Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › MINNEAPOLIS › HENNEPIN HEALTHCARE SYSTEM, INC

HENNEPIN HEALTHCARE SYSTEM, INC

NPI: 1407897309 · MINNEAPOLIS, MN 55415 · General Acute Care Hospital · NPI assigned 06/10/2006

$708.86M
Total Medicaid Paid
9,991,272
Total Claims
7,363,021
Beneficiaries
813
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, LISA (CFO)
NPI Enumeration Date06/10/2006

Related Entities

Other providers sharing the same authorized official: ANDERSON, LISA

ProviderCityStateTotal Paid
HENNEPIN HEALTHCARE SYSTEM, INC MINNEAPOLIS MN $23.17M
HENNEPIN HEALTHCARE SYSTEM, INC MINNEAPOLIS MN $12.40M
HENNEPIN HEALTHCARE SYSTEM, INC MINNEAPOLIS MN $638K
HENNEPIN HEALTHCARE SYSTEM INC MINNEAPOLIS MN $294K
BEYOND WELLNESS PLLC BOISE ID $234K
HENNEPIN HEALTHCARE SYSTEM INC MINNEAPOLIS MN $20K
HENNEPIN HEALTHCARE SYSTEM, INC MINNEAPOLIS MN $958.39
ETS CONSULTING LLC MOUNTLAKE TERRACE WA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,672,891 $34.44M
2019 1,634,805 $97.06M
2020 1,310,457 $78.91M
2021 1,591,820 $99.20M
2022 1,380,854 $131.71M
2023 1,352,090 $146.96M
2024 1,048,355 $120.59M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1,139,423 963,643 $105.05M
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 118,666 90,596 $78.06M
A0427 Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 94,266 82,551 $67.71M
99284 Emergency department visit for the evaluation and management, high severity 262,223 224,415 $53.35M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 202,775 169,882 $49.63M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 460,726 395,864 $32.68M
99283 Emergency department visit for the evaluation and management, moderate severity 190,002 166,029 $32.39M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 298,027 266,842 $14.61M
A0425 Ground mileage, per statute mile 218,688 165,992 $13.99M
99232 Subsequent hospital care, per day, moderate complexity 261,070 61,757 $13.54M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 69,483 32,817 $13.50M
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 807,067 34,044 $12.98M
99233 Prolong inpt eval add15 m 145,923 38,920 $10.09M
99215 Prolong outpt/office vis 92,877 80,421 $9.18M
90870 34,052 10,791 $7.12M
95004 Percutaneous tests with allergenic extracts, immediate type reaction 2,618 1,853 $4.80M
T1013 Sign language or oral interpretive services, per 15 minutes 228,242 153,281 $4.69M
36415 Collection of venous blood by venipuncture 355,455 308,112 $4.62M
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 59,602 48,014 $4.31M
99223 Prolong inpt eval add15 m 36,910 28,994 $4.24M
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 77,248 75,262 $3.39M
90834 Psychotherapy, 45 minutes with patient 38,999 25,768 $3.31M
J2357 Injection, omalizumab, 5 mg 3,955 1,840 $3.27M
74177 Computed tomography, abdomen and pelvis; with contrast material 38,139 35,003 $3.24M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 38,879 31,540 $3.18M
93308 58,413 49,049 $2.84M
70450 Computed tomography, head or brain; without contrast material 61,333 50,357 $2.80M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 29,989 24,744 $2.65M
A0433 Advanced life support, level 2 (als 2) 2,291 2,227 $2.62M
99239 Hospital discharge day management, more than 30 minutes 32,866 29,866 $2.54M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 24,236 23,157 $2.42M
71046 Radiologic examination, chest; 2 views 112,437 101,397 $2.26M
G0378 Hospital observation service, per hour 15,731 13,348 $2.26M
D7140 Extraction, erupted tooth or exposed root 27,595 9,041 $2.24M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 36,238 34,810 $2.10M
99309 Subsequent nursing facility care, per day, low to moderate complexity 44,281 29,735 $1.99M
71260 Computed tomography, thorax, diagnostic; with contrast material 30,694 27,962 $1.96M
90837 Psychotherapy, 53 minutes with patient 16,313 10,440 $1.92M
99254 13,768 11,350 $1.91M
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 39,751 36,285 $1.89M
96127 91,624 75,767 $1.87M
99220 16,723 14,279 $1.86M
