Medicaid Provider Spending

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

BAPTIST MEMORIAL HOSPITAL-DESOTO, INC,

NPI: 1194789818 · SOUTHAVEN, MS 38671 · Multi-Specialty Clinic/Center · NPI assigned 04/12/2006

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

Authorized official DUCKETT, GREGORY controls 20+ related entities in our dataset. Read more

$41.70M
Total Medicaid Paid
1,258,614
Total Claims
868,321
Beneficiaries
307
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDUCKETT, GREGORY (SR VP/ CLO)
Parent OrganizationBAPTIST MEMORIAL HEALTH CARE CORP.
NPI Enumeration Date04/12/2006

Related Entities

Other providers sharing the same authorized official: DUCKETT, GREGORY

ProviderCityStateTotal Paid
BAPTIST MEMORIAL HOSPITAL - GOLDEN TRIANGLE INC. COLUMBUS MS $56.02M
BAPTIST MEMORIAL HOSPITAL MEMPHIS TN $51.45M
MISSISSIPPI BAPTIST MEDICAL CENTER, INC. JACKSON MS $42.05M
BAPTIST MEMORIAL HOSPITAL NORTH MISSISSIPPI, INC OXFORD MS $38.92M
BAPTIST MEMORIAL MEDICAL GROUP INC MEMPHIS TN $35.67M
BAPTIST MEMORIAL HOSPITAL UNION COUNTY, INC. NEW ALBANY MS $32.79M
ANDERSON REGIONAL MEDICAL CENTER MERIDIAN MS $32.50M
BAPTIST MEMORIAL HOSPITAL-JONESBORO INC JONESBORO AR $17.05M
BAPTIST MEMORIAL HOSPITAL-TIPTON COVINGTON TN $13.88M
NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. JONESBORO AR $12.83M
BAPTIST MEDICAL CENTER - YAZOO, INC YAZOO CITY MS $11.60M
BAPTIST MEMORIAL HOSPITAL- UNION CITY INC UNION CITY TN $9.08M
BAPTIST MEDICAL CENTER-LEAKE INC CARTHAGE MS $8.26M
MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC. JACKSON MS $7.52M
BAPTIST MEMORIAL HOSPITAL-BOONEVILLE, INC. BOONEVILLE MS $7.14M
ANDERSON REGIONAL MEDICAL CENTER MERIDIAN MS $4.16M
BAPTIST MINOR MEDICAL CENTERS INC MEMPHIS TN $3.02M
ANDERSON PHYSICIAN ALLIANCE, INC. MERIDIAN MS $2.73M
BAPTIST MEMORIAL HOSPITAL-HUNTINGDON HUNTINGDON TN $2.49M
BAPTIST MEDICAL CENTER-LEAKE, INC. CARTHAGE MS $2.23M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 195,742 $6.82M
2019 179,315 $6.93M
2020 178,655 $5.70M
2021 218,568 $6.26M
2022 210,571 $6.20M
2023 174,610 $5.86M
2024 101,153 $3.93M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 42,564 34,260 $7.15M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 30,404 23,947 $5.73M
99283 Emergency department visit for the evaluation and management, moderate severity 27,482 23,244 $3.53M
G0378 Hospital observation service, per hour 9,238 5,724 $3.07M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 20,422 15,712 $1.53M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 7,949 6,760 $1.17M
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 3,357 2,864 $1.14M
74177 Computed tomography, abdomen and pelvis; with contrast material 7,368 6,011 $999K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 27,204 16,596 $769K
96361 Intravenous infusion, hydration; each additional hour 13,578 7,807 $758K
D0272 Bitewings - two radiographic images 1,127 946 $718K
71045 Radiologic examination, chest; single view 20,633 16,147 $635K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 8,194 5,281 $599K
D2930 Prefabricated stainless steel crown - primary tooth 11,944 1,864 $598K
D7140 Extraction, erupted tooth or exposed root 1,851 513 $585K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 4,841 1,988 $577K
99282 Emergency department visit for the evaluation and management, low to moderate severity 6,652 5,706 $554K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 7,687 4,198 $546K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 29,032 18,548 $518K
96375 Therapeutic injection; each additional sequential IV push 21,101 13,452 $483K
80053 Comprehensive metabolic panel 76,640 53,892 $479K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 14,831 11,438 $417K
70450 Computed tomography, head or brain; without contrast material 8,981 7,232 $388K
71046 Radiologic examination, chest; 2 views 9,121 7,762 $372K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 26,977 21,931 $354K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 69,944 49,128 $313K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 27,613 12,016 $297K
