Medicaid Provider Spending

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

LEHIGH VALLEY HOSPITAL

NPI: 1164400131 · ALLENTOWN, PA 18103 · Psychiatric Hospital Unit · NPI assigned 01/09/2006

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

Authorized official THOMAS, ROBERT controls 20+ related entities in our dataset. Read more

$64.40M
Total Medicaid Paid
1,163,602
Total Claims
978,944
Beneficiaries
538
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTHOMAS, ROBERT (CHIEF ACCOUNTING OFFICER)
NPI Enumeration Date01/09/2006

Related Entities

Other providers sharing the same authorized official: THOMAS, ROBERT

ProviderCityStateTotal Paid
MILLENNIUM HEALTH, LLC SAN DIEGO CA $579.29M
LEHIGH VALLEY HOSPITAL POCONO EAST STROUDSBURG PA $11.90M
LEHIGH VALLEY HOSPITAL HAZLETON HAZLETON PA $11.69M
LEHIGH VALLEY HOSPITAL ALLENTOWN PA $10.00M
LEHIGH VALLEY HOSPITAL - SCHUYLKILL POTTSVILLE PA $6.83M
LEHIGH VALLEY HOSPITAL- POCONO DICKSON CITY PA $3.75M
LEHIGH VALLEY HOSPITAL ALLENTOWN PA $2.90M
LEHIGH VALLEY HOSPITAL ALLENTOWN PA $1.95M
LEHIGH VALLEY HOSPITAL, INC ALLENTOWN PA $1.85M
LEHIGH VALLEY HOSPITAL ALLENTOWN PA $1.40M
LEHIGH VALLEY HOSPITAL - SCHUYLKILL SAINT CLAIR PA $744K
MARYLAND WOUND & AMPUTATION PREVENTION, LLC LUTHERVILLE MD $399K
ROBERT L THOMAS MD FCCP LLC WALTERBORO SC $253K
A-ONE HOME HEALTH SERVICES, LLC EVERETT WA $236K
AVAMERE HOME HEALTH CARE, LLC BELLINGHAM WA $234K
LEHIGH VALLEY HOSPITAL SCHUYLKILL POTTSVILLE PA $218K
LEHIGH VALLEY HOSPITAL HAZLETON HAZLETON PA $193K
PRIME HOME HEALTH, LLC FEDERAL WAY WA $115K
LEHIGH VALLEY HOSPITAL ALLENTOWN PA $70K
NORTHWEST HOSPICE LLC TIGARD OR $33K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,567 $792K
2019 17,401 $894K
2020 126,820 $6.14M
2021 451,536 $24.35M
2022 167,303 $10.40M
2023 216,677 $12.01M
2024 176,298 $9.82M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 88,362 85,681 $19.31M
99283 Emergency department visit for the evaluation and management, moderate severity 63,777 61,651 $11.83M
T1015 Clinic visit/encounter, all-inclusive 137,815 74,615 $6.79M
G0378 Hospital observation service, per hour 4,100 3,271 $4.70M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 24,613 23,770 $4.66M
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 13,253 12,756 $770K
J9271 Injection, pembrolizumab, 1 mg 586 462 $735K
74177 Computed tomography, abdomen and pelvis; with contrast material 4,362 4,223 $563K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 10,079 9,773 $481K
80053 Comprehensive metabolic panel 67,037 63,002 $451K
77067 Screening mammography, bilateral, including computer-aided detection 4,525 4,428 $446K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1,406 1,385 $378K
X0621 1,433 1,193 $353K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 3,258 2,234 $351K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,351 3,296 $316K
J1745 Injection, infliximab, excludes biosimilar, 10 mg 527 497 $287K
J3380 Injection, vedolizumab, intravenous, 1 mg 130 119 $284K
95810 Polysomnography; sleep staging with 4 or more additional parameters 778 756 $273K
95782 303 293 $267K
78815 Positron emission tomography (PET) for limited area imaging 258 251 $264K
97161 3,478 3,427 $236K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 4,724 4,601 $229K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 4,180 1,409 $228K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 64,635 59,929 $215K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 31,847 30,206 $211K
70551 Magnetic resonance imaging, brain; without contrast material 696 683 $194K
