Medicaid Provider Spending

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

CLEVELAND CLINIC MERCY HOSPITAL

NPI: 1366433195 · CANTON, OH 44708 · General Acute Care Hospital · NPI assigned 11/01/2005

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

Authorized official LARAWAY, DENNIS controls 20+ related entities in our dataset. Read more

$86.97M
Total Medicaid Paid
2,114,344
Total Claims
1,657,221
Beneficiaries
574
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLARAWAY, DENNIS (EXECUTIVE VP CHIEF FINANCE OFFICER)
NPI Enumeration Date11/01/2005

Related Entities

Other providers sharing the same authorized official: LARAWAY, DENNIS

ProviderCityStateTotal Paid
THE CLEVELAND CLINIC FOUNDATION CLEVELAND OH $863.55M
AKRON GENERAL MEDICAL CENTER AKRON OH $98.99M
MEMORIAL HERMANN HEALTH SYSTEM HOUSTON TX $84.45M
FAIRVIEW HOSPITAL CLEVELAND OH $62.42M
LUTHERAN HOSPITAL CLEVELAND OH $41.49M
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION EUCLID OH $40.67M
MEMORIAL HERMANN HEALTH SYSTEM HOUSTON TX $39.46M
CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION CLEVELAND OH $36.43M
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION MAYFIELD HTS OH $32.76M
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION WARRENSVILLE HEIGHTS OH $31.44M
PARTNERS PHYSICIAN GROUP AKRON OH $28.37M
MARYMOUNT HOSPITAL INC GARFIELD HEIGHTS OH $28.02M
MEMORIAL HERMANN HEALTH SYSTEM HUMBLE TX $26.79M
MARTIN MEMORIAL MEDICAL CENTER INC STUART FL $26.03M
THE UNION HOSPITAL ASSOCIATION DOVER OH $20.23M
LODI COMMUNITY HOSPITAL LODI OH $17.53M
CLINIC MEDICAL SERVICES COMPANY LLC CLEVELAND OH $10.82M
CLEVELAND CLINIC HOME CARE SERVICES INDEPENDENCE OH $10.76M
INDIAN RIVER MEMORIAL HOSPITAL INC VERO BEACH FL $9.27M
MEMORIAL HERMANN HEALTH SYSTEM SUGAR LAND TX $9.14M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 218,914 $7.02M
2019 248,067 $7.32M
2020 162,023 $7.55M
2021 193,391 $8.95M
2022 213,388 $10.21M
2023 633,197 $28.42M
2024 445,364 $17.51M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 191,373 153,053 $17.85M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 118,442 110,278 $7.87M
96361 Intravenous infusion, hydration; each additional hour 20,922 14,759 $6.42M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 49,296 40,593 $6.34M
99284 Emergency department visit for the evaluation and management, high severity 48,375 42,921 $5.62M
99283 Emergency department visit for the evaluation and management, moderate severity 42,376 39,130 $4.58M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 43,741 40,586 $4.46M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 39,614 37,666 $2.73M
70450 Computed tomography, head or brain; without contrast material 11,337 9,335 $2.67M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 26,704 8,115 $2.01M
74177 Computed tomography, abdomen and pelvis; with contrast material 8,569 6,614 $2.01M
41899 Unlisted procedure, dentoalveolar structures 1,198 929 $986K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 6,768 4,391 $972K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 7,279 5,657 $883K
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 7,782 6,898 $811K
80053 Comprehensive metabolic panel 58,537 45,930 $785K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 3,508 2,734 $706K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 3,126 1,386 $659K
G0378 Hospital observation service, per hour 7,845 3,025 $592K
71260 Computed tomography, thorax, diagnostic; with contrast material 2,679 1,977 $530K
80048 Basic metabolic panel (calcium, ionized) 65,115 53,346 $521K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 8,020 7,479 $498K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1,094 790 $461K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 6,874 6,405 $453K
0202U Oncology (prostate), multianalyte, gene expression profiling 2,571 2,478 $453K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,493 1,070 $400K
52000 668 536 $381K
