Medicaid Provider Spending

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

FAIRVIEW HOSPITAL

NPI: 1215989611 · CLEVELAND, OH 44111 · General Acute Care Hospital · NPI assigned 05/16/2006

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

Authorized official LARAWAY, DENNIS controls 20+ related entities in our dataset. Read more

$62.42M
Total Medicaid Paid
1,486,783
Total Claims
1,131,434
Beneficiaries
520
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLARAWAY, DENNIS (EXECUTIVE VP CHIEF FINANCE OFFICER)
NPI Enumeration Date05/16/2006

Related Entities

Other providers sharing the same authorized official: LARAWAY, DENNIS

ProviderCityStateTotal Paid
THE CLEVELAND CLINIC FOUNDATION CLEVELAND OH $863.55M
AKRON GENERAL MEDICAL CENTER AKRON OH $98.99M
CLEVELAND CLINIC MERCY HOSPITAL CANTON OH $86.97M
MEMORIAL HERMANN HEALTH SYSTEM HOUSTON TX $84.45M
LUTHERAN HOSPITAL CLEVELAND OH $41.49M
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION EUCLID OH $40.67M
MEMORIAL HERMANN HEALTH SYSTEM HOUSTON TX $39.46M
CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION CLEVELAND OH $36.43M
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION MAYFIELD HTS OH $32.76M
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION WARRENSVILLE HEIGHTS OH $31.44M
PARTNERS PHYSICIAN GROUP AKRON OH $28.37M
MARYMOUNT HOSPITAL INC GARFIELD HEIGHTS OH $28.02M
MEMORIAL HERMANN HEALTH SYSTEM HUMBLE TX $26.79M
MARTIN MEMORIAL MEDICAL CENTER INC STUART FL $26.03M
THE UNION HOSPITAL ASSOCIATION DOVER OH $20.23M
LODI COMMUNITY HOSPITAL LODI OH $17.53M
CLINIC MEDICAL SERVICES COMPANY LLC CLEVELAND OH $10.82M
CLEVELAND CLINIC HOME CARE SERVICES INDEPENDENCE OH $10.76M
INDIAN RIVER MEMORIAL HOSPITAL INC VERO BEACH FL $9.27M
MEMORIAL HERMANN HEALTH SYSTEM SUGAR LAND TX $9.14M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 124,435 $4.82M
2019 121,353 $5.06M
2020 87,561 $5.07M
2021 125,883 $6.34M
2022 133,873 $5.82M
2023 518,429 $21.34M
2024 375,249 $13.95M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 71,128 62,449 $8.97M
99283 Emergency department visit for the evaluation and management, moderate severity 64,882 61,472 $7.26M
96361 Intravenous infusion, hydration; each additional hour 25,073 17,831 $6.90M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 60,599 49,731 $4.99M
99284 Emergency department visit for the evaluation and management, high severity 39,573 36,309 $4.62M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 22,954 20,553 $3.06M
G0378 Hospital observation service, per hour 29,431 13,807 $2.24M
J9271 Injection, pembrolizumab, 1 mg 263 133 $2.10M
70450 Computed tomography, head or brain; without contrast material 5,989 4,911 $1.43M
99282 Emergency department visit for the evaluation and management, low to moderate severity 10,113 9,609 $1.08M
74177 Computed tomography, abdomen and pelvis; with contrast material 5,101 4,214 $1.03M
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 7,493 6,561 $993K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 5,166 2,497 $907K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 7,135 5,333 $883K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 3,648 3,086 $767K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,412 2,836 $657K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 5,074 4,027 $618K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 8,798 4,189 $542K
80053 Comprehensive metabolic panel 86,178 68,195 $537K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,729 4,857 $527K
59025 Fetal non-stress test 3,440 2,393 $509K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5,905 4,869 $505K
