Medicaid Provider Spending

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

COUNTY OF LOS ANGELES

NPI: 1285845982 · SYLMAR, CA 91342 · General Acute Care Hospital · NPI assigned 05/24/2007

$8.39M
Total Medicaid Paid
1,959,422
Total Claims
1,596,491
Beneficiaries
540
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCKENZIE, KIMBERLY (CEO)
Parent OrganizationCOUNTY OF LOS ANGELES
NPI Enumeration Date05/24/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 98,581 $0.00
2019 161,245 $293K
2020 206,996 $831K
2021 277,539 $1.12M
2022 343,069 $1.85M
2023 416,156 $2.27M
2024 455,836 $2.03M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0450 Emergency room services 38,443 33,913 $1.85M
74174 8,574 7,707 $540K
99205 Prolong outpt/office vis 4,610 4,216 $430K
G9008 Coordinated care fee, physician coordinated care oversight services 9,115 5,992 $222K
70450 Computed tomography, head or brain; without contrast material 6,224 5,633 $210K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 37,681 32,013 $210K
99199 Unlisted special service, procedure or report 3,924 3,539 $199K
0510 11,240 10,048 $197K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 5,608 5,028 $183K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 16,186 15,284 $155K
99215 Prolong outpt/office vis 6,800 6,272 $150K
80048 Basic metabolic panel (calcium, ionized) 40,835 33,760 $150K
99284 Emergency department visit for the evaluation and management, high severity 19,695 18,487 $132K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 37,533 31,360 $126K
J9271 Injection, pembrolizumab, 1 mg 768 545 $114K
99283 Emergency department visit for the evaluation and management, moderate severity 20,634 19,793 $108K
76705 Ultrasound, abdominal, real time with image documentation; limited 5,349 4,780 $107K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1,993 1,726 $99K
Q5103 Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg 824 729 $86K
0760 3,183 2,680 $80K
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 2,642 2,407 $75K
71046 Radiologic examination, chest; 2 views 15,717 14,289 $67K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 5,854 5,342 $67K
71045 Radiologic examination, chest; single view 19,612 16,198 $66K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 5,754 5,305 $66K
59025 Fetal non-stress test 7,846 3,240 $64K
71275 Computed tomographic angiography, chest, with contrast material 1,548 1,437 $60K
99221 2,025 1,799 $56K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 5,251 4,925 $56K
80076 11,647 10,479 $56K
93971 2,810 2,506 $55K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 2,408 2,192 $54K
84484 6,607 5,973 $53K
72125 Computed tomography, cervical spine; without contrast material 961 885 $52K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,811 1,629 $52K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,442 1,383 $49K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 460 420 $47K
99281 Emergency department visit for the evaluation and management, self-limited or minor 6,517 6,303 $42K
83880 2,107 1,965 $40K
J1815 Injection, insulin, per 5 units 1,083 348 $38K
0111 234 100 $37K
J1569 Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg 2,008 993 $36K
83690 6,644 6,143 $34K
0202U Oncology (prostate), multianalyte, gene expression profiling 882 793 $34K
86780 4,034 3,730 $33K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,205 2,031 $29K
87086 Culture, bacterial; quantitative colony count, urine 8,212 7,320 $29K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,602 3,286 $28K
J1885 Injection, ketorolac tromethamine, per 15 mg 14,754 12,950 $27K
