Medicaid Provider Spending

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

STATEN ISLAND UNIVERSITY HOSPITAL

NPI: 1407877137 · STATEN ISLAND, NY 10305 · General Acute Care Hospital · NPI assigned 07/21/2006

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

Authorized official CUSACK, MICHELE controls 20+ related entities in our dataset. Read more

$118.12M
Total Medicaid Paid
2,168,722
Total Claims
1,471,294
Beneficiaries
570
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCUSACK, MICHELE (SENIOR VICE PRESIDENT AND CFO)
NPI Enumeration Date07/21/2006

Related Entities

Other providers sharing the same authorized official: CUSACK, MICHELE

ProviderCityStateTotal Paid
LONG ISLAND JEWISH MEDICAL CENTER NEW HYDE PARK NY $370.91M
NORTH SHORE UNIVERSITY HOSPITAL NEW HYDE PARK NY $166.53M
REGIONCARE INC. GARDEN CITY NY $96.55M
NORTH SHORE UNIVERSITY HOSPITAL MANHASSET NY $87.68M
LENOX HILL HOSPITAL NEW YORK NY $63.17M
SOUTH SHORE UNIVERSITY HOSPITAL BAY SHORE NY $47.45M
JOHN T. MATHER MEMORIAL HOSPITAL PORT JEFFERSON NY $20.34M
PHELPS MEMORIAL HOSPITAL ASSOCIATION SLEEPY HOLLOW NY $20.17M
NORTH SHORE UNIVERSITY HOSPITAL WESTBURY NY $17.90M
TRUE NORTH MEDICAL GROUP PC MERRICK NY $12.56M
HUNTINGTON HOSPITAL ASSOCIATION HUNTINGTON NY $9.83M
THE LONG ISLAND HOME AMITYVILLE NY $9.49M
REGIONCARE INC. GREAT NECK NY $9.43M
LONG ISLAND JEWISH MEDICAL CENTER VALLEY STREAM NY $8.41M
HUNTINGTON HOSPITAL DOLAN FAMILY HEALTH CENTER GREENLAWN NY $8.03M
GLEN COVE HOSPITAL GLEN COVE NY $7.72M
CENTRAL SUFFOLK HOSPITAL RIVERHEAD NY $7.66M
NORTHERN WESTCHESTER HOSPITAL ASSOCIATION MOUNT KISCO NY $7.58M
PLAINVIEW HOSPITAL PLAINVIEW NY $6.39M
NORTH SHORE - LIJ ANESTHESIOLOGY, PC CHAPPAQUA NY $6.07M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 18,237 $1.07M
2019 195,760 $8.53M
2020 323,792 $16.84M
2021 393,211 $21.82M
2022 424,059 $23.20M
2023 448,054 $25.63M
2024 365,609 $21.03M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 503,162 43,583 $18.92M
99283 Emergency department visit for the evaluation and management, moderate severity 59,552 56,111 $10.45M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 81,424 63,120 $10.10M
99284 Emergency department visit for the evaluation and management, high severity 47,311 44,586 $7.83M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 24,096 21,361 $4.17M
99282 Emergency department visit for the evaluation and management, low to moderate severity 19,565 18,956 $3.37M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 30,667 27,673 $3.37M
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 28,363 19,562 $3.22M
74177 Computed tomography, abdomen and pelvis; with contrast material 13,277 12,980 $3.03M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 23,193 19,792 $2.58M
G0378 Hospital observation service, per hour 4,581 3,831 $2.56M
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 911 904 $1.77M
70450 Computed tomography, head or brain; without contrast material 8,530 8,204 $1.71M
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 17,383 15,776 $1.59M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,572 2,554 $1.57M
C1889 Implantable/insertable device, not otherwise classified 2,104 2,073 $1.45M
90832 Psychotherapy, 30 minutes with patient 11,439 7,615 $1.42M
80053 Comprehensive metabolic panel 70,470 62,051 $1.35M
36415 Collection of venous blood by venipuncture 105,147 76,847 $1.25M
G0397 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes 7,611 6,115 $1.17M
93970 2,354 2,308 $1.08M
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,494 1,478 $1.04M
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 2,878 2,830 $848K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 10,816 9,365 $781K
90834 Psychotherapy, 45 minutes with patient 4,726 3,118 $778K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 16,772 4,381 $758K
H0050 Alcohol and/or drug services, brief intervention, per 15 minutes 14,284 9,577 $743K
