Medicaid Provider Spending

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

LONG ISLAND JEWISH MEDICAL CENTER

NPI: 1285641514 · NEW HYDE PARK, NY 11040 · General Acute Care Hospital · NPI assigned 08/01/2006

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

Authorized official CUSACK, MICHELE controls 20+ related entities in our dataset. Read more

$370.91M
Total Medicaid Paid
4,006,664
Total Claims
3,241,761
Beneficiaries
745
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCUSACK, MICHELE (SENIOR VICE PRESIDENT & CFO)
NPI Enumeration Date08/01/2006

Related Entities

Other providers sharing the same authorized official: CUSACK, MICHELE

ProviderCityStateTotal Paid
NORTH SHORE UNIVERSITY HOSPITAL NEW HYDE PARK NY $166.53M
STATEN ISLAND UNIVERSITY HOSPITAL STATEN ISLAND NY $118.12M
REGIONCARE INC. GARDEN CITY NY $96.55M
NORTH SHORE UNIVERSITY HOSPITAL MANHASSET NY $87.68M
LENOX HILL HOSPITAL NEW YORK NY $63.17M
SOUTH SHORE UNIVERSITY HOSPITAL BAY SHORE NY $47.45M
JOHN T. MATHER MEMORIAL HOSPITAL PORT JEFFERSON NY $20.34M
PHELPS MEMORIAL HOSPITAL ASSOCIATION SLEEPY HOLLOW NY $20.17M
NORTH SHORE UNIVERSITY HOSPITAL WESTBURY NY $17.90M
TRUE NORTH MEDICAL GROUP PC MERRICK NY $12.56M
HUNTINGTON HOSPITAL ASSOCIATION HUNTINGTON NY $9.83M
THE LONG ISLAND HOME AMITYVILLE NY $9.49M
REGIONCARE INC. GREAT NECK NY $9.43M
LONG ISLAND JEWISH MEDICAL CENTER VALLEY STREAM NY $8.41M
HUNTINGTON HOSPITAL DOLAN FAMILY HEALTH CENTER GREENLAWN NY $8.03M
GLEN COVE HOSPITAL GLEN COVE NY $7.72M
CENTRAL SUFFOLK HOSPITAL RIVERHEAD NY $7.66M
NORTHERN WESTCHESTER HOSPITAL ASSOCIATION MOUNT KISCO NY $7.58M
PLAINVIEW HOSPITAL PLAINVIEW NY $6.39M
NORTH SHORE - LIJ ANESTHESIOLOGY, PC CHAPPAQUA NY $6.07M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 58,573 $3.41M
2019 261,587 $21.52M
2020 585,684 $52.28M
2021 749,569 $73.61M
2022 801,785 $78.42M
2023 837,545 $79.81M
2024 711,921 $61.86M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
J9271 Injection, pembrolizumab, 1 mg 2,183 1,725 $30.15M
J7170 Injection, emicizumab-kxwh, 0.5 mg 1,072 1,043 $26.52M
99283 Emergency department visit for the evaluation and management, moderate severity 114,880 110,331 $24.55M
99284 Emergency department visit for the evaluation and management, high severity 117,667 111,626 $23.28M
J1745 Injection, infliximab, excludes biosimilar, 10 mg 2,337 2,155 $18.13M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 125,219 109,276 $17.44M
90834 Psychotherapy, 45 minutes with patient 62,861 29,379 $10.96M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 73,912 60,681 $9.90M
90832 Psychotherapy, 30 minutes with patient 61,615 34,224 $8.62M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 42,590 41,057 $8.33M
99282 Emergency department visit for the evaluation and management, low to moderate severity 35,706 34,956 $7.39M
H0005 Alcohol and/or drug services; group counseling by a clinician 51,592 11,494 $6.29M
J9299 Injection, nivolumab, 1 mg 449 331 $4.79M
36430 6,621 4,368 $4.58M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 24,994 15,893 $4.42M
G0378 Hospital observation service, per hour 6,822 4,921 $3.97M
74177 Computed tomography, abdomen and pelvis; with contrast material 15,376 15,016 $3.78M
J2505 Injection, pegfilgrastim, 6 mg 754 554 $3.27M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 29,423 7,987 $3.24M
70450 Computed tomography, head or brain; without contrast material 14,024 13,695 $3.12M
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 1,682 1,659 $3.12M
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 75,116 12,839 $3.09M
P9040 Red blood cells, leukocytes reduced, irradiated, each unit 5,662 4,327 $3.05M
J0897 Injection, denosumab, 1 mg 1,057 1,026 $2.89M
99215 Prolong outpt/office vis 16,613 15,910 $2.86M
Q5118 Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg 896 562 $2.83M
80053 Comprehensive metabolic panel 160,202 140,980 $2.82M
Q5104 Injection, infliximab-abda, biosimilar, (renflexis), 10 mg 639 596 $2.78M
