Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › JACKSON › W.A. FOOTE MEMORIAL HOSPITAL, INC.

W.A. FOOTE MEMORIAL HOSPITAL, INC.

NPI: 1265528939 · JACKSON, MI 49201 · General Acute Care Hospital · NPI assigned 10/04/2006

$39.86M
Total Medicaid Paid
1,150,407
Total Claims
984,619
Beneficiaries
408
Codes Billed
2018-01
First Month
2024-07
Last Month

Provider Details

Authorized OfficialWICKENS, JEANNE (SR VP FINANCE/CFO)
Parent OrganizationW.A. FOOTE MEMORIAL HOSPITAL, INC.
NPI Enumeration Date10/04/2006

Related Entities

Other providers sharing the same authorized official: WICKENS, JEANNE

ProviderCityStateTotal Paid
W.A. FOOTE MEMORIAL HOSPITAL, INC. JACKSON MI $4.90M
PARKVIEW HOSPITAL INC. FORT WAYNE IN $2.64M
PARKVIEW WABASH HOSPITAL, INC. WABASH IN $1.20M
PARKVIEW HOSPITAL, INC. FORT WAYNE IN $108K
HEALTHLINK, INC. JACKSON MI $18K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 205,479 $6.99M
2019 211,332 $6.60M
2020 156,638 $4.87M
2021 175,987 $6.45M
2022 191,427 $6.92M
2023 150,936 $5.68M
2024 58,608 $2.35M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 192,188 148,540 $8.18M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 34,836 31,261 $6.06M
99283 Emergency department visit for the evaluation and management, moderate severity 34,220 31,782 $4.92M
99284 Emergency department visit for the evaluation and management, high severity 24,991 22,665 $3.65M
G0378 Hospital observation service, per hour 4,034 3,843 $3.55M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 23,701 20,569 $845K
99282 Emergency department visit for the evaluation and management, low to moderate severity 5,312 5,186 $751K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 26,979 9,196 $528K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 7,877 5,007 $479K
20610 3,398 2,603 $450K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 2,871 1,642 $435K
74177 Computed tomography, abdomen and pelvis; with contrast material 5,678 5,508 $331K
99281 Emergency department visit for the evaluation and management, self-limited or minor 3,037 2,983 $323K
71046 Radiologic examination, chest; 2 views 17,308 16,421 $304K
96361 Intravenous infusion, hydration; each additional hour 20,528 17,002 $285K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 7,851 7,475 $259K
77067 Screening mammography, bilateral, including computer-aided detection 5,312 5,308 $256K
96375 Therapeutic injection; each additional sequential IV push 17,913 14,318 $234K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 5,967 5,623 $227K
97161 4,911 4,826 $225K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,080 1,072 $209K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,327 3,316 $200K
70450 Computed tomography, head or brain; without contrast material 5,174 5,018 $196K
59025 Fetal non-stress test 2,328 1,004 $183K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,923 1,910 $178K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 886 881 $178K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 8,330 3,723 $171K
76830 Ultrasound, transvaginal 3,838 3,773 $166K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 2,571 2,558 $161K
76705 Ultrasound, abdominal, real time with image documentation; limited 4,351 4,221 $160K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,680 2,664 $159K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,689 2,634 $158K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,590 2,580 $154K
62323 552 547 $154K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 4,249 4,169 $151K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 621 608 $146K
97530 Therapeutic activities, direct patient contact, each 15 minutes 7,074 3,246 $141K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 3,706 3,153 $138K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 9,964 4,373 $136K
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 577 575 $134K
90837 Psychotherapy, 53 minutes with patient 2,222 1,262 $131K
93975 2,120 2,065 $122K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,869 1,859 $111K
90670 2,056 2,044 $110K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 394 393 $106K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 21,848 17,922 $105K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,313 2,288 $104K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2,031 2,018 $100K