77067 Screening mammography, bilateral, including computer-aided detection 7,097 7,024 $729K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 6,924 3,611 $645K
12001 1,358 1,353 $558K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1,173 1,164 $543K
99215 Prolong outpt/office vis 4,351 4,038 $458K
95810 Polysomnography; sleep staging with 4 or more additional parameters 536 520 $452K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 4,615 4,263 $442K
12011 1,099 1,096 $435K
36430 623 450 $427K
71275 Computed tomographic angiography, chest, with contrast material 1,821 1,796 $416K
96361 Intravenous infusion, hydration; each additional hour 2,060 1,912 $409K
D0120 Periodic oral evaluation - established patient 10,691 6,760 $398K
70551 Magnetic resonance imaging, brain; without contrast material 1,430 1,413 $389K
86850 11,075 10,340 $382K
76770 1,748 1,723 $370K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 746 488 $355K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 3,394 2,044 $349K
D7140 Extraction, erupted tooth or exposed root 6,044 4,561 $343K
29515 1,590 1,563 $335K
76830 Ultrasound, transvaginal 4,707 4,538 $320K
76819 Fetal biophysical profile; without non-stress testing 3,782 2,283 $291K
75574 1,322 1,313 $291K
76700 Ultrasound, abdominal, real time with image documentation; complete 2,023 2,003 $283K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,459 1,440 $277K
36416 14,659 4,868 $274K
77066 Tomosynthesis, mammo 2,275 2,240 $261K
90837 Psychotherapy, 53 minutes with patient 1,775 1,095 $261K
C1769 Guide wire 1,543 1,474 $258K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,085 2,049 $251K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 664 657 $249K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,402 2,349 $249K
G2078 Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure 15,455 5,703 $249K
29125 1,134 1,120 $242K
10060 820 802 $241K
80048 Basic metabolic panel (calcium, ionized) 13,239 11,979 $241K
86901 10,585 9,929 $238K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 2,361 2,296 $232K
76641 3,096 2,804 $226K
D0140 Limited oral evaluation - problem focused 11,624 10,111 $226K
88305 Level IV - Surgical pathology, gross and microscopic examination 5,709 5,537 $215K
70496 1,065 1,052 $213K
96415 526 384 $210K
76705 Ultrasound, abdominal, real time with image documentation; limited 3,682 3,621 $207K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,242 1,231 $204K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,941 1,930 $201K
64400 487 472 $199K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1,970 1,861 $198K
86900 11,241 10,496 $198K
77065 Tomosynthesis, mammo 2,268 1,960 $196K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 327 322 $189K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 9,595 9,370 $186K
77063 Screening digital breast tomosynthesis, bilateral 7,099 7,037 $183K
D0220 Intraoral - periapical first radiographic image 11,402 10,066 $180K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 697 693 $178K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,014 888 $176K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 13,380 12,221 $173K
95800 139 132 $173K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,746 1,629 $168K
90791 Psychiatric diagnostic evaluation 978 892 $167K
D1120 Prophylaxis - child 4,443 4,441 $167K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,424 1,407 $165K
76818 1,714 779 $165K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,471 1,454 $159K
93308 565 560 $154K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 23,800 22,261 $151K
G2067 Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) 2,480 1,001 $151K
D0230 Intraoral - periapical each additional radiographic image 10,184 9,303 $150K
76642 2,848 2,513 $146K
J1756 Injection, iron sucrose, 1 mg 2,370 1,113 $146K
J3490 Unclassified drugs 18,840 14,767 $142K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 9,278 5,953 $141K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 3,611 3,516 $141K
