Medicaid Provider Spending

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

NEWARK BETH ISRAEL MEDICAL CENTER INC

NPI: 1215027966 · NEWARK, NJ 07112 · Adult Day Care Clinic/Center · NPI assigned 10/13/2006

$380.16M
Total Medicaid Paid
3,336,430
Total Claims
2,803,432
Beneficiaries
673
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTERRY, DARRELL (CEO)
Parent OrganizationRWJ BARNABAS HEALTH INC
NPI Enumeration Date10/13/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 415,717 $56.58M
2019 420,343 $56.30M
2020 341,885 $40.75M
2021 427,402 $50.58M
2022 591,851 $57.47M
2023 604,358 $63.12M
2024 534,874 $55.37M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 135,848 125,854 $56.30M
G0378 Hospital observation service, per hour 40,602 34,490 $45.01M
99284 Emergency department visit for the evaluation and management, high severity 78,442 71,407 $38.48M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 54,077 46,582 $24.95M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 15,029 14,409 $18.85M
OP250 221,978 161,937 $9.96M
99282 Emergency department visit for the evaluation and management, low to moderate severity 35,279 33,659 $9.69M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 8,399 8,181 $9.54M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 3,723 3,519 $6.87M
93320 9,715 9,410 $6.67M
93325 12,533 12,052 $6.28M
S9480 Intensive outpatient psychiatric services, per diem 8,231 7,002 $5.97M
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,859 1,792 $5.36M
H0035 Mental health partial hospitalization, treatment, less than 24 hours 18,246 1,700 $4.01M
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 54,743 49,647 $3.35M
OP370 27,651 25,442 $3.13M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 6,976 3,675 $3.12M
76818 12,262 5,713 $3.04M
76819 Fetal biophysical profile; without non-stress testing 13,750 10,111 $2.95M
11043 3,586 1,876 $2.91M
80053 Comprehensive metabolic panel 116,532 94,875 $2.63M
41899 Unlisted procedure, dentoalveolar structures 1,109 1,076 $2.44M
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 1,201 1,160 $1.94M
96375 Therapeutic injection; each additional sequential IV push 29,823 22,711 $1.93M
95813 2,950 2,902 $1.86M
36430 3,234 2,469 $1.84M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 42,738 37,551 $1.83M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 16,887 15,297 $1.74M
71046 Radiologic examination, chest; 2 views 27,110 25,064 $1.74M
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 10,275 9,086 $1.69M
74177 Computed tomography, abdomen and pelvis; with contrast material 9,213 8,452 $1.62M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 69,180 55,459 $1.61M
OP710 18,915 17,495 $1.57M
94760 15,898 15,019 $1.55M
54161 637 621 $1.51M
93458 1,136 962 $1.47M
95811 518 495 $1.44M
96361 Intravenous infusion, hydration; each additional hour 26,244 22,375 $1.42M
87902 11,648 10,571 $1.39M
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 4,620 2,187 $1.38M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 29,898 7,703 $1.36M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18,432 16,608 $1.36M
42820 Tonsillectomy and adenoidectomy; younger than age 12 843 806 $1.35M
45380 Colonoscopy, flexible; with biopsy, single or multiple 922 881 $1.33M
71045 Radiologic examination, chest; single view 22,691 19,504 $1.30M
OP272 27,925 24,574 $1.20M
36415 Collection of venous blood by venipuncture 164,438 125,623 $1.12M
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 4,067 4,013 $1.10M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,177 10,435 $1.07M
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 936 800 $1.04M
85025 Blood count; complete (CBC), automated, and automated differential WBC count 115,560 95,554 $1.04M
93017 2,185 1,977 $984K
