Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › GARDNER › HENRY HEYWOOD MEMORIAL HOSPITAL

HENRY HEYWOOD MEMORIAL HOSPITAL

NPI: 1205823879 · GARDNER, MA 01440 · Geriatric Psychiatry Physician · NPI assigned 09/29/2005

$54.50M
Total Medicaid Paid
1,506,494
Total Claims
1,243,142
Beneficiaries
445
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSULLIVAN, THOMAS (CEO)
Parent OrganizationNORTH CENTRAL HEALTHCARE, INC
NPI Enumeration Date09/29/2005

Related Entities

Other providers sharing the same authorized official: SULLIVAN, THOMAS

ProviderCityStateTotal Paid
ATHOL MEMORIAL HOSPITAL INCORPORATED ATHOL MA $30.77M
HEYWOOD MEDICAL GROUP INC. GARDNER MA $4.22M
HEYWOOD AFFILIATED MEDICAL GROUP INC. GARDNER MA $734K
HEYWOOD MEDICAL GROUP INC ATHOL MA $436K
ATHOL MEMORIAL HOSPITAL INCORPORATED ATHOL MA $162K
ATHOL MEMORIAL HOSPITAL INCORPORATED ATHOL MA $52K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 216,603 $6.99M
2019 230,624 $7.45M
2020 190,908 $6.24M
2021 221,120 $7.77M
2022 250,902 $9.04M
2023 217,808 $9.03M
2024 178,529 $7.98M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 40,861 37,701 $4.33M
99283 Emergency department visit for the evaluation and management, moderate severity 37,960 34,211 $4.29M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 31,652 27,802 $3.94M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 22,880 20,496 $3.50M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 18,959 15,812 $2.85M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20,874 19,032 $2.84M
96361 Intravenous infusion, hydration; each additional hour 7,561 6,603 $2.43M
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 33,789 27,242 $1.90M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 33,940 9,353 $1.73M
96110 Developmental screening, with scoring and documentation, per standardized instrument 9,958 9,283 $1.72M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 44,169 35,646 $1.14M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,742 1,537 $1.04M
99282 Emergency department visit for the evaluation and management, low to moderate severity 7,334 6,706 $950K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 6,582 5,435 $860K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 5,055 4,786 $784K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,306 4,099 $750K
74177 Computed tomography, abdomen and pelvis; with contrast material 5,015 4,451 $714K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 4,934 2,431 $649K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 6,757 5,425 $639K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,408 4,376 $620K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 20,821 16,080 $613K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 698 675 $602K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 16,444 5,225 $556K
70450 Computed tomography, head or brain; without contrast material 5,223 4,705 $529K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 4,137 1,369 $501K
G0481 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; 8-14 drug class(es), including metabolite(s) if performed 10,057 7,588 $489K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,857 3,363 $468K
77067 Screening mammography, bilateral, including computer-aided detection 6,116 5,956 $428K
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 26,372 20,986 $424K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,578 3,436 $369K
G0378 Hospital observation service, per hour 7,297 4,023 $368K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,759 2,715 $365K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 5,995 2,047 $321K
20610 2,007 1,797 $290K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 2,675 2,478 $283K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,044 1,853 $253K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 69,956 54,205 $250K
