Medicaid Provider Spending

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

LEXINGTON HEALTH INC

NPI: 1386241834 · WEST COLUMBIA, SC 29169 · General Acute Care Hospital · NPI assigned 10/07/2020

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

Authorized official BRILLHART, JEFFREY controls 20+ related entities in our dataset. Read more

$27.42M
Total Medicaid Paid
1,419,978
Total Claims
1,126,423
Beneficiaries
408
Codes Billed
2021-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBRILLHART, JEFFREY (SENIOR VP/CFO)
NPI Enumeration Date10/07/2020

Related Entities

Other providers sharing the same authorized official: BRILLHART, JEFFREY

ProviderCityStateTotal Paid
LEXINGTON HEALTH INC LEXINGTON SC $8.67M
LEXINGTON HEALTH INC LEXINGTON SC $5.68M
LEXINGTON HEALTH INC WEST COLUMBIA SC $4.26M
LEXINGTON HEALTH INC LEXINGTON SC $4.00M
LEXINGTON HEALTH INC WEST COLUMBIA SC $3.56M
LEXINGTON HEALTH INC LEXINGTON SC $2.52M
LEXINGTON HEALTH INC SWANSEA SC $1.26M
LEXINGTON HEALTH INC WEST COLUMBIA SC $1.18M
LEXINGTON HEALTH INC SWANSEA SC $845K
LEXINGTON HEALTH INC WEST COLUMBIA SC $701K
LEXINGTON HEALTH INC CHAPIN SC $631K
LEXINGTON HEALTH INC WEST COLUMBIA SC $598K
LEXINGTON HEALTH INC BATESBURG LEESVILLE SC $512K
LEXINGTON HEALTH INC WEST COLUMBIA SC $502K
LEXINGTON HEALTH INC WEST COLUMBIA SC $341K
LEXINGTON HEALTH INC WEST COLUMBIA SC $322K
LEXINGTON HEALTH INC WEST COLUMBIA SC $321K
LEXINGTON HEALTH INC WEST COLUMBIA SC $276K
LEXINGTON HEALTH INC WEST COLUMBIA SC $250K
LEXINGTON HEALTH INC BATESBURG LEESVILLE SC $239K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 393,736 $7.42M
2022 391,434 $7.86M
2023 354,795 $7.20M
2024 280,013 $4.95M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
36415 Collection of venous blood by venipuncture 66,614 44,189 $6.78M
J7030 Infusion, normal saline solution , 1000 cc 13,526 10,038 $2.48M
80053 Comprehensive metabolic panel 59,967 51,114 $1.78M
86900 8,110 7,220 $1.22M
99283 Emergency department visit for the evaluation and management, moderate severity 22,742 20,792 $962K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 22,953 21,965 $836K
J7050 Infusion, normal saline solution, 250 cc 11,178 5,690 $826K
86703 11,766 11,331 $700K
A9577 Injection, gadobenate dimeglumine (multihance), per ml 601 505 $426K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 9,810 8,659 $415K
87077 15,759 14,732 $394K
87086 Culture, bacterial; quantitative colony count, urine 32,131 29,142 $394K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 3,192 2,632 $387K
99284 Emergency department visit for the evaluation and management, high severity 25,311 21,987 $335K
87081 30,631 29,861 $328K
80048 Basic metabolic panel (calcium, ionized) 27,347 18,172 $267K
77062 1,328 1,290 $250K
81001 29,880 26,031 $249K
86695 1,430 1,392 $249K
93971 1,409 1,283 $237K
88305 Level IV - Surgical pathology, gross and microscopic examination 6,133 5,646 $234K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,258 3,017 $220K
80061 Lipid panel 18,610 17,915 $216K
82565 1,218 1,138 $195K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 7,918 6,858 $179K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 7,602 6,451 $177K
84439 15,316 14,559 $168K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 5,040 4,906 $166K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 14,563 6,528 $165K
82962 6,425 3,868 $162K
87486 1,504 1,328 $162K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 8,496 8,048 $160K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 5,894 2,136 $152K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 5,121 4,223 $150K
