Medicaid Provider Spending

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

AURORA HEALTH CARE SOUTHERN LAKES, INC.

NPI: 1225156888 · KENOSHA, WI 53142 · Nuclear Medicine Physician · NPI assigned 03/26/2007

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

Authorized official RICHARDSON, KARA controls 20+ related entities in our dataset. Read more

$19.94M
Total Medicaid Paid
856,891
Total Claims
686,785
Beneficiaries
322
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRICHARDSON, KARA (VP MANAGED HEEALTH)
NPI Enumeration Date03/26/2007

Related Entities

Other providers sharing the same authorized official: RICHARDSON, KARA

ProviderCityStateTotal Paid
AURORA HEALTH CARE METRO, INC. MILWAUKEE WI $182.03M
A2CL SERVICES, LLC WEST ALLIS WI $98.74M
AURORA PSYCHIATRIC HOSPITAL, INC. WAUWATOSA WI $28.09M
BAYCARE AURORA, LLC GREEN BAY WI $25.37M
WEST ALLIS MEMORIAL HOSPITAL, INC. WEST ALLIS WI $23.29M
AURORA MEDICAL CENTER OF OSHKOSH, INC OSHKOSH WI $16.47M
VISITING NURSE ASSOCIATION OF WISCONSIN, INC. WEST ALLIS WI $15.36M
AURORA HEALTH CARE CENTRAL, INC. SHEBOYGAN WI $12.39M
AURORA MEDICAL CENTER BAY AREA, INC MARINETTE WI $9.68M
LAKESHORE MEDICAL CLINIC, LLC SAINT FRANCIS WI $8.38M
EHS HOME HEALTH CARE SERVICE INC OAK BROOK IL $7.28M
AURORA HEALTH CARE NORTH, INC. TWO RIVERS WI $6.80M
ADVOCATE HOME CARE PRODUCTS INC DOWNERS GROVE IL $5.39M
AURORA HEALTH CARE SOUTHERN LAKES, INC. BURLINGTON WI $5.25M
ADVOCATE HEALTH AND HOSPITALS CORPORATION PARK RIDGE IL $3.89M
AURORA MEDICAL CENTER OF WASHINGTON COUNTY, INC. HARTFORD WI $3.25M
ADVOCATE HOME CARE PRODUCTS, INC BRIDGEVIEW IL $2.37M
ADVOCATE HEALTH AND HOSPITALS CORPORATION OAK LAWN IL $2.31M
AURORA MEDICAL CENTER BAY AREA, INC MARINETTE WI $1.55M
ADVOCATE NORTH SIDE HEALTH NETWORK CHICAGO IL $1.19M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 85,772 $1.99M
2019 88,641 $2.04M
2020 79,295 $1.94M
2021 108,013 $2.40M
2022 144,276 $3.28M
2023 194,509 $4.26M
2024 156,385 $4.03M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 34,103 30,711 $2.12M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 45,831 15,853 $1.63M
99284 Emergency department visit for the evaluation and management, high severity 28,158 24,959 $1.59M
96361 Intravenous infusion, hydration; each additional hour 11,658 9,250 $1.46M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 14,857 13,085 $855K
80053 Comprehensive metabolic panel 38,296 31,473 $718K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,693 2,498 $509K
99282 Emergency department visit for the evaluation and management, low to moderate severity 7,200 6,552 $469K
74177 Computed tomography, abdomen and pelvis; with contrast material 6,088 5,582 $458K
70450 Computed tomography, head or brain; without contrast material 5,887 5,374 $418K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 9,949 9,165 $407K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 21,904 8,740 $400K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 4,173 3,685 $390K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,639 3,423 $344K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,501 1,408 $272K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 42,009 33,737 $267K
74176 Computed tomography, abdomen and pelvis; without contrast material 3,473 3,228 $244K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 4,278 3,773 $243K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1,978 1,864 $239K
97530 Therapeutic activities, direct patient contact, each 15 minutes 7,341 4,626 $226K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 3,086 1,994 $218K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 924 869 $206K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 6,921 3,288 $206K
97161 4,839 4,564 $198K
71046 Radiologic examination, chest; 2 views 10,770 10,016 $174K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 3,690 3,435 $165K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,388 3,098 $149K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,448 2,675 $146K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,401 968 $143K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 4,113 3,820 $142K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 4,583 3,402 $138K