76801 2,388 2,373 $100K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 848 845 $97K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1,064 1,062 $96K
90677 411 411 $94K
90460 Immunization administration through 18 years of age via any route, first or only component 4,018 3,987 $88K
95810 Polysomnography; sleep staging with 4 or more additional parameters 193 193 $87K
97165 1,931 1,912 $79K
90791 Psychiatric diagnostic evaluation 3,958 3,601 $73K
Q3014 Telehealth originating site facility fee 4,646 4,439 $73K
93971 1,761 1,693 $68K
J0585 Injection, onabotulinumtoxina, 1 unit 225 148 $67K
77063 Screening digital breast tomosynthesis, bilateral 5,266 5,262 $65K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 164 162 $63K
90686 4,887 4,885 $63K
76536 1,202 1,194 $62K
80061 Lipid panel 3,540 3,513 $61K
76770 1,486 1,465 $57K
90651 724 722 $57K
96367 1,931 1,258 $57K
95811 110 108 $53K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 4,947 4,842 $52K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 3,430 1,999 $52K
76819 Fetal biophysical profile; without non-stress testing 1,278 760 $51K
76642 1,493 1,471 $51K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 4,753 4,656 $50K
G0008 Administration of influenza virus vaccine 5,298 5,296 $48K
90682 882 881 $47K
71275 Computed tomographic angiography, chest, with contrast material 1,111 1,087 $45K
73564 2,480 2,464 $43K
72110 1,891 1,890 $40K
73630 6,026 5,743 $39K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 955 326 $36K
86900 4,173 4,028 $36K
93970 394 392 $36K
72141 276 276 $34K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,643 4,494 $33K
72100 1,594 1,585 $32K
74018 2,150 2,059 $31K
72050 981 979 $31K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 210 142 $31K
93017 640 632 $30K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 3,340 3,254 $30K
73610 4,404 4,120 $26K
71250 557 554 $26K
73130 4,887 4,584 $25K
90750 174 174 $25K
90472 Immunization administration, each additional vaccine (list separately) 2,089 2,078 $25K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 24,976 20,981 $24K
64483 68 66 $24K
73030 3,416 3,309 $24K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 3,692 3,538 $22K
73110 3,271 3,087 $21K
90834 Psychotherapy, 45 minutes with patient 395 292 $20K
73221 171 170 $20K
80053 Comprehensive metabolic panel 27,030 23,734 $20K
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 905 882 $20K
71271 339 338 $20K
73502 2,279 2,246 $19K
97760 516 462 $18K
84443 Thyroid stimulating hormone (TSH) 7,907 7,617 $18K
76882 435 415 $17K
73140 2,282 1,982 $17K
71045 Radiologic examination, chest; single view 1,491 1,449 $17K
90732 184 184 $16K
10060 492 468 $15K
73562 1,265 1,251 $14K
70496 380 374 $14K
73100 1,710 1,289 $14K
94726 101 101 $13K
73560 3,714 3,565 $13K
73080 1,978 1,730 $12K
70486 647 641 $12K
77066 Tomosynthesis, mammo 209 208 $12K
91320 93 93 $11K
90734 487 485 $11K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 1,724 1,716 $11K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 46,811 39,962 $11K
G0009 Administration of pneumococcal vaccine 1,234 1,232 $11K
17110 814 768 $11K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 79 79 $10K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 7,940 7,365 $10K
0001A 266 266 $10K
92551 1,481 1,478 $10K
20611 67 64 $10K
0124A 264 264 $10K
72072 512 512 $9K
90792 Psychiatric diagnostic evaluation with medical services 265 256 $9K
90716 380 380 $9K
0054A 253 253 $9K
72125 Computed tomography, cervical spine; without contrast material 2,167 2,126 $8K
0002A 222 222 $8K
11100 61 60 $8K
83036 Hemoglobin; glycosylated (A1C) 3,223 3,192 $7K
45380 Colonoscopy, flexible; with biopsy, single or multiple 18 18 $7K
99406 466 450 $7K
84702 7,554 6,739 $7K
64450 55 52 $6K
51798 1,845 1,574 $6K
73590 1,296 1,242 $6K
86780 920 912 $6K
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 551 550 $6K
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision 415 415 $6K
80048 Basic metabolic panel (calcium, ionized) 25,772 21,850 $6K
97162 171 169 $6K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 516 510 $5K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 467 465 $5K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 571 504 $5K
77080 91 91 $5K
0004A 143 143 $5K
85027 7,988 6,708 $5K