70551 Magnetic resonance imaging, brain; without contrast material 1,956 1,841 $983K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 4,878 4,796 $976K
77067 Screening mammography, bilateral, including computer-aided detection 10,946 10,796 $975K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 9,116 7,735 $966K
J9271 Injection, pembrolizumab, 1 mg 218 133 $966K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 634 607 $931K
11046 1,373 708 $923K
93970 2,750 2,533 $918K
92587 3,881 3,828 $896K
76820 5,911 2,970 $883K
11045 1,191 521 $862K
70450 Computed tomography, head or brain; without contrast material 9,729 8,831 $839K
0202U Oncology (prostate), multianalyte, gene expression profiling 9,218 8,758 $814K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 35,408 30,972 $808K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 38,394 33,303 $796K
96409 1,807 1,028 $779K
P9016 Red blood cells, leukocytes reduced, each unit 2,795 2,242 $749K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 5,754 5,576 $737K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 19,853 19,072 $736K
77063 Screening digital breast tomosynthesis, bilateral 10,530 10,405 $721K
94729 3,307 3,067 $695K
94060 2,157 2,036 $694K
94010 3,137 2,424 $671K
OP258 71,723 54,215 $669K
90791 Psychiatric diagnostic evaluation 7,284 6,534 $663K
95782 231 228 $656K
92579 2,579 2,557 $628K
76801 6,602 5,975 $617K
90837 Psychotherapy, 53 minutes with patient 8,447 5,479 $612K
82962 48,625 37,610 $607K
71260 Computed tomography, thorax, diagnostic; with contrast material 2,650 2,441 $586K
90834 Psychotherapy, 45 minutes with patient 10,793 7,296 $582K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 683 651 $578K
96415 1,986 1,179 $570K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1,620 1,449 $566K
78815 Positron emission tomography (PET) for limited area imaging 376 341 $565K
J2426 Injection, paliperidone palmitate extended release (invega sustenna), 1 mg 700 654 $545K
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 10,322 9,885 $541K
75574 1,898 1,683 $534K
92567 4,913 4,840 $524K
96367 3,119 2,052 $493K
71275 Computed tomographic angiography, chest, with contrast material 3,726 3,412 $485K
94618 2,206 1,921 $484K
76825 1,603 1,588 $483K
76830 Ultrasound, transvaginal 3,600 3,511 $477K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 9,790 9,038 $476K
76770 3,325 3,270 $468K
71250 2,251 2,046 $465K
58558 208 205 $456K
86850 23,099 20,111 $456K
88305 Level IV - Surgical pathology, gross and microscopic examination 9,964 9,140 $454K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 18,838 16,734 $434K
OP278 1,705 1,642 $433K
76827 1,641 1,616 $422K
90832 Psychotherapy, 30 minutes with patient 7,804 5,551 $418K
76705 Ultrasound, abdominal, real time with image documentation; limited 4,642 4,350 $417K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 9,213 8,396 $407K
96417 1,674 993 $402K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 1,401 1,372 $391K
76642 3,040 2,929 $386K
92557 1,273 1,255 $384K
93976 5,167 4,845 $383K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,713 1,639 $377K
G0379 Direct admission of patient for hospital observation care 6,194 5,029 $375K
93971 1,179 1,109 $370K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 2,278 1,763 $361K
93975 1,446 1,352 $351K
72125 Computed tomography, cervical spine; without contrast material 3,065 2,800 $349K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 3,056 2,847 $336K
94727 2,388 2,184 $312K
76813 2,135 2,112 $305K
93242 759 737 $302K
J0585 Injection, onabotulinumtoxina, 1 unit 433 431 $289K
90847 Family psychotherapy with the patient present, 50 minutes 4,794 3,396 $285K
77412 1,069 119 $282K
80061 Lipid panel 12,167 11,424 $282K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,447 3,275 $281K
77066 Tomosynthesis, mammo 1,879 1,800 $275K
90792 Psychiatric diagnostic evaluation with medical services 3,759 3,618 $275K
