Medicaid Provider Spending

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

CAROLINAS MEDICAL CENTER

NPI: 1295789907 · CHARLOTTE, NC 28203 · General Acute Care Hospital · NPI assigned 05/19/2006

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

Authorized official DEFURIO, ANTHONY controls 19+ related entities in our dataset. Read more

$177.75M
Total Medicaid Paid
3,108,568
Total Claims
2,624,671
Beneficiaries
441
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDEFURIO, ANTHONY (EVP/CFO)
NPI Enumeration Date05/19/2006

Related Entities

Other providers sharing the same authorized official: DEFURIO, ANTHONY

ProviderCityStateTotal Paid
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY SHELBY NC $58.00M
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY CONCORD NC $56.48M
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY CHARLOTTE NC $42.82M
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY MONROE NC $38.15M
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY CHARLOTTE NC $20.10M
CAROLINAS MEDICAL CENTER CHARLOTTE NC $17.00M
CAROLINAS MEDICAL CENTER CHARLOTTE NC $16.63M
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY ALBEMARLE NC $15.14M
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY WADESBORO NC $9.77M
CAROLINAS MEDICAL CENTER CHARLOTTE NC $6.62M
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY KINGS MOUNTAIN NC $2.60M
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY SHELBY NC $2.05M
CAROLINAS REHABILITATION HUNTERSVILLE NC $579K
CAROLINAS REHABILITATION CHARLOTTE NC $526K
CAROLINAS MEDICAL CENTER CHARLOTTE NC $281K
CAROLINAS MEDICAL CENTER CHARLOTTE NC $190K
THE CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY CHARLOTTE NC $14K
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY SHELBY NC $941.65
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY KINGS MOUNTAIN NC $126.36