62323 1,024 867 $363K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,458 1,159 $356K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,773 2,052 $338K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 10,794 10,066 $330K
84443 Thyroid stimulating hormone (TSH) 20,302 17,683 $301K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 13,499 12,037 $285K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,571 2,064 $280K
96127 3,954 2,923 $278K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 9,833 3,489 $276K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 97,340 78,617 $267K
80061 Lipid panel 23,589 21,033 $260K
20610 1,369 987 $213K
97530 Therapeutic activities, direct patient contact, each 15 minutes 4,845 2,185 $207K
D2930 Prefabricated stainless steel crown - primary tooth 368 71 $199K
97161 3,161 2,706 $191K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,536 634 $190K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,721 1,316 $186K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,508 1,158 $178K
36415 Collection of venous blood by venipuncture 155,564 117,151 $174K
70498 613 460 $172K
59025 Fetal non-stress test 1,064 545 $169K
83036 Hemoglobin; glycosylated (A1C) 12,937 11,136 $165K
93458 155 95 $162K
71046 Radiologic examination, chest; 2 views 17,959 15,334 $161K
84484 34,838 24,961 $157K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 3,429 1,345 $155K
81003 38,381 34,844 $154K
95810 Polysomnography; sleep staging with 4 or more additional parameters 248 216 $152K
95811 225 178 $146K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,102 970 $139K
70491 430 320 $138K
93975 957 696 $137K
76642 1,364 919 $134K
J3490 Unclassified drugs 32,396 20,010 $131K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 518 442 $129K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,437 999 $127K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1,634 516 $125K
76700 Ultrasound, abdominal, real time with image documentation; complete 728 592 $123K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 8,998 6,985 $123K
51700 484 196 $113K
96367 1,535 831 $110K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 46,096 35,863 $106K
20553 836 676 $105K
90677 622 473 $99K
93017 1,199 901 $98K
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography 454 357 $96K
85027 21,444 15,729 $95K
90839 725 563 $90K
93971 2,024 1,710 $89K
94060 915 799 $89K
77067 Screening mammography, bilateral, including computer-aided detection 2,772 2,244 $87K
80076 18,258 16,387 $87K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 982 396 $85K
93970 1,280 1,094 $85K
97162 1,678 1,430 $81K
76770 521 435 $81K
84439 4,046 3,395 $78K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 463 396 $76K
87081 3,380 3,290 $73K
72100 2,376 1,934 $70K
71250 777 688 $69K
97535 Self-care/home management training, each 15 minutes 2,207 1,430 $68K
76536 630 533 $67K
10060 385 289 $66K
82607 3,831 3,137 $66K
76830 Ultrasound, transvaginal 1,287 971 $65K
93798 1,109 182 $64K
97113 845 274 $63K
97014 1,749 601 $62K
82728 5,195 4,295 $58K
95886 178 146 $57K
86850 2,871 2,104 $56K
74018 2,151 1,648 $54K
77063 Screening digital breast tomosynthesis, bilateral 1,090 876 $51K
86140 2,979 2,366 $49K
73564 2,425 1,883 $49K
87086 Culture, bacterial; quantitative colony count, urine 17,446 14,277 $48K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 233 201 $47K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 354 305 $47K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 20,805 14,577 $46K
12001 281 223 $45K
50590 19 12 $45K
99281 Emergency department visit for the evaluation and management, self-limited or minor 335 295 $44K
97016 1,520 467 $43K
83540 5,981 4,976 $42K
72131 430 339 $42K
94729 959 848 $42K
73630 2,974 2,263 $42K
86803 2,349 1,921 $41K
87070 3,270 2,731 $40K
90715 2,551 1,811 $40K
97165 734 586 $40K
72050 960 793 $39K
70551 Magnetic resonance imaging, brain; without contrast material 230 181 $38K
82805 1,444 961 $37K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 6,157 4,885 $37K
73030 2,313 1,667 $37K