71250 1,326 1,305 $138K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,861 1,695 $131K
11721 2,174 2,014 $130K
10E0XZZ 270 30 $126K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 9,728 9,478 $126K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 3,728 3,362 $125K
C1887 Catheter, guiding (may include infusion/perfusion capability) 628 608 $122K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,104 1,090 $121K
83880 5,258 5,076 $120K
76536 1,265 1,252 $119K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,010 1,007 $116K
71046 Radiologic examination, chest; 2 views 13,577 13,219 $115K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 5,252 1,716 $115K
93458 53 52 $114K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 3,116 3,062 $114K
J7050 Infusion, normal saline solution, 250 cc 7,943 4,052 $113K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,936 1,383 $111K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,072 1,070 $111K
D2391 Resin-based composite - one surface, posterior, primary or permanent 2,371 1,568 $109K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 3,971 1,268 $107K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 831 821 $106K
H0004 Behavioral health counseling and therapy, per 15 minutes 1,568 1,151 $105K
76813 1,117 1,101 $105K
78815 Positron emission tomography (PET) for limited area imaging 101 94 $103K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 28,909 26,379 $102K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 901 778 $99K
80061 Lipid panel 8,110 8,000 $96K
92550 1,273 1,266 $94K
59025 Fetal non-stress test 528 485 $92K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 991 987 $87K
D1110 Prophylaxis - adult 2,361 2,351 $86K
D0150 Comprehensive oral evaluation - new or established patient 2,429 1,811 $85K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 731 729 $81K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 4,341 4,170 $79K
P9040 Red blood cells, leukocytes reduced, irradiated, each unit 212 152 $77K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 636 636 $76K
D1208 Topical application of fluoride, excluding varnish 5,815 5,804 $76K
80076 7,665 7,269 $76K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 3,435 3,387 $75K
90715 3,236 3,221 $74K
85610 24,179 17,919 $74K
58558 57 56 $74K
H0034 Medication training and support, per 15 minutes 2,636 1,924 $73K
0225U 6,085 5,971 $72K
70486 1,037 1,018 $71K
72197 175 173 $70K
90792 Psychiatric diagnostic evaluation with medical services 367 355 $68K
12002 176 176 $67K
A4648 Tissue marker, implantable, any type, each 394 377 $66K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 558 556 $65K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 242 206 $65K
76870 942 926 $64K
90847 Family psychotherapy with the patient present, 50 minutes 206 82 $63K
96367 1,097 709 $61K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 49,311 43,691 $61K
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 2,665 2,593 $61K
99205 Prolong outpt/office vis 372 368 $61K
C1781 Mesh (implantable) 134 134 $61K
96375 Therapeutic injection; each additional sequential IV push 12,561 11,695 $60K
82803 3,753 3,546 $60K
85027 18,033 15,375 $60K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 863 828 $60K
D0330 Panoramic radiographic image 2,549 2,508 $60K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 2,004 1,992 $59K
G9012 Other specified case management service not elsewhere classified 2,360 1,375 $59K
D1351 Sealant - per tooth 2,034 1,012 $58K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 334 331 $57K
J7120 Ringers lactate infusion, up to 1000 cc 12,636 12,128 $57K
88304 2,266 2,230 $55K
86480 905 902 $55K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 1,267 1,171 $54K
16020 147 131 $52K
C9399 Unclassified drugs or biologicals 807 804 $49K
83036 Hemoglobin; glycosylated (A1C) 8,759 8,620 $48K
90853 Group psychotherapy (other than of a multiple-family group) 634 288 $48K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 2,617 2,541 $48K
