Medicaid Provider Spending

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

THE LOWELL GENERAL HOSPITAL

NPI: 1407804669 · LOWELL, MA 01854 · Institutional Pharmacy · NPI assigned 05/04/2006

$159.91M
Total Medicaid Paid
4,669,409
Total Claims
4,068,559
Beneficiaries
619
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGREEN, SUSAN (EVP CHIEF FINANCIAL OFFICER)
Parent OrganizationCIRCLE HEALTH, INC.
NPI Enumeration Date05/04/2006

Related Entities

Other providers sharing the same authorized official: GREEN, SUSAN

ProviderCityStateTotal Paid
MELROSEWAKEFIELD HEALTHCARE, INC. MEDFORD MA $37.82M
LGH MERRIMACK VALLEY CARDIOLOGY ASSOCIATES, LLC NORTH CHELMSFORD MA $1.48M
DO NOT USE - THE LOWELL GENERAL HOSPITAL LOWELL MA $26K
MELROSEWAKEFIELD HEALTHCARE, INC. MEDFORD MA $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 815,860 $27.43M
2019 757,078 $23.32M
2020 617,566 $17.34M
2021 759,981 $20.94M
2022 738,123 $22.05M
2023 606,421 $25.96M
2024 374,380 $22.87M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 100,893 90,290 $16.11M
99284 Emergency department visit for the evaluation and management, high severity 98,215 88,118 $14.82M
96361 Intravenous infusion, hydration; each additional hour 41,169 35,063 $14.18M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 55,764 49,654 $9.54M
59025 Fetal non-stress test 14,419 7,403 $3.44M
G0378 Hospital observation service, per hour 44,592 17,297 $2.78M
74177 Computed tomography, abdomen and pelvis; with contrast material 18,528 17,567 $2.64M
70450 Computed tomography, head or brain; without contrast material 22,190 20,400 $2.60M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 3,538 3,428 $2.60M
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 2,592 2,543 $2.57M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 17,149 14,830 $2.42M
S9485 Crisis intervention mental health services, per diem 5,923 3,228 $2.41M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 17,679 14,499 $2.41M
99282 Emergency department visit for the evaluation and management, low to moderate severity 13,785 13,155 $2.10M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 17,657 13,900 $2.05M
J9271 Injection, pembrolizumab, 1 mg 212 158 $2.03M
77063 Screening digital breast tomosynthesis, bilateral 32,540 32,244 $1.99M
76700 Ultrasound, abdominal, real time with image documentation; complete 12,970 12,613 $1.96M
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 32,201 28,579 $1.93M
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,917 1,880 $1.91M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 57,348 44,657 $1.84M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 24,797 22,617 $1.68M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,850 9,586 $1.59M
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 11,534 10,394 $1.52M
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 12,656 7,973 $1.47M
71046 Radiologic examination, chest; 2 views 59,776 55,851 $1.34M
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 11,744 11,403 $1.30M
74176 Computed tomography, abdomen and pelvis; without contrast material 8,344 7,887 $1.22M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 8,028 7,255 $1.20M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,343 6,704 $1.11M
93971 6,147 5,844 $1.06M
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 43,284 41,694 $1.05M
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 43,090 41,553 $1.05M