80061 Lipid panel 12,430 12,215 $188K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 5,759 5,558 $178K
87536 1,619 1,584 $177K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 572 545 $173K
71046 Radiologic examination, chest; 2 views 10,270 9,874 $170K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 868 844 $168K
96361 Intravenous infusion, hydration; each additional hour 3,215 2,472 $163K
72141 540 534 $149K
74183 343 340 $149K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 3,974 2,891 $144K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 3,542 3,473 $140K
97162 2,218 2,160 $136K
96375 Therapeutic injection; each additional sequential IV push 5,489 4,053 $135K
72197 282 278 $133K
450 Pov group 1 hd 301-450 lbs 144 78 $133K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 4,910 4,200 $132K
73221 421 404 $120K
J2323 Injection, natalizumab, 1 mg 148 138 $118K
84443 Thyroid stimulating hormone (TSH) 4,861 4,740 $116K
77063 Screening digital breast tomosynthesis, bilateral 4,465 4,368 $115K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,997 1,950 $112K
80050 General health panel 3,163 3,058 $108K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 583 570 $107K
95806 1,207 1,187 $106K
76770 1,655 1,625 $103K
70450 Computed tomography, head or brain; without contrast material 2,428 2,352 $102K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,767 1,697 $101K
76536 1,734 1,697 $99K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,751 2,684 $98K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 795 782 $95K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1,380 1,369 $90K
76642 1,774 1,602 $89K
36415 Collection of venous blood by venipuncture 11,008 8,689 $81K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,524 1,365 $79K
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 2,667 2,397 $78K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 484 472 $76K
77066 Tomosynthesis, mammo 751 734 $76K
74178 313 306 $73K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,332 557 $71K
64615 502 494 $69K
87631 1,079 1,044 $69K
95700 306 289 $64K
77065 Tomosynthesis, mammo 762 711 $63K
77386 231 25 $63K
93971 1,088 1,051 $62K
76830 Ultrasound, transvaginal 1,509 1,452 $60K
71250 847 831 $59K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 1,861 1,822 $58K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,644 1,586 $58K
62323 442 438 $57K
83036 Hemoglobin; glycosylated (A1C) 8,151 8,007 $57K
72158 221 216 $57K
74176 Computed tomography, abdomen and pelvis; without contrast material 950 928 $54K
84703 9,938 9,334 $52K
76700 Ultrasound, abdominal, real time with image documentation; complete 827 815 $51K
93975 696 671 $50K
J1750 Injection, iron dextran, 50 mg 2,797 2,079 $48K
97165 732 729 $46K
93296 3,293 3,265 $46K
86803 2,156 2,119 $45K
99282 Emergency department visit for the evaluation and management, low to moderate severity 443 427 $45K
84484 10,412 9,439 $45K
80081 494 487 $45K
99215 Prolong outpt/office vis 570 545 $44K
J0897 Injection, denosumab, 1 mg 86 79 $43K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,780 2,192 $43K
D1110 Prophylaxis - adult 1,273 1,265 $43K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 697 673 $42K
J0185 Injection, aprepitant, 1 mg 873 619 $42K
76813 644 635 $42K
D7140 Extraction, erupted tooth or exposed root 610 310 $41K
J2785 Injection, regadenoson, 0.1 mg 1,137 1,100 $40K
81003 22,742 21,643 $40K
93970 426 405 $39K
93226 894 874 $38K
93017 897 874 $36K
93976 461 451 $36K
96417 561 336 $35K