76700 Ultrasound, abdominal, real time with image documentation; complete 2,017 1,938 $275K
99215 Prolong outpt/office vis 2,567 2,275 $270K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,974 1,823 $269K
87536 2,792 2,660 $267K
73630 5,230 4,916 $265K
73562 4,401 4,169 $265K
96411 594 374 $258K
77065 Tomosynthesis, mammo 2,711 2,481 $255K
73030 3,901 3,652 $255K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 19,860 19,078 $248K
80048 Basic metabolic panel (calcium, ionized) 12,003 10,283 $246K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,769 5,621 $242K
77080 2,251 2,185 $237K
97010 11,946 3,922 $232K
83655 4,522 4,463 $232K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 5,042 4,745 $218K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 8,704 8,308 $209K
84443 Thyroid stimulating hormone (TSH) 16,006 14,479 $209K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 4,552 4,334 $194K
97803 2,261 1,921 $184K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,533 3,390 $183K
93312 235 213 $181K
93350 508 507 $181K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 3,611 3,512 $177K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 1,030 756 $174K
73130 3,761 3,574 $172K
86900 23,743 20,848 $171K
J0897 Injection, denosumab, 1 mg 109 90 $170K
87086 Culture, bacterial; quantitative colony count, urine 15,112 14,137 $166K
88307 1,611 1,273 $165K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 4,434 4,232 $163K
73610 4,255 3,999 $160K
76536 1,255 1,176 $158K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 7,104 6,548 $153K
99205 Prolong outpt/office vis 1,397 1,275 $153K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 168 156 $149K
73590 3,088 2,857 $147K
85027 26,855 22,609 $144K
80197 5,224 3,259 $140K
83036 Hemoglobin; glycosylated (A1C) 10,925 10,253 $140K
93225 212 212 $140K
S9484 Crisis intervention mental health services, per hour 390 373 $139K
69210 408 387 $138K
59025 Fetal non-stress test 892 667 $137K
72110 1,652 1,588 $135K
83880 16,947 14,513 $135K
83021 4,699 4,118 $129K
96376 8,341 6,127 $128K
76870 1,138 1,102 $126K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,730 2,679 $126K
64642 55 55 $124K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 3,351 2,888 $123K
73110 2,241 2,113 $121K
C9290 Injection, bupivacaine liposome, 1 mg 1,202 1,096 $119K
76821 654 368 $119K
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 8,153 7,839 $118K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,751 2,604 $118K
93923 349 324 $116K
88342 5,650 5,037 $115K
85610 36,477 31,676 $115K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 913 833 $114K
83735 35,822 29,431 $113K
86360 2,695 2,575 $112K
93886 154 153 $112K
88142 2,761 2,717 $111K
97162 2,813 2,478 $110K
97802 920 897 $109K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1,952 1,745 $106K
74018 2,336 2,234 $103K
93798 1,179 192 $102K
82728 6,616 5,938 $102K
81001 25,926 23,451 $101K
G0109 Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes 322 294 $100K
77336 705 288 $100K
96401 710 422 $100K
71271 525 508 $97K
85007 16,860 13,678 $97K
90677 2,793 2,649 $97K
70486 999 969 $96K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 264 252 $95K
86359 2,695 2,575 $95K
97161 2,436 2,316 $93K
87081 3,064 3,035 $92K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1,087 425 $92K
81003 16,411 15,221 $92K
86901 23,818 20,841 $90K
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 140 136 $89K
84484 26,465 21,672 $88K
74022 1,216 1,171 $87K
81025 12,206 10,680 $86K
87070 3,889 3,489 $86K
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 5,439 4,783 $86K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,797 1,739 $86K
86592 7,423 7,095 $83K
87340 22,616 18,690 $83K
93304 181 171 $83K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 1,264 1,038 $81K
19083 55 50 $81K
