Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › HI › HONOLULU › THE QUEENS MEDICAL CENTER

THE QUEENS MEDICAL CENTER

NPI: 1184612764 · HONOLULU, HI 96813 · Psychiatric Hospital Unit · NPI assigned 10/07/2005

$200.03M
Total Medicaid Paid
2,466,453
Total Claims
1,988,335
Beneficiaries
561
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPANKS, TIM (EXEC VP/CHIEF FINANCE OFFICER)
NPI Enumeration Date10/07/2005

Related Entities

Other providers sharing the same authorized official: PANKS, TIM

ProviderCityStateTotal Paid
THE QUEEN'S MEDICAL CENTER HONOLULU HI $10.29M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 414,869 $30.68M
2019 388,839 $31.16M
2020 262,122 $22.13M
2021 343,604 $26.09M
2022 359,801 $26.63M
2023 366,139 $26.71M
2024 331,079 $36.62M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 68,759 60,436 $37.43M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 40,579 35,308 $35.81M
99284 Emergency department visit for the evaluation and management, high severity 56,951 50,371 $35.36M
74177 Computed tomography, abdomen and pelvis; with contrast material 14,856 14,065 $12.09M
G0378 Hospital observation service, per hour 18,999 13,371 $7.18M
99282 Emergency department visit for the evaluation and management, low to moderate severity 14,897 13,662 $5.13M
74176 Computed tomography, abdomen and pelvis; without contrast material 6,147 5,847 $4.29M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2,894 2,671 $4.16M
78815 Positron emission tomography (PET) for limited area imaging 2,258 2,185 $3.25M
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 26,929 10,678 $2.75M
J9271 Injection, pembrolizumab, 1 mg 434 298 $2.52M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 49,303 40,778 $2.46M
11045 6,091 2,866 $2.37M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 9,955 9,679 $2.26M
99281 Emergency department visit for the evaluation and management, self-limited or minor 6,424 5,730 $2.13M
45380 Colonoscopy, flexible; with biopsy, single or multiple 3,473 3,401 $1.87M
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 2,311 2,245 $1.79M
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 2,209 2,143 $1.38M
70498 1,458 1,398 $1.08M
S9480 Intensive outpatient psychiatric services, per diem 8,766 952 $1.08M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 3,384 3,288 $1.07M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 2,319 2,244 $1.06M
77386 2,074 166 $906K
74183 1,541 1,510 $880K
99218 10,290 4,841 $853K
74174 635 609 $819K
77067 Screening mammography, bilateral, including computer-aided detection 8,854 8,750 $797K
G0390 Trauma response team associated with hospital critical care service 279 240 $694K
90853 Group psychotherapy (other than of a multiple-family group) 10,685 1,593 $649K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 22,541 18,292 $631K
95811 875 855 $630K
71250 4,414 4,278 $573K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 15,173 6,896 $568K
76700 Ultrasound, abdominal, real time with image documentation; complete 5,703 5,614 $543K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 13,534 6,195 $532K
76642 4,131 3,804 $522K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1,479 1,441 $467K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 18,688 8,522 $458K
36902 384 344 $421K
62321 1,212 1,170 $409K
90870 1,677 627 $397K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 14,979 10,990 $394K
71046 Radiologic examination, chest; 2 views 20,621 19,657 $389K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 4,226 3,976 $378K
99221 4,068 2,179 $372K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 394 349 $372K
72125 Computed tomography, cervical spine; without contrast material 6,179 5,689 $361K
71275 Computed tomographic angiography, chest, with contrast material 5,345 5,023 $353K
97161 6,503 6,242 $351K
49450 964 920 $322K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 61,568 52,793 $319K