97161 3,706 3,509 $247K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,787 1,672 $242K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 3,895 3,359 $229K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,084 1,962 $211K
76830 Ultrasound, transvaginal 2,253 2,045 $211K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 8,929 7,331 $196K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 8,928 7,326 $193K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,726 1,545 $191K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,587 1,280 $181K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 338 329 $162K
71046 Radiologic examination, chest; 2 views 10,272 9,437 $162K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 9,511 9,094 $150K
76700 Ultrasound, abdominal, real time with image documentation; complete 995 946 $149K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 558 538 $137K
84443 Thyroid stimulating hormone (TSH) 18,518 17,508 $134K
80053 Comprehensive metabolic panel 60,768 50,158 $130K
ATP14 20,215 15,842 $129K
92551 1,530 1,505 $127K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 969 953 $127K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,450 1,372 $126K
97803 2,245 1,969 $126K
45380 Colonoscopy, flexible; with biopsy, single or multiple 110 106 $123K
80050 General health panel 8,504 7,938 $120K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 409 386 $119K
62323 358 332 $110K
99215 Prolong outpt/office vis 679 635 $102K
97162 1,826 1,674 $102K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 5,143 4,906 $96K
96127 6,067 5,657 $94K
93017 1,218 1,112 $91K
83036 Hemoglobin; glycosylated (A1C) 19,484 18,647 $88K
99218 3,854 1,897 $86K
71250 1,584 1,417 $86K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 560 520 $86K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 4,671 4,043 $86K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 3,953 3,807 $84K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,041 1,978 $83K
80061 Lipid panel 27,050 25,482 $83K
87070 13,133 12,105 $80K
76642 1,025 863 $80K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 14,777 12,274 $78K
90839 1,315 873 $73K
93971 525 449 $71K
82607 9,182 8,765 $67K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,003 1,228 $67K
83880 5,906 5,002 $66K
73630 3,627 3,035 $62K
84702 5,076 4,069 $58K
84484 11,227 9,053 $57K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2,138 1,981 $57K
99173 1,932 1,918 $56K
87634 1,424 1,012 $56K
S9485 Crisis intervention mental health services, per diem 226 100 $56K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 7,105 6,129 $56K
76705 Ultrasound, abdominal, real time with image documentation; limited 724 679 $55K
73610 3,083 2,614 $54K
77063 Screening digital breast tomosynthesis, bilateral 1,929 1,844 $53K
73562 2,641 2,382 $53K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 15,440 13,690 $53K
82746 6,676 6,398 $51K
83690 13,187 11,296 $51K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,398 2,226 $50K
77065 Tomosynthesis, mammo 732 692 $50K
87077 10,740 9,786 $49K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 1,123 1,024 $48K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 1,065 974 $47K
86803 5,046 4,761 $47K
71275 Computed tomographic angiography, chest, with contrast material 313 292 $46K
99223 Prolong inpt eval add15 m 584 570 $46K
87186 9,255 8,346 $46K
87086 Culture, bacterial; quantitative colony count, urine 10,662 9,328 $46K
73030 2,703 2,412 $45K
H0035 Mental health partial hospitalization, treatment, less than 24 hours 154 27 $45K
88305 Level IV - Surgical pathology, gross and microscopic examination 7,318 6,839 $45K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 311 267 $45K
59025 Fetal non-stress test 180 86 $44K
84466 6,780 6,392 $43K
43235 190 176 $43K
87088 8,641 7,781 $43K