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 406,855 $16.16M
2019 396,297 $18.32M
2020 323,928 $15.57M
2021 492,416 $30.25M
2022 467,241 $32.55M
2023 518,019 $33.40M
2024 503,812 $31.50M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 97,300 91,048 $39.48M
99284 Emergency department visit for the evaluation and management, high severity 73,525 68,075 $28.32M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 538,951 466,835 $14.39M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 27,300 24,975 $8.13M
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 78,509 69,340 $7.18M
J3490 Unclassified drugs 130,700 63,476 $7.11M
80053 Comprehensive metabolic panel 133,421 113,726 $5.05M
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 8,522 3,968 $4.81M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 3,662 2,144 $4.15M
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 115,011 103,035 $3.52M
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 114,059 102,105 $2.92M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 7,994 4,469 $2.47M
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 15,488 14,506 $2.41M
36415 Collection of venous blood by venipuncture 73,058 63,075 $2.10M
99282 Emergency department visit for the evaluation and management, low to moderate severity 15,533 14,847 $1.66M
J0690 Injection, cefazolin sodium, 500 mg 2,531 1,837 $1.47M
J8499 Prescription drug, oral, non chemotherapeutic, nos 55,219 17,601 $1.30M
J0585 Injection, onabotulinumtoxina, 1 unit 2,630 2,142 $1.27M
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 47,997 41,259 $1.26M
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 52,050 46,223 $1.20M
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 22,714 20,386 $1.19M
85025 Blood count; complete (CBC), automated, and automated differential WBC count 145,465 117,562 $1.12M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 12,943 11,026 $1.01M
G0378 Hospital observation service, per hour 8,288 5,586 $950K
36591 2,732 1,503 $936K
80048 Basic metabolic panel (calcium, ionized) 27,731 23,724 $852K
71046 Radiologic examination, chest; 2 views 16,496 15,411 $817K
J1745 Injection, infliximab, excludes biosimilar, 10 mg 174 157 $785K
P9016 Red blood cells, leukocytes reduced, each unit 1,799 1,532 $746K
87086 Culture, bacterial; quantitative colony count, urine 47,807 43,625 $743K
87070 46,220 44,150 $732K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 25,148 22,183 $692K
59025 Fetal non-stress test 5,238 4,000 $670K
36512 1,412 1,192 $669K
80061 Lipid panel 36,998 34,078 $668K
84443 Thyroid stimulating hormone (TSH) 42,859 39,985 $631K
J2270 Injection, morphine sulfate, up to 10 mg 2,347 1,863 $620K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 4,658 3,915 $599K
J2250 Injection, midazolam hydrochloride, per 1 mg 3,857 3,241 $574K
86592 53,214 47,224 $569K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 3,472 2,971 $528K
Q3014 Telehealth originating site facility fee 22,507 20,861 $519K
99199 Unlisted special service, procedure or report 52,574 45,267 $505K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 2,716 2,575 $497K
83020 11,743 9,516 $484K
76819 Fetal biophysical profile; without non-stress testing 5,722 4,481 $481K
64643 1,729 1,609 $471K
96367 416 220 $469K
64642 2,340 2,194 $466K
96361 Intravenous infusion, hydration; each additional hour 4,479 3,317 $456K
85027 57,011 50,139 $404K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 7,983 3,746 $393K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 5,988 5,280 $382K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 24,667 22,696 $378K
87081 30,809 29,673 $374K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 11,763 10,964 $364K
83036 Hemoglobin; glycosylated (A1C) 32,482 29,217 $344K
82962 11,477 9,091 $336K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 15,582 14,055 $336K
S0028 Injection, famotidine, 20 mg 550 399 $328K
88305 Level IV - Surgical pathology, gross and microscopic examination 3,155 2,967 $315K
80069 8,711 6,173 $309K
82728 18,726 17,029 $307K
54161 326 279 $298K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 4,366 3,829 $296K
84439 24,794 23,313 $285K
81025 19,520 17,541 $272K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 951 840 $269K
