Medicaid Provider Spending

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

MARIETTA MEMORIAL HOSPITAL

NPI: 1215936927 · MARIETTA, OH 45750 · Emergency Medicine Physician · NPI assigned 07/15/2005

$102.25M
Total Medicaid Paid
2,714,515
Total Claims
2,153,049
Beneficiaries
616
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWESTBROCK, PAUL (LEGAL AFFAIRS)
NPI Enumeration Date07/15/2005

Related Entities

Other providers sharing the same authorized official: WESTBROCK, PAUL

ProviderCityStateTotal Paid
MARIETTA MEMORIAL HOSPITAL OF TYLER COUNTY INC SISTERSVILLE WV $2.72M
MARIETTA MEMORIAL HOSPITAL OF TYLER COUNTY INC SAINT MARYS WV $1.50M
MARIETTA MEMORIAL HOSPITAL OF TYLER COUNTY INC SISTERSVILLE WV $956K
MARIETTA MEMORIAL HOSPITAL OF TYLER COUNTY INC MIDDLEBOURNE WV $196K
MARIETTA MEMORIAL HOSPITAL MARIETTA OH $69K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 265,316 $12.78M
2019 238,931 $9.97M
2020 248,353 $12.89M
2021 302,981 $10.09M
2022 404,671 $13.77M
2023 717,511 $24.27M
2024 536,752 $18.48M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 278,497 192,506 $17.78M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 70,898 58,563 $14.01M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 128,824 94,154 $9.23M
99284 Emergency department visit for the evaluation and management, high severity 63,105 55,440 $6.77M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 148,354 127,743 $6.24M
99283 Emergency department visit for the evaluation and management, moderate severity 54,299 49,067 $5.44M
96361 Intravenous infusion, hydration; each additional hour 14,566 9,935 $2.44M
74177 Computed tomography, abdomen and pelvis; with contrast material 10,793 9,060 $2.40M
80053 Comprehensive metabolic panel 86,823 73,750 $1.25M
70450 Computed tomography, head or brain; without contrast material 6,101 5,265 $1.04M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 9,983 5,952 $1.02M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 13,824 7,262 $979K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12,842 7,152 $972K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 9,521 8,438 $898K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 10,334 3,453 $709K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 3,071 2,486 $698K
74176 Computed tomography, abdomen and pelvis; without contrast material 3,755 3,246 $676K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 91,559 74,932 $657K
71046 Radiologic examination, chest; 2 views 29,369 26,311 $643K
76830 Ultrasound, transvaginal 5,705 4,223 $508K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 4,429 4,060 $505K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 25,925 21,050 $500K
64483 1,383 1,194 $490K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 4,585 2,254 $462K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4,510 4,115 $448K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 4,842 2,443 $436K
G0378 Hospital observation service, per hour 6,726 2,690 $434K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 4,690 3,791 $431K
97530 Therapeutic activities, direct patient contact, each 15 minutes 4,992 2,250 $430K
36415 Collection of venous blood by venipuncture 126,823 95,688 $428K
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 2,827 2,790 $427K
71275 Computed tomographic angiography, chest, with contrast material 2,140 1,802 $425K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,407 3,198 $408K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 3,161 2,508 $407K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,045 1,004 $402K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 10,184 9,311 $394K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,220 978 $376K
20610 2,351 1,767 $373K
20553 4,220 2,689 $373K
84443 Thyroid stimulating hormone (TSH) 24,086 21,710 $348K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,489 1,302 $325K
80048 Basic metabolic panel (calcium, ionized) 25,256 18,589 $307K
96375 Therapeutic injection; each additional sequential IV push 17,647 12,782 $305K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 7,340 4,868 $304K
