Medicaid Provider Spending

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

BOTSFORD GENERAL HOSPITAL

NPI: 1336183367 · FARMINGTON HILLS, MI 48336 · General Acute Care Hospital · NPI assigned 06/16/2006

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

Authorized official COX, MATTHEW controls 20+ related entities in our dataset. Read more

$72.21M
Total Medicaid Paid
2,405,370
Total Claims
2,184,571
Beneficiaries
509
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCOX, MATTHEW (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date06/16/2006

Related Entities

Other providers sharing the same authorized official: COX, MATTHEW

ProviderCityStateTotal Paid
SPECTRUM HEALTH HOSPITALS GRAND RAPIDS MI $243.22M
OAKWOOD HEALTHCARE, INC. DEARBORN MI $165.61M
WILLIAM BEAUMONT HOSPITAL ROYAL OAK MI $162.64M
WILLIAM BEAUMONT HOSPITAL TROY MI $84.88M
LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC SAINT JOSEPH MI $78.22M
WILLIAM BEAUMONT HOSPITAL GROSSE POINTE MI $61.49M
OAKWOOD HEALTHCARE, INC. WAYNE MI $55.44M
OAKWOOD HEALTHCARE, INC. TAYLOR MI $50.28M
OAKWOOD HEALTHCARE, INC. TRENTON MI $23.26M
SPECTRUM HEALTH UNITED GREENVILLE MI $20.99M
MECOSTA COUNTY MEDICAL CENTER BIG RAPIDS MI $19.50M
PENNOCK HOSPITAL HASTINGS MI $15.24M
REED CITY HOSPITAL CORPORATION REED CITY MI $15.02M
ZEELAND COMMUNITY HOSPITAL ZEELAND MI $10.12M
LAKELAND COMMUNITY HOSPITAL WATERVLIET WATERVLIET MI $9.85M
LAKELAND COMMUNITY HOSPITAL WATERVLIET NILES MI $9.05M
VISITING NURSE SERVICES OF WESTERN MICHIGAN GRAND RAPIDS MI $4.54M
LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC BENTON HARBOR MI $3.33M
BANNER MESA SURGERY CENTER LLC MESA AZ $2.80M
LAKELAND COMMUNITY HOSPITAL WATERVLIET WATERVLIET MI $2.55M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 217,388 $8.57M
2019 323,363 $8.92M
2020 295,577 $8.49M
2021 401,250 $11.35M
2022 398,499 $11.79M
2023 423,058 $13.26M
2024 346,235 $9.84M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 61,788 57,632 $19.35M
99284 Emergency department visit for the evaluation and management, high severity 37,320 36,243 $6.86M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 100,252 90,578 $5.88M
99283 Emergency department visit for the evaluation and management, moderate severity 30,043 29,139 $3.72M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 35,502 32,772 $3.31M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 16,971 11,314 $1.64M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 9,308 6,102 $1.48M
99282 Emergency department visit for the evaluation and management, low to moderate severity 12,659 12,449 $1.02M
96375 Therapeutic injection; each additional sequential IV push 30,399 25,109 $982K
71046 Radiologic examination, chest; 2 views 17,295 16,893 $872K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 33,145 8,923 $831K
74177 Computed tomography, abdomen and pelvis; with contrast material 6,391 6,287 $824K
93975 6,634 6,355 $745K
80061 Lipid panel 49,538 49,351 $706K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,726 3,710 $679K
96361 Intravenous infusion, hydration; each additional hour 19,242 16,701 $653K
59025 Fetal non-stress test 7,200 3,751 $633K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,826 1,816 $614K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,134 1,127 $593K
G0378 Hospital observation service, per hour 6,532 5,920 $593K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 31,609 31,112 $580K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 5,886 4,839 $578K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 31,372 30,883 $576K
J9271 Injection, pembrolizumab, 1 mg 92 69 $567K
