Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › MINEOLA › NYU LANGONE HOSPITALS

NYU LANGONE HOSPITALS

NPI: 1427616002 · MINEOLA, NY 11501 · General Acute Care Hospital · NPI assigned 05/30/2019

$69.77M
Total Medicaid Paid
1,265,557
Total Claims
1,128,492
Beneficiaries
465
Codes Billed
2019-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMITH, WESLEY (VP REVENUE CYCLE)
Parent OrganizationNYU LANGONE HOSPITALS
NPI Enumeration Date05/30/2019

Related Entities

Other providers sharing the same authorized official: SMITH, WESLEY

ProviderCityStateTotal Paid
NYU LANGONE HOSPITALS BROOKLYN NY $303.18M
NYU LANGONE HOSPITALS NEW YORK NY $238.69M
NYU LANGONE HOSPITALS NEW YORK NY $117.59M
NYU LANGONE HOSPITALS NEW YORK NY $32.22M
NYU LANGONE HOSPITALS NEW YORK NY $3.50M
NYU LANGONE HOSPITALS BROOKLYN NY $453K
NYU LANGONE HOSPITALS BROOKLYN NY $99K
NYU LANGONE HOSPITALS BROOKLYN NY $9K
NYU HOSPITALS CENTER NEW YORK NY $55.44