86900 3,127 2,281 $36K
97116 1,682 687 $34K
94726 633 557 $33K
73130 2,258 1,657 $33K
83550 5,721 4,773 $33K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 316 251 $32K
72125 Computed tomography, cervical spine; without contrast material 2,378 1,770 $32K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 791 573 $31K
73610 2,533 1,948 $31K
D1110 Prophylaxis - adult 571 379 $31K
71045 Radiologic examination, chest; single view 10,349 8,369 $30K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 2,142 1,664 $30K
83735 11,696 7,163 $29K
97802 480 376 $29K
71271 217 180 $29K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 228 176 $29K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 6,165 4,889 $27K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4,696 2,439 $27K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 29,284 23,941 $27K
77080 444 364 $27K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 166 137 $27K
84436 1,803 1,625 $26K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,863 1,346 $26K
97166 451 360 $25K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 506 503 $25K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 1,579 1,095 $24K
D0120 Periodic oral evaluation - established patient 761 494 $21K
70486 791 595 $21K
83992 1,631 1,485 $21K
72110 572 496 $21K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 303 273 $20K
73110 1,552 1,185 $20K
84702 1,944 1,256 $20K
85610 7,884 5,034 $20K
73502 1,186 927 $20K
64493 40 25 $20K
80326 1,633 1,486 $20K
72141 112 101 $19K
81001 18,345 13,360 $19K
93799 3,891 1,119 $19K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 161 129 $19K
82570 2,285 1,925 $18K
93880 229 177 $18K
80338 1,759 1,582 $18K
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) 334 272 $17K
80370 1,758 1,583 $17K
80373 1,759 1,583 $17K
80355 1,760 1,583 $17K
80367 1,759 1,583 $17K
80372 1,758 1,582 $17K
80366 1,758 1,582 $17K
80368 1,758 1,582 $17K
80357 1,758 1,582 $17K
83970 648 534 $17K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,034 3,970 $17K
12011 105 81 $17K
84153 1,545 1,283 $17K
80331 1,633 1,486 $17K
86038 784 598 $16K
80337 1,632 1,485 $16K
80334 1,632 1,485 $16K
74178 71 64 $16K
99460 230 207 $16K
80377 1,633 1,486 $16K
80341 1,633 1,486 $16K
80344 1,632 1,485 $16K
83880 3,187 2,365 $16K
D0274 Bitewings - four radiographic images 519 347 $16K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 155 125 $16K
86780 1,331 1,036 $16K
80346 1,760 1,583 $16K
77062 455 367 $16K
80361 1,759 1,583 $15K
80365 1,760 1,584 $15K
80348 1,760 1,583 $15K
80354 1,760 1,583 $15K
80359 1,758 1,582 $15K
80358 1,759 1,583 $15K
77336 185 81 $15K
71275 Computed tomographic angiography, chest, with contrast material 43 42 $15K
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 4,315 3,575 $15K
90688 862 552 $15K
80364 1,632 1,486 $14K
80353 1,633 1,486 $14K
80360 1,631 1,485 $14K
80371 1,631 1,485 $14K
99215 Prolong outpt/office vis 150 148 $14K
82043 2,464 2,082 $14K
81002 4,105 2,754 $14K
84481 1,284 1,072 $14K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 155 109 $13K
88307 98 50 $13K
99232 Subsequent hospital care, per day, moderate complexity 713 317 $13K
D7140 Extraction, erupted tooth or exposed root 24 12 $13K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,076 1,590 $13K
12002 93 63 $13K
87340 1,050 801 $12K
19083 19 14 $12K
82962 9,218 2,824 $12K
99406 491 422 $12K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 104 77 $12K
97602 94 49 $12K
70496 640 483 $11K
82746 1,548 1,260 $11K
72040 373 295 $11K
80320 1,338 1,212 $11K
72072 401 342 $11K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,743 2,579 $11K
88341 166 115 $11K
97164 148 118 $11K
77061 296 227 $10K
51798 2,293 1,795 $10K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 115 64 $10K
83690 14,878 11,937 $10K
73140 1,035 783 $10K
87507 109 86 $10K
77065 Tomosynthesis, mammo 634 502 $10K
73221 50 40 $10K
80069 527 417 $10K
78815 Positron emission tomography (PET) for limited area imaging 16 16 $10K
