Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › KY › PIKEVILLE › PIKEVILLE MEDICAL CENTER INC

PIKEVILLE MEDICAL CENTER INC

NPI: 1285621623 · PIKEVILLE, KY 41501 · General Acute Care Hospital · NPI assigned 09/30/2005

$181.38M
Total Medicaid Paid
4,310,485
Total Claims
3,059,506
Beneficiaries
733
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHAGY, MICHELLE (CFO)
NPI Enumeration Date09/30/2005

Related Entities

Other providers sharing the same authorized official: HAGY, MICHELLE

ProviderCityStateTotal Paid
PIKEVILLE MEDICAL CENTER INC. PIKEVILLE KY $34.42M
PIKEVILLE MEDICAL CENTER INC. PIKEVILLE KY $1.25M
PIKEVILLE MEDICAL CENTER INC. PIKEVILLE KY $809K
PIKEVILLE MEDICAL CENTER, INC. (PIKEVILLE FAMILY PRACTICE CLINIC) PIKEVILLE KY $424K
PIKEVILLE MEDICAL CENTER INC PIKEVILLE KY $160K
PIKEVILLE MEDICAL CENTER INC PIKEVILLE KY $155K
PIKEVILLE MEDICAL CENTER, INC. PIKEVILLE KY $62K
PIKEVILLE MEDICAL CENTER, INC. GRUNDY VA $749.26
PIKEVILLE MEDICAL CENTER, INC. PIKEVILLE KY $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 554,552 $22.90M
2019 554,744 $24.32M
2020 604,775 $26.38M
2021 668,580 $27.74M
2022 663,559 $26.14M
2023 683,990 $28.91M
2024 580,285 $24.99M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 501,201 350,864 $14.03M
99284 Emergency department visit for the evaluation and management, high severity 47,955 41,141 $8.88M
74177 Computed tomography, abdomen and pelvis; with contrast material 16,484 12,080 $8.64M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 36,278 23,382 $7.90M
0202U Oncology (prostate), multianalyte, gene expression profiling 18,745 15,833 $5.53M
74176 Computed tomography, abdomen and pelvis; without contrast material 13,722 9,663 $5.39M
99283 Emergency department visit for the evaluation and management, moderate severity 41,834 36,641 $5.24M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 11,722 9,975 $3.49M
70450 Computed tomography, head or brain; without contrast material 15,765 11,543 $2.93M
G0378 Hospital observation service, per hour 18,308 13,334 $2.80M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 69,456 52,772 $2.78M
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 69,576 29,866 $2.71M
71275 Computed tomographic angiography, chest, with contrast material 6,080 4,631 $2.69M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 6,548 4,882 $2.34M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 43,093 27,618 $2.21M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 31,569 14,219 $2.10M
59025 Fetal non-stress test 9,383 4,901 $1.96M
20610 13,455 8,556 $1.90M
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 5,028 4,451 $1.75M
41899 Unlisted procedure, dentoalveolar structures 2,268 1,855 $1.74M
74178 2,861 2,078 $1.69M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 6,927 4,965 $1.69M
72148 Magnetic resonance imaging, lumbar spine; without contrast material 4,888 4,368 $1.67M
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 19,320 17,325 $1.66M
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 57,321 45,755 $1.56M
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 3,848 2,770 $1.55M
96375 Therapeutic injection; each additional sequential IV push 42,619 23,323 $1.46M
96361 Intravenous infusion, hydration; each additional hour 42,960 23,524 $1.40M
80053 Comprehensive metabolic panel 115,210 84,206 $1.37M
71045 Radiologic examination, chest; single view 40,253 26,417 $1.36M
36415 Collection of venous blood by venipuncture 349,059 162,192 $1.31M
96376 26,855 9,561 $1.30M
72131 6,347 5,069 $1.30M