71260 Computed tomography, thorax, diagnostic; with contrast material 2,652 2,174 $457K
J2350 Injection, ocrelizumab, 1 mg 24 15 $455K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,438 1,189 $350K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 9,171 8,796 $343K
93975 2,615 2,195 $339K
76705 Ultrasound, abdominal, real time with image documentation; limited 3,758 2,959 $273K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 2,829 1,539 $265K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,132 958 $256K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,582 2,273 $235K
70498 910 733 $222K
87631 2,307 2,184 $216K
96415 710 459 $209K
90839 1,488 1,171 $188K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,773 4,229 $177K
70491 534 449 $160K
76770 1,035 891 $158K
81513 1,195 946 $153K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 625 537 $150K
93458 139 113 $145K
58661 88 53 $143K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 375 296 $132K
96127 1,442 1,213 $130K
93799 21,399 8,035 $114K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 4,257 2,038 $109K
76642 893 808 $105K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 303 221 $105K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 43,614 34,502 $103K
42820 Tonsillectomy and adenoidectomy; younger than age 12 79 67 $102K
96367 1,980 1,304 $101K
70551 Magnetic resonance imaging, brain; without contrast material 706 580 $101K
0202U Oncology (prostate), multianalyte, gene expression profiling 743 683 $99K
J0585 Injection, onabotulinumtoxina, 1 unit 227 150 $94K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 61 50 $93K
78815 Positron emission tomography (PET) for limited area imaging 185 169 $91K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 85,628 69,885 $85K
58558 67 49 $85K
86850 4,616 3,696 $85K
84484 25,848 15,536 $81K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 5,848 4,590 $80K
0002A 2,109 2,095 $79K
0001A 2,122 2,078 $77K
93970 662 540 $76K
80048 Basic metabolic panel (calcium, ionized) 13,146 8,495 $74K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 677 582 $74K
97161 2,303 1,874 $72K
96161 463 416 $71K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,575 1,413 $70K
97535 Self-care/home management training, each 15 minutes 2,863 1,768 $69K
99231 Subsequent hospital care, per day, straightforward or low complexity 4,990 3,749 $69K
71250 844 772 $68K
93798 1,450 235 $68K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 560 460 $67K
12001 429 372 $65K
93971 1,139 979 $63K
36415 Collection of venous blood by venipuncture 86,693 54,406 $62K
99281 Emergency department visit for the evaluation and management, self-limited or minor 430 400 $62K
71046 Radiologic examination, chest; 2 views 9,351 8,261 $61K
99222 Initial hospital care, per day, moderate complexity 1,540 1,483 $60K
J1050 Injection, medroxyprogesterone acetate, 1 mg 668 549 $59K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 10,399 9,035 $58K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1,856 809 $53K
74183 277 235 $53K
12011 334 300 $52K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 183 131 $52K
44970 24 14 $50K
99232 Subsequent hospital care, per day, moderate complexity 2,650 1,543 $48K
77067 Screening mammography, bilateral, including computer-aided detection 1,570 1,440 $48K
76536 477 437 $44K
J1756 Injection, iron sucrose, 1 mg 1,357 557 $43K
86900 4,668 3,723 $43K
85027 17,873 11,647 $43K
96160 215 174 $39K
92551 769 672 $39K
88307 410 317 $39K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 331 283 $38K