71045 Radiologic examination, chest; single view 18,002 14,756 $137K
77063 Screening digital breast tomosynthesis, bilateral 1,432 1,406 $135K
81025 13,296 12,234 $133K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 11,652 11,255 $116K
70450 Computed tomography, head or brain; without contrast material 7,209 6,233 $114K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 6,161 4,537 $113K
84702 8,997 6,906 $105K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 15,781 13,125 $103K
82950 4,305 4,241 $103K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 4,274 3,796 $100K
82607 4,121 3,877 $99K
77336 1,072 439 $98K
A9578 Injection, gadobenate dimeglumine (multihance multipack), per ml 268 244 $92K
71250 609 553 $85K
85027 27,900 22,120 $84K
76642 2,062 1,828 $82K
87480 1,141 1,107 $82K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 64,162 50,208 $81K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 806 674 $77K
87070 2,192 1,977 $76K
70551 Magnetic resonance imaging, brain; without contrast material 504 423 $75K
81511 807 798 $73K
96376 10,465 3,878 $72K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,062 971 $72K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 24,364 19,512 $72K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 237 211 $69K
74177 Computed tomography, abdomen and pelvis; with contrast material 5,771 5,154 $68K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 189 173 $67K
G0378 Hospital observation service, per hour 26,638 6,581 $65K
86038 1,873 1,781 $63K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 17,188 13,969 $61K
73030 1,244 1,066 $61K
71046 Radiologic examination, chest; 2 views 2,460 2,220 $59K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,603 1,316 $58K
J1815 Injection, insulin, per 5 units 3,604 1,411 $57K
82728 4,751 4,442 $54K
83036 Hemoglobin; glycosylated (A1C) 7,596 7,142 $51K
84443 Thyroid stimulating hormone (TSH) 26,342 24,791 $51K
71275 Computed tomographic angiography, chest, with contrast material 1,903 1,685 $50K
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen 1,927 1,140 $48K
84112 494 450 $48K
96361 Intravenous infusion, hydration; each additional hour 9,944 8,412 $46K
93970 404 333 $42K
85610 22,807 19,221 $40K
88304 1,653 1,553 $38K
73610 461 398 $38K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 221 211 $37K
J2405 Injection, ondansetron hydrochloride, per 1 mg 18,053 13,777 $36K
74018 1,125 924 $35K
82670 426 414 $34K
72125 Computed tomography, cervical spine; without contrast material 1,979 1,790 $33K
87210 1,213 1,132 $32K
82533 839 749 $32K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,282 1,184 $32K
73560 887 703 $31K
77061 251 247 $31K
80076 5,507 4,825 $31K
83001 1,106 1,070 $29K
70486 453 414 $27K
72100 1,113 1,024 $26K
87507 127 114 $25K
J1644 Injection, heparin sodium, per 1000 units 9,604 2,515 $25K
93226 59 55 $25K
78306 64 54 $25K
91300 674 618 $24K
73564 739 629 $24K
73130 442 372 $24K
77334 92 67 $24K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 24,048 7,919 $23K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,353 2,073 $23K
73630 666 567 $22K
83735 9,274 6,893 $22K
83540 5,417 5,140 $22K
96375 Therapeutic injection; each additional sequential IV push 13,866 9,608 $21K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 7,675 2,353 $21K
76536 312 295 $21K
82550 2,232 1,717 $21K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 3,195 2,876 $20K
86140 5,102 4,502 $20K
84550 1,863 1,673 $20K
85730 19,005 16,083 $20K