86922 1,499 1,168 $80K
84439 8,488 7,558 $80K
86336 999 983 $79K
82247 4,015 3,409 $77K
93321 229 210 $76K
73090 2,135 1,995 $75K
86480 1,559 1,484 $74K
86355 2,695 2,575 $73K
54150 26 26 $72K
84702 9,168 7,593 $72K
87040 5,236 4,740 $71K
86902 1,575 1,263 $71K
94726 495 486 $70K
72100 1,224 1,178 $69K
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 403 310 $69K
85730 30,587 27,032 $68K
86357 2,694 2,574 $67K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,788 874 $67K
95806 193 182 $63K
73560 1,493 1,412 $61K
J2785 Injection, regadenoson, 0.1 mg 1,053 903 $59K
D7140 Extraction, erupted tooth or exposed root 1,816 1,032 $55K
10060 830 765 $55K
84100 18,554 15,237 $54K
73502 1,580 1,469 $54K
85347 1,466 1,224 $54K
G0008 Administration of influenza virus vaccine 4,684 4,491 $53K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5,950 5,573 $52K
36600 877 795 $51K
73521 1,027 966 $51K
87799 1,116 837 $50K
36591 1,694 1,168 $50K
86923 1,361 1,169 $50K
J2405 Injection, ondansetron hydrochloride, per 1 mg 24,220 19,344 $49K
82542 2,147 2,103 $48K
73060 1,024 955 $48K
J0561 Injection, penicillin g benzathine, 100,000 units 873 841 $47K
73564 694 661 $47K
88341 1,724 1,354 $47K
0296T 217 217 $45K
93243 209 200 $45K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 621 547 $45K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 2,238 2,114 $45K
82248 5,960 5,039 $45K
82803 2,514 2,223 $44K
76937 418 386 $43K
A9270 Non-covered item or service 25,286 15,960 $42K
D0140 Limited oral evaluation - problem focused 2,757 2,635 $42K
93880 101 87 $41K
83615 8,343 7,073 $41K
87497 598 377 $40K
C1769 Guide wire 3,367 2,910 $40K
86300 1,560 1,367 $38K
J1439 Injection, ferric carboxymaltose, 1 mg 54 36 $37K
36416 1,871 1,779 $37K
87186 2,640 2,333 $37K
P9040 Red blood cells, leukocytes reduced, irradiated, each unit 164 132 $36K
82805 1,108 963 $36K
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) 71 71 $35K
J2704 Injection, propofol, 10 mg 19,572 17,679 $34K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 10,079 8,440 $34K
73140 556 537 $33K
73552 1,265 1,170 $33K
C1887 Catheter, guiding (may include infusion/perfusion capability) 3,060 2,628 $33K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 8,980 7,946 $33K
82607 2,989 2,773 $33K
12001 636 591 $33K
12011 628 595 $33K
83550 4,149 3,826 $33K
81401 826 800 $32K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 21,866 19,030 $32K
85045 10,686 8,803 $32K
82950 1,352 1,276 $31K
83690 19,453 17,276 $31K
Q3014 Telehealth originating site facility fee 5,904 5,264 $31K
86828 704 506 $31K
86803 4,174 3,850 $31K
64640 13 13 $30K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 4,819 4,013 $30K
86704 1,831 1,667 $30K
73080 843 803 $29K
87210 5,066 4,975 $29K
C1760 Closure device, vascular (implantable/insertable) 1,173 1,010 $29K
70491 221 209 $29K
88304 2,723 2,590 $28K
83540 4,387 4,046 $28K
85055 1,324 893 $28K
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 835 720 $28K
D0150 Comprehensive oral evaluation - new or established patient 1,235 1,215 $28K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 907 331 $27K
76641 84 75 $27K
82043 2,283 2,190 $26K
C1889 Implantable/insertable device, not otherwise classified 204 185 $26K
85384 2,503 2,191 $26K
73120 555 532 $25K
75561 43 41 $25K
86920 500 481 $25K
90472 Immunization administration, each additional vaccine (list separately) 4,479 4,284 $25K
81243 706 682 $25K
93505 18 14 $25K
90715 3,972 3,797 $24K
74174 138 124 $24K
95700 404 373 $23K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 724 674 $23K
96402 210 190 $22K
82746 2,244 2,063 $22K
97116 1,378 923 $22K
96450 32 25 $20K
97164 678 594 $20K
J3010 Injection, fentanyl citrate, 0.1 mg 17,548 16,147 $20K
D1206 Topical application of fluoride varnish 1,354 1,342 $20K
73620 450 435 $20K
J1885 Injection, ketorolac tromethamine, per 15 mg 32,617 28,460 $20K