80053 Comprehensive metabolic panel 209,406 181,256 $1.02M
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 5,064 3,095 $1.01M
85025 Blood count; complete (CBC), automated, and automated differential WBC count 225,951 187,488 $983K
76770 6,554 6,366 $968K
76830 Ultrasound, transvaginal 10,913 10,602 $966K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 6,084 5,735 $955K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 37,347 29,282 $945K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 20,561 6,082 $928K
76801 8,436 7,451 $914K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 646 632 $893K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 9,310 5,497 $856K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 4,010 3,117 $845K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 13,971 10,642 $832K
76819 Fetal biophysical profile; without non-stress testing 12,834 6,443 $820K
71275 Computed tomographic angiography, chest, with contrast material 4,323 4,124 $815K
76642 8,184 7,949 $802K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 12,902 12,442 $699K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 39,532 38,810 $607K
77067 Screening mammography, bilateral, including computer-aided detection 32,662 32,386 $592K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 566 549 $571K
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 14,983 11,868 $557K
29075 2,148 1,625 $546K
93975 4,649 4,490 $544K
84443 Thyroid stimulating hormone (TSH) 62,924 61,211 $534K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 13,694 12,394 $525K
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 8,966 7,774 $501K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 29,061 28,581 $493K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2,471 2,316 $468K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 17,154 5,020 $455K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 2,464 2,453 $450K
76536 3,978 3,890 $446K
94060 4,631 4,424 $444K
12001 1,899 1,869 $428K
J0875 Injection, dalbavancin, 5 mg 114 65 $419K
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 22,064 20,284 $406K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2,881 2,835 $403K
71250 6,442 6,098 $390K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 77,019 63,990 $388K
93970 1,915 1,821 $378K
77065 Tomosynthesis, mammo 6,635 6,060 $373K
A0427 Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 12,376 11,437 $362K
80050 General health panel 25,861 25,261 $354K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 54,151 45,781 $348K
87086 Culture, bacterial; quantitative colony count, urine 64,917 59,494 $344K
83036 Hemoglobin; glycosylated (A1C) 71,626 70,035 $328K
85027 77,958 71,018 $312K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,861 2,727 $310K
71260 Computed tomography, thorax, diagnostic; with contrast material 4,122 3,986 $306K
84484 48,398 36,979 $296K
80061 Lipid panel 87,704 85,882 $294K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 13,874 13,585 $290K
86481 4,994 4,903 $286K
97803 3,882 3,628 $279K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 4,791 4,035 $278K
96415 1,739 1,164 $278K
77066 Tomosynthesis, mammo 4,595 4,448 $272K
12011 948 941 $266K
ATP14 38,036 32,938 $262K
87634 4,320 4,198 $254K
99215 Prolong outpt/office vis 1,559 1,320 $249K
19083 185 183 $243K
77080 4,954 4,876 $242K
