Medicaid Provider Spending

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

DANVILLE REGIONAL MEDICAL CENTER, LLC

NPI: 1154419737 · DANVILLE, VA 24541 · General Acute Care Hospital · NPI assigned 10/10/2006

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

Authorized official LAWRENCE, CHARLOTTE controls 20+ related entities in our dataset. Read more

$65.11M
Total Medicaid Paid
2,330,689
Total Claims
1,784,346
Beneficiaries
491
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAWRENCE, CHARLOTTE (SECRETARY)
NPI Enumeration Date10/10/2006

Related Entities

Other providers sharing the same authorized official: LAWRENCE, CHARLOTTE

ProviderCityStateTotal Paid
LAKE CUMBERLAND REGIONAL HOSPITAL LLC SOMERSET KY $77.77M
PHC-LAS CRUCES INC LAS CRUCES NM $64.77M
GEORGETOWN COMMUNITY HOSPITAL LLC GEORGETOWN KY $44.03M
PINELAKE REGIONAL HOSPITAL LLC MAYFIELD KY $43.34M
RALEIGH GENERAL HOSPITAL LLC BECKLEY WV $36.44M
LOURDES HOSPITAL LLC PASCO WA $33.94M
RCHP-SIERRA VISTA INC SIERRA VISTA AZ $29.77M
CLINCH VALLEY MEDICAL CENTER INC. RICHLANDS VA $26.28M
SPRING VIEW HOSPITAL LLC LEBANON KY $23.35M
HAVASU REGIONAL MEDICAL CENTER LLC LAKE HAVASU CITY AZ $23.19M
LAS CRUCES PHYSICIAN PRACTICES, LLC LAS CRUCES NM $22.78M
MEADOWVIEW REGIONAL MEDICAL CENTER LLC MAYSVILLE KY $22.57M
LOURDES HOSPITAL LLC RICHLAND WA $22.38M
DANVILLE REGIONAL MEDICAL CENTER LLC MARTINSVILLE VA $21.09M
PHC-FORT MOHAVE INC FORT MOHAVE AZ $19.95M
WYTHE COUNTY COMMUNITY HOSPITAL LLC WYTHEVILLE VA $18.30M
DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC JOHNSTOWN PA $18.22M
BOURBON COMMUNITY HOSPITAL LLC PARIS KY $18.14M
WILLAMETTE VALLEY MEDICAL CENTER LLC MCMINNVILLE OR $17.29M
LAKE CUMBERLAND REGIONAL HOSPITAL, LLC SOMERSET KY $15.55M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 344,140 $4.68M
2019 381,655 $6.24M
2020 276,584 $7.80M
2021 293,878 $8.13M
2022 281,415 $8.02M
2023 423,788 $16.07M
2024 329,229 $14.18M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 65,401 52,176 $8.57M
99283 Emergency department visit for the evaluation and management, moderate severity 61,944 52,259 $8.33M
96361 Intravenous infusion, hydration; each additional hour 35,437 25,175 $8.20M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 36,756 28,851 $4.34M
70450 Computed tomography, head or brain; without contrast material 20,400 16,866 $2.68M
99282 Emergency department visit for the evaluation and management, low to moderate severity 18,485 16,543 $2.62M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 25,851 14,653 $2.30M
74177 Computed tomography, abdomen and pelvis; with contrast material 11,130 9,577 $1.77M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 23,636 20,897 $1.49M
G0378 Hospital observation service, per hour 9,920 7,348 $1.39M
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 10,448 6,605 $1.35M
74176 Computed tomography, abdomen and pelvis; without contrast material 8,736 7,397 $1.30M
99281 Emergency department visit for the evaluation and management, self-limited or minor 8,404 7,660 $1.29M
71275 Computed tomographic angiography, chest, with contrast material 4,364 3,784 $718K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 7,731 6,386 $679K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,042 1,731 $616K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,052 2,666 $612K
80053 Comprehensive metabolic panel 138,245 101,380 $571K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1,457 1,270 $558K
42820 Tonsillectomy and adenoidectomy; younger than age 12 272 249 $551K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 24,702 18,946 $535K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 12,945 8,615 $512K
