Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AZ › PHOENIX › BANNER ESTRELLA MEDICAL CENTER

BANNER ESTRELLA MEDICAL CENTER

NPI: 1275566200 · PHOENIX, AZ 85037 · General Acute Care Hospital · NPI assigned 07/10/2006

$108.10M
Total Medicaid Paid
3,027,891
Total Claims
2,359,304
Beneficiaries
412
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialOPHAUG, COURTNEY (CEO)
Parent OrganizationBANNER HEALTH
NPI Enumeration Date07/10/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 452,155 $17.41M
2019 424,847 $17.15M
2020 352,667 $14.50M
2021 436,947 $15.93M
2022 462,695 $14.89M
2023 486,686 $15.14M
2024 411,894 $13.09M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 79,578 71,391 $25.25M
99284 Emergency department visit for the evaluation and management, high severity 96,355 89,106 $20.37M
74177 Computed tomography, abdomen and pelvis; with contrast material 24,299 22,815 $13.98M
99283 Emergency department visit for the evaluation and management, moderate severity 57,198 54,061 $10.47M
47562 1,843 1,742 $6.20M
74176 Computed tomography, abdomen and pelvis; without contrast material 11,350 10,540 $4.10M
70450 Computed tomography, head or brain; without contrast material 22,607 20,893 $2.07M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2,033 1,886 $1.97M
99282 Emergency department visit for the evaluation and management, low to moderate severity 17,950 17,193 $1.94M
71275 Computed tomographic angiography, chest, with contrast material 7,372 6,902 $1.91M
70496 3,015 2,812 $1.87M
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 920 851 $1.40M
72125 Computed tomography, cervical spine; without contrast material 5,564 5,250 $1.35M
58661 338 318 $1.06M
G0378 Hospital observation service, per hour 47,461 23,098 $1.02M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,843 8,627 $921K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,202 2,069 $906K
49083 3,985 1,753 $768K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,914 4,212 $735K
74174 1,040 981 $599K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 5,758 5,279 $533K
44970 124 119 $479K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,003 4,911 $400K
70551 Magnetic resonance imaging, brain; without contrast material 2,304 2,109 $399K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,369 4,294 $394K
70491 1,206 1,139 $386K
93458 264 243 $332K
93970 2,129 1,997 $331K
P9047 Infusion, albumin (human), 25%, 50 ml 1,065 485 $312K
L8699 Prosthetic implant, not otherwise specified 343 304 $283K
C1776 Joint device (implantable) 179 153 $262K
72131 685 645 $245K
72193 579 552 $222K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 24,714 22,226 $221K
58558 148 146 $212K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,315 1,272 $207K
70487 701 666 $206K
76819 Fetal biophysical profile; without non-stress testing 4,679 3,849 $199K
70486 2,605 2,509 $197K
58571 28 27 $170K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 6,994 5,441 $160K
C1769 Guide wire 4,093 3,578 $157K
93971 4,826 4,446 $151K
43235 349 329 $132K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,800 1,715 $130K
50590 62 60 $108K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 81,631 65,320 $105K
59025 Fetal non-stress test 3,252 2,432 $101K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 148 143 $98K
J1756 Injection, iron sucrose, 1 mg 1,996 1,166 $98K
88341 1,116 710 $96K
80053 Comprehensive metabolic panel 141,167 115,009 $90K
58670 26 26 $87K
71250 1,065 987 $85K
77012 330 277 $85K
45380 Colonoscopy, flexible; with biopsy, single or multiple 221 193 $84K
52332 46 42 $78K
70498 3,037 2,838 $69K
88307 1,762 1,343 $66K
