Medicaid Provider Spending

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

MOUNT SINAI HOSPITAL

NPI: 1245248939 · LONG ISLAND CITY, NY 11102 · General Acute Care Hospital · NPI assigned 08/04/2006

$91.91M
Total Medicaid Paid
2,126,607
Total Claims
1,841,715
Beneficiaries
631
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialALBANESE, CAROLYN (VP OF PFS)
NPI Enumeration Date08/04/2006

Related Entities

Other providers sharing the same authorized official: ALBANESE, CAROLYN

ProviderCityStateTotal Paid
MOUNT SINAI HOSPITAL NEW YORK NY $2.34M
MOUNT SINAI HOSPITAL NEW YORK NY $352K
MOUNT SINAI HOSPITAL-AMBULANCE NEW YORK NY $322K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,080 $289K
2019 127,299 $5.31M
2020 320,707 $14.23M
2021 453,694 $19.13M
2022 440,982 $18.82M
2023 453,597 $19.18M
2024 321,248 $14.96M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 134,025 109,419 $15.86M
99283 Emergency department visit for the evaluation and management, moderate severity 54,300 50,771 $8.30M
99284 Emergency department visit for the evaluation and management, high severity 38,233 36,266 $5.79M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 32,667 30,917 $4.55M
Q5104 Injection, infliximab-abda, biosimilar, (renflexis), 10 mg 1,579 1,494 $4.27M
96361 Intravenous infusion, hydration; each additional hour 17,381 15,342 $2.73M
G0378 Hospital observation service, per hour 2,335 2,264 $2.39M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 9,954 7,976 $2.23M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 8,776 6,205 $1.88M
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 34,733 32,978 $1.86M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 18,623 16,993 $1.82M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16,611 14,008 $1.69M
J3380 Injection, vedolizumab, intravenous, 1 mg 261 243 $1.44M
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1,706 1,694 $1.37M
70450 Computed tomography, head or brain; without contrast material 8,010 7,810 $1.36M
90834 Psychotherapy, 45 minutes with patient 7,789 3,259 $1.33M
93458 661 649 $1.33M
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 20,867 15,927 $1.32M
74177 Computed tomography, abdomen and pelvis; with contrast material 6,856 6,753 $1.21M
J7170 Injection, emicizumab-kxwh, 0.5 mg 14 13 $1.19M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,696 3,620 $1.15M
80053 Comprehensive metabolic panel 100,371 75,869 $986K
93975 2,524 2,446 $910K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 2,450 2,407 $871K
99282 Emergency department visit for the evaluation and management, low to moderate severity 5,127 4,915 $808K
96375 Therapeutic injection; each additional sequential IV push 19,333 16,204 $785K
90832 Psychotherapy, 30 minutes with patient 4,930 2,591 $679K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 11,605 4,201 $583K
99281 Emergency department visit for the evaluation and management, self-limited or minor 3,634 3,454 $570K
96367 2,634 1,976 $560K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 4,932 4,779 $546K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 24,361 21,260 $504K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 803 797 $477K
47562 199 197 $461K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,450 2,428 $456K
77067 Screening mammography, bilateral, including computer-aided detection 4,908 4,902 $452K
71275 Computed tomographic angiography, chest, with contrast material 2,394 2,379 $445K
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 24,669 23,503 $435K