36475 388 256 $511K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 20,360 17,703 $440K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 3,071 1,675 $407K
P9016 Red blood cells, leukocytes reduced, each unit 2,658 1,756 $402K
96367 6,379 2,921 $351K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 336 284 $315K
93970 3,315 2,835 $288K
93971 3,730 2,973 $281K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 9,115 4,766 $275K
78815 Positron emission tomography (PET) for limited area imaging 385 334 $270K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 155,279 108,967 $261K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 15,939 14,598 $255K
76705 Ultrasound, abdominal, real time with image documentation; limited 3,311 2,972 $254K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 4,869 2,236 $250K
96375 Therapeutic injection; each additional sequential IV push 37,364 25,661 $240K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 8,848 2,059 $225K
45380 Colonoscopy, flexible; with biopsy, single or multiple 687 583 $219K
76700 Ultrasound, abdominal, real time with image documentation; complete 1,961 1,807 $210K
36430 2,665 1,841 $203K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 396 352 $195K
10060 1,436 1,221 $181K
76830 Ultrasound, transvaginal 2,081 1,899 $179K
70551 Magnetic resonance imaging, brain; without contrast material 1,145 1,000 $168K
80050 General health panel 2,968 2,954 $165K
80061 Lipid panel 23,949 21,894 $164K
84443 Thyroid stimulating hormone (TSH) 31,729 27,931 $164K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk 214 206 $161K
12001 813 748 $159K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 805 742 $153K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 2,513 2,286 $148K
47562 52 49 $146K
83036 Hemoglobin; glycosylated (A1C) 19,362 17,520 $145K
J7120 Ringers lactate infusion, up to 1000 cc 4,160 3,363 $135K
97161 2,777 2,274 $132K
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 7,245 6,175 $131K
72125 Computed tomography, cervical spine; without contrast material 6,767 5,753 $121K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 259 235 $120K
71260 Computed tomography, thorax, diagnostic; with contrast material 2,518 2,202 $110K
93017 1,559 1,360 $108K
83880 18,813 14,689 $108K
82607 10,525 9,475 $107K
76770 1,134 1,004 $107K
36415 Collection of venous blood by venipuncture 47,803 35,568 $104K
80048 Basic metabolic panel (calcium, ionized) 26,159 19,667 $103K
71046 Radiologic examination, chest; 2 views 6,799 5,927 $93K
76801 2,036 1,729 $91K
11043 535 259 $91K
71250 2,187 1,889 $91K
87086 Culture, bacterial; quantitative colony count, urine 26,583 22,615 $90K
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 377 332 $86K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 904 622 $82K
J9271 Injection, pembrolizumab, 1 mg 16 12 $80K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 27,544 20,940 $79K
71045 Radiologic examination, chest; single view 52,899 41,212 $77K
77412 243 24 $77K
77063 Screening digital breast tomosynthesis, bilateral 2,337 2,181 $73K
77067 Screening mammography, bilateral, including computer-aided detection 2,890 2,706 $72K
77336 922 351 $71K
87040 22,236 13,284 $68K
86235 979 808 $68K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 6,567 5,843 $67K
J2469 Injection, palonosetron hcl, 25 mcg 781 401 $66K
70496 355 315 $65K
97530 Therapeutic activities, direct patient contact, each 15 minutes 3,678 1,400 $63K
84439 10,380 9,248 $63K
72131 967 852 $60K
76642 629 563 $60K
12002 349 318 $59K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 66,410 46,703 $57K
82728 7,601 6,567 $56K
