Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › BROOKLYN › BETH ISRAEL MEDICAL CENTER

BETH ISRAEL MEDICAL CENTER

NPI: 1174689665 · BROOKLYN, NY 11234 · Psychiatric Hospital Unit · NPI assigned 12/29/2006

$278.66M
Total Medicaid Paid
4,403,111
Total Claims
2,726,560
Beneficiaries
757
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPASTIER, MICHAEL (SR VICE PRESIDENT)
NPI Enumeration Date12/29/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 25,893 $1.16M
2019 453,713 $21.39M
2020 1,000,226 $52.59M
2021 989,318 $53.68M
2022 800,687 $55.64M
2023 682,778 $56.28M
2024 450,496 $37.91M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G2067 Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) 189,390 55,992 $43.44M
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 989,059 105,151 $33.34M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 186,326 158,191 $21.38M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 136,927 120,503 $15.48M
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 118,700 66,747 $12.74M
90791 Psychiatric diagnostic evaluation 10,389 8,753 $9.57M
J9271 Injection, pembrolizumab, 1 mg 914 740 $9.50M
99283 Emergency department visit for the evaluation and management, moderate severity 47,880 43,034 $8.05M
99284 Emergency department visit for the evaluation and management, high severity 31,366 29,087 $5.15M
H0040 Assertive community treatment program, per diem 2,758 2,728 $5.08M
99215 Prolong outpt/office vis 30,109 27,572 $4.22M
90834 Psychotherapy, 45 minutes with patient 24,097 9,545 $4.12M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 27,220 25,566 $4.12M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 30,347 25,094 $3.40M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 21,542 21,090 $3.35M
G0378 Hospital observation service, per hour 3,114 2,999 $3.03M
36415 Collection of venous blood by venipuncture 348,706 132,694 $2.82M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 44,190 20,205 $2.64M
G0397 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes 17,730 12,844 $2.52M
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 39,944 37,489 $2.43M
96361 Intravenous infusion, hydration; each additional hour 12,135 10,786 $2.17M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14,755 14,501 $2.11M
J2426 Injection, paliperidone palmitate extended release (invega sustenna), 1 mg 987 882 $1.73M
J2505 Injection, pegfilgrastim, 6 mg 491 370 $1.73M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 9,428 6,310 $1.55M
H0004 Behavioral health counseling and therapy, per 15 minutes 29,551 22,557 $1.53M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 7,293 7,104 $1.52M
J0897 Injection, denosumab, 1 mg 1,051 994 $1.49M
74177 Computed tomography, abdomen and pelvis; with contrast material 7,042 6,959 $1.31M
G2078 Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure 27,274 12,341 $1.24M
70450 Computed tomography, head or brain; without contrast material 6,940 6,672 $1.21M
H2001 Rehabilitation program, per 1/2 day 8,254 1,225 $1.19M
90853 Group psychotherapy (other than of a multiple-family group) 15,048 5,060 $1.16M
80053 Comprehensive metabolic panel 80,186 59,753 $1.12M
20611 7,137 4,285 $1.11M
78815 Positron emission tomography (PET) for limited area imaging 1,518 1,502 $1.07M
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 7,737 7,663 $1.02M
52000 1,196 1,183 $996K
97162 7,685 7,639 $977K
99282 Emergency department visit for the evaluation and management, low to moderate severity 5,681 4,318 $976K
H0005 Alcohol and/or drug services; group counseling by a clinician 13,218 3,145 $921K
96415 3,145 2,593 $896K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 19,294 15,136 $859K