90460 Immunization administration through 18 years of age via any route, first or only component 6,620 6,399 $43K
87143 6,660 5,452 $42K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,495 3,276 $42K
82728 5,998 5,574 $41K
73110 2,438 1,867 $40K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,457 3,100 $39K
99232 Subsequent hospital care, per day, moderate complexity 1,133 389 $39K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,043 438 $38K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 129 126 $38K
72100 1,342 1,280 $38K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 238 223 $38K
73130 2,382 1,999 $38K
ATP08 8,968 6,553 $35K
97597 762 483 $34K
80048 Basic metabolic panel (calcium, ionized) 24,113 19,260 $33K
90853 Group psychotherapy (other than of a multiple-family group) 722 244 $33K
90715 1,570 1,449 $33K
85027 11,361 10,087 $33K
76801 284 255 $32K
83735 10,412 8,478 $32K
83655 2,879 2,776 $31K
ATP17 7,164 6,445 $31K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 1,768 1,657 $29K
95886 281 259 $28K
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 1,886 1,501 $28K
84439 5,856 5,453 $28K
71271 731 687 $27K
64635 60 39 $27K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 20,465 17,413 $27K
84153 3,230 2,991 $26K
81001 16,653 14,553 $25K
97164 438 387 $24K
76000 670 582 $24K
73564 1,647 1,379 $23K
83540 6,999 6,598 $23K
73502 1,565 1,374 $23K
J2405 Injection, ondansetron hydrochloride, per 1 mg 13,483 10,640 $22K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,923 1,709 $21K
ATP03 5,535 4,706 $21K
81002 9,373 6,735 $21K
ATP15 3,228 2,439 $21K
99221 784 445 $21K
81025 4,011 3,716 $20K
76536 206 186 $19K
76775 243 229 $19K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,828 1,750 $18K
92557 285 269 $18K
86618 1,270 1,222 $18K
90381 14 13 $17K
71045 Radiologic examination, chest; single view 6,667 5,719 $17K
76770 114 110 $17K
85610 13,624 7,431 $17K
J3010 Injection, fentanyl citrate, 0.1 mg 6,468 4,351 $17K
96375 Therapeutic injection; each additional sequential IV push 11,476 9,622 $16K
G0483 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; 22 or more drug class(es), including metabolite(s) if performed 174 121 $15K
00731 405 361 $15K
86850 1,906 1,759 $14K
95810 Polysomnography; sleep staging with 4 or more additional parameters 26 25 $14K
99233 Prolong inpt eval add15 m 362 165 $14K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 575 484 $14K
86140 4,957 4,407 $14K
81003 12,283 11,180 $14K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 207 196 $14K
87040 1,988 1,786 $14K
G0379 Direct admission of patient for hospital observation care 103 94 $14K
82043 5,882 5,672 $13K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 551 516 $13K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 333 320 $13K
J1885 Injection, ketorolac tromethamine, per 15 mg 9,539 7,715 $13K
86317 978 911 $13K
77080 316 309 $13K
82570 5,604 5,246 $12K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 4,091 3,502 $12K
99220 89 85 $12K
12001 97 81 $12K
85379 2,195 1,916 $12K
99231 Subsequent hospital care, per day, straightforward or low complexity 604 151 $11K
70551 Magnetic resonance imaging, brain; without contrast material 124 119 $11K
J2250 Injection, midazolam hydrochloride, per 1 mg 7,362 5,636 $11K
87340 1,411 1,366 $11K
90677 156 148 $10K
64636 89 39 $10K
90832 Psychotherapy, 30 minutes with patient 2,092 700 $10K
82948 4,945 3,069 $9K
99205 Prolong outpt/office vis 60 57 $8K
95831 1,173 901 $8K
93296 432 406 $8K
83605 1,646 1,406 $8K
99239 Hospital discharge day management, more than 30 minutes 140 138 $8K
74018 348 312 $8K
85018 4,646 4,189 $8K
20552 64 62 $8K
92567 542 527 $7K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 125 79 $7K
94726 255 251 $7K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1,043 960 $7K
86038 928 851 $7K
72125 Computed tomography, cervical spine; without contrast material 457 414 $7K