71275 Computed tomographic angiography, chest, with contrast material 1,403 1,297 $132K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1,406 1,297 $129K
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 1,646 1,501 $126K
76830 Ultrasound, transvaginal 3,875 3,583 $123K
81025 12,562 11,230 $122K
84484 11,939 10,267 $118K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2,512 2,096 $114K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 2,515 1,015 $110K
97597 2,626 1,729 $106K
97162 3,058 2,927 $103K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 359 338 $102K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1,752 1,621 $102K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,777 1,634 $99K
82077 3,565 3,018 $87K
93975 2,170 2,005 $86K
87086 Culture, bacterial; quantitative colony count, urine 7,794 7,088 $86K
80048 Basic metabolic panel (calcium, ionized) 4,397 3,503 $83K
82962 10,107 6,369 $83K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 712 683 $81K
70551 Magnetic resonance imaging, brain; without contrast material 1,052 984 $81K
83880 2,797 2,495 $80K
93017 2,517 2,371 $80K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,905 2,680 $79K
83690 13,117 11,458 $76K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,101 959 $73K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 964 868 $64K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,760 1,637 $63K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,760 1,637 $61K
G0378 Hospital observation service, per hour 2,645 2,340 $60K
0240U 1,619 1,518 $60K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,271 1,201 $58K
81001 15,467 13,991 $58K
83735 10,842 8,847 $54K
74018 3,502 3,125 $53K
84145 2,946 2,607 $52K
77067 Screening mammography, bilateral, including computer-aided detection 2,200 2,059 $52K
93971 2,065 1,932 $50K
84702 2,544 2,184 $49K
93356 566 528 $48K
76801 2,411 2,036 $46K
71250 1,684 1,565 $44K
97165 1,115 1,053 $40K
86850 1,996 1,622 $38K
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 663 585 $36K
72125 Computed tomography, cervical spine; without contrast material 1,388 1,272 $35K
86900 2,547 2,139 $35K
83605 3,826 3,386 $32K
72141 513 457 $31K
76536 958 882 $31K
73630 3,190 2,826 $31K
58661 30 27 $31K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 21,704 19,039 $31K
87081 738 694 $30K
73610 2,370 2,163 $30K
70496 255 231 $29K
70498 289 256 $29K
73562 2,826 2,426 $27K
80143 2,171 1,877 $26K
73221 452 405 $26K
82565 1,305 1,210 $25K
80179 2,139 1,846 $25K
94060 940 875 $25K
72100 2,370 2,233 $23K
62323 161 153 $23K
93798 626 99 $22K
73030 2,014 1,825 $21K
76770 500 460 $21K
85379 2,504 2,282 $20K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 78 67 $20K
94729 1,084 1,006 $20K
84443 Thyroid stimulating hormone (TSH) 1,660 1,509 $20K
81003 5,849 5,332 $20K
87210 2,130 1,971 $19K
87077 1,669 1,540 $19K
93970 436 411 $18K
87040 1,536 1,312 $18K
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 435 403 $17K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 3,310 2,364 $17K
85610 5,271 4,623 $17K
87070 861 691 $16K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 877 818 $16K
70486 438 415 $14K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 13,540 10,318 $14K
85730 3,243 2,907 $14K
64493 98 82 $14K
87186 1,934 1,769 $14K
76642 371 298 $14K
95816 195 190 $13K
73130 1,436 1,253 $13K
73110 1,261 1,145 $12K
29580 267 63 $12K
84703 1,455 1,333 $12K
64494 103 55 $12K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 6,117 4,292 $11K
94726 1,061 984 $10K
71045 Radiologic examination, chest; single view 12,982 11,627 $10K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,487 1,241 $10K
77063 Screening digital breast tomosynthesis, bilateral 2,039 1,910 $10K
74183 106 93 $9K
73502 959 895 $9K
82805 232 203 $9K
81002 271 225 $8K
93351 62 61 $8K
78815 Positron emission tomography (PET) for limited area imaging 62 55 $8K
97116 544 354 $8K
71271 255 222 $8K
85027 1,595 1,306 $7K
87807 428 408 $7K
70491 75 69 $7K
82550 1,442 1,260 $7K