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 39,479 36,107 $1.84M
00104 29,398 9,612 $1.75M
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 61,493 51,693 $1.66M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 23,330 21,394 $1.64M
99231 Subsequent hospital care, per day, straightforward or low complexity 52,509 23,734 $1.63M
90832 Psychotherapy, 30 minutes with patient 27,624 21,332 $1.58M
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 106,375 102,236 $1.57M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 19,633 17,190 $1.47M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 12,426 11,200 $1.46M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 20,438 10,915 $1.41M
88305 Level IV - Surgical pathology, gross and microscopic examination 30,855 28,389 $1.40M
X5622 33,241 28,929 $1.36M
99238 Hospital discharge day management, 30 minutes or less 27,169 24,702 $1.35M
99222 Initial hospital care, per day, moderate complexity 18,908 14,679 $1.28M
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 29,533 23,269 $1.27M
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 181,798 129,418 $1.24M
80048 Basic metabolic panel (calcium, ionized) 92,809 81,320 $1.22M
72125 Computed tomography, cervical spine; without contrast material 21,289 19,823 $1.21M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 5,503 3,411 $1.19M
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 36,067 35,519 $1.15M
90961 10,340 9,281 $1.14M
20610 13,841 9,712 $1.14M
85025 Blood count; complete (CBC), automated, and automated differential WBC count 146,254 120,938 $1.14M
99244 Office or other outpatient consultation, moderate to high complexity 10,689 10,212 $1.13M
H2012 Behavioral health day treatment, per hour 22,614 1,854 $1.11M
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 8,712 8,472 $1.09M
99217 22,721 19,453 $1.05M
59410 1,485 1,407 $1.04M
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 17,853 16,973 $1.03M
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 12,404 12,080 $1.03M
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 44,756 41,164 $1.03M
D1206 Topical application of fluoride varnish 27,542 25,703 $1.01M
90791 Psychiatric diagnostic evaluation 10,694 10,169 $977K
99253 11,294 9,038 $955K
J0741 Injection, cabotegravir and rilpivirine, 2mg/3mg 146 134 $949K
99255 6,541 4,989 $927K
99282 Emergency department visit for the evaluation and management, low to moderate severity 11,575 10,823 $927K
76604 23,143 19,849 $882K
92015 Determination of refractive state 31,255 27,700 $846K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 34,966 33,339 $839K
76705 Ultrasound, abdominal, real time with image documentation; limited 25,499 22,007 $833K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1,822 1,502 $828K
00170 Anesthesia for intraoral procedures, including biopsy 4,093 2,053 $828K
D2930 Prefabricated stainless steel crown - primary tooth 6,168 1,417 $816K
99310 Prolong nursin fac eval 15m 10,567 7,570 $783K
D0150 Comprehensive oral evaluation - new or established patient 6,258 5,793 $778K
99443 14,933 13,300 $757K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 5,155 1,306 $751K
D1110 Prophylaxis - adult 12,076 10,563 $732K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 5,780 4,889 $716K
99607 23,003 18,630 $704K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 9,461 7,457 $670K
D0140 Limited oral evaluation - problem focused 22,223 20,018 $664K
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 31,842 24,920 $658K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 9,471 8,797 $657K
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) 9,421 2,957 $655K
62323 1,820 1,260 $652K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 25,995 21,302 $642K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 1,820 1,435 $642K
Q3014 Telehealth originating site facility fee 29,703 23,599 $632K
71045 Radiologic examination, chest; single view 84,483 48,472 $626K
96361 Intravenous infusion, hydration; each additional hour 9,184 7,629 $622K