95886 2,951 1,546 $304K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 2,387 1,224 $298K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 13,727 9,194 $294K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1,000 910 $271K
81001 41,320 35,846 $261K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 5,342 3,095 $255K
72131 2,488 2,196 $252K
88305 Level IV - Surgical pathology, gross and microscopic examination 7,839 5,434 $250K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 313 251 $241K
98929 11,024 6,608 $239K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 26,701 21,593 $235K
27096 812 656 $234K
59025 Fetal non-stress test 1,602 1,061 $232K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 16,899 13,802 $229K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 2,116 1,883 $226K
J2405 Injection, ondansetron hydrochloride, per 1 mg 21,862 14,394 $219K
72125 Computed tomography, cervical spine; without contrast material 2,706 2,416 $218K
80061 Lipid panel 17,967 16,571 $210K
85027 27,207 21,947 $206K
87086 Culture, bacterial; quantitative colony count, urine 15,521 13,088 $194K
J3010 Injection, fentanyl citrate, 0.1 mg 8,485 6,415 $189K
78815 Positron emission tomography (PET) for limited area imaging 380 357 $178K
90837 Psychotherapy, 53 minutes with patient 1,992 1,205 $178K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 5,226 4,360 $177K
J2250 Injection, midazolam hydrochloride, per 1 mg 6,052 4,527 $175K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1,090 1,038 $173K
J3490 Unclassified drugs 8,126 5,723 $171K
96376 5,908 2,873 $165K
J1885 Injection, ketorolac tromethamine, per 15 mg 11,056 7,979 $164K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 2,134 1,078 $164K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 7,819 6,894 $163K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 9,383 8,580 $161K
J0585 Injection, onabotulinumtoxina, 1 unit 460 201 $160K
83036 Hemoglobin; glycosylated (A1C) 17,703 16,215 $155K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 719 627 $154K
97161 2,712 2,419 $147K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 3,583 2,685 $142K
84439 9,150 8,302 $142K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 7,787 6,870 $141K
70496 552 481 $140K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,433 2,048 $131K
83690 15,396 12,747 $131K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,467 1,063 $128K
84484 16,473 9,438 $126K
90792 Psychiatric diagnostic evaluation with medical services 1,160 1,032 $124K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 210 174 $122K
82962 20,169 10,443 $121K
72141 602 566 $120K
95811 290 256 $120K
73630 4,347 3,629 $118K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,328 1,168 $117K
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 662 661 $110K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 218 170 $108K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,815 3,586 $107K
71045 Radiologic examination, chest; single view 7,335 6,384 $104K
64493 270 237 $104K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,940 1,721 $102K
81025 7,956 6,683 $98K
82607 6,540 5,931 $98K
74018 2,534 2,199 $98K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 2,775 1,088 $95K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 8,323 6,125 $90K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3,476 3,296 $90K
93971 1,219 1,107 $88K
J2704 Injection, propofol, 10 mg 12,053 8,094 $87K
J1170 Injection, hydromorphone, up to 4 mg 4,752 2,221 $87K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,526 1,129 $87K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,380 1,118 $87K
83735 12,717 9,284 $86K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 7,565 6,553 $85K
J2270 Injection, morphine sulfate, up to 10 mg 7,677 4,373 $84K
99233 Prolong inpt eval add15 m 3,542 1,662 $83K
77067 Screening mammography, bilateral, including computer-aided detection 1,981 1,845 $80K
77063 Screening digital breast tomosynthesis, bilateral 1,598 1,468 $79K