12001 95 93 $7K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 125 84 $7K
86901 2,545 2,138 $6K
P9016 Red blood cells, leukocytes reduced, each unit 15 13 $5K
87088 766 699 $5K
76700 Ultrasound, abdominal, real time with image documentation; complete 102 99 $5K
93880 174 157 $5K
73140 526 489 $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 326 283 $4K
87075 577 437 $4K
90715 332 305 $4K
86140 879 743 $3K
72040 302 287 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 91 89 $3K
73080 336 307 $3K
83036 Hemoglobin; glycosylated (A1C) 377 336 $3K
93225 225 188 $3K
J1756 Injection, iron sucrose, 1 mg 110 40 $3K
10005 12 12 $3K
J0690 Injection, cefazolin sodium, 500 mg 5,308 4,258 $3K
64483 15 13 $3K
78264 34 28 $2K
87205 780 666 $2K
74178 39 38 $2K
99152 297 237 $2K
93308 12 12 $2K
72197 26 24 $2K
Q3014 Telehealth originating site facility fee 531 454 $2K
93321 12 12 $2K
95810 Polysomnography; sleep staging with 4 or more additional parameters 14 14 $2K
76882 45 38 $2K
G0297 Low dose ct scan (ldct) for lung cancer screening 57 53 $2K
J7120 Ringers lactate infusion, up to 1000 cc 14,331 12,352 $2K
83615 313 247 $2K
73590 328 301 $2K
71101 248 232 $2K
85652 754 638 $1K
80061 Lipid panel 127 118 $1K
96375 Therapeutic injection; each additional sequential IV push 9,027 6,910 $1K
88307 238 212 $1K
12011 25 24 $1K
36430 24 13 $1K
97163 44 42 $1K
88305 Level IV - Surgical pathology, gross and microscopic examination 5,954 5,477 $1K
97802 58 46 $1K
95811 13 13 $1K
92526 49 31 $1K
74019 101 93 $1K
77066 Tomosynthesis, mammo 48 44 $971.78
82150 174 164 $929.74
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 82 78 $855.78
A9609 Fludeoxyglucose f18 up to 15 millicuries 13 13 $846.75
84439 126 112 $792.25
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 13 12 $743.81
82010 106 92 $736.17
86923 35 25 $588.06
85014 180 137 $563.05
84550 156 121 $546.16
20553 15 14 $545.80
93325 26 25 $509.85
J2785 Injection, regadenoson, 0.1 mg 1,647 1,551 $468.80
76937 128 121 $468.50
82272 159 149 $443.17
76870 30 28 $433.55
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 15 14 $392.68
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 2,098 1,898 $357.00
88304 278 255 $356.40
97022 31 13 $341.35
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 383 318 $324.73
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 422 317 $316.14
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $312.80
96376 2,667 1,374 $309.64
Q0243 Injection, casirivimab and imdevimab, 2400 mg 23 19 $289.09
36000 887 825 $283.74
A9585 Injection, gadobutrol, 0.1 ml 3,495 3,137 $278.21
J2250 Injection, midazolam hydrochloride, per 1 mg 8,126 7,256 $227.98
J2270 Injection, morphine sulfate, up to 10 mg 3,324 2,603 $211.06
73564 27 24 $208.19
74230 14 13 $207.62
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 14,112 11,982 $201.36
72070 66 65 $192.89
99001 54 47 $187.08
J3010 Injection, fentanyl citrate, 0.1 mg 6,295 5,070 $179.09
A6222 Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 286 261 $158.07
J1170 Injection, hydromorphone, up to 4 mg 6,326 3,827 $156.11
74022 335 316 $156.06
77065 Tomosynthesis, mammo 12 12 $148.76
C1769 Guide wire 2,713 2,398 $147.42
J2405 Injection, ondansetron hydrochloride, per 1 mg 14,405 10,872 $134.83
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 2,441 2,108 $121.97
J1644 Injection, heparin sodium, per 1000 units 1,969 1,029 $121.72
J7030 Infusion, normal saline solution , 1000 cc 20,439 15,989 $121.56
J1200 Injection, diphenhydramine hcl, up to 50 mg 4,973 3,393 $114.57
J2795 Injection, ropivacaine hydrochloride, 1 mg 2,090 1,876 $114.10
J1030 Injection, methylprednisolone acetate, 40 mg 227 199 $112.54
83550 16 12 $103.83
84132 39 37 $101.04
84156 35 25 $97.03
73660 14 13 $94.56
84100 33 30 $94.37
J1100 Injection, dexamethasone sodium phosphate, 1 mg 7,511 6,736 $94.04
73090 81 77 $85.80
83540 16 12 $76.94
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 474 405 $76.23
80076 12 12 $76.13
82570 16 12 $75.33
J2704 Injection, propofol, 10 mg 14,375 10,406 $69.92
87147 12 12 $59.28
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 1,359 1,238 $58.65