93017 3,979 3,427 $284K
86900 5,843 4,235 $266K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 5,139 2,208 $234K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 2,807 2,162 $224K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,923 2,292 $223K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 5,395 4,389 $217K
36415 Collection of venous blood by venipuncture 98,641 62,827 $203K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 3,155 2,379 $200K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 2,998 2,299 $189K
84484 27,169 12,982 $180K
71275 Computed tomographic angiography, chest, with contrast material 2,628 2,062 $179K
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 2,849 2,378 $175K
J0897 Injection, denosumab, 1 mg 314 227 $171K
71260 Computed tomography, thorax, diagnostic; with contrast material 2,110 1,688 $154K
99281 Emergency department visit for the evaluation and management, self-limited or minor 2,931 2,496 $133K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 2,008 1,652 $129K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,997 3,528 $128K
D2934 2,506 495 $111K
86850 5,179 3,695 $109K
83880 5,562 4,323 $108K
72100 2,150 1,821 $106K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 3,122 951 $104K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,204 2,903 $88K
93880 1,498 1,305 $87K
86901 6,029 4,367 $85K
73560 2,525 2,105 $83K
77067 Screening mammography, bilateral, including computer-aided detection 1,045 974 $82K
72125 Computed tomography, cervical spine; without contrast material 2,309 1,880 $82K
81001 34,753 27,496 $80K
74018 1,946 1,580 $79K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,358 1,123 $75K
83735 21,039 13,918 $74K
J9271 Injection, pembrolizumab, 1 mg 43 12 $73K
85027 21,752 14,135 $70K
71250 2,151 1,781 $69K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 3,538 519 $69K
93971 1,974 1,637 $68K
93458 58 55 $66K
73030 1,990 1,639 $64K
77066 Tomosynthesis, mammo 1,058 923 $58K
D3320 135 95 $58K
76830 Ultrasound, transvaginal 917 805 $57K
70551 Magnetic resonance imaging, brain; without contrast material 865 687 $57K
81025 8,669 7,160 $56K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,984 3,460 $53K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 7,297 3,726 $53K
80048 Basic metabolic panel (calcium, ionized) 12,615 7,826 $52K
73610 1,323 1,123 $51K
73630 1,396 1,209 $51K
84443 Thyroid stimulating hormone (TSH) 5,405 4,119 $50K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,929 1,661 $50K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,930 1,661 $49K
36430 529 279 $47K
83690 10,576 8,328 $47K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,899 1,677 $47K
76642 1,460 1,262 $46K
78815 Positron emission tomography (PET) for limited area imaging 143 130 $45K
96367 1,766 1,098 $44K
84702 4,307 3,234 $44K
83605 7,287 5,189 $42K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 2,726 2,160 $41K
84703 8,050 6,346 $40K
73130 998 843 $38K
87086 Culture, bacterial; quantitative colony count, urine 6,705 5,559 $36K
D2391 Resin-based composite - one surface, posterior, primary or permanent 569 136 $33K
D2330 1,689 362 $33K
Q3014 Telehealth originating site facility fee 2,385 1,904 $33K
95810 Polysomnography; sleep staging with 4 or more additional parameters 72 65 $32K
87040 6,096 2,710 $32K
73502 1,135 913 $31K
J2469 Injection, palonosetron hcl, 25 mcg 776 344 $30K
93970 401 335 $27K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 12,639 8,894 $27K
87807 2,495 2,260 $27K
90935 Hemodialysis procedure with single evaluation by a physician 233 100 $27K
D1120 Prophylaxis - child 2,491 2,033 $25K
59025 Fetal non-stress test 258 187 $25K
85379 4,339 3,461 $23K
77065 Tomosynthesis, mammo 599 523 $23K
99215 Prolong outpt/office vis 766 445 $23K
73110 578 483 $22K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 164 132 $21K
85610 9,921 7,109 $21K
72050 415 359 $21K
70486 368 307 $19K
P9016 Red blood cells, leukocytes reduced, each unit 300 153 $18K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 272 229 $17K
J0561 Injection, penicillin g benzathine, 100,000 units 172 128 $16K