93970 1,441 1,421 $405K
86900 16,672 13,723 $354K
45380 Colonoscopy, flexible; with biopsy, single or multiple 453 449 $331K
93976 1,235 1,198 $329K
80048 Basic metabolic panel (calcium, ionized) 27,670 24,202 $312K
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 707 703 $310K
90935 Hemodialysis procedure with single evaluation by a physician 1,958 188 $305K
12001 923 922 $300K
G0008 Administration of influenza virus vaccine 7,704 7,686 $294K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 2,995 2,273 $272K
96402 967 697 $262K
36415 Collection of venous blood by venipuncture 83,834 61,524 $261K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 38,627 36,379 $257K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,003 2,587 $245K
90836 2,254 1,014 $243K
80061 Lipid panel 22,985 21,577 $234K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,537 1,522 $218K
12011 633 631 $211K
J1561 Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg 70 52 $210K
36000 10,825 10,538 $206K
J1439 Injection, ferric carboxymaltose, 1 mg 297 227 $203K
76705 Ultrasound, abdominal, real time with image documentation; limited 3,704 3,612 $197K
96415 3,724 3,119 $190K
96401 836 343 $179K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,401 1,399 $169K
97162 1,755 1,741 $168K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,308 1,280 $163K
99215 Prolong outpt/office vis 1,511 1,439 $162K
76641 1,905 1,751 $155K
86901 14,584 11,959 $150K
70496 871 863 $150K
36430 722 538 $148K
86850 16,522 13,859 $145K
87631 3,566 3,512 $141K
76770 937 935 $138K
87428 5,930 5,790 $135K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 13,039 11,512 $133K
88305 Level IV - Surgical pathology, gross and microscopic examination 5,947 4,774 $133K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,456 1,342 $126K
71046 Radiologic examination, chest; 2 views 16,090 15,681 $125K
77063 Screening digital breast tomosynthesis, bilateral 4,796 4,791 $124K
83880 8,648 7,904 $124K
53450 98 98 $120K
90853 Group psychotherapy (other than of a multiple-family group) 1,574 636 $114K
75574 669 663 $110K
76819 Fetal biophysical profile; without non-stress testing 970 796 $110K
83036 Hemoglobin; glycosylated (A1C) 22,453 22,057 $100K
90686 8,801 8,786 $98K
88307 883 792 $96K
88342 2,329 2,028 $95K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 1,682 1,649 $95K
93971 1,640 1,568 $94K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 894 888 $92K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 10,497 10,268 $90K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,589 1,426 $90K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 16,525 12,908 $89K
76937 580 566 $86K
93017 2,261 2,232 $86K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 7,946 7,757 $85K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 95,710 78,659 $84K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 115 113 $82K
97530 Therapeutic activities, direct patient contact, each 15 minutes 2,434 1,266 $79K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 3,118 1,417 $79K
70551 Magnetic resonance imaging, brain; without contrast material 432 429 $77K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 11,931 10,486 $77K
88304 2,929 2,668 $75K
90670 2,196 2,191 $74K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 3,188 3,142 $73K
86780 7,459 7,380 $72K
81025 34,947 31,832 $70K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,650 1,471 $70K
76830 Ultrasound, transvaginal 2,103 2,071 $70K