99460 6,069 5,871 $612K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 5,219 4,961 $601K
97810 20,740 12,828 $600K
D1120 Prophylaxis - child 12,924 12,406 $598K
D0120 Periodic oral evaluation - established patient 18,018 17,426 $584K
99221 12,996 10,465 $583K
95117 17,528 8,749 $563K
88307 4,854 4,609 $559K
59025 Fetal non-stress test 10,900 5,934 $553K
83036 Hemoglobin; glycosylated (A1C) 51,621 48,601 $550K
99243 8,545 8,309 $546K
99219 5,911 5,368 $541K
16020 5,400 2,590 $539K
82947 92,344 83,033 $521K
80051 89,698 80,720 $515K
82330 89,962 80,913 $495K
97811 20,030 12,522 $485K
99205 Prolong outpt/office vis 4,260 4,090 $483K
77067 Screening mammography, bilateral, including computer-aided detection 12,339 12,055 $483K
92551 42,400 41,465 $482K
87536 14,069 13,125 $477K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 27,017 13,994 $433K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,943 2,232 $425K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12,681 12,382 $415K
80053 Comprehensive metabolic panel 27,784 19,151 $411K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 6,042 5,777 $408K
99480 Subsequent intensive care, per day, low birth weight infant 2,153 471 $400K
70496 4,595 4,129 $392K
36592 14,577 12,734 $391K
80076 39,652 36,081 $387K
76801 7,654 6,717 $383K
99442 10,661 9,440 $375K
99152 22,155 18,122 $372K
95811 766 647 $370K
81001 43,852 40,603 $368K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,387 1,102 $368K
76700 Ultrasound, abdominal, real time with image documentation; complete 8,537 8,108 $367K
99606 14,915 11,807 $364K
95810 Polysomnography; sleep staging with 4 or more additional parameters 633 511 $362K
92587 2,894 2,798 $361K
90853 Group psychotherapy (other than of a multiple-family group) 14,963 5,827 $345K
99245 2,949 2,830 $342K
H0035 Mental health partial hospitalization, treatment, less than 24 hours 1,351 174 $334K
73630 22,776 18,277 $333K
45380 Colonoscopy, flexible; with biopsy, single or multiple 778 606 $333K
D0272 Bitewings - two radiographic images 8,159 7,940 $330K
86592 27,345 25,529 $330K
D0330 Panoramic radiographic image 6,521 6,338 $330K
70498 3,857 3,649 $329K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 4,790 4,369 $323K
D2391 Resin-based composite - one surface, posterior, primary or permanent 5,625 2,989 $323K
71250 6,324 5,734 $322K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 2,164 1,040 $322K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 11,039 9,733 $312K
D0220 Intraoral - periapical first radiographic image 12,091 11,007 $312K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 4,651 4,534 $307K
90686 46,419 44,611 $306K
72131 6,124 5,834 $301K
D7240 Removal of impacted tooth - completely bony 1,103 469 $298K
82565 92,314 82,988 $293K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 7,185 6,801 $289K
J0585 Injection, onabotulinumtoxina, 1 unit 516 250 $287K
90472 Immunization administration, each additional vaccine (list separately) 38,317 35,704 $285K
0002A 10,427 9,934 $280K
D0274 Bitewings - four radiographic images 5,779 5,401 $280K
77063 Screening digital breast tomosynthesis, bilateral 7,684 7,491 $275K
31500 3,299 2,874 $275K
80061 Lipid panel 15,383 14,324 $264K
31575 4,010 3,304 $262K
D1351 Sealant - per tooth 8,093 2,677 $260K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 7,378 6,932 $260K
74176 Computed tomography, abdomen and pelvis; without contrast material 4,555 4,179 $257K
36591 7,502 4,399 $257K
99292 2,449 1,928 $255K
43235 1,566 1,313 $254K
T2022 Case management, per month 1,102 1,096 $253K
72128 4,759 4,559 $249K
76830 Ultrasound, transvaginal 6,501 6,012 $249K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 3,265 3,133 $249K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 1,624 1,016 $245K
86481 2,869 2,715 $244K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 4,436 3,908 $242K
92557 2,799 2,703 $240K
85027 25,564 22,326 $240K
V2020 Frames, purchases 3,704 3,576 $239K
99479 Subsequent intensive care, per day, very low birth weight infant 1,206 252 $235K
0001A 10,665 9,811 $235K
