Medicaid Provider Spending

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

U OF R NEUROLOGY DEPARTMENT

NPI: 1184725525 · ROCHESTER, NY 14642 · Neurology Physician · NPI assigned 09/26/2006

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

Authorized official HETTERICH, JILL controls 20+ related entities in our dataset. Read more

$61.71M
Total Medicaid Paid
1,105,121
Total Claims
959,485
Beneficiaries
462
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHETTERICH, JILL (SENIOR DIRECTOR OF FINANCE URMFG)
NPI Enumeration Date09/26/2006

Related Entities

Other providers sharing the same authorized official: HETTERICH, JILL

ProviderCityStateTotal Paid
EMERGENCY ASSOCIATES - UNIVERSITY OF ROCHESTER ROCHESTER NY $26.12M
PEDIATRIC GROUP UNIV OF ROCHESTER ROCHESTER NY $8.09M
RADIOLOGISTS OF UNIV OF ROCHESTER ROCHESTER NY $6.43M
STRONG OBSTETRICS-GYNECOLOGY GROUP ROCHESTER NY $4.08M
UNIVERSITY ORTHOPAEDIC ASSOCIATES OF ROCHESTER ROCHESTER NY $3.85M
UNIVERSITY OF ROCHESTER PEDIATRIC OPHTHALMOLOGY SERVICES ROCHESTER NY $3.55M
STRONG MEDICAL GROUP ROCHESTER NY $3.33M
PEDIATRIC DEVELOPMENT CLINIC ROCHESTER NY $2.26M
OB PERINATOLOGY GROUP UNIV OF ROCHESTER ROCHESTER NY $2.26M
CARDIOLOGY CLINICAL GROUP ROCHESTER NY $2.01M
PEDIATRIC CARDIOLOGY ROCHESTER NY $2.01M
UNIVERSITY OF ROCHESTER PEDIATRIC OTOLARYNGOLOGY ASSOCIATES ROCHESTER NY $1.86M
UNIVERSITY OF ROCHESTER URGENT CARE ROCHESTER NY $1.76M
UNIVERSITY OF ROCHESTER DEPARTMENT OF PSYCHIATRY CLINICAL GROUP ROCHESTER NY $1.68M
UNIVERSITY DERMATOLOGY ASSOCIATES ROCHESTER NY $1.32M
PEDIATRIC G I NUTRITION ROCHESTER NY $1.27M
PEDIATRIC RADIOLOGY OF THE UNIVERSITY OF ROCHESTER ROCHESTER NY $1.17M
MAMMOGRAPHY OF THE UNIVERSITY OF ROCHESTER ROCHESTER NY $1.15M
UNIVERSITY OTOLARYNGOLOGY ASSOCIATES ROCHESTER NY $1.12M
PEDIATRIC METABOLISM ENDERCRENOLOGY ROCHESTER NY $1.07M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 370 $42K
2019 178,493 $8.55M
2020 161,837 $8.39M
2021 203,720 $11.58M
2022 205,663 $12.33M
2023 222,586 $12.64M
2024 132,452 $8.17M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90791 Psychiatric diagnostic evaluation 5,832 4,682 $7.80M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 21,765 20,262 $3.68M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,935 14,332 $2.80M
99283 Emergency department visit for the evaluation and management, moderate severity 12,224 11,459 $2.67M
99284 Emergency department visit for the evaluation and management, high severity 13,946 12,929 $2.64M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 14,816 7,665 $1.82M
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 20,332 19,418 $1.71M
99215 Prolong outpt/office vis 9,308 8,414 $1.66M
96415 1,726 1,481 $1.48M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 5,735 3,925 $1.24M
99282 Emergency department visit for the evaluation and management, low to moderate severity 5,543 5,245 $1.23M
S9485 Crisis intervention mental health services, per diem 576 527 $1.09M
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 37,608 2,935 $1.07M
96361 Intravenous infusion, hydration; each additional hour 3,013 2,563 $1.01M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 4,242 3,498 $1.00M
Q5103 Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg 691 657 $963K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,114 1,103 $887K
90834 Psychotherapy, 45 minutes with patient 6,624 4,570 $871K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,523 2,506 $850K
70450 Computed tomography, head or brain; without contrast material 2,223 2,166 $813K
80053 Comprehensive metabolic panel 38,853 33,300 $799K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 3,912 3,756 $732K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1,725 1,709 $666K
G0378 Hospital observation service, per hour 3,756 2,892 $654K
87631 4,989 4,911 $623K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,117 2,091 $588K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 301 301 $564K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,863 2,784 $544K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 13,399 13,111 $508K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 1,135 1,121 $478K