A9505 Thallium tl-201 thallous chloride, diagnostic, per millicurie 501 499 $48K
77080 1,064 1,055 $48K
D0272 Bitewings - two radiographic images 4,405 4,403 $47K
92134 786 757 $47K
41899 Unlisted procedure, dentoalveolar structures 51 50 $45K
J7030 Infusion, normal saline solution , 1000 cc 14,505 13,192 $45K
70491 217 215 $44K
72141 184 182 $43K
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 776 740 $43K
90670 3,218 3,201 $43K
84443 Thyroid stimulating hormone (TSH) 6,152 6,003 $42K
73630 3,288 3,072 $42K
36000 1,465 1,433 $40K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 4,416 4,317 $39K
72082 588 581 $38K
83655 2,658 2,642 $38K
J1453 Injection, fosaprepitant, 1 mg 618 375 $37K
D8670 Periodic orthodontic treatment visit 184 184 $36K
72110 832 831 $35K
93017 374 373 $35K
99051 2,937 2,883 $35K
88312 2,179 2,150 $35K
96139 333 274 $34K
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 233 214 $34K
74183 97 95 $34K
96417 605 401 $34K
95782 31 31 $33K
97116 1,833 1,054 $32K
90685 3,640 3,625 $31K
73562 2,230 2,094 $31K
77412 71 12 $31K
92557 725 721 $31K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 295 294 $31K
H0014 Alcohol and/or drug services; ambulatory detoxification 163 130 $29K
76775 526 524 $28K
71045 Radiologic examination, chest; single view 11,275 10,579 $27K
76801 269 266 $27K
T1013 Sign language or oral interpretive services, per 15 minutes 2,073 1,840 $27K
88142 1,039 1,038 $27K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 5,751 5,677 $25K
94070 532 531 $25K
96138 316 261 $25K
88307 347 342 $25K
72125 Computed tomography, cervical spine; without contrast material 1,632 1,582 $25K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 84 84 $25K
97161 259 257 $24K
87481 612 607 $23K
H0038 Self-help/peer services, per 15 minutes 572 368 $23K
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 50 48 $23K
99381 186 185 $23K
J1050 Injection, medroxyprogesterone acetate, 1 mg 302 302 $22K
70498 809 799 $22K
D2930 Prefabricated stainless steel crown - primary tooth 242 209 $22K
87653 1,219 1,204 $22K
81420 Fetal chromosomal aneuploidy genomic sequence analysis panel 131 126 $22K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 3,497 3,419 $21K
82728 3,224 3,133 $21K
94729 545 541 $21K
J1885 Injection, ketorolac tromethamine, per 15 mg 13,901 12,914 $21K
97010 3,199 1,004 $21K
87641 735 734 $21K
90648 2,273 2,265 $21K
51701 64 64 $20K
19083 27 27 $20K
73130 2,423 2,314 $20K
80050 General health panel 79 78 $20K
HZ2ZZZZ 82 12 $20K
81025 3,846 3,717 $20K
93971 206 202 $19K
J2405 Injection, ondansetron hydrochloride, per 1 mg 13,348 11,527 $19K
85730 10,585 10,150 $19K
90651 421 416 $18K
D9310 720 720 $18K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 183 68 $18K
96116 95 92 $17K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 14 14 $17K
82962 12,480 9,560 $17K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 4,938 3,876 $17K
73030 1,866 1,759 $17K
97162 167 164 $17K
42820 Tonsillectomy and adenoidectomy; younger than age 12 13 13 $17K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 243 213 $16K
90680 1,755 1,745 $16K
J2704 Injection, propofol, 10 mg 4,800 4,278 $16K
81507 57 57 $16K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 12 12 $16K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 2,015 1,998 $15K
92133 244 244 $15K
92060 216 207 $15K
73610 2,265 2,170 $14K
99242 132 132 $14K
87086 Culture, bacterial; quantitative colony count, urine 13,820 13,246 $14K
90633 1,497 1,491 $14K
94726 329 329 $14K
73110 1,593 1,511 $13K
82607 1,429 1,400 $13K
86780 2,872 2,850 $13K
88342 397 386 $13K
97165 145 142 $13K
J2270 Injection, morphine sulfate, up to 10 mg 4,937 4,269 $13K
85380 594 588 $12K
90723 1,634 1,629 $12K
99442 78 75 $12K
90686 675 655 $12K
86703 1,026 1,016 $12K
J3010 Injection, fentanyl citrate, 0.1 mg 3,770 3,687 $12K
99406 179 179 $11K
76937 83 80 $11K
84439 1,470 1,440 $11K
81002 9,234 6,299 $11K
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 2,149 2,083 $11K