76705 Ultrasound, abdominal, real time with image documentation; limited 5,814 5,630 $317K
0002A 7,930 7,647 $309K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 13,169 7,719 $307K
70551 Magnetic resonance imaging, brain; without contrast material 2,348 2,253 $304K
96361 Intravenous infusion, hydration; each additional hour 17,294 14,439 $304K
49083 719 393 $298K
97597 4,316 2,938 $296K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 987 932 $292K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 42,607 35,075 $289K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,670 5,441 $287K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,628 5,153 $287K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 8,617 4,779 $286K
L8699 Prosthetic implant, not otherwise specified 2,473 1,657 $286K
0001A 7,732 7,388 $283K
62323 1,515 1,447 $267K
29581 4,403 1,990 $264K
76536 2,602 2,556 $257K
76770 3,017 2,952 $255K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 8,022 6,417 $240K
36430 2,774 2,047 $235K
94060 1,920 1,871 $231K
70450 Computed tomography, head or brain; without contrast material 16,295 15,077 $229K
71260 Computed tomography, thorax, diagnostic; with contrast material 4,137 4,013 $226K
70496 1,652 1,584 $213K
80061 Lipid panel 7,796 7,521 $209K
99215 Prolong outpt/office vis 1,826 1,565 $207K
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units 1,630 1,070 $203K
70491 1,460 1,405 $193K
74175 809 790 $191K
90834 Psychotherapy, 45 minutes with patient 4,086 2,394 $172K
72141 780 737 $166K
72131 1,567 1,484 $164K
77066 Tomosynthesis, mammo 2,654 2,591 $159K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 6,848 5,064 $158K
64483 421 412 $158K
96415 2,210 1,473 $152K
77301 40 38 $148K
76830 Ultrasound, transvaginal 2,455 2,373 $142K
75574 327 320 $138K
Q5120 Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg 76 54 $138K
96375 Therapeutic injection; each additional sequential IV push 29,015 23,249 $131K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 7,275 7,013 $125K
93975 1,000 966 $122K
93458 90 84 $120K
77080 2,013 1,992 $118K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 16,844 16,072 $118K
77334 174 152 $117K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 7,315 6,042 $115K
84443 Thyroid stimulating hormone (TSH) 7,312 6,904 $114K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 213 200 $113K
93017 3,700 3,592 $112K
90792 Psychiatric diagnostic evaluation with medical services 1,593 1,448 $111K
19083 141 131 $110K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 5,243 3,353 $110K
86803 1,525 1,478 $109K
87186 14,557 10,338 $108K
20610 677 640 $108K
97530 Therapeutic activities, direct patient contact, each 15 minutes 10,708 6,187 $108K
74178 126 122 $107K
93246 1,750 1,701 $102K
73562 5,144 4,658 $100K
31575 669 599 $99K
73110 3,119 2,811 $89K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 130 130 $88K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,300 1,045 $88K
0012A 2,643 2,578 $87K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 375 365 $85K
70486 2,977 2,825 $85K
90837 Psychotherapy, 53 minutes with patient 985 569 $83K
Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units 1,056 638 $78K
73610 4,095 3,767 $77K
73502 2,659 2,472 $74K
P9016 Red blood cells, leukocytes reduced, each unit 2,317 1,844 $73K
73030 5,032 4,564 $72K
73630 5,708 5,161 $71K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 2,774 2,681 $71K
11043 274 141 $71K
72110 1,171 1,142 $69K
77065 Tomosynthesis, mammo 3,052 2,823 $68K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 17,934 14,512 $68K
0004A 1,973 1,804 $67K
J1453 Injection, fosaprepitant, 1 mg 1,767 1,142 $64K
94726 831 486 $62K
91322 408 403 $61K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 1,556 1,473 $61K
80048 Basic metabolic panel (calcium, ionized) 87,952 67,188 $60K
88305 Level IV - Surgical pathology, gross and microscopic examination 17,524 11,728 $60K
97162 759 731 $60K