J0716 Injection, centruroides immune f(ab)2, up to 120 milligrams 16 14 $66K
99215 Prolong outpt/office vis 197 186 $60K
10060 1,215 1,144 $57K
88305 Level IV - Surgical pathology, gross and microscopic examination 9,419 6,955 $48K
76818 1,545 1,396 $47K
G0257 Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility 2,810 1,583 $46K
94060 156 153 $41K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 75,173 67,731 $38K
52356 12 12 $36K
93976 7,019 6,594 $35K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 126 121 $35K
93798 675 103 $33K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 30 26 $31K
71045 Radiologic examination, chest; single view 46,996 42,765 $29K
80320 11,504 10,766 $28K
76705 Ultrasound, abdominal, real time with image documentation; limited 10,190 9,543 $28K
71046 Radiologic examination, chest; 2 views 25,440 23,673 $27K
99281 Emergency department visit for the evaluation and management, self-limited or minor 522 499 $26K
93975 221 200 $24K
96361 Intravenous infusion, hydration; each additional hour 16,674 14,716 $23K
36561 13 12 $20K
96376 28,395 16,788 $18K
96375 Therapeutic injection; each additional sequential IV push 64,862 52,401 $18K
0450 Emergency room services 363 314 $15K
76801 8,047 7,289 $15K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 13,632 12,881 $14K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 29,860 21,901 $14K
73700 71 66 $13K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 158,332 130,082 $13K
C1781 Mesh (implantable) 386 342 $12K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 5,460 5,182 $12K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 4,008 3,621 $12K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 7,423 6,786 $11K
87631 3,567 3,454 $11K
J3490 Unclassified drugs 87,371 39,551 $10K
88185 19 13 $10K
72146 41 38 $8K
12001 2,049 1,982 $8K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 15,573 13,366 $8K
84484 59,990 36,268 $8K
72141 208 190 $8K
80048 Basic metabolic panel (calcium, ionized) 40,627 31,740 $7K
36430 1,636 1,307 $7K
73701 13 12 $7K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 5,777 5,360 $7K
73130 4,233 3,910 $7K
73030 4,990 4,387 $6K
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 5,878 5,558 $6K
73562 6,085 5,334 $6K
72100 2,848 2,692 $5K
A9585 Injection, gadobutrol, 0.1 ml 862 812 $5K
J2405 Injection, ondansetron hydrochloride, per 1 mg 62,189 51,237 $5K
87086 Culture, bacterial; quantitative colony count, urine 34,412 31,953 $5K
83690 48,596 43,770 $5K
73610 4,011 3,706 $4K
82803 2,920 2,420 $4K
81025 45,649 42,317 $4K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 131 114 $4K
73630 4,433 4,100 $4K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,440 1,373 $4K
72128 75 74 $4K
76830 Ultrasound, transvaginal 4,340 4,123 $4K
82731 340 304 $3K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 40,839 37,728 $3K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 13 12 $3K
81001 61,925 56,604 $3K
J8540 Dexamethasone, oral, 0.25 mg 1,726 1,382 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg 44,555 39,584 $3K
80329 1,970 1,759 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 6,032 5,820 $3K
76770 438 402 $3K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 5,691 5,452 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 11,178 6,900 $3K
82947 58,109 30,927 $2K
73110 2,846 2,585 $2K
12011 1,457 1,392 $2K
83605 24,148 18,701 $2K
88342 2,421 2,056 $2K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 5,726 5,487 $2K
83735 28,070 22,168 $2K
J2270 Injection, morphine sulfate, up to 10 mg 35,445 26,288 $2K
84702 15,992 14,778 $2K
C1887 Catheter, guiding (may include infusion/perfusion capability) 122 108 $2K