D2930 Prefabricated stainless steel crown - primary tooth 441 434 $461K
J0585 Injection, onabotulinumtoxina, 1 unit 455 450 $456K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 13,334 13,046 $454K
97161 2,694 2,664 $451K
80048 Basic metabolic panel (calcium, ionized) 17,328 15,371 $437K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,837 1,674 $401K
90832 Psychotherapy, 30 minutes with patient 3,952 2,984 $399K
H0040 Assertive community treatment program, per diem 230 229 $397K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 7,966 7,916 $376K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 573 573 $374K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,349 1,046 $372K
88305 Level IV - Surgical pathology, gross and microscopic examination 8,097 5,830 $357K
90837 Psychotherapy, 53 minutes with patient 2,595 1,753 $332K
76770 1,618 1,599 $332K
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 12,899 12,400 $319K
59025 Fetal non-stress test 1,041 585 $301K
92567 2,340 2,333 $252K
83036 Hemoglobin; glycosylated (A1C) 17,665 17,529 $247K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 892 753 $244K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 7,808 7,702 $243K
86850 5,869 4,724 $239K
84443 Thyroid stimulating hormone (TSH) 19,350 18,970 $229K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 363 353 $225K
95812 518 516 $224K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 10,028 6,954 $221K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,084 1,073 $208K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 4,960 4,956 $207K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,973 1,202 $194K
97162 936 924 $190K
87536 1,392 1,377 $190K
D9222 556 556 $189K
92134 1,433 1,377 $189K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 7,521 7,476 $186K
86901 6,048 4,902 $164K
80061 Lipid panel 16,806 16,728 $161K
80051 4,364 3,921 $156K
92557 1,364 1,357 $156K
41899 Unlisted procedure, dentoalveolar structures 86 86 $152K
99205 Prolong outpt/office vis 774 766 $149K
80076 7,808 7,294 $145K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,293 2,191 $140K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 48,096 41,197 $140K
86780 7,627 7,560 $135K
36415 Collection of venous blood by venipuncture 41,941 35,507 $131K
93320 1,607 1,575 $124K
86900 6,036 4,894 $121K
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision 6,148 6,143 $120K
94010 676 668 $112K
84439 9,676 9,434 $111K
94060 332 331 $111K
93325 1,938 1,868 $109K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,641 2,553 $106K
86803 7,802 7,755 $105K
82728 6,601 6,321 $103K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 5,610 4,447 $102K
87086 Culture, bacterial; quantitative colony count, urine 11,532 10,904 $101K
83880 2,037 1,771 $99K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 475 475 $96K
92133 569 565 $94K
97803 1,677 1,619 $94K
86480 1,124 1,113 $88K
95810 Polysomnography; sleep staging with 4 or more additional parameters 105 105 $87K
H0035 Mental health partial hospitalization, treatment, less than 24 hours 519 78 $84K
87522 Neg quan hep c or qual rna 1,253 1,226 $84K
82607 5,044 5,012 $83K
92579 752 748 $81K
84403 2,504 2,461 $81K
93975 249 223 $80K
87340 5,524 5,482 $76K
86360 1,494 1,473 $75K
83970 1,169 1,141 $74K
87480 4,517 4,432 $73K
Q9956 Injection, octafluoropropane microspheres, per ml 1,438 760 $73K
87510 4,517 4,432 $73K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 9,446 5,312 $72K
42820 Tonsillectomy and adenoidectomy; younger than age 12 38 38 $71K
95886 455 452 $69K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,698 1,319 $67K
93017 350 345 $66K
82670 1,547 1,530 $65K
45380 Colonoscopy, flexible; with biopsy, single or multiple 70 68 $64K
88342 1,154 1,072 $62K
90847 Family psychotherapy with the patient present, 50 minutes 305 196 $61K
87660 4,656 4,551 $61K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,574 859 $57K
