Medicaid Provider Spending

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

COOPERMAN BARNABAS MEDICAL CENTER INC

NPI: 1396857488 · LIVINGSTON, NJ 07039 · General Acute Care Hospital · NPI assigned 08/31/2006

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

Authorized official DAVIS, RICHARD controls 20+ related entities in our dataset. Read more

$136.81M
Total Medicaid Paid
1,999,431
Total Claims
1,580,092
Beneficiaries
483
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDAVIS, RICHARD (PRESIDENT/CEO)
Parent OrganizationRWJ BARNABAS HEALTH INC
NPI Enumeration Date08/31/2006

Related Entities

Other providers sharing the same authorized official: DAVIS, RICHARD

ProviderCityStateTotal Paid
LUCY WEBB HAYES NATIONAL TRAINING SCHOOL FOR DEACONESSES & MISSIONARIE WASHINGTON DC $19.10M
LINQ CARE INC NAPERVILLE IL $6.72M
INNOVATIVE FAMILY SERVICES, LLC MECHANICSVILLE VA $6.26M
CENTRAL PENINSULA GENERAL HOSPITAL, INC SOLDOTNA AK $5.93M
CENTRAL PENINSULA GENERAL HOSPITAL, INC KENAI AK $5.03M
CENTRAL PENINSULA GENERAL HOSPITAL, INC SOLDOTNA AK $2.61M
CENTRAL PENINSULA GENERAL HOSPITAL INC SOLDOTNA AK $1.23M
CENTRAL PENINSULA GENERAL HOSPITAL, INC SOLDOTNA AK $938K
CENTRAL PENINSULA GENERAL HOSPITAL, INC KENAI AK $604K
CENTRAL PENINSULA GENERAL HOSPITAL INC KENAI AK $432K
CENTRAL PENINSULA GENERAL HOSPITAL INC SOLDOTNA AK $230K
CENTRAL PENINSULA GENERAL HOSPITAL, INC SOLDOTNA AK $156K
CENTRAL PENINSULA GENERAL HOSPITAL, INC SOLDOTNA AK $106K
CENTRAL PENINSULA GENERAL HOSPITAL, INC SOLDOTNA AK $101K
CENTRAL PENINSULA GENERAL HOSPITAL INC SOLDOTNA AK $95K
STEPHANIE CROPPER, MD, INC. POMONA CA $93K
CENTRAL PENINSULA GENERAL HOSPITAL INC SOLDOTNA AK $62K
CENTRAL PENINSULA GENERAL HOSPITAL, INC SOLDOTNA AK $51K
R KEITH DAVIS MD PLLC PA SMACKOVER AR $24K
LINQ CARE MEDICAL PROVIDER, LLC. MARLTON NJ $60.93

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 239,208 $19.72M
2019 248,376 $18.59M
2020 191,975 $13.25M
2021 249,620 $18.62M
2022 353,918 $20.38M
2023 402,914 $24.83M
2024 313,420 $21.41M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 68,486 64,802 $25.40M
99284 Emergency department visit for the evaluation and management, high severity 45,204 42,454 $20.49M
G0378 Hospital observation service, per hour 21,709 19,156 $18.41M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 34,725 31,189 $14.66M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 5,747 5,421 $4.14M
OP250 121,944 89,555 $4.04M
99282 Emergency department visit for the evaluation and management, low to moderate severity 14,929 14,237 $3.32M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 9,321 5,574 $3.03M
J2350 Injection, ocrelizumab, 1 mg 130 99 $2.19M
80053 Comprehensive metabolic panel 115,674 87,478 $2.18M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 776 755 $1.71M
96375 Therapeutic injection; each additional sequential IV push 24,631 18,775 $1.23M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 34,036 9,191 $1.13M
93017 2,969 2,666 $1.13M
71046 Radiologic examination, chest; 2 views 21,932 20,922 $1.12M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 7,552 4,861 $993K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 3,698 1,754 $977K
95810 Polysomnography; sleep staging with 4 or more additional parameters 295 291 $885K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 25,383 6,772 $787K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 2,288 2,100 $768K
OP370 9,914 8,932 $767K
96415 2,381 1,717 $734K
96361 Intravenous infusion, hydration; each additional hour 24,242 20,913 $732K