86923 880 697 $245K
95700 196 185 $241K
J8597 Antiemetic drug, oral, not otherwise specified 5,160 4,596 $237K
86850 18,727 16,107 $234K
J1644 Injection, heparin sodium, per 1000 units 1,614 940 $227K
87486 2,735 2,590 $224K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2,047 1,797 $220K
95714 173 157 $215K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,212 1,085 $211K
S0020 Injection, bupivicaine hydrochloride, 30 ml 3,330 2,970 $210K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 3,377 1,704 $201K
81003 24,757 22,097 $197K
86360 3,734 3,487 $195K
86803 12,947 11,386 $181K
94010 1,733 1,658 $170K
87480 5,157 4,582 $165K
86359 3,732 3,487 $157K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 7,661 6,809 $152K
96375 Therapeutic injection; each additional sequential IV push 15,472 11,328 $149K
87340 18,045 16,068 $143K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 11,959 10,833 $143K
99177 2,411 2,260 $142K
J2405 Injection, ondansetron hydrochloride, per 1 mg 16,642 13,231 $142K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 15,868 13,034 $141K
87536 3,874 3,605 $141K
J1050 Injection, medroxyprogesterone acetate, 1 mg 6,917 6,578 $137K
J2997 Injection, alteplase recombinant, 1 mg 1,493 738 $136K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 3,721 3,532 $131K
86920 315 281 $128K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 6,195 4,417 $123K
J1170 Injection, hydromorphone, up to 4 mg 1,740 1,227 $122K
0001A 2,494 2,318 $120K
0002A 2,306 2,156 $120K
83021 2,051 1,723 $120K
82950 6,794 6,374 $118K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 243 223 $117K
87660 5,176 4,601 $117K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 193 177 $115K
70450 Computed tomography, head or brain; without contrast material 1,090 944 $113K
86762 9,659 8,623 $110K
87510 5,169 4,594 $99K
82570 4,368 3,803 $95K
82607 6,816 6,352 $94K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,077 827 $92K
76801 972 850 $88K
J0696 Injection, ceftriaxone sodium, per 250 mg 573 417 $85K
86787 5,753 5,036 $83K
87581 2,735 2,590 $79K
J8540 Dexamethasone, oral, 0.25 mg 808 710 $79K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 182 170 $77K
90999 Unlisted dialysis procedure, inpatient or outpatient 910 51 $76K
86140 11,325 10,075 $75K
91200 357 336 $73K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 393 348 $73K
84484 8,543 7,440 $71K
80076 2,545 2,206 $70K
80047 3,115 2,748 $69K
81001 16,358 14,840 $69K
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 1,943 1,802 $68K
36430 430 376 $68K
54300 98 95 $68K
86780 3,091 2,908 $64K
76770 324 308 $62K
85045 14,878 13,150 $60K
A9270 Non-covered item or service 5,956 1,965 $59K
84702 3,286 2,471 $55K
J3010 Injection, fentanyl citrate, 0.1 mg 11,132 9,785 $55K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,063 966 $52K
82330 2,349 1,903 $51K
82105 2,298 2,135 $51K
36593 769 511 $50K
C1887 Catheter, guiding (may include infusion/perfusion capability) 78 53 $50K
85007 3,776 2,849 $49K
95951 60 43 $48K
90677 922 695 $48K
81420 Fetal chromosomal aneuploidy genomic sequence analysis panel 85 68 $46K
87077 2,199 2,057 $46K
82784 3,549 2,459 $45K
83690 8,878 7,962 $45K
43762 290 269 $43K
84466 7,033 6,513 $43K
86900 15,819 13,368 $40K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 485 420 $40K
71045 Radiologic examination, chest; single view 1,564 1,375 $39K
11045 92 50 $39K
74018 768 660 $38K
86901 15,912 13,449 $37K
14040 68 65 $36K
81002 9,396 8,553 $35K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 480 360 $33K
82565 1,447 1,298 $33K
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 1,683 1,126 $32K
90715 2,193 2,094 $32K
83540 7,791 7,217 $31K
41899 Unlisted procedure, dentoalveolar structures 17 12 $30K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,902 1,276 $30K
83615 7,046 5,505 $30K
87535 876 803 $29K
J1885 Injection, ketorolac tromethamine, per 15 mg 10,196 8,572 $29K
0031A 607 590 $29K
90837 Psychotherapy, 53 minutes with patient 2,162 1,194 $28K
96409 244 178 $28K
J2704 Injection, propofol, 10 mg 11,949 10,349 $27K
90686 18,907 17,150 $27K
97597 924 548 $26K
80050 General health panel 825 801 $26K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 2,144 1,883 $26K