70450 Computed tomography, head or brain; without contrast material 6,833 6,685 $524K
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 9,777 9,549 $468K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 6,163 6,014 $461K
82947 19,033 15,270 $455K
76830 Ultrasound, transvaginal 7,045 6,932 $420K
71045 Radiologic examination, chest; single view 9,560 9,193 $399K
84443 Thyroid stimulating hormone (TSH) 50,030 49,472 $377K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 25,510 25,416 $374K
77067 Screening mammography, bilateral, including computer-aided detection 7,685 7,672 $370K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 7,534 7,406 $357K
J1745 Injection, infliximab, excludes biosimilar, 10 mg 294 275 $341K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 23,934 6,793 $337K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,977 2,956 $301K
80053 Comprehensive metabolic panel 66,238 63,863 $282K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 21,993 21,908 $275K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 31,609 27,199 $264K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 124,799 113,274 $262K
Q5103 Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg 440 412 $250K
87480 21,791 21,505 $237K
87660 21,536 21,267 $233K
97162 4,069 4,043 $223K
87510 20,913 20,641 $222K
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 10,077 8,873 $215K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk 520 520 $214K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,570 1,568 $212K
J2505 Injection, pegfilgrastim, 6 mg 138 106 $209K
76801 3,312 3,133 $208K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 381 377 $208K
83036 Hemoglobin; glycosylated (A1C) 44,100 43,938 $207K
76700 Ultrasound, abdominal, real time with image documentation; complete 2,992 2,981 $203K
96415 4,217 3,301 $202K
97161 1,975 1,959 $194K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 9,329 9,227 $181K
71275 Computed tomographic angiography, chest, with contrast material 2,269 2,231 $175K
94060 1,258 1,254 $171K
96367 4,980 3,457 $168K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 846 845 $167K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 16,616 16,377 $163K
93970 1,777 1,758 $162K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1,815 1,744 $157K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,554 2,500 $147K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 326 323 $144K
93350 752 751 $143K
90651 1,012 1,004 $138K
93971 2,612 2,573 $132K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 4,257 2,956 $131K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 13,054 12,581 $128K
76770 1,998 1,982 $125K
96417 3,073 2,035 $120K
76642 3,168 3,129 $119K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 6,180 6,170 $118K
82607 16,984 16,888 $114K
80048 Basic metabolic panel (calcium, ionized) 46,888 42,401 $112K
99281 Emergency department visit for the evaluation and management, self-limited or minor 2,590 2,480 $112K
90686 6,479 6,469 $111K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 7,459 7,450 $104K
86803 12,352 12,314 $101K
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 6,174 6,044 $101K
77066 Tomosynthesis, mammo 1,712 1,699 $100K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 447 445 $96K
86900 11,012 10,416 $94K
90750 620 615 $86K
10060 990 967 $82K
J1453 Injection, fosaprepitant, 1 mg 2,399 1,606 $80K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 843 843 $80K
76536 1,532 1,523 $76K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,426 1,368 $70K
90732 868 863 $70K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 30,377 28,667 $68K
