Medicaid Provider Spending

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

SENTARA HOSPITALS

NPI: 1376540138 · SUFFOLK, VA 23434 · Cardiac Rehabilitation Clinic/Center · NPI assigned 07/07/2005

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

Authorized official HANCOCK, MELINDA controls 20+ related entities in our dataset. Read more

$57.85M
Total Medicaid Paid
1,659,461
Total Claims
1,156,133
Beneficiaries
321
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHANCOCK, MELINDA (CFO)
NPI Enumeration Date07/07/2005

Related Entities

Other providers sharing the same authorized official: HANCOCK, MELINDA

ProviderCityStateTotal Paid
SENTARA HOSPITALS NORFOLK VA $88.20M
SENTARA HOSPITALS NORFOLK VA $79.69M
SENTARA HOSPITALS HAMPTON VA $78.52M
POTOMAC HOSPITAL CORPORATION OF PRINCE WILLIAM WOODBRIDGE VA $59.17M
SENTARA RMH MEDICAL CENTER HARRISONBURG VA $52.95M
SENTARA HOSPITALS VIRGINIA BEACH VA $52.40M
SENTARA PRINCESS ANNE HOSPITAL VIRGINIA BEACH VA $37.50M
MARTHA JEFFERSON HOSPITAL CHARLOTTESVILLE VA $26.95M
HALIFAX REGIONAL HOSPITAL, INC. SOUTH BOSTON VA $23.28M
SENTARA HOSPITALS WILLIAMSBURG VA $21.89M
SENTARA ALBEMARLE REGIONAL MEDICAL CENTER ELIZABETH CITY NC $13.82M
SENTARA REFERENCE LAB SOLUTIONS, LLC NORFOLK VA $4.74M
HALIFAX REGIONAL HOSPITAL, INC SOUTH BOSTON VA $1.61M
HALIFAX REGIONAL HOSPITAL, INC NATHALIE VA $348K
HALIFAX REGIONAL HOSPITAL, INC SOUTH BOSTON VA $336K
HALIFAX REGIONAL HOSPITAL, INC CHASE CITY VA $298K
HALIFAX REGIONAL HOSPITAL, INC CLARKSVILLE VA $265K
SENTARA HOSPITALS NORFOLK VA $171K
HALIFAX REGIONAL HOSPITAL, INC SOUTH BOSTON VA $170K
SENTARA HOSPITALS NORFOLK VA $128K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 153,795 $3.20M
2019 207,324 $5.13M
2020 201,613 $7.68M
2021 258,386 $9.31M
2022 294,010 $10.55M
2023 351,345 $13.94M
2024 192,988 $8.05M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 68,908 58,679 $11.14M
99284 Emergency department visit for the evaluation and management, high severity 53,108 42,686 $8.17M
96361 Intravenous infusion, hydration; each additional hour 24,367 17,943 $6.63M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 31,793 25,417 $4.83M
99282 Emergency department visit for the evaluation and management, low to moderate severity 20,257 17,903 $3.08M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 49,334 12,402 $2.48M
74177 Computed tomography, abdomen and pelvis; with contrast material 13,812 11,769 $2.37M
70450 Computed tomography, head or brain; without contrast material 12,853 10,760 $2.10M
71275 Computed tomographic angiography, chest, with contrast material 4,896 4,263 $1.10M
G0378 Hospital observation service, per hour 4,234 3,013 $785K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 6,321 5,464 $764K
97530 Therapeutic activities, direct patient contact, each 15 minutes 19,687 6,801 $723K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 2,857 630 $672K
74176 Computed tomography, abdomen and pelvis; without contrast material 4,201 3,600 $665K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,430 2,159 $649K
59025 Fetal non-stress test 3,003 2,236 $553K
97161 4,963 4,496 $548K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 823 725 $458K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 10,702 6,405 $442K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,903 1,354 $403K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 9,107 7,451 $399K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 4,541 3,834 $376K
J3490 Unclassified drugs 200,976 62,970 $317K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1,075 975 $302K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1,556 1,448 $302K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 19,389 5,702 $291K
80048 Basic metabolic panel (calcium, ionized) 69,660 50,899 $258K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,867 2,573 $239K
97162 2,810 2,477 $223K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 14,267 5,286 $217K
71046 Radiologic examination, chest; 2 views 32,441 27,593 $209K