71275 Computed tomographic angiography, chest, with contrast material 130 117 $37K
54150 835 806 $36K
90651 729 597 $36K
84443 Thyroid stimulating hormone (TSH) 4,765 3,882 $35K
19083 51 38 $35K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 29,056 24,658 $34K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 717 315 $34K
77063 Screening digital breast tomosynthesis, bilateral 683 641 $33K
71045 Radiologic examination, chest; single view 15,304 12,996 $32K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 8,925 5,343 $32K
82962 22,650 7,292 $32K
97165 936 758 $30K
82805 1,127 849 $30K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 28 24 $28K
76830 Ultrasound, transvaginal 1,259 1,056 $27K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 3,802 3,109 $27K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,191 678 $27K
97802 607 478 $26K
C9290 Injection, bupivacaine liposome, 1 mg 291 217 $26K
90670 3,741 3,303 $26K
J0561 Injection, penicillin g benzathine, 100,000 units 147 106 $26K
83735 26,938 18,989 $25K
99152 1,752 1,360 $25K
36561 28 26 $25K
90686 3,632 3,017 $24K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 3,807 3,110 $24K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,623 1,390 $24K
80061 Lipid panel 2,474 2,091 $23K
99219 667 647 $23K
74018 1,423 1,213 $23K
87086 Culture, bacterial; quantitative colony count, urine 8,941 7,544 $22K
93017 344 268 $22K
10060 140 125 $21K
77336 260 125 $21K
84702 5,055 4,062 $21K
72125 Computed tomography, cervical spine; without contrast material 2,578 2,134 $21K
97116 1,053 649 $21K
70486 838 709 $21K
82728 1,774 1,486 $20K
76882 209 182 $20K
77062 509 468 $20K
73610 1,708 1,450 $20K
81001 40,096 35,208 $19K
Q3014 Telehealth originating site facility fee 729 700 $19K
84439 1,702 1,379 $19K
99233 Prolong inpt eval add15 m 851 555 $18K
72131 355 297 $18K
86140 3,953 3,252 $18K
86780 1,727 1,502 $18K
77061 464 421 $18K
87505 151 115 $17K
90715 1,690 1,276 $17K
64615 89 76 $16K
36430 71 60 $16K
90460 Immunization administration through 18 years of age via any route, first or only component 4,477 3,431 $16K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 123 112 $16K
90648 2,064 1,774 $15K
83036 Hemoglobin; glycosylated (A1C) 1,938 1,552 $15K
97162 531 460 $15K
72100 962 852 $14K
94060 240 220 $14K
87340 1,118 924 $14K
73630 1,583 1,380 $13K
73130 1,307 1,106 $13K
83540 1,871 1,587 $13K
73564 872 778 $13K
70496 951 767 $13K
90633 1,626 1,364 $12K
36591 426 313 $12K
86803 791 694 $12K
77065 Tomosynthesis, mammo 686 590 $12K
73110 1,084 920 $12K
86762 430 378 $12K
P9016 Red blood cells, leukocytes reduced, each unit 65 51 $11K
96416 105 51 $11K
72197 58 49 $11K
73030 1,477 1,188 $11K
90698 1,765 1,563 $11K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 670 571 $11K
96376 7,503 3,660 $11K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 514 483 $11K
76857 716 612 $10K
90935 Hemodialysis procedure with single evaluation by a physician 74 38 $10K
49083 24 13 $10K
83550 1,852 1,573 $10K
82607 1,125 894 $10K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,098 877 $10K
86901 4,668 3,723 $10K
74019 1,026 887 $10K
72141 74 65 $10K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 819 707 $10K
85610 12,135 7,475 $10K
87481 1,082 853 $10K
90472 Immunization administration, each additional vaccine (list separately) 5,086 4,634 $10K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 1,200 1,010 $9K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 67 58 $9K
71271 81 71 $9K
77300 14 14 $9K
96368 652 412 $9K
90680 2,261 1,974 $9K
96112 30 30 $9K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 623 557 $8K