77067 Screening mammography, bilateral, including computer-aided detection 11,217 11,180 $857K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 38,405 17,897 $811K
90832 Psychotherapy, 30 minutes with patient 5,718 3,397 $796K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 5,539 5,358 $775K
J2506 Injection, pegfilgrastim, excludes biosimilar, 0.5 mg 344 272 $774K
80048 Basic metabolic panel (calcium, ionized) 52,188 46,462 $764K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 7,106 6,430 $750K
99205 Prolong outpt/office vis 4,119 4,064 $695K
J9144 Injection, daratumumab, 10 mg and hyaluronidase-fihj 179 117 $680K
87536 8,636 8,530 $669K
64615 1,098 1,082 $659K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 23,594 11,526 $622K
93970 2,350 2,322 $610K
93458 361 357 $594K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 3,096 3,065 $591K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 953 942 $582K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 2,282 2,272 $569K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 850 847 $528K
J2350 Injection, ocrelizumab, 1 mg 13 13 $519K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 2,014 1,725 $518K
31237 355 287 $510K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 18,059 15,936 $490K
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 28,409 26,703 $474K
77336 1,887 849 $452K
77412 1,473 151 $437K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 2,312 2,097 $437K
H0014 Alcohol and/or drug services; ambulatory detoxification 2,352 1,488 $427K
J3380 Injection, vedolizumab, intravenous, 1 mg 85 82 $417K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 3,128 3,106 $406K
J1745 Injection, infliximab, excludes biosimilar, 10 mg 221 126 $403K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 4,123 3,882 $402K
J0585 Injection, onabotulinumtoxina, 1 unit 2,679 1,724 $401K
J1950 Injection, leuprolide acetate (for depot suspension), per 3.75 mg 237 228 $396K
77386 1,069 88 $395K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 3,481 2,790 $394K
76700 Ultrasound, abdominal, real time with image documentation; complete 2,571 2,545 $392K
51798 2,744 2,188 $382K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,775 3,761 $379K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 17,671 17,468 $371K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,129 2,105 $366K
31231 4,229 3,983 $359K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,419 3,407 $351K
J9355 Injection, trastuzumab, excludes biosimilar, 10 mg 139 57 $344K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,409 3,401 $342K
80061 Lipid panel 33,650 31,609 $321K
71250 4,461 4,433 $320K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 4,969 4,525 $320K
76641 5,124 4,860 $315K
45380 Colonoscopy, flexible; with biopsy, single or multiple 459 452 $314K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 19,351 16,712 $307K
71275 Computed tomographic angiography, chest, with contrast material 1,679 1,654 $307K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 1,441 1,422 $299K
93320 2,488 2,479 $298K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 18,001 15,901 $290K
96367 3,704 2,513 $288K
87428 10,932 10,616 $286K
10005 865 838 $284K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 1,265 1,209 $283K
99386 1,947 1,940 $274K
90792 Psychiatric diagnostic evaluation with medical services 1,293 1,189 $273K
86361 9,215 8,744 $271K
94375 2,103 1,838 $270K
70486 2,925 2,894 $263K
88305 Level IV - Surgical pathology, gross and microscopic examination 8,806 6,959 $261K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,359 2,296 $261K
77063 Screening digital breast tomosynthesis, bilateral 10,884 10,850 $256K