76820 346 240 $25K
80197 3,023 1,916 $25K
20610 215 197 $24K
83735 10,472 6,937 $24K
85610 9,117 6,114 $23K
J2323 Injection, natalizumab, 1 mg 12 12 $22K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 699 628 $21K
97803 2,060 1,821 $21K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 104 104 $21K
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 831 724 $21K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 298 120 $20K
97802 691 573 $19K
49591 12 12 $19K
83880 1,517 1,229 $18K
0012A 378 366 $17K
85018 4,962 4,416 $16K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,554 1,448 $15K
86003 109 108 $15K
82610 987 897 $15K
83970 957 786 $15K
90460 Immunization administration through 18 years of age via any route, first or only component 1,766 1,365 $15K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 102 80 $15K
86902 2,429 2,095 $15K
G0379 Direct admission of patient for hospital observation care 156 150 $14K
86480 309 276 $14K
88342 146 128 $14K
90678 112 104 $14K
85660 2,467 2,128 $14K
J9370 Vincristine sulfate, 1 mg 187 138 $14K
82977 2,321 2,066 $13K
87538 372 341 $13K
0011A 413 404 $13K
82803 676 588 $12K
87147 4,049 3,881 $12K
83516 1,007 924 $12K
82248 2,242 2,010 $11K
96127 1,920 1,721 $11K
85652 5,923 5,399 $11K
0071A 199 187 $11K
86038 826 791 $11K
90472 Immunization administration, each additional vaccine (list separately) 541 473 $10K
82746 1,374 1,295 $10K
J0330 Injection, succinylcholine chloride, up to 20 mg 85 65 $10K
Q4081 Injection, epoetin alfa, 100 units (for esrd on dialysis) 241 12 $10K
82550 767 634 $10K
82043 1,303 1,261 $10K
87205 2,604 2,408 $10K
87186 3,531 3,321 $10K
90656 721 671 $9K
84146 341 285 $9K
C1769 Guide wire 211 182 $9K
C1750 Catheter, hemodialysis/peritoneal, long-term 29 24 $9K
87210 1,979 1,801 $8K
83605 2,163 1,818 $8K
84100 3,261 2,013 $8K
84450 2,241 2,012 $8K
J1200 Injection, diphenhydramine hcl, up to 50 mg 2,082 1,135 $8K
83655 476 367 $8K
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 499 461 $7K
82670 163 152 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 441 423 $7K
82150 647 526 $7K
80074 96 93 $7K
0072A 112 110 $7K
64483 21 12 $6K
87522 Neg quan hep c or qual rna 230 211 $6K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 81 80 $6K
84305 366 353 $6K
0124A 145 127 $6K
0004A 114 102 $6K
82075 851 727 $6K
J1630 Injection, haloperidol, up to 5 mg 41 28 $6K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 449 236 $5K
84153 547 471 $5K
83001 348 338 $5K
96380 350 331 $4K
87040 733 667 $4K
G0481 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; 8-14 drug class(es), including metabolite(s) if performed 32 27 $4K
87430 230 223 $4K
J7999 Compounded drug, not otherwise classified 100 73 $4K
J2060 Injection, lorazepam, 2 mg 68 24 $4K
84460 2,351 2,109 $4K
94060 15 15 $4K
J1453 Injection, fosaprepitant, 1 mg 43 24 $3K
82951 216 200 $3K
99281 Emergency department visit for the evaluation and management, self-limited or minor 52 52 $3K
11982 12 12 $3K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 13 13 $3K
84156 2,261 1,854 $3K
86364 819 783 $3K
93299 253 243 $3K
93886 12 12 $3K
87799 521 304 $3K
A9585 Injection, gadobutrol, 0.1 ml 73 68 $3K
82103 142 135 $3K
82104 127 120 $3K
80055 121 118 $3K
90620 75 71 $3K
96415 338 235 $2K
84403 254 243 $2K
86160 72 67 $2K
82677 117 113 $2K
82947 415 371 $2K
80081 16 16 $2K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 69 27 $2K
J1756 Injection, iron sucrose, 1 mg 34 13 $2K
87641 53 50 $2K
0052A 35 33 $2K
83993 68 66 $2K
85014 2,265 1,938 $2K
51798 174 155 $2K
84154 155 129 $2K
97167 14 14 $2K
0054A 29 29 $2K
C1726 Catheter, balloon dilatation, non-vascular 14 12 $2K
72125 Computed tomography, cervical spine; without contrast material 16 13 $2K
74230 12 12 $2K
86336 117 113 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 82 52 $2K
86258 36 32 $1K
96376 1,078 694 $1K
86334 97 88 $1K
87808 136 133 $1K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 68 51 $1K
83521 115 100 $1K
0352U 34 34 $1K
58301 13 13 $1K
86317 39 35 $1K
90480 63 53 $1K
86231 36 32 $1K
73552 28 26 $1K
86704 100 94 $1K
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 383 301 $1K
86376 65 62 $1K
91322 45 41 $1K
99381 36 25 $999.73
58300 13 13 $998.09
92611 13 13 $949.16
82390 57 51 $926.30
