Medicaid Provider Spending

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

PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA

NPI: 1225033020 · MIAMI, FL 33136 · Clinic/Center · NPI assigned 06/17/2005

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

Authorized official KNIGHT, MARK controls 20+ related entities in our dataset. Read more

$78.81M
Total Medicaid Paid
3,111,887
Total Claims
2,176,984
Beneficiaries
641
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKNIGHT, MARK (CHIEF FINANCIAL OFFICER)
Parent OrganizationPUBLIC HEALTH TRUST OF MIAMI DADE COUNTY
NPI Enumeration Date06/17/2005

Related Entities

Other providers sharing the same authorized official: KNIGHT, MARK

ProviderCityStateTotal Paid
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA NORTH MIAMI BEACH FL $15.92M
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA PALMETTO BAY FL $8.02M
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA MIAMI FL $6.68M
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA MIAMI FL $5.58M
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA MIAMI FL $4.79M
BIOHORIZON MEDICAL, INC. TORRANCE CA $3.18M
PUBLIC HEALTH TRUST OF DADE COUNTY, FLORIDA MIAMI FL $2.62M
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA OPA-LOCKA FL $2.51M
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA DORAL FL $1.98M
HOPEREACH WOODRUFF SC $1.79M
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA MIAMI FL $1.63M
PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA MIAMI FL $1.55M
PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA MIAMI FL $1.27M
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA OPA LOCKA FL $1.06M
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA MIAMI FL $963K
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA MIAMI FL $911K
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA MIAMI FL $712K
PUBLIC HEALTH TRUST OF DADE COUNTY, FLORIDA PALMETTO BAY FL $532K
PUBLIC HEALTH TRUST OF DADE COUNTY, FLORIDA NORTH MIAMI BEACH FL $425K
PUBLIC HEALTH TRUST OF DADE COUNTY, FLORIDA DORAL FL $344K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 238,127 $5.73M
2019 618,076 $19.02M
2020 551,425 $12.35M
2021 616,172 $12.82M
2022 655,910 $15.16M
2023 290,561 $9.11M
2024 141,616 $4.62M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 103,557 87,323 $8.87M
99283 Emergency department visit for the evaluation and management, moderate severity 78,637 69,784 $6.81M
99284 Emergency department visit for the evaluation and management, high severity 64,040 54,019 $5.14M
80053 Comprehensive metabolic panel 183,150 116,827 $4.87M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 39,541 34,240 $3.30M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32,854 28,443 $2.61M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 33,877 27,127 $2.53M
G0378 Hospital observation service, per hour 40,598 20,710 $2.18M
99282 Emergency department visit for the evaluation and management, low to moderate severity 21,851 19,421 $1.64M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 3,945 3,747 $1.31M
99215 Prolong outpt/office vis 20,876 17,235 $1.18M
77386 3,767 297 $1.16M
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 11,150 9,224 $949K
96375 Therapeutic injection; each additional sequential IV push 16,704 10,447 $803K
81003 35,112 21,600 $800K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 5,476 4,755 $773K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 14,675 4,144 $747K
96361 Intravenous infusion, hydration; each additional hour 12,165 8,882 $747K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,511 12,427 $744K