99153 Mod sedat endo service >5yrs 1,147 875 $8K
94660 141 58 $8K
96375 Therapeutic injection; each additional sequential IV push 13,089 8,767 $8K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 2,702 2,208 $8K
99221 292 283 $8K
73502 970 805 $8K
52000 12 12 $8K
82533 737 496 $8K
90677 363 338 $8K
43235 12 12 $8K
83880 3,734 2,928 $7K
73560 1,188 963 $7K
92552 100 74 $7K
82024 548 379 $7K
80069 709 468 $7K
77066 Tomosynthesis, mammo 574 525 $7K
73590 956 797 $7K
82784 766 642 $7K
82570 1,210 971 $6K
90688 530 403 $6K
76801 391 326 $6K
0004A 181 174 $6K
90723 1,561 1,333 $6K
80076 745 576 $6K
51798 862 690 $6K
A9270 Non-covered item or service 4,359 1,722 $6K
99223 Prolong inpt eval add15 m 124 119 $5K
99217 213 213 $5K
12002 35 29 $5K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 1,480 600 $5K
88341 119 85 $5K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 245 191 $5K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 96 81 $5K
87510 280 224 $5K
84100 2,316 1,392 $5K
87077 2,351 1,910 $5K
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 5,091 4,224 $5K
S9443 Lactation classes, non-physician provider, per session 101 83 $4K
82077 4,250 3,155 $4K
0054A 283 280 $4K
J2469 Injection, palonosetron hcl, 25 mcg 913 463 $4K
0124A 140 132 $4K
97166 192 157 $4K
83690 11,197 9,273 $4K
00840 891 595 $4K
58300 31 25 $4K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,132 1,664 $4K
86923 121 93 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,168 932 $4K
86706 521 412 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 37 25 $4K
0071A 115 114 $4K
74174 65 52 $4K
25600 13 12 $4K
83970 185 138 $4K
77080 67 60 $3K
J1815 Injection, insulin, per 5 units 342 231 $3K
83655 179 154 $3K
94729 155 145 $3K
76870 343 280 $3K
J3490 Unclassified drugs 222 156 $3K
J1610 Injection, glucagon hydrochloride, per 1 mg 35 25 $3K
73080 472 402 $3K
0072A 92 90 $3K
99253 74 73 $3K
73090 668 557 $3K
99239 Hospital discharge day management, more than 30 minutes 82 81 $3K
73140 423 360 $3K
85652 1,123 958 $3K
73552 529 427 $3K
90480 153 125 $3K
81025 10,314 8,712 $3K
87660 283 225 $3K
93880 29 29 $3K
87070 1,991 1,743 $3K
90685 407 326 $3K
82950 190 175 $2K
90744 505 421 $2K
64450 19 12 $2K
73700 25 25 $2K
82550 2,151 1,462 $2K
84156 953 730 $2K
87653 163 134 $2K
72170 1,086 893 $2K
81003 3,369 2,779 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 57 57 $2K
90697 255 237 $2K
90619 195 166 $2K
73060 491 383 $2K
0003A 57 57 $2K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 13 13 $2K
86038 128 99 $2K
80320 389 352 $2K
82746 618 491 $2K
85730 3,263 2,279 $2K
85018 1,387 1,061 $2K
86364 136 118 $2K
83605 3,620 2,341 $2K
96523 44 28 $2K
90696 248 209 $2K
90474 1,278 1,178 $2K
87186 1,640 1,333 $2K
99220 28 26 $2K
74220 31 31 $2K
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) 42 38 $2K
90461 1,817 1,548 $2K
90710 379 311 $2K
72050 49 43 $2K
J3475 Injection, magnesium sulfate, per 500 mg 2,867 1,862 $2K
87493 123 90 $2K
82947 1,220 936 $2K
86258 97 81 $2K
J2270 Injection, morphine sulfate, up to 10 mg 4,446 2,873 $1K
J1453 Injection, fosaprepitant, 1 mg 115 64 $1K
84145 845 692 $1K
87040 1,921 1,527 $1K
90656 190 188 $1K
99254 27 27 $1K
72040 89 80 $1K
85379 2,931 2,419 $1K
72128 42 36 $1K
90716 232 175 $1K
00731 598 451 $1K
82330 1,347 951 $1K
J1650 Injection, enoxaparin sodium, 10 mg 1,213 496 $1K
83615 371 303 $1K
71101 186 140 $1K
84703 2,587 2,113 $1K
99215 Prolong outpt/office vis 30 29 $1K
86003 28 27 $1K
82565 178 135 $1K
87205 1,094 864 $1K
99252 41 38 $1K
86703 755 639 $1K
99238 Hospital discharge day management, 30 minutes or less 52 51 $1K