29125 1,015 910 $53K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 6,555 5,833 $49K
87081 11,321 10,507 $48K
97165 1,041 860 $48K
72100 3,810 3,326 $47K
84145 11,218 9,047 $47K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 42,586 33,307 $47K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 4,035 3,549 $46K
70491 255 232 $46K
86703 3,228 2,945 $46K
76536 509 469 $46K
70486 1,648 1,470 $46K
86003 1,018 743 $45K
71271 513 460 $44K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 203 148 $44K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 18,810 16,256 $43K
12011 229 212 $42K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 180 177 $42K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 620 550 $40K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 2,061 1,933 $38K
93975 456 416 $38K
85652 7,074 5,293 $37K
90715 2,769 2,541 $37K
74018 3,975 3,367 $36K
82247 3,293 1,819 $36K
82746 6,026 5,351 $34K
83540 9,034 7,975 $33K
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) 214 121 $33K
93880 547 460 $31K
81001 62,491 50,349 $31K
96415 159 103 $30K
84466 4,564 4,035 $30K
88305 Level IV - Surgical pathology, gross and microscopic examination 7,509 6,369 $30K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 254 189 $29K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,606 1,367 $29K
97116 1,750 863 $29K
84702 10,128 8,261 $28K
84484 40,275 26,835 $28K
87077 9,075 7,559 $28K
97162 371 310 $28K
88342 2,752 2,231 $27K
86803 2,013 1,819 $26K
85027 12,335 8,453 $26K
83735 26,974 18,398 $25K
73030 3,467 2,911 $25K
85379 6,323 5,500 $25K
70498 367 330 $24K
80055 447 411 $24K
73630 3,448 2,902 $23K
43248 46 40 $23K
29515 487 444 $23K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 626 583 $22K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,460 4,164 $22K
73610 3,110 2,666 $22K
73130 2,966 2,547 $22K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,434 490 $20K
82553 13,017 9,627 $20K
82962 31,368 15,909 $20K
72141 103 89 $20K
31500 83 68 $20K
76870 228 195 $20K
43235 40 37 $19K
96376 10,334 6,654 $19K
93976 363 310 $19K
73560 3,894 3,067 $19K
82570 5,871 5,335 $19K
93798 146 24 $16K
87186 8,897 7,409 $16K
J1815 Injection, insulin, per 5 units 6,061 4,001 $16K
83690 28,722 22,924 $16K
87503 3,969 3,502 $16K
82043 5,157 4,763 $15K
86900 7,171 5,733 $15K
77334 108 75 $15K
80074 1,111 1,009 $14K
86140 3,575 2,792 $14K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,842 1,332 $14K
87070 3,726 3,159 $14K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 1,188 1,100 $14K
86780 2,213 2,019 $14K
73502 2,400 1,969 $14K
80076 2,236 1,933 $13K
88360 836 629 $13K
97602 184 99 $13K
97535 Self-care/home management training, each 15 minutes 949 546 $13K
96368 2,104 1,509 $13K
51702 1,267 967 $13K
J7030 Infusion, normal saline solution , 1000 cc 14,256 10,074 $13K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 305 276 $12K
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 4,281 3,700 $12K
85610 37,609 28,864 $12K
86225 927 810 $12K
88185 197 148 $11K
83605 19,509 14,750 $11K
81025 14,129 12,264 $11K
84550 5,088 4,444 $11K
97597 235 181 $11K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 29 28 $10K
83516 778 654 $10K
82677 179 166 $10K
J2704 Injection, propofol, 10 mg 11,907 10,241 $9K
83655 912 888 $9K
81000 4,235 3,121 $9K
73110 1,580 1,349 $9K
87147 1,595 1,422 $9K
82784 1,365 850 $8K
36600 12,398 9,517 $8K
59025 Fetal non-stress test 62 46 $8K
83550 2,479 2,159 $8K
82977 1,186 1,046 $8K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 76 55 $8K
87210 4,652 4,097 $8K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 37 14 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,843 2,435 $7K
83615 3,514 2,694 $7K