73630 9,523 8,357 $232K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 8,387 8,129 $229K
82728 28,209 27,276 $227K
73562 9,238 7,951 $226K
80048 Basic metabolic panel (calcium, ionized) 65,068 55,912 $224K
72100 7,762 7,499 $219K
86803 22,803 22,383 $214K
88305 Level IV - Surgical pathology, gross and microscopic examination 17,301 15,982 $211K
93017 2,207 2,104 $209K
70496 1,340 1,264 $206K
84702 17,349 13,983 $205K
47562 64 62 $204K
43235 238 236 $199K
J1756 Injection, iron sucrose, 1 mg 3,260 1,311 $198K
81025 36,268 33,163 $197K
73610 8,254 7,575 $193K
83690 40,584 36,334 $182K
0002A 6,139 5,740 $182K
74246 977 972 $174K
94727 3,827 3,644 $174K
0001A 6,351 5,930 $173K
29065 622 487 $170K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 12,222 10,943 $165K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 34,222 25,051 $160K
81001 82,280 75,320 $159K
82607 20,471 20,042 $155K
83880 11,160 10,100 $154K
76870 1,249 1,223 $152K
87070 24,201 22,941 $151K
73030 7,058 6,337 $149K
77062 2,151 2,081 $147K
10060 765 744 $145K
J0585 Injection, onabotulinumtoxina, 1 unit 543 430 $144K
86003 2,150 1,896 $140K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 4,318 4,066 $139K
96367 3,114 2,426 $136K
87522 Neg quan hep c or qual rna 4,568 4,461 $136K
83550 25,984 25,234 $133K
97602 739 515 $133K
94664 2,451 2,405 $132K
83735 38,624 31,687 $132K
87340 18,970 18,570 $132K
86480 3,608 3,469 $131K
70486 2,426 2,346 $130K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1,158 1,122 $130K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 80 80 $129K
97162 3,329 3,056 $127K
74018 4,240 3,974 $126K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk 139 128 $118K
87186 21,063 19,502 $117K
J0897 Injection, denosumab, 1 mg 303 276 $116K
90715 4,598 4,428 $111K
73110 4,924 4,356 $110K
93976 919 891 $110K
95816 448 432 $108K
88307 1,283 1,205 $108K
95886 470 456 $107K
87653 3,611 3,579 $106K
73130 5,945 5,448 $106K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 29,589 23,884 $105K
87081 17,852 17,311 $102K
77061 1,404 1,393 $100K
85610 52,339 36,090 $96K
73502 4,711 4,360 $96K
83540 24,668 23,976 $95K
94729 3,824 3,641 $94K
71271 2,416 2,361 $91K
86850 14,255 13,211 $90K
84439 16,997 16,420 $88K
73140 3,156 2,983 $88K
82948 31,183 18,965 $86K
29125 694 618 $86K
36415 Collection of venous blood by venipuncture 201,845 164,736 $83K
87040 11,101 7,368 $83K
12002 397 386 $83K
70491 453 445 $82K
86140 25,679 22,447 $82K
83970 6,139 5,886 $82K
97802 1,003 994 $81K
87902 560 544 $81K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 454 100 $81K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 646 625 $80K
99281 Emergency department visit for the evaluation and management, self-limited or minor 535 481 $79K
86706 11,803 11,538 $76K
88142 5,015 4,961 $74K
82105 6,261 6,124 $73K
96375 Therapeutic injection; each additional sequential IV push 38,580 32,451 $71K
84703 12,708 11,976 $70K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 6,398 6,219 $69K
87147 12,558 11,556 $68K
93880 886 830 $67K
86762 6,005 5,855 $67K
64483 80 79 $65K
88342 4,888 4,570 $65K
87077 13,540 12,288 $64K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 6,835 4,106 $64K
87517 2,102 2,061 $64K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 6,243 6,115 $62K
85730 19,126 16,888 $61K
71045 Radiologic examination, chest; single view 13,970 12,632 $61K
80076 24,596 21,638 $60K
72050 880 871 $58K
83655 5,266 5,233 $57K