36416 59,377 35,335 $2.78M
90853 Group psychotherapy (other than of a multiple-family group) 41,407 13,226 $2.78M
C1889 Implantable/insertable device, not otherwise classified 6,738 5,775 $2.75M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 4,213 4,193 $2.67M
96415 7,431 4,719 $2.62M
J9355 Injection, trastuzumab, excludes biosimilar, 10 mg 469 321 $2.59M
H2019 Therapeutic behavioral services, per 15 minutes 4,684 4,554 $2.50M
J2506 Injection, pegfilgrastim, excludes biosimilar, 0.5 mg 1,119 808 $2.40M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 15,645 10,144 $2.35M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 18,662 14,379 $2.33M
G2067 Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) 11,039 5,443 $2.28M
36415 Collection of venous blood by venipuncture 189,571 101,956 $2.18M
96361 Intravenous infusion, hydration; each additional hour 10,459 8,785 $2.09M
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 5,817 5,681 $2.04M
J9144 Injection, daratumumab, 10 mg and hyaluronidase-fihj 215 115 $1.93M
59025 Fetal non-stress test 13,301 11,072 $1.91M
77386 6,816 646 $1.84M
70551 Magnetic resonance imaging, brain; without contrast material 4,887 4,771 $1.68M
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 19,699 19,149 $1.67M
90870 3,485 1,526 $1.60M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 3,128 3,055 $1.55M
90792 Psychiatric diagnostic evaluation with medical services 6,548 5,889 $1.50M
J3380 Injection, vedolizumab, intravenous, 1 mg 155 133 $1.49M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 11,247 11,123 $1.31M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 11,044 11,011 $1.31M
H0004 Behavioral health counseling and therapy, per 15 minutes 15,608 9,154 $1.18M
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,696 1,684 $1.18M
Q5117 Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg 392 262 $1.15M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 11,460 9,759 $1.12M
86900 40,077 34,188 $1.11M
76770 3,533 3,463 $1.05M
77336 3,473 1,767 $992K
74176 Computed tomography, abdomen and pelvis; without contrast material 4,129 4,042 $979K
77412 3,180 441 $958K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 15,696 15,227 $916K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 5,052 4,952 $857K
86901 39,843 33,996 $857K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 9,925 2,881 $801K
86850 39,500 33,844 $797K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 713 688 $794K
J9306 Injection, pertuzumab, 1 mg 80 61 $772K
76705 Ultrasound, abdominal, real time with image documentation; limited 12,655 12,159 $740K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 5,720 5,649 $740K
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) 1,076 719 $736K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 4,218 3,058 $726K
96416 1,753 1,025 $718K
12011 1,939 1,931 $710K
12001 1,824 1,818 $703K
36000 34,908 32,423 $674K
Q5108 Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg 208 159 $666K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,084 5,069 $641K
96375 Therapeutic injection; each additional sequential IV push 40,875 33,296 $627K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1,581 1,526 $623K
76700 Ultrasound, abdominal, real time with image documentation; complete 2,763 2,713 $610K
71275 Computed tomographic angiography, chest, with contrast material 2,812 2,740 $602K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 59,594 54,659 $586K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,789 3,746 $579K
P9037 Platelets, pheresis, leukocytes reduced, irradiated, each unit 653 296 $573K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 11,918 3,513 $571K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 6,953 1,657 $541K
J1756 Injection, iron sucrose, 1 mg 7,812 3,736 $523K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 4,889 3,945 $522K
76830 Ultrasound, transvaginal 7,206 6,859 $511K
