87186 3,177 3,096 $319.66
J0690 Injection, cefazolin sodium, 500 mg 4,475 3,922 $317.94
86762 1,587 1,571 $310.80
82627 12 12 $289.77
90620 512 511 $288.88
99152 258 252 $265.67
82553 35 27 $262.80
0081A 105 105 $261.45
86923 165 142 $259.47
90696 437 437 $258.04
84550 220 213 $254.32
88342 198 192 $234.30
82746 734 731 $222.39
J2795 Injection, ropivacaine hydrochloride, 1 mg 2,304 2,273 $221.51
90700 478 478 $184.11
86003 43 41 $182.45
J0330 Injection, succinylcholine chloride, up to 20 mg 1,360 1,332 $171.30
0052A 14 14 $166.10
90723 2,423 2,423 $156.00
29125 12 12 $140.22
36591 184 148 $135.60
84403 231 230 $133.50
90746 29 29 $119.81
89051 72 69 $111.51
80323 164 163 $94.94
0154A 43 43 $81.66
J0171 Injection, adrenalin, epinephrine, 0.1 mg 67 65 $79.73
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 776 549 $74.02
90710 610 610 $55.07
90682 62 61 $51.55
86235 106 97 $51.16
J0780 Injection, prochlorperazine, up to 10 mg 276 263 $46.12
82951 12 12 $43.76
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 361 324 $41.74
90734 1,660 1,625 $39.64
H0002 Behavioral health screening to determine eligibility for admission to treatment program 16 16 $37.60
90681 1,318 1,318 $36.00
86255 156 146 $35.71
86787 76 75 $32.14
82785 19 19 $18.68
84450 152 152 $17.87
J2765 Injection, metoclopramide hcl, up to 10 mg 15 13 $17.62
86317 35 35 $13.67
82947 45 45 $13.19
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg 152 132 $11.49
A9270 Non-covered item or service 1,192 618 $7.98
36410 155 144 $4.30
84460 152 152 $2.71
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 124 124 $0.00
J0280 Injection, aminophyllin, up to 250 mg 129 129 $0.00
87510 3,041 2,985 $0.00
90716 549 549 $0.00
90732 54 51 $0.00
90480 338 337 $0.00
45380 Colonoscopy, flexible; with biopsy, single or multiple 243 242 $0.00
S0020 Injection, bupivicaine hydrochloride, 30 ml 1,420 1,414 $0.00
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 77 75 $0.00
88307 26 26 $0.00
G0008 Administration of influenza virus vaccine 161 158 $0.00
95716 204 168 $0.00
86921 138 114 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 54 52 $0.00
J2785 Injection, regadenoson, 0.1 mg 317 316 $0.00
83002 184 183 $0.00
86160 297 279 $0.00
J1940 Injection, furosemide, up to 20 mg 158 117 $0.00
70491 13 13 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 150 143 $0.00
J1630 Injection, haloperidol, up to 5 mg 66 54 $0.00
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 41 37 $0.00
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 12 12 $0.00
84436 37 37 $0.00
81050 12 12 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 145 100 $0.00
99153 Mod sedat endo service >5yrs 56 54 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 251 221 $0.00
93458 56 55 $0.00
C1769 Guide wire 300 287 $0.00
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 74 74 $0.00
31231 13 13 $0.00
86376 88 86 $0.00
G0379 Direct admission of patient for hospital observation care 76 76 $0.00
87581 25 25 $0.00
0051A 14 14 $0.00
86225 44 42 $0.00
88341 14 14 $0.00
90935 Hemodialysis procedure with single evaluation by a physician 23 12 $0.00
0011A 12 12 $0.00
87799 612 607 $0.00
90649 722 722 $0.00
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 39 26 $0.00
86922 138 114 $0.00
90461 2,778 2,775 $0.00
90685 612 612 $0.00
95714 209 152 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 26 26 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 220 212 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 610 606 $0.00
93325 16 16 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 139 129 $0.00
87512 602 599 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 46 43 $0.00
92611 13 13 $0.00
S0077 Injection, clindamycin phosphate, 300 mg 98 81 $0.00
80179 40 40 $0.00
84295 24 24 $0.00
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 26 26 $0.00
93750 49 43 $0.00
86200 49 49 $0.00
J3370 Injection, vancomycin hcl, 500 mg 56 42 $0.00
90473 12 12 $0.00
14040 12 12 $0.00
J1953 Injection, levetiracetam, 10 mg 29 24 $0.00
J1598 Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to j1596, 0.1 mg 66 66 $0.00
82977 14 14 $0.00
86431 159 159 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 248 248 $0.00
83970 34 34 $0.00
82610 12 12 $0.00
C9113 Injection, pantoprazole sodium, per vial 21 12 $0.00
90662 20 18 $0.00
94645 41 41 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 16 16 $0.00
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 25 25 $0.00
87641 13 13 $0.00
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg 45 16 $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 22 18 $0.00
J1171 Injection, hydromorphone, 0.1 mg 39 34 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 15 14 $0.00
76857 12 12 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 13 13 $0.00
82248 13 13 $0.00
84590 14 14 $0.00
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 25 25 $0.00