82746 7,648 7,460 $57K
86618 5,318 5,185 $57K
82570 24,755 23,574 $57K
86592 18,669 18,317 $57K
74019 1,608 1,563 $56K
86038 7,394 7,212 $54K
87535 2,617 2,554 $53K
85379 7,965 7,573 $53K
72125 Computed tomography, cervical spine; without contrast material 6,710 6,300 $52K
73080 2,218 2,088 $52K
84403 2,973 2,897 $52K
97161 1,147 1,079 $51K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1,176 486 $51K
83021 3,408 3,368 $51K
G0297 Low dose ct scan (ldct) for lung cancer screening 690 681 $48K
82652 2,134 2,104 $48K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 2,850 2,800 $48K
82784 6,801 5,064 $46K
82043 20,260 19,689 $46K
0012A 1,941 1,837 $46K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 593 496 $46K
87536 1,019 999 $45K
87205 15,108 13,740 $45K
42820 Tonsillectomy and adenoidectomy; younger than age 12 24 24 $44K
81003 30,658 28,757 $43K
83605 6,923 5,733 $43K
72040 1,482 1,441 $43K
86900 15,165 13,897 $43K
86360 1,965 1,938 $42K
ATP08 13,111 11,168 $42K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 10,283 9,379 $42K
0011A 2,095 1,918 $41K
83001 3,167 3,106 $41K
84146 2,974 2,915 $40K
83516 4,573 3,880 $40K
77336 709 311 $39K
84112 560 490 $38K
84425 2,689 2,652 $37K
85652 24,252 21,650 $36K
84402 2,028 1,984 $35K
62323 67 66 $35K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5,460 5,200 $35K
87338 3,671 3,599 $35K
86359 1,965 1,938 $34K
77386 294 27 $34K
84153 3,980 3,870 $33K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 611 335 $33K
76818 530 366 $33K
J1650 Injection, enoxaparin sodium, 10 mg 4,242 2,171 $33K
86901 12,851 11,862 $33K
87210 8,852 8,476 $32K
76882 268 265 $31K
A0425 Ground mileage, per statute mile 12,868 11,896 $31K
86708 4,027 3,951 $31K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,440 782 $30K
ATP15 6,763 5,349 $30K
87808 3,373 3,309 $30K
72072 743 733 $29K
J7120 Ringers lactate infusion, up to 1000 cc 15,465 14,226 $29K
J2405 Injection, ondansetron hydrochloride, per 1 mg 39,109 33,449 $29K
J2704 Injection, propofol, 10 mg 24,617 23,238 $29K
86694 2,309 1,180 $28K
88304 5,220 4,962 $28K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 2,996 2,080 $28K
80051 7,138 5,884 $27K
86704 3,560 3,478 $27K
82565 16,759 13,670 $27K
J1885 Injection, ketorolac tromethamine, per 15 mg 36,338 30,848 $26K
J3010 Injection, fentanyl citrate, 0.1 mg 20,244 17,269 $26K
73590 1,289 1,183 $26K
84480 2,865 2,729 $26K
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 2,884 2,865 $26K
G0105 Colorectal cancer screening; colonoscopy on individual at high risk 25 25 $25K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 68 63 $25K
87088 4,948 4,472 $25K
83002 1,570 1,542 $25K
82670 1,003 982 $23K
81511 598 591 $23K
70498 1,180 1,119 $23K
86235 502 437 $22K
29405 85 62 $22K
ATP17 11,258 10,332 $21K
86376 1,799 1,764 $20K
82731 325 302 $20K
84270 1,136 1,112 $20K
0031A 678 630 $20K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 16,799 15,686 $20K
82951 1,705 1,650 $20K
84156 10,178 8,964 $20K
86780 1,993 1,952 $19K
86787 2,122 1,997 $19K
83721 4,657 4,586 $19K
J2250 Injection, midazolam hydrochloride, per 1 mg 13,491 12,372 $19K
80164 2,937 2,632 $18K
71101 1,240 1,203 $18K
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation 135 126 $18K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 849 364 $18K
86709 2,743 2,688 $18K
73564 665 587 $18K
J0690 Injection, cefazolin sodium, 500 mg 11,445 9,125 $18K