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) 261 184 $69K
90677 634 628 $68K
0002A 1,816 1,810 $67K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 1,290 1,108 $66K
86480 3,646 3,598 $64K
10060 262 256 $63K
87536 2,097 2,005 $63K
G0009 Administration of pneumococcal vaccine 1,831 1,818 $63K
90671 216 216 $62K
P9040 Red blood cells, leukocytes reduced, irradiated, each unit 225 194 $62K
0001A 1,754 1,747 $61K
76801 610 577 $60K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1,813 917 $59K
88184 627 581 $59K
76700 Ultrasound, abdominal, real time with image documentation; complete 373 366 $53K
70486 943 935 $50K
90846 Family psychotherapy without the patient present, 50 minutes 380 267 $50K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,986 1,772 $49K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 6,491 6,341 $49K
77066 Tomosynthesis, mammo 441 438 $49K
87799 2,027 1,513 $49K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 380 363 $48K
91200 1,011 997 $46K
97165 508 506 $46K
76536 732 721 $46K
70491 370 368 $45K
80197 5,550 3,393 $44K
76642 639 624 $44K
J2785 Injection, regadenoson, 0.1 mg 911 896 $42K
72125 Computed tomography, cervical spine; without contrast material 1,561 1,542 $42K
C1889 Implantable/insertable device, not otherwise classified 1,419 1,398 $42K
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 4,234 3,586 $42K
80050 General health panel 2,292 2,129 $41K
85610 25,132 22,180 $41K
86769 1,497 1,461 $41K
38222 26 26 $41K
J1756 Injection, iron sucrose, 1 mg 1,115 493 $40K
82728 11,847 11,039 $40K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 11,011 10,876 $40K
87497 2,299 1,538 $39K
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 2,147 2,138 $39K
90715 3,646 3,587 $38K
96368 493 385 $38K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 311 308 $38K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 1,036 1,009 $38K
90792 Psychiatric diagnostic evaluation with medical services 193 170 $37K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 93 91 $36K
Q5107 Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg 18 12 $36K
71250 372 370 $35K
80076 5,888 5,551 $35K
59025 Fetal non-stress test 207 160 $35K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 28 25 $34K
86923 1,504 890 $34K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 356 352 $34K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 37,891 33,658 $34K
84443 Thyroid stimulating hormone (TSH) 12,779 12,381 $33K
99443 654 623 $32K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 1,001 945 $31K
88185 740 611 $31K
82105 4,054 3,507 $30K
G0010 Administration of hepatitis b vaccine 774 764 $29K
Q5111 Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg 21 15 $28K
99442 652 631 $28K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 243 241 $28K
87522 Neg quan hep c or qual rna 1,976 1,833 $27K
83735 18,150 13,361 $26K
77065 Tomosynthesis, mammo 303 285 $26K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 252 252 $25K
87517 1,539 1,340 $25K
83970 1,468 1,387 $25K
J0897 Injection, denosumab, 1 mg 14 13 $24K
86803 9,982 9,857 $23K
J2469 Injection, palonosetron hcl, 25 mcg 1,597 1,050 $23K
Q9957 Injection, perflutren lipid microspheres, per ml 1,148 1,113 $23K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 1,266 1,241 $23K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 490 467 $23K
J9217 Leuprolide acetate (for depot suspension), 7.5 mg 58 52 $23K
82977 14,167 10,941 $23K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 2,096 2,075 $22K
82784 7,599 3,858 $22K