74177 Computed tomography, abdomen and pelvis; with contrast material 5,968 5,049 $740K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 12,558 6,561 $709K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 213,922 133,804 $678K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 56,688 34,414 $659K
97530 Therapeutic activities, direct patient contact, each 15 minutes 13,552 4,063 $642K
80048 Basic metabolic panel (calcium, ionized) 32,344 21,185 $636K
D2930 Prefabricated stainless steel crown - primary tooth 727 244 $634K
70450 Computed tomography, head or brain; without contrast material 10,664 8,566 $620K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 17,060 13,497 $604K
90935 Hemodialysis procedure with single evaluation by a physician 1,981 627 $597K
76819 Fetal biophysical profile; without non-stress testing 11,400 7,429 $563K
86850 20,457 16,170 $551K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 16,291 13,164 $491K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 1,385 1,205 $410K
87799 23,150 13,540 $378K
41899 Unlisted procedure, dentoalveolar structures 783 738 $364K
0202U Oncology (prostate), multianalyte, gene expression profiling 2,259 2,005 $359K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 2,840 941 $354K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1,945 1,716 $338K
Q5105 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units 2,228 422 $327K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,909 2,343 $318K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 7,215 4,544 $315K
J0585 Injection, onabotulinumtoxina, 1 unit 1,319 1,216 $309K
86355 10,182 7,635 $309K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1,446 1,167 $307K
J1644 Injection, heparin sodium, per 1000 units 18,393 5,993 $299K
78815 Positron emission tomography (PET) for limited area imaging 1,377 1,195 $280K
76770 3,813 3,355 $278K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 14,417 13,255 $276K
71046 Radiologic examination, chest; 2 views 19,068 15,894 $261K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 4,604 4,068 $251K
70551 Magnetic resonance imaging, brain; without contrast material 2,032 1,837 $250K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 7,548 6,145 $245K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 8,591 7,371 $244K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 53,672 40,495 $241K
76700 Ultrasound, abdominal, real time with image documentation; complete 4,296 3,692 $239K
96402 2,097 1,631 $223K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 8,746 6,806 $215K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 13,795 9,902 $205K
99281 Emergency department visit for the evaluation and management, self-limited or minor 4,318 3,508 $204K
81001 75,487 55,455 $192K
88305 Level IV - Surgical pathology, gross and microscopic examination 12,897 4,990 $191K
84100 41,946 24,515 $190K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 3,656 3,372 $189K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 9,632 4,704 $186K
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 10,874 8,639 $184K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 14,860 6,794 $183K
96415 2,722 1,797 $183K
85610 48,756 33,339 $183K
83735 78,665 46,030 $176K
J0485 Injection, belatacept, 1 mg 2,005 916 $173K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 1,675 1,402 $172K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 5,264 4,096 $172K
J1745 Injection, infliximab, excludes biosimilar, 10 mg 440 378 $167K
J2405 Injection, ondansetron hydrochloride, per 1 mg 24,046 15,833 $164K
71275 Computed tomographic angiography, chest, with contrast material 2,037 1,718 $162K
97162 4,486 3,537 $160K
77066 Tomosynthesis, mammo 2,122 1,839 $158K