73600 777 730 $20K
77334 34 27 $19K
92582 67 66 $19K
93308 155 133 $19K
29581 144 84 $19K
87400 1,578 1,563 $19K
J1453 Injection, fosaprepitant, 1 mg 397 209 $19K
73070 633 593 $18K
87147 1,367 1,335 $18K
J1200 Injection, diphenhydramine hcl, up to 50 mg 6,801 4,890 $18K
87077 2,384 2,197 $18K
73100 604 573 $18K
87428 498 468 $18K
D1120 Prophylaxis - child 1,306 1,288 $18K
76942 642 629 $18K
J2250 Injection, midazolam hydrochloride, per 1 mg 10,107 8,614 $18K
90853 Group psychotherapy (other than of a multiple-family group) 481 210 $17K
G0009 Administration of pneumococcal vaccine 2,853 2,710 $17K
42830 13 12 $16K
77290 49 41 $16K
D0210 Intraoral - complete series of radiographic images 647 643 $16K
81002 3,925 2,722 $16K
90674 2,696 2,560 $16K
82570 2,842 2,493 $16K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 542 512 $15K
84156 2,905 2,466 $15K
86708 1,054 992 $15K
93925 32 32 $14K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 296 289 $14K
76885 85 84 $13K
84550 3,425 2,992 $13K
77417 106 50 $13K
86762 1,735 1,705 $13K
76775 101 97 $12K
87522 Neg quan hep c or qual rna 373 333 $12K
85651 4,647 4,296 $12K
C1874 Stent, coated/covered, with delivery system 44 24 $12K
J1631 Injection, haloperidol decanoate, per 50 mg 648 548 $12K
J2270 Injection, morphine sulfate, up to 10 mg 8,965 7,094 $12K
17250 53 50 $11K
83605 3,743 3,268 $11K
86140 4,655 4,329 $11K
D1110 Prophylaxis - adult 722 718 $11K
0001A 334 331 $11K
J1650 Injection, enoxaparin sodium, 10 mg 1,162 716 $11K
95711 59 57 $11K
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 577 538 $11K
92611 29 27 $11K
J0690 Injection, cefazolin sodium, 500 mg 5,117 4,495 $11K
82378 846 667 $11K
J1644 Injection, heparin sodium, per 1000 units 2,517 1,920 $10K
87205 2,832 2,374 $10K
87999 461 361 $10K
87496 193 161 $10K
84153 519 474 $10K
76882 88 86 $10K
85378 5,373 4,983 $10K
92652 28 28 $10K
88313 552 436 $10K
D0330 Panoramic radiographic image 923 885 $9K
J1756 Injection, iron sucrose, 1 mg 351 156 $9K
86870 152 134 $9K
Q9957 Injection, perflutren lipid microspheres, per ml 933 795 $9K
0002A 272 272 $9K
87808 2,928 2,872 $9K
86664 271 187 $9K
87486 764 750 $9K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 2,133 1,790 $9K
96368 452 359 $9K
J2765 Injection, metoclopramide hcl, up to 10 mg 7,127 6,295 $9K
87088 4,012 3,802 $8K
J9370 Vincristine sulfate, 1 mg 733 534 $8K
77072 116 115 $8K
J1170 Injection, hydromorphone, up to 4 mg 5,044 3,672 $8K
84480 659 615 $8K
86039 421 392 $8K
A9577 Injection, gadobenate dimeglumine (multihance), per ml 749 686 $8K
85660 1,651 1,231 $7K
72197 15 14 $7K
86665 392 274 $7K
84132 3,577 3,094 $7K
86787 339 325 $7K
J0696 Injection, ceftriaxone sodium, per 250 mg 6,451 5,997 $7K
90785 132 115 $7K
77086 164 164 $7K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 399 381 $7K
85240 252 223 $7K
D0120 Periodic oral evaluation - established patient 461 461 $7K
D0220 Intraoral - periapical first radiographic image 1,926 1,873 $7K
93041 116 111 $6K
98968 833 795 $6K
G0297 Low dose ct scan (ldct) for lung cancer screening 13 13 $6K
83020 844 585 $6K
82270 1,260 1,179 $6K
80076 509 465 $6K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 12 12 $6K
90710 368 358 $6K
87581 764 750 $6K
83883 525 396 $6K
89051 644 516 $6K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 157 118 $6K
J2060 Injection, lorazepam, 2 mg 1,462 1,188 $6K
15853 193 177 $6K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 608 565 $6K
J1815 Injection, insulin, per 5 units 1,740 1,379 $6K
29125 191 172 $6K
72081 52 51 $5K
72050 110 109 $5K
J1630 Injection, haloperidol, up to 5 mg 1,734 1,384 $5K
87075 408 331 $5K
74240 38 38 $5K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 327 270 $5K
90651 509 488 $5K
D0145 Oral evaluation for a patient under three years of age 353 352 $5K
G0010 Administration of hepatitis b vaccine 256 250 $5K