80053 Comprehensive metabolic panel 34,963 31,195 $57K
93925 271 268 $55K
93971 1,757 1,697 $55K
73130 4,338 3,837 $55K
0011A 2,147 2,073 $54K
72100 2,722 2,637 $51K
83036 Hemoglobin; glycosylated (A1C) 13,436 12,951 $49K
90791 Psychiatric diagnostic evaluation 450 438 $49K
93923 964 937 $48K
74018 2,205 2,014 $48K
88341 1,900 1,617 $48K
73700 286 260 $47K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,028 815 $46K
10005 105 92 $46K
0054A 1,266 1,195 $44K
91200 643 617 $43K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 221 199 $43K
87340 1,614 1,540 $43K
0071A 1,057 1,002 $42K
71271 380 379 $42K
0072A 976 948 $41K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 4,280 4,037 $37K
93970 587 563 $35K
90832 Psychotherapy, 30 minutes with patient 1,884 1,196 $34K
0064A 1,105 1,029 $33K
97165 1,534 1,467 $32K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 404 399 $32K
86923 3,265 1,644 $32K
J0897 Injection, denosumab, 1 mg 49 38 $30K
72197 37 37 $30K
49505 16 16 $28K
0202U Oncology (prostate), multianalyte, gene expression profiling 13 13 $27K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 211 200 $27K
83880 14,036 12,429 $26K
72040 719 701 $26K
95800 196 195 $25K
94010 266 257 $23K
71045 Radiologic examination, chest; single view 32,148 28,683 $22K
0296T 763 751 $22K
70544 68 66 $21K
75561 24 24 $21K
73080 2,003 1,827 $21K
87075 8,514 6,899 $19K
73552 1,120 1,028 $18K
10140 28 24 $18K
92610 331 315 $18K
96416 110 65 $18K
88342 2,566 2,233 $18K
73560 2,360 2,035 $17K
10060 1,029 983 $17K
11044 44 28 $16K
77412 408 49 $16K
78306 237 228 $15K
73221 38 38 $15K
31505 108 104 $15K
92557 208 205 $15K
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 1,398 1,235 $14K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 82 81 $14K
85610 23,305 20,332 $14K
92526 546 396 $14K
73590 2,741 2,491 $14K
36561 19 13 $13K
36821 17 14 $13K
82607 942 883 $13K
10160 46 40 $13K
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 40 40 $13K
86850 9,882 9,007 $12K
76882 301 260 $12K
76641 112 83 $12K
93350 38 38 $11K
87480 819 790 $11K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 17,543 13,871 $11K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 32 29 $11K
73564 193 165 $11K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 105,115 84,498 $11K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 3,668 3,558 $11K
76813 79 78 $10K
90472 Immunization administration, each additional vaccine (list separately) 435 429 $10K
C1726 Catheter, balloon dilatation, non-vascular 169 146 $10K
76801 315 300 $10K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk 14 14 $10K
99152 804 749 $9K
87086 Culture, bacterial; quantitative colony count, urine 13,145 12,093 $9K
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation 68 68 $9K
G0008 Administration of influenza virus vaccine 194 188 $9K
0124A 700 658 $9K
82728 879 824 $8K
0031A 271 260 $8K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 330 313 $8K
99205 Prolong outpt/office vis 27 27 $8K
31579 19 13 $8K
82962 42,501 22,944 $8K
76870 424 404 $8K
73140 1,167 1,071 $8K
88142 478 456 $8K
10061 107 104 $7K
76942 357 310 $7K
92550 71 68 $7K
96160 42,338 37,007 $7K
82803 15,669 12,465 $6K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 112 108 $6K
0052A 132 130 $6K
Q5117 Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg 74 49 $6K
83970 82 71 $5K
11404 18 15 $5K
94729 1,786 1,737 $5K
93312 24 24 $5K
72050 92 89 $5K
80076 27,194 24,113 $5K
43235 14 14 $5K
71101 920 896 $5K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 7,918 7,387 $5K
82378 201 172 $5K
84702 2,033 1,848 $4K
96523 585 408 $4K
73090 1,798 1,606 $4K
11721 134 131 $4K
96367 4,709 2,839 $4K
Q9957 Injection, perflutren lipid microspheres, per ml 1,169 1,117 $4K
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 3,991 3,488 $4K
82043 2,114 2,050 $4K
97150 Therapeutic procedure(s), group (2 or more individuals) 1,626 486 $4K
74019 501 441 $4K
87076 2,970 1,796 $4K
99201 124 124 $4K