93970 1,353 1,330 $502K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 7,123 5,274 $501K
42820 Tonsillectomy and adenoidectomy; younger than age 12 376 375 $492K
H0035 Mental health partial hospitalization, treatment, less than 24 hours 1,904 260 $490K
H2011 Crisis intervention service, per 15 minutes 1,961 1,672 $490K
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 14,442 12,963 $484K
58558 389 389 $470K
90791 Psychiatric diagnostic evaluation 2,139 2,090 $469K
14040 323 322 $467K
74183 946 927 $450K
96450 1,021 876 $442K
90836 3,619 1,834 $426K
93975 942 931 $415K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1,245 1,224 $412K
54161 542 538 $409K
85027 85,847 65,919 $384K
J9217 Leuprolide acetate (for depot suspension), 7.5 mg 1,090 1,049 $382K
J1569 Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg 205 183 $382K
G0498 Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies, with continuation of the infusion in the community setting (e.g., home, domiciliary, rest home or assisted living) using a portable pump provided by the office/clinic, includes follow up office/clinic visit at the conclusion of the infusion 592 356 $381K
C1769 Guide wire 2,228 2,155 $379K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 4,223 3,844 $378K
77334 1,366 1,041 $376K
92551 7,692 7,548 $376K
96367 4,872 3,178 $374K
96409 4,715 2,576 $374K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 1,395 1,370 $369K
70498 1,847 1,791 $366K
90837 Psychotherapy, 53 minutes with patient 2,200 1,169 $364K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,952 2,915 $359K
H2010 Comprehensive medication services, per 15 minutes 4,054 3,340 $354K
10060 1,269 1,247 $351K
A9585 Injection, gadobutrol, 0.1 ml 4,990 4,947 $339K
85045 23,718 18,311 $336K
76818 4,125 2,832 $335K
72197 705 693 $334K
90460 Immunization administration through 18 years of age via any route, first or only component 11,211 11,133 $320K
88305 Level IV - Surgical pathology, gross and microscopic examination 11,017 10,778 $316K
77300 1,161 1,089 $310K
90847 Family psychotherapy with the patient present, 50 minutes 1,233 913 $308K
97530 Therapeutic activities, direct patient contact, each 15 minutes 4,334 1,209 $302K
80048 Basic metabolic panel (calcium, ionized) 19,245 18,620 $299K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 25,344 21,946 $299K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 3,613 3,383 $296K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 1,701 1,667 $295K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,307 2,283 $294K
92526 2,648 1,232 $291K
J1453 Injection, fosaprepitant, 1 mg 3,729 2,351 $290K
J9305 Injection, pemetrexed, not otherwise specified, 10 mg 124 74 $290K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 13,636 12,701 $289K
99157 1,783 1,760 $284K
Q5119 Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg 59 41 $271K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 9,286 8,635 $271K
J9070 Cyclophosphamide, 100 mg 800 524 $270K
96523 13,438 6,453 $268K
90839 1,545 1,452 $267K
47562 137 137 $266K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 434 433 $265K
71046 Radiologic examination, chest; 2 views 31,761 30,568 $264K
J2469 Injection, palonosetron hcl, 25 mcg 8,977 5,398 $260K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 614 569 $258K
96417 5,159 3,314 $257K
97161 2,310 2,305 $253K
J9041 Injection, bortezomib, 0.1 mg 374 126 $250K
90846 Family psychotherapy without the patient present, 50 minutes 1,874 1,373 $247K
77290 616 582 $242K
72141 783 766 $240K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,156 1,135 $240K
J3490 Unclassified drugs 55,717 40,000 $239K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 16,311 15,974 $238K
90670 7,704 7,696 $223K
51600 409 402 $220K
70491 930 911 $218K
47563 95 95 $202K
29125 944 927 $202K
99281 Emergency department visit for the evaluation and management, self-limited or minor 974 847 $200K