87086 Culture, bacterial; quantitative colony count, urine 16,979 16,597 $66K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,308 2,230 $66K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 505 502 $65K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 179 178 $63K
86780 7,559 7,500 $62K
80074 2,696 2,676 $62K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 14,104 10,372 $60K
74022 3,071 3,029 $59K
82728 9,540 9,433 $59K
97165 1,410 1,394 $58K
90472 Immunization administration, each additional vaccine (list separately) 4,255 4,216 $58K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2,610 2,589 $57K
70491 564 560 $57K
84702 21,443 19,571 $57K
87340 10,712 10,672 $56K
70486 1,509 1,499 $56K
77065 Tomosynthesis, mammo 1,289 1,235 $55K
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 4,241 4,224 $55K
90670 627 621 $52K
84466 8,758 8,671 $52K
36415 Collection of venous blood by venipuncture 68,503 62,397 $51K
96411 1,427 927 $51K
84439 11,705 11,578 $51K
82746 7,248 7,199 $47K
90677 183 182 $42K
97166 1,019 1,006 $42K
88305 Level IV - Surgical pathology, gross and microscopic examination 7,361 7,090 $41K
77063 Screening digital breast tomosynthesis, bilateral 3,183 3,181 $41K
73630 4,208 4,032 $39K
74018 2,312 2,278 $39K
J0897 Injection, denosumab, 1 mg 127 126 $38K
71250 690 688 $38K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 3,093 3,088 $38K
78815 Positron emission tomography (PET) for limited area imaging 50 50 $36K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1,497 450 $35K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 67 66 $35K
84481 3,989 3,953 $34K
73562 1,929 1,844 $34K
73130 3,096 2,995 $34K
74019 1,560 1,545 $34K
85027 15,770 14,111 $33K
86235 1,436 1,283 $33K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 533 527 $32K
96416 173 104 $32K
J2469 Injection, palonosetron hcl, 25 mcg 2,956 1,937 $31K
83735 31,463 26,029 $31K
83540 9,792 9,697 $30K
58558 24 24 $30K
73610 3,043 2,935 $30K
71271 511 511 $29K
73030 2,569 2,476 $28K
87653 1,743 1,724 $28K
84403 1,923 1,911 $28K
87631 7,603 7,481 $27K
86592 9,832 9,790 $27K
86769 1,473 1,470 $26K
72125 Computed tomography, cervical spine; without contrast material 2,422 2,390 $26K
87428 688 684 $25K
82670 1,592 1,587 $25K
93017 1,888 1,866 $25K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 2,052 2,048 $25K
84153 2,891 2,880 $25K
84460 10,243 9,892 $24K
84450 10,758 10,399 $24K
82565 10,181 9,891 $23K
83001 2,268 2,264 $23K
87186 4,976 4,895 $21K
86696 1,921 1,912 $21K
87077 4,732 4,641 $20K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 285 283 $19K
20610 143 136 $19K
73110 1,704 1,666 $19K
82043 6,670 6,643 $19K
88184 231 230 $19K
99406 1,255 1,243 $19K
80069 8,656 6,653 $18K
86038 3,266 3,249 $18K
83021 2,101 2,097 $18K
90746 268 268 $18K
87070 4,429 4,360 $18K
83002 1,759 1,754 $18K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 258 257 $17K
83970 829 810 $17K
J2506 Injection, pegfilgrastim, excludes biosimilar, 0.5 mg 37 26 $17K
96523 537 393 $17K
86762 2,404 2,397 $16K
84146 1,471 1,464 $16K
Q5107 Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg 32 12 $15K
86160 1,613 1,580 $15K
97014 1,881 627 $15K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 255 250 $15K
72110 888 883 $15K
73502 1,315 1,292 $15K
82105 1,744 1,735 $14K
80051 4,649 4,509 $14K
86140 9,939 9,685 $14K
83880 3,742 3,605 $14K
86695 1,918 1,910 $14K
90739 107 107 $13K
86850 11,004 10,413 $13K
84520 6,933 6,751 $13K
86706 2,407 2,398 $13K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 4,473 3,194 $13K
86480 364 361 $12K
74183 64 64 $12K
84402 794 792 $11K
87147 2,721 2,657 $11K
81003 28,732 27,720 $11K
86225 1,872 1,857 $10K