84165 141 130 $908.10
84481 65 62 $899.31
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 29 28 $895.88
96156 15 14 $881.20
64415 13 13 $862.34
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 164 146 $857.34
11981 14 14 $852.39
83550 227 206 $806.94
84425 27 26 $800.12
72081 16 16 $799.87
85730 929 734 $774.81
97161 17 16 $771.30
86696 47 42 $757.28
83520 53 53 $743.65
87088 1,132 1,069 $740.52
85240 29 29 $736.23
87497 318 156 $718.72
93297 99 94 $703.57
85347 69 51 $697.64
83002 44 40 $692.73
82533 28 24 $668.67
72170 13 13 $656.89
88184 13 12 $648.42
83718 47 46 $622.38
73630 14 12 $610.09
82627 15 12 $597.99
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 12 12 $584.13
76942 13 13 $570.60
84163 67 64 $567.15
86706 220 192 $557.49
86769 16 15 $551.47
86225 27 25 $549.18
87276 39 39 $542.64
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 14 12 $519.22
87275 37 37 $514.08
82952 123 117 $509.92
84590 25 25 $482.25
J1040 Injection, methylprednisolone acetate, 80 mg 139 125 $463.42
84478 47 46 $436.89
J0612 Injection, calcium gluconate, not otherwise specified, 10 mg 30 26 $431.47
82465 77 77 $430.57
86664 39 36 $428.65
83631 15 14 $426.08
86695 31 26 $419.04
C1780 Lens, intraocular (new technology) 14 14 $418.59
J2003 Injection, lidocaine hydrochloride, 1 mg 165 146 $413.48
A6197 Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing 145 63 $413.39
86431 106 100 $395.72
84550 388 308 $380.57
J0670 Injection, mepivacaine hydrochloride, per 10 ml 419 348 $373.86
94761 62 60 $373.03
84446 13 13 $328.63
96110 Developmental screening, with scoring and documentation, per standardized instrument 152 106 $324.48
84402 15 13 $317.20
J1030 Injection, methylprednisolone acetate, 40 mg 92 84 $297.33
82397 13 12 $295.47
87206 109 103 $237.12
96161 144 104 $233.82
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 16 16 $230.80
82525 12 12 $228.54
84630 12 12 $209.76
86702 16 12 $208.89
82247 34 31 $195.34
86255 37 37 $195.13
82378 17 13 $189.12
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg 69 61 $187.59
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 93 80 $175.28
88307 12 12 $168.75
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 320 286 $168.70
86701 16 12 $157.73
86663 26 24 $147.06
87046 13 13 $141.00
87045 13 13 $141.00
84480 15 15 $140.56
A6456 Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard 34 12 $138.53
83883 57 24 $135.52
88304 13 12 $132.42
82985 14 14 $131.93
81015 14 14 $126.26
90732 12 12 $122.30
86015 13 13 $96.97
J2765 Injection, metoclopramide hcl, up to 10 mg 28 25 $83.08
86593 15 12 $82.58
J1596 Injection, glycopyrrolate, 0.1 mg 69 56 $82.48
82140 15 12 $72.88
G0008 Administration of influenza virus vaccine 242 188 $68.87
82272 14 13 $66.25
82042 15 15 $48.98
82270 13 13 $48.60
J2550 Injection, promethazine hcl, up to 50 mg 18 13 $47.51
J0171 Injection, adrenalin, epinephrine, 0.1 mg 14 14 $39.88
71260 Computed tomography, thorax, diagnostic; with contrast material 45 43 $35.59
96160 14 13 $30.85
82805 16 12 $24.00
91307 177 170 $15.35
83068 29 25 $14.90
90662 46 41 $14.58
99173 71 56 $12.55
92551 62 47 $11.50
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 91 60 $0.00
91301 790 766 $0.00
90680 13 13 $0.00
90474 13 13 $0.00
90723 33 27 $0.00
90647 24 17 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 26 25 $0.00
91303 586 569 $0.00
A0428 Ambulance service, basic life support, non-emergency transport, (bls) 40 20 $0.00
A0426 Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) 26 16 $0.00
71275 Computed tomographic angiography, chest, with contrast material 14 12 $0.00
86705 14 14 $0.00
91300 3,687 3,441 $0.00
76937 40 37 $0.00
G0479 Drug test(s), presumptive, any number of drug classes; any number of devices or procedures by instrumented chemistry analyzers utilizing immunoassay, enzyme assay, tof, maldi, ldtd, desi, dart, ghpc, gc mass spectrometry), includes sample validation when performed, per date of service 20 19 $0.00
81329 54 53 $0.00
A0425 Ground mileage, per statute mile 147 80 $0.00
90648 17 17 $0.00
90685 15 15 $0.00
91312 150 132 $0.00
90670 76 61 $0.00
86665 13 12 $0.00
86008 12 12 $0.00
90750 14 12 $0.00
96417 20 12 $0.00
J1171 Injection, hydromorphone, 0.1 mg 16 12 $0.00
90710 15 12 $0.00
93975 13 12 $0.00