J0640 Injection, leucovorin calcium, per 50 mg 2,492 1,418 $198K
76000 2,593 2,546 $196K
36591 10,201 6,019 $196K
76536 1,979 1,921 $194K
12002 502 499 $193K
96411 3,508 2,307 $189K
86480 3,174 3,125 $186K
0225U 25,155 24,318 $185K
70496 1,901 1,840 $178K
99381 1,669 1,663 $178K
86902 2,820 2,198 $176K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 12,507 12,329 $175K
J7030 Infusion, normal saline solution , 1000 cc 66,519 56,366 $174K
71250 1,260 1,232 $172K
82803 13,370 12,485 $172K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 68,462 60,378 $168K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,169 1,145 $168K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 7,664 7,430 $167K
10E0XZZ 280 30 $165K
93971 2,389 2,341 $165K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 8,439 8,164 $164K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 55,068 51,404 $164K
93017 2,314 2,277 $160K
Q5121 Injection, infliximab-axxq, biosimilar, (avsola), 10 mg 285 233 $158K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,082 1,081 $153K
97116 3,125 996 $152K
90715 6,626 6,304 $152K
99173 5,877 5,864 $146K
83880 7,305 7,192 $145K
99385 1,101 1,090 $144K
51701 607 601 $142K
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units 345 208 $141K
70486 1,718 1,674 $141K
76870 1,897 1,814 $141K
44970 69 69 $135K
25605 287 285 $134K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 1,110 1,100 $133K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,043 1,032 $132K
J9264 Injection, paclitaxel protein-bound particles, 1 mg 59 24 $130K
J7050 Infusion, normal saline solution, 250 cc 36,143 19,099 $130K
88307 2,012 1,975 $129K
76801 1,753 1,589 $128K
92567 4,665 4,619 $121K
74230 1,271 1,250 $121K
J9263 Injection, oxaliplatin, 0.5 mg 855 514 $121K
J2785 Injection, regadenoson, 0.1 mg 536 501 $118K
90461 5,982 5,965 $117K
92579 1,840 1,832 $117K
82728 12,424 11,132 $114K
31575 831 820 $114K
86923 4,255 3,666 $113K
96376 6,365 5,302 $112K
90686 11,776 11,612 $111K
92652 868 859 $110K
C9399 Unclassified drugs or biologicals 1,814 1,802 $110K
99155 1,184 1,151 $110K
D7140 Extraction, erupted tooth or exposed root 374 367 $109K
96402 1,853 1,746 $109K
96401 1,508 598 $108K
D1110 Prophylaxis - adult 1,354 561 $107K
78815 Positron emission tomography (PET) for limited area imaging 71 68 $102K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 12,741 12,378 $101K
99156 1,876 1,764 $100K
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 11,538 10,542 $99K
31231 710 705 $99K
95810 Polysomnography; sleep staging with 4 or more additional parameters 133 115 $95K
99051 4,561 2,512 $94K
88185 272 226 $92K
H0038 Self-help/peer services, per 15 minutes 1,228 548 $88K
77295 344 311 $88K
C1781 Mesh (implantable) 193 189 $87K
72125 Computed tomography, cervical spine; without contrast material 2,478 2,416 $86K
J9045 Injection, carboplatin, 50 mg 2,294 1,476 $86K
92611 638 633 $85K
H2018 Psychosocial rehabilitation services, per diem 220 213 $84K
J9190 Injection, fluorouracil, 500 mg 2,965 1,427 $83K
19301 37 37 $81K
24640 215 212 $81K
J9267 Injection, paclitaxel, 1 mg 2,541 1,315 $81K
90716 4,078 4,071 $81K
81025 23,293 21,928 $77K
J9206 Injection, irinotecan, 20 mg 1,370 740 $77K
90698 7,866 7,860 $73K
90680 6,160 6,157 $73K
80061 Lipid panel 6,878 6,629 $72K
76819 Fetal biophysical profile; without non-stress testing 1,000 924 $71K
77301 94 90 $71K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 108 108 $71K
95710 165 165 $70K
90378 126 124 $69K
81507 308 308 $69K
C1887 Catheter, guiding (may include infusion/perfusion capability) 547 529 $69K
74455 405 390 $69K
87800 3,216 3,149 $68K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 895 868 $68K
29515 335 334 $67K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk 88 88 $66K
99205 Prolong outpt/office vis 354 353 $65K
97162 671 663 $63K
49505 29 28 $62K
83735 28,513 23,297 $62K
77280 150 137 $62K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 2,230 2,215 $61K