80050 General health panel 154 142 $58.02
Q9957 Injection, perflutren lipid microspheres, per ml 1,103 1,024 $56.56
J1885 Injection, ketorolac tromethamine, per 15 mg 11,711 10,053 $46.55
36415 Collection of venous blood by venipuncture 5,989 4,642 $45.13
72170 26 24 $30.28
A6021 Collagen dressing, sterile, size 16 sq. in. or less, each 509 262 $11.65
A6212 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing 272 117 $8.80
C2617 Stent, non-coronary, temporary, without delivery system 30 26 $6.95
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,329 1,224 $5.45
J0696 Injection, ceftriaxone sodium, per 250 mg 3,020 2,158 $3.46
J0780 Injection, prochlorperazine, up to 10 mg 894 743 $1.75
C9113 Injection, pantoprazole sodium, per vial 838 568 $1.22
J7050 Infusion, normal saline solution, 250 cc 910 609 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 230 203 $0.00
88342 328 310 $0.00
J2060 Injection, lorazepam, 2 mg 1,287 984 $0.00
J3480 Injection, potassium chloride, per 2 meq 368 254 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 1,913 1,277 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 638 576 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 55 48 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 2,602 2,328 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 790 622 $0.00
J1815 Injection, insulin, per 5 units 1,668 605 $0.00
J7999 Compounded drug, not otherwise classified 404 349 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 161 137 $0.00
J1920 Injection, labetalol hydrochloride, 5 mg 100 87 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 119 94 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 786 362 $0.00
J2469 Injection, palonosetron hcl, 25 mcg 458 421 $0.00
J1790 Injection, droperidol, up to 5 mg 423 383 $0.00
C1781 Mesh (implantable) 12 12 $0.00
80320 27 24 $0.00
A6213 Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing 43 25 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 28 27 $0.00
99153 Mod sedat endo service >5yrs 50 40 $0.00
J0173 Injection, epinephrine (belcher), not therapeutically equivalent to j0171, 0.1 mg 14 14 $0.00
J3590 Unclassified biologics 27 13 $0.00
C1726 Catheter, balloon dilatation, non-vascular 13 13 $0.00
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 28 25 $0.00
73552 14 13 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 89 37 $0.00
J1940 Injection, furosemide, up to 20 mg 57 40 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 12 12 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 13 13 $0.00
C9290 Injection, bupivacaine liposome, 1 mg 14 13 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 371 328 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 472 438 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 368 304 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 937 857 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 1,321 1,139 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 2,954 2,469 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 625 330 $0.00
A4565 Slings 141 132 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 1,206 967 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 451 384 $0.00
J7510 Prednisolone oral, per 5 mg 116 108 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 309 293 $0.00
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 81 67 $0.00
88302 39 37 $0.00
C1758 Catheter, ureteral 84 75 $0.00
J3370 Injection, vancomycin hcl, 500 mg 238 127 $0.00
A6210 Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing 19 12 $0.00
A6403 Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing 83 80 $0.00
C1729 Catheter, drainage 54 26 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 147 127 $0.00
J1171 Injection, hydromorphone, 0.1 mg 81 63 $0.00
C1776 Joint device (implantable) 12 12 $0.00
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 17 15 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 21 19 $0.00
J0736 Injection, clindamycin phosphate, 300 mg 12 12 $0.00
Q0244 Injection, casirivimab and imdevimab, 1200 mg 14 12 $0.00
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg 34 28 $0.00