82570 4,088 3,747 $19K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,085 960 $19K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,372 1,313 $19K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,316 590 $18K
73090 126 118 $18K
82784 744 698 $18K
J7120 Ringers lactate infusion, up to 1000 cc 13,168 10,613 $18K
84146 867 842 $18K
J2704 Injection, propofol, 10 mg 8,150 6,791 $18K
J3010 Injection, fentanyl citrate, 0.1 mg 12,529 7,386 $18K
76830 Ultrasound, transvaginal 730 689 $17K
83880 10,399 8,678 $16K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 75 67 $16K
86704 3,826 3,658 $16K
J1650 Injection, enoxaparin sodium, 10 mg 4,130 785 $15K
82043 2,070 1,992 $15K
95810 Polysomnography; sleep staging with 4 or more additional parameters 38 37 $14K
97161 2,302 1,747 $14K
85652 4,434 3,950 $13K
73502 837 707 $13K
84484 14,274 10,486 $13K
85378 3,527 3,117 $12K
82951 1,147 1,116 $12K
J0696 Injection, ceftriaxone sodium, per 250 mg 5,001 3,274 $12K
12002 116 110 $12K
73590 294 235 $12K
83690 17,151 14,740 $11K
87045 152 147 $11K
97530 Therapeutic activities, direct patient contact, each 15 minutes 4,066 1,296 $11K
93225 88 77 $11K
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg 850 584 $11K
49083 44 28 $10K
85018 1,092 474 $10K
95806 104 103 $10K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 12,289 9,072 $10K
86850 7,227 6,510 $10K
93458 259 233 $10K
77300 73 67 $10K
82785 137 131 $9K
88108 92 80 $9K
86235 1,162 909 $9K
88173 441 416 $9K
86780 12,749 12,318 $9K
J2270 Injection, morphine sulfate, up to 10 mg 8,703 6,088 $9K
76770 212 184 $9K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 616 546 $8K
86706 4,210 4,011 $8K
J1170 Injection, hydromorphone, up to 4 mg 9,001 6,162 $8K
88307 930 883 $7K
91307 189 165 $7K
J1885 Injection, ketorolac tromethamine, per 15 mg 11,072 7,295 $7K
83021 1,054 1,010 $7K
88184 26 24 $7K
C9113 Injection, pantoprazole sodium, per vial 1,161 508 $6K
J0690 Injection, cefazolin sodium, 500 mg 4,546 3,266 $6K
77412 85 12 $6K
76819 Fetal biophysical profile; without non-stress testing 90 77 $6K
84144 331 309 $6K
97165 1,337 968 $6K
84403 1,107 1,062 $6K
86225 1,136 1,083 $6K
84425 810 766 $6K
84153 509 474 $5K
76801 1,592 1,407 $5K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 539 268 $5K
12001 53 50 $5K
J3475 Injection, magnesium sulfate, per 500 mg 1,236 870 $5K
83615 904 696 $5K
88142 625 604 $5K
72040 98 92 $5K
97535 Self-care/home management training, each 15 minutes 1,408 733 $5K
73120 33 29 $5K
J2250 Injection, midazolam hydrochloride, per 1 mg 7,453 6,650 $5K
86593 51 48 $4K
J7042 5% dextrose/normal saline (500 ml = 1 unit) 150 67 $4K
76700 Ultrasound, abdominal, real time with image documentation; complete 44 41 $4K
88341 501 448 $4K
86003 162 151 $4K
72141 21 12 $4K
84156 3,139 2,563 $4K
84155 345 297 $4K
86160 651 604 $4K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 280 249 $4K
J2550 Injection, promethazine hcl, up to 50 mg 3,465 2,458 $3K
82746 1,741 1,621 $3K
82077 3,717 3,273 $3K
84145 752 536 $3K
86200 510 491 $3K
82947 423 397 $3K
83970 675 615 $3K
J2060 Injection, lorazepam, 2 mg 2,402 1,644 $3K
87205 2,511 2,148 $3K
J0780 Injection, prochlorperazine, up to 10 mg 452 348 $3K
82805 728 573 $3K
87075 1,206 1,034 $3K
84481 1,391 1,352 $3K
86803 12,985 12,415 $3K
84100 1,527 1,027 $3K
36430 837 584 $3K
73110 27 25 $3K
83520 130 116 $3K
0002A 325 321 $2K
82747 1,145 1,049 $2K
J3370 Injection, vancomycin hcl, 500 mg 1,808 865 $2K
86762 4,510 4,304 $2K
74220 40 39 $2K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 559 201 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 6,820 5,020 $2K