95708 267 211 $35K
77080 584 573 $35K
76775 742 728 $35K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 937 345 $34K
16020 1,349 1,173 $34K
72156 129 126 $34K
97166 564 546 $33K
97164 791 772 $33K
96040 678 665 $32K
74018 1,626 1,568 $32K
J0585 Injection, onabotulinumtoxina, 1 unit 667 538 $32K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 2,049 1,794 $32K
86480 420 409 $31K
36430 187 162 $30K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 507 499 $30K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 758 721 $30K
86780 1,763 1,721 $30K
73564 1,437 1,319 $29K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,739 2,657 $29K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,042 791 $28K
76885 256 253 $28K
96415 747 600 $28K
85027 3,743 3,610 $27K
70544 124 123 $27K
83690 8,131 7,682 $27K
80048 Basic metabolic panel (calcium, ionized) 3,421 3,207 $27K
64493 141 131 $26K
92579 439 428 $26K
76818 367 254 $26K
77412 581 65 $26K
77336 627 299 $26K
72110 1,144 1,135 $26K
84702 2,105 1,791 $25K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,041 382 $25K
92587 722 706 $25K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 362 303 $25K
94729 694 680 $23K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 241 234 $23K
70486 349 343 $23K
76821 353 157 $23K
J1756 Injection, iron sucrose, 1 mg 3,976 1,780 $23K
D0120 Periodic oral evaluation - established patient 1,144 1,136 $23K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,088 1,064 $22K
82728 1,807 1,760 $22K
92523 259 257 $22K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 34 26 $22K
96411 307 217 $22K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,096 1,070 $21K
12001 180 177 $21K
82570 3,082 2,991 $21K
76870 456 446 $20K
72125 Computed tomography, cervical spine; without contrast material 566 555 $19K
97163 302 292 $19K
78264 193 188 $19K
93225 955 934 $18K
95886 403 384 $18K
82043 2,467 2,413 $18K
93350 382 368 $18K
A9585 Injection, gadobutrol, 0.1 ml 1,212 705 $18K
86360 275 268 $18K
10005 131 130 $18K
84466 1,003 983 $18K
64483 98 96 $17K
83970 390 381 $16K
86003 95 94 $16K
77334 228 206 $16K
94726 490 479 $16K
J2469 Injection, palonosetron hcl, 25 mcg 2,635 1,654 $16K
87086 Culture, bacterial; quantitative colony count, urine 2,762 2,663 $16K
80074 289 282 $16K
73610 1,004 969 $16K
97597 775 589 $16K
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 603 600 $15K
83880 1,187 1,139 $15K
85610 5,315 4,542 $15K
93923 274 269 $15K
86706 1,022 1,009 $15K
73030 1,037 993 $15K
72050 515 509 $14K
73630 1,391 1,293 $14K
70491 211 211 $14K
72082 282 277 $14K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 475 226 $14K
86359 275 268 $14K
77062 539 526 $14K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 38 37 $13K
92567 890 872 $13K
92557 377 373 $13K
95954 411 310 $13K
82784 562 549 $12K
87522 Neg quan hep c or qual rna 304 294 $12K
73502 630 609 $12K
76819 Fetal biophysical profile; without non-stress testing 176 122 $12K
87800 623 603 $11K
73130 1,054 934 $11K
82947 6,425 5,785 $11K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 697 456 $11K
82607 813 794 $11K
86850 1,918 1,707 $11K
93880 129 124 $11K
71045 Radiologic examination, chest; single view 3,088 2,948 $11K
72146 56 56 $11K
J7030 Infusion, normal saline solution , 1000 cc 31,855 25,569 $11K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,049 1,022 $11K
83735 2,890 2,625 $10K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 471 441 $10K
95819 416 408 $10K
92611 266 259 $10K
84403 338 328 $10K
83540 1,131 1,105 $10K
80076 1,014 1,004 $10K