J7030 Infusion, normal saline solution , 1000 cc 20,534 15,159 $27K
90792 Psychiatric diagnostic evaluation with medical services 562 513 $27K
70551 Magnetic resonance imaging, brain; without contrast material 349 328 $27K
76827 2,027 1,867 $26K
76830 Ultrasound, transvaginal 1,060 951 $25K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 11,918 7,738 $25K
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 10,238 8,909 $24K
88305 Level IV - Surgical pathology, gross and microscopic examination 10,526 9,891 $23K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 4,111 2,975 $23K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 749 665 $22K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 4,263 3,900 $22K
86480 3,631 3,377 $22K
73564 3,426 3,082 $22K
73610 3,771 3,312 $21K
81001 15,685 14,190 $21K
76801 1,125 921 $21K
73630 5,794 5,078 $20K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 763 641 $20K
80053 Comprehensive metabolic panel 16,473 13,938 $20K
J2405 Injection, ondansetron hydrochloride, per 1 mg 24,583 17,248 $19K
J2270 Injection, morphine sulfate, up to 10 mg 6,536 5,192 $19K
81025 6,757 6,245 $19K
71250 573 549 $19K
87522 Neg quan hep c or qual rna 3,439 3,288 $19K
S5551 Insulin, most rapid onset (lispro or aspart); 5 units 5,021 1,505 $18K
73130 4,233 3,585 $18K
73110 3,589 2,947 $18K
J9306 Injection, pertuzumab, 1 mg 93 61 $18K
0250 24,388 19,747 $17K
0516 598 574 $17K
93970 843 775 $17K
88342 2,380 2,243 $17K
73030 3,250 2,889 $17K
83605 2,083 1,867 $16K
J2560 Injection, phenobarbital sodium, up to 120 mg 297 242 $15K
Q5116 Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg 390 262 $15K
86141 3,930 3,720 $14K
72100 2,060 1,865 $14K
83036 Hemoglobin; glycosylated (A1C) 16,070 15,118 $13K
84702 2,088 1,558 $13K
85610 18,920 12,746 $13K
J0696 Injection, ceftriaxone sodium, per 250 mg 6,932 4,665 $13K
Q5118 Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg 331 219 $13K
99282 Emergency department visit for the evaluation and management, low to moderate severity 10,938 10,477 $13K
86703 4,095 3,925 $12K
76770 886 830 $12K
90715 1,012 891 $12K
94760 4,696 2,814 $11K
87507 108 102 $11K
83735 8,764 5,927 $11K
76642 812 717 $11K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,379 3,830 $10K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 1,911 1,708 $10K
90677 2,405 1,959 $10K
76870 636 569 $10K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1,238 1,098 $10K
J7120 Ringers lactate infusion, up to 1000 cc 16,064 13,905 $10K
86850 3,347 2,767 $10K
73590 1,387 1,205 $9K
76700 Ultrasound, abdominal, real time with image documentation; complete 581 549 $9K
80305 3,045 2,854 $9K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 157 142 $9K
P9016 Red blood cells, leukocytes reduced, each unit 277 197 $9K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 33 32 $9K
70498 167 154 $9K
80061 Lipid panel 10,760 10,350 $9K
85027 8,935 7,160 $9K
73080 1,237 1,091 $9K
70491 196 181 $9K
84443 Thyroid stimulating hormone (TSH) 2,729 2,607 $9K
86901 3,907 3,203 $9K
90651 1,168 1,008 $9K
80422 877 661 $8K
87186 2,053 1,888 $8K
G9012 Other specified case management service not elsewhere classified 66 39 $8K
67028 Intravitreal injection of a pharmacologic agent 166 158 $8K
73562 1,252 1,129 $8K
86900 3,694 3,010 $7K
87040 762 650 $7K
99232 Subsequent hospital care, per day, moderate complexity 197 44 $7K
76512 475 398 $7K
92134 4,753 4,431 $6K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 4,065 3,939 $6K
J2704 Injection, propofol, 10 mg 4,972 4,780 $6K
70486 111 101 $6K
73700 138 120 $6K
J1170 Injection, hydromorphone, up to 4 mg 5,509 3,975 $6K