99188 21,227 20,850 $227K
98940 19,358 10,895 $225K
90792 Psychiatric diagnostic evaluation with medical services 1,565 1,477 $209K
V2784 Lens, polycarbonate or equal, any index, per lens 2,816 2,696 $207K
99281 Emergency department visit for the evaluation and management, self-limited or minor 2,539 2,436 $207K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 9,060 7,740 $206K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 2,459 1,500 $205K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 8,551 7,977 $202K
99605 5,044 4,900 $198K
91320 2,421 2,323 $198K
97803 4,566 4,409 $196K
76819 Fetal biophysical profile; without non-stress testing 2,672 1,786 $190K
93976 4,290 3,965 $190K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2,877 1,937 $189K
77336 1,603 628 $189K
36416 14,457 11,444 $187K
88342 5,140 4,528 $182K
D1354 6,565 1,865 $182K
96900 5,507 1,609 $181K
S0280 Medical home program, comprehensive care coordination and planning, initial plan 1,943 1,570 $178K
70551 Magnetic resonance imaging, brain; without contrast material 2,431 2,329 $178K
93296 3,953 3,823 $177K
59515 215 183 $173K
99252 3,123 2,850 $172K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 1,087 1,062 $170K
96110 Developmental screening, with scoring and documentation, per standardized instrument 19,146 15,951 $169K
92060 4,088 3,273 $169K
D0230 Intraoral - periapical each additional radiographic image 12,830 5,839 $165K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 8,461 7,779 $164K
84484 27,021 16,906 $158K
D0240 4,018 2,402 $158K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 4,360 2,481 $158K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 5,194 4,762 $158K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 6,916 5,973 $157K
92567 6,865 6,629 $153K
80502 2,868 2,724 $152K
G0330 Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room 75 69 $150K
64400 2,348 2,101 $147K
99308 Subsequent nursing facility care, per day, straightforward 5,309 4,151 $146K
99183 1,182 395 $144K
84443 Thyroid stimulating hormone (TSH) 11,429 10,492 $143K
01961 570 284 $143K
76775 6,964 6,134 $141K
Q9991 Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg 62 57 $137K
93970 5,168 4,313 $135K
77427 606 275 $134K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 694 674 $133K
73610 14,402 11,670 $133K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,775 1,413 $132K
73030 11,245 9,624 $131K
74018 16,837 11,396 $122K
29581 1,163 406 $122K
Q9992 Injection, buprenorphine extended-release (sublocade), greater than 100 mg 56 50 $121K
82948 27,136 18,184 $121K
93971 7,477 6,577 $118K
64615 617 305 $118K
92340 Fitting of spectacles, except for aphakia; monofocal 6,058 5,878 $118K
95024 577 446 $118K
00840 402 202 $116K
99173 46,475 45,410 $115K
92341 5,809 5,436 $110K
90677 2,082 2,031 $103K
H1001 Prenatal care, at-risk enhanced service; antepartum management 1,829 1,785 $100K
96132 898 766 $99K
46600 1,705 1,235 $99K
90662 2,999 2,733 $99K
70486 2,295 2,224 $98K
17110 1,439 1,290 $96K
D2330 1,570 974 $96K
J2250 Injection, midazolam hydrochloride, per 1 mg 15,611 13,567 $96K
85610 16,110 10,503 $96K
96139 807 668 $96K
95886 1,764 1,499 $95K
76813 1,051 830 $95K
J7050 Infusion, normal saline solution, 250 cc 18,959 7,904 $93K
86803 4,509 4,195 $90K
J3490 Unclassified drugs 20,097 15,797 $89K
97535 Self-care/home management training, each 15 minutes 3,275 2,393 $89K
73562 7,105 5,211 $88K
84439 4,092 3,704 $87K
93458 126 96 $87K
73130 10,106 8,266 $86K
96375 Therapeutic injection; each additional sequential IV push 3,069 2,412 $86K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 810 737 $84K
90670 5,942 5,720 $83K
90962 2,058 1,768 $82K
99462 2,076 1,558 $82K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,960 1,191 $81K
91200 1,124 852 $80K
90480 4,701 4,573 $80K
99153 Mod sedat endo service >5yrs 5,630 4,898 $80K
J3010 Injection, fentanyl citrate, 0.1 mg 17,069 14,444 $80K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1,143 1,041 $80K
97162 2,554 2,276 $79K
99218 1,182 1,130 $79K
94375 2,006 1,701 $78K