90792 Psychiatric diagnostic evaluation with medical services 44 44 $9K
P9016 Red blood cells, leukocytes reduced, each unit 21 12 $9K
96375 Therapeutic injection; each additional sequential IV push 17,973 13,540 $9K
86901 3,125 2,280 $9K
49083 26 13 $9K
73560 887 654 $9K
94010 114 102 $9K
45380 Colonoscopy, flexible; with biopsy, single or multiple 17 12 $8K
87077 2,567 1,984 $8K
86706 509 411 $8K
J1756 Injection, iron sucrose, 1 mg 335 111 $8K
99152 1,007 710 $8K
80197 602 255 $8K
D1206 Topical application of fluoride varnish 323 210 $8K
82784 586 433 $8K
86762 509 388 $8K
99238 Hospital discharge day management, 30 minutes or less 277 243 $8K
84403 555 427 $7K
81025 7,675 6,013 $7K
85652 2,139 1,518 $7K
87522 Neg quan hep c or qual rna 395 283 $7K
86431 603 488 $7K
96376 4,158 1,815 $7K
64635 19 12 $7K
93225 75 54 $7K
73590 790 560 $7K
84100 1,571 844 $6K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 4,317 3,421 $6K
82550 2,504 1,595 $6K
87486 166 107 $6K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,839 1,314 $6K
71101 545 430 $6K
76981 156 126 $6K
90686 683 637 $6K
73080 624 480 $6K
62321 14 12 $6K
99223 Prolong inpt eval add15 m 92 76 $5K
D0140 Limited oral evaluation - problem focused 135 91 $5K
80164 559 439 $5K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 53 51 $5K
76870 184 130 $5K
87536 105 74 $5K
84550 1,014 699 $5K
84703 8,994 7,146 $5K
64430 17 12 $5K
87430 4,299 3,416 $5K
86480 135 110 $5K
82077 5,215 3,536 $5K
86359 73 46 $5K
86364 247 176 $5K
77066 Tomosynthesis, mammo 494 405 $5K
86235 292 168 $5K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 65 55 $5K
83615 687 484 $4K
87186 2,779 2,190 $4K
73090 550 414 $4K
86141 162 141 $4K
87640 279 238 $4K
85651 867 817 $4K
88142 884 756 $4K
86703 253 241 $4K
86787 337 256 $4K
93270 35 25 $4K
73700 36 25 $4K
H1000 Prenatal care, at-risk assessment 57 52 $4K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1,216 947 $4K
91320 45 45 $4K
76801 46 43 $3K
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 232 175 $3K
82330 1,815 1,143 $3K
84402 199 155 $3K
82670 149 104 $3K
87493 225 180 $3K
96368 247 149 $3K
83605 5,594 3,475 $3K
99153 Mod sedat endo service >5yrs 738 520 $3K
97803 43 40 $3K
G0483 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; 22 or more drug class(es), including metabolite(s) if performed 420 377 $3K
93296 208 197 $3K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 267 209 $3K
80074 152 95 $3K
87210 1,140 882 $3K
84630 148 110 $3K
82565 497 391 $3K
90658 336 326 $3K
73562 74 67 $3K
87497 175 62 $3K
87581 165 107 $3K
88342 537 366 $3K
97035 26 12 $3K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 479 351 $3K
82977 370 203 $3K
82947 1,562 1,096 $3K
D0220 Intraoral - periapical first radiographic image 309 195 $2K
87147 1,047 734 $2K
87641 280 238 $2K
86376 123 84 $2K
J2270 Injection, morphine sulfate, up to 10 mg 10,732 7,171 $2K
85379 1,789 1,301 $2K
82533 138 112 $2K
84156 607 446 $2K
85730 3,342 2,131 $2K
74022 270 194 $2K
87040 2,468 1,080 $2K
73552 292 191 $2K
88304 469 304 $2K
82950 262 210 $2K
82140 303 206 $2K
87205 1,134 907 $2K
84480 125 87 $2K
90674 91 91 $2K
80321 127 97 $2K
86160 193 100 $2K
73620 66 64 $2K
83001 114 94 $2K
84132 3,154 2,192 $2K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 16 16 $2K
82677 57 54 $2K
D1120 Prophylaxis - child 70 40 $2K
82105 115 94 $2K
73660 162 136 $2K
86258 48 25 $2K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 669 269 $2K
86200 181 167 $2K
J1644 Injection, heparin sodium, per 1000 units 4,691 1,538 $2K
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 1,121 474 $2K
84144 45 26 $2K
77334 14 12 $2K
84145 1,613 1,131 $2K
90480 45 45 $2K
82248 157 91 $1K
86704 91 63 $1K
73070 79 60 $1K
82103 82 46 $1K
80333 127 97 $1K
80345 127 97 $1K
85018 1,937 1,263 $1K
95806 18 15 $1K
80363 127 97 $1K
Q3014 Telehealth originating site facility fee 723 652 $1K
96523 24 24 $1K
87905 1,137 918 $1K
84134 102 83 $1K
99233 Prolong inpt eval add15 m 53 19 $1K
73060 121 95 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 369 248 $1K