93976 839 829 $256K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 19,377 16,059 $255K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 2,505 2,464 $255K
96375 Therapeutic injection; each additional sequential IV push 14,560 11,821 $254K
11900 1,144 1,108 $252K
99385 1,651 1,643 $246K
76536 3,231 3,213 $244K
86850 9,813 8,770 $242K
86480 4,165 4,110 $241K
76830 Ultrasound, transvaginal 3,956 3,900 $237K
76770 1,330 1,324 $235K
51741 1,402 1,375 $235K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,372 1,253 $233K
93880 1,277 1,251 $232K
70551 Magnetic resonance imaging, brain; without contrast material 1,395 1,389 $229K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 853 850 $224K
93975 668 655 $214K
96910 2,275 526 $214K
70491 1,346 1,340 $210K
90460 Immunization administration through 18 years of age via any route, first or only component 10,891 9,724 $210K
70543 678 676 $208K
77066 Tomosynthesis, mammo 2,431 2,422 $208K
20610 738 662 $204K
J1453 Injection, fosaprepitant, 1 mg 1,966 1,363 $200K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 40,898 38,001 $199K
74183 744 738 $195K
46600 1,060 1,053 $194K
31575 1,985 1,935 $192K
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) 1,181 1,153 $191K
80076 22,678 21,234 $190K
S9485 Crisis intervention mental health services, per diem 163 160 $188K
77065 Tomosynthesis, mammo 2,942 2,774 $188K
17110 810 794 $187K
86901 10,026 8,778 $185K
86900 10,093 8,784 $182K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1,148 1,141 $178K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,182 1,143 $175K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 1,487 1,467 $169K
71046 Radiologic examination, chest; 2 views 20,174 19,420 $169K
36000 9,449 9,144 $167K
73221 750 725 $166K
90677 1,363 1,359 $164K
83970 5,805 5,672 $164K
76998 1,056 1,034 $163K
90686 9,969 9,936 $162K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 50,128 44,250 $155K
86703 13,134 12,936 $155K
J9202 Goserelin acetate implant, per 3.6 mg 231 223 $148K
88307 1,056 858 $145K
93017 2,416 2,401 $144K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 14,230 13,000 $143K
76642 2,939 2,900 $142K
97165 1,310 1,292 $142K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 87,222 76,711 $142K
73564 6,886 5,225 $141K
83880 7,680 7,100 $141K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,767 2,715 $140K
97161 1,365 1,355 $140K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,685 1,677 $139K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2,647 2,246 $137K
Q5117 Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg 142 88 $135K
90750 1,134 1,110 $133K
94060 901 808 $130K
12011 372 370 $127K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 4,469 4,426 $121K
93971 1,911 1,831 $119K
90836 1,144 820 $116K
87507 786 771 $114K
99443 1,514 1,471 $113K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 882 857 $113K
12001 356 352 $111K
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 7,003 6,666 $110K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk 188 188 $109K
93351 1,127 1,123 $109K
88342 2,132 1,924 $105K
93325 2,606 2,579 $104K
80050 General health panel 4,935 4,770 $102K
95800 889 885 $98K
96417 2,519 1,535 $98K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,373 3,294 $96K
10060 416 407 $95K
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 4,282 4,263 $95K
0002A 2,662 2,653 $95K
H0039 Assertive community treatment, face-to-face, per 15 minutes 57 57 $94K
72197 365 364 $93K
90461 3,545 3,535 $92K
H0033 Oral medication administration, direct observation 2,678 318 $92K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,191 1,075 $91K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 1,273 1,264 $90K