73610 2,805 2,383 $79K
93017 1,044 954 $78K
J0696 Injection, ceftriaxone sodium, per 250 mg 3,917 2,114 $78K
J1200 Injection, diphenhydramine hcl, up to 50 mg 2,530 1,914 $77K
87077 5,942 5,108 $76K
84702 3,566 2,681 $76K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 2,619 1,951 $75K
85610 9,893 7,970 $75K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,326 1,176 $73K
71250 1,065 995 $73K
73030 2,986 2,533 $72K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,031 4,680 $72K
86850 2,576 2,235 $71K
73130 2,375 1,948 $70K
92551 3,264 2,217 $70K
87631 311 268 $69K
92557 785 716 $68K
0202U Oncology (prostate), multianalyte, gene expression profiling 472 414 $68K
J1644 Injection, heparin sodium, per 1000 units 2,494 920 $67K
92567 2,635 2,364 $65K
86140 6,035 4,875 $64K
76536 740 701 $63K
J0897 Injection, denosumab, 1 mg 101 93 $63K
73564 1,977 1,627 $62K
99308 Subsequent nursing facility care, per day, straightforward 5,336 3,906 $61K
J1050 Injection, medroxyprogesterone acetate, 1 mg 710 625 $61K
87186 5,407 4,606 $60K
99223 Prolong inpt eval add15 m 1,198 1,121 $59K
80076 4,705 3,700 $57K
42820 Tonsillectomy and adenoidectomy; younger than age 12 81 73 $56K
70551 Magnetic resonance imaging, brain; without contrast material 401 346 $56K
99309 Subsequent nursing facility care, per day, low to moderate complexity 3,109 2,428 $56K
86900 2,877 2,476 $56K
64490 158 124 $55K
83880 4,975 4,192 $55K
72110 1,851 1,672 $54K
64615 232 168 $51K
A9585 Injection, gadobutrol, 0.1 ml 2,127 1,885 $51K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1,657 592 $48K
73110 1,671 1,368 $48K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 8,835 7,829 $47K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 291 255 $47K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 318 268 $47K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 4,593 4,094 $46K
85379 3,135 2,701 $46K
70491 198 178 $45K
83550 6,140 5,593 $45K
83540 6,420 5,843 $44K
88342 2,589 2,244 $44K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 7,320 5,878 $44K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 1,039 981 $44K
76700 Ultrasound, abdominal, real time with image documentation; complete 290 268 $44K
87040 3,919 2,564 $43K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 4,757 2,533 $43K
85730 4,970 4,187 $43K
76641 309 284 $43K
84703 4,184 3,515 $43K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,222 1,166 $42K
82553 2,345 2,017 $42K
99406 4,253 3,019 $42K
82550 3,659 2,922 $41K
11721 3,801 2,779 $41K
85007 5,980 4,489 $41K
87070 2,400 2,064 $41K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 6,620 5,862 $41K
90648 4,201 3,992 $40K
17110 312 250 $39K
99215 Prolong outpt/office vis 885 780 $38K
71271 228 207 $38K
72128 874 758 $37K
97165 855 741 $36K
86780 2,983 2,650 $36K
83605 5,546 4,105 $35K
85652 6,093 5,161 $35K
73221 225 212 $35K
96367 1,939 1,258 $35K
86901 2,870 2,476 $34K
86703 2,225 1,976 $34K
94726 1,342 1,262 $33K
94010 1,040 986 $33K
90670 4,240 3,939 $33K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 2,812 2,466 $33K
87480 2,365 2,035 $32K
82565 2,955 2,599 $32K
99232 Subsequent hospital care, per day, moderate complexity 1,823 955 $32K
76642 263 238 $31K
74178 164 151 $30K
74420 367 260 $30K
87660 2,282 1,960 $29K
87510 2,344 2,018 $29K
80074 1,545 1,351 $28K
70486 422 372 $28K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,834 1,621 $27K
90686 3,481 3,339 $26K
73562 1,319 1,087 $26K
94729 1,324 1,241 $26K
72050 888 783 $25K
36591 1,132 664 $24K
82728 2,207 2,021 $24K
88341 574 360 $24K
00731 817 694 $24K
12001 161 146 $23K
84100 3,837 2,841 $23K
J2360 Injection, orphenadrine citrate, up to 60 mg 862 724 $23K
73502 1,299 1,143 $22K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 371 351 $22K
J1756 Injection, iron sucrose, 1 mg 1,105 469 $22K
72100 765 681 $22K
82746 1,921 1,730 $22K
88307 260 195 $22K
70498 566 497 $22K
99239 Hospital discharge day management, more than 30 minutes 768 701 $21K
11102 52 43 $21K
94618 512 482 $20K
20550 104 78 $20K