84132 1,899 1,472 $1K
82105 84 73 $1K
99381 92 50 $1K
J1170 Injection, hydromorphone, up to 4 mg 1,722 911 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 17,555 13,232 $1K
96402 114 77 $925.74
82043 179 156 $925.53
87480 280 224 $902.57
J1644 Injection, heparin sodium, per 1000 units 6,146 2,507 $882.17
86308 424 365 $865.59
82375 1,517 1,173 $833.99
84153 102 90 $830.91
82150 1,033 855 $821.94
80143 476 382 $814.94
J1100 Injection, dexamethasone sodium phosphate, 1 mg 9,240 6,646 $797.81
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 75 53 $790.89
82553 275 168 $786.59
01844 19 12 $774.66
74230 13 12 $773.97
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 105 96 $720.74
C9113 Injection, pantoprazole sodium, per vial 716 315 $717.56
86704 79 64 $716.39
87522 Neg quan hep c or qual rna 31 26 $709.18
84146 77 65 $645.85
00170 Anesthesia for intraoral procedures, including biopsy 391 326 $644.13
84550 219 181 $608.92
73070 58 51 $607.91
94726 13 12 $580.15
87486 96 81 $575.92
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 10,352 8,388 $575.07
93321 17 13 $540.02
J2704 Injection, propofol, 10 mg 7,779 4,783 $536.16
0064A 22 21 $533.28
90707 165 143 $528.31
82435 1,051 798 $524.00
86870 14 13 $500.43
36416 2,672 2,071 $497.24
82378 88 77 $496.06
85045 211 164 $484.56
84165 134 109 $480.09
J3010 Injection, fentanyl citrate, 0.1 mg 9,008 5,851 $458.95
83521 69 56 $456.67
72072 101 87 $452.62
92526 17 12 $450.01
90658 46 46 $432.12
84403 30 25 $429.48
84155 159 141 $409.88
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 424 208 $398.06
J0360 Injection, hydralazine hcl, up to 20 mg 413 283 $393.85
99218 12 12 $387.06
92611 13 12 $385.01
J9045 Injection, carboplatin, 50 mg 45 26 $384.63
86334 31 24 $355.01
87420 17 12 $351.79
J0696 Injection, ceftriaxone sodium, per 250 mg 3,428 1,910 $349.25
J2405 Injection, ondansetron hydrochloride, per 1 mg 15,945 11,115 $343.51
84450 104 89 $342.27
84460 109 93 $333.34
90700 73 55 $332.75
80179 454 356 $327.59
87581 100 82 $320.07
00811 76 65 $317.22
84295 1,117 843 $285.37
82977 23 12 $284.86
99442 14 13 $283.53
83050 1,140 852 $278.52
J1940 Injection, furosemide, up to 20 mg 585 262 $274.45
99441 27 26 $272.21
0052A 30 30 $269.26
J2785 Injection, regadenoson, 0.1 mg 294 220 $261.72
88304 581 458 $258.34
00400 127 86 $250.10
86355 42 27 $244.10
J0690 Injection, cefazolin sodium, 500 mg 3,155 1,981 $239.25
88342 385 295 $236.80
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 811 356 $225.98
77001 137 107 $217.28
82010 631 497 $215.23
J2919 Injection, methylprednisolone sodium succinate, 5 mg 438 295 $208.07
73000 16 12 $205.98
87808 90 73 $203.27
0051A 23 23 $190.18
82140 105 78 $186.73
82525 48 39 $180.74
J0780 Injection, prochlorperazine, up to 10 mg 795 553 $172.85
80177 109 92 $168.40
J1200 Injection, diphenhydramine hcl, up to 50 mg 2,278 1,452 $165.80
J3370 Injection, vancomycin hcl, 500 mg 702 410 $159.94
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 875 619 $142.19
J7120 Ringers lactate infusion, up to 1000 cc 3,516 2,609 $137.68
85014 16 13 $133.96
J0171 Injection, adrenalin, epinephrine, 0.1 mg 412 314 $126.86
J2060 Injection, lorazepam, 2 mg 1,131 769 $122.56
84630 22 16 $120.58
80164 50 39 $119.80
84481 32 27 $117.82
82270 222 183 $111.22
87641 87 64 $109.73
94760 7,079 3,925 $107.28
90734 29 26 $105.60
J1790 Injection, droperidol, up to 5 mg 1,073 826 $103.59
74022 13 12 $102.02
96417 802 422 $94.57
87430 24 22 $92.04
84425 16 13 $87.66
91300 4,537 4,145 $85.25
87640 87 64 $84.60
J2765 Injection, metoclopramide hcl, up to 10 mg 1,405 1,068 $83.88
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 1,752 894 $82.18