99282 Emergency department visit for the evaluation and management, low to moderate severity 13,094 11,632 $1.27M
47562 1,208 936 $1.23M
93017 3,911 3,489 $1.23M
71046 Radiologic examination, chest; 2 views 18,952 15,105 $1.12M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 25,426 7,761 $1.11M
97530 Therapeutic activities, direct patient contact, each 15 minutes 26,356 8,183 $1.10M
J7030 Infusion, normal saline solution , 1000 cc 48,600 28,105 $1.05M
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 24,559 21,113 $1.03M
72125 Computed tomography, cervical spine; without contrast material 5,845 4,792 $1.01M
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 2,478 2,223 $1.01M
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 9,957 5,296 $984K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 136,334 104,123 $926K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 17,981 14,922 $921K
J2785 Injection, regadenoson, 0.1 mg 2,670 2,347 $916K
71250 6,387 4,753 $908K
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 11,122 8,776 $865K
72141 2,763 2,278 $865K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 17,065 9,932 $856K
73630 12,012 9,653 $837K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 17,897 13,475 $833K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 6,879 5,240 $825K
78815 Positron emission tomography (PET) for limited area imaging 1,401 1,090 $785K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 2,131 1,715 $775K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 7,139 2,871 $770K
76830 Ultrasound, transvaginal 6,142 5,264 $755K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 22,033 5,305 $726K
42820 Tonsillectomy and adenoidectomy; younger than age 12 1,117 1,072 $718K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 1,123 1,012 $680K
93971 3,502 3,010 $658K
73610 8,378 6,682 $656K
84443 Thyroid stimulating hormone (TSH) 46,095 41,660 $655K
72128 3,909 3,171 $654K
73560 10,580 7,448 $642K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 12,722 10,681 $632K
76770 3,036 2,555 $628K
93454 834 331 $602K
73030 8,487 6,376 $585K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 18,267 16,772 $581K
73221 1,492 1,304 $567K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 2,406 1,631 $561K
88305 Level IV - Surgical pathology, gross and microscopic examination 9,890 8,066 $558K
93225 2,201 1,913 $537K
71260 Computed tomography, thorax, diagnostic; with contrast material 3,007 1,884 $533K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 2,583 1,843 $530K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 16,616 7,708 $525K
73130 7,061 5,793 $524K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,161 10,895 $520K
93970 2,655 2,331 $502K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 5,973 3,929 $485K
76536 4,624 4,225 $480K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 1,869 1,648 $478K
94760 87,777 72,935 $466K
70486 1,996 1,650 $460K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,420 996 $453K
J1439 Injection, ferric carboxymaltose, 1 mg 564 336 $446K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 8,842 7,851 $441K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 18,942 17,227 $440K
76705 Ultrasound, abdominal, real time with image documentation; limited 5,516 4,871 $437K
71270 1,957 1,062 $437K
73562 5,336 4,448 $418K
99281 Emergency department visit for the evaluation and management, self-limited or minor 6,954 6,272 $405K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,163 871 $399K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1,020 706 $399K