D0330 Panoramic radiographic image 19 18 $1K
83002 92 72 $1K
83520 57 54 $1K
85045 824 699 $1K
76857 54 52 $1K
84450 1,189 859 $1K
99201 12 12 $1K
72170 320 254 $1K
82951 68 67 $998.82
99442 27 27 $981.79
99441 87 82 $979.08
J1885 Injection, ketorolac tromethamine, per 15 mg 14,074 10,765 $913.99
D0150 Comprehensive oral evaluation - new or established patient 18 17 $906.30
86618 172 139 $898.94
86225 88 79 $873.87
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 2,820 2,174 $872.78
83020 106 79 $865.43
99239 Hospital discharge day management, more than 30 minutes 27 24 $860.68
88312 16 16 $845.31
86308 162 124 $843.87
J3486 Injection, ziprasidone mesylate, 10 mg 45 27 $832.69
82247 51 25 $829.56
J1815 Injection, insulin, per 5 units 156 108 $821.84
84425 55 41 $798.71
84165 85 66 $773.49
80336 71 56 $771.98
J1650 Injection, enoxaparin sodium, 10 mg 1,060 343 $770.23
77002 13 12 $765.63
97163 14 12 $761.61
85014 173 106 $744.76
81374 15 15 $709.19
86039 70 68 $708.37
83525 28 13 $697.08
00170 Anesthesia for intraoral procedures, including biopsy 1,389 1,068 $690.22
90662 127 112 $684.57
72202 27 26 $682.75
J1170 Injection, hydromorphone, up to 4 mg 1,751 897 $679.59
86003 42 25 $651.82
73120 21 21 $647.98
93246 12 12 $638.74
84520 424 310 $635.96
99222 Initial hospital care, per day, moderate complexity 17 14 $632.33
76819 Fetal biophysical profile; without non-stress testing 18 12 $617.59
72070 41 40 $613.09
87808 1,143 913 $611.02
84460 149 95 $597.01
82375 1,453 973 $591.29
76775 20 13 $583.38
99244 Office or other outpatient consultation, moderate to high complexity 12 12 $580.38
84155 118 79 $559.24
80177 45 41 $548.96
J2469 Injection, palonosetron hcl, 25 mcg 197 77 $539.08
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 19,206 16,497 $504.60
D0230 Intraoral - periapical each additional radiographic image 117 25 $501.22
84146 72 64 $467.26
92610 16 14 $451.36
84295 1,392 962 $449.97
J3475 Injection, magnesium sulfate, per 500 mg 1,574 887 $449.60
J2405 Injection, ondansetron hydrochloride, per 1 mg 26,094 19,015 $449.58
76000 12 12 $448.53
80143 741 553 $446.73
76820 22 15 $438.60
87088 242 237 $438.29
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 1,103 798 $433.33
90472 Immunization administration, each additional vaccine (list separately) 297 222 $430.59
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 57 57 $414.89
80047 176 132 $413.78
C9113 Injection, pantoprazole sodium, per vial 755 345 $379.69
83655 12 12 $372.14
00840 43 20 $359.56
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 877 523 $353.92
82378 18 13 $339.72
83050 1,457 967 $338.92
J2360 Injection, orphenadrine citrate, up to 60 mg 683 481 $327.33
86256 21 13 $320.95
87102 603 457 $312.76
93283 17 12 $307.49
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 13,521 10,550 $298.17
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 4,785 3,646 $289.20
86360 12 12 $281.18
93280 47 40 $280.34
80179 703 528 $263.85
83021 16 15 $233.03
J0696 Injection, ceftriaxone sodium, per 250 mg 3,221 1,639 $232.83
J0360 Injection, hydralazine hcl, up to 20 mg 320 184 $230.81
84590 20 12 $229.05
94760 1,975 1,217 $215.89
84479 39 33 $201.27
J1040 Injection, methylprednisolone acetate, 80 mg 1,547 1,377 $200.04
80335 18 13 $199.30
J2310 Injection, naloxone hydrochloride, per 1 mg 23 12 $189.21
82150 41 29 $187.46
82040 16 12 $186.10
85380 14 13 $175.58
J2919 Injection, methylprednisolone sodium succinate, 5 mg 475 342 $156.30
84478 62 39 $143.16
90656 17 17 $140.74
J2704 Injection, propofol, 10 mg 5,408 3,660 $138.79
J1790 Injection, droperidol, up to 5 mg 921 579 $137.94
70320 460 416 $125.25
J1953 Injection, levetiracetam, 10 mg 27 13 $124.19
J0690 Injection, cefazolin sodium, 500 mg 2,951 1,664 $123.43
J2250 Injection, midazolam hydrochloride, per 1 mg 5,809 4,027 $111.17
90694 12 12 $105.03
J2060 Injection, lorazepam, 2 mg 857 548 $102.03
J1100 Injection, dexamethasone sodium phosphate, 1 mg 6,242 4,098 $93.38
J3370 Injection, vancomycin hcl, 500 mg 350 155 $89.94