85730 2,499 2,117 $6K
J1050 Injection, medroxyprogesterone acetate, 1 mg 1,661 1,495 $6K
73502 616 539 $6K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 106,403 92,001 $6K
77066 Tomosynthesis, mammo 229 218 $6K
77067 Screening mammography, bilateral, including computer-aided detection 1,953 1,897 $5K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 22,545 12,927 $5K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 12,324 8,236 $5K
J9217 Leuprolide acetate (for depot suspension), 7.5 mg 872 802 $5K
36415 Collection of venous blood by venipuncture 210,764 149,849 $5K
76857 470 435 $5K
70496 55 50 $5K
J2795 Injection, ropivacaine hydrochloride, 1 mg 110 110 $5K
J0780 Injection, prochlorperazine, up to 10 mg 1,940 1,712 $5K
87340 2,097 1,993 $5K
86592 2,347 2,140 $5K
73090 581 536 $5K
86593 1,414 1,258 $5K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 109 91 $5K
73140 1,170 997 $5K
99381 493 422 $4K
87070 1,842 1,611 $4K
99231 Subsequent hospital care, per day, straightforward or low complexity 444 331 $4K
J2505 Injection, pegfilgrastim, 6 mg 21 13 $4K
74177 Computed tomography, abdomen and pelvis; with contrast material 83 81 $4K
90723 1,131 948 $4K
84100 3,685 2,841 $4K
81003 4,108 3,780 $4K
87088 3,446 3,142 $4K
J1200 Injection, diphenhydramine hcl, up to 50 mg 6,563 4,849 $4K
88142 4,390 3,947 $4K
Q3014 Telehealth originating site facility fee 621 546 $4K
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 6,973 5,253 $4K
51798 692 622 $4K
83970 1,032 988 $4K
92250 2,672 2,309 $4K
86765 672 594 $4K
J0129 Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) 1,023 851 $4K
76536 491 451 $4K
82728 2,632 2,537 $3K
84439 1,714 1,612 $3K
90750 1,649 1,300 $3K
77065 Tomosynthesis, mammo 282 257 $3K
86762 472 422 $3K
92557 2,927 2,807 $3K
J3475 Injection, magnesium sulfate, per 500 mg 4,182 2,386 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,680 2,319 $3K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 173 160 $3K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 54 52 $3K
J7050 Infusion, normal saline solution, 250 cc 17,306 10,937 $3K
74018 1,024 848 $3K
81000 8,990 6,540 $3K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1,262 1,163 $3K
J2060 Injection, lorazepam, 2 mg 3,051 2,235 $3K
73620 465 419 $3K
99243 1,867 1,833 $3K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7,395 6,468 $3K
97164 4,407 3,231 $3K
P9040 Red blood cells, leukocytes reduced, irradiated, each unit 180 112 $3K
82550 887 848 $2K
95806 1,468 1,431 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 72 66 $2K
82962 7,200 5,182 $2K
73120 393 352 $2K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1,178 804 $2K
90935 Hemodialysis procedure with single evaluation by a physician 278 148 $2K
82607 2,039 1,986 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 19,085 15,840 $2K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 126 124 $2K
J1644 Injection, heparin sodium, per 1000 units 6,598 2,376 $2K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 326 311 $2K
82746 1,385 1,344 $2K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 518 406 $2K
76881 223 204 $2K
86787 364 321 $2K
83550 2,432 2,357 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 503 420 $2K
92133 1,887 1,801 $2K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 34 33 $2K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 617 597 $2K
72040 486 424 $2K
81243 119 110 $2K
87536 172 166 $2K
58100 678 603 $2K
83540 2,478 2,401 $2K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 323 311 $2K
90670 436 344 $2K
86706 1,539 1,504 $2K