97802 251 251 $11K
97597 37 26 $11K
59820 13 13 $11K
80074 323 320 $11K
86701 944 936 $11K
81513 565 560 $10K
76820 240 108 $10K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,436 4,176 $10K
H0005 Alcohol and/or drug services; group counseling by a clinician 156 102 $9K
J1170 Injection, hydromorphone, up to 4 mg 2,316 2,056 $9K
87631 262 259 $9K
96376 2,198 2,113 $9K
83020 1,234 1,208 $9K
D2150 Silver amalgam - two surfaces, primary or permanent 238 205 $9K
86803 1,620 1,608 $9K
90716 635 633 $9K
0042T 137 137 $9K
96132 191 153 $8K
88341 211 204 $8K
86762 925 916 $8K
86003 97 57 $8K
73080 1,012 949 $8K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 70 67 $8K
83735 9,855 8,274 $8K
G0008 Administration of influenza virus vaccine 430 429 $8K
84702 3,099 2,773 $8K
97602 13 13 $8K
90698 877 872 $7K
74018 960 900 $7K
29130 37 37 $7K
83605 10,648 9,959 $7K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 5,786 4,851 $7K
77336 17 12 $7K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 806 687 $7K
73502 490 473 $7K
87536 69 69 $7K
97803 171 167 $7K
J2785 Injection, regadenoson, 0.1 mg 27 26 $7K
81003 7,822 7,647 $7K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 1,480 1,430 $7K
87340 1,833 1,818 $7K
86923 228 180 $6K
J3475 Injection, magnesium sulfate, per 500 mg 1,297 1,056 $6K
D9110 273 265 $6K
A0425 Ground mileage, per statute mile 686 612 $6K
83540 2,293 2,243 $6K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 88 87 $6K
90734 435 435 $6K
83520 101 97 $6K
96121 94 91 $6K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 44 44 $6K
90707 628 623 $6K
86765 638 632 $6K
82378 644 596 $5K
84484 11,636 10,188 $5K
81001 11,337 10,828 $5K
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) 108 107 $5K
16025 22 16 $5K
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 612 601 $5K
83550 2,249 2,201 $5K
76857 488 462 $5K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 676 647 $5K
73221 12 12 $5K
82746 757 742 $5K
92567 85 84 $5K
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 216 187 $5K
99459 489 476 $5K
71271 69 69 $5K
J0696 Injection, ceftriaxone sodium, per 250 mg 1,891 1,778 $5K
83690 14,087 13,294 $5K
M0239 Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring 60 58 $5K
72170 1,335 1,303 $5K
J2250 Injection, midazolam hydrochloride, per 1 mg 3,752 3,623 $4K
96402 110 103 $4K
72100 206 206 $4K
J2765 Injection, metoclopramide hcl, up to 10 mg 3,359 3,245 $4K
73090 1,008 964 $4K
87186 2,243 2,174 $4K
92579 80 79 $4K
96130 86 67 $4K
80367 784 710 $4K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 34 26 $4K
D0274 Bitewings - four radiographic images 249 248 $4K
73590 1,144 1,101 $4K
90700 490 484 $4K
77072 119 119 $4K
92551 66 66 $4K
81329 228 228 $4K
86787 671 664 $4K
58300 26 26 $4K
74178 16 15 $4K
84153 160 160 $4K
J0690 Injection, cefazolin sodium, 500 mg 1,633 1,567 $3K
76882 145 123 $3K
94664 287 286 $3K
90677 14 14 $3K
83615 1,549 1,462 $3K
74174 31 29 $3K
83970 56 56 $3K
72050 52 51 $3K
86769 563 550 $3K
86706 358 353 $3K
J1200 Injection, diphenhydramine hcl, up to 50 mg 2,931 2,186 $3K
86355 79 78 $3K
94727 122 122 $3K
87522 Neg quan hep c or qual rna 68 67 $3K
84403 70 66 $2K
92002 14 14 $2K
99382 20 20 $2K
86357 78 77 $2K
73564 484 473 $2K
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter 41 41 $2K
87486 69 68 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 16 16 $2K
87640 695 692 $2K
V2632 Posterior chamber intraocular lens 13 12 $2K
87077 1,217 1,174 $2K
82670 69 61 $2K
92202 25 25 $2K
82043 428 426 $2K
85046 1,468 1,324 $2K
H0001 Alcohol and/or drug assessment 13 13 $2K
82105 267 261 $2K
86140 945 906 $2K
84480 212 206 $2K
90710 219 218 $2K
82550 1,180 1,089 $2K
84146 70 70 $2K
82677 91 86 $2K
86618 36 36 $2K
82950 427 427 $2K
87070 857 797 $2K
74019 64 63 $2K
84436 278 274 $2K
73060 399 383 $2K
76821 27 12 $2K
84703 8,391 8,031 $2K
99383 12 12 $1K
76512 60 53 $1K
J2919 Injection, methylprednisolone sodium succinate, 5 mg 186 177 $1K
86695 49 48 $1K
90656 80 80 $1K