J3010 Injection, fentanyl citrate, 0.1 mg 7,121 4,188 $89.49
G0008 Administration of influenza virus vaccine 326 286 $76.99
J1200 Injection, diphenhydramine hcl, up to 50 mg 2,154 1,283 $66.58
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 293 284 $66.31
J7120 Ringers lactate infusion, up to 1000 cc 2,444 1,623 $64.41
J2785 Injection, regadenoson, 0.1 mg 748 544 $60.58
J2765 Injection, metoclopramide hcl, up to 10 mg 1,177 710 $55.42
82948 47 36 $52.92
87653 14 14 $41.20
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 265 117 $36.28
J1920 Injection, labetalol hydrochloride, 5 mg 105 82 $35.77
J1940 Injection, furosemide, up to 20 mg 137 53 $35.59
G0482 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; 15-21 drug class(es), including metabolite(s) if performed 21 20 $33.79
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 881 441 $33.29
82270 12 12 $31.77
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 687 479 $31.57
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 3,376 2,388 $30.14
J3480 Injection, potassium chloride, per 2 meq 223 132 $29.45
A4649 Surgical supply; miscellaneous 3,917 3,705 $26.79
82465 33 26 $25.17
85041 20 17 $25.01
J1030 Injection, methylprednisolone acetate, 40 mg 685 509 $23.93
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg 83 42 $21.40
J2795 Injection, ropivacaine hydrochloride, 1 mg 302 214 $21.00
J2470 Injection, pantoprazole sodium, 40 mg 97 74 $20.63
J2370 Injection, phenylephrine hcl, up to 1 ml 376 208 $20.51
A9575 Injection, gadoterate meglumine, 0.1 ml 1,015 858 $17.66
J0330 Injection, succinylcholine chloride, up to 20 mg 779 502 $15.84
82010 124 79 $15.15
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 50 13 $12.60
Q9957 Injection, perflutren lipid microspheres, per ml 589 467 $10.66
C1765 Adhesion barrier 16 14 $9.51
J0171 Injection, adrenalin, epinephrine, 0.1 mg 81 52 $7.23
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 33 31 $6.29
J7050 Infusion, normal saline solution, 250 cc 2,157 1,057 $6.04
J0780 Injection, prochlorperazine, up to 10 mg 118 79 $5.28
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg 66 58 $5.04
J1171 Injection, hydromorphone, 0.1 mg 106 70 $4.95
J7030 Infusion, normal saline solution , 1000 cc 791 501 $2.54
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 38 14 $2.26
J1630 Injection, haloperidol, up to 5 mg 14 13 $2.09
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 562 420 $1.68
J1010 Injection, methylprednisolone acetate, 1 mg 209 181 $1.30
A6449 Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard 14 14 $1.29
J1596 Injection, glycopyrrolate, 0.1 mg 92 82 $1.03
A9270 Non-covered item or service 2,072 1,131 $0.77
36591 44 26 $0.48
3078F 8,670 7,650 $0.00
00811 141 95 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 101 89 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 295 265 $0.00
00400 17 12 $0.00
3077F 3,371 2,989 $0.00
Q9958 High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml 269 228 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 363 249 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 65 65 $0.00
96417 126 41 $0.00
90461 19 13 $0.00
G0444 Annual depression screening, 5 to 15 minutes 13 13 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 608 431 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 18 14 $0.00
C1729 Catheter, drainage 53 24 $0.00
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 15 15 $0.00
J1580 Injection, garamycin, gentamicin, up to 80 mg 36 25 $0.00
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg 25 14 $0.00
3075F 2,259 2,004 $0.00
3080F 2,223 1,952 $0.00
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 185 177 $0.00
3079F 4,889 4,446 $0.00
3074F 10,475 9,343 $0.00
A4648 Tissue marker, implantable, any type, each 77 57 $0.00
C1769 Guide wire 868 634 $0.00
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml 252 172 $0.00
G0009 Administration of pneumococcal vaccine 39 25 $0.00
94761 78 70 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 166 125 $0.00
64494 27 12 $0.00