83655 2,851 2,833 $56K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 131 129 $54K
86359 1,510 1,488 $53K
87081 8,903 8,739 $52K
97010 1,987 1,093 $52K
76882 369 367 $51K
85610 8,648 6,735 $50K
86706 3,811 3,783 $49K
85027 14,456 12,334 $46K
88185 419 197 $45K
74176 Computed tomography, abdomen and pelvis; without contrast material 143 139 $45K
86704 3,566 3,537 $45K
J1459 Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg 13 12 $43K
95951 164 82 $41K
86762 1,859 1,855 $39K
J7120 Ringers lactate infusion, up to 1000 cc 11,946 11,387 $39K
83540 6,233 6,085 $39K
H2011 Crisis intervention service, per 15 minutes 511 296 $38K
88341 670 416 $37K
82570 5,242 5,031 $36K
84702 2,628 2,149 $35K
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 1,894 1,773 $35K
J1745 Injection, infliximab, excludes biosimilar, 10 mg 12 12 $35K
D1120 Prophylaxis - child 444 444 $33K
70551 Magnetic resonance imaging, brain; without contrast material 91 91 $33K
99232 Subsequent hospital care, per day, moderate complexity 522 261 $32K
97165 223 221 $32K
71275 Computed tomographic angiography, chest, with contrast material 75 74 $31K
83735 8,455 5,636 $30K
87186 3,536 3,417 $30K
86708 2,204 2,201 $30K
86140 7,165 6,466 $29K
84146 989 976 $29K
76830 Ultrasound, transvaginal 734 730 $29K
J2704 Injection, propofol, 10 mg 9,487 9,342 $29K
82746 1,811 1,794 $28K
95720 209 104 $28K
97802 591 589 $28K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 98 98 $27K
93971 404 371 $27K
A9576 Injection, gadoteridol, (prohance multipack), per ml 1,240 1,211 $27K
82784 2,258 2,083 $26K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 360 207 $26K
83001 970 963 $26K
81001 8,217 7,708 $26K
83550 3,969 3,866 $25K
82043 3,355 3,332 $25K
A9573 Injection, gadopiclenol, 1 ml 505 296 $24K
97164 224 221 $23K
71046 Radiologic examination, chest; 2 views 6,178 5,936 $23K
80069 1,516 1,347 $23K
84466 1,699 1,673 $23K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 1,485 1,467 $23K
12001 39 39 $22K
J1170 Injection, hydromorphone, up to 4 mg 3,390 2,884 $21K
87070 2,591 2,524 $21K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 102 37 $20K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 7,679 6,853 $20K
92083 167 166 $20K
80197 1,978 992 $20K
96367 160 118 $20K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 54 54 $20K
84402 833 829 $19K
A9585 Injection, gadobutrol, 0.1 ml 626 621 $18K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 1,339 1,335 $17K
93976 105 103 $17K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 816 799 $17K
76000 149 145 $17K
90715 529 526 $16K
92556 246 246 $16K
88112 260 248 $16K
92552 107 107 $16K
86355 375 367 $16K
59841 14 14 $15K
74183 32 30 $15K
84100 5,200 3,410 $15K
J2469 Injection, palonosetron hcl, 25 mcg 824 512 $14K
83002 520 516 $13K
85652 6,283 5,871 $13K
86038 1,722 1,712 $12K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 76 55 $12K
70486 106 105 $12K
82565 8,266 7,591 $12K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 180 176 $12K
82805 551 513 $12K
73610 1,814 1,707 $12K
83690 8,703 7,966 $12K
99223 Prolong inpt eval add15 m 72 72 $11K
83615 3,654 2,422 $11K
73630 1,786 1,724 $11K
85730 2,404 2,352 $11K
88304 278 247 $11K
84460 2,932 2,869 $11K
J0690 Injection, cefazolin sodium, 500 mg 3,827 3,428 $10K
78815 Positron emission tomography (PET) for limited area imaging 12 12 $10K
71250 97 95 $10K
82105 1,165 1,119 $10K
86357 364 356 $10K
J0330 Injection, succinylcholine chloride, up to 20 mg 966 893 $10K
0071A 161 158 $10K
J3010 Injection, fentanyl citrate, 0.1 mg 9,027 8,815 $10K
G0124 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician 697 697 $9K
84156 2,087 1,853 $9K
90853 Group psychotherapy (other than of a multiple-family group) 186 77 $9K
0001A 243 240 $9K
12002 14 14 $9K
86787 933 927 $9K
88307 90 77 $9K
99222 Initial hospital care, per day, moderate complexity 85 85 $9K
92250 126 121 $9K
82248 2,984 2,756 $9K
81025 1,898 1,844 $8K
73030 1,094 1,068 $8K
76536 287 285 $8K
86765 428 426 $8K