81513 134 113 $19K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 439 356 $19K
88142 475 449 $19K
J2550 Injection, promethazine hcl, up to 50 mg 601 275 $19K
99349 315 247 $19K
73560 1,115 960 $19K
98928 997 621 $19K
92587 180 165 $18K
83970 769 691 $18K
84481 1,322 1,179 $17K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 125 80 $17K
97012 503 179 $17K
83655 708 645 $16K
86480 514 461 $16K
84153 1,448 1,297 $16K
90633 1,770 1,539 $16K
84146 999 830 $15K
73090 531 446 $15K
87340 1,240 1,105 $15K
73080 795 666 $15K
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 518 518 $14K
82977 1,739 1,475 $14K
86038 869 757 $14K
90723 2,767 2,616 $14K
J0690 Injection, cefazolin sodium, 500 mg 1,354 720 $13K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 1,682 1,206 $13K
86308 817 695 $13K
G0260 Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography 197 189 $13K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 399 348 $13K
93880 194 171 $13K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 14 14 $13K
96523 449 344 $13K
69210 467 374 $13K
77065 Tomosynthesis, mammo 350 297 $13K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,375 1,227 $13K
72072 360 326 $13K
88304 732 564 $12K
74246 100 91 $12K
82570 1,861 1,609 $12K
84403 867 756 $12K
73100 534 375 $12K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 35 32 $12K
87522 Neg quan hep c or qual rna 375 331 $12K
82043 1,540 1,419 $12K
77336 152 69 $11K
73590 693 602 $11K
77386 84 12 $11K
77080 158 153 $11K
90680 2,204 2,079 $11K
90791 Psychiatric diagnostic evaluation 92 87 $11K
64484 416 358 $10K
90715 210 183 $10K
82784 1,239 852 $10K
86762 1,058 944 $10K
97162 166 144 $10K
J2765 Injection, metoclopramide hcl, up to 10 mg 1,442 1,059 $9K
82533 623 485 $9K
99152 1,018 834 $9K
84550 1,689 1,439 $9K
83525 500 440 $9K
94761 14,188 12,627 $9K
99222 Initial hospital care, per day, moderate complexity 250 234 $9K
81003 8,144 7,066 $9K
95913 81 67 $8K
86803 722 642 $8K
86376 694 615 $8K
72146 26 26 $8K
76819 Fetal biophysical profile; without non-stress testing 284 138 $8K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 108 37 $8K
76770 65 63 $8K
84270 708 613 $8K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 309 270 $8K
86787 846 743 $8K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 23 22 $8K
93970 85 78 $8K
86617 776 427 $8K
85014 1,323 1,059 $7K
95910 121 108 $7K
99173 2,041 1,924 $7K
99305 295 271 $7K
73140 258 221 $7K
C1769 Guide wire 262 225 $7K
J2060 Injection, lorazepam, 2 mg 997 605 $7K
82950 843 752 $7K
72040 237 211 $7K
51798 687 615 $6K
62321 13 13 $6K
90658 1,093 1,052 $6K
86364 430 370 $6K
87641 282 260 $6K
J7030 Infusion, normal saline solution , 1000 cc 12,653 7,837 $6K
87653 863 720 $6K
52000 14 12 $6K
99307 1,070 997 $6K
71101 271 245 $6K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 434 405 $6K
36592 965 500 $6K
83001 487 429 $6K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 973 742 $6K
87075 1,038 864 $6K
82652 416 382 $6K
76000 74 59 $6K
99442 259 247 $5K
90688 1,114 1,034 $5K
87400 116 39 $5K
95909 104 95 $5K
95912 91 81 $5K
87503 128 112 $5K
85018 1,323 1,042 $5K
93308 32 31 $5K
72158 31 24 $5K
92511 62 59 $5K
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 70 64 $5K
73522 245 217 $5K
95816 29 28 $5K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 354 317 $5K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 738 677 $5K
74019 250 222 $5K
94664 1,135 476 $4K
86430 504 443 $4K
82247 593 405 $4K
J0561 Injection, penicillin g benzathine, 100,000 units 17 12 $4K
64635 21 18 $4K
96368 876 422 $4K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 45 39 $4K
82248 736 542 $4K
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 1,992 1,487 $4K
83615 446 365 $4K
J1650 Injection, enoxaparin sodium, 10 mg 1,723 694 $4K
82150 298 246 $4K
80050 General health panel 128 121 $4K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 203 178 $3K
84460 718 557 $3K
76870 55 44 $3K
96127 233 220 $3K
83002 323 275 $3K
10060 20 13 $3K
74183 17 12 $3K
64450 36 12 $3K
86200 406 349 $3K