Q5117 Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg 256 181 $716K
J2323 Injection, natalizumab, 1 mg 187 153 $686K
36415 Collection of venous blood by venipuncture 140,300 97,191 $685K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 34,773 30,836 $590K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 7,359 2,075 $588K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 110,072 83,336 $579K
97530 Therapeutic activities, direct patient contact, each 15 minutes 14,254 6,371 $575K
93970 2,213 2,059 $539K
OP272 13,353 11,352 $531K
71045 Radiologic examination, chest; single view 11,401 10,196 $525K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 26,554 24,635 $521K
OP710 10,305 9,332 $502K
74177 Computed tomography, abdomen and pelvis; with contrast material 4,434 4,202 $493K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 639 531 $480K
C1776 Joint device (implantable) 236 162 $433K
93458 337 279 $427K
96417 2,069 1,182 $417K
30140 229 226 $409K
70450 Computed tomography, head or brain; without contrast material 7,848 7,186 $374K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 29,390 26,698 $362K
0202U Oncology (prostate), multianalyte, gene expression profiling 4,387 4,194 $359K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 9,207 8,589 $329K
93971 1,973 1,858 $320K
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 7,878 5,841 $314K
OP258 45,262 34,364 $310K
96367 2,475 1,718 $307K
81001 53,913 43,833 $245K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12,356 9,578 $243K
74176 Computed tomography, abdomen and pelvis; without contrast material 3,221 2,998 $240K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 8,191 7,527 $235K
86850 14,757 12,839 $233K
J9271 Injection, pembrolizumab, 1 mg 38 26 $225K
92587 1,199 1,177 $221K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,892 4,109 $220K
97802 1,105 1,043 $202K
76770 1,703 1,667 $199K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 2,386 2,295 $198K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 2,279 2,195 $195K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 18,005 11,937 $181K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 5,529 2,083 $174K
77336 1,150 469 $172K
J2469 Injection, palonosetron hcl, 25 mcg 1,674 856 $163K
80197 17,209 9,264 $163K
88305 Level IV - Surgical pathology, gross and microscopic examination 4,268 3,894 $162K
OP270 4,650 4,205 $160K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,655 2,348 $158K
77334 279 192 $154K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2,509 2,244 $154K
85027 19,356 13,971 $149K
J2505 Injection, pegfilgrastim, 6 mg 34 24 $149K
97014 3,568 1,086 $147K
80048 Basic metabolic panel (calcium, ionized) 10,965 8,064 $146K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 4,214 4,072 $142K
92567 1,864 1,805 $140K
73564 3,326 2,994 $140K
71275 Computed tomographic angiography, chest, with contrast material 1,399 1,326 $137K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 202 199 $132K
73630 3,180 2,971 $132K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 4,325 3,996 $130K
87081 4,642 4,597 $128K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 2,265 1,952 $124K
J0897 Injection, denosumab, 1 mg 79 72 $124K
74021 3,161 3,025 $122K
73030 2,111 1,936 $119K
G0379 Direct admission of patient for hospital observation care 2,424 2,119 $118K
83735 27,104 16,736 $117K
86900 16,541 14,616 $117K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,867 2,547 $113K
80061 Lipid panel 8,067 7,135 $107K