0154A 97 90 $3K
0051A 74 72 $3K
73522 28 27 $3K
88361 19 17 $3K
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 1,555 1,399 $3K
74230 30 29 $3K
85027 10,660 8,964 $3K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 34,683 31,677 $3K
G0260 Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography 20 13 $3K
88304 2,802 2,468 $3K
J0561 Injection, penicillin g benzathine, 100,000 units 21 15 $2K
0074A 56 56 $2K
90651 32 32 $2K
88143 15 12 $2K
87077 12,417 7,106 $2K
84484 41,706 27,073 $2K
73060 686 619 $2K
85379 5,359 5,072 $2K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 53 28 $2K
A4648 Tissue marker, implantable, any type, each 722 643 $2K
12001 1,101 1,066 $2K
80069 967 767 $2K
82947 5,574 4,922 $2K
96411 182 111 $2K
81001 33,353 30,423 $2K
84145 5,996 5,358 $2K
73000 83 77 $2K
81025 14,988 13,400 $2K
72170 1,719 1,609 $2K
70487 13 13 $2K
72072 40 40 $2K
72128 339 319 $2K
12002 850 816 $2K
84134 3,871 3,722 $1K
96401 40 25 $1K
87070 11,358 9,277 $1K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 49 36 $1K
0003A 40 40 $1K
90715 4,495 4,339 $1K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 71 70 $1K
86704 653 638 $1K
73660 319 295 $1K
96040 26 26 $1K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 15 12 $1K
97535 Self-care/home management training, each 15 minutes 552 413 $1K
93922 445 437 $1K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 328 296 $1K
90480 544 539 $1K
88333 322 299 $1K
83605 18,767 14,403 $1K
85730 15,876 14,567 $1K
29125 325 313 $1K
73120 41 32 $1K
87040 13,421 6,491 $1K
87510 806 779 $1K
J3490 Unclassified drugs 4,633 4,126 $1K
83690 24,359 21,774 $1K
93296 62 59 $979.33
86900 10,162 9,262 $837.18
87660 807 779 $832.84
90836 187 132 $757.41
36591 91 62 $750.00
82330 8,001 7,063 $746.18
88172 919 785 $712.75
82270 123 122 $702.62
J2405 Injection, ondansetron hydrochloride, per 1 mg 31,191 25,575 $623.80
0134A 24 22 $589.16
96376 5,370 4,765 $545.88
81002 11,763 11,036 $527.13
82746 453 432 $517.09
80320 2,283 2,039 $509.77
77336 2,359 999 $493.08
93225 15 14 $481.52
C1769 Guide wire 4,320 3,933 $470.92
G0297 Low dose ct scan (ldct) for lung cancer screening 13 12 $441.33
83550 671 637 $434.42
86706 891 859 $432.92
C1887 Catheter, guiding (may include infusion/perfusion capability) 1,259 1,148 $427.20
86140 8,915 8,136 $420.54
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 2,321 2,250 $416.16
93880 12 12 $389.85
99153 Mod sedat endo service >5yrs 384 361 $387.39
96161 3,398 3,257 $381.71
82570 2,731 2,485 $379.20
84132 10,655 9,374 $372.84
84550 1,750 1,647 $342.16
85670 2,302 2,088 $337.47
74022 25 24 $336.99
85014 15,129 13,709 $335.03
J1885 Injection, ketorolac tromethamine, per 15 mg 17,269 15,163 $325.76
83735 9,432 7,183 $313.66
J2785 Injection, regadenoson, 0.1 mg 1,947 1,887 $286.03
J2270 Injection, morphine sulfate, up to 10 mg 9,734 8,102 $280.69
82550 3,287 2,777 $264.37
93280 27 26 $264.10
77012 13 12 $253.69
J1200 Injection, diphenhydramine hcl, up to 50 mg 5,864 4,561 $246.05
J0131 Injection, acetaminophen, not otherwise specified,10 mg 6,834 6,249 $240.91
82565 11,440 10,727 $238.98
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 3,730 3,481 $231.02
88307 1,809 1,424 $229.11
12011 337 327 $225.10
97116 480 318 $223.54
93976 143 139 $221.93
86359 12 12 $213.93
88312 896 760 $208.50
84703 2,712 2,542 $203.40
87210 963 927 $195.67
A9577 Injection, gadobenate dimeglumine (multihance), per ml 2,866 2,729 $189.24
73620 35 29 $185.21
86901 10,181 9,280 $184.97
84295 7,596 6,976 $180.67
A9270 Non-covered item or service 47,951 14,003 $166.50
85652 7,934 7,258 $165.69
J3010 Injection, fentanyl citrate, 0.1 mg 34,216 28,310 $164.34
J0696 Injection, ceftriaxone sodium, per 250 mg 11,278 7,773 $164.14
87088 6,518 5,550 $159.63
86735 29 13 $156.61
90785 17 15 $156.00
86592 1,511 1,418 $154.95
82140 239 207 $146.69
76376 1,131 1,072 $146.49
77300 376 342 $145.33
J0780 Injection, prochlorperazine, up to 10 mg 1,873 1,755 $127.95