76885 13 13 $1K
83516 29 28 $1K
84144 58 51 $1K
D0340 24 24 $1K
Q2039 Influenza virus vaccine, not otherwise specified 56 56 $1K
87581 69 68 $1K
86735 109 109 $1K
83001 75 75 $1K
84100 1,257 1,044 $1K
92582 15 15 $1K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 489 357 $1K
86704 85 84 $1K
J7060 5% dextrose/water (500 ml = 1 unit) 388 284 $1K
87081 271 270 $1K
86038 132 131 $1K
82785 64 64 $1K
81243 75 75 $1K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 29 29 $982.60
84704 97 92 $963.98
85651 314 308 $956.67
51702 12 12 $945.74
82330 2,866 2,703 $936.74
80365 447 370 $907.25
83002 46 46 $892.35
84481 72 72 $881.18
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 295 248 $865.00
87040 1,410 1,328 $847.02
82248 355 298 $842.96
96161 21 20 $839.72
J0153 Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) 12 12 $831.16
90749 52 52 $819.58
80164 84 74 $799.75
74220 12 12 $793.09
90744 62 61 $790.80
86696 48 48 $783.49
92225 12 12 $779.77
85379 2,035 1,999 $779.46
88311 12 12 $776.00
85652 947 914 $761.20
86160 30 30 $757.91
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 27 27 $755.04
73552 147 142 $737.09
J1650 Injection, enoxaparin sodium, 10 mg 424 184 $729.56
82465 183 183 $723.46
86336 97 83 $699.88
Q3014 Telehealth originating site facility fee 63 59 $689.18
J1644 Injection, heparin sodium, per 1000 units 271 164 $673.50
96133 147 121 $672.61
96136 15 13 $671.49
D0210 Intraoral - complete series of radiographic images 42 40 $671.00
J1596 Injection, glycopyrrolate, 0.1 mg 441 438 $668.13
84402 37 31 $650.69
86880 25 25 $590.85
82784 66 63 $574.98
84132 3,795 3,598 $574.16
86481 13 13 $573.48
80361 26 25 $566.39
82570 171 166 $525.64
J2060 Injection, lorazepam, 2 mg 292 265 $464.88
90696 72 72 $464.26
86430 76 75 $453.35
84466 43 43 $439.56
86376 24 24 $436.77
82977 72 70 $433.55
84550 199 190 $431.16
80324 13 12 $428.36
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg 18 12 $399.11
J0330 Injection, succinylcholine chloride, up to 20 mg 173 173 $387.81
D9990 73 68 $374.00
85245 12 12 $373.81
80346 13 12 $359.75
96137 16 13 $356.82
80353 42 37 $326.18
84156 131 122 $315.86
76000 13 13 $304.70
85045 190 162 $304.12
80358 13 12 $291.13
80345 13 12 $291.13
86592 72 71 $283.07
84300 559 524 $266.08
86225 25 25 $263.72
82652 14 14 $262.99
80329 317 309 $250.33
J1171 Injection, hydromorphone, 0.1 mg 83 75 $247.35
82247 154 121 $246.40
86255 28 28 $236.12
86334 12 12 $217.02
J2003 Injection, lidocaine hydrochloride, 1 mg 65 65 $207.89
85246 12 12 $205.92
80349 65 61 $205.05
85007 499 486 $203.37
J1630 Injection, haloperidol, up to 5 mg 186 163 $189.70
99050 17 17 $187.27
80299 14 13 $186.71
C9113 Injection, pantoprazole sodium, per vial 39 25 $185.32
73620 25 25 $175.36
84295 2,998 2,842 $173.27
94200 12 12 $156.00
85384 58 50 $118.85
J7070 Infusion, d5w, 1000 cc 75 49 $118.05
80354 80 79 $106.95
73140 53 51 $99.83
82951 12 12 $99.02
82310 55 53 $99.02
90714 30 29 $97.83
86300 12 12 $83.90
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 44 44 $83.66
82010 399 383 $73.48
82947 25 25 $72.88
85018 3,653 3,471 $72.05
82150 16 14 $69.59
80178 13 12 $68.61
85014 2,939 2,787 $66.00
80348 185 162 $65.00
87205 92 89 $63.33
87088 19 18 $62.78
93041 566 545 $59.28
84479 54 51 $57.69
94761 50 49 $51.15
99152 68 67 $49.57
83921 13 13 $47.26
82948 276 175 $40.12
85044 24 24 $39.15
88302 26 26 $39.00
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 13 13 $37.27
82553 67 64 $27.76
84600 295 286 $26.15
83986 13 12 $21.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 12 12 $20.73
99173 26 26 $14.84
J1836 Injection, metronidazole, 10 mg 14 12 $13.47
90472 Immunization administration, each additional vaccine (list separately) 15 15 $8.62
84155 12 12 $4.53
G8420 Bmi is documented within normal parameters and no follow-up plan is required 28 28 $0.03
82657 56 56 $0.00
D2331 32 31 $0.00
D0170 21 19 $0.00
D2330 12 12 $0.00
99080 560 161 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 28 28 $0.00
D2140 49 39 $0.00
D8660 12 12 $0.00