77065 Tomosynthesis, mammo 178 137 $7K
80047 3,294 2,612 $7K
73080 1,021 878 $7K
94726 83 71 $7K
84112 316 270 $7K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 121 107 $6K
72040 261 237 $6K
82550 25,348 18,896 $6K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 172 167 $6K
77066 Tomosynthesis, mammo 218 199 $6K
84153 787 678 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,184 1,318 $6K
29581 177 65 $6K
92950 15 12 $6K
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units 604 213 $6K
87340 953 848 $5K
73590 1,389 1,123 $5K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 45 36 $5K
86850 6,221 4,935 $5K
73562 497 418 $5K
96402 63 55 $5K
85730 25,976 20,434 $5K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 1,796 1,438 $5K
64400 16 12 $5K
77280 21 12 $5K
P9612 Catheterization for collection of specimen, single patient, all places of service 1,821 1,485 $5K
88304 1,885 1,660 $5K
84481 554 513 $5K
82248 1,019 666 $5K
87150 524 449 $4K
83525 565 530 $4K
84165 1,080 901 $4K
82785 492 431 $4K
72050 364 324 $4K
86920 3,090 1,807 $4K
J7050 Infusion, normal saline solution, 250 cc 1,261 701 $4K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 7,639 3,149 $4K
84100 7,278 4,455 $4K
J2405 Injection, ondansetron hydrochloride, per 1 mg 29,733 22,459 $4K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 15 14 $4K
80164 1,032 796 $3K
80177 498 400 $3K
74230 96 76 $3K
86901 7,171 5,731 $3K
97016 209 55 $3K
86431 436 400 $3K
78306 12 12 $3K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 34 30 $3K
83883 381 253 $3K
70487 16 13 $3K
94010 88 76 $3K
86038 337 294 $3K
Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units 212 103 $3K
J9217 Leuprolide acetate (for depot suspension), 7.5 mg 16 12 $3K
73090 667 580 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 20 13 $3K
84703 3,419 3,017 $3K
88184 194 147 $3K
95816 17 15 $3K
82805 12,839 9,783 $3K
73564 117 97 $3K
10061 14 14 $3K
J1650 Injection, enoxaparin sodium, 10 mg 3,302 1,935 $2K
73140 193 175 $2K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 7,817 6,270 $2K
86300 319 220 $2K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 156 38 $2K
83704 502 457 $2K
82565 1,086 905 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg 14,295 9,156 $2K
Q0244 Injection, casirivimab and imdevimab, 1200 mg 14 12 $2K
86008 362 322 $2K
87507 27 24 $2K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 241 76 $2K
86706 210 182 $2K
82140 3,964 3,094 $2K
84630 360 317 $2K
86618 269 240 $2K
J8540 Dexamethasone, oral, 0.25 mg 722 442 $2K
83021 475 434 $2K
87581 34 30 $2K
J3010 Injection, fentanyl citrate, 0.1 mg 13,573 11,353 $2K
74022 909 740 $2K
87536 15 14 $2K
76818 17 14 $1K
72070 77 72 $1K
J0561 Injection, penicillin g benzathine, 100,000 units 60 44 $1K
C1776 Joint device (implantable) 17 12 $1K
82947 326 299 $1K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 114 92 $1K
85045 704 505 $1K
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 321 246 $1K
94150 88 76 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 18,585 15,418 $1K
86757 122 104 $1K
84403 141 125 $1K
0011A 66 65 $1K
94729 85 73 $1K
87205 1,394 1,061 $1K
77300 19 12 $1K
74019 106 98 $1K
V2632 Posterior chamber intraocular lens 214 156 $1K
84207 218 187 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 12,975 9,717 $1K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 1,760 1,254 $1K
87088 735 666 $1K
77080 31 24 $1K
0012A 50 49 $1K
73060 178 141 $1K
76981 27 27 $1K
87899 54 42 $989.64
81003 6,930 5,396 $976.89
82105 276 255 $917.32
72192 16 13 $909.13
0001A 43 43 $853.55
90686 88 67 $817.56
86336 179 166 $792.28
86141 97 71 $788.32
43760 45 25 $779.15