80048 Basic metabolic panel (calcium, ionized) 50,653 36,878 $399K
70551 Magnetic resonance imaging, brain; without contrast material 1,076 915 $380K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 4,411 3,858 $373K
80061 Lipid panel 33,274 27,615 $361K
J7120 Ringers lactate infusion, up to 1000 cc 30,961 23,068 $346K
84484 28,142 19,409 $339K
73110 5,217 4,010 $338K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 8,564 3,529 $325K
70498 1,019 757 $322K
94726 2,035 1,747 $298K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 7,684 7,069 $293K
Q9957 Injection, perflutren lipid microspheres, per ml 987 854 $287K
82607 22,009 20,179 $282K
J7050 Infusion, normal saline solution, 250 cc 19,345 8,597 $274K
C1776 Joint device (implantable) 434 263 $274K
72100 4,346 3,763 $271K
70496 906 650 $265K
87902 1,305 1,066 $265K
83880 9,725 6,956 $246K
70492 639 465 $245K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 1,314 471 $243K
87086 Culture, bacterial; quantitative colony count, urine 32,888 27,315 $242K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 9,753 8,437 $239K
87581 7,361 6,605 $237K
87486 7,663 6,659 $223K
93922 1,643 1,311 $222K
93226 1,677 1,538 $222K
J1453 Injection, fosaprepitant, 1 mg 1,616 905 $220K
85027 40,547 28,854 $220K
83036 Hemoglobin; glycosylated (A1C) 27,940 25,118 $218K
80074 6,761 6,071 $215K
76700 Ultrasound, abdominal, real time with image documentation; complete 2,989 2,716 $214K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 5,285 1,672 $214K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 2,953 2,625 $209K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 10,096 7,980 $208K
88304 4,455 3,822 $207K
86235 3,828 2,981 $200K
J2704 Injection, propofol, 10 mg 23,644 19,695 $194K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 17,707 16,585 $188K
73590 3,034 2,393 $186K
95811 440 403 $186K
81001 59,254 49,598 $183K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 5,636 1,799 $179K
96415 1,295 840 $177K
73700 1,177 857 $177K
72170 3,419 2,538 $175K
J3490 Unclassified drugs 9,649 4,642 $167K
J1170 Injection, hydromorphone, up to 4 mg 12,641 7,439 $167K
74183 568 419 $167K
74018 2,960 2,544 $165K
10060 1,023 876 $164K
77067 Screening mammography, bilateral, including computer-aided detection 6,081 5,886 $160K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 7,009 6,613 $159K
84145 8,387 6,289 $157K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 5,766 1,501 $156K
97153 Adaptive behavior treatment by protocol, administered by technician, each 15 minutes 3,923 333 $155K
73090 2,438 1,919 $152K
83605 16,811 12,300 $152K
84702 11,204 8,308 $151K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 3,034 2,449 $148K
76942 2,586 2,016 $147K
93880 2,409 1,976 $146K
87522 Neg quan hep c or qual rna 3,624 3,320 $146K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 4,827 4,464 $145K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 4,884 4,468 $144K
83690 22,365 18,804 $144K
73080 1,892 1,573 $141K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 7,019 6,359 $141K
72070 1,831 1,465 $138K
81420 Fetal chromosomal aneuploidy genomic sequence analysis panel 241 218 $137K
52000 766 584 $136K
82652 4,632 4,244 $134K
80047 11,566 9,964 $132K
72040 2,216 1,801 $131K
83516 4,152 3,286 $128K
87507 477 418 $126K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 4,568 3,994 $125K
J3370 Injection, vancomycin hcl, 500 mg 6,378 2,598 $124K
82805 2,303 1,824 $123K
95810 Polysomnography; sleep staging with 4 or more additional parameters 269 246 $122K
J3010 Injection, fentanyl citrate, 0.1 mg 27,666 21,171 $121K