86922 1,576 1,180 $61K
76885 645 634 $60K
96160 3,025 3,010 $60K
76882 1,125 1,079 $59K
90849 733 332 $59K
95708 283 279 $58K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 481 423 $58K
84702 29,095 26,751 $58K
92557 1,164 1,150 $57K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 3,036 3,017 $57K
J1050 Injection, medroxyprogesterone acetate, 1 mg 883 705 $55K
72131 464 455 $55K
71045 Radiologic examination, chest; single view 15,468 14,869 $54K
V5020 Conformity evaluation 902 794 $54K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 6,460 6,373 $53K
92587 1,182 1,177 $52K
82607 3,966 3,847 $51K
70487 219 210 $51K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 258 127 $50K
88304 2,086 2,068 $50K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 376 293 $49K
92610 809 784 $48K
92582 435 434 $48K
75561 68 68 $47K
90651 1,340 1,325 $46K
90899 688 616 $45K
29888 14 14 $45K
97535 Self-care/home management training, each 15 minutes 674 346 $44K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 358 345 $43K
76775 632 625 $43K
73700 216 215 $43K
83036 Hemoglobin; glycosylated (A1C) 14,527 14,242 $43K
96522 812 689 $43K
84443 Thyroid stimulating hormone (TSH) 16,096 15,525 $43K
J1885 Injection, ketorolac tromethamine, per 15 mg 30,021 28,017 $42K
87653 1,643 1,639 $42K
86769 2,980 2,911 $42K
J7120 Ringers lactate infusion, up to 1000 cc 7,556 7,112 $42K
81003 44,133 35,481 $41K
90633 4,362 4,356 $41K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 8,468 8,130 $41K
83020 4,725 3,937 $41K
58300 326 321 $41K
70543 107 104 $41K
S5102 Day care services, adult; per diem 253 24 $39K
74174 158 155 $39K
84100 17,445 13,370 $39K
86780 10,167 9,996 $39K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 11,089 10,008 $38K
78451 122 106 $38K
74018 2,934 2,829 $37K
81001 52,940 50,261 $37K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 1,367 829 $37K
86703 3,409 3,376 $37K
87507 712 708 $35K
83550 8,851 8,243 $35K
69210 504 494 $34K
90707 3,566 3,560 $34K
83655 2,531 2,508 $34K
49650 13 13 $34K
51702 139 136 $34K
81420 Fetal chromosomal aneuploidy genomic sequence analysis panel 101 100 $34K
85245 881 828 $33K
72156 87 86 $33K
P9100 Pathogen(s) test for platelets 597 266 $33K
J7060 5% dextrose/water (500 ml = 1 unit) 7,711 4,345 $33K
95700 301 297 $32K
29065 106 103 $31K
77338 66 65 $31K
82248 8,046 5,700 $31K
87086 Culture, bacterial; quantitative colony count, urine 40,803 39,088 $30K
85610 24,523 22,952 $30K
83615 8,949 7,085 $30K
86803 5,731 5,672 $29K
76857 655 638 $29K
88312 2,105 2,080 $29K
85380 1,823 1,769 $29K
99195 418 366 $28K
99402 400 394 $28K
J3010 Injection, fentanyl citrate, 0.1 mg 13,623 13,235 $28K
J9370 Vincristine sulfate, 1 mg 2,837 2,021 $28K
87806 1,766 1,743 $28K
49591 15 15 $27K
88342 1,024 991 $27K
72146 132 127 $27K
83540 7,225 6,676 $26K
D0120 Periodic oral evaluation - established patient 436 234 $26K
82784 2,031 1,875 $26K
83021 974 786 $26K
M0222 Intravenous injection, bebtelovimab, includes injection and post administration monitoring 124 121 $26K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 322 295 $26K
J2704 Injection, propofol, 10 mg 10,009 8,989 $26K
88341 1,020 976 $26K
J2405 Injection, ondansetron hydrochloride, per 1 mg 27,899 25,561 $25K
G0379 Direct admission of patient for hospital observation care 66 63 $25K
85730 21,247 20,464 $25K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 239 232 $25K
74019 3,880 3,726 $25K
96368 1,778 1,129 $25K
G0008 Administration of influenza virus vaccine 1,398 1,385 $24K
82378 2,370 1,933 $23K
87641 955 943 $23K
20680 14 14 $23K
73630 3,849 3,722 $23K
84112 517 495 $23K
83970 563 524 $23K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,276 1,216 $23K
95816 85 84 $23K
85240 1,272 1,171 $23K
Q5103 Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg 14 12 $23K
73130 3,027 2,946 $23K
81329 453 450 $22K
73610 3,947 3,824 $22K
H2025 Ongoing support to maintain employment, per 15 minutes 80 75 $22K