86592 203 159 $3K
84425 318 281 $3K
00813 765 658 $3K
82947 396 345 $3K
J0780 Injection, prochlorperazine, up to 10 mg 111 97 $3K
0031A 74 74 $3K
82525 188 165 $3K
93922 73 68 $3K
64494 128 112 $3K
A9270 Non-covered item or service 18,881 4,236 $3K
80143 1,058 872 $3K
87449 230 168 $3K
97597 43 25 $3K
87081 1,530 1,382 $3K
77002 357 299 $3K
72170 177 163 $3K
00840 424 334 $3K
93018 282 265 $3K
J7120 Ringers lactate infusion, up to 1000 cc 7,671 5,588 $2K
36600 162 135 $2K
11730 14 14 $2K
73060 169 143 $2K
84156 690 526 $2K
0012A 64 64 $2K
82077 1,253 953 $2K
82040 440 347 $2K
00170 Anesthesia for intraoral procedures, including biopsy 302 246 $2K
86317 118 90 $2K
94060 73 61 $2K
84450 360 252 $2K
97035 34 13 $2K
99205 Prolong outpt/office vis 33 33 $2K
73565 236 209 $2K
73552 271 236 $2K
20552 17 12 $2K
82670 155 140 $2K
0011A 53 52 $2K
11981 14 14 $2K
80178 113 88 $2K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 152 121 $2K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 51 28 $2K
70360 48 40 $2K
82810 734 600 $2K
80179 1,014 842 $2K
80069 149 126 $2K
84145 437 367 $2K
87481 128 109 $2K
00811 160 124 $2K
88112 261 222 $2K
82803 98 80 $2K
77280 13 12 $2K
86665 148 59 $2K
80164 114 98 $1K
72052 43 38 $1K
83993 112 96 $1K
87563 144 125 $1K
73070 77 53 $1K
72114 85 80 $1K
84630 154 137 $1K
97166 45 40 $1K
83520 159 150 $1K
A4222 Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) 1,664 1,176 $1K
95251 205 191 $1K
90716 120 96 $1K
12002 14 12 $1K
J1815 Injection, insulin, per 5 units 1,631 545 $1K
81015 196 175 $1K
74220 16 14 $1K
J3370 Injection, vancomycin hcl, 500 mg 724 306 $1K
77066 Tomosynthesis, mammo 27 25 $1K
97014 25 12 $1K
72192 16 16 $1K
86645 84 62 $1K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 7,931 4,250 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 275 271 $1K
80375 73 73 $983.63
0001A 25 25 $983.32
90651 130 114 $978.96
86644 76 57 $920.42
86664 78 59 $893.20
84132 149 120 $887.34
86663 78 59 $887.31
84112 30 25 $849.11
86334 68 61 $832.67
83013 16 13 $787.45
98927 52 27 $778.02
73120 34 24 $766.93
97116 46 28 $766.16
64636 19 16 $748.14
82330 73 66 $728.35
84134 106 94 $666.46
94760 3,124 2,838 $664.87
J0694 Injection, cefoxitin sodium, 1 gm 70 28 $653.59
90619 64 48 $595.40
90707 117 92 $587.84
92523 13 12 $587.39
86431 112 105 $585.00
90700 116 88 $572.84
93295 19 12 $560.76
97535 Self-care/home management training, each 15 minutes 20 13 $557.71
J2785 Injection, regadenoson, 0.1 mg 577 531 $556.90
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 31 31 $555.34
96417 139 79 $549.65
73700 13 12 $539.42
82105 81 66 $491.95
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 12 12 $478.10
82948 496 411 $471.11
99336 17 17 $469.69
99281 Emergency department visit for the evaluation and management, self-limited or minor 20 19 $451.60
J3475 Injection, magnesium sulfate, per 500 mg 636 341 $446.55
V5266 Battery for use in hearing device 256 247 $430.79
99153 Mod sedat endo service >5yrs 208 187 $429.43
76775 12 12 $422.62
30801 15 12 $420.97
86695 27 25 $408.42
86235 48 29 $403.61
82310 52 45 $367.20
84466 56 51 $350.54
J1040 Injection, methylprednisolone acetate, 80 mg 793 645 $347.14
87045 23 19 $334.03
85045 251 220 $333.95
87324 25 24 $332.42
82951 14 13 $325.64
82140 57 44 $323.34
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 26 25 $322.87
86812 36 31 $322.13
84165 68 61 $316.74
90696 44 41 $315.80
83516 27 25 $311.73
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml 1,035 969 $307.51
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 436 317 $306.89
J0692 Injection, cefepime hydrochloride, 500 mg 32 12 $297.80
87512 12 12 $289.12
84155 97 89 $288.43
99217 12 12 $287.30
86696 27 25 $285.95
C9113 Injection, pantoprazole sodium, per vial 409 185 $285.50
90710 70 55 $284.91
Q9957 Injection, perflutren lipid microspheres, per ml 186 169 $281.68
J3480 Injection, potassium chloride, per 2 meq 796 351 $280.60
93297 29 28 $279.16
90685 75 66 $279.10
83010 41 39 $269.43
J7050 Infusion, normal saline solution, 250 cc 3,689 1,831 $259.90
82952 22 13 $259.20