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 71,767 $3.66M
2020 179,822 $9.16M
2021 230,968 $12.04M
2022 265,922 $14.70M
2023 289,830 $17.39M
2024 227,248 $12.81M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 56,892 46,933 $7.77M
G0378 Hospital observation service, per hour 4,908 4,321 $5.88M
99283 Emergency department visit for the evaluation and management, moderate severity 21,574 20,879 $3.86M
99284 Emergency department visit for the evaluation and management, high severity 19,748 19,128 $3.29M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 18,778 17,907 $2.84M
J9271 Injection, pembrolizumab, 1 mg 303 212 $2.64M
96361 Intravenous infusion, hydration; each additional hour 11,765 10,805 $2.37M
99282 Emergency department visit for the evaluation and management, low to moderate severity 12,108 11,700 $2.17M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,691 2,684 $1.80M
C1889 Implantable/insertable device, not otherwise classified 5,682 5,550 $1.71M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 13,162 10,065 $1.58M
J1745 Injection, infliximab, excludes biosimilar, 10 mg 578 325 $1.44M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 11,215 9,912 $1.39M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 10,163 10,138 $1.33M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 6,642 4,546 $1.18M
Q5103 Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg 174 153 $1.14M
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 6,095 5,826 $1.01M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7,315 7,297 $990K
70450 Computed tomography, head or brain; without contrast material 4,766 4,648 $963K
74177 Computed tomography, abdomen and pelvis; with contrast material 4,556 4,478 $945K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,049 1,043 $833K
92552 10,493 10,471 $794K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 6,221 4,917 $793K
96415 2,463 2,076 $791K
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 10,838 10,350 $785K
93975 1,543 1,511 $737K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,058 1,033 $719K
76700 Ultrasound, abdominal, real time with image documentation; complete 1,961 1,924 $711K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,715 3,687 $504K
93970 1,079 1,057 $453K
88305 Level IV - Surgical pathology, gross and microscopic examination 7,533 7,423 $435K
99281 Emergency department visit for the evaluation and management, self-limited or minor 2,279 2,171 $407K
0202U Oncology (prostate), multianalyte, gene expression profiling 8,349 8,123 $375K
80048 Basic metabolic panel (calcium, ionized) 33,347 30,102 $371K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,049 2,796 $309K
80076 19,008 17,752 $308K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 3,387 3,024 $282K
86850 11,415 10,348 $279K
J3490 Unclassified drugs 20,257 12,279 $277K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 4,139 3,185 $266K
76819 Fetal biophysical profile; without non-stress testing 4,068 2,889 $261K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 16,741 16,331 $261K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 2,519 2,471 $249K
99173 9,327 9,300 $247K
86900 11,663 10,355 $246K
J2323 Injection, natalizumab, 1 mg 38 37 $246K
99177 7,797 7,773 $241K
90460 Immunization administration through 18 years of age via any route, first or only component 18,814 18,696 $226K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 248 247 $224K
96375 Therapeutic injection; each additional sequential IV push 11,615 8,808 $223K
93976 648 604 $222K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 7,569 7,512 $219K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,525 1,407 $219K
59025 Fetal non-stress test 3,415 2,296 $215K
80053 Comprehensive metabolic panel 16,023 12,662 $214K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 3,307 2,810 $209K
P9016 Red blood cells, leukocytes reduced, each unit 590 428 $208K
86901 11,676 10,364 $206K
76641 1,910 1,611 $194K
36430 807 512 $189K
90834 Psychotherapy, 45 minutes with patient 1,356 1,114 $167K
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) 363 359 $166K
77067 Screening mammography, bilateral, including computer-aided detection 1,603 1,559 $164K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,399 891 $162K
D1110 Prophylaxis - adult 3,528 2,972 $162K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 12,243 11,391 $156K
J7050 Infusion, normal saline solution, 250 cc 22,208 17,770 $156K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 1,507 1,475 $146K
71275 Computed tomographic angiography, chest, with contrast material 767 753 $139K
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 7,385 7,050 $136K
95800 472 468 $135K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 7,567 7,511 $133K
76770 481 477 $130K
88342 2,501 2,473 $130K
54161 120 120 $125K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 6,034 5,939 $125K
J1439 Injection, ferric carboxymaltose, 1 mg 160 104 $123K