70551 Magnetic resonance imaging, brain; without contrast material 1,115 983 $199K
77067 Screening mammography, bilateral, including computer-aided detection 5,995 5,654 $197K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,212 1,126 $190K
0240U 3,064 2,829 $186K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 13,258 8,446 $174K
93971 2,290 1,957 $174K
76642 1,651 1,331 $169K
77063 Screening digital breast tomosynthesis, bilateral 4,515 4,281 $164K
71260 Computed tomography, thorax, diagnostic; with contrast material 2,514 2,194 $164K
76830 Ultrasound, transvaginal 2,136 1,895 $160K
10060 1,464 1,269 $155K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,284 614 $150K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1,761 1,666 $132K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 675 588 $130K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,550 2,156 $126K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 3,236 2,557 $126K
72141 602 566 $125K
93017 1,658 1,446 $125K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 596 538 $123K
70491 741 680 $122K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 45,722 36,407 $109K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 4,890 4,288 $104K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 11,984 10,479 $100K
93970 987 857 $99K
72125 Computed tomography, cervical spine; without contrast material 3,419 2,875 $97K
76770 819 732 $90K
59050 533 350 $90K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 4,479 1,506 $87K
97597 1,670 759 $73K
80047 19,024 15,949 $72K
12001 345 317 $71K
83880 8,727 6,886 $65K
29125 486 430 $63K
71250 1,161 1,051 $61K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 74,489 56,119 $55K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 486 434 $53K
70486 1,212 1,069 $52K
97165 556 497 $52K
97016 1,937 609 $51K
71045 Radiologic examination, chest; single view 14,958 12,503 $43K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 785 697 $42K
84703 17,811 15,303 $41K
97535 Self-care/home management training, each 15 minutes 1,640 1,161 $40K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 37,309 29,713 $39K
77065 Tomosynthesis, mammo 895 764 $38K
85379 8,803 7,622 $38K
73030 3,693 3,107 $37K
80076 22,882 18,589 $37K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 4,233 3,949 $36K
90715 1,976 1,740 $36K
97166 518 451 $35K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 6,163 5,684 $35K
77066 Tomosynthesis, mammo 925 852 $34K
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 3,617 2,414 $34K
97116 1,596 835 $34K
84484 29,012 17,048 $33K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 42 39 $33K
72110 1,951 1,723 $32K
87040 6,135 2,737 $30K
73564 4,113 3,272 $29K
80053 Comprehensive metabolic panel 5,479 4,427 $27K
73130 3,299 2,705 $25K
93798 466 84 $24K
73630 4,189 3,493 $24K
73562 1,688 1,271 $23K
12011 127 118 $20K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,291 1,150 $20K
73502 2,417 2,006 $20K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 7,414 6,595 $20K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 294 271 $20K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 15,337 9,680 $20K
76536 193 184 $20K
76942 433 374 $19K
82962 19,110 7,507 $18K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 1,437 1,328 $17K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 173 114 $17K
72100 1,544 1,369 $17K
73610 3,399 2,935 $17K
93976 673 568 $16K
85027 10,351 7,884 $15K
64450 96 83 $15K
81001 37,200 30,488 $14K
J3010 Injection, fentanyl citrate, 0.1 mg 5,501 4,550 $14K
73110 1,990 1,707 $14K
96375 Therapeutic injection; each additional sequential IV push 25,393 19,293 $14K
85610 8,593 6,443 $13K
J2405 Injection, ondansetron hydrochloride, per 1 mg 23,823 18,673 $13K
88304 391 339 $13K
76801 188 155 $12K
71271 115 106 $11K
36430 51 38 $10K
74018 1,218 980 $10K
72050 474 438 $10K
87086 Culture, bacterial; quantitative colony count, urine 15,222 12,614 $10K
94799 2,248 1,328 $9K