36415 Collection of venous blood by venipuncture 66,157 49,775 $7K
90837 Psychotherapy, 53 minutes with patient 255 208 $7K
86592 1,375 1,344 $6K
84146 557 515 $6K
90688 448 430 $6K
97750 144 138 $6K
85730 2,096 1,865 $6K
99222 Initial hospital care, per day, moderate complexity 96 88 $5K
94729 240 238 $5K
83516 566 524 $5K
94664 1,136 1,000 $5K
99238 Hospital discharge day management, 30 minutes or less 132 126 $5K
93299 347 344 $5K
86900 2,230 1,969 $5K
87807 516 470 $5K
97802 74 69 $5K
90686 1,941 1,825 $5K
96160 692 647 $5K
77066 Tomosynthesis, mammo 64 63 $5K
94060 42 41 $5K
97116 258 121 $4K
85651 2,206 2,031 $4K
86901 2,190 1,960 $4K
V5266 Battery for use in hearing device 247 239 $4K
85652 2,964 2,654 $4K
95911 13 13 $4K
J0696 Injection, ceftriaxone sodium, per 250 mg 2,935 1,940 $4K
83970 223 211 $4K
92588 13 13 $4K
ATP13 655 599 $4K
J3300 Injection, triamcinolone acetonide, preservative free, 1 mg 45 40 $4K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 72 67 $4K
93975 27 25 $3K
88342 1,549 1,471 $3K
J1650 Injection, enoxaparin sodium, 10 mg 470 198 $3K
0072A 72 71 $3K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 13 13 $3K
85014 2,383 2,043 $3K
00812 53 53 $3K
77061 68 64 $3K
71260 Computed tomography, thorax, diagnostic; with contrast material 46 39 $3K
88304 1,138 1,073 $3K
11043 19 13 $3K
82784 444 425 $3K
87653 95 92 $3K
72141 32 28 $3K
J1756 Injection, iron sucrose, 1 mg 53 25 $3K
84460 4,149 3,959 $3K
11721 140 133 $2K
96367 88 71 $2K
J0690 Injection, cefazolin sodium, 500 mg 1,336 971 $2K
ATP11 549 490 $2K
80164 554 494 $2K
80076 2,400 2,211 $2K
74183 43 12 $2K
73080 172 147 $2K
73140 114 103 $2K
90461 3,031 2,944 $2K
ATP07 465 403 $2K
94761 3,832 3,372 $2K
0071A 48 48 $2K
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,794 1,383 $2K
92587 18 17 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12 12 $2K
86762 170 162 $2K
82248 3,850 3,509 $2K
82150 417 386 $2K
76819 Fetal biophysical profile; without non-stress testing 76 32 $2K
84450 2,961 2,827 $2K
J2270 Injection, morphine sulfate, up to 10 mg 1,904 987 $2K
99406 119 81 $2K
85007 1,482 1,287 $2K
97150 Therapeutic procedure(s), group (2 or more individuals) 37 12 $1K
88141 118 112 $1K
97166 15 12 $1K
90670 1,076 1,039 $1K
82805 45 42 $1K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 30 25 $1K
Q3014 Telehealth originating site facility fee 322 285 $1K
J3475 Injection, magnesium sulfate, per 500 mg 569 438 $1K
90792 Psychiatric diagnostic evaluation with medical services 12 12 $1K
85049 578 511 $1K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 41 40 $1K
J2060 Injection, lorazepam, 2 mg 1,362 842 $974.72
93016 65 65 $956.69
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 5,381 5,148 $912.90
83721 311 208 $884.94
86706 132 127 $880.63
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 214 211 $858.87
87081 170 161 $814.37
82950 169 165 $706.70
83525 92 92 $695.52
0073A 15 15 $688.05
84402 44 43 $673.80
51798 735 696 $672.97
J2795 Injection, ropivacaine hydrochloride, 1 mg 1,437 1,198 $669.82
93018 65 65 $637.07
93041 6,064 5,301 $636.44
94010 12 12 $622.21
72050 25 25 $614.80
84425 39 39 $597.90
77062 12 12 $597.19
72040 43 41 $569.14
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 867 771 $561.79
86431 183 177 $554.36
G0008 Administration of influenza virus vaccine 423 417 $543.01
90656 56 55 $536.51
94760 10,372 8,879 $534.23
83001 39 38 $531.92
74019 50 41 $529.27
90662 114 112 $514.39
93880 13 13 $497.68
84550 761 693 $461.25
82550 838 680 $437.97
86787 46 42 $408.96
84100 1,775 1,388 $391.70
J1170 Injection, hydromorphone, up to 4 mg 766 278 $390.04
G0297 Low dose ct scan (ldct) for lung cancer screening 27 27 $382.17
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 9,749 7,664 $368.62
87046 66 64 $362.72
99217 12 12 $352.02
82565 895 845 $297.91
ATP10 115 111 $295.68
86430 68 67 $269.20
70486 12 12 $246.80