76700 Ultrasound, abdominal, real time with image documentation; complete 1,322 1,277 $107K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 5,239 5,183 $106K
96411 325 185 $104K
95816 402 357 $102K
97161 3,080 2,910 $101K
87086 Culture, bacterial; quantitative colony count, urine 17,848 15,645 $101K
97803 625 573 $97K
82962 11,467 8,221 $96K
82043 3,126 2,790 $96K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 4,939 4,398 $95K
85610 18,103 14,416 $94K
87799 6,209 4,830 $92K
76830 Ultrasound, transvaginal 1,623 1,561 $92K
73130 2,144 2,011 $89K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,458 1,385 $88K
94729 673 567 $87K
J1756 Injection, iron sucrose, 1 mg 2,378 969 $86K
70551 Magnetic resonance imaging, brain; without contrast material 460 426 $84K
84443 Thyroid stimulating hormone (TSH) 8,134 7,207 $81K
J1200 Injection, diphenhydramine hcl, up to 50 mg 3,006 2,215 $79K
73610 2,788 2,607 $78K
97535 Self-care/home management training, each 15 minutes 3,124 2,088 $78K
83970 2,766 2,344 $76K
72125 Computed tomography, cervical spine; without contrast material 1,528 1,369 $75K
99281 Emergency department visit for the evaluation and management, self-limited or minor 412 385 $74K
74018 1,947 1,861 $74K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 3,169 2,802 $74K
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 5,544 4,246 $72K
87631 3,122 2,938 $72K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 11,411 8,929 $69K
94060 314 293 $69K
82378 3,203 2,494 $68K
72100 1,909 1,784 $66K
84100 22,273 13,537 $66K
96401 460 353 $65K
86803 14,288 13,552 $64K
92557 437 412 $64K
82803 3,057 2,704 $63K
86901 16,628 14,596 $62K
OP278 129 104 $62K
36430 600 415 $62K
85730 12,849 11,442 $59K
16020 1,050 813 $58K
73110 1,349 1,272 $57K
87070 4,032 3,774 $57K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 602 487 $57K
J1439 Injection, ferric carboxymaltose, 1 mg 91 59 $57K
A9270 Non-covered item or service 14,898 9,985 $53K
83036 Hemoglobin; glycosylated (A1C) 9,408 8,371 $52K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 3,293 3,091 $52K
82542 1,958 1,915 $52K
87040 4,437 3,979 $52K
J2785 Injection, regadenoson, 0.1 mg 1,056 905 $52K
86300 1,605 1,263 $51K
97162 1,798 1,678 $51K
84550 15,144 9,918 $51K
80047 5,069 4,508 $47K
82728 3,946 3,363 $46K
84156 8,701 7,058 $43K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,138 1,800 $42K
96402 560 459 $42K
76801 474 408 $41K
83615 13,781 8,427 $41K
92552 439 433 $41K
84702 5,782 4,628 $39K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,423 5,355 $39K
81003 12,620 11,123 $39K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 3,901 3,761 $39K
81025 6,680 5,866 $36K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 491 378 $34K
73590 785 698 $34K
74022 466 423 $34K
83880 4,342 3,692 $33K
84484 11,023 9,490 $32K
30520 28 27 $32K
99215 Prolong outpt/office vis 227 201 $32K
Q5108 Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg 28 13 $31K
77290 56 51 $30K
88342 1,870 1,705 $29K
96416 110 52 $29K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 8,199 6,720 $29K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 2,284 1,435 $27K
87186 3,171 2,732 $27K
76775 240 233 $26K
C9290 Injection, bupivacaine liposome, 1 mg 503 426 $24K
J3010 Injection, fentanyl citrate, 0.1 mg 6,901 6,061 $24K
73502 1,237 1,085 $24K
96376 2,848 2,187 $24K
J2704 Injection, propofol, 10 mg 6,930 6,009 $24K
C1769 Guide wire 1,906 1,569 $23K
84439 2,485 2,193 $23K
83550 3,316 2,893 $23K
J3535 Drug administered through a metered dose inhaler 539 423 $22K