87807 829 806 $116.53
J1100 Injection, dexamethasone sodium phosphate, 1 mg 16,594 13,282 $116.42
84100 2,752 2,199 $109.08
86920 86 43 $106.17
94727 1,373 1,276 $94.13
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 2,229 1,865 $92.24
Q3014 Telehealth originating site facility fee 17 13 $83.16
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 191 181 $81.93
L4386 Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 73 71 $73.82
A9585 Injection, gadobutrol, 0.1 ml 3,295 3,127 $73.80
87205 11,240 9,165 $71.71
87116 17 14 $69.62
36415 Collection of venous blood by venipuncture 36,025 29,076 $69.03
J2704 Injection, propofol, 10 mg 22,878 19,188 $69.02
J1170 Injection, hydromorphone, up to 4 mg 3,429 2,974 $63.85
J2060 Injection, lorazepam, 2 mg 4,030 3,436 $63.05
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 510 494 $60.94
J2765 Injection, metoclopramide hcl, up to 10 mg 4,135 3,779 $58.12
84439 1,842 1,737 $47.61
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 4,860 4,612 $42.48
J3475 Injection, magnesium sulfate, per 500 mg 3,035 2,031 $42.25
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 428 320 $42.15
82010 1,745 1,554 $40.19
J0692 Injection, cefepime hydrochloride, 500 mg 916 604 $37.48
J0690 Injection, cefazolin sodium, 500 mg 13,076 10,479 $36.58
L1830 Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf 84 83 $34.72
J0330 Injection, succinylcholine chloride, up to 20 mg 5,140 3,538 $30.55
A9561 Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries 333 321 $30.00
J0360 Injection, hydralazine hcl, up to 20 mg 1,732 1,515 $29.95
C1729 Catheter, drainage 2,520 2,213 $26.02
90686 1,367 1,339 $25.98
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 568 513 $25.00
J1790 Injection, droperidol, up to 5 mg 558 473 $24.15
92524 20 13 $23.57
96368 1,744 1,077 $22.78
J1630 Injection, haloperidol, up to 5 mg 1,978 1,649 $21.08
94761 94 91 $20.50
92567 197 197 $20.45
J0137 Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg 177 172 $20.16
87147 209 189 $19.93
J1650 Injection, enoxaparin sodium, 10 mg 2,888 1,304 $19.16
86701 649 620 $19.08
87390 643 618 $16.50
93325 930 891 $15.93
J2370 Injection, phenylephrine hcl, up to 1 ml 3,344 2,824 $14.40
87081 467 452 $14.27
J8540 Dexamethasone, oral, 0.25 mg 1,441 1,016 $14.26
85018 268 248 $12.70
86702 648 619 $11.81
96417 3,054 1,922 $10.18
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 2,623 1,962 $8.46
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 2,085 985 $8.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 3,759 3,375 $7.01
J2550 Injection, promethazine hcl, up to 50 mg 227 192 $6.65
J1940 Injection, furosemide, up to 20 mg 4,266 3,075 $6.55
J7999 Compounded drug, not otherwise classified 257 220 $6.38
J2250 Injection, midazolam hydrochloride, per 1 mg 22,916 20,252 $4.34
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 5,874 4,762 $3.77
J1626 Injection, granisetron hydrochloride, 100 mcg 332 186 $2.86
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 3,427 3,116 $2.64
C9113 Injection, pantoprazole sodium, per vial 1,201 833 $2.26
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg 587 494 $1.24
88300 423 397 $0.00
88311 475 445 $0.00
77063 Screening digital breast tomosynthesis, bilateral 4,880 4,827 $0.00
J7050 Infusion, normal saline solution, 250 cc 1,194 694 $0.00
76377 113 107 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 52 36 $0.00
88738 436 422 $0.00
93320 73 72 $0.00
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 1,734 1,602 $0.00
V2632 Posterior chamber intraocular lens 599 534 $0.00
84157 15 14 $0.00
99406 72 71 $0.00
J2305 Injection, nitroglycerin, 5 mg 108 95 $0.00
J3411 Injection, thiamine hcl, 100 mg 61 50 $0.00
72020 246 234 $0.00
80329 187 167 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 345 325 $0.00
J3480 Injection, potassium chloride, per 2 meq 242 141 $0.00
J9045 Injection, carboplatin, 50 mg 489 323 $0.00
94760 395 374 $0.00
95012 12 12 $0.00