C1769 Guide wire 1,173 1,110 $120K
76830 Ultrasound, transvaginal 1,935 1,888 $113K
J2469 Injection, palonosetron hcl, 25 mcg 2,061 1,198 $110K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 60,066 51,141 $109K
95806 253 251 $103K
D0120 Periodic oral evaluation - established patient 4,121 3,926 $103K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 7,310 6,080 $98K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 707 707 $96K
74176 Computed tomography, abdomen and pelvis; without contrast material 410 405 $96K
36416 3,747 3,391 $95K
D1120 Prophylaxis - child 2,464 2,407 $95K
J7030 Infusion, normal saline solution , 1000 cc 22,239 15,294 $93K
96417 1,592 1,019 $91K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 7,154 6,807 $90K
95811 131 129 $90K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 167 167 $88K
90791 Psychiatric diagnostic evaluation 553 553 $87K
88307 1,020 1,010 $86K
80061 Lipid panel 5,001 4,949 $82K
90651 1,713 1,711 $82K
70551 Magnetic resonance imaging, brain; without contrast material 425 419 $81K
J0485 Injection, belatacept, 1 mg 84 50 $80K
76000 1,129 1,098 $79K
90832 Psychotherapy, 30 minutes with patient 748 717 $78K
78815 Positron emission tomography (PET) for limited area imaging 68 66 $77K
82803 5,326 4,977 $77K
77336 346 179 $73K
D1206 Topical application of fluoride varnish 2,691 2,677 $70K
90715 2,868 2,854 $67K
76818 769 470 $67K
T2101 Human breast milk processing, storage and distribution only 240 35 $66K
88142 2,395 2,388 $63K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 924 753 $62K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1,894 1,859 $59K
81513 1,893 1,858 $58K
58558 43 43 $57K
96367 841 642 $56K
36415 Collection of venous blood by venipuncture 23,966 21,344 $55K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,845 1,809 $55K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 643 626 $53K
J0185 Injection, aprepitant, 1 mg 308 198 $53K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3,013 2,790 $51K
71046 Radiologic examination, chest; 2 views 7,547 7,376 $51K
C1760 Closure device, vascular (implantable/insertable) 136 133 $50K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 3,066 2,905 $50K
93458 28 28 $49K
D0274 Bitewings - four radiographic images 1,821 1,716 $46K
81025 17,576 16,772 $46K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 2,058 2,048 $46K
87481 1,876 1,842 $46K
90847 Family psychotherapy with the patient present, 50 minutes 310 309 $44K
77063 Screening digital breast tomosynthesis, bilateral 1,587 1,544 $41K
83655 2,860 2,848 $41K
D0150 Comprehensive oral evaluation - new or established patient 1,371 1,249 $41K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 15,193 13,801 $37K
J1200 Injection, diphenhydramine hcl, up to 50 mg 2,949 2,163 $36K
90686 9,603 9,585 $36K
J1050 Injection, medroxyprogesterone acetate, 1 mg 414 414 $36K
J3535 Drug administered through a metered dose inhaler 2,104 1,915 $36K
72125 Computed tomography, cervical spine; without contrast material 1,348 1,326 $35K
71260 Computed tomography, thorax, diagnostic; with contrast material 193 187 $34K
83880 1,780 1,727 $33K
G0008 Administration of influenza virus vaccine 2,188 2,174 $33K
D0220 Intraoral - periapical first radiographic image 3,132 3,017 $33K
J2704 Injection, propofol, 10 mg 16,406 11,253 $33K
D0210 Intraoral - complete series of radiographic images 760 724 $33K
77072 399 398 $33K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,453 1,440 $33K
77412 109 12 $33K
86481 690 683 $32K
J7120 Ringers lactate infusion, up to 1000 cc 5,937 5,219 $30K
D2391 Resin-based composite - one surface, posterior, primary or permanent 622 489 $30K
88341 961 933 $30K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 4,183 2,157 $29K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 83 82 $28K
88304 1,088 1,082 $27K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 834 816 $27K
12001 58 56 $26K
82728 3,866 3,544 $24K
90472 Immunization administration, each additional vaccine (list separately) 1,378 1,372 $23K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 202 198 $23K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,026 974 $23K
G0481 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; 8-14 drug class(es), including metabolite(s) if performed 590 535 $20K
84443 Thyroid stimulating hormone (TSH) 5,986 5,655 $20K
77065 Tomosynthesis, mammo 244 234 $20K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 534 522 $20K
84703 5,192 4,933 $20K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 631 610 $20K
G0379 Direct admission of patient for hospital observation care 93 84 $19K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 3,630 3,617 $19K
51701 44 43 $18K
86780 5,852 5,720 $18K
D7140 Extraction, erupted tooth or exposed root 264 133 $17K
96402 402 357 $16K
81003 15,092 12,267 $16K
J0690 Injection, cefazolin sodium, 500 mg 4,872 4,610 $16K
80069 1,963 1,340 $16K