99233 Prolong inpt eval add15 m 112 43 $8K
87102 959 947 $8K
84450 1,328 1,304 $8K
82950 995 994 $8K
0002A 126 126 $8K
70498 56 55 $8K
82150 8,229 7,555 $8K
86481 106 105 $7K
87529 88 88 $7K
86618 339 338 $7K
0012A 136 136 $7K
J2270 Injection, morphine sulfate, up to 10 mg 1,608 1,494 $7K
85380 390 387 $7K
86364 710 685 $7K
0124A 112 112 $7K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 8,727 8,154 $6K
J1885 Injection, ketorolac tromethamine, per 15 mg 8,162 7,373 $6K
82550 1,621 1,494 $6K
88184 253 235 $6K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 107 107 $6K
D7140 Extraction, erupted tooth or exposed root 12 12 $6K
85007 4,909 3,551 $6K
87205 1,968 1,912 $6K
95885 55 55 $6K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 27 26 $6K
90686 438 437 $6K
85014 2,037 1,973 $6K
74018 1,400 1,350 $6K
72125 Computed tomography, cervical spine; without contrast material 91 91 $6K
73130 1,300 1,215 $6K
82977 912 819 $6K
72082 329 328 $5K
93296 34 34 $5K
86376 254 252 $5K
88321 105 101 $5K
72100 720 718 $5K
99231 Subsequent hospital care, per day, straightforward or low complexity 159 73 $5K
J8540 Dexamethasone, oral, 0.25 mg 1,363 777 $5K
86430 757 756 $5K
82247 2,689 2,531 $5K
73562 812 801 $5K
84550 1,084 900 $5K
0011A 155 155 $5K
J2405 Injection, ondansetron hydrochloride, per 1 mg 12,256 11,154 $5K
87497 104 51 $5K
81003 3,674 3,569 $5K
J1756 Injection, iron sucrose, 1 mg 121 72 $5K
74230 12 12 $5K
72156 12 12 $4K
84480 653 620 $4K
73560 696 655 $4K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 574 481 $4K
D1208 Topical application of fluoride, excluding varnish 64 64 $4K
86923 102 48 $4K
82040 2,481 2,401 $4K
J7060 5% dextrose/water (500 ml = 1 unit) 1,595 1,078 $4K
82533 222 195 $4K
93299 24 24 $4K
83020 260 187 $4K
99221 40 40 $4K
0072A 63 63 $4K
82947 7,439 6,568 $4K
J2250 Injection, midazolam hydrochloride, per 1 mg 8,350 8,124 $4K
86735 326 325 $4K
74178 29 29 $3K
0004A 58 58 $3K
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 80 79 $3K
93225 13 13 $3K
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous 281 281 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,906 1,731 $3K
P9604 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge 304 143 $3K
88189 68 67 $3K
88142 114 114 $3K
73110 562 527 $3K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 63 53 $3K
82785 193 193 $3K
73502 449 437 $3K
86160 197 102 $3K
84075 1,863 1,822 $3K
84165 382 300 $3K
86800 132 132 $3K
99443 24 20 $2K
82310 2,257 2,169 $2K
87338 205 205 $2K
73590 463 419 $2K
72170 278 276 $2K
76700 Ultrasound, abdominal, real time with image documentation; complete 12 12 $2K
96402 28 26 $2K
J0780 Injection, prochlorperazine, up to 10 mg 535 502 $2K
95909 27 27 $2K
84155 2,350 2,269 $2K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 342 324 $2K
84520 6,718 6,062 $2K
J1200 Injection, diphenhydramine hcl, up to 50 mg 2,218 1,699 $2K
84481 158 157 $2K
J1644 Injection, heparin sodium, per 1000 units 1,281 1,102 $2K
97166 12 12 $2K
92611 12 12 $2K
94729 65 65 $2K
87040 1,822 1,253 $2K
J7042 5% dextrose/normal saline (500 ml = 1 unit) 857 736 $2K
31575 13 12 $2K
J2550 Injection, promethazine hcl, up to 50 mg 737 643 $2K
86696 121 120 $2K
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg 166 165 $2K
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg 96 74 $2K
85045 935 823 $2K
84295 2,599 2,490 $2K
J1650 Injection, enoxaparin sodium, 10 mg 536 308 $2K
71045 Radiologic examination, chest; single view 1,505 1,448 $2K
J1630 Injection, haloperidol, up to 5 mg 1,327 1,296 $2K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 43 42 $2K
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 198 180 $2K
88313 168 126 $2K
D1351 Sealant - per tooth 12 12 $2K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 26 26 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg 768 667 $2K
Q9950 Injection, sulfur hexafluoride lipid microspheres, per ml 25 13 $1K
86235 52 52 $1K
86077 28 13 $1K
J2370 Injection, phenylephrine hcl, up to 1 ml 820 808 $1K
73140 290 261 $1K
93226 13 13 $1K
87641 49 48 $1K