J1439 Injection, ferric carboxymaltose, 1 mg 102 37 $16K
D1208 Topical application of fluoride, excluding varnish 2,488 2,020 $16K
86923 424 174 $16K
85730 4,957 3,352 $15K
80061 Lipid panel 2,188 1,645 $15K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,034 217 $14K
70498 280 209 $13K
95811 30 26 $13K
82565 5,395 4,266 $13K
83036 Hemoglobin; glycosylated (A1C) 2,360 1,908 $12K
82728 2,703 1,782 $12K
70496 206 150 $11K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 614 501 $11K
93925 150 144 $10K
76770 200 175 $10K
97162 587 429 $10K
J7030 Infusion, normal saline solution , 1000 cc 19,331 12,982 $9K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 150 121 $9K
Q9950 Injection, sulfur hexafluoride lipid microspheres, per ml 534 256 $9K
85007 3,638 2,685 $8K
76819 Fetal biophysical profile; without non-stress testing 152 97 $8K
97161 394 311 $8K
96417 192 89 $7K
84439 1,598 1,093 $7K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 474 377 $7K
86140 2,416 1,918 $7K
93290 921 807 $7K
73070 177 153 $7K
76700 Ultrasound, abdominal, real time with image documentation; complete 113 100 $6K
93016 962 824 $6K
83550 2,440 1,566 $5K
88305 Level IV - Surgical pathology, gross and microscopic examination 264 168 $5K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 23 22 $5K
87210 1,449 1,238 $5K
12011 59 40 $5K
74022 78 71 $5K
82607 891 623 $4K
73590 107 89 $4K
83540 2,500 1,611 $4K
41899 Unlisted procedure, dentoalveolar structures 13 12 $4K
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 256 220 $4K
93280 475 422 $4K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 3,235 2,077 $4K
83615 1,370 908 $4K
74174 43 43 $4K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 261 208 $4K
J7120 Ringers lactate infusion, up to 1000 cc 7,099 5,121 $3K
A9270 Non-covered item or service 9,999 5,575 $3K
76801 49 41 $3K
82570 1,087 834 $3K
82803 256 210 $3K
73090 73 68 $3K
J2270 Injection, morphine sulfate, up to 10 mg 9,049 5,581 $3K
74019 111 70 $3K
82550 748 546 $3K
72070 65 54 $3K
12001 29 28 $3K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 16,473 12,402 $3K
85652 1,620 1,301 $3K
82746 612 422 $3K
85045 938 535 $3K
J2405 Injection, ondansetron hydrochloride, per 1 mg 18,550 12,517 $2K
84550 917 679 $2K
84100 1,546 1,007 $2K
84156 1,019 761 $2K
93018 962 824 $2K
77336 37 12 $2K
80069 475 334 $2K
97166 52 44 $1K
D0230 Intraoral - periapical each additional radiographic image 1,059 880 $1K
86308 158 128 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 12,150 9,121 $1K
72131 46 41 $1K
97165 70 53 $1K
73552 33 27 $1K
85014 663 474 $1K
J7050 Infusion, normal saline solution, 250 cc 7,266 2,622 $1K
75574 13 13 $959.45
82150 177 141 $917.80
36600 30 26 $870.37
C1769 Guide wire 1,581 1,248 $839.51
82731 16 13 $826.33
85018 513 384 $821.66
96411 23 12 $815.09
71271 13 12 $769.69
87070 107 95 $726.14
70360 15 12 $698.68
D0220 Intraoral - periapical first radiographic image 1,121 941 $672.56
83970 46 30 $671.96
90686 96 72 $598.51
93289 58 45 $590.88
87205 177 141 $586.77
96376 8,685 3,782 $566.01
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 4,694 3,684 $487.10
85347 87 45 $480.98
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,975 1,430 $477.72
J1200 Injection, diphenhydramine hcl, up to 50 mg 5,371 3,479 $471.57
93283 51 38 $470.70
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 1,598 1,276 $454.05
J1644 Injection, heparin sodium, per 1000 units 5,382 2,009 $446.91
J0696 Injection, ceftriaxone sodium, per 250 mg 5,915 3,959 $398.19
82248 89 65 $387.81
J3010 Injection, fentanyl citrate, 0.1 mg 5,605 4,327 $338.24
0002A 14 14 $327.31
D1351 Sealant - per tooth 66 14 $316.89
87641 18 14 $301.89
84132 176 97 $287.33
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 14 13 $273.98
82375 30 26 $271.53
73060 16 12 $262.39
J1170 Injection, hydromorphone, up to 4 mg 6,216 3,200 $223.38
C1887 Catheter, guiding (may include infusion/perfusion capability) 577 471 $221.46
84165 106 58 $196.62
80047 45 33 $193.82
93282 12 12 $182.66
0001A 20 18 $180.80
84145 1,429 1,089 $166.02
83050 30 26 $162.65
83655 14 14 $154.25