73080 1,873 1,744 $2K
83880 11,413 10,144 $2K
74018 2,639 2,488 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,955 2,876 $2K
84443 Thyroid stimulating hormone (TSH) 11,624 10,687 $2K
87081 2,658 2,594 $2K
87040 18,524 9,271 $2K
82550 7,023 5,831 $1K
J1200 Injection, diphenhydramine hcl, up to 50 mg 13,123 11,733 $1K
76700 Ultrasound, abdominal, real time with image documentation; complete 65 56 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg 19,522 15,988 $1K
73590 2,249 2,035 $1K
86850 10,665 9,889 $1K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 139 127 $1K
73090 1,872 1,641 $1K
76775 58 53 $1K
73502 2,390 2,159 $1K
87088 23,798 21,527 $1K
97535 Self-care/home management training, each 15 minutes 5,413 3,285 $1K
76870 1,101 1,042 $1K
81003 24,875 23,293 $988.33
71101 1,028 980 $971.70
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 6,851 3,402 $955.36
82010 3,144 2,751 $945.91
73140 886 842 $934.60
87186 9,098 8,223 $918.65
85379 6,587 6,163 $904.61
86923 1,466 879 $887.68
J0690 Injection, cefazolin sodium, 500 mg 9,394 7,533 $859.32
J7030 Infusion, normal saline solution , 1000 cc 31,106 25,956 $833.16
87075 2,646 1,737 $824.78
84703 9,993 9,602 $808.48
72040 794 746 $804.38
90715 4,547 4,405 $780.73
12002 1,169 1,125 $779.30
J8597 Antiemetic drug, oral, not otherwise specified 9,529 8,385 $749.13
Q9957 Injection, perflutren lipid microspheres, per ml 861 799 $741.80
97161 4,244 3,740 $668.57
86901 14,617 13,492 $660.16
73060 458 391 $630.39
85027 25,168 19,180 $628.99
87210 8,613 8,036 $628.51
84100 4,066 3,352 $613.76
C1729 Catheter, drainage 1,963 1,090 $600.82
J8499 Prescription drug, oral, non chemotherapeutic, nos 101,823 38,455 $590.75
J1100 Injection, dexamethasone sodium phosphate, 1 mg 17,236 15,909 $588.71
96367 3,308 3,005 $573.79
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 237 232 $560.17
87077 10,985 9,489 $538.95
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,763 4,587 $528.79
94729 150 148 $527.44
85610 27,351 22,995 $461.29
84145 4,166 3,795 $418.71
93017 36 29 $415.27
84439 2,355 2,183 $397.30
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 1,018 923 $390.85
G0463 Hospital outpatient clinic visit for assessment and management of a patient 15 12 $374.10
84156 3,563 2,726 $361.25
85730 13,121 11,665 $355.08
97530 Therapeutic activities, direct patient contact, each 15 minutes 4,996 2,894 $345.61
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 3,044 2,053 $344.66
P9016 Red blood cells, leukocytes reduced, each unit 1,822 1,436 $342.15
A9270 Non-covered item or service 117,945 17,106 $327.66
J1953 Injection, levetiracetam, 10 mg 1,143 829 $316.79
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,558 1,540 $310.16
J1815 Injection, insulin, per 5 units 16,801 7,342 $308.13
J7120 Ringers lactate infusion, up to 1000 cc 14,564 12,463 $286.90
J0500 Injection, dicyclomine hcl, up to 20 mg 1,902 1,779 $281.97
85055 4,513 2,830 $281.07
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 3,425 3,233 $277.88
86900 11,709 10,898 $271.37
J3010 Injection, fentanyl citrate, 0.1 mg 28,487 23,998 $262.75
J1650 Injection, enoxaparin sodium, 10 mg 6,878 3,613 $257.44
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1,136 1,090 $235.02
93880 43 39 $233.00
73552 299 272 $231.19
J2704 Injection, propofol, 10 mg 19,276 17,675 $231.04
85018 4,583 3,595 $230.10
85014 2,934 2,442 $216.04
84112 1,888 1,524 $209.54
J2765 Injection, metoclopramide hcl, up to 10 mg 10,508 9,261 $204.30
97116 2,727 1,962 $203.54
29125 653 620 $202.28
72170 499 456 $200.87
94664 1,223 1,054 $199.26
86140 7,179 6,677 $194.15
80061 Lipid panel 3,610 3,260 $190.88