99051 8,755 8,538 $90K
77080 2,492 2,483 $89K
J0592 Injection, buprenorphine hydrochloride, 0.1 mg 6,206 308 $89K
83036 Hemoglobin; glycosylated (A1C) 30,073 29,829 $87K
77049 284 284 $87K
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) 268 205 $86K
69210 2,648 2,216 $85K
C1769 Guide wire 2,229 1,951 $84K
72141 515 512 $82K
90715 4,284 4,257 $80K
88185 1,055 902 $79K
90651 1,617 1,613 $79K
19083 67 65 $78K
0001A 2,684 2,679 $78K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,213 606 $76K
88112 1,588 1,565 $76K
95819 284 281 $75K
97803 2,417 2,264 $75K
J2315 Injection, naltrexone, depot form, 1 mg 66 63 $75K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 9,412 9,159 $72K
G2068 Medication assisted treatment, buprenorphine (oral); weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) 246 101 $72K
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 703 451 $71K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 153 153 $71K
70496 419 419 $71K
J9217 Leuprolide acetate (for depot suspension), 7.5 mg 148 144 $71K
87522 Neg quan hep c or qual rna 2,560 2,483 $71K
87631 1,686 1,653 $70K
52356 46 44 $70K
85610 24,203 22,849 $68K
70480 605 605 $67K
J2785 Injection, regadenoson, 0.1 mg 1,194 1,186 $66K
84443 Thyroid stimulating hormone (TSH) 20,401 19,800 $65K
73130 4,932 4,296 $64K
99442 1,127 1,097 $63K
11102 169 167 $63K
99201 514 467 $63K
96402 1,859 1,603 $63K
Q5104 Injection, infliximab-abda, biosimilar, (renflexis), 10 mg 31 25 $61K
83013 1,323 1,312 $60K
88304 2,672 2,521 $59K
77334 172 142 $59K
G0008 Administration of influenza virus vaccine 3,958 3,950 $58K
93356 591 590 $58K
J0561 Injection, penicillin g benzathine, 100,000 units 285 224 $57K
95886 814 814 $56K
90732 604 598 $55K
90870 179 68 $55K
91200 1,336 1,320 $55K
90847 Family psychotherapy with the patient present, 50 minutes 225 145 $55K
73030 4,063 3,867 $55K
A9585 Injection, gadobutrol, 0.1 ml 4,150 3,841 $54K
88184 1,001 984 $54K
84439 13,111 12,758 $53K
77300 162 153 $52K
92557 1,393 1,312 $52K
86803 15,902 15,672 $50K
72125 Computed tomography, cervical spine; without contrast material 2,014 1,940 $50K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 1,577 1,409 $49K
59820 62 61 $49K
92551 1,123 1,123 $49K
J2469 Injection, palonosetron hcl, 25 mcg 2,560 1,688 $49K
94726 791 788 $49K
90670 1,893 1,888 $48K
73562 3,313 3,172 $48K
76819 Fetal biophysical profile; without non-stress testing 1,150 935 $46K
74178 235 230 $46K
C1889 Implantable/insertable device, not otherwise classified 885 844 $46K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,210 1,061 $46K
73630 4,034 3,737 $45K
86003 3,399 2,155 $44K
J1944 Injection, aripiprazole lauroxil, (aristada), 1 mg 24 24 $44K
71271 574 574 $42K
87517 1,228 1,197 $41K
97016 2,473 1,434 $41K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 1,394 1,390 $39K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 15,839 12,789 $39K
92550 653 640 $38K
76801 707 636 $37K
87652 1,736 1,707 $35K
93225 290 285 $35K
90837 Psychotherapy, 53 minutes with patient 219 127 $34K
86769 1,133 1,118 $34K
87086 Culture, bacterial; quantitative colony count, urine 13,038 12,177 $33K
76818 694 348 $33K
82607 5,705 5,639 $32K
J9045 Injection, carboplatin, 50 mg 1,317 908 $32K
G0009 Administration of pneumococcal vaccine 2,112 2,107 $32K
92060 504 503 $32K
J9267 Injection, paclitaxel, 1 mg 1,223 669 $32K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 6,917 6,623 $31K
81001 27,633 24,789 $31K
90734 1,560 1,553 $30K
72100 1,731 1,720 $30K
Q9957 Injection, perflutren lipid microspheres, per ml 642 633 $30K
94729 813 809 $30K
82784 5,323 3,346 $29K
46607 49 49 $29K
82670 1,979 1,918 $29K
82728 5,956 5,830 $29K
76857 709 698 $28K
73610 2,763 2,579 $28K