64450 80 78 $10K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 57 57 $10K
88307 174 173 $10K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 78 77 $10K
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 392 383 $10K
81514 56 56 $10K
81001 29,687 28,324 $10K
84550 4,889 4,752 $9K
84100 15,487 14,052 $9K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 420 415 $9K
90671 60 60 $9K
84478 714 700 $9K
86003 170 169 $9K
85652 8,226 8,072 $9K
82784 1,031 1,018 $9K
76377 1,124 1,104 $8K
85610 18,562 17,141 $8K
86200 1,540 1,531 $8K
97530 Therapeutic activities, direct patient contact, each 15 minutes 846 397 $8K
82570 3,938 3,822 $8K
82550 6,395 6,008 $8K
80076 6,271 6,010 $8K
73590 1,299 1,272 $8K
72170 1,250 1,239 $8K
93798 167 26 $8K
G0475 Hiv antigen/antibody, combination assay, screening 599 596 $7K
82248 12,321 11,324 $7K
83690 16,944 15,964 $7K
10061 36 36 $7K
72141 50 50 $7K
72100 315 312 $7K
83013 214 214 $7K
91322 51 50 $7K
82950 2,757 2,734 $7K
J1750 Injection, iron dextran, 50 mg 254 111 $7K
83655 1,022 1,021 $7K
82040 3,363 3,197 $7K
86787 1,015 1,010 $7K
82977 2,133 2,075 $7K
73564 1,240 1,230 $7K
82247 2,943 2,413 $7K
86431 2,378 2,371 $6K
87634 123 121 $6K
87529 242 242 $6K
90734 202 196 $6K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1,307 1,286 $6K
81025 15,266 14,815 $6K
85730 15,398 14,491 $5K
70551 Magnetic resonance imaging, brain; without contrast material 49 49 $5K
99495 82 82 $5K
G0008 Administration of influenza virus vaccine 761 754 $5K
99385 74 74 $5K
80305 1,118 1,097 $5K
97116 633 345 $5K
82150 2,224 2,149 $5K
73090 793 763 $5K
88304 1,763 1,746 $5K
87632 65 65 $5K
83615 2,189 2,052 $5K
36430 29 24 $5K
82627 328 327 $4K
76870 269 267 $4K
90656 235 234 $4K
86704 651 647 $4K
87205 2,327 2,268 $4K
85046 1,927 1,836 $4K
86901 10,659 10,076 $4K
84075 1,547 1,416 $4K
88342 344 338 $4K
64415 79 78 $4K
82785 428 401 $4K
M0239 Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring 34 34 $4K
83516 500 497 $4K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 13 13 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,049 4,005 $3K
72131 75 75 $3K
86162 311 309 $3K
90480 68 67 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 37 37 $3K
87536 53 53 $3K
73140 211 205 $2K
80050 General health panel 464 462 $2K
72197 12 12 $2K
93880 26 26 $2K
84156 1,690 1,579 $2K
81002 1,521 1,513 $2K
82533 381 360 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 33 33 $2K
99496 36 36 $2K
64400 15 14 $2K
93225 39 39 $2K
74178 12 12 $2K
87109 296 291 $2K
86039 363 362 $2K
87075 644 626 $2K
84155 1,124 995 $2K
84165 373 369 $2K
85379 5,260 5,146 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 24 24 $2K
82652 111 111 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 11,359 10,498 $2K
72040 221 220 $2K
93308 15 14 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,809 2,650 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 52 42 $1K
76881 24 24 $1K
86376 192 192 $1K
94010 71 66 $1K
96376 6,318 4,452 $1K
84144 101 100 $1K
76942 2,162 2,142 $1K
77336 21 12 $1K
73070 103 99 $1K
87522 Neg quan hep c or qual rna 57 55 $1K
84484 16,876 13,491 $1K
73080 176 173 $1K
76818 18 12 $1K
86360 43 43 $1K
G0297 Low dose ct scan (ldct) for lung cancer screening 24 24 $1K
86580 200 194 $1K
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision 73 73 $999.81
96127 157 154 $987.49
97035 186 72 $981.05
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16 14 $976.24
88142 90 90 $971.96
87210 2,348 2,291 $893.72
86147 25 25 $855.17
86359 43 43 $826.67
J1050 Injection, medroxyprogesterone acetate, 1 mg 558 558 $813.12
88143 71 71 $810.58