96401 307 180 $10K
76820 327 144 $10K
80305 1,795 1,671 $9K
84439 1,138 1,110 $9K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 39 39 $9K
49083 30 12 $9K
96416 58 38 $9K
73110 649 625 $9K
G0297 Low dose ct scan (ldct) for lung cancer screening 104 104 $9K
81001 4,997 4,780 $9K
91200 305 301 $8K
84480 939 933 $8K
86038 532 522 $8K
J7120 Ringers lactate infusion, up to 1000 cc 22,234 19,419 $8K
86704 455 447 $8K
84436 747 744 $8K
87340 460 447 $8K
96409 87 58 $7K
83605 2,139 1,983 $7K
17108 75 73 $7K
86618 348 343 $7K
72100 332 327 $7K
74230 286 279 $7K
88172 134 132 $7K
84153 279 270 $7K
70480 56 54 $7K
78227 26 26 $7K
74240 149 148 $7K
10060 107 102 $7K
84146 235 234 $6K
86708 405 399 $6K
96523 323 256 $6K
G0008 Administration of influenza virus vaccine 793 786 $6K
86900 1,996 1,782 $6K
12011 66 65 $6K
77387 92 12 $6K
D0274 Bitewings - four radiographic images 214 214 $6K
74221 103 100 $6K
82105 272 258 $6K
85379 1,316 1,279 $6K
J9395 Injection, fulvestrant, 25 mg 12 12 $6K
77300 150 142 $6K
86901 1,980 1,766 $6K
93798 209 41 $5K
86235 283 279 $5K
72131 89 88 $5K
84460 587 577 $5K
95910 75 74 $5K
J2405 Injection, ondansetron hydrochloride, per 1 mg 19,874 16,014 $5K
90686 696 690 $5K
70360 407 403 $5K
85730 860 837 $5K
59025 Fetal non-stress test 368 309 $5K
71271 52 49 $5K
82746 367 360 $5K
83655 391 379 $5K
A9575 Injection, gadoterate meglumine, 0.1 ml 4,364 2,825 $5K
96376 742 568 $5K
73590 359 338 $5K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 928 544 $5K
J2704 Injection, propofol, 10 mg 10,553 5,746 $4K
73220 13 12 $4K
84270 150 149 $4K
82950 584 572 $4K
86225 296 287 $4K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 189 171 $4K
82962 2,677 2,337 $4K
88185 14 13 $4K
83001 224 216 $4K
78306 82 82 $4K
76882 505 451 $4K
76827 82 82 $4K
88173 137 135 $4K
86200 275 271 $4K
83021 175 162 $4K
64400 30 28 $4K
85652 1,466 1,413 $4K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 13 13 $4K
74022 234 229 $4K
76641 62 44 $4K
D0220 Intraoral - periapical first radiographic image 512 501 $4K
94010 437 428 $4K
86160 112 104 $4K
80197 303 236 $4K
72040 214 209 $4K
72072 181 178 $4K
90715 1,075 1,009 $4K
81025 2,331 2,191 $4K
86140 1,340 1,292 $4K
96402 138 132 $3K
72070 151 147 $3K
73080 360 344 $3K
73523 105 102 $3K
J3010 Injection, fentanyl citrate, 0.1 mg 9,739 8,351 $3K
94727 161 158 $3K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,282 1,246 $3K
94060 291 286 $3K
87186 654 638 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg 28,793 23,702 $3K
73560 223 194 $3K
D0140 Limited oral evaluation - problem focused 260 256 $3K
97168 70 68 $3K
76825 123 116 $3K
86431 372 366 $3K
77049 12 12 $3K
72157 12 12 $3K
88313 58 57 $3K
95885 73 64 $3K
73140 367 360 $3K
83525 217 217 $3K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 2,201 1,736 $3K
87077 645 627 $3K
62321 16 16 $3K
82550 556 532 $3K
84165 196 187 $3K
80164 238 209 $3K
84156 624 586 $3K
71101 180 175 $3K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,915 1,886 $2K
73552 163 149 $2K
97167 41 41 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 9,520 7,317 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 80 79 $2K
77061 88 88 $2K
D0330 Panoramic radiographic image 70 70 $2K
83002 128 124 $2K
74246 55 55 $2K
92522 41 41 $2K
84550 343 324 $2K
70496 17 17 $2K
77072 164 159 $2K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 161 159 $2K
D0150 Comprehensive oral evaluation - new or established patient 94 94 $2K
73700 27 27 $2K
84100 570 502 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 12,059 10,014 $2K