88304 3,104 2,917 $169.98
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 1,430 815 $169.81
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 3,557 2,723 $160.21
J2919 Injection, methylprednisolone sodium succinate, 5 mg 390 284 $151.30
J3370 Injection, vancomycin hcl, 500 mg 3,809 2,341 $148.95
J2060 Injection, lorazepam, 2 mg 6,092 5,025 $148.36
83036 Hemoglobin; glycosylated (A1C) 4,505 4,143 $144.10
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 4,849 4,082 $140.31
J1170 Injection, hydromorphone, up to 4 mg 5,341 4,628 $137.26
72072 337 323 $129.03
86920 270 153 $126.55
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 6,424 3,562 $117.34
82140 1,324 1,116 $115.37
87147 1,190 1,092 $107.05
96368 903 854 $104.26
J2550 Injection, promethazine hcl, up to 50 mg 3,750 2,984 $99.04
J0360 Injection, hydralazine hcl, up to 20 mg 4,779 3,427 $97.60
82330 913 718 $96.58
82565 6,057 5,412 $93.87
86635 1,045 539 $92.44
87070 4,891 3,006 $92.24
J1644 Injection, heparin sodium, per 1000 units 6,874 3,279 $80.52
94760 1,612 1,166 $80.16
J3475 Injection, magnesium sulfate, per 500 mg 3,838 3,247 $79.46
94660 42 27 $72.68
84466 996 921 $72.62
51702 281 238 $72.35
J1940 Injection, furosemide, up to 20 mg 4,603 2,748 $72.26
J2250 Injection, midazolam hydrochloride, per 1 mg 15,834 14,496 $70.59
82728 690 640 $69.39
C9399 Unclassified drugs or biologicals 458 429 $63.97
89051 3,501 1,764 $63.74
J7999 Compounded drug, not otherwise classified 3,065 2,819 $60.28
J3480 Injection, potassium chloride, per 2 meq 2,761 1,938 $58.86
J1790 Injection, droperidol, up to 5 mg 1,688 1,554 $58.63
87807 798 768 $51.44
J0456 Injection, azithromycin, 500 mg 1,690 1,166 $44.81
87205 5,207 3,258 $42.45
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 2,863 2,629 $40.59
83540 1,028 950 $38.60
84132 4,294 3,483 $37.21
A9577 Injection, gadobenate dimeglumine (multihance), per ml 107 103 $36.80
P9612 Catheterization for collection of specimen, single patient, all places of service 676 631 $36.00
90686 707 646 $33.69
84550 3,113 2,606 $28.70
85652 2,765 2,557 $27.71
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 3,397 3,081 $26.86
80051 496 439 $22.39
C9113 Injection, pantoprazole sodium, per vial 5,383 3,430 $20.82
84520 2,848 2,431 $19.63
J3371 Injection, vancomycin hcl (mylan), not therapeutically equivalent to j3370, 500 mg 194 104 $18.90
82570 777 669 $18.01
J3360 Injection, diazepam, up to 5 mg 245 214 $17.84
76857 69 67 $17.69
84460 2,413 2,033 $17.59
85046 582 545 $17.12
J0780 Injection, prochlorperazine, up to 10 mg 2,457 2,306 $14.74
J0330 Injection, succinylcholine chloride, up to 20 mg 2,606 2,398 $10.56
84450 2,163 1,809 $10.37
85384 820 772 $8.95
J1956 Injection, levofloxacin, 250 mg 1,999 1,390 $8.91
84300 119 106 $8.64
82270 593 539 $8.59
86706 38 37 $8.59
J2175 Injection, meperidine hydrochloride, per 100 mg 2,709 2,566 $8.23
J7050 Infusion, normal saline solution, 250 cc 66 46 $5.10
J0692 Injection, cefepime hydrochloride, 500 mg 622 384 $5.04
85007 96 87 $4.88
J2470 Injection, pantoprazole sodium, 40 mg 418 309 $3.87
J1630 Injection, haloperidol, up to 5 mg 1,827 1,538 $3.28
J1836 Injection, metronidazole, 10 mg 326 189 $2.75
36415 Collection of venous blood by venipuncture 34 31 $2.70
J3105 Injection, terbutaline sulfate, up to 1 mg 1,105 986 $2.43
S0028 Injection, famotidine, 20 mg 1,654 1,504 $2.40
J7510 Prednisolone oral, per 5 mg 419 406 $2.20
J1920 Injection, labetalol hydrochloride, 5 mg 370 237 $1.81
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 3,649 3,273 $0.60
Q0244 Injection, casirivimab and imdevimab, 1200 mg 210 206 $0.01
J1171 Injection, hydromorphone, 0.1 mg 121 110 $0.00