90834 Psychotherapy, 45 minutes with patient 96 69 $243.39
85045 134 128 $235.84
82803 30 24 $235.26
ATP18 71 67 $230.97
ATP09 106 88 $219.58
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 1,287 1,214 $213.03
84311 207 139 $200.10
ATP02 61 56 $187.95
J1790 Injection, droperidol, up to 5 mg 409 332 $164.06
J1644 Injection, heparin sodium, per 1000 units 61 38 $152.28
87210 51 50 $137.60
87075 50 38 $135.20
86666 14 12 $120.05
ATP16 17 14 $108.90
83986 214 146 $103.04
83789 38 31 $93.10
80178 53 51 $88.16
86704 12 12 $87.92
96376 922 787 $86.02
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 5,176 2,626 $77.71
ATP04 14 13 $72.40
84134 14 13 $61.96
84436 14 13 $56.64
J1020 Injection, methylprednisolone acetate, 20 mg 1,103 889 $50.40
J1815 Injection, insulin, per 5 units 55 41 $47.30
83615 171 150 $43.41
88302 12 12 $41.27
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 371 240 $27.02
84520 135 123 $20.71
82947 38 36 $20.25
81000 13 12 $19.62
G0103 Prostate cancer screening; prostate specific antigen test (psa) 38 38 $16.78
99188 306 304 $13.92
88112 15 12 $11.88
84132 15 12 $9.46
85008 68 59 $3.03
P9603 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled 1,400 831 $2.48
95851 261 233 $1.72
G9744 Patient not eligible due to active diagnosis of hypertension 294 272 $0.02
80320 1,025 756 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 302 280 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 569 472 $0.00
J8540 Dexamethasone, oral, 0.25 mg 100 62 $0.00
90716 52 52 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 356 336 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 106 90 $0.00
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 217 210 $0.00
90723 687 665 $0.00
J2785 Injection, regadenoson, 0.1 mg 377 351 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 79 67 $0.00
80358 110 63 $0.00
87493 53 48 $0.00
80329 197 37 $0.00
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 167 159 $0.00
80359 110 63 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 26 26 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 65 53 $0.00
91307 163 146 $0.00
80324 112 63 $0.00
72170 13 13 $0.00
80353 110 63 $0.00
90651 14 14 $0.00
90697 52 51 $0.00
90696 12 12 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 12 12 $0.00
88311 13 12 $0.00
S3005 Performance measurement, evaluation of patient self assessment, depression 609 561 $0.00
90648 1,116 1,093 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 16 14 $0.00
90671 46 46 $0.00
A9576 Injection, gadoteridol, (prohance multipack), per ml 533 284 $0.00
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 68 65 $0.00
G8984 Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals 99 87 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 289 262 $0.00
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 298 286 $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 404 340 $0.00
80179 99 82 $0.00
80365 110 63 $0.00
G8985 Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 153 135 $0.00
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 441 413 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 33 28 $0.00
90633 402 400 $0.00
99053 102 102 $0.00
73590 15 12 $0.00
84145 95 88 $0.00
80143 126 105 $0.00
80354 110 63 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 26 26 $0.00
90681 126 124 $0.00
99244 Office or other outpatient consultation, moderate to high complexity 30 29 $0.00
80348 149 88 $0.00
90658 28 28 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 63 50 $0.00
90700 25 25 $0.00
80373 110 63 $0.00
90685 35 32 $0.00
51702 29 27 $0.00
80372 110 63 $0.00
80346 110 63 $0.00
90707 12 12 $0.00
82542 44 35 $0.00
90473 27 26 $0.00
90791 Psychiatric diagnostic evaluation 13 13 $0.00
90710 24 24 $0.00
C9113 Injection, pantoprazole sodium, per vial 18 13 $0.00
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 17 17 $0.00