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 4,055 3,277 $767.16
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 34 30 $752.37
94644 377 322 $742.90
0002A 29 28 $737.36
88341 76 59 $736.57
73700 14 12 $734.58
84425 157 137 $721.82
87807 772 703 $693.18
J2270 Injection, morphine sulfate, up to 10 mg 9,881 7,258 $692.57
86592 73 65 $692.27
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 8,685 6,969 $691.09
73552 204 172 $688.37
G0008 Administration of influenza virus vaccine 121 95 $678.88
92611 64 50 $673.64
86704 53 41 $670.93
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 5,739 4,544 $667.62
86677 12 12 $661.90
87486 34 30 $643.79
J2795 Injection, ropivacaine hydrochloride, 1 mg 652 552 $637.50
80069 324 283 $628.09
82950 382 364 $619.73
86787 112 100 $605.93
96523 46 27 $561.70
82274 510 445 $557.94
82180 127 116 $545.97
96417 669 351 $530.72
J1756 Injection, iron sucrose, 1 mg 562 291 $524.61
72170 508 426 $520.26
82378 200 165 $497.60
82150 180 165 $482.46
92526 25 17 $476.96
J2250 Injection, midazolam hydrochloride, per 1 mg 8,404 7,188 $469.87
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 26 24 $469.70
83521 204 89 $464.41
82172 29 25 $458.51
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 28 27 $457.29
J0690 Injection, cefazolin sodium, 500 mg 4,932 3,894 $448.80
J1170 Injection, hydromorphone, up to 4 mg 6,408 4,667 $443.86
72128 31 26 $438.48
71101 58 55 $425.91
J2360 Injection, orphenadrine citrate, up to 60 mg 1,973 1,686 $425.77
92610 14 12 $395.29
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 1,503 1,306 $393.90
Q9957 Injection, perflutren lipid microspheres, per ml 614 546 $385.54
87102 83 79 $382.86
86696 27 25 $367.55
J1200 Injection, diphenhydramine hcl, up to 50 mg 6,913 5,112 $365.43
J2404 Injection, nicardipine, 0.1 mg 18 13 $355.67
J0330 Injection, succinylcholine chloride, up to 20 mg 2,608 2,270 $350.40
J3490 Unclassified drugs 408 156 $335.44
C9113 Injection, pantoprazole sodium, per vial 6,614 4,958 $315.00
J7060 5% dextrose/water (500 ml = 1 unit) 836 391 $299.67
J1644 Injection, heparin sodium, per 1000 units 5,833 3,042 $293.30
84132 613 462 $270.82
J2060 Injection, lorazepam, 2 mg 4,298 3,339 $256.82
84436 21 21 $253.27
86308 29 29 $250.84
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 413 362 $245.12
J0153 Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) 148 122 $240.86
86695 29 26 $239.88
J2765 Injection, metoclopramide hcl, up to 10 mg 4,439 3,590 $237.16
87522 Neg quan hep c or qual rna 33 29 $230.99
J0780 Injection, prochlorperazine, up to 10 mg 2,004 1,709 $226.16
83001 28 25 $220.06
86334 81 64 $214.96
87101 26 26 $214.55
84155 123 103 $212.96
82010 1,512 1,198 $198.95
J1953 Injection, levetiracetam, 10 mg 1,302 1,025 $193.91
70360 12 12 $177.91
87045 44 40 $170.80
J3370 Injection, vancomycin hcl, 500 mg 1,976 1,106 $170.20
J2785 Injection, regadenoson, 0.1 mg 205 177 $164.27
J3475 Injection, magnesium sulfate, per 500 mg 3,731 2,390 $148.13
J1940 Injection, furosemide, up to 20 mg 2,282 1,524 $140.51
84146 18 13 $136.69
84479 12 12 $131.98
84156 77 65 $130.80
87075 176 146 $122.87
J0360 Injection, hydralazine hcl, up to 20 mg 3,574 2,749 $122.87
82525 16 14 $117.82
87046 45 40 $117.03
J3480 Injection, potassium chloride, per 2 meq 2,954 1,959 $114.88
J2550 Injection, promethazine hcl, up to 50 mg 2,377 1,867 $112.85
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 1,227 1,080 $103.95
C1758 Catheter, ureteral 1,831 1,525 $100.37
91301 12 12 $95.36
84402 13 12 $91.40
83695 37 32 $90.67
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 32 21 $90.00
80178 48 37 $88.21
87015 32 25 $88.18
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 367 286 $83.84