95819 1,272 1,165 $157K
85730 34,523 24,978 $157K
87086 Culture, bacterial; quantitative colony count, urine 31,522 22,662 $157K
77336 2,130 813 $149K
81420 Fetal chromosomal aneuploidy genomic sequence analysis panel 644 569 $144K
86803 25,421 21,399 $140K
29705 2,242 1,913 $136K
81370 585 458 $130K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 811 702 $129K
84702 16,968 11,328 $128K
93356 812 695 $128K
99205 Prolong outpt/office vis 2,078 1,874 $125K
86900 20,530 16,430 $124K
59025 Fetal non-stress test 2,142 1,285 $123K
73110 3,290 2,529 $121K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,545 1,421 $119K
93975 2,203 1,854 $119K
77300 221 185 $119K
99201 1,311 1,213 $117K
87631 4,097 3,629 $116K
96416 1,844 905 $116K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,487 1,353 $112K
82803 11,904 7,932 $111K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 158 81 $109K
84484 26,844 15,905 $102K
86833 13,300 9,335 $102K
74174 880 710 $101K
80197 53,944 29,193 $101K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 2,079 1,942 $100K
73590 3,208 2,631 $98K
93325 6,318 5,693 $97K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 7,792 6,547 $96K
77067 Screening mammography, bilateral, including computer-aided detection 3,381 2,956 $96K
J1815 Injection, insulin, per 5 units 12,231 3,771 $95K
45380 Colonoscopy, flexible; with biopsy, single or multiple 536 439 $95K
76705 Ultrasound, abdominal, real time with image documentation; limited 3,778 3,153 $93K
0064U 6,309 5,195 $93K
73090 2,582 2,117 $92K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 13,953 11,987 $92K
86901 21,078 16,847 $91K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 2,051 1,175 $89K
73630 3,193 2,694 $84K
71045 Radiologic examination, chest; single view 16,153 12,475 $83K
93970 2,280 1,882 $83K
73130 3,183 2,572 $83K
73610 3,460 2,765 $83K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,394 1,275 $81K
84132 9,610 5,962 $81K
70498 1,234 964 $80K
87186 9,068 6,753 $79K
J9263 Injection, oxaliplatin, 0.5 mg 927 349 $74K
76801 1,924 1,751 $74K
76830 Ultrasound, transvaginal 4,078 3,603 $74K
71250 2,122 1,730 $71K
J1568 Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg 213 104 $71K
76536 1,231 1,108 $70K
36573 696 492 $68K
64643 304 297 $66K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 15,011 11,243 $66K
P9016 Red blood cells, leukocytes reduced, each unit 1,399 1,031 $66K
83690 22,550 16,567 $66K
96523 1,779 963 $65K
82330 12,791 8,280 $65K
73552 1,660 1,367 $61K
73140 1,638 1,273 $60K
87040 11,400 6,351 $60K
72125 Computed tomography, cervical spine; without contrast material 2,192 1,781 $57K
74160 587 494 $55K
77065 Tomosynthesis, mammo 877 707 $55K
87070 6,382 5,218 $54K
93971 2,063 1,692 $54K
83880 10,659 7,660 $53K
87340 9,018 7,247 $52K
93017 1,860 1,544 $52K
36430 923 653 $51K
80061 Lipid panel 22,825 17,958 $50K
83036 Hemoglobin; glycosylated (A1C) 15,755 12,957 $50K
73100 735 626 $50K
J3010 Injection, fentanyl citrate, 0.1 mg 11,903 9,340 $49K
70496 380 316 $48K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 3,438 1,736 $48K
J8540 Dexamethasone, oral, 0.25 mg 9,360 4,890 $48K
73030 2,451 1,982 $48K
J2250 Injection, midazolam hydrochloride, per 1 mg 10,793 8,555 $47K
73562 2,842 2,409 $47K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,753 1,503 $45K
82728 7,685 5,903 $45K
0399T 131 121 $45K
70486 1,173 971 $45K
73502 1,878 1,616 $45K
84443 Thyroid stimulating hormone (TSH) 11,467 9,418 $43K
86832 13,317 9,373 $42K
96417 3,572 2,035 $42K
87497 19,768 12,258 $42K
83615 8,553 5,801 $42K
88342 3,270 1,930 $42K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 7,618 6,534 $42K
