Medicaid Provider Spending

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

OHIOHEALTH CORPORATION

NPI: 1255377149 · COLUMBUS, OH 43215 · General Acute Care Hospital · NPI assigned 06/21/2006

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

Authorized official BROWNING, MICHAEL controls 15+ related entities in our dataset. Read more

$214.99M
Total Medicaid Paid
4,231,106
Total Claims
3,425,769
Beneficiaries
511
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBROWNING, MICHAEL (CFO, OHIOHEALTH)
Parent OrganizationOHIO HEALTH CORPORATION
NPI Enumeration Date06/21/2006

Related Entities

Other providers sharing the same authorized official: BROWNING, MICHAEL

ProviderCityStateTotal Paid
OHIOHEALTH CORPORATION COLUMBUS OH $76.95M
OHIOHEALTH CORPORATION COLUMBUS OH $72.29M
OHIOHEALTH CORPORATION COLUMBUS OH $44.08M
MEDCENTRAL HEALTH SYSTEM MANSFIELD OH $36.92M
MARION GENERAL HOSPITAL, INC. MARION OH $36.47M
SHELTERING ARMS HOSPITAL FOUNDATION, INC. ATHENS OH $26.88M
OHIOHEALTH BERGER HOSPITAL LLC CIRCLEVILLE OH $16.38M
OHIOHEALTH CORPORATION DUBLIN OH $11.81M
GRADY MEMORIAL HOSPITAL DELAWARE OH $9.51M
HARDIN MEMORIAL HOSPITAL KENTON OH $7.27M
MEDCENTRAL HEALTH SYSTEM MANSFIELD OH $3.13M
MADISON FAMILY HEALTH CORPORATION LONDON OH $1.03M
MARION GENERAL HOSPITAL, INC. MARION OH $683K
MEDCENTRAL HEALTH SYSTEM MANSFIELD OH $477K
SHELTERING ARMS HOSPITAL FOUNDATION ATHENS OH $435K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 390,415 $17.56M
2019 416,650 $18.88M
2020 321,516 $19.66M
2021 422,824 $22.40M
2022 473,675 $23.31M
2023 1,304,190 $64.62M
2024 901,836 $48.57M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 257,668 234,632 $39.33M
99284 Emergency department visit for the evaluation and management, high severity 177,333 157,992 $33.27M
96361 Intravenous infusion, hydration; each additional hour 85,577 65,292 $28.81M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 77,068 67,145 $16.45M
99282 Emergency department visit for the evaluation and management, low to moderate severity 75,605 69,418 $9.06M
70450 Computed tomography, head or brain; without contrast material 27,828 23,644 $7.44M
J2350 Injection, ocrelizumab, 1 mg 311 258 $6.62M
74177 Computed tomography, abdomen and pelvis; with contrast material 19,536 16,192 $6.13M
G0378 Hospital observation service, per hour 61,415 26,656 $5.07M
J9271 Injection, pembrolizumab, 1 mg 522 345 $4.46M
71275 Computed tomographic angiography, chest, with contrast material 12,772 10,431 $3.02M
J2323 Injection, natalizumab, 1 mg 574 499 $2.90M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 16,980 11,735 $2.56M
74176 Computed tomography, abdomen and pelvis; without contrast material 8,322 6,816 $2.42M
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 10,307 8,018 $2.33M
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 8,628 4,487 $2.21M
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 15,989 11,926 $2.14M
93976 7,230 5,855 $1.12M
27447 449 320 $1.04M
80048 Basic metabolic panel (calcium, ionized) 107,141 83,173 $1.04M
70496 3,253 2,649 $1.04M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 4,087 3,730 $894K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 7,042 4,070 $883K
70498 5,695 4,560 $802K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,790 2,385 $781K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 119,529 102,141 $731K
96375 Therapeutic injection; each additional sequential IV push 86,040 65,391 $715K
59025 Fetal non-stress test 4,189 2,833 $697K
47562 200 172 $629K
80053 Comprehensive metabolic panel 65,284 53,570 $624K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 5,393 3,641 $623K