77334 329 166 $78K
96133 720 583 $78K
77080 1,821 1,422 $77K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,578 2,080 $76K
87088 6,571 5,959 $75K
00400 546 233 $73K
99417 Prolong home eval add 15m 1,753 1,624 $71K
97602 957 394 $71K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 4,323 4,073 $69K
72100 6,329 5,779 $69K
86360 4,783 4,472 $68K
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 228 182 $66K
0124A 2,433 2,339 $65K
90785 7,972 5,829 $65K
86682 2,305 2,083 $65K
J7120 Ringers lactate infusion, up to 1000 cc 19,145 10,507 $64K
36620 2,323 1,974 $64K
D0145 Oral evaluation for a patient under three years of age 1,705 1,699 $64K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 20,978 19,733 $64K
99242 1,633 1,598 $64K
99402 1,233 1,156 $63K
87209 2,530 1,382 $63K
99236 Prolong inpt eval add15 m 453 437 $62K
D2150 Silver amalgam - two surfaces, primary or permanent 784 545 $62K
T1016 Case management, each 15 minutes 2,361 1,147 $62K
73502 4,565 4,159 $61K
86359 4,762 4,460 $61K
94060 955 881 $61K
00790 313 142 $60K
D2331 812 548 $60K
59426 264 262 $59K
36556 975 805 $59K
70491 1,074 1,026 $58K
J2426 Injection, paliperidone palmitate extended release (invega sustenna), 1 mg 14 12 $58K
87340 4,469 4,061 $57K
83020 3,174 3,070 $57K
0054A 1,802 1,716 $57K
83655 2,495 2,279 $56K
72141 721 693 $56K
82728 4,765 4,210 $55K
99441 3,017 2,541 $55K
96118 572 510 $54K
V5266 Battery for use in hearing device 1,867 1,830 $53K
52000 234 168 $52K
J7030 Infusion, normal saline solution , 1000 cc 14,660 12,486 $52K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 948 886 $52K
90691 1,453 1,383 $51K
76641 1,418 1,212 $51K
01480 256 126 $50K
73110 6,021 4,790 $50K
96130 456 411 $50K
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 3,064 1,123 $50K
J2704 Injection, propofol, 10 mg 13,287 7,358 $49K
93295 755 720 $49K
0072A 1,207 1,196 $49K
86706 3,772 3,440 $49K
D2140 728 384 $48K
0004A 1,745 1,636 $48K
87177 2,571 1,401 $48K
99226 505 306 $48K
77066 Tomosynthesis, mammo 775 744 $47K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 1,276 1,231 $46K
92553 560 539 $46K
73564 4,549 3,952 $46K
99464 837 828 $46K
69210 1,568 1,325 $45K
95924 225 129 $45K
84153 1,047 982 $45K
71271 930 869 $45K
95720 298 149 $45K
84165 2,862 2,628 $45K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 5,876 5,621 $43K
92083 1,653 1,335 $42K
99385 730 719 $42K
59425 255 250 $42K
83605 8,111 5,822 $41K
11900 369 332 $41K
92579 307 301 $40K
92588 287 279 $39K
96116 223 211 $39K
A0998 Ambulance response and treatment, no transport 151 145 $39K
88341 476 400 $39K
87210 6,651 6,123 $39K
86704 2,954 2,688 $39K
88304 2,991 2,906 $38K
20553 645 603 $38K
76642 627 545 $37K
92370 1,411 1,340 $37K
51798 1,712 1,611 $37K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 82 79 $37K
97802 601 592 $37K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 516 512 $37K
74183 238 225 $36K
86787 2,630 2,423 $36K
96158 718 464 $36K
93294 1,535 1,417 $36K
99397 639 605 $36K
81025 8,541 8,051 $35K
49083 152 63 $35K
96138 1,001 885 $35K
82043 3,526 3,175 $34K
97163 495 471 $34K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 15,209 8,846 $34K
D7230 153 93 $33K
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 940 865 $33K
0071A 872 837 $33K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,837 1,288 $33K
80504 856 803 $32K
90750 452 416 $32K
74230 1,035 944 $31K
87077 2,758 2,480 $31K
73590 4,203 3,310 $30K
83690 5,196 4,601 $30K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 22 12 $30K
76882 1,624 1,476 $30K
76536 1,051 1,022 $30K
11981 585 572 $29K
54150 384 349 $29K
99383 554 541 $29K
99451 1,057 1,032 $29K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 2,387 2,237 $29K
97116 1,231 758 $28K
72170 4,061 3,592 $28K
99384 375 370 $28K
D0210 Intraoral - complete series of radiographic images 536 435 $27K
72040 2,043 1,745 $27K
99140 3,398 3,004 $27K
83540 3,843 3,409 $25K
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 1,782 1,637 $25K
92134 1,451 1,254 $25K
77014 781 88 $25K
78816 84 66 $25K
96040 574 557 $24K