J9202 Goserelin acetate implant, per 3.6 mg 593 509 $41K
77412 157 26 $41K
86140 12,220 9,259 $41K
29075 714 571 $40K
93282 787 672 $40K
76642 1,136 986 $40K
83970 7,535 5,661 $40K
83550 4,804 3,903 $40K
00170 Anesthesia for intraoral procedures, including biopsy 1,341 1,139 $40K
81025 3,543 3,121 $39K
85027 6,855 4,219 $39K
J2270 Injection, morphine sulfate, up to 10 mg 10,419 6,437 $39K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 1,536 1,354 $38K
83605 7,973 5,468 $38K
J1885 Injection, ketorolac tromethamine, per 15 mg 15,852 12,346 $38K
77080 838 755 $37K
77334 271 222 $37K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 6,016 3,132 $37K
84550 40,118 22,351 $37K
83540 7,256 5,563 $37K
97166 2,906 2,261 $36K
64642 333 324 $36K
J7507 Tacrolimus, immediate release, oral, 1 mg 2,508 789 $36K
J0696 Injection, ceftriaxone sodium, per 250 mg 10,746 7,027 $36K
86780 3,337 2,674 $36K
93798 233 53 $35K
80069 2,476 1,716 $35K
42820 Tonsillectomy and adenoidectomy; younger than age 12 30 28 $35K
P9045 Infusion, albumin (human), 5%, 250 ml 678 289 $35K
82947 11,809 7,963 $35K
87077 10,491 7,470 $35K
86359 10,231 7,659 $34K
J0640 Injection, leucovorin calcium, per 50 mg 1,798 853 $33K
J1756 Injection, iron sucrose, 1 mg 1,212 547 $32K
87536 6,040 4,679 $32K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 6,906 5,813 $32K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 302 154 $32K
76776 2,285 1,577 $32K
93281 709 602 $32K
74018 1,929 1,578 $32K
76641 646 556 $31K
73070 923 760 $31K
82375 689 337 $31K
J9355 Injection, trastuzumab, excludes biosimilar, 10 mg 133 67 $30K
88341 2,795 735 $30K
82746 3,846 3,105 $30K
96411 1,852 1,005 $30K
88142 2,224 1,967 $29K
85046 3,263 2,397 $29K
93308 148 122 $29K
82570 14,260 9,008 $29K
J1200 Injection, diphenhydramine hcl, up to 50 mg 8,137 5,195 $29K
81376 626 422 $29K
J0461 Injection, atropine sulfate, 0.01 mg 2,059 1,324 $29K
76376 1,069 930 $28K
73080 1,596 1,315 $28K
54161 37 37 $28K
86360 10,164 7,619 $28K
86235 7,596 984 $27K
86357 10,190 7,628 $27K
93350 152 115 $27K
J9190 Injection, fluorouracil, 500 mg 1,847 884 $26K
72100 2,076 1,743 $26K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 1,885 997 $26K
82784 11,689 4,852 $26K
85055 3,037 2,153 $25K
76820 1,331 589 $25K
76825 261 225 $25K
J1650 Injection, enoxaparin sodium, 10 mg 8,271 2,924 $25K
J1170 Injection, hydromorphone, up to 4 mg 7,173 4,206 $25K
87205 5,081 3,945 $24K
82248 19,166 11,694 $24K
D2390 40 14 $24K
81329 719 588 $24K
88307 1,740 1,016 $24K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 159 66 $24K
85007 6,059 4,052 $23K
96368 1,615 808 $23K
87210 2,279 1,857 $23K
80051 3,094 2,161 $23K
93320 4,404 4,009 $23K
73560 1,073 870 $21K
76870 462 404 $21K
86787 4,017 3,385 $21K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 814 718 $21K
82805 1,323 932 $21K
84703 4,913 4,345 $21K
82607 4,488 3,575 $20K
36569 252 141 $20K
99153 Mod sedat endo service >5yrs 1,923 1,512 $20K
82550 6,152 4,582 $20K
86703 11,252 9,655 $20K
73060 1,426 1,138 $20K
82378 2,025 1,533 $20K
86706 3,215 2,646 $20K
J3475 Injection, magnesium sulfate, per 500 mg 4,155 2,830 $20K
85384 3,538 2,173 $20K
D2391 Resin-based composite - one surface, posterior, primary or permanent 20 12 $19K
82435 7,903 5,154 $19K
46606 489 273 $19K
80076 1,605 1,310 $19K
84439 3,325 2,744 $19K
84295 8,065 5,260 $19K
70491 180 167 $18K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 613 512 $18K
70355 699 611 $18K
86923 2,100 1,548 $17K
31575 777 680 $17K
12001 527 459 $17K
86762 2,932 2,585 $16K
85652 6,455 5,238 $16K
J1940 Injection, furosemide, up to 20 mg 3,213 1,469 $16K
74019 1,480 1,284 $16K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 509 371 $16K