85027 15,677 14,452 $21K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 79 79 $21K
88341 742 673 $21K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 622 609 $20K
86706 7,471 7,071 $20K
82607 5,438 5,234 $19K
C1760 Closure device, vascular (implantable/insertable) 547 531 $19K
71260 Computed tomography, thorax, diagnostic; with contrast material 155 154 $19K
73562 1,783 1,696 $19K
90732 306 305 $18K
87507 185 183 $18K
72100 1,192 1,183 $18K
72131 241 240 $18K
84439 6,953 6,598 $18K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 188 187 $18K
96376 3,294 2,844 $17K
83540 11,378 10,726 $17K
73030 2,112 1,989 $17K
87340 8,643 8,476 $16K
83550 10,075 9,522 $16K
J1453 Injection, fosaprepitant, 1 mg 440 290 $16K
0003A 397 397 $16K
46260 12 12 $16K
82248 16,708 13,432 $15K
94060 61 61 $15K
97116 528 310 $15K
J0882 Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) 87 36 $14K
91320 192 190 $14K
84100 12,190 9,096 $14K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 26 25 $13K
86704 4,540 4,436 $13K
73630 2,901 2,795 $13K
73560 1,848 1,763 $12K
99205 Prolong outpt/office vis 84 84 $12K
96417 1,596 1,010 $12K
90674 912 912 $12K
0224U 331 329 $12K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 1,132 1,109 $12K
99441 267 260 $12K
82043 5,959 5,831 $11K
83615 12,957 9,233 $11K
95249 207 205 $11K
94375 325 310 $11K
0124A 276 276 $11K
74174 102 102 $11K
83655 1,875 1,868 $11K
82378 2,425 2,072 $10K
82570 7,213 6,258 $10K
0004A 242 242 $10K
C1769 Guide wire 2,371 2,211 $10K
73610 2,381 2,262 $10K
99385 91 90 $10K
88112 301 292 $10K
83883 4,498 1,881 $10K
71045 Radiologic examination, chest; single view 4,836 4,668 $10K
90472 Immunization administration, each additional vaccine (list separately) 1,749 1,736 $10K
90694 450 440 $10K
84153 1,578 1,484 $10K
73502 1,037 998 $10K
70498 434 429 $10K
86592 2,854 2,818 $9K
82803 1,228 1,074 $9K
85730 18,350 16,930 $9K
86334 1,780 1,367 $9K
90746 266 259 $8K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 46 46 $8K
84403 1,491 1,428 $8K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 87 87 $8K
73130 2,470 2,387 $8K
93320 377 368 $8K
29540 41 41 $8K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,216 1,041 $7K
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 277 275 $7K
86708 1,364 1,351 $7K
81003 22,718 21,212 $7K
97802 867 860 $7K
86665 453 395 $7K
J3490 Unclassified drugs 2,726 2,524 $7K
86301 1,055 920 $7K
84702 7,928 6,957 $7K
92551 186 186 $6K
84466 1,236 1,189 $6K
90791 Psychiatric diagnostic evaluation 33 24 $6K
87086 Culture, bacterial; quantitative colony count, urine 11,518 11,013 $6K
96127 601 601 $6K
86870 50 39 $6K
83520 2,050 1,906 $6K
87901 45 44 $6K
90480 157 155 $6K
84484 22,563 18,329 $6K
J2250 Injection, midazolam hydrochloride, per 1 mg 7,710 7,526 $6K
99173 163 163 $6K
88142 309 305 $6K
84165 2,886 2,311 $6K
83690 19,300 17,871 $6K
0042T 116 115 $6K
86787 1,766 1,683 $6K
97010 546 206 $6K
80051 760 703 $5K
86361 1,426 1,395 $5K
11721 343 343 $5K
87899 455 409 $5K
C1780 Lens, intraocular (new technology) 176 12 $5K
97161 51 51 $5K
90847 Family psychotherapy with the patient present, 50 minutes 18 16 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 46 45 $5K
73110 1,492 1,381 $5K
84550 7,998 5,001 $5K
97535 Self-care/home management training, each 15 minutes 96 59 $5K
A9575 Injection, gadoterate meglumine, 0.1 ml 426 416 $5K
82670 1,047 1,031 $5K
83001 1,185 1,173 $5K
J2704 Injection, propofol, 10 mg 10,054 9,492 $5K
86762 1,447 1,436 $4K
12002 12 12 $4K