86765 2,136 2,060 $18K
80055 763 763 $17K
19081 15 14 $17K
86431 5,061 4,960 $17K
86200 2,219 2,186 $17K
95800 76 76 $16K
86800 1,377 1,356 $16K
82550 10,562 9,555 $16K
80074 387 384 $16K
84460 9,370 8,823 $15K
87045 2,231 2,129 $15K
87899 1,689 1,608 $15K
95810 Polysomnography; sleep staging with 4 or more additional parameters 29 24 $14K
J0185 Injection, aprepitant, 1 mg 56 36 $14K
J2270 Injection, morphine sulfate, up to 10 mg 14,398 10,458 $14K
96523 486 336 $14K
86735 1,638 1,571 $14K
84450 7,452 6,930 $14K
96417 952 616 $14K
82150 3,070 2,937 $13K
82803 850 762 $13K
84100 13,654 10,357 $13K
ATP03 5,744 5,279 $13K
72081 121 121 $13K
J7050 Infusion, normal saline solution, 250 cc 5,867 3,223 $13K
84520 12,965 10,333 $13K
76942 42 40 $12K
87046 1,793 1,700 $12K
87209 783 694 $12K
73090 740 686 $12K
84550 8,905 8,450 $11K
J1170 Injection, hydromorphone, up to 4 mg 6,819 4,807 $11K
73660 258 251 $11K
82785 813 793 $11K
82465 3,930 3,894 $11K
82950 2,443 2,421 $11K
83883 1,009 742 $11K
J2790 Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) 66 66 $10K
82248 7,890 7,078 $10K
J0696 Injection, ceftriaxone sodium, per 250 mg 9,084 6,458 $10K
86308 2,258 2,220 $10K
93798 224 36 $10K
86141 1,562 1,510 $10K
85007 4,516 3,669 $10K
J7030 Infusion, normal saline solution , 1000 cc 14,486 11,811 $9K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 5,486 5,427 $9K
71100 236 227 $9K
82627 453 448 $9K
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg 140 131 $9K
J1644 Injection, heparin sodium, per 1000 units 8,758 3,705 $9K
87272 1,000 976 $8K
85018 5,815 5,234 $8K
J3490 Unclassified drugs 5,691 4,837 $8K
96376 7,910 5,429 $8K
82247 2,357 1,738 $8K
J2358 Injection, olanzapine, long-acting, 1 mg 230 167 $8K
72110 161 161 $8K
84436 2,201 2,161 $7K
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 1,130 1,058 $7K
80299 1,048 963 $7K
88112 72 62 $7K
94761 5,675 5,075 $7K
A4648 Tissue marker, implantable, any type, each 723 705 $7K
72170 953 874 $7K
72020 3,927 3,715 $7K
86696 390 384 $7K
29105 71 65 $7K
82985 996 969 $7K
74178 54 54 $7K
77334 51 38 $7K
83615 4,573 3,956 $7K
84144 361 304 $7K
85014 4,649 4,222 $7K
82947 4,648 4,488 $6K
97163 152 150 $6K
80178 1,713 1,553 $6K
J1815 Injection, insulin, per 5 units 4,437 1,384 $6K
86617 505 255 $6K
87641 345 333 $6K
94618 141 127 $6K
82533 461 425 $6K
J1200 Injection, diphenhydramine hcl, up to 50 mg 9,787 8,347 $6K
20553 25 25 $6K
87177 783 693 $6K
88341 709 636 $6K
82077 1,383 1,222 $6K
84165 1,430 1,344 $6K
86160 307 294 $6K
83520 542 516 $6K
80159 652 532 $6K
J1453 Injection, fosaprepitant, 1 mg 495 307 $5K
92586 16 16 $5K
76885 37 37 $5K
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 2,713 2,301 $5K
84145 412 392 $5K
86665 200 157 $5K
86361 390 376 $5K
85045 1,692 1,577 $5K
97116 149 93 $5K
ATP09 2,151 1,718 $5K
29515 36 36 $5K
86695 387 382 $5K
82272 2,361 2,251 $5K
94760 5,131 4,677 $4K
87427 560 537 $4K
87350 475 468 $4K
87328 459 440 $4K
ATP02 1,618 1,459 $4K
87329 459 440 $4K
84132 1,868 1,664 $4K
90686 205 195 $4K
J1572 Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg 16 16 $4K
J2060 Injection, lorazepam, 2 mg 9,772 8,000 $4K
72052 59 59 $4K
ATP11 2,182 1,972 $4K
ATP18 2,752 2,472 $4K
J7060 5% dextrose/water (500 ml = 1 unit) 2,684 1,243 $4K
82952 1,125 1,122 $4K
ATP07 1,788 1,681 $4K
J0330 Injection, succinylcholine chloride, up to 20 mg 1,640 1,554 $4K
76881 33 28 $4K
86334 439 426 $4K
76937 241 202 $3K