78306 33 28 $5K
85380 720 664 $5K
C8930 Transthoracic echocardiography, with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with physician supervision 12 12 $5K
93922 39 39 $5K
72040 65 60 $5K
70498 27 26 $5K
87150 280 261 $5K
J2469 Injection, palonosetron hcl, 25 mcg 507 274 $5K
84165 810 629 $5K
90686 778 746 $5K
84703 2,112 1,928 $5K
82550 2,409 2,192 $4K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 2,697 1,452 $4K
82375 683 567 $4K
83010 602 474 $4K
86317 911 770 $4K
88312 120 118 $4K
74160 14 12 $4K
J3535 Drug administered through a metered dose inhaler 1,690 1,367 $4K
82784 277 225 $4K
85018 3,338 2,835 $4K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 218 154 $4K
72131 37 36 $4K
80179 1,348 1,200 $4K
84030 109 104 $4K
98967 771 735 $4K
72141 14 13 $4K
72070 55 55 $4K
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 1,816 1,656 $4K
84481 355 312 $3K
77280 13 12 $3K
86880 339 287 $3K
20610 15 13 $3K
93247 13 13 $3K
D0190 652 643 $3K
82010 1,629 1,443 $3K
86706 299 259 $3K
12002 100 93 $3K
87631 139 137 $3K
J3475 Injection, magnesium sulfate, per 500 mg 2,048 1,660 $3K
86304 206 177 $3K
80177 671 598 $2K
87807 335 333 $2K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 73 52 $2K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 2,360 1,971 $2K
82397 259 240 $2K
80164 267 236 $2K
84145 408 366 $2K
86003 14 14 $2K
A9575 Injection, gadoterate meglumine, 0.1 ml 469 420 $2K
83001 59 51 $2K
90739 40 39 $2K
OP637 3,687 2,119 $2K
99201 27 26 $2K
84146 46 38 $2K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 46 44 $2K
74230 30 27 $2K
D0274 Bitewings - four radiographic images 249 247 $2K
90381 14 14 $2K
83050 652 539 $2K
82533 139 93 $2K
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 85 80 $2K
A4648 Tissue marker, implantable, any type, each 61 55 $2K
87517 39 27 $2K
64488 31 25 $2K
J9267 Injection, paclitaxel, 1 mg 110 39 $2K
85041 2,035 1,674 $2K
85245 39 36 $2K
86790 41 41 $2K
82024 58 38 $2K
86334 241 174 $2K
86705 179 150 $2K
85014 2,072 1,702 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 42 42 $1K
97165 24 24 $1K
90656 734 730 $1K
87430 120 118 $1K
92523 12 12 $1K
J1953 Injection, levetiracetam, 10 mg 563 470 $1K
J0280 Injection, aminophyllin, up to 250 mg 475 412 $1K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 935 787 $1K
73522 15 15 $1K
J3480 Injection, potassium chloride, per 2 meq 1,221 899 $1K
86780 267 253 $1K
80143 289 261 $1K
83520 41 36 $1K
99381 12 12 $1K
90716 710 675 $1K
97014 73 25 $1K
M0222 Intravenous injection, bebtelovimab, includes injection and post administration monitoring 17 15 $1K
L1830 Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf 58 58 $1K
86431 118 112 $1K
82985 82 72 $999.62
85652 680 614 $974.81
J2370 Injection, phenylephrine hcl, up to 1 ml 603 529 $973.74
90673 149 147 $925.03
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 491 406 $883.82
83521 87 72 $860.03
82977 69 69 $850.28
90620 109 108 $813.66
84436 275 244 $786.51
90380 12 12 $785.29
84466 99 78 $780.21
82330 152 141 $772.89
96377 22 12 $752.57
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 672 622 $747.94
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 262 254 $747.04
90682 71 70 $739.87
82140 375 323 $692.01
G0257 Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility 210 67 $656.11
90734 425 406 $636.36
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 158 103 $634.76
D0270 209 208 $609.00
D2391 Resin-based composite - one surface, posterior, primary or permanent 20 12 $608.00
84134 54 39 $599.71
J1940 Injection, furosemide, up to 20 mg 958 663 $592.17
86160 39 39 $575.26
85246 28 26 $563.16
J3370 Injection, vancomycin hcl, 500 mg 515 384 $562.67
96523 18 13 $560.45
90746 45 44 $540.67
36592 26 13 $539.76
0031A 30 30 $526.30
D0603 156 152 $500.00
29130 14 13 $442.12
88108 15 12 $437.62
77001 20 14 $431.82