20611 203 151 $23K
99401 657 614 $23K
G0008 Administration of influenza virus vaccine 4,275 3,665 $23K
86790 1,462 1,337 $23K
J0330 Injection, succinylcholine chloride, up to 20 mg 14,613 6,049 $22K
31231 286 248 $22K
V5299 Hearing service, miscellaneous 2,360 1,819 $22K
96156 394 325 $22K
84460 3,150 2,946 $21K
82570 4,600 4,062 $21K
99225 461 328 $21K
87522 Neg quan hep c or qual rna 1,282 1,179 $21K
97130 321 209 $21K
90474 2,887 2,789 $21K
99356 286 194 $21K
0052A 488 471 $21K
84466 3,605 3,246 $21K
95800 150 89 $20K
94664 228 221 $20K
77002 605 531 $20K
95923 243 142 $19K
73560 2,812 2,139 $19K
90656 3,296 3,271 $18K
82803 2,238 1,650 $18K
73221 150 136 $18K
81003 4,911 4,443 $18K
83735 6,491 4,248 $18K
77263 113 104 $18K
87517 427 411 $18K
D5110 25 24 $17K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,765 1,585 $17K
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 1,268 1,147 $16K
86708 905 827 $16K
Q9957 Injection, perflutren lipid microspheres, per ml 583 410 $16K
99406 2,577 2,310 $16K
92552 259 251 $16K
52332 24 15 $15K
86593 493 461 $15K
96119 584 459 $15K
93793 2,166 1,500 $15K
82607 1,559 1,396 $15K
H1003 Prenatal care, at-risk enhanced service; education 473 440 $15K
80069 1,662 1,419 $15K
90717 360 341 $15K
96101 433 289 $15K
99201 901 887 $15K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 508 404 $15K
80503 693 655 $14K
73700 218 192 $14K
80050 General health panel 173 136 $14K
S9446 Patient education, not otherwise classified, non-physician provider, group, per session 651 520 $14K
84703 5,367 4,958 $14K
58300 397 381 $14K
85018 3,327 2,756 $14K
G0249 Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the home and reporting of test results to physician; testing not occurring more frequently than once a week; testing materials, billing units of service include 4 tests 200 165 $14K
74420 209 133 $14K
77300 62 37 $13K
86003 91 60 $13K
90715 910 840 $13K
99316 274 245 $13K
86900 594 540 $13K
73080 1,817 1,601 $12K
86141 1,816 1,604 $12K
52310 21 12 $12K
93351 371 363 $12K
92133 488 388 $12K
90651 606 593 $12K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 888 811 $12K
J2315 Injection, naltrexone, depot form, 1 mg 13 12 $11K
95910 65 51 $11K
G0141 Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician 343 324 $11K
76937 1,142 963 $11K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 58 53 $11K
0012A 435 430 $11K
10061 182 169 $11K
H1002 Prenatal care, at risk enhanced service; care coordination 504 470 $11K
V5261 Hearing aid, digital, binaural, bte 14 12 $11K
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 939 717 $10K
93298 382 275 $10K
88112 312 288 $10K
0051A 241 225 $9K
97129 338 221 $9K
00142 198 93 $9K
99100 2,580 1,520 $9K
94010 189 131 $9K
99382 106 101 $8K
C9399 Unclassified drugs or biologicals 159 122 $8K
G0297 Low dose ct scan (ldct) for lung cancer screening 328 259 $8K
99306 Prolong nursin fac eval 15m 74 62 $8K
95885 91 55 $8K
62321 23 12 $8K
87186 1,660 1,412 $8K
73552 1,020 746 $8K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 1,366 1,246 $8K
77412 120 12 $8K
86480 182 163 $8K
83880 1,113 895 $8K
78813 28 25 $8K
92586 48 46 $8K
A9585 Injection, gadobutrol, 0.1 ml 287 244 $8K
V5267 Hearing aid or assistive listening device/supplies/accessories, not otherwise specified 1,127 886 $8K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 2,604 1,888 $7K
0011A 545 509 $7K
J0696 Injection, ceftriaxone sodium, per 250 mg 258 194 $7K
80197 1,372 905 $7K
93248 363 358 $7K
84403 344 333 $7K
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 304 265 $7K
0082A 187 186 $7K
77065 Tomosynthesis, mammo 132 109 $7K
83721 1,166 1,042 $7K
86780 433 410 $7K
J2003 Injection, lidocaine hydrochloride, 1 mg 177 161 $7K
87081 3,084 2,896 $7K
97165 219 190 $7K
76870 304 285 $7K
J2405 Injection, ondansetron hydrochloride, per 1 mg 5,051 3,770 $6K
83970 470 441 $6K
J1790 Injection, droperidol, up to 5 mg 784 704 $6K
74019 736 660 $6K
0003A 256 242 $6K
90734 254 243 $6K
96376 85 50 $6K
73090 886 708 $6K
99447 226 219 $6K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 188 183 $6K