96415 2,299 1,642 $608K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 3,228 2,661 $571K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 7,271 5,569 $527K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 2,469 2,327 $526K
J0561 Injection, penicillin g benzathine, 100,000 units 2,820 1,845 $502K
62323 1,007 888 $458K
72125 Computed tomography, cervical spine; without contrast material 11,889 9,881 $457K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 26,237 22,811 $452K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 64,479 41,670 $446K
70491 1,419 1,104 $437K
0240U 3,185 2,763 $432K
82805 13,206 10,723 $423K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 975 840 $417K
36415 Collection of venous blood by venipuncture 260,171 204,812 $417K
20680 316 248 $416K
99281 Emergency department visit for the evaluation and management, self-limited or minor 3,306 2,888 $409K
71046 Radiologic examination, chest; 2 views 36,508 32,979 $405K
71045 Radiologic examination, chest; single view 62,807 54,813 $402K
27130 106 79 $400K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1,365 1,194 $398K
84484 56,020 44,229 $364K
74174 4,387 3,468 $346K
83605 48,485 39,723 $339K
29827 145 113 $318K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,842 2,508 $317K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,420 1,198 $316K
76642 2,024 1,808 $299K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 87,143 74,948 $295K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,312 2,113 $294K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,196 1,788 $294K
64415 759 568 $290K
10060 1,676 1,409 $281K
J1745 Injection, infliximab, excludes biosimilar, 10 mg 204 179 $277K
76705 Ultrasound, abdominal, real time with image documentation; limited 3,182 2,664 $275K
96367 3,478 2,224 $269K
93458 238 176 $265K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 256,646 218,231 $263K
93971 3,188 2,747 $255K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 15,185 12,720 $251K
78815 Positron emission tomography (PET) for limited area imaging 442 402 $251K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 906 813 $238K
93970 1,397 1,178 $237K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1,347 1,190 $229K
12001 1,372 1,212 $227K
93922 2,623 2,367 $223K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 4,903 4,037 $217K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 3,299 1,300 $206K
64447 601 427 $205K
86900 8,759 6,958 $197K
93925 1,558 1,456 $196K
77063 Screening digital breast tomosynthesis, bilateral 3,482 3,155 $195K
11045 492 330 $186K
96376 15,233 8,348 $184K
75574 668 546 $181K
70551 Magnetic resonance imaging, brain; without contrast material 948 795 $172K
72131 2,805 2,311 $171K
58661 71 42 $171K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,948 1,314 $165K
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 803 783 $161K
J3490 Unclassified drugs 26,100 15,630 $161K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 44,704 40,653 $156K
71250 2,076 1,760 $155K
72141 868 752 $151K
72197 514 460 $149K
73221 611 557 $148K
12011 846 746 $145K
70486 2,732 2,251 $140K
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 574 512 $137K
72100 4,637 3,949 $128K
73130 6,474 5,473 $124K
71271 634 587 $124K
97530 Therapeutic activities, direct patient contact, each 15 minutes 4,126 1,734 $119K
93017 1,280 1,104 $118K
73560 7,575 6,315 $116K
19083 127 108 $112K
80320 6,160 5,652 $110K
J1756 Injection, iron sucrose, 1 mg 3,269 1,370 $109K
97116 2,885 1,536 $107K
29881 79 52 $105K
74183 372 329 $104K
84703 80,182 70,125 $102K
73030 5,263 4,353 $100K
52356 59 41 $99K
J7030 Infusion, normal saline solution , 1000 cc 65,583 48,886 $99K
64450 312 226 $98K
70487 308 248 $96K
99215 Prolong outpt/office vis 1,005 764 $95K
76536 723 657 $92K
12002 646 548 $92K
76801 3,297 2,634 $91K