D0210 Intraoral - complete series of radiographic images 46 46 $2K
84630 128 126 $2K
87040 227 219 $2K
92593 107 105 $2K
92083 44 44 $2K
88342 229 228 $2K
95816 147 146 $2K
74019 130 126 $2K
85045 351 327 $2K
73090 202 192 $2K
S0028 Injection, famotidine, 20 mg 3,527 2,858 $2K
83520 196 189 $2K
X0592 92 85 $2K
82803 163 150 $2K
87653 41 41 $2K
84590 109 107 $2K
D2391 Resin-based composite - one surface, posterior, primary or permanent 29 24 $2K
A9270 Non-covered item or service 29,172 10,733 $1K
0202U Oncology (prostate), multianalyte, gene expression profiling 174 170 $1K
45380 Colonoscopy, flexible; with biopsy, single or multiple 13 13 $1K
86039 95 95 $1K
84425 177 170 $1K
86255 43 42 $1K
64405 13 13 $1K
83615 213 198 $1K
82670 54 50 $1K
82533 95 92 $1K
99153 Mod sedat endo service >5yrs 203 194 $1K
86800 64 63 $1K
82330 324 304 $1K
12002 14 14 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 259 244 $1K
64494 64 56 $1K
J9045 Injection, carboplatin, 50 mg 109 75 $1K
77280 31 26 $1K
72220 62 60 $1K
D1206 Topical application of fluoride varnish 68 66 $1K
70498 13 13 $999.12
92133 85 85 $981.34
D0230 Intraoral - periapical each additional radiographic image 73 70 $975.50
J2270 Injection, morphine sulfate, up to 10 mg 4,631 3,581 $975.12
J9190 Injection, fluorouracil, 500 mg 534 202 $952.83
J2370 Injection, phenylephrine hcl, up to 1 ml 376 349 $929.30
84132 340 270 $926.84
99152 235 226 $918.24
86617 48 48 $889.76
J0640 Injection, leucovorin calcium, per 50 mg 341 199 $888.67
83516 71 68 $887.06
J1170 Injection, hydromorphone, up to 4 mg 2,319 1,253 $873.76
73562 48 39 $858.43
86695 40 40 $858.30
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 13 13 $836.20
76506 13 13 $827.97
73660 117 115 $815.49
82977 78 74 $780.48
94761 164 161 $775.98
73060 99 95 $746.08
82248 96 96 $723.36
86696 28 28 $714.93
27096 12 12 $695.82
29125 61 60 $682.99
J1200 Injection, diphenhydramine hcl, up to 50 mg 7,987 6,077 $677.41
94375 34 34 $666.31
80177 63 62 $656.10
86376 76 75 $647.69
J0780 Injection, prochlorperazine, up to 10 mg 2,058 1,765 $646.45
83498 27 27 $631.94
82785 30 30 $600.68
82627 24 24 $593.48
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 3,987 3,177 $578.81
86592 132 130 $572.18
96368 50 28 $554.55
86923 32 29 $553.58
76604 26 26 $541.58
J2800 Injection, methocarbamol, up to 10 ml 1,599 1,476 $530.71
Q3014 Telehealth originating site facility fee 185 140 $526.74
82805 41 41 $511.43
51798 161 148 $488.06
82810 113 104 $478.41
96367 59 54 $466.51
J0171 Injection, adrenalin, epinephrine, 0.1 mg 677 480 $451.78
G0009 Administration of pneumococcal vaccine 44 44 $426.71
85007 96 93 $418.89
87517 13 13 $416.74
76942 12 12 $415.57
97010 17 12 $412.76
J3480 Injection, potassium chloride, per 2 meq 1,529 797 $408.55
88184 14 13 $403.89
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 14 14 $373.40
93308 29 29 $362.15
90732 12 12 $360.63
86665 16 16 $344.75
86762 14 13 $334.11
80178 75 70 $333.81
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 394 326 $329.76
93922 13 13 $323.46
87070 147 140 $316.12
J2795 Injection, ropivacaine hydrochloride, 1 mg 1,066 978 $312.03
84481 13 13 $302.67
84295 224 209 $294.10
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 786 627 $288.58
J7050 Infusion, normal saline solution, 250 cc 3,970 2,823 $283.25
82435 151 141 $273.73
82150 63 62 $269.26
J3475 Injection, magnesium sulfate, per 500 mg 678 440 $258.73
J2765 Injection, metoclopramide hcl, up to 10 mg 4,350 3,838 $258.17
85018 142 123 $243.66
J3411 Injection, thiamine hcl, 100 mg 640 411 $238.36