85660 2,249 1,999 $16K
88304 1,884 1,359 $16K
86480 2,680 2,153 $16K
82150 7,577 3,883 $16K
88112 1,234 901 $16K
93976 744 647 $16K
93880 826 626 $16K
72040 680 590 $15K
92953 236 227 $15K
83520 7,852 1,349 $15K
73564 521 437 $15K
10060 433 385 $15K
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 1,871 937 $14K
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 1,565 1,063 $14K
12011 608 536 $14K
82105 2,681 2,186 $14K
87075 1,234 961 $14K
77301 94 82 $14K
82977 9,575 6,076 $14K
86828 2,602 1,869 $14K
J9206 Injection, irinotecan, 20 mg 478 214 $14K
J1453 Injection, fosaprepitant, 1 mg 45 28 $13K
93460 15 13 $13K
92523 88 80 $13K
72131 845 686 $13K
72170 1,286 1,058 $13K
84112 416 344 $13K
J3370 Injection, vancomycin hcl, 500 mg 3,259 1,556 $13K
84155 9,507 5,864 $12K
82247 821 502 $12K
J0360 Injection, hydralazine hcl, up to 20 mg 2,286 1,419 $12K
90686 6,171 5,069 $12K
73620 411 339 $12K
86665 2,371 1,137 $12K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 6,407 4,888 $12K
77338 120 100 $12K
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 317 272 $12K
J0610 Injection, calcium gluconate (fresenius kabi), per 10 ml 1,208 591 $11K
80320 4,486 3,756 $11K
84153 1,530 1,249 $11K
86708 2,057 1,614 $11K
76813 285 258 $11K
J0692 Injection, cefepime hydrochloride, 500 mg 2,629 1,176 $10K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 33 26 $10K
82950 1,317 1,233 $10K
99152 1,772 1,332 $10K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,839 1,271 $10K
19083 32 25 $10K
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 328 276 $9K
D7140 Extraction, erupted tooth or exposed root 20 12 $9K
81401 629 533 $9K
82043 6,495 4,452 $9K
78306 58 49 $9K
86777 1,881 1,482 $9K
77001 222 183 $8K
96376 1,529 1,211 $8K
85379 3,650 2,606 $8K
81243 1,341 1,108 $8K
86920 595 474 $8K
J2765 Injection, metoclopramide hcl, up to 10 mg 2,977 2,307 $8K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 1,029 767 $8K
80195 3,914 2,562 $7K
C9399 Unclassified drugs or biologicals 3,621 2,967 $7K
77470 15 13 $7K
93285 145 132 $7K
84480 907 754 $7K
92610 449 360 $7K
93284 150 121 $7K
87522 Neg quan hep c or qual rna 1,726 1,278 $7K
87486 810 714 $7K
73120 661 549 $7K
86704 2,206 1,799 $7K
87581 811 715 $7K
12002 118 103 $7K
82810 38 14 $7K
J0561 Injection, penicillin g benzathine, 100,000 units 446 348 $7K
84681 4,549 2,454 $6K
J0690 Injection, cefazolin sodium, 500 mg 3,265 2,293 $6K
80164 1,317 947 $6K
P9040 Red blood cells, leukocytes reduced, irradiated, each unit 124 83 $6K
83020 997 739 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5,887 4,636 $6K
J3490 Unclassified drugs 2,761 1,961 $6K
J8501 Aprepitant, oral, 5 mg 167 99 $6K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 4,760 3,758 $6K
G0008 Administration of influenza virus vaccine 2,373 1,674 $6K
89051 88 76 $6K
86592 1,558 1,262 $6K
86705 1,605 1,149 $5K
97535 Self-care/home management training, each 15 minutes 1,451 781 $5K
97760 372 291 $5K
98960 1,546 1,000 $5K
86644 1,529 1,222 $5K
82677 197 179 $5K
85347 493 229 $5K
82140 1,103 782 $5K
86778 1,284 997 $5K
76881 221 188 $5K
86902 251 39 $5K
82610 2,461 2,042 $5K
90715 5,156 4,398 $5K
85576 169 62 $5K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 75 58 $5K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 46 38 $5K
82785 3,339 2,329 $5K
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 1,463 766 $5K
87507 184 161 $5K
88360 102 50 $4K
J2785 Injection, regadenoson, 0.1 mg 1,161 921 $4K
74181 30 26 $4K
84156 1,005 715 $4K
80329 3,519 1,914 $4K
86664 1,070 825 $4K
86709 2,011 1,489 $4K
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 87 71 $4K
86687 1,327 1,040 $4K
93321 361 318 $4K