64721 71 68 $91K
73700 728 623 $91K
76830 Ultrasound, transvaginal 3,271 2,702 $87K
76819 Fetal biophysical profile; without non-stress testing 672 445 $86K
86850 8,496 6,706 $86K
94660 1,004 449 $80K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,724 2,153 $80K
83880 11,899 9,597 $80K
76700 Ultrasound, abdominal, real time with image documentation; complete 345 317 $79K
94060 648 565 $79K
72128 1,712 1,387 $77K
81001 111,673 99,703 $77K
80047 24,750 20,918 $76K
88307 653 503 $74K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 3,223 3,048 $74K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1,285 788 $73K
87086 Culture, bacterial; quantitative colony count, urine 15,714 13,141 $72K
87506 556 441 $72K
82077 15,669 12,488 $71K
73630 6,333 5,418 $70K
90715 3,613 2,990 $69K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 116 88 $69K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 20,525 17,717 $69K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 10,906 9,131 $68K
76820 701 430 $67K
76821 680 384 $67K
36591 1,775 880 $66K
97166 1,620 1,221 $66K
97162 1,950 1,517 $64K
29824 237 172 $63K
80051 29,162 24,966 $62K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 57 50 $61K
29826 210 152 $61K
82248 41,578 35,457 $61K
72050 1,442 1,227 $61K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 815 656 $59K
29879 57 52 $58K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1,235 479 $57K
72193 191 132 $57K
58558 33 26 $57K
29581 399 144 $55K
85027 20,067 12,666 $55K
83690 41,025 34,820 $55K
73610 5,107 4,260 $54K
97161 1,093 805 $53K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 10,985 9,275 $52K
J2405 Injection, ondansetron hydrochloride, per 1 mg 65,452 49,904 $52K
82330 30,472 25,879 $52K
97535 Self-care/home management training, each 15 minutes 1,968 1,192 $51K
74018 2,479 2,050 $50K
29823 214 150 $50K
77067 Screening mammography, bilateral, including computer-aided detection 3,605 3,263 $49K
J0690 Injection, cefazolin sodium, 500 mg 11,809 7,843 $49K
73502 2,897 2,380 $49K
72040 1,046 872 $48K
97165 773 606 $45K
83050 12,240 10,013 $44K
85610 14,221 10,573 $44K
73110 3,166 2,630 $44K
81003 40,992 36,068 $44K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 55,689 47,090 $44K
20985 276 192 $42K
96368 1,152 754 $41K
77062 861 760 $41K
J1170 Injection, hydromorphone, up to 4 mg 19,981 11,711 $41K
J1569 Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg 45 13 $41K
J7120 Ringers lactate infusion, up to 1000 cc 16,692 11,431 $41K
J1885 Injection, ketorolac tromethamine, per 15 mg 52,796 41,104 $39K
76770 223 190 $39K
96402 551 451 $39K
93880 485 439 $39K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 10,905 9,130 $38K
87081 15,239 13,492 $38K
72072 1,256 1,073 $38K
72192 439 373 $37K
J3535 Drug administered through a metered dose inhaler 3,688 2,633 $37K
99152 993 747 $35K
93296 1,646 1,569 $33K
94729 715 635 $32K
77061 693 614 $32K
81025 15,624 14,198 $32K
86901 8,903 7,075 $30K
77080 330 296 $29K
86923 869 630 $29K
72146 235 190 $29K
96417 1,424 742 $29K
84443 Thyroid stimulating hormone (TSH) 10,760 8,858 $28K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 8,699 7,273 $28K
82803 13,328 11,297 $27K
Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units 413 193 $27K
93308 86 71 $27K
82375 12,274 10,046 $26K
G0257 Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility 671 264 $26K
76981 338 315 $26K
72110 318 301 $26K
73562 311 292 $26K
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units 299 164 $25K
82947 71,014 61,248 $24K
88341 411 320 $24K
87040 2,456 1,793 $24K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 27 24 $24K
85379 6,585 5,326 $24K
83036 Hemoglobin; glycosylated (A1C) 3,937 3,145 $23K