G9920 Screening performed and negative 3,261 3,010 $2K
85652 2,896 2,768 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,749 1,560 $2K
J7297 Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg 43 39 $2K
J1750 Injection, iron dextran, 50 mg 65 56 $2K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,482 1,025 $2K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 1,732 979 $2K
97161 9,603 8,743 $2K
J1950 Injection, leuprolide acetate (for depot suspension), per 3.75 mg 16 14 $2K
J3370 Injection, vancomycin hcl, 500 mg 1,259 700 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,273 2,953 $2K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,335 1,275 $1K
87581 111 105 $1K
99442 47,202 42,325 $1K
87210 1,626 1,500 $1K
J2765 Injection, metoclopramide hcl, up to 10 mg 1,943 1,604 $1K
80074 151 147 $1K
99244 Office or other outpatient consultation, moderate to high complexity 1,262 1,222 $1K
86705 930 909 $1K
82570 2,645 2,424 $1K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,040 961 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,148 1,942 $1K
J3010 Injection, fentanyl citrate, 0.1 mg 9,324 8,725 $1K
99024 483 439 $1K
85378 259 254 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13,320 12,738 $1K
J2250 Injection, midazolam hydrochloride, per 1 mg 4,839 4,617 $1K
83021 150 130 $1K
82043 4,228 4,049 $1K
97010 15,094 7,962 $1K
J1630 Injection, haloperidol, up to 5 mg 1,690 1,209 $1K
93247 1,244 1,139 $1K
86923 1,399 855 $1K
86160 401 387 $1K
82274 7,850 6,821 $1K
94729 783 758 $1K
99385 748 683 $1K
86039 404 388 $1K
27502 13 12 $1K
95811 372 370 $1K
76775 74 66 $1K
87205 708 594 $1K
94010 1,689 1,634 $1K
90686 4,279 3,493 $997.50
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 8,925 8,419 $987.49
87081 677 611 $971.35
99441 22,097 19,561 $960.60
J0690 Injection, cefazolin sodium, 500 mg 4,439 3,934 $959.50
73060 171 150 $949.94
99238 Hospital discharge day management, 30 minutes or less 26 25 $948.96
85007 892 681 $944.96
88307 337 328 $944.40
99443 37,471 33,902 $942.08
J1940 Injection, furosemide, up to 20 mg 1,934 889 $933.84
93017 560 526 $914.94
82540 4,232 4,039 $913.00
92082 281 266 $908.07
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 3,470 3,430 $904.12
90707 527 430 $891.54
88187 393 368 $867.49
90648 1,456 1,208 $833.09
90472 Immunization administration, each additional vaccine (list separately) 1,575 1,464 $821.94
82565 5,083 4,545 $810.63
88312 395 393 $807.51
90716 528 434 $804.35
J2785 Injection, regadenoson, 0.1 mg 157 148 $776.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 984 764 $750.20
76942 355 324 $744.78
86753 139 122 $743.69
82105 236 216 $739.37
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 19 18 $727.60
84703 393 279 $725.34
83615 765 619 $719.53
90674 369 306 $716.75
99383 237 216 $700.44
96375 Therapeutic injection; each additional sequential IV push 159 104 $661.55
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 1,397 1,105 $652.82
J3489 Injection, zoledronic acid, 1 mg 1,417 1,230 $640.03
87150 195 166 $638.45
76499 51 49 $634.98
S0164 Injection, pantoprazole sodium, 40 mg 767 321 $618.62
92227 2,447 2,086 $612.78
J9070 Cyclophosphamide, 100 mg 87 63 $609.47
78014 171 151 $605.62
85008 665 643 $603.23
51702 42 36 $573.86
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 45,371 40,543 $573.57
88173 400 372 $548.25
87338 1,698 1,484 $539.97
97162 2,219 2,050 $532.08
S0020 Injection, bupivicaine hydrochloride, 30 ml 355 329 $517.76
84153 457 410 $513.79
J8540 Dexamethasone, oral, 0.25 mg 1,990 910 $486.61
45380 Colonoscopy, flexible; with biopsy, single or multiple 186 184 $473.68