76870 379 373 $4K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk 12 12 $4K
99051 576 563 $4K
J8540 Dexamethasone, oral, 0.25 mg 1,844 1,405 $4K
82746 1,341 1,295 $4K
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 216 216 $4K
82150 3,308 2,593 $4K
93242 88 86 $4K
82533 1,264 1,030 $4K
84146 763 744 $4K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 824 812 $4K
90656 542 542 $4K
86765 1,470 1,460 $4K
J2270 Injection, morphine sulfate, up to 10 mg 3,491 2,918 $4K
J1885 Injection, ketorolac tromethamine, per 15 mg 16,302 15,019 $4K
51702 15 14 $4K
76857 124 123 $4K
99386 36 36 $4K
87480 1,269 1,251 $4K
93308 13 13 $4K
81001 14,332 13,663 $4K
J0561 Injection, penicillin g benzathine, 100,000 units 27 26 $4K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 4,978 4,354 $3K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 7,477 7,124 $3K
83002 1,009 1,002 $3K
86644 437 425 $3K
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg 211 76 $3K
J1050 Injection, medroxyprogesterone acetate, 1 mg 481 467 $3K
73700 26 24 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 42 42 $3K
86593 926 886 $3K
82947 2,167 1,923 $3K
J1170 Injection, hydromorphone, up to 4 mg 2,137 1,398 $3K
C1887 Catheter, guiding (may include infusion/perfusion capability) 1,201 1,166 $3K
74455 13 13 $3K
86039 1,316 1,097 $3K
84156 3,388 2,889 $3K
73564 170 162 $3K
C1874 Stent, coated/covered, with delivery system 24 24 $3K
T1013 Sign language or oral interpretive services, per 15 minutes 185 177 $3K
86141 1,615 1,464 $3K
90744 343 343 $3K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 2,594 2,406 $3K
J0696 Injection, ceftriaxone sodium, per 250 mg 2,992 2,713 $3K
87510 1,033 1,018 $3K
90739 53 53 $3K
97014 162 72 $3K
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg 226 178 $3K
86300 422 375 $3K
86255 552 533 $3K
82232 742 651 $3K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 7,991 7,010 $3K
82950 572 524 $2K
72141 13 13 $2K
85045 4,582 3,624 $2K
73080 666 626 $2K
88313 881 691 $2K
86376 704 699 $2K
97803 229 216 $2K
80069 2,451 1,657 $2K
84270 626 616 $2K
83021 1,587 1,453 $2K
74018 304 298 $2K
36591 109 90 $2K
82550 3,859 3,665 $2K
88237 25 24 $2K
J3010 Injection, fentanyl citrate, 0.1 mg 10,575 9,793 $2K
86695 262 260 $2K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 1,449 1,420 $2K
J1200 Injection, diphenhydramine hcl, up to 50 mg 4,157 3,318 $2K
82565 3,346 2,979 $2K
93325 391 381 $2K
90662 84 83 $2K
74150 41 41 $2K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 29 12 $2K
87590 833 819 $2K
0072A 64 64 $2K
81002 16,592 13,703 $2K
92250 211 202 $2K
85651 7,226 6,902 $2K
36600 96 88 $2K
76775 27 27 $2K
84480 676 654 $2K
J3370 Injection, vancomycin hcl, 500 mg 939 726 $2K
0064A 37 37 $2K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 2,518 1,437 $2K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 24 24 $2K
J0690 Injection, cefazolin sodium, 500 mg 5,285 4,786 $2K
86140 6,965 6,654 $2K
82465 460 351 $2K
82962 12,704 9,433 $2K
72170 197 196 $2K
92083 221 212 $2K
86735 466 461 $2K
0071A 76 76 $1K
J2919 Injection, methylprednisolone sodium succinate, 5 mg 205 181 $1K
73590 861 824 $1K
88311 379 357 $1K
92557 26 26 $1K
83010 662 540 $1K
86705 261 259 $1K
87186 2,614 2,397 $1K
86360 171 156 $1K
J2765 Injection, metoclopramide hcl, up to 10 mg 3,279 3,118 $1K
77080 38 38 $1K
J2405 Injection, ondansetron hydrochloride, per 1 mg 13,499 12,277 $1K
84460 4,294 3,368 $1K
93799 137 98 $1K
0054A 28 28 $1K
87040 4,198 2,939 $1K
84402 285 284 $1K
85378 4,806 4,650 $1K
90680 487 485 $1K