87641 740 588 $4K
C9113 Injection, pantoprazole sodium, per vial 2,146 1,052 $4K
88313 1,424 471 $4K
86663 1,049 827 $4K
97161 41 35 $4K
97163 42 38 $4K
88173 20 13 $4K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 12 12 $4K
J2370 Injection, phenylephrine hcl, up to 1 ml 2,406 1,902 $4K
J9267 Injection, paclitaxel, 1 mg 1,030 422 $4K
73522 102 89 $4K
83050 658 319 $4K
J9045 Injection, carboplatin, 50 mg 696 402 $4K
97116 20 14 $3K
85014 107 48 $3K
96367 808 521 $3K
J2997 Injection, alteplase recombinant, 1 mg 135 102 $3K
29065 246 181 $3K
J2060 Injection, lorazepam, 2 mg 2,483 1,931 $3K
86038 757 616 $3K
87116 172 122 $3K
96401 26 12 $3K
00840 245 203 $3K
96158 108 37 $3K
80169 1,282 716 $3K
91200 457 394 $3K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 1,639 1,415 $3K
J1630 Injection, haloperidol, up to 5 mg 1,643 1,169 $3K
J1956 Injection, levofloxacin, 250 mg 342 200 $3K
93226 115 98 $3K
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 89 72 $3K
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 101 73 $3K
87015 278 198 $3K
94729 153 139 $3K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 261 230 $3K
J0456 Injection, azithromycin, 500 mg 99 60 $3K
87662 787 326 $3K
76827 276 242 $3K
86682 967 732 $3K
86039 424 345 $3K
00731 309 286 $3K
73000 119 94 $3K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 519 429 $3K
90750 625 374 $3K
P9021 Red blood cells, each unit 37 29 $3K
G0257 Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility 75 40 $2K
92567 231 201 $2K
82010 1,005 822 $2K
86301 658 498 $2K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 544 240 $2K
72190 28 25 $2K
77063 Screening digital breast tomosynthesis, bilateral 2,243 1,928 $2K
J0330 Injection, succinylcholine chloride, up to 20 mg 1,549 1,317 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,309 1,013 $2K
86870 221 177 $2K
86356 1,535 832 $2K
J2795 Injection, ropivacaine hydrochloride, 1 mg 1,002 716 $2K
97014 90 31 $2K
87625 1,518 1,334 $2K
72128 371 292 $2K
86367 1,247 822 $2K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 342 242 $2K
90746 386 267 $2K
90670 859 677 $2K
86336 180 167 $2K
29125 199 151 $2K
G0390 Trauma response team associated with hospital critical care service 361 298 $2K
36592 545 310 $2K
J2704 Injection, propofol, 10 mg 865 776 $2K
84134 597 459 $2K
97167 12 12 $2K
87102 94 71 $2K
86701 407 331 $2K
86790 584 403 $2K
90732 709 565 $2K
J1953 Injection, levetiracetam, 10 mg 1,299 830 $2K
J3489 Injection, zoledronic acid, 1 mg 317 271 $2K
72197 32 28 $1K
96152 35 12 $1K
94010 196 156 $1K
83516 394 307 $1K
86702 244 193 $1K
57454 14 13 $1K
77062 764 699 $1K
L0174 Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf 84 66 $1K
87045 62 50 $1K
93925 38 29 $1K
87206 91 55 $1K
84300 587 437 $1K
86794 362 264 $1K
77072 15 15 $1K
94618 44 37 $1K
70543 15 12 $1K
84145 924 696 $1K
51702 328 255 $1K
76506 14 13 $1K
87449 368 282 $1K
86645 320 260 $1K
A9270 Non-covered item or service 1,233 653 $1K
47000 17 13 $941.38
51701 483 414 $930.27
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 637 356 $928.97
99292 239 192 $921.82
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 555 533 $913.75
C1760 Closure device, vascular (implantable/insertable) 19 13 $884.66
G0127 Trimming of dystrophic nails, any number 174 138 $871.61
16020 74 67 $839.49
93225 148 122 $815.57
G8989 Self care functional limitation, discharge status, at discharge from therapy or to end reporting 26 13 $792.41
72080 31 27 $791.85
84466 446 361 $781.00
90472 Immunization administration, each additional vaccine (list separately) 820 614 $774.80
00811 85 65 $774.20
88300 565 432 $766.20
86580 30 30 $761.95
74022 74 67 $753.31
81378 292 217 $742.28