90966 66 64 $6K
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 346 298 $6K
D1330 835 817 $6K
86762 466 433 $6K
86334 273 271 $5K
99407 170 144 $5K
0031A 156 152 $5K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 59 44 $5K
94726 397 377 $5K
91300 2,502 2,422 $5K
82105 588 562 $5K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,146 1,725 $5K
J1030 Injection, methylprednisolone acetate, 40 mg 1,335 1,216 $5K
90619 91 88 $5K
88312 105 101 $5K
C9290 Injection, bupivacaine liposome, 1 mg 120 110 $5K
99381 107 105 $5K
29580 127 53 $5K
73140 984 901 $5K
86850 594 542 $5K
84450 679 664 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,817 2,686 $5K
10005 21 12 $5K
95012 336 323 $4K
86355 74 72 $4K
D9420 286 285 $4K
86357 74 72 $4K
90473 288 283 $4K
99403 75 62 $4K
92582 69 67 $4K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 497 477 $4K
V2207 Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens 33 32 $4K
D9222 14 14 $4K
82670 251 243 $4K
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 202 158 $4K
C1769 Guide wire 337 225 $4K
J1815 Injection, insulin, per 5 units 898 357 $4K
V5160 Dispensing fee, binaural 27 24 $4K
86079 57 53 $4K
D2332 34 24 $4K
76818 93 66 $4K
10060 50 49 $4K
87149 725 381 $4K
12001 113 107 $4K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 163 124 $4K
84100 3,005 2,022 $3K
J1170 Injection, hydromorphone, up to 4 mg 1,634 902 $3K
99386 50 50 $3K
93352 126 123 $3K
96417 34 26 $3K
97813 112 63 $3K
41899 Unlisted procedure, dentoalveolar structures 39 28 $3K
94729 450 429 $3K
77049 29 27 $3K
20552 27 14 $3K
92504 428 377 $3K
85652 1,327 1,161 $3K
12002 61 60 $3K
86901 596 540 $3K
93280 85 69 $3K
97597 62 37 $3K
93926 121 115 $3K
71275 Computed tomographic angiography, chest, with contrast material 25 25 $3K
D2335 33 27 $3K
96415 35 25 $3K
H0038 Self-help/peer services, per 15 minutes 130 114 $3K
90672 449 439 $3K
0154A 73 73 $3K
97814 110 63 $3K
58301 65 65 $3K
99499 41 40 $3K
80349 44 44 $3K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 43 43 $3K
12011 91 90 $3K
87086 Culture, bacterial; quantitative colony count, urine 1,787 1,469 $3K
G9002 Coordinated care fee, maintenance rate 186 186 $3K
D7111 31 17 $3K
0081A 77 77 $3K
V2107 Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens 27 27 $3K
88350 13 12 $3K
93282 45 39 $3K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 12 12 $2K
11982 53 52 $2K
75716 29 24 $2K
96159 129 76 $2K
72146 14 12 $2K
90723 4,138 3,981 $2K
92002 154 147 $2K
11102 25 25 $2K
74174 13 12 $2K
76942 171 157 $2K
99347 49 49 $2K
92136 71 65 $2K
72070 181 170 $2K
J1644 Injection, heparin sodium, per 1000 units 1,029 506 $2K
D4355 39 39 $2K
99421 1,023 981 $2K
70544 40 39 $2K
G0109 Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes 58 55 $2K
62270 47 41 $2K
85730 460 381 $2K
J0690 Injection, cefazolin sodium, 500 mg 1,197 883 $2K
76770 82 78 $2K
88291 42 40 $2K
90746 51 43 $2K
99305 13 13 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg 707 421 $2K
99235 14 14 $2K
87799 215 176 $1K
90970 318 26 $1K
99349 14 12 $1K
88108 61 55 $1K
93299 41 39 $1K
51741 136 116 $1K
82533 94 78 $1K
87070 109 76 $1K
82950 262 245 $1K
85384 169 142 $1K
76820 159 102 $1K
H1000 Prenatal care, at-risk assessment 2,410 2,264 $1K
86769 36 34 $1K
D2160 14 12 $1K
98968 395 335 $1K
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 66 62 $1K
73060 172 138 $1K
88302 79 72 $1K
95874 44 26 $1K
90846 Family psychotherapy without the patient present, 50 minutes 47 44 $1K
99336 22 15 $1K
91301 239 239 $1K
29540 35 14 $1K
J8540 Dexamethasone, oral, 0.25 mg 881 510 $1K
84156 206 183 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 21 17 $1K
M0239 Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring 13 13 $968.29
82785 74 67 $967.45
0074A 26 25 $931.43
0151A 24 24 $922.74
V5264 Ear mold/insert, not disposable, any type 12 12 $911.82
98967 266 242 $883.68
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 2,204 1,733 $876.70
84132 1,050 631 $853.35
80177 15 14 $818.13
92593 26 26 $804.20