36592 1,972 1,535 $22K
85651 5,101 4,964 $22K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,712 1,491 $21K
J9000 Injection, doxorubicin hydrochloride, 10 mg 916 561 $21K
82962 32,148 29,305 $21K
86880 1,175 1,025 $21K
H1005 Prenatal care, at-risk enhanced service package (includes h1001-h1004) 576 427 $21K
J2270 Injection, morphine sulfate, up to 10 mg 8,534 7,636 $21K
97802 1,164 1,122 $20K
92585 155 153 $20K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 7,416 5,466 $20K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 15,804 12,911 $20K
T1013 Sign language or oral interpretive services, per 15 minutes 1,583 1,549 $19K
J9395 Injection, fulvestrant, 25 mg 46 36 $19K
81513 359 356 $19K
C9290 Injection, bupivacaine liposome, 1 mg 68 68 $19K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,380 1,361 $19K
Q0222 Injection, bebtelovimab, 175 mg 12 12 $19K
84484 24,747 23,227 $19K
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) 370 363 $18K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 53 52 $18K
86762 2,202 2,175 $18K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 124 118 $18K
90734 809 807 $18K
85384 3,601 3,298 $18K
73562 2,772 2,708 $18K
73030 2,820 2,724 $18K
90744 2,858 2,856 $17K
80074 794 781 $17K
86765 2,365 2,337 $17K
99441 426 408 $17K
99443 385 213 $17K
73110 2,537 2,460 $17K
42830 13 13 $17K
J0696 Injection, ceftriaxone sodium, per 250 mg 6,469 5,984 $17K
92504 219 206 $17K
83690 29,669 28,252 $16K
99442 260 231 $16K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 680 680 $16K
J9201 Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg 422 215 $16K
96377 1,077 797 $15K
87340 4,925 4,869 $15K
84550 5,969 5,290 $15K
90700 2,119 2,113 $15K
88184 214 214 $15K
73090 3,084 2,788 $15K
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 67 66 $15K
85246 874 822 $15K
J7300 Intrauterine copper contraceptive (paragard) 14 14 $15K
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg 996 569 $15K
J1170 Injection, hydromorphone, up to 4 mg 4,308 3,509 $15K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 9,498 5,797 $15K
84439 4,234 4,097 $15K
83605 15,873 14,844 $14K
82746 2,147 2,080 $14K
87481 358 355 $14K
31579 65 65 $13K
73590 2,542 2,394 $13K
90685 1,050 1,045 $13K
81267 132 79 $13K
82105 2,007 1,917 $13K
86870 500 475 $13K
90648 1,616 1,613 $12K
72158 37 37 $12K
99383 115 102 $12K
95782 13 13 $12K
87631 344 340 $12K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 30 30 $12K
86300 994 915 $12K
94760 3,026 2,865 $12K
72157 27 27 $11K
73564 1,434 1,401 $11K
86787 2,252 2,223 $11K
84156 4,504 3,939 $11K
J2250 Injection, midazolam hydrochloride, per 1 mg 8,519 7,901 $11K
87040 10,048 9,675 $11K
73080 2,190 2,113 $11K
84238 264 243 $11K
J0690 Injection, cefazolin sodium, 500 mg 4,906 4,772 $11K
72100 1,038 1,023 $11K
73221 29 28 $10K
90677 61 61 $10K
74220 193 192 $10K
J3475 Injection, magnesium sulfate, per 500 mg 3,229 2,342 $10K
J3489 Injection, zoledronic acid, 1 mg 78 75 $10K
85018 11,008 10,112 $10K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 6,610 6,291 $10K
88360 204 198 $10K
J2765 Injection, metoclopramide hcl, up to 10 mg 10,841 10,359 $9K
J3480 Injection, potassium chloride, per 2 meq 1,855 1,296 $9K
86304 810 711 $9K
29130 43 43 $9K
86140 7,207 6,962 $9K
J1644 Injection, heparin sodium, per 1000 units 2,304 1,831 $9K
80076 890 871 $9K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 507 501 $9K
81243 175 174 $8K
86334 574 551 $8K
J1200 Injection, diphenhydramine hcl, up to 50 mg 8,951 6,647 $8K
76978 26 26 $8K
84146 671 666 $8K
88112 233 225 $8K
73502 1,046 1,021 $7K
97533 89 24 $7K
D0140 Limited oral evaluation - problem focused 73 60 $7K
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring 34 33 $7K
87522 Neg quan hep c or qual rna 199 197 $7K
G0475 Hiv antigen/antibody, combination assay, screening 614 608 $7K
83521 483 459 $7K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 77 76 $7K
90656 1,008 1,004 $7K