P9612 Catheterization for collection of specimen, single patient, all places of service 44 27 $741.17
82542 865 621 $733.59
G0009 Administration of pneumococcal vaccine 582 476 $724.20
80074 15 13 $713.81
86160 83 41 $709.84
90734 206 155 $706.54
72157 13 12 $688.60
93304 15 15 $687.91
J7050 Infusion, normal saline solution, 250 cc 200 132 $670.17
81015 145 106 $657.89
Q0222 Injection, bebtelovimab, 175 mg 97 80 $642.24
76937 18 14 $630.45
80202 313 132 $583.99
76942 32 24 $581.35
43235 22 19 $550.50
73600 66 52 $535.04
86255 250 195 $523.72
73700 17 12 $523.20
Q0243 Injection, casirivimab and imdevimab, 2400 mg 73 67 $512.40
82787 106 25 $507.09
29405 15 12 $494.36
00400 203 168 $470.80
Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units 17 12 $433.49
J3411 Injection, thiamine hcl, 100 mg 56 44 $422.10
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 644 180 $411.28
71101 60 52 $407.23
80185 60 51 $402.71
87899 29 24 $400.05
87640 711 560 $399.36
77290 16 13 $393.09
72072 17 14 $368.51
82731 13 12 $322.44
84146 21 15 $315.54
81382 363 161 $313.14
80177 177 154 $304.25
87493 78 54 $298.46
97130 29 12 $292.24
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 78 45 $279.97
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen 347 178 $278.57
87481 30 17 $278.31
96159 43 12 $272.57
86304 170 105 $267.27
82139 124 84 $232.09
83883 116 38 $208.84
94726 35 29 $208.56
93978 74 43 $193.61
17000 35 28 $184.46
97010 45 12 $173.91
85597 13 12 $172.20
87209 13 12 $168.28
94060 19 17 $165.41
84133 113 83 $160.76
83051 876 407 $151.84
92526 25 13 $148.80
92511 57 50 $148.59
36600 16 15 $145.47
82436 61 44 $138.61
86769 202 183 $131.01
97113 81 34 $125.76
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 147 104 $125.14
87177 13 12 $122.96
84436 134 114 $111.78
J7120 Ringers lactate infusion, up to 1000 cc 15 12 $101.77
80321 265 229 $100.98
J7510 Prednisolone oral, per 5 mg 106 75 $96.39
J0694 Injection, cefoxitin sodium, 1 gm 44 26 $92.62
17003 15 12 $92.23
83010 103 73 $91.74
J7518 Mycophenolic acid, oral, 180 mg 64 26 $91.25
J1250 Injection, dobutamine hydrochloride, per 250 mg 54 38 $90.46
84157 13 12 $78.60
87517 33 26 $70.37
87653 147 117 $67.67
84590 61 55 $67.46
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 461 311 $64.34
87150 410 40 $51.99
82652 51 44 $50.94
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 28 26 $47.16
11721 85 67 $46.80
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 75 28 $45.57
95886 21 13 $43.81
99151 63 60 $42.60
00920 60 60 $41.37
84446 34 30 $41.37
82952 13 13 $40.69
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 45 36 $32.87
77061 100 80 $32.52
29105 39 24 $27.90
69200 13 13 $27.58
46600 18 12 $27.58
83921 30 29 $23.06
92504 15 12 $22.75
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 273 187 $14.17
84630 26 24 $13.79
82951 13 13 $6.75
90662 349 247 $0.00
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml 48 38 $0.00
00812 26 26 $0.00
84165 66 43 $0.00
J3371 Injection, vancomycin hcl (mylan), not therapeutically equivalent to j3370, 500 mg 90 63 $0.00
86334 22 13 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 33 28 $0.00
82668 14 12 $0.00
83655 19 19 $0.00
Q0239 Injection, bamlanivimab-xxxx, 700 mg 18 14 $0.00
97129 30 13 $0.00
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 1,093 1,052 $0.00
95700 12 12 $0.00
84591 31 28 $0.00
86593 18 18 $0.00
00813 45 41 $0.00
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg 34 17 $0.00
82525 14 14 $0.00
00790 16 12 $0.00
29581 35 12 $0.00
83789 22 13 $0.00
J3480 Injection, potassium chloride, per 2 meq 22 13 $0.00
90677 18 12 $0.00
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 13 12 $0.00