C1769 Guide wire 4,207 3,247 $119K
11045 374 224 $117K
77080 1,231 951 $115K
96367 10,299 2,707 $114K
72158 262 212 $114K
77066 Tomosynthesis, mammo 2,303 1,848 $114K
77386 604 43 $109K
84703 16,000 13,951 $109K
J2270 Injection, morphine sulfate, up to 10 mg 12,229 7,245 $107K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 28,413 23,884 $107K
82962 16,154 6,785 $106K
83735 19,609 12,259 $106K
J3380 Injection, vedolizumab, intravenous, 1 mg 26 25 $105K
72146 348 288 $105K
94729 1,897 1,706 $103K
84439 12,921 11,769 $102K
36592 6,607 1,905 $102K
80081 1,702 1,547 $100K
36600 3,699 2,609 $100K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 267 254 $98K
J1030 Injection, methylprednisolone acetate, 40 mg 4,791 4,358 $98K
84144 5,122 4,345 $98K
73502 6,986 4,981 $98K
78227 327 273 $97K
64415 662 415 $97K
87040 7,732 5,148 $96K
11043 753 461 $94K
82728 8,078 7,080 $94K
64447 813 557 $94K
83520 4,229 3,408 $94K
J1644 Injection, heparin sodium, per 1000 units 15,228 5,235 $93K
87077 13,160 9,332 $92K
82746 7,447 6,791 $92K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 4,239 2,786 $91K
76642 2,251 1,990 $90K
86850 9,114 7,556 $90K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 24,657 20,176 $90K
77336 1,236 310 $89K
94010 1,957 1,372 $88K
77063 Screening digital breast tomosynthesis, bilateral 6,106 5,164 $88K
85610 22,420 16,467 $87K
86140 19,226 15,666 $85K
J1885 Injection, ketorolac tromethamine, per 15 mg 28,819 21,685 $84K
84403 3,806 3,503 $83K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 2,157 632 $83K
J0690 Injection, cefazolin sodium, 500 mg 12,121 7,781 $83K
95816 981 889 $82K
J2795 Injection, ropivacaine hydrochloride, 1 mg 3,568 2,348 $82K
0002A 4,992 4,834 $81K
80050 General health panel 2,316 1,742 $80K
69210 1,836 1,395 $80K
97162 5,072 2,910 $79K
93458 37 27 $79K
73100 1,333 1,042 $77K
83970 2,454 2,156 $77K
84425 4,241 3,874 $75K
83540 13,878 11,582 $75K
J1756 Injection, iron sucrose, 1 mg 477 174 $75K
J2405 Injection, ondansetron hydrochloride, per 1 mg 42,210 30,896 $75K
J0330 Injection, succinylcholine chloride, up to 20 mg 2,663 2,239 $74K
87070 8,011 4,948 $74K
80076 9,940 8,507 $73K
97597 1,416 992 $73K
87186 9,445 7,939 $73K
95909 822 753 $72K
81025 9,505 8,348 $72K
29125 886 786 $72K
86038 6,959 6,250 $71K
99218 548 399 $71K
81003 22,942 16,446 $71K
97803 4,836 4,228 $71K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 535 496 $70K
J2250 Injection, midazolam hydrochloride, per 1 mg 28,450 20,767 $70K
G0379 Direct admission of patient for hospital observation care 1,769 1,258 $70K
87430 4,564 4,262 $68K
51702 1,498 919 $68K
87634 1,095 1,035 $67K
94060 859 533 $67K
82105 4,024 3,643 $67K
78306 479 239 $66K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 2,806 2,178 $65K
85730 13,336 9,796 $62K
88342 1,412 1,105 $61K
J0696 Injection, ceftriaxone sodium, per 250 mg 12,413 8,020 $61K
76000 1,163 810 $61K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 7,317 6,346 $61K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 403 373 $60K
78264 255 202 $58K
97010 3,375 919 $58K
J1650 Injection, enoxaparin sodium, 10 mg 5,420 2,081 $57K
84207 2,392 2,162 $57K
0001A 5,142 4,927 $57K
93923 602 474 $55K
31575 1,184 932 $54K
86160 3,677 2,856 $54K
86480 1,087 1,001 $53K
76819 Fetal biophysical profile; without non-stress testing 1,465 993 $53K
73060 922 722 $53K
74022 551 480 $53K
97535 Self-care/home management training, each 15 minutes 2,380 1,139 $51K
20551 726 516 $51K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,056 1,006 $51K
76870 823 725 $50K