81002 1,607 1,554 $3K
83020 342 335 $3K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 139 137 $3K
93225 51 51 $3K
J1040 Injection, methylprednisolone acetate, 80 mg 2,337 2,246 $3K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 5,235 3,948 $3K
84432 238 236 $3K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 3,880 3,741 $3K
29130 17 16 $3K
87252 116 110 $3K
80069 582 564 $3K
97166 37 37 $3K
ATP10 1,346 1,224 $2K
93226 51 51 $2K
86707 244 240 $2K
ATP04 928 866 $2K
82977 1,036 1,011 $2K
80081 38 38 $2K
80179 248 239 $2K
86147 121 66 $2K
80177 334 311 $2K
73552 71 68 $2K
ATP16 753 611 $2K
82310 1,232 1,037 $2K
87625 77 77 $2K
86664 155 154 $2K
36592 1,000 516 $2K
ATP13 1,017 840 $2K
84481 143 139 $2K
82140 290 240 $2K
86682 197 119 $2K
80143 341 318 $2K
87493 820 769 $2K
82040 862 730 $2K
90472 Immunization administration, each additional vaccine (list separately) 143 141 $2K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 2,084 1,696 $2K
73120 26 24 $2K
81050 695 673 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 177 175 $2K
87486 69 67 $2K
86255 194 191 $2K
81015 1,133 1,096 $2K
J3475 Injection, magnesium sulfate, per 500 mg 1,708 1,176 $2K
74174 13 13 $2K
87253 80 78 $2K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 57 56 $2K
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision 5,074 5,027 $2K
90688 113 99 $2K
82010 255 221 $2K
86355 63 62 $1K
86357 63 62 $1K
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 192 138 $1K
J2765 Injection, metoclopramide hcl, up to 10 mg 11,295 10,000 $1K
90935 Hemodialysis procedure with single evaluation by a physician 19 12 $1K
86005 200 186 $1K
J1790 Injection, droperidol, up to 5 mg 680 601 $1K
86225 126 126 $1K
86364 185 185 $1K
J1630 Injection, haloperidol, up to 5 mg 2,799 2,258 $1K
76820 38 14 $1K
86039 147 146 $1K
J0881 Injection, darbepoetin alfa, 1 microgram (non-esrd use) 23 12 $1K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 10,702 10,089 $1K
84075 464 446 $1K
J2469 Injection, palonosetron hcl, 25 mcg 679 430 $1K
87255 43 43 $1K
88313 977 969 $1K
C9290 Injection, bupivacaine liposome, 1 mg 84 76 $1K
86701 159 152 $1K
C9113 Injection, pantoprazole sodium, per vial 3,944 2,744 $996.36
84154 154 153 $940.07
J1010 Injection, methylprednisolone acetate, 1 mg 388 363 $901.30
77072 14 14 $873.73
C1781 Mesh (implantable) 14 14 $873.47
C1887 Catheter, guiding (may include infusion/perfusion capability) 394 366 $848.50
94690 408 248 $827.88
73060 26 25 $814.27
82378 104 90 $796.25
72070 13 13 $772.03
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 12 12 $743.04
97597 63 54 $742.41
83498 31 31 $718.62
J1030 Injection, methylprednisolone acetate, 40 mg 44 43 $687.08
86663 56 55 $684.26
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 18 16 $674.97
96368 146 95 $667.96
87075 95 89 $660.97
87184 115 111 $656.58
J8540 Dexamethasone, oral, 0.25 mg 3,844 2,132 $655.07
83519 50 49 $621.82
71111 26 26 $567.83
J3370 Injection, vancomycin hcl, 500 mg 1,202 654 $511.77
88173 29 26 $484.50
99218 26 12 $458.50
83993 40 39 $431.00
73000 13 12 $427.97
J3480 Injection, potassium chloride, per 2 meq 806 560 $427.49
87106 44 42 $370.22
86335 28 28 $364.18
82103 33 33 $363.55
81599 162 159 $358.40
84207 13 13 $342.01
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg 122 115 $330.28
93923 13 13 $329.10
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 2,319 1,188 $328.18