J3490 Unclassified drugs 1,731 1,571 $28K
77062 689 687 $28K
84153 4,003 3,743 $28K
96401 604 297 $27K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 470 446 $27K
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) 2,649 2,583 $26K
95117 975 361 $26K
97163 174 174 $26K
96920 118 37 $26K
93925 174 169 $25K
93978 169 168 $25K
76937 195 189 $25K
73502 1,827 1,789 $25K
0004A 684 666 $25K
85730 17,311 16,516 $25K
87902 115 111 $25K
86780 8,938 8,822 $24K
99244 Office or other outpatient consultation, moderate to high complexity 147 147 $24K
85027 12,246 11,831 $24K
91320 318 318 $24K
88341 408 395 $24K
88172 542 479 $23K
0124A 628 617 $23K
87340 7,762 7,353 $22K
97116 785 409 $22K
77290 54 54 $22K
76775 488 483 $22K
96376 2,623 2,260 $22K
76813 459 435 $21K
86706 5,279 5,234 $21K
64483 39 38 $21K
95911 255 254 $21K
92567 485 480 $21K
83001 2,178 2,138 $21K
73110 1,997 1,830 $21K
84403 1,650 1,587 $21K
99243 143 143 $21K
T2022 Case management, per month 185 185 $20K
90648 1,750 1,746 $20K
J2704 Injection, propofol, 10 mg 8,945 8,008 $20K
83655 1,654 1,648 $20K
54161 19 19 $20K
74174 90 90 $19K
88173 694 611 $19K
86140 11,321 11,000 $19K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 164 158 $19K
94010 682 602 $19K
J1631 Injection, haloperidol decanoate, per 50 mg 1,030 959 $18K
20550 102 102 $18K
86160 3,684 1,943 $18K
H0001 Alcohol and/or drug assessment 100 99 $17K
82043 7,606 7,313 $17K
86704 4,266 4,237 $17K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 1,613 1,559 $17K
C9600 Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch 14 12 $17K
77061 466 464 $17K
C1887 Catheter, guiding (may include infusion/perfusion capability) 581 562 $16K
11721 649 508 $16K
83002 1,666 1,634 $16K
84484 18,374 14,457 $16K
92134 255 242 $16K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 261 255 $16K
81003 11,680 11,240 $15K
76870 406 403 $15K
83735 10,562 8,845 $14K
82962 10,648 7,569 $14K
90723 1,360 1,358 $14K
90661 604 604 $14K
71045 Radiologic examination, chest; single view 4,706 4,461 $14K
84550 8,201 7,684 $14K
82977 7,123 6,287 $14K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 1,007 364 $14K
72110 557 552 $14K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 231 221 $14K
83690 13,204 12,365 $14K
99381 131 131 $14K
82024 402 386 $14K
A9577 Injection, gadobenate dimeglumine (multihance), per ml 1,160 1,067 $14K
19081 13 13 $14K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 147 62 $14K
58100 39 39 $13K
90680 1,135 1,132 $13K
84146 1,219 1,206 $13K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 6,185 5,108 $13K
95012 1,214 1,202 $13K
72170 915 910 $13K
95885 129 127 $13K
83516 2,761 2,176 $13K
51729 29 25 $13K
96377 645 494 $13K
84100 8,830 7,952 $12K
87480 1,776 1,742 $12K
96411 172 110 $12K
88300 904 765 $12K
97802 177 177 $12K
87510 1,771 1,737 $12K
82378 1,433 1,160 $12K
C1874 Stent, coated/covered, with delivery system 14 13 $12K
87660 1,777 1,743 $12K
86360 347 341 $12K
93922 295 287 $12K
99441 322 295 $12K
A4648 Tissue marker, implantable, any type, each 872 828 $12K
90674 622 622 $12K
59841 14 14 $11K
72131 130 130 $11K
99417 Prolong home eval add 15m 742 730 $11K
82550 6,357 6,149 $11K
84445 277 273 $11K
73080 696 659 $11K
86376 1,450 1,442 $11K
73560 1,180 1,101 $11K
84702 4,774 4,365 $11K
76882 232 223 $11K
G0383 Level 4 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) 66 66 $11K
83615 5,137 4,304 $10K
85651 11,670 11,375 $10K
84480 2,745 2,703 $10K
29580 56 24 $10K
86334 1,227 1,121 $10K
86431 4,805 4,761 $10K
1036F 36,705 33,423 $10K
29125 71 67 $10K
99397 126 76 $10K
29540 64 63 $10K
86300 920 712 $10K
70498 323 323 $9K
82533 1,115 987 $9K
90846 Family psychotherapy without the patient present, 50 minutes 70 55 $9K
86235 2,784 1,638 $9K