90480 128 127 $5K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 4,878 3,846 $4K
64615 36 36 $4K
87086 Culture, bacterial; quantitative colony count, urine 5,656 5,463 $4K
73090 1,036 928 $4K
87081 5,217 5,156 $4K
76818 73 30 $4K
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose 44 25 $4K
87631 1,456 1,428 $4K
62321 13 13 $4K
74022 446 437 $4K
29125 789 711 $3K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2,702 2,665 $3K
29085 49 42 $3K
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose 70 37 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,126 5,025 $3K
73020 308 288 $3K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,351 2,313 $3K
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 230 226 $3K
80074 195 193 $3K
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 631 618 $3K
M0222 Intravenous injection, bebtelovimab, includes injection and post administration monitoring 16 15 $3K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 9,687 9,176 $3K
90620 29 27 $3K
77065 Tomosynthesis, mammo 71 67 $3K
64400 29 27 $3K
25600 27 27 $3K
93880 27 27 $3K
36415 Collection of venous blood by venipuncture 3,267 2,991 $3K
99495 55 55 $2K
70551 Magnetic resonance imaging, brain; without contrast material 27 26 $2K
71101 267 265 $2K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 13 13 $2K
87511 129 128 $2K
87481 129 128 $2K
93229 13 13 $2K
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 4,772 4,308 $2K
84439 1,090 1,072 $2K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 125 125 $2K
72040 197 194 $2K
97022 307 127 $2K
85610 6,505 5,182 $2K
95909 14 14 $2K
82607 430 428 $2K
99383 27 27 $2K
86803 443 442 $2K
87186 1,935 1,896 $2K
73600 877 476 $2K
82728 446 436 $2K
87077 1,761 1,719 $2K
20600 14 12 $2K
70498 334 328 $2K
29075 14 13 $2K
72131 75 75 $2K
95908 12 12 $2K
20553 13 13 $2K
81001 20,252 18,749 $1K
97535 Self-care/home management training, each 15 minutes 221 188 $1K
70470 14 14 $1K
83735 8,939 7,420 $1K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 109 109 $1K
97116 416 323 $1K
93225 25 25 $1K
20550 14 12 $1K
87653 72 72 $1K
31575 12 12 $1K
98927 485 411 $1K
82570 813 787 $1K
93922 38 38 $1K
83550 396 389 $1K
69210 188 186 $1K
87070 1,091 1,063 $1K
83880 1,471 1,366 $1K
97014 121 51 $1K
11721 133 132 $982.86
0051A 28 28 $975.78
83540 478 469 $974.49
86140 2,005 1,810 $942.13
Q2036 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) 135 135 $935.74
99384 13 13 $918.45
87340 405 405 $913.85
G0297 Low dose ct scan (ldct) for lung cancer screening 26 26 $894.36
0052A 23 23 $863.19
90658 49 49 $832.84
31231 12 12 $799.50
97035 164 73 $761.25
76700 Ultrasound, abdominal, real time with image documentation; complete 12 12 $723.60
99386 12 12 $721.49
70491 12 12 $717.47
81025 12,741 11,997 $660.81
82248 8,771 8,067 $654.70
82043 344 342 $612.30
S0077 Injection, clindamycin phosphate, 300 mg 239 217 $600.85
90744 67 67 $575.08
12001 540 531 $562.95
G0451 Development testing, with interpretation and report, per standardized instrument form 30 30 $537.60
73700 12 12 $524.34
83690 12,522 11,285 $498.05
86592 198 198 $482.40
81003 3,612 3,520 $473.90
85652 1,306 1,179 $473.66
87634 884 856 $471.08
87088 456 450 $460.18
82947 224 224 $456.31
90662 47 47 $421.44
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 16 16 $381.76
96161 58 55 $371.81
36591 12 12 $323.95
86850 4,175 4,030 $318.61
11055 12 12 $313.02
87205 925 894 $303.66
82274 256 248 $303.66
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 3,987 3,533 $296.87
84146 32 31 $292.77
73552 77 76 $285.95
87420 1,241 1,215 $285.77
85730 4,874 4,460 $277.49
72080 12 12 $272.30
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 26 26 $262.08
84100 2,334 1,866 $247.03
82746 60 60 $223.63
82962 7,463 5,513 $220.66
73620 256 250 $210.14
11056 12 12 $201.52
82550 755 681 $200.16
G0010 Administration of hepatitis b vaccine 12 12 $193.56
72170 53 52 $190.40
85007 1,267 1,182 $166.63
83020 68 68 $157.23
85379 2,351 2,294 $151.05
94010 87 87 $138.98
80076 54 52 $113.13
73060 25 24 $111.32
86039 36 36 $89.21
69209 14 14 $79.36
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 172 171 $66.73
87040 1,561 1,446 $60.17
76870 280 274 $56.38
84484 13,569 11,385 $52.65
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous 53 53 $50.35
86308 172 169 $45.47
80164 38 36 $40.79
84550 67 62 $39.18
90715 1,345 1,338 $38.28
85018 41 39 $28.32