87340 7,322 6,891 $22K
83690 17,819 16,289 $22K
82570 6,628 5,324 $20K
83540 3,774 3,263 $20K
73140 571 551 $20K
77300 87 75 $20K
94760 388 342 $19K
72040 449 417 $18K
82607 2,383 2,161 $18K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 368 360 $18K
10060 431 390 $17K
85007 5,833 4,819 $17K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,561 2,286 $17K
87088 5,224 4,795 $17K
J2250 Injection, midazolam hydrochloride, per 1 mg 4,585 3,938 $16K
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 923 792 $16K
87497 822 544 $16K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 348 338 $16K
83605 3,558 3,164 $16K
G0382 Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 369 363 $16K
12011 352 322 $15K
G0008 Administration of influenza virus vaccine 1,407 1,317 $15K
71250 125 113 $15K
G0257 Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility 36 12 $15K
92579 66 66 $14K
J1644 Injection, heparin sodium, per 1000 units 2,371 1,366 $14K
J2405 Injection, ondansetron hydrochloride, per 1 mg 13,386 11,366 $14K
97165 515 457 $14K
P9016 Red blood cells, leukocytes reduced, each unit 347 248 $13K
50200 14 14 $13K
86140 6,462 5,523 $13K
92555 113 112 $13K
97116 985 476 $13K
70486 225 215 $12K
J1170 Injection, hydromorphone, up to 4 mg 4,757 3,846 $12K
88304 1,361 1,298 $12K
87077 2,011 1,875 $12K
29125 405 384 $12K
85055 853 601 $12K
82784 241 198 $11K
82746 1,619 1,455 $11K
94727 162 135 $11K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,075 909 $11K
73562 266 242 $10K
87807 1,332 1,316 $10K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 972 959 $10K
29581 336 104 $10K
93880 27 27 $10K
J1885 Injection, ketorolac tromethamine, per 15 mg 17,002 15,157 $10K
73080 502 475 $10K
83655 300 287 $10K
74019 219 203 $9K
J1453 Injection, fosaprepitant, 1 mg 230 124 $9K
85014 7,289 6,479 $9K
85651 3,699 3,079 $9K
12001 265 244 $9K
71260 Computed tomography, thorax, diagnostic; with contrast material 67 64 $9K
J0690 Injection, cefazolin sodium, 500 mg 2,384 1,667 $9K
86920 295 246 $8K
87147 831 822 $8K
88307 234 198 $8K
87522 Neg quan hep c or qual rna 794 607 $8K
95800 12 12 $8K
85378 3,415 3,210 $8K
76870 115 105 $8K
84480 826 614 $8K
84145 1,007 893 $8K
87999 38 37 $8K
87430 239 238 $7K
93923 14 14 $7K
87486 966 956 $7K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 1,191 968 $7K
96368 195 105 $7K
87641 738 561 $7K
90677 449 444 $7K
86706 952 790 $7K
90715 1,630 1,536 $6K
85045 2,250 1,969 $6K
97597 54 41 $6K
87205 2,694 2,405 $6K
90686 1,216 1,142 $6K
86592 1,686 1,538 $6K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 79 76 $6K
73090 185 171 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 115 91 $5K
A9575 Injection, gadoterate meglumine, 0.1 ml 286 266 $5K
J2270 Injection, morphine sulfate, up to 10 mg 2,094 1,752 $5K
90472 Immunization administration, each additional vaccine (list separately) 789 775 $5K
90791 Psychiatric diagnostic evaluation 270 256 $5K
87581 968 958 $5K
84134 967 774 $5K
82248 615 512 $5K
82553 2,196 1,971 $5K
92523 56 54 $5K
J2765 Injection, metoclopramide hcl, up to 10 mg 4,429 4,035 $4K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 3,652 3,259 $4K
0001A 127 127 $4K
80074 254 223 $4K
82550 2,628 2,348 $4K
J9217 Leuprolide acetate (for depot suspension), 7.5 mg 31 27 $4K
77280 32 28 $4K
82652 129 107 $4K
97150 Therapeutic procedure(s), group (2 or more individuals) 1,495 557 $4K
82950 211 184 $4K
87536 206 149 $4K
82150 2,030 1,861 $4K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 99 99 $4K
93975 14 14 $3K