19281 13 12 $9K
H2010 Comprehensive medication services, per 15 minutes 153 139 $9K
0003A 232 230 $9K
90633 1,195 1,194 $9K
90472 Immunization administration, each additional vaccine (list separately) 831 815 $9K
93308 55 54 $9K
81025 3,873 3,626 $9K
92015 Determination of refractive state 655 655 $9K
92610 103 98 $9K
H0050 Alcohol and/or drug services, brief intervention, per 15 minutes 177 160 $9K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 20 20 $8K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 3,079 2,978 $8K
72050 277 275 $8K
74018 732 709 $8K
83520 1,144 1,111 $8K
90739 115 114 $8K
86147 447 442 $8K
90694 629 628 $8K
86800 1,215 1,052 $7K
82785 1,243 1,216 $7K
72040 404 403 $7K
95249 217 213 $7K
90480 322 322 $7K
64616 12 12 $7K
86592 4,835 4,764 $7K
82172 942 932 $7K
81374 109 109 $7K
86141 1,388 1,370 $7K
87040 4,056 2,372 $7K
82105 2,096 2,011 $7K
90662 537 536 $7K
96110 Developmental screening, with scoring and documentation, per standardized instrument 175 173 $7K
0071A 166 164 $7K
90620 561 561 $7K
51797 29 25 $6K
36416 469 448 $6K
92558 195 195 $6K
87070 2,279 2,178 $6K
73590 847 802 $6K
84156 4,003 3,672 $6K
0072A 157 154 $6K
87186 3,057 2,777 $6K
83010 1,131 1,117 $6K
76942 53 53 $6K
96368 387 327 $6K
73523 262 257 $6K
82570 2,829 2,668 $6K
95912 50 50 $6K
86200 1,053 1,045 $6K
83883 1,131 1,071 $6K
99493 82 64 $6K
90882 322 266 $6K
73140 581 551 $6K
82652 330 328 $5K
H0038 Self-help/peer services, per 15 minutes 222 206 $5K
84165 1,486 1,377 $5K
36430 15 13 $5K
51600 16 12 $5K
99383 37 37 $5K
90707 325 323 $5K
93226 74 73 $5K
57454 12 12 $5K
88313 363 306 $5K
51702 27 26 $4K
99401 53 52 $4K
J0690 Injection, cefazolin sodium, 500 mg 4,950 4,765 $4K
82627 320 317 $4K
92504 513 452 $4K
86039 1,394 1,381 $4K
46601 13 13 $4K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 232 229 $4K
86225 1,466 1,428 $4K
C1753 Catheter, intravascular ultrasound 25 25 $3K
82565 1,477 1,434 $3K
86038 1,163 1,151 $3K
88177 73 66 $3K
84432 295 289 $3K
85378 3,191 3,083 $3K
90656 346 346 $3K
84481 769 758 $3K
82746 642 633 $3K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 1,991 1,984 $3K
86593 2,599 2,548 $3K
80164 598 567 $3K
92526 21 12 $3K
71100 284 276 $3K
73700 16 14 $3K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 67 66 $3K
G0010 Administration of hepatitis b vaccine 182 176 $3K
J0330 Injection, succinylcholine chloride, up to 20 mg 1,568 1,143 $3K
86762 422 419 $3K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 90 82 $3K
74455 24 24 $3K
T1013 Sign language or oral interpretive services, per 15 minutes 148 119 $3K
95250 16 15 $3K
73090 482 455 $3K
86765 433 428 $3K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,100 962 $2K
99358 Prolong nursin fac eval 15m 27 27 $2K
88311 382 355 $2K
83521 688 360 $2K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 14 13 $2K
77417 51 26 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 8,948 7,455 $2K
92020 43 43 $2K
82247 1,109 1,086 $2K
86682 1,014 870 $2K
90746 66 61 $2K
90716 197 197 $2K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 218 218 $2K
86618 261 253 $2K
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter 37 37 $2K
83921 259 257 $2K
97010 148 70 $2K
86256 218 113 $2K
93926 25 25 $2K
82248 1,285 1,219 $2K
84460 1,050 1,038 $2K
93270 29 29 $2K
82947 4,656 3,725 $2K
87075 654 622 $2K
72114 65 65 $2K
90710 266 266 $2K
87205 1,671 1,569 $2K
J3370 Injection, vancomycin hcl, 500 mg 1,070 807 $2K
81479 Unlisted molecular pathology procedure 35 19 $2K
99384 12 12 $2K
83090 196 193 $2K
90700 182 182 $2K
86335 78 62 $2K
J8540 Dexamethasone, oral, 0.25 mg 938 628 $2K
83550 600 596 $2K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 661 657 $1K
83695 189 188 $1K