J2704 Injection, propofol, 10 mg 17,440 13,225 $23K
J1650 Injection, enoxaparin sodium, 10 mg 12,684 5,338 $22K
84702 7,434 5,825 $22K
83735 9,404 5,992 $22K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 29 25 $22K
J3010 Injection, fentanyl citrate, 0.1 mg 19,889 13,906 $21K
73080 1,815 1,531 $21K
94726 364 331 $21K
96416 242 116 $21K
97163 551 429 $20K
J1815 Injection, insulin, per 5 units 5,364 2,355 $20K
82150 13,258 10,908 $20K
87077 4,747 3,829 $20K
76942 1,076 825 $20K
82565 52,119 45,075 $20K
73590 2,015 1,642 $20K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 21,942 19,524 $19K
88304 1,025 809 $19K
99153 Mod sedat endo service >5yrs 645 487 $18K
86140 2,857 2,252 $18K
92523 1,074 817 $18K
87070 2,214 1,729 $17K
94727 293 254 $17K
12013 123 93 $17K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 416 387 $17K
23472 14 12 $16K
80076 7,480 6,034 $15K
74178 48 41 $15K
72120 218 189 $15K
93990 291 271 $15K
71101 1,284 1,064 $15K
82977 14,610 12,108 $14K
0202U Oncology (prostate), multianalyte, gene expression profiling 145 125 $14K
84520 44,277 38,048 $14K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 15,964 10,856 $14K
36416 2,377 1,587 $13K
J1750 Injection, iron dextran, 50 mg 200 94 $13K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 98 87 $13K
85730 3,839 3,055 $13K
J2250 Injection, midazolam hydrochloride, per 1 mg 12,180 9,134 $13K
87186 4,254 3,445 $13K
82607 1,388 1,072 $13K
76870 743 605 $13K
72070 357 290 $12K
77066 Tomosynthesis, mammo 937 830 $12K
77065 Tomosynthesis, mammo 797 693 $12K
82728 1,503 1,164 $12K
77336 143 60 $12K
J0500 Injection, dicyclomine hcl, up to 20 mg 851 639 $12K
73090 1,253 1,025 $11K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 11,490 7,818 $11K
73701 36 26 $11K
87210 3,053 2,509 $11K
31500 37 24 $11K
29125 1,034 879 $10K
J0574 Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine 800 365 $10K
J0696 Injection, ceftriaxone sodium, per 250 mg 6,416 4,414 $10K
88173 209 156 $10K
76377 907 748 $9K
87154 70 42 $9K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,041 858 $9K
84132 32,102 27,131 $9K
72170 1,008 799 $9K
73552 977 785 $9K
97167 121 105 $9K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,731 3,028 $9K
92950 46 34 $8K
84295 31,417 26,651 $8K
80143 2,036 1,601 $8K
82040 13,859 11,460 $8K
J1453 Injection, fosaprepitant, 1 mg 518 276 $8K
87205 2,562 1,975 $8K
73200 80 67 $8K
85007 2,188 1,574 $8K
93356 144 114 $8K
72158 35 26 $8K
J9045 Injection, carboplatin, 50 mg 732 367 $8K
85018 14,515 11,550 $8K
J3372 Injection, vancomycin hcl (xellia), not therapeutically equivalent to j3370, 500 mg 997 481 $8K
J1200 Injection, diphenhydramine hcl, up to 50 mg 13,192 9,623 $7K
84100 3,592 2,278 $7K
73060 837 671 $7K
83540 1,480 1,141 $7K
94010 53 51 $7K
J2469 Injection, palonosetron hcl, 25 mcg 1,615 860 $7K
80179 1,971 1,567 $7K
82746 1,297 1,006 $7K
29515 367 285 $7K
76882 50 43 $7K
80069 1,258 674 $7K
87075 1,330 1,023 $7K
85014 7,681 6,705 $7K
82435 20,882 17,250 $6K
C1769 Guide wire 1,188 890 $6K
85652 2,829 2,259 $6K
80061 Lipid panel 1,107 850 $6K
72156 52 37 $6K
P9045 Infusion, albumin (human), 5%, 250 ml 29 27 $6K
J2765 Injection, metoclopramide hcl, up to 10 mg 8,493 6,457 $6K
88172 138 104 $6K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 20 16 $6K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 1,011 461 $5K
J2795 Injection, ropivacaine hydrochloride, 1 mg 2,677 1,651 $5K
83550 1,466 1,130 $5K
73201 18 14 $5K
J0330 Injection, succinylcholine chloride, up to 20 mg 2,021 1,436 $5K
84439 1,126 876 $5K
J2270 Injection, morphine sulfate, up to 10 mg 3,878 2,883 $5K
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 1,478 602 $5K
M0239 Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring 21 12 $5K