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 446 285 $77.57
72072 15 13 $71.87
J1790 Injection, droperidol, up to 5 mg 1,247 991 $66.83
36416 71 51 $64.82
88112 18 12 $60.70
99152 118 100 $55.34
84480 46 37 $55.07
84154 18 12 $52.96
88307 45 37 $49.72
82077 865 768 $48.12
84295 26 23 $41.61
J1956 Injection, levofloxacin, 250 mg 807 551 $40.33
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 1,251 862 $39.81
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 505 324 $38.80
84450 42 37 $29.88
J7342 Instillation, ciprofloxacin otic suspension, 6 mg 39 13 $28.28
J1040 Injection, methylprednisolone acetate, 80 mg 203 168 $27.27
J2175 Injection, meperidine hydrochloride, per 100 mg 834 626 $25.73
88313 17 12 $23.16
80185 16 12 $19.72
A9270 Non-covered item or service 16,852 10,755 $19.17
J0456 Injection, azithromycin, 500 mg 685 472 $13.73
87428 181 155 $13.14
87493 39 30 $13.00
J2370 Injection, phenylephrine hcl, up to 1 ml 262 204 $12.91
J7042 5% dextrose/normal saline (500 ml = 1 unit) 228 166 $11.97
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 35 31 $8.94
J3411 Injection, thiamine hcl, 100 mg 179 146 $8.72
89051 13 12 $6.02
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 22 13 $2.40
J0610 Injection, calcium gluconate (fresenius kabi), per 10 ml 27 24 $0.43
J0461 Injection, atropine sulfate, 0.01 mg 24 13 $0.21
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 461 291 $0.00
J3372 Injection, vancomycin hcl (xellia), not therapeutically equivalent to j3370, 500 mg 551 374 $0.00
J0736 Injection, clindamycin phosphate, 300 mg 166 129 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 69 62 $0.00
80179 208 192 $0.00
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg 374 178 $0.00
J2310 Injection, naloxone hydrochloride, per 1 mg 341 294 $0.00
G8997 Swallowing functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 83 55 $0.00
80143 197 184 $0.00
C1760 Closure device, vascular (implantable/insertable) 51 44 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 736 653 $0.00
G8996 Swallowing functional limitation, current status at therapy episode outset and at reporting intervals 83 55 $0.00
J7510 Prednisolone oral, per 5 mg 60 50 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 2,229 1,748 $0.00
J3486 Injection, ziprasidone mesylate, 10 mg 276 184 $0.00
70250 12 12 $0.00
A9576 Injection, gadoteridol, (prohance multipack), per ml 137 125 $0.00
J0692 Injection, cefepime hydrochloride, 500 mg 35 26 $0.00
J1171 Injection, hydromorphone, 0.1 mg 38 35 $0.00
J1630 Injection, haloperidol, up to 5 mg 19 12 $0.00
J1920 Injection, labetalol hydrochloride, 5 mg 421 355 $0.00
C1769 Guide wire 1,577 1,128 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 452 390 $0.00
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 73 64 $0.00
A9585 Injection, gadobutrol, 0.1 ml 69 54 $0.00
C1888 Catheter, ablation, non-cardiac, endovascular (implantable) 210 136 $0.00
G8998 Swallowing functional limitation, discharge status, at discharge from therapy or to end reporting 46 29 $0.00
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 58 49 $0.00
82803 215 173 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 42 26 $0.00
C1781 Mesh (implantable) 31 26 $0.00
88311 49 39 $0.00
C1892 Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away 43 38 $0.00
J9045 Injection, carboplatin, 50 mg 24 12 $0.00
J0613 Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg 30 25 $0.00
J1836 Injection, metronidazole, 10 mg 33 27 $0.00
J3360 Injection, diazepam, up to 5 mg 17 13 $0.00
J0687 Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg 13 12 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 14 13 $0.00
94660 18 12 $0.00