93280 82 66 $1K
S0028 Injection, famotidine, 20 mg 3,594 3,108 $1K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 4,396 2,676 $1K
84681 151 148 $1K
J3010 Injection, fentanyl citrate, 0.1 mg 8,717 8,453 $1K
90653 158 158 $1K
90696 184 184 $1K
73600 163 153 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 527 517 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 13,662 12,376 $1K
81002 1,160 1,110 $1K
51784 31 25 $1K
82107 37 37 $1K
99496 24 24 $1K
83930 706 699 $1K
73070 338 322 $1K
84703 3,549 3,434 $1K
J1200 Injection, diphenhydramine hcl, up to 50 mg 3,659 2,982 $1K
74160 12 12 $1K
96523 42 41 $1K
S0020 Injection, bupivicaine hydrochloride, 30 ml 1,977 1,941 $1K
A9581 Injection, gadoxetate disodium, 1 ml 15 15 $1K
73620 255 235 $1K
99153 Mod sedat endo service >5yrs 620 595 $1K
J1644 Injection, heparin sodium, per 1000 units 2,935 1,958 $1K
97804 39 38 $1K
87430 934 922 $1K
84300 526 512 $1K
J1050 Injection, medroxyprogesterone acetate, 1 mg 25 25 $980.51
80178 269 252 $966.91
99152 771 742 $962.82
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 29 28 $950.07
J2250 Injection, midazolam hydrochloride, per 1 mg 7,035 6,757 $945.29
84145 228 225 $928.28
92133 12 12 $922.98
84270 58 58 $911.62
S0077 Injection, clindamycin phosphate, 300 mg 220 207 $899.29
90698 146 146 $876.79
J1030 Injection, methylprednisolone acetate, 40 mg 305 293 $874.21
A9699 Radiopharmaceutical, therapeutic, not otherwise classified 37 36 $862.56
J1170 Injection, hydromorphone, up to 4 mg 1,149 934 $861.44
84425 132 130 $830.74
J1815 Injection, insulin, per 5 units 829 515 $803.88
82088 27 24 $800.17
90714 40 40 $796.94
J0696 Injection, ceftriaxone sodium, per 250 mg 3,010 2,737 $786.15
84402 50 50 $785.67
86606 195 194 $781.13
J2405 Injection, ondansetron hydrochloride, per 1 mg 11,402 10,215 $769.89
83993 143 141 $733.19
86304 77 71 $723.99
83540 296 292 $719.98
J0131 Injection, acetaminophen, not otherwise specified,10 mg 211 205 $700.00
85612 200 198 $673.90
84436 248 248 $648.68
86735 156 153 $643.77
C1781 Mesh (implantable) 26 25 $619.34
80346 25 25 $617.69
S0109 Methadone, oral, 5 mg 59 39 $614.95
J9171 Injection, docetaxel, 1 mg 13 12 $607.76
70220 32 32 $593.11
93793 95 39 $590.32
C1819 Surgical tissue localization and excision device (implantable) 43 41 $570.24
72070 61 61 $536.09
0042T 12 12 $522.87
J2270 Injection, morphine sulfate, up to 10 mg 2,448 2,024 $503.45
88360 16 12 $503.28
90744 86 86 $499.80
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 516 473 $493.06
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 13 13 $483.04
J3475 Injection, magnesium sulfate, per 500 mg 864 602 $462.27
87338 97 97 $448.92
86580 29 27 $447.29
J2919 Injection, methylprednisolone sodium succinate, 5 mg 106 91 $447.10
74430 13 13 $439.02
4004F 8,453 7,777 $436.63
80069 68 67 $385.39
73503 17 16 $380.03
87109 94 94 $375.09
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 12 12 $372.43
86709 120 118 $367.21
83498 39 38 $351.40
86705 132 132 $346.88
73060 100 96 $340.20
82390 94 94 $336.98
90681 51 51 $323.44
84144 24 24 $309.88
82040 575 558 $306.71
82157 31 30 $292.80
91308 86 84 $275.28
36591 13 13 $271.49
J3480 Injection, potassium chloride, per 2 meq 334 179 $271.46
82330 95 84 $259.28
J1630 Injection, haloperidol, up to 5 mg 1,950 1,777 $255.43
C2617 Stent, non-coronary, temporary, without delivery system 64 60 $251.57
C1758 Catheter, ureteral 100 95 $241.24
86787 54 53 $230.73
86316 28 25 $226.85
87116 43 41 $226.80
82010 212 194 $223.85
84154 31 31 $218.84
G2077 Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and patient-identified goals, and other relevant physical, nutrition and psychiatric treatment needs and goals; may be informed by administration of a standardized, evidence-based assessment, or the need and interest for harm reduction interventions and recovery support services (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code 96 79 $212.64