84703 2,811 2,689 $1K
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 13 13 $1K
82435 2,291 2,211 $1K
82374 2,089 2,019 $1K
J3475 Injection, magnesium sulfate, per 500 mg 313 224 $1K
86008 40 25 $1K
93922 39 28 $1K
85060 87 84 $1K
88319 22 12 $1K
83993 67 67 $1K
86665 49 49 $1K
73090 310 252 $1K
87088 99 96 $1K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 3,567 1,831 $1K
87158 1,791 1,759 $1K
73564 66 65 $1K
0031A 17 17 $1K
84132 864 825 $997.35
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 637 632 $991.22
85384 268 252 $935.29
76801 12 12 $928.05
87206 168 165 $921.77
73070 141 110 $866.76
73100 135 110 $851.19
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 348 179 $840.44
0054A 14 14 $840.00
85097 12 12 $815.20
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 367 365 $805.31
88312 17 13 $788.37
86592 178 172 $751.08
83605 1,453 1,350 $705.59
73080 115 108 $704.62
S9484 Crisis intervention mental health services, per hour 17 13 $655.41
J2919 Injection, methylprednisolone sodium succinate, 5 mg 108 93 $627.59
86769 12 12 $568.80
86225 77 77 $568.71
84153 27 27 $551.80
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 3,064 3,000 $539.28
G0008 Administration of influenza virus vaccine 32 32 $521.04
84134 64 56 $514.51
85018 219 211 $489.50
82378 44 37 $485.83
J1030 Injection, methylprednisolone acetate, 40 mg 51 51 $471.08
87535 12 12 $440.62
V5266 Battery for use in hearing device 39 39 $435.60
95911 12 12 $435.42
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 212 211 $434.49
86709 28 28 $427.50
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 1,577 1,274 $418.19
73552 87 81 $417.49
87184 26 26 $401.42
84484 3,827 2,018 $401.16
97035 18 12 $352.44
83521 42 14 $320.70
82330 224 213 $314.03
86304 12 12 $312.20
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 1,074 910 $310.90
87324 44 41 $282.00
82390 25 25 $255.15
83525 13 13 $205.80
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 12 12 $198.24
86308 50 49 $196.53
Q0164 Prochlorperazine maleate, 5 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 367 208 $196.22
87449 31 30 $195.00
86301 13 12 $187.32
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 2,649 2,454 $176.70
87015 27 27 $170.54
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,594 1,572 $167.27
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 909 828 $151.77
87116 13 13 $141.93
72040 15 14 $136.40
J1815 Injection, insulin, per 5 units 92 41 $133.71
J1596 Injection, glycopyrrolate, 0.1 mg 122 122 $125.88
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 13 13 $117.81
87075 28 27 $113.68
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 4,756 4,303 $90.34
83721 220 218 $80.70
72070 13 13 $68.20
J2060 Injection, lorazepam, 2 mg 70 67 $55.68
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 14 14 $55.10
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 134 128 $51.97
96375 Therapeutic injection; each additional sequential IV push 5,702 4,332 $50.22
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 91 78 $48.40
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 33 29 $38.64
81002 1,383 1,347 $36.20
80143 989 927 $25.44
85390 399 371 $20.15
J2470 Injection, pantoprazole sodium, 40 mg 12 12 $15.60
J2765 Injection, metoclopramide hcl, up to 10 mg 16 14 $14.98
80179 975 915 $12.72
88300 474 402 $8.84
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,023 1,016 $7.50
99153 Mod sedat endo service >5yrs 1,475 1,437 $0.00
C1769 Guide wire 1,046 1,024 $0.00
96376 1,367 970 $0.00
82077 534 508 $0.00
95012 91 90 $0.00
96127 13 13 $0.00
99152 2,320 2,253 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 567 556 $0.00
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 115 110 $0.00
96417 87 50 $0.00
85347 38 38 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 263 258 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 99 99 $0.00
C1729 Catheter, drainage 13 13 $0.00
T1040 Medicaid certified community behavioral health clinic services, per diem 26 24 $0.00
95800 12 12 $0.00