J2310 Injection, naloxone hydrochloride, per 1 mg 518 289 $4K
J7050 Infusion, normal saline solution, 250 cc 14,920 7,513 $4K
J3475 Injection, magnesium sulfate, per 500 mg 2,506 1,590 $4K
84460 13,546 11,177 $4K
84450 13,473 11,114 $4K
51701 481 378 $4K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 953 713 $4K
84155 13,271 10,931 $4K
82247 13,094 10,771 $4K
J0640 Injection, leucovorin calcium, per 50 mg 130 57 $4K
J1644 Injection, heparin sodium, per 1000 units 3,919 1,564 $4K
74022 325 263 $4K
97802 35 34 $4K
84075 13,150 10,823 $4K
86703 664 521 $4K
87807 829 718 $4K
80329 272 251 $4K
J1953 Injection, levetiracetam, 10 mg 692 477 $4K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 1,463 999 $4K
77002 31 26 $4K
88342 720 557 $4K
J3480 Injection, potassium chloride, per 2 meq 1,832 1,027 $4K
82010 1,574 1,138 $3K
87653 424 338 $3K
J3370 Injection, vancomycin hcl, 500 mg 1,968 1,183 $3K
J3360 Injection, diazepam, up to 5 mg 1,117 822 $3K
76937 163 143 $3K
95972 17 13 $3K
63685 16 13 $3K
15853 473 431 $3K
J3489 Injection, zoledronic acid, 1 mg 255 202 $3K
87147 1,039 835 $3K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 723 618 $3K
J3486 Injection, ziprasidone mesylate, 10 mg 272 180 $3K
93325 38 24 $3K
C9113 Injection, pantoprazole sodium, per vial 1,019 549 $3K
J2785 Injection, regadenoson, 0.1 mg 890 764 $3K
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 5,122 3,098 $3K
76775 18 17 $3K
74280 12 12 $3K
J0360 Injection, hydralazine hcl, up to 20 mg 1,598 1,069 $3K
87529 300 247 $3K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 4,840 2,097 $3K
82550 1,219 862 $2K
J0780 Injection, prochlorperazine, up to 10 mg 2,362 1,697 $2K
86308 654 516 $2K
J1790 Injection, droperidol, up to 5 mg 2,217 1,627 $2K
83615 1,221 891 $2K
78306 13 12 $2K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,668 1,145 $2K
86803 532 419 $2K
87340 678 499 $2K
16020 34 27 $2K
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 68 53 $2K
86870 47 37 $2K
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 1,077 758 $2K
J3411 Injection, thiamine hcl, 100 mg 1,039 439 $2K
86780 545 423 $2K
J0736 Injection, clindamycin phosphate, 300 mg 613 429 $2K
72220 124 106 $2K
J2370 Injection, phenylephrine hcl, up to 1 ml 816 532 $2K
80177 412 324 $2K
J1940 Injection, furosemide, up to 20 mg 1,534 839 $2K
84134 80 75 $2K
J1630 Injection, haloperidol, up to 5 mg 1,876 1,295 $2K
69209 357 302 $2K
82570 820 613 $2K
96523 22 13 $1K
C8908 Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral 16 12 $1K
J2060 Injection, lorazepam, 2 mg 1,468 1,041 $1K
88300 170 121 $1K
87206 133 95 $1K
J7999 Compounded drug, not otherwise classified 1,113 774 $1K
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg 275 209 $1K
88302 45 26 $1K
82140 523 391 $1K
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 806 784 $1K
87102 69 41 $1K
J1836 Injection, metronidazole, 10 mg 815 456 $1K
J2919 Injection, methylprednisolone sodium succinate, 5 mg 870 718 $1K
84550 965 719 $1K
86592 545 433 $1K
J2791 Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu 15 12 $1K
J1030 Injection, methylprednisolone acetate, 40 mg 1,262 1,118 $1K
Q9957 Injection, perflutren lipid microspheres, per ml 804 692 $1K
73522 59 53 $1K
80074 150 113 $1K
84156 750 527 $1K
85384 514 381 $1K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 46 45 $1K
87176 467 369 $1K
A9575 Injection, gadoterate meglumine, 0.1 ml 3,167 2,747 $1K
93978 14 13 $999.54
92610 64 45 $915.69
J9263 Injection, oxaliplatin, 0.5 mg 83 38 $884.22
J0703 Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg 153 63 $867.26
87116 45 25 $864.00
93298 160 157 $846.53
J2360 Injection, orphenadrine citrate, up to 60 mg 926 693 $796.60
80164 312 245 $773.91
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 1,022 874 $768.24