90461 1,980 1,967 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 3,000 2,979 $1K
C1781 Mesh (implantable) 24 24 $1K
96411 101 63 $1K
J0330 Injection, succinylcholine chloride, up to 20 mg 2,211 2,171 $1K
73090 695 660 $1K
S0028 Injection, famotidine, 20 mg 3,388 3,134 $1K
82247 3,729 2,770 $1K
90474 382 380 $945.14
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 2,078 2,058 $916.39
80055 118 85 $908.61
93225 12 12 $903.79
87077 1,888 1,547 $862.05
85384 1,085 925 $811.73
84075 3,375 2,481 $808.31
94726 13 12 $788.41
84450 2,800 1,945 $786.40
J2501 Injection, paricalcitol, 1 mcg 221 24 $775.99
J3475 Injection, magnesium sulfate, per 500 mg 752 581 $774.90
87070 2,913 2,811 $769.71
82627 123 122 $753.63
86431 552 548 $744.72
86800 215 202 $736.69
87640 62 62 $699.33
85240 103 93 $677.86
90661 43 43 $661.96
83605 4,200 3,586 $657.76
J1644 Injection, heparin sodium, per 1000 units 2,739 2,030 $643.94
80320 1,551 1,429 $618.62
85044 752 666 $607.05
86147 35 27 $583.18
0154A 13 13 $582.79
82103 117 115 $535.09
84132 2,317 1,928 $521.87
0012A 13 13 $480.00
J1815 Injection, insulin, per 5 units 766 567 $460.75
86355 69 67 $446.71
82310 875 843 $442.43
86200 97 97 $402.10
J3471 Injection, hyaluronidase, ovine, preservative free, per 1 usp unit (up to 999 usp units) 13 12 $395.79
72040 13 13 $391.90
93356 322 320 $385.93
85018 1,374 1,314 $384.98
87338 44 44 $383.02
J0171 Injection, adrenalin, epinephrine, 0.1 mg 405 390 $376.55
82040 1,620 1,517 $360.29
76813 13 13 $346.23
84305 81 80 $342.31
83695 66 65 $337.21
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 204 172 $335.18
87205 1,520 1,097 $334.12
87660 447 439 $334.10
90647 85 85 $332.06
86357 70 68 $321.06
71100 213 211 $318.82
86160 335 168 $317.50
86003 334 177 $311.67
88300 76 71 $306.08
99152 1,311 1,275 $295.10
90633 188 187 $290.91
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 17 13 $290.11
84520 2,666 2,316 $288.39
82553 1,447 1,137 $286.99
J1630 Injection, haloperidol, up to 5 mg 682 604 $284.49
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 2,087 1,837 $271.82
99153 Mod sedat endo service >5yrs 1,159 1,128 $269.56
J2370 Injection, phenylephrine hcl, up to 1 ml 1,274 1,165 $265.72
86359 60 56 $260.23
80081 12 12 $245.30
84481 146 127 $240.50
83921 44 44 $238.64
88275 14 12 $230.36
86235 166 94 $228.45
84295 1,560 1,425 $228.08
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 13 13 $227.27
88312 12 12 $220.78
84155 1,221 1,175 $216.56
88271 15 12 $212.06
82435 1,470 1,356 $209.76
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 218 190 $207.98
73140 122 119 $202.36
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 2,205 1,820 $197.66
80329 262 235 $197.17
85306 29 24 $193.12
83498 13 13 $187.47
80074 20 19 $183.71
80321 526 354 $181.23
83519 67 64 $177.36
92134 252 241 $171.17
90723 92 92 $169.82
82374 777 720 $169.80
J1650 Injection, enoxaparin sodium, 10 mg 376 211 $168.64
85597 16 15 $157.91
84166 40 38 $155.70
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 552 547 $141.89
86304 17 15 $138.13
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 3,318 2,835 $134.92
S0020 Injection, bupivicaine hydrochloride, 30 ml 1,512 1,490 $133.14
87088 394 390 $131.85
73070 45 44 $130.83
J2060 Injection, lorazepam, 2 mg 464 409 $129.64
82542 54 54 $127.32
82397 60 55 $119.35
83090 12 12 $118.09
82610 12 12 $116.69
82107 12 12 $115.94
90707 69 67 $114.15
90651 47 47 $105.66
82390 26 26 $104.80
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 1,199 1,184 $103.53
82668 12 12 $103.38
84145 122 113 $98.37