86664 14 14 $236.88
82378 13 13 $232.33
86308 46 41 $222.69
J2060 Injection, lorazepam, 2 mg 2,922 2,306 $219.02
C1769 Guide wire 109 107 $215.55
73120 17 12 $207.87
72202 12 12 $207.82
86663 14 14 $203.16
87205 144 137 $200.39
82951 14 12 $199.19
86705 13 13 $193.21
J0696 Injection, ceftriaxone sodium, per 250 mg 1,909 1,672 $166.87
J3370 Injection, vancomycin hcl, 500 mg 705 560 $161.19
J0690 Injection, cefazolin sodium, 500 mg 2,383 1,844 $157.43
J1644 Injection, heparin sodium, per 1000 units 2,597 1,354 $152.72
85014 105 86 $151.85
J1815 Injection, insulin, per 5 units 2,201 941 $150.42
C9113 Injection, pantoprazole sodium, per vial 474 403 $147.70
J2250 Injection, midazolam hydrochloride, per 1 mg 4,545 3,675 $137.85
87088 25 25 $133.78
99201 19 18 $123.72
92592 12 12 $112.85
64450 15 15 $86.91
91320 82 81 $84.76
82565 12 12 $77.31
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 2,715 2,240 $73.78
82140 14 14 $65.93
82010 36 36 $64.47
82375 24 24 $57.94
J1630 Injection, haloperidol, up to 5 mg 277 203 $54.60
84155 12 12 $52.06
J7060 5% dextrose/water (500 ml = 1 unit) 676 424 $51.06
87147 12 12 $48.00
J7042 5% dextrose/normal saline (500 ml = 1 unit) 654 453 $39.99
J7510 Prednisolone oral, per 5 mg 1,104 912 $39.23
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 1,480 1,115 $33.01
88307 39 37 $31.63
J3360 Injection, diazepam, up to 5 mg 170 106 $31.58
J1790 Injection, droperidol, up to 5 mg 679 582 $31.20
J1940 Injection, furosemide, up to 20 mg 250 187 $28.63
88304 31 30 $24.87
87075 13 12 $21.50
J0330 Injection, succinylcholine chloride, up to 20 mg 26 14 $15.19
82009 17 16 $10.54
J1650 Injection, enoxaparin sodium, 10 mg 203 145 $6.46
Q9957 Injection, perflutren lipid microspheres, per ml 499 493 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 474 362 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 427 395 $0.00
J1453 Injection, fosaprepitant, 1 mg 117 89 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 734 537 $0.00
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 63 61 $0.00
J1171 Injection, hydromorphone, 0.1 mg 101 50 $0.00
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg 251 241 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 842 659 $0.00
J3489 Injection, zoledronic acid, 1 mg 13 12 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 54 49 $0.00
S0030 Injection, metronidazole, 500 mg 28 16 $0.00
J0701 Injection, cefepime hydrochloride (baxter), not therapeutically equivalent to maxipime, 500 mg 30 26 $0.00
J1953 Injection, levetiracetam, 10 mg 17 12 $0.00
J0137 Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg 88 79 $0.00
90687 15 14 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 19 13 $0.00
J3032 Injection, eptinezumab-jjmr, 1 mg 13 13 $0.00
90375 12 12 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 101 74 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 41 41 $0.00
90480 86 86 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 1,058 973 $0.00
J0129 Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) 218 196 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 121 112 $0.00
88341 12 12 $0.00
90656 51 51 $0.00
J1836 Injection, metronidazole, 10 mg 70 58 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 125 102 $0.00
V2788 Presbyopia correcting function of intraocular lens 29 24 $0.00
J3490 Unclassified drugs 15 13 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 30 13 $0.00
J2560 Injection, phenobarbital sodium, up to 120 mg 13 12 $0.00
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 24 20 $0.00