86709 3,558 3,424 $2K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 1,626 698 $2K
85014 1,420 602 $2K
86901 8,107 7,221 $2K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 1,980 899 $2K
87632 979 868 $2K
58661 28 27 $2K
91301 54 54 $2K
83013 94 92 $2K
87641 149 130 $2K
87040 2,827 2,207 $2K
0001A 313 307 $2K
J0360 Injection, hydralazine hcl, up to 20 mg 1,763 1,083 $2K
M0222 Intravenous injection, bebtelovimab, includes injection and post administration monitoring 28 28 $2K
85045 1,543 1,274 $2K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 21,411 20,452 $2K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 15 14 $2K
77065 Tomosynthesis, mammo 360 352 $2K
70496 58 52 $2K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 907 859 $2K
83516 308 287 $2K
J1200 Injection, diphenhydramine hcl, up to 50 mg 2,447 1,755 $2K
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 121 53 $2K
84270 187 182 $2K
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 93 66 $2K
86481 390 361 $2K
81514 2,276 2,147 $2K
Q9954 Oral magnetic resonance contrast agent, per 100 ml 604 531 $2K
74022 37 29 $1K
86787 3,184 3,053 $1K
82627 14 14 $1K
97116 2,053 648 $1K
J8540 Dexamethasone, oral, 0.25 mg 61 37 $1K
87255 25 24 $1K
J3486 Injection, ziprasidone mesylate, 10 mg 1,411 732 $1K
P9016 Red blood cells, leukocytes reduced, each unit 774 566 $1K
77067 Screening mammography, bilateral, including computer-aided detection 1,466 1,440 $1K
J2370 Injection, phenylephrine hcl, up to 1 ml 1,342 1,048 $1K
73080 14 14 $1K
80164 178 134 $1K
70491 14 13 $1K
74174 48 41 $1K
80069 81 26 $1K
82150 144 135 $960.43
93017 82 73 $866.12
82731 13 12 $858.99
J2765 Injection, metoclopramide hcl, up to 10 mg 1,116 820 $780.86
J1630 Injection, haloperidol, up to 5 mg 232 140 $776.46
87640 12 12 $750.16
81015 587 567 $744.09
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,814 1,609 $705.22
20610 28 26 $691.92
86147 67 64 $685.42
82140 355 228 $679.77
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 420 398 $678.10
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 100 95 $670.01
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,990 1,280 $656.66
0072A 117 116 $644.40
83525 351 337 $643.33
0071A 116 116 $608.60
85660 972 922 $605.16
83498 14 13 $596.11
92526 86 58 $589.72
87581 1,506 1,329 $547.66
86376 353 347 $545.63
71101 14 12 $538.31
86769 14 14 $527.50
72070 29 26 $513.57
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 1,498 1,314 $496.08
83605 2,565 1,829 $461.57
51798 86 63 $446.38
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 529 432 $414.69
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,664 1,161 $413.18
J1921 Injection, labetalol hydrochloride (hikma), not therapeutically equivalent to j1920, 5 mg 67 63 $389.93
J1940 Injection, furosemide, up to 20 mg 1,987 971 $379.22
87340 10,854 10,362 $344.58
72170 30 24 $317.83
88302 99 95 $315.32
0054A 13 13 $300.73
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 13 12 $291.60
86039 1,456 1,382 $288.91
86777 182 175 $279.48
87522 Neg quan hep c or qual rna 14 12 $271.32
76870 13 12 $252.84
75574 15 14 $250.41
0003A 95 94 $249.36
83550 4,150 3,920 $206.93
77066 Tomosynthesis, mammo 1,335 1,296 $203.20
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 50 46 $162.39
86431 1,217 1,183 $137.95
90715 757 685 $137.24
0004A 37 36 $133.86
85613 40 36 $114.05
0013A 21 21 $109.01
82247 23 17 $108.27
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 785 695 $104.73
86696 1,338 1,299 $78.60