J2470 Injection, pantoprazole sodium, 40 mg 249 168 $325.61
83718 51 51 $321.37
ATP06 147 128 $307.04
C1769 Guide wire 1,113 949 $295.50
G0008 Administration of influenza virus vaccine 307 282 $282.83
95806 13 13 $275.40
82164 26 26 $271.58
82390 30 30 $261.17
85004 99 86 $248.20
85613 31 26 $246.64
86705 39 39 $245.41
81596 83 82 $244.48
86256 16 16 $222.18
94762 86 79 $218.71
87660 12 12 $194.48
87510 12 12 $194.48
87480 12 12 $194.48
85049 42 41 $185.08
86060 27 27 $176.74
J1596 Injection, glycopyrrolate, 0.1 mg 281 266 $176.49
86692 13 13 $174.30
J0571 Buprenorphine, oral, 1 mg 440 136 $155.81
84155 187 174 $152.52
82365 13 12 $147.94
ATP12 93 80 $139.50
80197 74 39 $133.21
87270 12 12 $131.28
80175 59 55 $128.00
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 74 24 $126.67
84478 45 37 $119.33
88172 17 14 $118.77
P9016 Red blood cells, leukocytes reduced, each unit 13 12 $113.10
80185 29 26 $109.36
85048 102 88 $102.20
J1171 Injection, hydromorphone, 0.1 mg 98 70 $97.15
90716 12 12 $95.19
ATP05 44 37 $90.89
90734 24 24 $89.90
J0640 Injection, leucovorin calcium, per 50 mg 23 12 $89.56
J3411 Injection, thiamine hcl, 100 mg 14 14 $86.91
J0171 Injection, adrenalin, epinephrine, 0.1 mg 23 13 $82.39
86015 13 13 $77.97
87341 12 12 $77.02
70360 14 13 $74.43
89051 24 24 $74.26
80503 21 12 $71.29
84479 52 51 $68.85
86593 14 14 $56.28
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg 15 15 $49.67
J2370 Injection, phenylephrine hcl, up to 1 ml 1,315 1,243 $47.50
ATP19 12 12 $34.23
82270 13 13 $30.88
80156 43 36 $28.31
84300 14 14 $25.15
J1920 Injection, labetalol hydrochloride, 5 mg 12 12 $20.66
J9190 Injection, fluorouracil, 500 mg 23 12 $19.78
96411 74 50 $15.90
87269 14 14 $10.94
J2919 Injection, methylprednisolone sodium succinate, 5 mg 109 88 $10.22
J3470 Injection, hyaluronidase, up to 150 units 29 27 $9.33
J7605 Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms 43 17 $8.52
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 27 25 $7.23
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 34 26 $5.00
J1940 Injection, furosemide, up to 20 mg 134 79 $3.16
J1836 Injection, metronidazole, 10 mg 19 13 $1.88
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 18 16 $1.36
91300 3,726 3,367 $0.23
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 14 14 $0.00
J1956 Injection, levofloxacin, 250 mg 125 86 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 282 238 $0.00
C1780 Lens, intraocular (new technology) 206 202 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 301 291 $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 317 306 $0.00
A9575 Injection, gadoterate meglumine, 0.1 ml 168 106 $0.00
76376 120 119 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 13 12 $0.00
J7510 Prednisolone oral, per 5 mg 27 26 $0.00
J8499 Prescription drug, oral, non chemotherapeutic, nos 119 43 $0.00
84080 12 12 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 109 95 $0.00
80320 25 25 $0.00
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 367 344 $0.00
91301 816 802 $0.00
77001 15 12 $0.00
C1892 Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away 79 75 $0.00
V2632 Posterior chamber intraocular lens 191 177 $0.00
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 57 51 $0.00
87640 99 94 $0.00
99156 13 13 $0.00
91303 187 187 $0.00
36591 32 26 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 16 16 $0.00
J3360 Injection, diazepam, up to 5 mg 12 12 $0.00