J1885 Injection, ketorolac tromethamine, per 15 mg 10,329 8,028 $150.81
J2785 Injection, regadenoson, 0.1 mg 3,006 2,583 $145.31
87640 18 14 $140.36
J2704 Injection, propofol, 10 mg 6,875 5,306 $140.13
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 757 620 $134.19
J2360 Injection, orphenadrine citrate, up to 60 mg 2,143 1,788 $129.83
93288 12 12 $127.48
Q9957 Injection, perflutren lipid microspheres, per ml 186 174 $116.21
J8540 Dexamethasone, oral, 0.25 mg 265 102 $115.11
90715 202 167 $103.59
82010 21 13 $74.06
J2919 Injection, methylprednisolone sodium succinate, 5 mg 144 93 $64.55
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 3,366 2,872 $57.34
82247 14 13 $54.73
J1650 Injection, enoxaparin sodium, 10 mg 5,569 2,032 $46.68
D1206 Topical application of fluoride varnish 17 12 $39.53
J1756 Injection, iron sucrose, 1 mg 147 51 $36.61
82270 13 12 $32.50
J2550 Injection, promethazine hcl, up to 50 mg 2,538 1,802 $32.37
J0780 Injection, prochlorperazine, up to 10 mg 695 606 $29.40
J3475 Injection, magnesium sulfate, per 500 mg 603 355 $26.12
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 4,801 2,805 $24.13
J0595 Injection, butorphanol tartrate, 1 mg 38 26 $23.93
J2250 Injection, midazolam hydrochloride, per 1 mg 5,911 4,434 $21.82
J0360 Injection, hydralazine hcl, up to 20 mg 1,665 1,099 $20.38
J2060 Injection, lorazepam, 2 mg 1,159 754 $15.65
J1171 Injection, hydromorphone, 0.1 mg 51 30 $10.75
96368 21 12 $10.72
J2765 Injection, metoclopramide hcl, up to 10 mg 1,799 1,342 $9.63
J0137 Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg 69 48 $9.08
J3480 Injection, potassium chloride, per 2 meq 124 65 $8.69
83521 89 27 $6.90
77063 Screening digital breast tomosynthesis, bilateral 38 37 $6.20
C9113 Injection, pantoprazole sodium, per vial 1,426 744 $1.89
G0008 Administration of influenza virus vaccine 77 57 $1.13
J0690 Injection, cefazolin sodium, 500 mg 3,552 2,430 $0.79
J1630 Injection, haloperidol, up to 5 mg 32 25 $0.23
J7510 Prednisolone oral, per 5 mg 72 70 $0.16
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 200 154 $0.05
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 265 208 $0.00
J3370 Injection, vancomycin hcl, 500 mg 382 151 $0.00
G8997 Swallowing functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 59 43 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 271 213 $0.00
76937 76 56 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 91 80 $0.00
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 12 12 $0.00
Q9956 Injection, octafluoropropane microspheres, per ml 20 16 $0.00
G8996 Swallowing functional limitation, current status at therapy episode outset and at reporting intervals 58 43 $0.00
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 71 62 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14 12 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 89 53 $0.00
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 12 12 $0.00
J1953 Injection, levetiracetam, 10 mg 58 38 $0.00
84112 14 12 $0.00
J1940 Injection, furosemide, up to 20 mg 878 493 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 486 371 $0.00
J2175 Injection, meperidine hydrochloride, per 100 mg 22 15 $0.00
J0500 Injection, dicyclomine hcl, up to 20 mg 168 146 $0.00
36416 333 221 $0.00
A9609 Fludeoxyglucose f18 up to 15 millicuries 13 13 $0.00
J2780 Injection, ranitidine hydrochloride, 25 mg 408 173 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 497 353 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 560 393 $0.00
36591 27 14 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 186 108 $0.00
G8998 Swallowing functional limitation, discharge status, at discharge from therapy or to end reporting 53 39 $0.00
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 61 53 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 83 72 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 84 72 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 39 12 $0.00
J1920 Injection, labetalol hydrochloride, 5 mg 18 12 $0.00
J2305 Injection, nitroglycerin, 5 mg 23 12 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 19 12 $0.00