J3490 Unclassified drugs 512 490 $464.98
73000 132 109 $439.54
J3480 Injection, potassium chloride, per 2 meq 1,213 663 $437.13
J7060 5% dextrose/water (500 ml = 1 unit) 1,531 964 $413.56
84550 601 520 $408.79
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 181 174 $402.89
88304 1,289 1,272 $399.17
97530 Therapeutic activities, direct patient contact, each 15 minutes 2,136 1,299 $396.20
74170 13 13 $377.33
99245 261 242 $376.98
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 32,749 29,782 $376.51
88141 486 448 $371.38
84403 153 142 $367.40
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 11,600 7,702 $366.61
73503 30 27 $363.76
73600 52 42 $349.48
S5550 Insulin, rapid onset, 5 units 671 457 $319.89
87102 98 93 $296.25
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg 438 219 $292.40
92235 51 47 $287.51
73660 60 52 $284.73
73560 52 46 $282.34
J1650 Injection, enoxaparin sodium, 10 mg 4,415 1,207 $282.32
0401 30 30 $278.44
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 218 213 $275.04
96417 29 25 $270.14
94726 216 209 $267.58
84146 71 69 $266.68
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 59 39 $264.94
85014 973 955 $262.19
85018 979 961 $261.93
82784 388 350 $260.01
87481 17 16 $257.94
90734 655 563 $255.33
90746 140 109 $251.46
0124A 251 203 $238.80
92025 147 135 $226.41
J2370 Injection, phenylephrine hcl, up to 1 ml 985 952 $222.16
97166 917 831 $220.64
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 1,950 1,641 $208.45
82378 32 25 $206.78
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 1,350 1,316 $206.60
82040 332 316 $205.81
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 1,760 1,143 $205.64
75989 12 12 $203.83
90633 952 789 $203.76
J9267 Injection, paclitaxel, 1 mg 1,185 532 $198.12
J9263 Injection, oxaliplatin, 0.5 mg 538 344 $197.88
93926 211 180 $192.88
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 96,286 64,029 $187.09
85044 227 194 $170.64
97116 514 425 $170.49
96415 28 24 $170.21
81002 327 266 $170.19
76519 42 37 $165.81
J0330 Injection, succinylcholine chloride, up to 20 mg 780 764 $163.94
0300 3,781 3,651 $161.96
90739 557 472 $160.00
92550 152 150 $157.95
86431 145 138 $154.31
87184 49 44 $152.35
J9045 Injection, carboplatin, 50 mg 1,019 689 $151.69
A9575 Injection, gadoterate meglumine, 0.1 ml 151 138 $143.39
97168 914 659 $139.75
84481 42 41 $138.35
99382 113 94 $134.52
86635 69 66 $132.56
99201 731 726 $125.07
86235 41 40 $124.03
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 16 15 $114.76
J9060 Injection, cisplatin, powder or solution, 10 mg 30 13 $110.50
72170 13 12 $110.11
86225 83 81 $107.95
J9035 Injection, bevacizumab, 10 mg 251 246 $106.00
94618 317 306 $100.80
88112 156 137 $98.69
82248 89 87 $93.60
85041 103 101 $92.52
74183 27 26 $86.82
92504 609 509 $86.56
83521 73 64 $83.73
84155 519 463 $80.88
90700 429 360 $80.72
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 1,416 1,153 $80.42
77080 220 217 $78.78
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 140 126 $74.90
76376 852 817 $74.67
92083 185 177 $74.24
84450 138 133 $71.68
J9190 Injection, fluorouracil, 500 mg 198 100 $70.68
88313 17 17 $70.18
76825 25 25 $69.42
99234 19 16 $68.20
P9047 Infusion, albumin (human), 25%, 50 ml 84 30 $68.00
76000 218 212 $63.32
92015 Determination of refractive state 157 147 $62.47
J1453 Injection, fosaprepitant, 1 mg 1,543 910 $62.39
94660 36 12 $58.52
99242 28 28 $58.03
J0456 Injection, azithromycin, 500 mg 70 39 $57.56
97018 1,308 748 $57.49
J7042 5% dextrose/normal saline (500 ml = 1 unit) 18 12 $53.70
0636 5,993 5,532 $49.16
J0640 Injection, leucovorin calcium, per 50 mg 161 87 $48.51
84460 127 125 $48.06