76870 121 106 $9K
70496 46 41 $9K
83605 7,879 5,978 $9K
86900 4,117 3,405 $8K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 11,904 10,397 $8K
36415 Collection of venous blood by venipuncture 8,170 6,639 $7K
84443 Thyroid stimulating hormone (TSH) 4,469 3,863 $7K
73560 326 220 $7K
85014 9,552 7,805 $6K
87081 5,161 4,537 $6K
73140 885 801 $6K
81003 21,088 17,980 $6K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 655 565 $6K
87070 635 529 $6K
83690 19,594 15,835 $6K
96376 9,554 5,360 $6K
82565 3,687 3,044 $6K
83036 Hemoglobin; glycosylated (A1C) 2,545 2,155 $5K
81025 15,906 13,826 $5K
80061 Lipid panel 2,220 1,861 $5K
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 19 14 $5K
93880 55 49 $5K
84702 5,205 3,973 $5K
99234 109 98 $5K
12002 27 26 $5K
83735 6,780 4,876 $5K
J1885 Injection, ketorolac tromethamine, per 15 mg 13,771 11,524 $5K
74183 16 14 $5K
73080 849 739 $4K
97163 68 62 $4K
77080 54 53 $4K
77336 65 25 $4K
86850 2,579 2,147 $4K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 1,949 1,856 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,114 1,831 $3K
87077 6,445 5,265 $3K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,501 2,157 $3K
29130 13 12 $3K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 24,611 18,535 $3K
29515 16 13 $3K
86901 4,124 3,405 $3K
76937 124 95 $3K
J2550 Injection, promethazine hcl, up to 50 mg 3,021 2,239 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 6,691 6,055 $2K
87210 10,042 8,721 $2K
90935 Hemodialysis procedure with single evaluation by a physician 18 12 $2K
73590 888 716 $2K
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 7,264 6,378 $2K
J1170 Injection, hydromorphone, up to 4 mg 8,596 5,433 $2K
87186 4,266 3,372 $2K
85730 3,393 2,687 $2K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 291 258 $2K
J2270 Injection, morphine sulfate, up to 10 mg 10,719 7,939 $2K
97113 47 16 $2K
72040 71 70 $2K
82077 5,520 4,575 $2K
73090 347 302 $2K
80143 234 215 $2K
97750 87 68 $2K
74022 689 555 $1K
82553 447 291 $1K
82607 233 205 $1K
87631 71 62 $1K
P9016 Red blood cells, leukocytes reduced, each unit 22 13 $1K
84145 446 373 $1K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 2,046 1,533 $1K
70498 33 30 $1K
84100 1,186 840 $1K
83970 187 156 $1K
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 1,284 1,126 $1K
73221 15 12 $1K
74174 15 12 $1K
92610 16 12 $1K
J3535 Drug administered through a metered dose inhaler 233 184 $1K
J1644 Injection, heparin sodium, per 1000 units 7,517 3,301 $961.64
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,207 1,635 $945.98
J1200 Injection, diphenhydramine hcl, up to 50 mg 4,715 3,854 $904.69
87634 69 67 $805.99
88307 78 63 $802.16
J0780 Injection, prochlorperazine, up to 10 mg 1,781 1,553 $780.10
85018 804 562 $729.61
82310 4,348 3,774 $723.57
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 3,313 2,692 $675.47
82728 123 107 $634.95
J2060 Injection, lorazepam, 2 mg 3,163 2,376 $634.25
86923 107 76 $623.81
72070 47 42 $622.59
J0696 Injection, ceftriaxone sodium, per 250 mg 7,080 5,649 $588.88
84439 153 128 $587.43
J1100 Injection, dexamethasone sodium phosphate, 1 mg 6,962 6,093 $583.46
80069 127 103 $577.22
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 875 771 $570.89
84550 1,049 793 $555.49
74019 68 62 $546.65
J3370 Injection, vancomycin hcl, 500 mg 809 439 $534.79
71101 62 56 $530.98
J2250 Injection, midazolam hydrochloride, per 1 mg 4,468 3,992 $516.22
83615 932 709 $484.92
80179 145 134 $483.55
36600 99 81 $341.03
82550 1,431 1,169 $330.95
74220 12 12 $313.41
94729 15 12 $312.19
J2765 Injection, metoclopramide hcl, up to 10 mg 1,831 1,444 $311.24
86140 169 147 $310.01
82803 966 768 $298.63
73060 31 27 $288.34
J0690 Injection, cefazolin sodium, 500 mg 3,531 2,533 $277.00
83550 178 157 $257.18
97802 12 12 $256.85
84520 480 363 $253.23
83540 221 196 $208.22
73552 27 25 $200.83
85652 235 200 $182.51
96367 16 14 $181.56
93246 14 14 $171.34
90686 33 27 $147.73
73660 42 41 $145.15
G0008 Administration of influenza virus vaccine 419 308 $134.28