82375 1,602 1,384 $98.24
87081 372 370 $98.22
81015 1,135 900 $95.41
86317 12 12 $94.43
85613 25 25 $93.08
86701 14 14 $90.97
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 3,192 2,581 $88.36
85670 53 52 $87.65
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 36 24 $87.56
J0692 Injection, cefepime hydrochloride, 500 mg 50 39 $86.14
84425 25 24 $83.52
87449 38 37 $79.46
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 1,299 1,151 $74.88
90734 48 48 $65.15
85303 13 12 $63.68
92060 14 14 $63.67
90700 81 81 $62.66
82985 12 12 $60.32
73552 67 66 $58.52
86707 12 12 $52.05
87350 12 12 $51.90
86696 12 12 $49.34
83050 1,626 1,384 $49.23
84478 12 12 $47.37
J1596 Injection, glycopyrrolate, 0.1 mg 325 321 $46.56
J3480 Injection, potassium chloride, per 2 meq 43 26 $37.20
90685 14 14 $36.78
J1836 Injection, metronidazole, 10 mg 100 85 $35.50
91300 3,040 2,584 $35.49
J3411 Injection, thiamine hcl, 100 mg 39 37 $34.21
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 31 28 $34.15
86225 37 37 $29.99
73060 99 94 $27.98
86709 12 12 $27.62
82785 52 52 $27.31
82330 285 252 $24.62
90648 136 135 $24.27
85347 443 357 $23.96
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 497 411 $22.27
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 16 12 $21.72
89051 334 211 $20.77
C9113 Injection, pantoprazole sodium, per vial 38 27 $18.49
S0030 Injection, metronidazole, 500 mg 218 167 $17.27
J0780 Injection, prochlorperazine, up to 10 mg 13 13 $16.78
85014 386 346 $16.71
J1171 Injection, hydromorphone, 0.1 mg 22 18 $16.56
86336 12 12 $15.59
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 63 62 $14.88
A0425 Ground mileage, per statute mile 12 12 $14.03
80145 24 24 $10.61
87210 422 410 $10.48
87102 14 13 $7.57
J0360 Injection, hydralazine hcl, up to 20 mg 25 25 $6.65
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 524 517 $4.02
87220 14 13 $3.84
G9903 Patient screened for tobacco use and identified as a tobacco non-user 417 394 $3.70
G9902 Patient screened for tobacco use and identified as a tobacco user 438 415 $3.01
91312 309 309 $2.80
J1940 Injection, furosemide, up to 20 mg 23 16 $2.23
J1580 Injection, garamycin, gentamicin, up to 80 mg 56 54 $1.41
91307 188 172 $1.20
J2003 Injection, lidocaine hydrochloride, 1 mg 151 147 $0.98
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg 58 58 $0.70
91305 59 58 $0.59
J2550 Injection, promethazine hcl, up to 50 mg 62 60 $0.44
91306 37 37 $0.37
G9905 Patient not screened for tobacco use 29 29 $0.23
91315 18 18 $0.18
91308 12 12 $0.12
91301 13 13 $0.12
3051F 17 15 $0.09
1036F 1,563 1,474 $0.03
1123F 46 40 $0.02
G8484 Influenza immunization was not administered, reason not given 226 225 $0.01
4004F 504 484 $0.01
90710 55 55 $0.00
99080 661 180 $0.00
95004 Percutaneous tests with allergenic extracts, immediate type reaction 12 12 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 51 49 $0.00
94729 171 171 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 44 43 $0.00
3046F 40 38 $0.00
92133 39 38 $0.00
86038 16 12 $0.00
J1598 Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to j1596, 0.1 mg 155 155 $0.00
93226 13 12 $0.00
C1729 Catheter, drainage 15 15 $0.00
90473 12 12 $0.00
87653 14 14 $0.00
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 44 43 $0.00
90698 384 382 $0.00
90696 54 54 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 240 240 $0.00
92567 25 25 $0.00
95012 53 52 $0.00
51600 13 13 $0.00
88720 60 40 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 16 13 $0.00
73600 14 14 $0.00
82270 13 13 $0.00
3044F 19 18 $0.00