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 38 37 $803.07
96161 27 24 $792.28
J2359 Injection, olanzapine, 0.5 mg 16 12 $776.00
84550 439 337 $755.92
J1650 Injection, enoxaparin sodium, 10 mg 208 76 $724.10
95908 12 12 $707.35
97161 12 12 $684.37
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 40 38 $679.04
99251 14 14 $641.89
73522 26 26 $641.31
99452 29 26 $638.35
83615 1,183 875 $636.65
96381 60 59 $633.72
86160 145 133 $607.14
C1773 Retrieval device, insertable (used to retrieve fractured medical devices) 67 63 $605.98
0298T 42 41 $597.86
99307 25 21 $597.07
G0009 Administration of pneumococcal vaccine 358 297 $580.08
85379 461 353 $578.64
93016 38 38 $576.50
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 126 79 $557.32
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 31 27 $548.97
D0270 50 50 $516.23
72120 12 12 $514.97
J7042 5% dextrose/normal saline (500 ml = 1 unit) 17 14 $491.85
88346 13 12 $489.06
90732 69 49 $488.26
G0124 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician 12 12 $471.30
99241 15 15 $463.67
92540 13 12 $453.37
96136 15 14 $450.27
86140 174 143 $434.97
97542 12 12 $404.28
99497 18 16 $389.37
93018 38 38 $386.85
73070 36 28 $345.44
90461 16 14 $343.25
82040 40 38 $338.68
96367 31 25 $303.38
93320 13 12 $298.45
95251 14 13 $254.54
82784 86 77 $250.38
88311 14 12 $245.02
92555 12 12 $231.96
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous 12 12 $226.78
82746 27 26 $226.42
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg 17 14 $221.97
72020 34 13 $217.25
91303 85 84 $215.93
92650 29 25 $210.36
86256 130 120 $199.16
87272 21 15 $179.55
83718 36 36 $176.45
99358 Prolong nursin fac eval 15m 29 27 $164.37
72190 14 12 $152.97
82610 12 12 $128.40
84520 167 119 $126.88
86235 81 72 $122.66
J3475 Injection, magnesium sulfate, per 500 mg 76 64 $122.08
90647 3,537 3,415 $115.92
J1171 Injection, hydromorphone, 0.1 mg 18 13 $114.28
84702 14 12 $109.56
G2063 Qualified nonphysician healthcare professional online assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 21 or more minutes 16 15 $105.48
99177 26 24 $99.19
82465 12 12 $94.87
93922 12 12 $87.74
82550 60 54 $83.22
80081 14 14 $83.11
G2062 Qualified nonphysician healthcare professional online assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 11-20 minutes 15 14 $80.80
H0048 Alcohol and/or other drug testing: collection and handling only, specimens other than blood 218 92 $79.20
83789 187 129 $77.13
98966 197 180 $71.25
93325 17 12 $63.26
99422 86 80 $62.85
82024 18 12 $61.79
87109 62 60 $61.25
98962 31 16 $59.15
90681 445 432 $40.26
82248 26 25 $39.69
83516 46 24 $27.98
90611 163 132 $19.73
84295 19 13 $17.32
86039 24 21 $13.54
J7060 5% dextrose/water (500 ml = 1 unit) 23 13 $10.12
90713 15 15 $9.81
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 424 218 $2.97
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 132 86 $2.42
J1200 Injection, diphenhydramine hcl, up to 50 mg 19 17 $1.89
90685 134 100 $0.01
T1001 Nursing assessment / evaluation 46 46 $0.00
86325 14 13 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 316 224 $0.00
90633 599 578 $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 351 255 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 17 15 $0.00
84630 19 17 $0.00
86200 30 28 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 82 57 $0.00
90707 56 55 $0.00
85045 18 12 $0.00
86431 32 30 $0.00
82247 15 13 $0.00
87040 37 14 $0.00
90680 1,444 1,382 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 138 88 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 109 69 $0.00
87430 494 456 $0.00
91318 180 177 $0.00
V2632 Posterior chamber intraocular lens 26 14 $0.00
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 15 13 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 50 36 $0.00
90688 22 20 $0.00
D1353 134 50 $0.00
76519 57 41 $0.00
82525 20 17 $0.00
G0475 Hiv antigen/antibody, combination assay, screening 22 13 $0.00
91319 52 49 $0.00
90899 18 13 $0.00
D3120 21 12 $0.00
90660 38 38 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 27 17 $0.00
90716 24 24 $0.00
83088 18 16 $0.00