J1170 Injection, hydromorphone, up to 4 mg 4,953 3,932 $800.00
73560 212 210 $772.64
82310 384 381 $770.65
70498 26 26 $750.85
11721 54 54 $735.17
86705 132 131 $722.53
C1729 Catheter, drainage 271 253 $700.00
77080 12 12 $660.80
94726 1,040 1,037 $638.36
83550 235 228 $636.31
73060 176 175 $622.72
84238 46 46 $587.18
G0010 Administration of hepatitis b vaccine 40 40 $581.66
86146 25 25 $580.22
87808 507 494 $519.89
97163 12 12 $505.82
90662 40 39 $504.38
89051 188 181 $491.70
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 31 31 $456.49
71101 134 132 $440.35
12001 713 708 $409.95
87040 2,066 1,871 $375.65
73120 18 12 $340.70
0003A 13 13 $337.77
86923 68 65 $324.65
84134 71 66 $302.40
83605 10,411 9,358 $299.87
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 64 59 $297.11
82465 99 99 $288.15
82140 901 821 $285.81
85018 437 409 $267.84
84703 8,765 8,430 $252.84
97012 43 12 $231.80
96377 79 57 $228.90
86364 39 39 $196.82
72070 27 27 $195.15
70496 12 12 $191.52
82378 29 26 $190.05
86308 823 815 $181.74
84145 745 724 $173.44
94760 3,064 1,901 $166.50
97535 Self-care/home management training, each 15 minutes 34 26 $156.64
82044 72 71 $154.82
G0009 Administration of pneumococcal vaccine 13 13 $145.17
82805 1,907 1,785 $145.03
82962 3,213 2,487 $128.79
80164 57 53 $128.35
82677 13 13 $112.50
12011 182 182 $110.05
29125 83 83 $107.98
86765 15 14 $94.90
73552 111 110 $92.91
12002 177 177 $89.46
83014 17 17 $87.14
82010 2,000 1,872 $86.51
85045 36 36 $84.70
82077 428 382 $81.07
86336 13 13 $72.51
83993 12 12 $69.40
94618 13 13 $64.79
84132 193 176 $56.67
70360 12 12 $48.33
83930 299 287 $45.27
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 3,772 3,056 $38.33
90474 12 12 $36.00
98925 15 15 $31.88
J1885 Injection, ketorolac tromethamine, per 15 mg 34,806 32,142 $24.44
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 680 668 $23.68
J1100 Injection, dexamethasone sodium phosphate, 1 mg 19,051 15,776 $22.36
J2704 Injection, propofol, 10 mg 13,141 12,833 $22.22
J0696 Injection, ceftriaxone sodium, per 250 mg 7,087 5,413 $21.26
J1200 Injection, diphenhydramine hcl, up to 50 mg 14,794 12,435 $19.45
J2250 Injection, midazolam hydrochloride, per 1 mg 7,779 6,869 $18.22
J2405 Injection, ondansetron hydrochloride, per 1 mg 24,564 21,523 $17.60
J3010 Injection, fentanyl citrate, 0.1 mg 11,382 9,575 $14.27
J1790 Injection, droperidol, up to 5 mg 902 816 $13.41
J0330 Injection, succinylcholine chloride, up to 20 mg 1,839 1,801 $12.07
85014 25 25 $11.82
J3480 Injection, potassium chloride, per 2 meq 1,127 642 $10.62
80179 528 496 $10.20
80143 535 502 $10.20
J1644 Injection, heparin sodium, per 1000 units 7,250 3,829 $7.04
88300 63 63 $6.39
J2765 Injection, metoclopramide hcl, up to 10 mg 3,314 3,077 $5.55
85384 92 85 $5.23
J1650 Injection, enoxaparin sodium, 10 mg 1,810 828 $2.29
J0690 Injection, cefazolin sodium, 500 mg 5,825 5,018 $1.91
J3475 Injection, magnesium sulfate, per 500 mg 3,164 2,430 $1.68
J1920 Injection, labetalol hydrochloride, 5 mg 14 12 $0.20
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 1,178 1,122 $0.02
90714 2,149 2,144 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 124 123 $0.00
J1953 Injection, levetiracetam, 10 mg 189 148 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 466 358 $0.00
J1580 Injection, garamycin, gentamicin, up to 80 mg 198 191 $0.00
90715 2,520 2,508 $0.00
94729 1,034 1,032 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 5,095 4,677 $0.00
J1171 Injection, hydromorphone, 0.1 mg 120 90 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 214 213 $0.00
J0640 Injection, leucovorin calcium, per 50 mg 568 231 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 4,414 3,581 $0.00