85008 373 276 $431.54
86735 12 12 $419.13
84157 28 26 $406.22
88112 100 68 $371.51
82565 12 12 $347.00
98966 162 155 $344.61
D0230 Intraoral - periapical each additional radiographic image 179 103 $338.25
J1050 Injection, medroxyprogesterone acetate, 1 mg 476 460 $335.91
90697 1,648 1,572 $322.53
J0360 Injection, hydralazine hcl, up to 20 mg 461 367 $317.38
83930 146 119 $311.62
86038 19 16 $302.79
D0601 39 39 $300.00
82150 85 80 $293.61
D1208 Topical application of fluoride, excluding varnish 29 29 $290.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 901 843 $288.02
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 575 567 $287.31
90696 336 322 $286.01
J0330 Injection, succinylcholine chloride, up to 20 mg 130 120 $281.46
J2919 Injection, methylprednisolone sodium succinate, 5 mg 284 253 $272.91
90633 1,262 1,197 $248.99
86644 30 24 $247.84
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 598 576 $234.31
82274 87 70 $231.09
OP255 208 189 $230.09
90662 104 100 $222.42
90681 1,100 1,047 $222.04
A9561 Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries 35 28 $217.11
J0780 Injection, prochlorperazine, up to 10 mg 64 60 $216.06
90750 16 15 $215.62
90707 692 657 $210.87
80185 14 12 $203.85
80320 159 147 $203.55
90700 592 559 $189.84
82785 30 25 $169.44
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 2,129 1,879 $162.94
82945 15 15 $160.13
87101 36 24 $154.83
J1596 Injection, glycopyrrolate, 0.1 mg 455 419 $136.03
84154 16 13 $128.38
90744 16 16 $119.60
95873 12 12 $115.32
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 279 231 $103.12
82668 15 12 $102.73
J0461 Injection, atropine sulfate, 0.01 mg 15 12 $101.93
J1250 Injection, dobutamine hydrochloride, per 250 mg 12 12 $97.65
80329 82 78 $90.97
J1643 Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units 397 293 $87.23
J2003 Injection, lidocaine hydrochloride, 1 mg 358 325 $72.49
J2310 Injection, naloxone hydrochloride, per 1 mg 39 28 $71.59
J7510 Prednisolone oral, per 5 mg 68 68 $69.45
J1171 Injection, hydromorphone, 0.1 mg 176 105 $68.89
J8540 Dexamethasone, oral, 0.25 mg 162 133 $67.96
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 230 230 $66.11
C1884 Embolization protective system 13 13 $64.46
D0602 17 14 $60.00
86141 30 26 $59.35
87102 82 52 $55.84
D0272 Bitewings - two radiographic images 12 12 $55.00
90648 507 480 $50.65
87493 14 14 $44.29
90698 195 182 $40.03
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 152 122 $35.93
J0692 Injection, cefepime hydrochloride, 500 mg 14 13 $29.74
J0737 Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg 38 31 $28.01
G8985 Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 25 24 $27.00
84520 47 39 $24.25
J1790 Injection, droperidol, up to 5 mg 30 28 $18.81
85460 13 13 $18.80
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg 16 15 $18.00
J7121 5% dextrose in lactated ringers infusion, up to 1000 cc 15 13 $16.52
J2471 Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg 44 36 $15.51
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 16 12 $13.79
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 24 22 $11.95
J0687 Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg 227 214 $11.03
J2470 Injection, pantoprazole sodium, 40 mg 37 34 $8.97
J0736 Injection, clindamycin phosphate, 300 mg 14 12 $7.06
Q0244 Injection, casirivimab and imdevimab, 1200 mg 27 26 $7.00
91303 17 17 $6.00
86225 13 13 $3.33
Q0245 Injection, bamlanivimab and etesevimab, 2100 mg 15 14 $3.00
Q0222 Injection, bebtelovimab, 175 mg 17 15 $2.00
J0401 Injection, aripiprazole (abilify maintena), 1 mg 13 12 $1.00
J1030 Injection, methylprednisolone acetate, 40 mg 27 27 $0.00
D1330 189 184 $0.00
C1753 Catheter, intravascular ultrasound 12 12 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 38 38 $0.00
M0244 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency 19 19 $0.00
91300 524 443 $0.00