84105 73 70 $209.61
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 1,107 1,070 $206.27
73522 13 13 $200.63
87101 67 66 $199.85
88302 13 12 $189.48
J2765 Injection, metoclopramide hcl, up to 10 mg 3,483 3,364 $186.77
83605 225 195 $186.18
87077 76 67 $185.86
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 866 848 $178.53
86301 40 36 $177.45
J1650 Injection, enoxaparin sodium, 10 mg 255 128 $173.34
86328 18 17 $172.01
81381 13 13 $169.90
77072 14 14 $163.96
Q9958 High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml 28 28 $156.39
J2060 Injection, lorazepam, 2 mg 1,281 1,170 $154.84
84133 75 70 $144.41
J0171 Injection, adrenalin, epinephrine, 0.1 mg 342 334 $139.74
82175 62 37 $132.79
82397 14 14 $125.67
82436 60 55 $121.21
86701 12 12 $118.90
85007 155 139 $116.29
86708 14 14 $111.10
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 2,325 1,859 $96.93
73100 14 12 $95.90
82610 15 15 $88.46
J1580 Injection, garamycin, gentamicin, up to 80 mg 125 123 $85.76
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 3,476 3,140 $82.11
84132 80 72 $81.94
86162 15 15 $81.32
82955 13 13 $79.70
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 2,207 1,827 $77.10
74019 14 14 $73.04
OP250 66 41 $69.60
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 2,057 1,691 $68.75
85045 45 44 $67.59
73552 13 12 $62.63
82365 37 33 $62.19
85384 78 70 $59.60
90611 109 109 $55.99
86255 13 13 $52.00
91312 513 510 $51.10
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 67 62 $48.00
83935 14 14 $47.50
J1940 Injection, furosemide, up to 20 mg 164 100 $43.63
80177 15 15 $42.73
82140 15 13 $37.12
82150 14 12 $30.18
91307 314 279 $28.74
85347 86 70 $24.34
J7120 Ringers lactate infusion, up to 1000 cc 43 28 $22.69
84520 14 14 $22.39
84075 76 74 $20.61
J7050 Infusion, normal saline solution, 250 cc 236 165 $19.83
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen 2,551 1,896 $17.84
G9902 Patient screened for tobacco use and identified as a tobacco user 7,972 7,252 $17.01
82270 55 54 $15.93
91300 4,140 3,753 $14.15
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 56 53 $13.14
84155 54 53 $12.91
J1596 Injection, glycopyrrolate, 0.1 mg 124 123 $12.80
J2795 Injection, ropivacaine hydrochloride, 1 mg 93 92 $10.36
J0692 Injection, cefepime hydrochloride, 500 mg 14 14 $8.89
J2550 Injection, promethazine hcl, up to 50 mg 163 157 $7.60
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 557 502 $7.48
84450 56 55 $6.78
J2370 Injection, phenylephrine hcl, up to 1 ml 68 66 $6.17
J1598 Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to j1596, 0.1 mg 54 53 $5.82
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg 103 102 $5.18
J3411 Injection, thiamine hcl, 100 mg 33 25 $3.53
87449 15 15 $3.30
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 39 38 $0.46
G9687 Hospice services provided to patient any time during the measurement period 92 86 $0.23
3077F 247 228 $0.21
3079F 308 288 $0.18
3078F 328 300 $0.18
3074F 298 281 $0.13
3080F 141 132 $0.13
G9903 Patient screened for tobacco use and identified as a tobacco non-user 15 15 $0.13
3075F 212 200 $0.12
1123F 126 103 $0.01
83050 84 76 $0.00
G2074 Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) 39 22 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 71 66 $0.00
3044F 13 13 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 13 12 $0.00
99080 3,041 680 $0.00
J1953 Injection, levetiracetam, 10 mg 28 28 $0.00
99499 1,527 836 $0.00
J2210 Injection, methylergonovine maleate, up to 0.2 mg 29 29 $0.00
82375 84 76 $0.00