J0456 Injection, azithromycin, 500 mg 748 451 $766.27
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 712 672 $748.85
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 8,339 5,919 $734.40
96401 91 37 $726.31
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml 1,872 1,660 $724.98
J1920 Injection, labetalol hydrochloride, 5 mg 914 510 $715.08
J7060 5% dextrose/water (500 ml = 1 unit) 1,448 706 $699.92
87420 186 168 $656.63
C1887 Catheter, guiding (may include infusion/perfusion capability) 621 463 $588.06
85045 361 212 $532.41
C1729 Catheter, drainage 178 121 $512.10
82784 512 416 $504.39
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 450 359 $494.43
J3371 Injection, vancomycin hcl (mylan), not therapeutically equivalent to j3370, 500 mg 77 49 $490.17
73020 69 56 $480.84
99195 12 12 $456.20
84145 61 42 $453.92
J1171 Injection, hydromorphone, 0.1 mg 520 403 $443.29
73000 42 39 $431.17
J1596 Injection, glycopyrrolate, 0.1 mg 858 727 $429.35
J0612 Injection, calcium gluconate, not otherwise specified, 10 mg 338 201 $410.86
73600 16 13 $400.91
87449 56 43 $386.82
29105 30 25 $384.99
G0390 Trauma response team associated with hospital critical care service 32 30 $352.61
73120 20 19 $351.71
J1580 Injection, garamycin, gentamicin, up to 80 mg 172 116 $346.81
83521 12 12 $316.07
90686 23 22 $308.05
86880 13 12 $307.77
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 24 14 $300.37
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 33 26 $297.03
73100 18 13 $289.53
J2471 Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg 240 174 $289.22
70360 49 38 $269.57
86706 49 39 $261.45
72020 57 51 $248.22
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 13 13 $238.07
J1805 Injection, esmolol hydrochloride, 10 mg 355 189 $236.88
J0171 Injection, adrenalin, epinephrine, 0.1 mg 205 149 $231.33
J0461 Injection, atropine sulfate, 0.01 mg 63 27 $175.36
87641 14 12 $164.86
J0610 Injection, calcium gluconate (fresenius kabi), per 10 ml 34 14 $162.10
J2800 Injection, methocarbamol, up to 10 ml 120 71 $161.43
86334 16 14 $158.71
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg 41 17 $147.86
J2470 Injection, pantoprazole sodium, 40 mg 207 170 $145.50
84165 17 12 $144.56
36410 13 13 $141.07
J8540 Dexamethasone, oral, 0.25 mg 324 156 $131.40
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 228 138 $130.79
81002 89 67 $124.20
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 48 26 $108.30
J9267 Injection, paclitaxel, 1 mg 568 228 $93.15
J7510 Prednisolone oral, per 5 mg 442 356 $81.29
82310 29 26 $74.78
84153 12 12 $59.82
J0670 Injection, mepivacaine hydrochloride, per 10 ml 22 12 $51.12
96411 497 273 $40.28
J9190 Injection, fluorouracil, 500 mg 489 129 $26.55
J0173 Injection, epinephrine (belcher), not therapeutically equivalent to j0171, 0.1 mg 17 13 $16.40
J1010 Injection, methylprednisolone acetate, 1 mg 169 154 $12.16
89051 14 13 $11.73
J3590 Unclassified biologics 21 14 $0.00
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 70 62 $0.00
C9399 Unclassified drugs or biologicals 162 140 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 21 12 $0.00
88177 23 14 $0.00
99459 27 21 $0.00
A4648 Tissue marker, implantable, any type, each 17 12 $0.00
C1776 Joint device (implantable) 226 177 $0.00
82365 19 12 $0.00
C8937 Computer-aided detection, including computer algorithm analysis of breast mri image data for lesion detection/characterization, pharmacokinetic analysis, with further physician review for interpretation (list separately in addition to code for primary procedure) 16 12 $0.00
87076 14 12 $0.00
C1760 Closure device, vascular (implantable/insertable) 29 24 $0.00
A9537 Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries 13 12 $0.00