G0009 Administration of pneumococcal vaccine 528 524 $3K
J0696 Injection, ceftriaxone sodium, per 250 mg 2,965 2,646 $3K
0002A 111 111 $3K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 12 12 $3K
84436 666 535 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 261 251 $3K
82947 1,645 1,467 $3K
80164 693 591 $3K
87075 323 261 $3K
83521 106 81 $3K
C1887 Catheter, guiding (may include infusion/perfusion capability) 504 392 $3K
J1815 Injection, insulin, per 5 units 1,029 757 $3K
M0222 Intravenous injection, bebtelovimab, includes injection and post administration monitoring 32 26 $3K
97022 220 62 $3K
86334 172 141 $3K
95951 35 13 $3K
86336 108 104 $3K
82985 443 356 $3K
J2060 Injection, lorazepam, 2 mg 722 617 $3K
88300 75 64 $3K
M0220 Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), includes injection and post administration monitoring 89 62 $3K
Q0247 Injection, sotrovimab, 500 mg 24 21 $3K
85652 1,149 980 $2K
15853 97 89 $2K
88311 301 297 $2K
84165 396 290 $2K
36416 810 554 $2K
83883 210 140 $2K
90670 32 32 $2K
73552 57 49 $2K
M0239 Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring 55 55 $2K
90381 17 16 $2K
85379 675 633 $2K
J9190 Injection, fluorouracil, 500 mg 168 88 $2K
36591 159 118 $2K
82330 418 391 $2K
83021 101 90 $2K
J0640 Injection, leucovorin calcium, per 50 mg 116 56 $2K
76776 32 30 $2K
80320 934 885 $2K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 175 148 $2K
84153 107 86 $2K
80348 57 53 $1K
99205 Prolong outpt/office vis 12 12 $1K
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring 37 33 $1K
80179 407 362 $1K
80177 369 307 $1K
86038 233 217 $1K
87517 147 106 $1K
OP637 1,431 974 $1K
C1760 Closure device, vascular (implantable/insertable) 30 25 $1K
A9585 Injection, gadobutrol, 0.1 ml 82 81 $1K
86160 45 38 $1K
84703 187 181 $1K
82247 79 61 $1K
80358 57 53 $1K
88313 50 39 $1K
92522 13 13 $1K
Q3014 Telehealth originating site facility fee 238 212 $1K
29505 36 36 $974.33
J0171 Injection, adrenalin, epinephrine, 0.1 mg 292 226 $910.71
29515 39 37 $894.24
C2617 Stent, non-coronary, temporary, without delivery system 14 12 $830.46
84132 1,280 1,111 $825.71
84520 1,607 1,421 $814.23
J9263 Injection, oxaliplatin, 0.5 mg 21 12 $785.44
J2919 Injection, methylprednisolone sodium succinate, 5 mg 217 193 $778.74
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 29 27 $767.18
80051 368 312 $751.93
95700 27 24 $735.94
86762 126 111 $721.68
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 687 575 $681.82
96523 15 12 $681.52
P9604 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge 1,297 757 $676.89
OP229 13 13 $667.29
82465 163 154 $658.30
L4350 Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf 72 72 $600.56
81401 26 26 $598.00
84295 1,171 1,014 $592.15
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 45 40 $585.79
90651 57 56 $584.28
80143 136 123 $572.60
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 194 120 $547.38
82565 380 326 $519.90
85008 1,750 1,613 $512.47
82610 32 27 $504.35
99201 13 13 $488.06
84481 120 106 $485.71
0031A 32 31 $479.67
86704 71 52 $465.61
86304 97 51 $465.59
85018 214 201 $465.52
86308 530 517 $452.62
88142 12 12 $431.10
G0103 Prostate cancer screening; prostate specific antigen test (psa) 72 57 $422.21
72170 45 37 $417.90
87493 92 76 $404.67
97164 12 12 $364.52
86769 12 12 $349.86
86617 24 24 $341.43
86790 27 26 $322.18
12002 16 13 $320.50
29130 34 28 $313.32
J3370 Injection, vancomycin hcl, 500 mg 426 319 $303.35
89230 12 12 $294.79
82435 1,029 912 $270.48
86301 32 26 $263.95
73560 12 12 $258.13
80329 66 62 $256.68
82951 95 94 $252.56