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 24 20 $248.86
82785 38 28 $245.37
A4223 Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) 162 150 $237.14
85055 18 12 $234.25
00918 13 12 $227.00
87427 23 19 $213.76
J1580 Injection, garamycin, gentamicin, up to 80 mg 403 250 $204.14
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg 907 620 $201.55
J2919 Injection, methylprednisolone sodium succinate, 5 mg 439 303 $199.00
99348 17 12 $193.07
J8540 Dexamethasone, oral, 0.25 mg 308 168 $192.52
76942 62 50 $188.44
J2469 Injection, palonosetron hcl, 25 mcg 258 139 $186.32
J1453 Injection, fosaprepitant, 1 mg 21 12 $177.98
51702 27 25 $174.77
99407 16 12 $172.34
93228 12 12 $170.85
J7060 5% dextrose/water (500 ml = 1 unit) 1,000 346 $168.37
00910 34 27 $163.59
84480 18 12 $159.84
84436 14 13 $159.60
87205 61 49 $151.37
82172 13 12 $145.91
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 235 205 $132.69
86003 21 14 $124.38
81002 995 930 $121.19
00126 63 57 $115.75
87799 12 12 $115.01
90656 13 13 $94.90
51701 80 65 $89.76
G0008 Administration of influenza virus vaccine 293 283 $84.26
82010 62 54 $82.14
90620 12 12 $73.05
76937 65 54 $69.77
87076 12 12 $68.03
82365 58 48 $66.79
J1010 Injection, methylprednisolone acetate, 1 mg 320 292 $66.34
84075 21 12 $64.18
88300 64 53 $60.23
83695 12 12 $57.67
90734 15 13 $57.40
64491 68 55 $51.57
93296 54 44 $46.10
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg 230 151 $33.42
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 42 38 $30.81
J2470 Injection, pantoprazole sodium, 40 mg 154 75 $26.27
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 57 35 $25.90
G0103 Prostate cancer screening; prostate specific antigen test (psa) 143 137 $25.33
A6449 Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard 332 208 $19.73
J2175 Injection, meperidine hydrochloride, per 100 mg 38 30 $14.36
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 726 644 $12.75
J1630 Injection, haloperidol, up to 5 mg 150 92 $10.95
90472 Immunization administration, each additional vaccine (list separately) 12 12 $10.13
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 203 188 $9.64
A6221 Gauze, non-impregnated, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing 22 12 $9.15
J2370 Injection, phenylephrine hcl, up to 1 ml 126 107 $7.66
86738 15 15 $6.12
J1940 Injection, furosemide, up to 20 mg 56 26 $5.01
A6222 Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 31 25 $4.67
J2003 Injection, lidocaine hydrochloride, 1 mg 223 211 $3.58
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 294 270 $2.64
A6448 Light compression bandage, elastic, knitted/woven, width less than three inches, per yard 13 13 $0.97
J1171 Injection, hydromorphone, 0.1 mg 145 84 $0.33
Q0243 Injection, casirivimab and imdevimab, 2400 mg 35 32 $0.24
Q0245 Injection, bamlanivimab and etesevimab, 2100 mg 23 22 $0.12
91307 12 12 $0.11
J1836 Injection, metronidazole, 10 mg 74 42 $0.07
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 17,511 16,426 $0.00
3008F 123,213 112,065 $0.00
3075F 4,607 4,306 $0.00
1036F 103,807 93,057 $0.00
3074F 63,576 58,292 $0.00
3079F 13,996 12,932 $0.00
3080F 1,337 1,253 $0.00
3044F 1,572 1,465 $0.00
95012 27 25 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 842 796 $0.00
00790 90 66 $0.00
3017F 98 90 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 166 157 $0.00
0503F 25 25 $0.00
3078F 58,134 53,615 $0.00
3077F 5,129 4,791 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 357 345 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 870 825 $0.00
G8421 Bmi not documented and no reason is given 990 953 $0.00
83721 71 63 $0.00
00812 188 169 $0.00
4004F 191 172 $0.00
99354 15 13 $0.00
C1875 Stent, coated/covered, without delivery system 32 30 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 78 66 $0.00
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 15 12 $0.00
88302 15 13 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 13 12 $0.00
88312 18 14 $0.00
88313 31 25 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 12 12 $0.00