84450 262 185 $132.83
73620 12 12 $128.61
84460 259 182 $120.18
82570 143 114 $113.80
87205 645 523 $113.24
82043 124 111 $105.51
J2790 Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) 16 15 $92.91
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 1,370 540 $90.00
84156 101 78 $81.30
80320 86 75 $75.81
J1815 Injection, insulin, per 5 units 505 248 $73.85
36000 14 12 $65.12
J2704 Injection, propofol, 10 mg 3,730 3,405 $60.74
J1940 Injection, furosemide, up to 20 mg 817 531 $51.86
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 223 210 $51.17
J7030 Infusion, normal saline solution , 1000 cc 212 177 $27.04
84132 95 79 $26.59
J3480 Injection, potassium chloride, per 2 meq 355 255 $21.54
J1630 Injection, haloperidol, up to 5 mg 264 200 $18.51
J1650 Injection, enoxaparin sodium, 10 mg 549 216 $17.71
82330 66 54 $15.59
85046 237 156 $15.27
87807 100 89 $14.36
82272 352 303 $12.72
A9585 Injection, gadobutrol, 0.1 ml 575 456 $11.91
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 108 98 $10.06
J8597 Antiemetic drug, oral, not otherwise specified 423 338 $9.69
J2795 Injection, ropivacaine hydrochloride, 1 mg 53 46 $8.00
82746 27 26 $7.20
C1769 Guide wire 728 591 $7.15
J3475 Injection, magnesium sulfate, per 500 mg 156 137 $6.34
J2175 Injection, meperidine hydrochloride, per 100 mg 88 77 $4.12
85045 42 26 $3.67
J0456 Injection, azithromycin, 500 mg 81 53 $2.82
J2785 Injection, regadenoson, 0.1 mg 640 561 $2.13
Q0177 Hydroxyzine pamoate, 25 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 343 247 $1.54
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 596 447 $1.28
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 392 339 $0.98
J1596 Injection, glycopyrrolate, 0.1 mg 86 80 $0.31
A9575 Injection, gadoterate meglumine, 0.1 ml 2,075 1,739 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 213 160 $0.00
J1953 Injection, levetiracetam, 10 mg 330 250 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 134 108 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 544 416 $0.00
90653 56 37 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 101 81 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 134 120 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 254 168 $0.00
A6212 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing 208 90 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 307 190 $0.00
A9577 Injection, gadobenate dimeglumine (multihance), per ml 124 95 $0.00
90756 42 26 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 469 403 $0.00
C1729 Catheter, drainage 366 299 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 81 66 $0.00
J7510 Prednisolone oral, per 5 mg 13 13 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 67 57 $0.00
J0692 Injection, cefepime hydrochloride, 500 mg 25 13 $0.00
A6250 Skin sealants, protectants, moisturizers, ointments, any type, any size 19 13 $0.00
J1171 Injection, hydromorphone, 0.1 mg 296 206 $0.00
82009 17 12 $0.00
G8990 Other physical or occupational therapy primary functional limitation, current status, at therapy episode outset and at reporting intervals 19 12 $0.00
J0736 Injection, clindamycin phosphate, 300 mg 21 16 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 166 124 $0.00
A6252 Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing 2,732 807 $0.00
J1817 Insulin for administration through dme (i.e., insulin pump) per 50 units 155 84 $0.00
36416 295 139 $0.00
A6443 Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard 550 276 $0.00
J3360 Injection, diazepam, up to 5 mg 18 17 $0.00
A6022 Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq. in., each 40 25 $0.00
88342 58 52 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 94 91 $0.00
A6222 Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 59 37 $0.00
G8991 Other physical or occupational therapy primary functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 24 14 $0.00
A6223 Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing 18 12 $0.00
90694 14 12 $0.00