72110 500 423 $50K
99292 78 66 $50K
J0585 Injection, onabotulinumtoxina, 1 unit 457 310 $50K
83001 2,639 2,388 $48K
93925 436 387 $48K
80305 6,394 4,956 $48K
86147 1,100 808 $47K
84134 3,775 3,448 $47K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 1,354 1,107 $47K
86256 3,179 2,771 $46K
87481 921 770 $46K
84480 3,947 3,691 $45K
90715 3,757 3,465 $45K
82150 7,150 6,267 $45K
73070 719 553 $45K
86901 7,821 6,267 $45K
0353U 1,836 1,420 $44K
95806 758 591 $44K
C9113 Injection, pantoprazole sodium, per vial 5,253 2,239 $44K
11721 1,316 1,027 $43K
J0248 Injection, remdesivir, 1 mg 165 60 $43K
85652 15,687 13,292 $43K
82677 1,884 1,782 $43K
86376 3,368 3,087 $42K
92526 658 337 $41K
73120 645 538 $41K
90472 Immunization administration, each additional vaccine (list separately) 7,451 7,147 $41K
87899 1,439 1,207 $41K
84436 6,942 6,433 $41K
27447 141 25 $41K
83002 2,502 2,302 $41K
J1050 Injection, medroxyprogesterone acetate, 1 mg 1,837 1,764 $40K
77065 Tomosynthesis, mammo 1,655 1,270 $40K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 2,371 1,845 $40K
10005 206 171 $40K
82803 2,274 1,706 $39K
J1953 Injection, levetiracetam, 10 mg 533 301 $39K
82550 5,221 4,078 $39K
84466 4,104 3,543 $39K
86900 7,761 6,255 $39K
85379 4,505 3,757 $37K
93296 4,430 4,040 $37K
87340 4,642 4,154 $37K
12001 715 547 $37K
58300 536 498 $37K
82784 3,641 2,876 $36K
86762 3,197 2,869 $36K
97116 1,874 604 $36K
J2360 Injection, orphenadrine citrate, up to 60 mg 1,805 1,635 $35K
49083 237 97 $34K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 6,009 2,748 $34K
92523 543 459 $34K
97166 1,941 1,545 $34K
86200 3,474 2,987 $34K
20550 250 225 $33K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 5,681 4,885 $32K
84153 2,372 2,093 $32K
87081 3,569 3,274 $32K
86255 2,487 2,159 $31K
73552 1,809 1,400 $30K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,033 1,872 $30K
43235 108 82 $30K
86803 2,616 2,377 $30K
95886 929 769 $29K
73140 1,158 905 $29K
G0390 Trauma response team associated with hospital critical care service 43 39 $29K
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 2,003 1,778 $28K
82239 1,897 1,450 $28K
81002 8,562 6,265 $28K
J0875 Injection, dalbavancin, 5 mg 12 12 $28K
C9290 Injection, bupivacaine liposome, 1 mg 102 72 $28K
83615 4,949 3,634 $28K
98926 1,739 1,499 $27K
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 840 388 $27K
86336 1,877 1,778 $27K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 1,643 1,220 $27K
86146 858 723 $26K
84146 1,551 1,422 $26K
J2790 Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) 371 322 $25K
81514 381 307 $25K
86709 2,993 2,602 $25K
36430 166 95 $25K
J7070 Infusion, d5w, 1000 cc 1,176 569 $25K
73564 257 226 $25K
86225 2,467 2,124 $25K
52352 41 26 $25K
86320 1,026 914 $25K
84550 6,099 4,943 $25K
82330 2,330 1,473 $25K
86708 2,015 1,852 $25K
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg 205 81 $24K
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 1,864 1,010 $24K
84100 6,382 3,912 $24K
88307 435 318 $24K
J3475 Injection, magnesium sulfate, per 500 mg 2,195 1,218 $24K
73600 434 352 $24K
93308 290 240 $23K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 3,093 2,455 $23K
29824 115 96 $23K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 2,332 1,510 $23K
82378 1,415 1,043 $23K
73620 334 299 $23K
J2919 Injection, methylprednisolone sodium succinate, 5 mg 1,339 941 $23K
82172 1,303 1,107 $23K
83883 1,589 1,421 $23K
86704 2,026 1,883 $23K
73521 905 708 $22K
C1887 Catheter, guiding (may include infusion/perfusion capability) 809 682 $22K
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 5,425 3,420 $22K