73140 1,186 1,164 $7K
93308 27 27 $7K
88237 85 84 $7K
89051 350 306 $7K
J9260 Injection, methotrexate sodium, 50 mg 1,941 1,309 $6K
J2919 Injection, methylprednisolone sodium succinate, 5 mg 380 308 $6K
93880 12 12 $6K
86335 167 163 $6K
90472 Immunization administration, each additional vaccine (list separately) 700 692 $6K
J9171 Injection, docetaxel, 1 mg 31 25 $6K
L8699 Prosthetic implant, not otherwise specified 65 63 $6K
99386 41 41 $6K
73060 1,228 1,193 $6K
86706 971 960 $6K
92604 105 99 $6K
85732 839 804 $6K
J2997 Injection, alteplase recombinant, 1 mg 26 24 $6K
87186 5,781 5,646 $5K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 399 399 $5K
84480 1,639 1,572 $5K
85379 4,478 4,400 $5K
82677 445 432 $5K
D2930 Prefabricated stainless steel crown - primary tooth 12 12 $5K
74240 65 64 $5K
D1120 Prophylaxis - child 135 111 $5K
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 689 555 $5K
90620 82 82 $5K
73552 861 833 $5K
82570 4,072 3,824 $5K
87799 124 108 $5K
87081 5,992 5,944 $5K
82668 388 385 $5K
Q9957 Injection, perflutren lipid microspheres, per ml 41 40 $5K
57454 12 12 $4K
90785 49 28 $4K
62270 30 30 $4K
J9060 Injection, cisplatin, powder or solution, 10 mg 187 80 $4K
72170 909 893 $4K
J2060 Injection, lorazepam, 2 mg 3,017 2,627 $4K
86905 149 126 $4K
82950 1,505 1,494 $4K
82043 832 815 $4K
J0330 Injection, succinylcholine chloride, up to 20 mg 1,051 1,019 $4K
86320 130 127 $4K
88271 87 84 $4K
82951 364 362 $4K
83010 644 558 $4K
87077 3,330 3,256 $4K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 506 443 $4K
J2370 Injection, phenylephrine hcl, up to 1 ml 1,168 1,117 $4K
89050 1,484 1,258 $4K
J0561 Injection, penicillin g benzathine, 100,000 units 27 27 $4K
97537 41 14 $4K
92523 12 12 $4K
99417 Prolong home eval add 15m 157 153 $4K
76937 24 24 $4K
80178 675 611 $4K
73620 682 658 $3K
83001 301 299 $3K
86301 360 301 $3K
86704 601 593 $3K
82150 1,445 1,312 $3K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 1,495 1,159 $3K
86336 776 729 $3K
87529 114 111 $3K
86481 74 74 $3K
88275 70 70 $3K
77001 12 12 $3K
86665 785 775 $3K
D0274 Bitewings - four radiographic images 53 13 $3K
87070 2,401 2,338 $3K
D1206 Topical application of fluoride varnish 116 116 $3K
0042T 51 50 $3K
87640 924 907 $3K
73070 833 799 $3K
82330 1,212 1,156 $3K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 15 14 $3K
Q3014 Telehealth originating site facility fee 290 173 $3K
S9484 Crisis intervention mental health services, per hour 12 12 $3K
87205 2,539 2,458 $3K
84132 12,668 11,772 $3K
82565 4,302 4,021 $3K
17250 12 12 $3K
86147 96 96 $2K
C9113 Injection, pantoprazole sodium, per vial 719 689 $2K
88173 85 82 $2K
J0736 Injection, clindamycin phosphate, 300 mg 341 301 $2K
Q0114 Fern test 491 464 $2K
82947 12,479 11,658 $2K
C2617 Stent, non-coronary, temporary, without delivery system 44 42 $2K
76506 38 38 $2K
J9075 Injection, cyclophosphamide, not otherwise specified, 5 mg 18 12 $2K
J1650 Injection, enoxaparin sodium, 10 mg 537 465 $2K
87536 41 41 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 853 843 $2K
82232 195 190 $2K
80197 187 75 $2K
80047 131 110 $2K
T1006 Alcohol and/or substance abuse services, family/couple counseling 15 12 $2K
84436 1,802 1,770 $2K
90732 140 132 $2K
95819 12 12 $2K
85611 295 285 $2K
81002 3,188 3,051 $2K
87497 60 52 $2K
86663 658 650 $2K
84145 898 878 $2K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 530 525 $2K
82550 4,469 4,345 $2K
87521 Neg quan hep c or qual rna 70 69 $2K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 1,143 1,125 $2K
70544 28 26 $2K
J0461 Injection, atropine sulfate, 0.01 mg 402 239 $2K
73120 109 105 $2K
J1630 Injection, haloperidol, up to 5 mg 2,037 1,809 $2K
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 1,613 1,604 $2K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 861 857 $2K
69200 13 13 $2K
84295 12,020 11,181 $1K
86664 655 647 $1K
84165 291 284 $1K
90713 240 239 $1K
99241 13 12 $1K