83921 50 48 $43.79
98968 2,021 1,862 $42.49
51736 24 24 $42.19
97165 303 288 $41.16
83001 12 12 $39.70
97760 294 237 $38.02
99241 36 36 $34.76
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 60 41 $34.44
90656 1,737 1,530 $33.14
A9152 Single vitamin/mineral/trace element, oral, per dose, not otherwise specified 399 317 $26.76
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 80 76 $25.81
83721 56 53 $20.80
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 32 25 $20.17
92567 270 251 $19.80
98966 1,025 985 $19.72
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg 26 12 $19.00
S5553 Insulin, long acting; 5 units 296 93 $16.77
85060 26 24 $12.63
J7642 Glycopyrrolate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram 1,435 1,399 $9.69
90696 365 310 $8.91
90710 379 323 $8.91
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 391 189 $8.78
88300 184 183 $7.32
82247 23 12 $4.97
J0612 Injection, calcium gluconate, not otherwise specified, 10 mg 15 15 $4.51
S0028 Injection, famotidine, 20 mg 457 312 $2.83
S0030 Injection, metronidazole, 500 mg 365 188 $1.98
0771 5,657 5,245 $0.00
20610 149 112 $0.00
3079F 2,009 1,936 $0.00
99384 126 114 $0.00
0100 9,485 1,912 $0.00
91307 460 395 $0.00
1220F 465 454 $0.00
3052F 811 647 $0.00
96161 1,731 1,432 $0.00
3074F 17,781 14,687 $0.00
31231 105 103 $0.00
3075F 4,214 3,625 $0.00
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 42 26 $0.00
80320 52 51 $0.00
98967 2,622 2,319 $0.00
0110 903 408 $0.00
90694 62 47 $0.00
T1014 Telehealth transmission, per minute, professional services bill separately 446 379 $0.00
81015 428 351 $0.00
99386 398 389 $0.00
J2357 Injection, omalizumab, 5 mg 409 226 $0.00
0074A 28 23 $0.00
59414 198 197 $0.00
J9312 Injection, rituximab, 10 mg 45 27 $0.00
91317 37 34 $0.00
0206 47 15 $0.00
91305 83 81 $0.00
93294 13 13 $0.00
3080F 654 635 $0.00
99412 104 60 $0.00
92551 26 26 $0.00
1111F 12,388 10,173 $0.00
59410 42 42 $0.00
3044F 6,245 5,263 $0.00
86335 13 12 $0.00
36410 75 73 $0.00
2001F 13 13 $0.00
52000 14 12 $0.00
J0610 Injection, calcium gluconate (fresenius kabi), per 10 ml 19 13 $0.00
99464 15 15 $0.00
91315 100 92 $0.00
80502 20 20 $0.00
99465 15 15 $0.00
92587 17 17 $0.00
J9299 Injection, nivolumab, 1 mg 37 25 $0.00
80329 24 24 $0.00
90698 12 12 $0.00
J0461 Injection, atropine sulfate, 0.01 mg 26 15 $0.00
77062 1,461 1,430 $0.00
31575 413 393 $0.00
J2590 Injection, oxytocin, up to 10 units 133 117 $0.00
95810 Polysomnography; sleep staging with 4 or more additional parameters 113 105 $0.00
36600 674 580 $0.00
J9000 Injection, doxorubicin hydrochloride, 10 mg 17 13 $0.00
91300 2,064 1,609 $0.00
98960 4,374 3,117 $0.00
99397 27 26 $0.00
97602 608 264 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,442 1,338 $0.00
96160 532 438 $0.00
3051F 1,398 1,120 $0.00
0424 100 96 $0.00
3078F 14,111 12,817 $0.00
J9355 Injection, trastuzumab, excludes biosimilar, 10 mg 260 170 $0.00
0120 2,102 709 $0.00
93041 520 320 $0.00
91312 600 517 $0.00
83655 87 87 $0.00
J9171 Injection, docetaxel, 1 mg 15 12 $0.00
3077F 3,383 2,900 $0.00
90653 325 273 $0.00
J0694 Injection, cefoxitin sodium, 1 gm 12 12 $0.00
3046F 1,332 1,095 $0.00
93882 24 19 $0.00
0731 123 123 $0.00
86334 39 36 $0.00
86922 17 13 $0.00
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 114 98 $0.00
90473 40 37 $0.00
J9206 Injection, irinotecan, 20 mg 25 14 $0.00
93880 28 26 $0.00
92555 31 27 $0.00
0200 46 13 $0.00
93978 12 12 $0.00
84145 19 13 $0.00
91308 23 21 $0.00
90661 243 203 $0.00
99173 12 12 $0.00
C9257 Injection, bevacizumab, 0.25 mg 30 28 $0.00
J9201 Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg 48 25 $0.00