77300 99 44 $22K
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose 420 194 $22K
J3480 Injection, potassium chloride, per 2 meq 1,609 1,003 $21K
J7060 5% dextrose/water (500 ml = 1 unit) 955 505 $21K
84481 1,556 1,414 $21K
Q3014 Telehealth originating site facility fee 5,708 4,924 $21K
76857 142 121 $21K
J1956 Injection, levofloxacin, 250 mg 1,089 573 $20K
98927 1,268 1,102 $20K
29881 73 56 $20K
J2550 Injection, promethazine hcl, up to 50 mg 4,348 2,930 $20K
72157 54 41 $20K
86706 1,788 1,637 $19K
82140 1,831 1,274 $19K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 91 89 $19K
74220 139 127 $19K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 600 514 $19K
86592 4,701 4,173 $19K
86618 791 698 $19K
96417 780 451 $19K
87493 619 516 $19K
64615 177 161 $18K
J2370 Injection, phenylephrine hcl, up to 1 ml 3,561 2,883 $18K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 5,761 5,105 $18K
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 2,308 2,076 $18K
82085 1,336 1,168 $17K
83655 1,467 1,406 $17K
72202 288 276 $17K
84402 862 771 $16K
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 1,186 321 $16K
97161 779 650 $16K
86334 1,060 966 $16K
82951 1,278 1,091 $16K
74174 125 100 $16K
82248 3,421 2,863 $16K
96523 2,233 593 $16K
29879 53 40 $16K
83010 1,304 1,208 $16K
92557 367 321 $16K
72050 167 139 $16K
29425 280 236 $16K
84156 3,931 2,988 $15K
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring 88 83 $15K
83550 2,256 2,052 $15K
86317 1,303 1,157 $15K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 658 476 $15K
V2632 Posterior chamber intraocular lens 507 366 $15K
J1200 Injection, diphenhydramine hcl, up to 50 mg 4,540 3,534 $14K
82565 3,858 3,119 $14K
70491 57 43 $14K
81374 204 157 $14K
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 13,894 10,370 $14K
82747 923 857 $14K
71271 662 526 $14K
85007 4,257 3,402 $13K
87807 1,048 990 $13K
J0736 Injection, clindamycin phosphate, 300 mg 504 315 $13K
11055 303 227 $13K
12002 149 130 $13K
77334 47 27 $12K
74240 106 93 $12K
J7042 5% dextrose/normal saline (500 ml = 1 unit) 555 335 $12K
82360 765 637 $12K
86430 2,385 2,180 $12K
77002 252 175 $12K
82043 2,361 2,116 $12K
97802 502 459 $12K
88312 814 682 $12K
J0184 Injection, amisulpride, 1 mg 119 93 $12K
87075 1,212 919 $12K
J1580 Injection, garamycin, gentamicin, up to 80 mg 1,806 1,018 $11K
90746 625 567 $11K
82950 2,779 2,438 $11K
72156 35 29 $11K
P9047 Infusion, albumin (human), 25%, 50 ml 71 28 $11K
J0360 Injection, hydralazine hcl, up to 20 mg 693 488 $11K
82977 1,446 1,324 $11K
87045 1,237 986 $11K
80069 1,204 971 $11K
42821 16 14 $10K
84165 1,277 1,130 $10K
96130 183 177 $10K
73702 53 28 $10K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk 29 26 $10K
97804 1,064 931 $10K
84132 2,348 1,810 $10K
80177 725 667 $9K
92567 577 547 $9K
76882 156 143 $9K
82103 788 689 $9K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 256 241 $9K
86431 2,156 1,749 $9K
A9537 Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries 323 312 $9K
90686 2,753 2,530 $9K
J2469 Injection, palonosetron hcl, 25 mcg 131 81 $8K
87209 520 454 $8K
93270 621 557 $8K
82570 1,821 1,533 $8K
95249 500 467 $8K
11750 41 32 $8K
96131 182 176 $8K
81596 292 245 $8K
90670 3,072 2,941 $8K
86308 1,545 1,420 $8K
87800 297 260 $8K
90714 208 194 $8K
75635 48 29 $8K
83874 331 219 $8K
29880 31 28 $8K
73200 27 24 $8K
93312 17 12 $8K
J1010 Injection, methylprednisolone acetate, 1 mg 429 408 $8K
0004A 1,046 985 $7K
90846 Family psychotherapy without the patient present, 50 minutes 162 154 $7K