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 217 215 $1K
96127 837 833 $1K
84704 194 184 $1K
85044 422 421 $1K
85014 7,986 7,393 $1K
85652 767 759 $1K
88300 143 139 $1K
76813 14 14 $1K
86160 203 191 $1K
85670 215 212 $1K
82435 11,600 10,786 $1K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 12 12 $1K
83986 519 489 $1K
J1596 Injection, glycopyrrolate, 0.1 mg 345 345 $1K
58301 13 12 $1K
87486 95 95 $1K
87581 95 95 $1K
76010 154 139 $1K
88311 107 107 $1K
76800 12 12 $993.02
82652 45 44 $972.29
62272 41 38 $833.68
88331 117 116 $830.14
87150 29 29 $824.79
80164 305 291 $820.13
80159 62 52 $801.01
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 221 210 $787.97
90649 15 15 $763.57
G0009 Administration of pneumococcal vaccine 50 49 $761.81
88367 12 12 $758.31
85250 26 25 $748.20
82247 993 923 $731.37
73560 85 83 $700.57
82272 814 770 $684.39
82553 1,201 1,174 $662.63
H1000 Prenatal care, at-risk assessment 15 13 $633.12
86146 59 57 $607.87
86038 128 126 $602.78
87400 495 493 $601.64
87625 234 233 $588.70
86430 127 127 $584.58
J1953 Injection, levetiracetam, 10 mg 57 54 $582.50
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 787 760 $582.40
92134 16 15 $562.32
82010 929 860 $541.42
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 14 12 $535.62
73100 100 97 $533.89
J0610 Injection, calcium gluconate (fresenius kabi), per 10 ml 42 36 $489.88
73592 13 12 $474.50
88302 54 54 $471.31
J0612 Injection, calcium gluconate, not otherwise specified, 10 mg 30 24 $435.76
84155 290 283 $429.88
S0028 Injection, famotidine, 20 mg 483 302 $426.37
77417 75 40 $417.21
80069 40 38 $415.57
J1940 Injection, furosemide, up to 20 mg 369 302 $395.76
J7042 5% dextrose/normal saline (500 ml = 1 unit) 117 115 $395.69
86360 12 12 $395.60
J2003 Injection, lidocaine hydrochloride, 1 mg 208 206 $394.80
99354 30 30 $391.66
C1758 Catheter, ureteral 14 13 $389.43
82310 327 301 $386.78
73600 125 122 $386.07
86225 101 100 $385.07
85613 41 41 $361.47
82977 92 76 $355.38
83002 12 12 $330.12
86039 141 136 $313.24
84481 60 60 $297.00
84466 65 65 $279.79
86593 100 99 $269.41
85013 2,799 2,618 $255.60
70360 132 131 $252.42
86359 12 12 $249.56
C7901 Service for diagnosis, evaluation, or treatment of a mental health or substance use disorder, 30-60 minutes, provided remotely by hospital staff who are licensed to provided mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service 26 12 $248.56
88313 16 16 $237.12
83520 15 13 $236.78
99355 29 29 $223.63
85335 29 26 $208.90
73000 41 40 $204.88
J1171 Injection, hydromorphone, 0.1 mg 83 76 $204.33
87075 227 220 $203.76
82438 41 41 $199.15
82525 14 14 $192.89
82952 81 81 $185.04
98960 13 12 $181.84
90662 19 19 $176.29
83921 12 12 $176.13
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 18 12 $175.68
73660 47 45 $170.61
86644 12 12 $124.57
71101 80 80 $112.98
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 41 32 $108.87
J2470 Injection, pantoprazole sodium, 40 mg 50 49 $105.31
72040 12 12 $101.69
J3370 Injection, vancomycin hcl, 500 mg 41 39 $97.62
86778 12 12 $95.39
82180 12 12 $84.04
82009 720 710 $79.66
90657 34 34 $76.65
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 97 97 $74.93
J2795 Injection, ropivacaine hydrochloride, 1 mg 30 30 $71.55
J0456 Injection, azithromycin, 500 mg 33 31 $70.29
84703 1,901 1,836 $65.91
J1836 Injection, metronidazole, 10 mg 52 50 $53.80
J7070 Infusion, d5w, 1000 cc 102 86 $45.80
80177 37 37 $38.07
83721 53 52 $30.50
82948 38 38 $28.00
84478 14 13 $26.87
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg 12 12 $24.91
87116 17 16 $21.60
86308 483 478 $20.08
87102 15 14 $16.82
87206 13 13 $16.17
99152 13 12 $13.37
87015 12 12 $9.84
J3411 Injection, thiamine hcl, 100 mg 13 13 $4.51
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 21 21 $4.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 212 202 $0.00
99429 33 28 $0.00
99080 7,400 2,048 $0.00
81257 13 13 $0.00
86618 13 13 $0.00
82365 13 12 $0.00
73020 42 42 $0.00
70250 13 12 $0.00
88365 13 13 $0.00