82670 14 13 $237.25
J3480 Injection, potassium chloride, per 2 meq 117 81 $235.44
80076 103 89 $217.15
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 60 24 $211.37
82232 15 12 $204.24
74420 17 13 $178.62
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 448 401 $169.99
77012 30 24 $156.76
87045 27 26 $154.04
M0244 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency 20 18 $130.00
88112 72 53 $122.46
L1830 Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf 18 18 $120.30
88341 13 13 $116.02
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 615 552 $115.77
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg 88 59 $113.91
87046 14 14 $113.42
J9045 Injection, carboplatin, 50 mg 28 13 $110.04
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg 15 13 $108.90
J1940 Injection, furosemide, up to 20 mg 167 98 $107.47
85041 129 124 $103.20
90656 61 61 $102.94
90716 183 176 $84.62
80158 25 12 $80.20
87640 534 398 $72.76
J1596 Injection, glycopyrrolate, 0.1 mg 279 251 $71.96
J1171 Injection, hydromorphone, 0.1 mg 122 85 $69.80
OP255 543 443 $68.63
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 74 64 $64.34
87899 15 15 $61.07
88348 12 12 $59.71
90681 195 185 $58.66
88329 25 25 $57.86
J2003 Injection, lidocaine hydrochloride, 1 mg 170 153 $57.17
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 52 26 $54.86
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 881 851 $54.80
J3475 Injection, magnesium sulfate, per 500 mg 129 94 $53.31
85347 19 12 $49.44
87427 14 14 $45.80
J1030 Injection, methylprednisolone acetate, 40 mg 68 55 $44.86
75571 13 13 $43.42
87206 12 12 $39.56
J2370 Injection, phenylephrine hcl, up to 1 ml 80 61 $34.05
90648 408 384 $31.70
J0360 Injection, hydralazine hcl, up to 20 mg 129 107 $29.33
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 346 272 $29.12
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg 23 23 $26.00
J7510 Prednisolone oral, per 5 mg 146 131 $25.73
87102 32 26 $24.00
82010 33 26 $22.29
J3371 Injection, vancomycin hcl (mylan), not therapeutically equivalent to j3370, 500 mg 175 136 $21.63
J0687 Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg 317 273 $21.28
J1010 Injection, methylprednisolone acetate, 1 mg 38 30 $20.39
Q0245 Injection, bamlanivimab and etesevimab, 2100 mg 90 90 $19.00
J1650 Injection, enoxaparin sodium, 10 mg 19 12 $15.30
P9603 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled 6,864 3,854 $14.14
J1580 Injection, garamycin, gentamicin, up to 80 mg 31 26 $13.36
J1020 Injection, methylprednisolone acetate, 20 mg 17 16 $12.18
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 273 268 $12.00
Q0239 Injection, bamlanivimab-xxxx, 700 mg 57 57 $12.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 268 263 $12.00
90633 231 216 $10.98
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 16 13 $8.66
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 32 30 $7.66
C1758 Catheter, ureteral 84 57 $7.15
Q0222 Injection, bebtelovimab, 175 mg 32 26 $6.00
J2470 Injection, pantoprazole sodium, 40 mg 19 14 $4.78
Q0220 Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), 300 mg 52 31 $4.00
Q0221 Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), 600 mg 16 14 $2.00
Q0244 Injection, casirivimab and imdevimab, 1200 mg 38 33 $2.00
J0461 Injection, atropine sulfate, 0.01 mg 27 12 $1.63
90723 316 297 $0.00
90696 30 29 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 13 13 $0.00
87116 15 13 $0.00
90697 21 21 $0.00
90707 184 176 $0.00
90734 13 13 $0.00
91300 238 191 $0.00
86618 13 13 $0.00
90700 47 46 $0.00