90633 2,066 2,001 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 514 449 $7K
G0105 Colorectal cancer screening; colonoscopy on individual at high risk 12 12 $7K
82731 106 101 $7K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 1,132 682 $7K
90474 2,851 2,747 $7K
92083 270 244 $7K
82553 352 246 $7K
86665 209 184 $7K
76801 155 133 $6K
J1630 Injection, haloperidol, up to 5 mg 819 662 $6K
J1815 Injection, insulin, per 5 units 224 120 $6K
85018 2,838 2,273 $6K
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg 491 373 $6K
J0561 Injection, penicillin g benzathine, 100,000 units 19 17 $6K
93298 643 609 $6K
J0692 Injection, cefepime hydrochloride, 500 mg 602 126 $6K
80202 704 346 $6K
64445 52 28 $6K
82390 646 579 $6K
82947 1,670 1,119 $5K
J7614 Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg 730 275 $5K
86705 474 435 $5K
86920 144 97 $5K
J2060 Injection, lorazepam, 2 mg 1,705 1,269 $5K
M0222 Intravenous injection, bebtelovimab, includes injection and post administration monitoring 55 53 $5K
76519 311 202 $5K
85045 1,500 1,363 $5K
J0780 Injection, prochlorperazine, up to 10 mg 286 235 $5K
C1726 Catheter, balloon dilatation, non-vascular 28 24 $5K
83993 275 242 $5K
29826 127 108 $5K
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 263 246 $5K
83527 439 413 $5K
97035 148 44 $5K
72082 133 127 $5K
J8540 Dexamethasone, oral, 0.25 mg 1,210 485 $5K
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 2,362 719 $5K
J7626 Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg 206 53 $4K
J3360 Injection, diazepam, up to 5 mg 243 140 $4K
87177 540 469 $4K
87538 174 158 $4K
87205 1,357 1,096 $4K
90688 1,442 1,382 $4K
17110 67 59 $4K
96368 321 170 $4K
98925 265 236 $4K
36416 2,496 839 $4K
83921 303 271 $4K
99152 129 107 $4K
L4387 Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf 200 134 $4K
87535 172 156 $4K
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose 103 42 $4K
83525 401 381 $4K
84450 1,001 861 $4K
82787 658 566 $4K
P9016 Red blood cells, leukocytes reduced, each unit 126 69 $4K
84460 953 814 $4K
A4565 Slings 1,760 1,314 $4K
C2617 Stent, non-coronary, temporary, without delivery system 114 90 $4K
29515 49 42 $4K
93299 364 344 $4K
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 100 96 $4K
77280 106 12 $4K
11102 61 51 $4K
94667 165 120 $4K
57500 13 13 $4K
J1940 Injection, furosemide, up to 20 mg 879 357 $4K
93280 548 312 $4K
87517 96 90 $3K
97151 253 101 $3K
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 13 12 $3K
84295 434 333 $3K
A9561 Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries 34 28 $3K
C1758 Catheter, ureteral 306 263 $3K
11056 125 76 $3K
J2765 Injection, metoclopramide hcl, up to 10 mg 1,586 1,251 $3K
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 98 68 $3K
90632 303 279 $3K
76775 63 40 $3K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 32 30 $3K
73000 78 53 $3K
88313 158 130 $3K
P9612 Catheterization for collection of specimen, single patient, all places of service 1,144 974 $3K
88341 81 64 $3K
0012A 216 209 $3K
29876 40 27 $3K
86580 367 314 $3K
C2618 Probe/needle, cryoablation 118 36 $3K
58100 14 14 $3K
90680 2,677 2,598 $2K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 151 122 $2K
86617 220 187 $2K
75574 15 15 $2K
12011 39 38 $2K
29130 55 51 $2K
J0137 Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg 141 122 $2K
86300 141 80 $2K
82247 488 331 $2K
95819 48 37 $2K
90677 627 617 $2K
82533 147 132 $2K
82164 70 67 $2K
71101 32 29 $2K
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 109 61 $2K
82785 86 79 $2K
85014 1,136 798 $2K
J1596 Injection, glycopyrrolate, 0.1 mg 151 132 $2K