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 31 30 $0.00
C9113 Injection, pantoprazole sodium, per vial 2,682 1,801 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 1,792 1,768 $0.00
J1756 Injection, iron sucrose, 1 mg 2,898 1,253 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 681 604 $0.00
J9190 Injection, fluorouracil, 500 mg 1,228 372 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 44 43 $0.00
90633 51 50 $0.00
99173 63 61 $0.00
A9577 Injection, gadobenate dimeglumine (multihance), per ml 874 866 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 979 962 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 50 45 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 182 176 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 459 407 $0.00
J7030 Infusion, normal saline solution , 1000 cc 1,657 1,446 $0.00
58340 17 12 $0.00
3078F 46 39 $0.00
J3370 Injection, vancomycin hcl, 500 mg 296 163 $0.00
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 12 12 $0.00
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 16 12 $0.00
91300 84 82 $0.00
90707 12 12 $0.00
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 88 51 $0.00
J0736 Injection, clindamycin phosphate, 300 mg 42 30 $0.00
Q0245 Injection, bamlanivimab and etesevimab, 2100 mg 100 57 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 202 154 $0.00
G0390 Trauma response team associated with hospital critical care service 12 12 $0.00
J2800 Injection, methocarbamol, up to 10 ml 27 25 $0.00
76000 14 14 $0.00
Q0239 Injection, bamlanivimab-xxxx, 700 mg 34 34 $0.00
J2310 Injection, naloxone hydrochloride, per 1 mg 19 14 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 2,483 1,943 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 2,486 2,244 $0.00
J1630 Injection, haloperidol, up to 5 mg 6,614 6,238 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 1,199 1,186 $0.00
J3360 Injection, diazepam, up to 5 mg 1,496 1,431 $0.00
A9270 Non-covered item or service 538 136 $0.00
96368 960 633 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 472 445 $0.00
J2060 Injection, lorazepam, 2 mg 4,434 3,045 $0.00
97010 6,131 1,988 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 75 75 $0.00
A9585 Injection, gadobutrol, 0.1 ml 717 704 $0.00
J3411 Injection, thiamine hcl, 100 mg 353 280 $0.00
64488 160 159 $0.00
36416 59 57 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 561 494 $0.00
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 340 188 $0.00
94761 500 426 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 335 243 $0.00
J7050 Infusion, normal saline solution, 250 cc 1,571 852 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 1,011 600 $0.00
90632 162 161 $0.00
J9045 Injection, carboplatin, 50 mg 266 170 $0.00
3074F 120 108 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 28 27 $0.00
91305 45 45 $0.00
A9573 Injection, gadopiclenol, 1 ml 223 221 $0.00
J1836 Injection, metronidazole, 10 mg 130 73 $0.00
J7999 Compounded drug, not otherwise classified 229 220 $0.00
A4648 Tissue marker, implantable, any type, each 25 25 $0.00
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 1,006 315 $0.00
J7060 5% dextrose/water (500 ml = 1 unit) 347 143 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 377 348 $0.00
J3490 Unclassified drugs 549 527 $0.00
84270 26 25 $0.00
J9267 Injection, paclitaxel, 1 mg 38 24 $0.00
90680 37 37 $0.00
90698 38 38 $0.00
C1769 Guide wire 127 125 $0.00
C1781 Mesh (implantable) 12 12 $0.00
J1940 Injection, furosemide, up to 20 mg 15 12 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 13 12 $0.00
80320 18 12 $0.00
J3410 Injection, hydroxyzine hcl, up to 25 mg 14 14 $0.00