J1580 Injection, garamycin, gentamicin, up to 80 mg 416 347 $0.00
0042T 408 388 $0.00
C1758 Catheter, ureteral 763 675 $0.00
85460 606 580 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 982 773 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 2,182 1,965 $0.00
88112 199 136 $0.00
87899 50 25 $0.00
29515 294 277 $0.00
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg 1,785 1,115 $0.00
99152 82 70 $0.00
87254 17 13 $0.00
J0694 Injection, cefoxitin sodium, 1 gm 210 156 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 442 384 $0.00
J2310 Injection, naloxone hydrochloride, per 1 mg 55 51 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 214 211 $0.00
82042 15 13 $0.00
88302 244 222 $0.00
80074 40 40 $0.00
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 146 115 $0.00
80164 57 38 $0.00
92610 151 150 $0.00
73070 92 81 $0.00
62270 14 12 $0.00
36600 15 14 $0.00
84295 39 26 $0.00
C1760 Closure device, vascular (implantable/insertable) 13 12 $0.00
J0736 Injection, clindamycin phosphate, 300 mg 82 68 $0.00
76376 97 95 $0.00
94726 139 137 $0.00
80076 12 12 $0.00
97163 12 12 $0.00
85049 42 40 $0.00
93041 206 201 $0.00
29505 14 12 $0.00
70360 25 25 $0.00
80202 12 12 $0.00
87324 84 78 $0.00
C1788 Port, indwelling (implantable) 13 12 $0.00
31500 34 30 $0.00
93356 13 13 $0.00
87102 46 42 $0.00
87045 29 27 $0.00
73100 43 40 $0.00
C1874 Stent, coated/covered, with delivery system 16 12 $0.00
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg 15 13 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 12 12 $0.00
88313 95 43 $0.00
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 22 14 $0.00
85347 15 12 $0.00
J2590 Injection, oxytocin, up to 10 units 18 12 $0.00
J0612 Injection, calcium gluconate, not otherwise specified, 10 mg 14 13 $0.00
97165 1,464 1,310 $0.00
J0610 Injection, calcium gluconate (fresenius kabi), per 10 ml 163 131 $0.00
94762 590 428 $0.00
G0008 Administration of influenza virus vaccine 630 579 $0.00
C2617 Stent, non-coronary, temporary, without delivery system 739 659 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 1,698 1,352 $0.00
74420 713 641 $0.00
97162 753 680 $0.00
73600 95 79 $0.00
82607 369 330 $0.00
J3411 Injection, thiamine hcl, 100 mg 135 106 $0.00
82945 226 169 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 385 331 $0.00
99292 107 106 $0.00
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 196 96 $0.00
G0379 Direct admission of patient for hospital observation care 66 55 $0.00
87206 242 152 $0.00
73560 105 89 $0.00
G0009 Administration of pneumococcal vaccine 28 25 $0.00
87116 131 97 $0.00
87449 220 159 $0.00
84157 573 399 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 519 476 $0.00
87184 83 78 $0.00
83615 128 106 $0.00
86308 68 66 $0.00
87340 105 104 $0.00
87046 29 27 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 45 40 $0.00
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 20 20 $0.00
90732 27 24 $0.00
J3535 Drug administered through a metered dose inhaler 20 18 $0.00
74022 14 12 $0.00
82746 65 64 $0.00
86592 43 37 $0.00
J2785 Injection, regadenoson, 0.1 mg 17 13 $0.00
97166 25 24 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 31 27 $0.00
74021 46 40 $0.00
73120 37 36 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 326 312 $0.00
Q5105 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units 22 16 $0.00
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 34 25 $0.00
73620 30 24 $0.00
88184 18 13 $0.00
86870 35 27 $0.00
29130 27 27 $0.00
J7042 5% dextrose/normal saline (500 ml = 1 unit) 15 12 $0.00
80177 13 13 $0.00
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 12 12 $0.00
94644 12 12 $0.00
84478 17 12 $0.00