85384 244 184 $2K
84445 42 40 $2K
90647 2,969 2,865 $2K
94668 35 16 $2K
86703 178 155 $2K
E0114 Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips 150 131 $2K
25600 14 14 $2K
29075 27 25 $2K
90700 552 536 $2K
51798 53 39 $2K
97163 250 66 $2K
90832 Psychotherapy, 30 minutes with patient 69 61 $2K
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 965 368 $2K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 113 106 $1K
84479 386 364 $1K
90723 3,023 2,925 $1K
90649 138 132 $1K
97156 156 132 $1K
G0297 Low dose ct scan (ldct) for lung cancer screening 50 49 $1K
58301 14 14 $1K
0011A 191 177 $1K
J2470 Injection, pantoprazole sodium, 40 mg 208 70 $1K
72072 12 12 $1K
93291 102 70 $1K
86664 86 80 $1K
84432 80 68 $1K
80171 57 53 $1K
94664 73 57 $1K
82010 195 135 $1K
84630 130 113 $1K
86663 84 78 $1K
82272 327 268 $983.94
85732 252 215 $982.30
0003A 118 110 $939.63
76937 145 108 $928.14
82525 95 87 $917.03
A4649 Surgical supply; miscellaneous 366 263 $910.50
86738 55 51 $907.80
G0010 Administration of hepatitis b vaccine 46 39 $903.36
0071A 135 118 $888.41
M0239 Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring 25 25 $885.69
76641 12 12 $885.18
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 163 122 $852.61
87329 74 67 $837.65
90707 395 381 $821.88
94761 109 51 $820.37
0072A 109 104 $797.48
80323 31 31 $784.46
J0500 Injection, dicyclomine hcl, up to 20 mg 34 29 $781.76
94618 41 30 $777.20
J1171 Injection, hydromorphone, 0.1 mg 190 96 $775.42
97018 37 12 $775.00
99219 43 35 $766.59
86769 19 18 $736.38
93271 15 13 $707.67
87449 68 52 $651.84
98928 30 26 $642.06
C1729 Catheter, drainage 56 37 $609.56
86800 49 44 $603.13
J0694 Injection, cefoxitin sodium, 1 gm 40 33 $602.02
A9270 Non-covered item or service 6,264 1,233 $593.19
82009 124 100 $588.95
86304 42 28 $564.27
J7121 5% dextrose in lactated ringers infusion, up to 1000 cc 40 25 $527.12
90734 363 356 $494.70
G0109 Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes 16 16 $494.47
J3411 Injection, thiamine hcl, 100 mg 64 27 $462.96
92136 16 15 $453.39
81015 1,017 924 $449.85
80164 38 36 $447.65
82552 40 36 $445.92
90716 344 329 $420.20
G0008 Administration of influenza virus vaccine 62 47 $411.06
90671 244 241 $395.75
90710 593 574 $358.45
84446 29 28 $351.42
86682 41 37 $349.45
97167 36 28 $347.14
83825 29 26 $345.13
82040 223 190 $344.76
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 963 618 $332.86
90658 139 134 $331.67
82175 29 26 $326.73
87210 60 56 $326.34
90651 121 119 $323.19
82948 172 112 $321.80
82670 13 12 $311.26
36591 39 14 $282.02
86301 17 12 $270.13
84520 133 96 $265.70
90655 106 104 $264.85
82705 72 45 $256.37
90685 662 629 $252.52
85300 36 27 $235.38
82435 32 27 $210.97
J2003 Injection, lidocaine hydrochloride, 1 mg 311 286 $199.92
97168 15 12 $191.22
84155 109 95 $188.33
84442 14 12 $177.38
87425 13 12 $170.09
82952 84 75 $158.21
J3105 Injection, terbutaline sulfate, up to 1 mg 43 36 $153.87
84590 13 13 $150.69
86593 39 36 $150.15
87101 21 16 $149.28
80185 18 12 $133.10
A9577 Injection, gadobenate dimeglumine (multihance), per ml 28 25 $114.88
90696 265 257 $108.73
85302 16 12 $107.61
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 19 13 $107.23
87324 30 26 $106.62
J7510 Prednisolone oral, per 5 mg 49 24 $97.60
84075 25 25 $94.24
85613 16 14 $87.36
J2780 Injection, ranitidine hydrochloride, 25 mg 18 16 $86.17
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 108 40 $67.92
85670 12 12 $46.88
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 89 72 $36.09
85049 20 15 $23.36
90653 43 22 $11.82
90620 33 33 $0.00
29823 15 12 $0.00