87808 44 44 $19.52
86901 4,178 4,032 $16.28
81002 16 16 $13.88
87147 27 26 $13.01
82077 3,139 2,833 $10.10
82010 202 185 $9.25
82565 14 14 $9.00
82140 13 12 $8.21
83605 2,196 2,027 $6.71
83615 47 39 $6.50
J0137 Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg 95 90 $5.58
J1200 Injection, diphenhydramine hcl, up to 50 mg 6,701 5,650 $0.80
J1100 Injection, dexamethasone sodium phosphate, 1 mg 8,622 7,444 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 1,451 1,225 $0.00
99153 Mod sedat endo service >5yrs 314 310 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 1,798 1,776 $0.00
90723 1,382 1,370 $0.00
J2704 Injection, propofol, 10 mg 1,380 1,238 $0.00
88304 265 264 $0.00
C1889 Implantable/insertable device, not otherwise classified 139 137 $0.00
95886 880 868 $0.00
96376 4,154 2,805 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 185 184 $0.00
96368 44 25 $0.00
C1769 Guide wire 837 796 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 999 960 $0.00
A9585 Injection, gadobutrol, 0.1 ml 947 898 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 604 403 $0.00
99417 Prolong home eval add 15m 41 39 $0.00
J3490 Unclassified drugs 2,543 2,110 $0.00
94200 40 40 $0.00
91305 363 357 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 826 730 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 2,164 2,097 $0.00
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 189 103 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 98 98 $0.00
90698 105 103 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 26 26 $0.00
90647 25 25 $0.00
90680 65 64 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 12 12 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 1,449 1,302 $0.00
C1753 Catheter, intravascular ultrasound 13 12 $0.00
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 13 13 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 49 49 $0.00
J2790 Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) 39 39 $0.00
88307 12 12 $0.00
J1817 Insulin for administration through dme (i.e., insulin pump) per 50 units 48 31 $0.00
74420 13 12 $0.00
J2785 Injection, regadenoson, 0.1 mg 14 14 $0.00
90696 25 25 $0.00
Q0222 Injection, bebtelovimab, 175 mg 16 15 $0.00
12002 29 28 $0.00
90681 685 676 $0.00
90633 1,041 1,039 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 4,954 4,785 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 14,325 12,462 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 1,381 889 $0.00
87210 479 476 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 773 773 $0.00
94729 128 128 $0.00
12011 75 75 $0.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,537 2,094 $0.00
90685 189 188 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 468 462 $0.00
90648 1,421 1,411 $0.00
C1765 Adhesion barrier 321 317 $0.00
99152 1,330 1,285 $0.00
82805 1,998 1,849 $0.00
80179 805 771 $0.00
90700 708 705 $0.00
C9113 Injection, pantoprazole sodium, per vial 840 486 $0.00
80143 856 816 $0.00
C1758 Catheter, ureteral 1,253 1,228 $0.00
90710 122 122 $0.00
84145 319 295 $0.00
90461 2,419 2,406 $0.00
82075 239 183 $0.00
90707 400 400 $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) 26 26 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 287 282 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 376 369 $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 163 149 $0.00
A4606 Oxygen probe for use with oximeter device, replacement 12 12 $0.00
A9575 Injection, gadoterate meglumine, 0.1 ml 630 602 $0.00
91300 642 610 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 101 94 $0.00
A9577 Injection, gadobenate dimeglumine (multihance), per ml 213 207 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 33 31 $0.00
90713 76 76 $0.00
91312 246 246 $0.00
76937 57 55 $0.00
Q0245 Injection, bamlanivimab and etesevimab, 2100 mg 26 13 $0.00
C1729 Catheter, drainage 49 42 $0.00
Q0244 Injection, casirivimab and imdevimab, 1200 mg 78 78 $0.00
G0168 Wound closure utilizing tissue adhesive(s) only 34 34 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 74 74 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 49 48 $0.00
92504 26 25 $0.00
J1756 Injection, iron sucrose, 1 mg 314 104 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 93 92 $0.00
94150 39 39 $0.00
C1760 Closure device, vascular (implantable/insertable) 25 24 $0.00
93226 13 13 $0.00
76000 14 14 $0.00