87186 9,291 8,552 $73.12
83921 508 484 $71.68
J0330 Injection, succinylcholine chloride, up to 20 mg 564 480 $68.48
87660 1,175 1,141 $62.61
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 17 12 $62.02
83002 294 286 $60.01
86141 71 69 $57.62
80177 47 38 $55.85
84132 209 139 $45.02
G0103 Prostate cancer screening; prostate specific antigen test (psa) 215 192 $38.06
51702 26 25 $35.95
82575 27 26 $35.51
70498 60 54 $32.39
81003 13 13 $30.84
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 462 182 $18.93
73552 36 29 $16.98
86256 115 109 $16.31
82248 17 16 $6.47
82952 1,147 1,116 $2.82
87899 135 129 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 178 127 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 829 624 $0.00
C1729 Catheter, drainage 131 109 $0.00
84165 508 442 $0.00
86923 846 492 $0.00
J1953 Injection, levetiracetam, 10 mg 441 285 $0.00
87076 12 12 $0.00
10005 75 71 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 344 281 $0.00
87106 14 12 $0.00
99152 376 351 $0.00
Q9961 High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml 265 109 $0.00
J1171 Injection, hydromorphone, 0.1 mg 225 143 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 92 87 $0.00
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 16 12 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 265 214 $0.00
J1756 Injection, iron sucrose, 1 mg 83 38 $0.00
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 67 61 $0.00
47563 13 13 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 237 179 $0.00
77002 13 13 $0.00
C1776 Joint device (implantable) 16 12 $0.00
Q0169 Promethazine hydrochloride, 12.5 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 23 14 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 57 40 $0.00
76000 13 12 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 17 12 $0.00
J0736 Injection, clindamycin phosphate, 300 mg 49 42 $0.00
93312 13 12 $0.00
73100 12 12 $0.00
J1580 Injection, garamycin, gentamicin, up to 80 mg 19 12 $0.00
93325 14 13 $0.00
J3105 Injection, terbutaline sulfate, up to 1 mg 40 38 $0.00
87185 15 14 $0.00
86778 182 175 $0.00
88311 118 103 $0.00
84480 15 13 $0.00
C1769 Guide wire 2,074 1,627 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 355 314 $0.00
86800 124 122 $0.00
88342 1,273 1,147 $0.00
87154 19 15 $0.00
C1781 Mesh (implantable) 13 12 $0.00
86920 130 96 $0.00
84402 113 111 $0.00
87510 1,139 1,105 $0.00
87046 152 147 $0.00
J3480 Injection, potassium chloride, per 2 meq 113 63 $0.00
J1335 Injection, ertapenem sodium, 500 mg 55 36 $0.00
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 50 33 $0.00
J3360 Injection, diazepam, up to 5 mg 29 13 $0.00
87181 18 12 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 48 40 $0.00
90686 26 15 $0.00
G0008 Administration of influenza virus vaccine 25 14 $0.00
G0257 Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility 50 15 $0.00
J0500 Injection, dicyclomine hcl, up to 20 mg 13 12 $0.00
99153 Mod sedat endo service >5yrs 25 24 $0.00
A4648 Tissue marker, implantable, any type, each 12 12 $0.00
88185 26 24 $0.00
J2175 Injection, meperidine hydrochloride, per 100 mg 31 26 $0.00
19083 27 24 $0.00
G0379 Direct admission of patient for hospital observation care 14 13 $0.00
C2617 Stent, non-coronary, temporary, without delivery system 38 24 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 39 34 $0.00
J3411 Injection, thiamine hcl, 100 mg 46 24 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 497 199 $0.00
J2785 Injection, regadenoson, 0.1 mg 18 13 $0.00
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 14 12 $0.00