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 667 483 $74.57
86665 15 12 $69.03
J0131 Injection, acetaminophen, not otherwise specified,10 mg 77 65 $68.79
J2250 Injection, midazolam hydrochloride, per 1 mg 6,851 5,068 $67.86
J3480 Injection, potassium chloride, per 2 meq 1,397 901 $66.92
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 1,431 1,006 $64.78
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 990 751 $56.53
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 36 36 $55.59
A9575 Injection, gadoterate meglumine, 0.1 ml 1,435 1,242 $55.37
82040 12 12 $50.66
J2470 Injection, pantoprazole sodium, 40 mg 149 79 $46.06
J2360 Injection, orphenadrine citrate, up to 60 mg 119 108 $41.80
81002 558 353 $39.31
J1596 Injection, glycopyrrolate, 0.1 mg 628 549 $38.74
J7030 Infusion, normal saline solution , 1000 cc 705 371 $38.29
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 647 478 $36.70
C1769 Guide wire 1,225 941 $33.65
J7999 Compounded drug, not otherwise classified 15 12 $33.59
80175 13 12 $30.78
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 297 204 $29.75
C1729 Catheter, drainage 236 153 $26.82
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 785 491 $26.25
94761 64 50 $22.94
87529 12 12 $19.59
87088 45 44 $17.82
J0330 Injection, succinylcholine chloride, up to 20 mg 424 304 $17.06
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg 117 107 $15.87
J7050 Infusion, normal saline solution, 250 cc 2,344 1,004 $14.70
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 3,828 2,661 $14.20
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 788 676 $12.29
J1920 Injection, labetalol hydrochloride, 5 mg 15 14 $9.01
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg 87 40 $6.54
J0456 Injection, azithromycin, 500 mg 282 135 $5.98
J1630 Injection, haloperidol, up to 5 mg 40 26 $5.66
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 40 39 $5.35
J1171 Injection, hydromorphone, 0.1 mg 103 76 $5.00
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 1,138 935 $4.12
J2370 Injection, phenylephrine hcl, up to 1 ml 254 152 $3.51
91307 319 299 $2.54
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 96 38 $2.52
J2003 Injection, lidocaine hydrochloride, 1 mg 119 114 $1.81
91305 359 353 $1.39
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 57 56 $1.03
91312 100 100 $0.55
91306 20 20 $0.14
3079F 199 177 $0.00
A4648 Tissue marker, implantable, any type, each 204 163 $0.00
3074F 2,459 2,284 $0.00
00790 229 174 $0.00
C1781 Mesh (implantable) 21 13 $0.00
00126 18 14 $0.00
3075F 206 191 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 99 57 $0.00
76377 52 50 $0.00
C1726 Catheter, balloon dilatation, non-vascular 64 56 $0.00
J2305 Injection, nitroglycerin, 5 mg 34 33 $0.00
00142 13 12 $0.00
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 43 34 $0.00
00952 94 65 $0.00
3044F 29 26 $0.00
3077F 304 267 $0.00
3078F 2,902 2,687 $0.00
87220 47 42 $0.00
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 242 219 $0.00
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 391 309 $0.00
C1760 Closure device, vascular (implantable/insertable) 14 12 $0.00
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 12 12 $0.00
C2625 Stent, non-coronary, temporary, with delivery system 117 87 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 234 168 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 282 247 $0.00
88112 54 48 $0.00
J9190 Injection, fluorouracil, 500 mg 107 51 $0.00
88302 20 12 $0.00
87210 49 43 $0.00
C1788 Port, indwelling (implantable) 45 39 $0.00
29125 17 12 $0.00
00910 17 12 $0.00