J1920 Injection, labetalol hydrochloride, 5 mg 631 289 $0.00
90656 341 341 $0.00
C2617 Stent, non-coronary, temporary, without delivery system 80 77 $0.00
J7042 5% dextrose/normal saline (500 ml = 1 unit) 123 110 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 1,147 958 $0.00
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml 82 75 $0.00
82150 321 301 $0.00
12013 52 51 $0.00
J0173 Injection, epinephrine (belcher), not therapeutically equivalent to j0171, 0.1 mg 12 12 $0.00
77001 32 26 $0.00
C1781 Mesh (implantable) 105 103 $0.00
J1815 Injection, insulin, per 5 units 75 48 $0.00
88108 55 44 $0.00
82950 12 12 $0.00
J0610 Injection, calcium gluconate (fresenius kabi), per 10 ml 17 13 $0.00
90935 Hemodialysis procedure with single evaluation by a physician 19 14 $0.00
88334 43 38 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 71 65 $0.00
J0456 Injection, azithromycin, 500 mg 15 12 $0.00
83615 100 43 $0.00
J3360 Injection, diazepam, up to 5 mg 13 12 $0.00
A4344 Indwelling catheter, foley type, two-way, all silicone or polyurethane, each 57 52 $0.00
J2471 Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg 37 32 $0.00
87206 43 26 $0.00
J0461 Injection, atropine sulfate, 0.01 mg 15 13 $0.00
86762 13 13 $0.00
J1836 Injection, metronidazole, 10 mg 31 26 $0.00
88331 15 12 $0.00
64484 27 27 $0.00
A9581 Injection, gadoxetate disodium, 1 ml 39 39 $0.00
81003 32 31 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 331 201 $0.00
88173 1,070 904 $0.00
J1580 Injection, garamycin, gentamicin, up to 80 mg 714 657 $0.00
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 270 264 $0.00
J0670 Injection, mepivacaine hydrochloride, per 10 ml 277 250 $0.00
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 757 471 $0.00
89051 310 238 $0.00
51702 73 65 $0.00
J1644 Injection, heparin sodium, per 1000 units 3,523 2,281 $0.00
80179 245 216 $0.00
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 2,298 2,222 $0.00
J7030 Infusion, normal saline solution , 1000 cc 554 293 $0.00
0042T 14 13 $0.00
76937 1,017 924 $0.00
J9190 Injection, fluorouracil, 500 mg 416 154 $0.00
83540 694 650 $0.00
J0640 Injection, leucovorin calcium, per 50 mg 153 78 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 1,835 1,305 $0.00
J3370 Injection, vancomycin hcl, 500 mg 1,935 1,156 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 526 495 $0.00
C1760 Closure device, vascular (implantable/insertable) 561 512 $0.00
91321 68 68 $0.00
80143 265 228 $0.00
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 2,456 2,286 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 528 395 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 203 199 $0.00
94799 119 116 $0.00
C1758 Catheter, ureteral 87 84 $0.00
88313 448 362 $0.00
J3372 Injection, vancomycin hcl (xellia), not therapeutically equivalent to j3370, 500 mg 478 363 $0.00
96402 113 111 $0.00
90714 28 24 $0.00
A6251 Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 46 42 $0.00
77338 56 50 $0.00
87641 40 39 $0.00
85347 82 50 $0.00
J2598 Injection, vasopressin, 1 unit 25 13 $0.00
J2310 Injection, naloxone hydrochloride, per 1 mg 29 25 $0.00
J2720 Injection, protamine sulfate, per 10 mg 27 26 $0.00
J9263 Injection, oxaliplatin, 0.5 mg 171 78 $0.00
90662 257 249 $0.00
Q0244 Injection, casirivimab and imdevimab, 1200 mg 27 26 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 229 199 $0.00
J9201 Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg 111 36 $0.00
92611 30 29 $0.00
90734 29 27 $0.00
77061 28 28 $0.00
J1953 Injection, levetiracetam, 10 mg 61 49 $0.00
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg 31 30 $0.00
82272 14 13 $0.00
J3260 Injection, tobramycin sulfate, up to 80 mg 13 13 $0.00
J9171 Injection, docetaxel, 1 mg 23 12 $0.00
J1171 Injection, hydromorphone, 0.1 mg 124 103 $0.00
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 15 15 $0.00
94664 13 13 $0.00
90746 27 24 $0.00
C1788 Port, indwelling (implantable) 19 13 $0.00
88360 13 13 $0.00
80164 15 13 $0.00