87086 Culture, bacterial; quantitative colony count, urine 8,135 7,696 $16K
90670 4,752 4,745 $16K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 4,200 3,634 $15K
77066 Tomosynthesis, mammo 116 112 $15K
83036 Hemoglobin; glycosylated (A1C) 5,856 5,781 $15K
76801 152 147 $15K
84702 5,330 4,769 $15K
Q3014 Telehealth originating site facility fee 649 603 $14K
70486 314 309 $14K
85610 9,652 9,030 $14K
96158 98 85 $14K
90647 5,857 5,851 $12K
D0140 Limited oral evaluation - problem focused 708 643 $12K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 11,715 9,740 $12K
96156 133 132 $12K
J1756 Injection, iron sucrose, 1 mg 146 66 $12K
77300 60 53 $12K
75574 89 87 $12K
76536 125 124 $11K
A9585 Injection, gadobutrol, 0.1 ml 408 290 $11K
J7060 5% dextrose/water (500 ml = 1 unit) 2,769 1,709 $11K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 12 12 $11K
D0230 Intraoral - periapical each additional radiographic image 1,444 1,431 $11K
J3010 Injection, fentanyl citrate, 0.1 mg 9,784 8,541 $10K
36591 149 125 $10K
83021 983 957 $10K
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg 1,959 1,898 $10K
77290 25 25 $10K
83735 7,758 5,517 $10K
86703 663 657 $10K
71045 Radiologic examination, chest; single view 4,820 4,639 $10K
90723 4,430 4,428 $9K
J9217 Leuprolide acetate (for depot suspension), 7.5 mg 13 12 $9K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 4,122 3,813 $9K
85027 5,095 4,641 $9K
86803 2,541 2,527 $9K
90680 4,212 4,210 $9K
77334 38 29 $9K
90620 177 177 $9K
87070 5,213 5,095 $9K
83550 2,733 2,567 $8K
88112 211 200 $8K
90716 1,496 1,493 $8K
J1885 Injection, ketorolac tromethamine, per 15 mg 6,136 5,837 $8K
83540 3,011 2,828 $8K
0071A 223 222 $8K
90461 7,015 7,000 $8K
0072A 192 192 $8K
G0009 Administration of pneumococcal vaccine 1,082 1,080 $8K
85730 8,503 8,107 $8K
86769 343 340 $8K
J0696 Injection, ceftriaxone sodium, per 250 mg 2,568 2,344 $8K
86923 251 195 $8K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 28 28 $7K
83615 3,407 2,832 $7K
84439 2,417 2,348 $7K
85045 4,125 3,463 $7K
90633 2,860 2,852 $7K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 57 57 $7K
87340 3,375 3,352 $6K
12011 13 13 $6K
J9045 Injection, carboplatin, 50 mg 108 75 $6K
93798 96 13 $6K
86003 339 338 $6K
70547 28 28 $6K
82784 597 555 $6K
87522 Neg quan hep c or qual rna 161 161 $6K
84484 7,938 6,302 $6K
82948 13,131 9,157 $6K
82947 1,601 1,429 $6K
86140 5,191 4,887 $6K
J2405 Injection, ondansetron hydrochloride, per 1 mg 13,602 12,150 $6K
97802 198 195 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 6,835 6,714 $5K
97161 137 135 $5K
D0272 Bitewings - two radiographic images 387 386 $5K
76813 138 135 $5K
82248 2,764 2,093 $5K
84100 3,107 2,301 $5K
87480 1,100 1,074 $5K
87660 1,100 1,074 $5K
87510 1,100 1,074 $5K
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 1,007 876 $5K
76642 62 53 $5K
90707 1,489 1,485 $5K
87040 8,386 5,097 $5K
76820 228 194 $5K
86480 74 74 $5K
D0270 324 303 $4K
73630 1,310 1,250 $4K
J1170 Injection, hydromorphone, up to 4 mg 1,738 1,502 $4K
87507 63 59 $4K
81001 13,991 13,450 $4K
83690 9,316 8,845 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,468 1,408 $4K
88720 2,497 1,687 $4K
84550 2,281 1,970 $4K
0064A 107 107 $4K
70496 24 24 $4K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 116 113 $4K
86762 718 714 $4K
96376 1,068 944 $4K
A4648 Tissue marker, implantable, any type, each 12 12 $4K
90710 1,271 1,269 $4K
73610 1,266 1,218 $4K
0011A 129 126 $4K
J2270 Injection, morphine sulfate, up to 10 mg 2,069 1,872 $4K
82378 447 322 $4K
A9575 Injection, gadoterate meglumine, 0.1 ml 65 63 $3K
J2250 Injection, midazolam hydrochloride, per 1 mg 6,951 6,826 $3K
73562 925 882 $3K
90734 581 579 $3K
87631 55 54 $3K
74018 1,916 1,876 $3K
84153 234 228 $3K
93971 27 26 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 26 25 $3K
73590 1,096 1,052 $3K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 107 101 $3K
J1650 Injection, enoxaparin sodium, 10 mg 1,202 738 $3K
88185 25 24 $3K
J1644 Injection, heparin sodium, per 1000 units 2,050 1,596 $3K
0124A 78 78 $3K
76870 94 92 $3K
C1887 Catheter, guiding (may include infusion/perfusion capability) 13 12 $3K
S0028 Injection, famotidine, 20 mg 3,521 2,762 $3K
87186 2,073 2,023 $3K
J2765 Injection, metoclopramide hcl, up to 10 mg 2,619 2,508 $3K
J7042 5% dextrose/normal saline (500 ml = 1 unit) 1,131 990 $3K
85384 1,171 985 $3K
90700 1,381 1,376 $3K
59430 18 18 $3K
85652 3,916 3,722 $3K
72100 559 553 $3K
73130 980 916 $3K
J0330 Injection, succinylcholine chloride, up to 20 mg 463 457 $2K
90696 1,249 1,248 $2K
J1815 Injection, insulin, per 5 units 635 337 $2K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 197 177 $2K
86787 687 685 $2K
73030 894 870 $2K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 119 117 $2K
82105 599 586 $2K
83525 420 415 $2K
70544 29 29 $2K
73110 763 711 $2K
74019 503 495 $2K
82607 326 320 $2K
0012A 81 81 $2K
82247 1,553 1,265 $2K
86706 537 534 $2K
82150 970 812 $2K
0054A 42 42 $2K
71250 14 12 $2K
86880 97 91 $2K
90656 737 737 $2K
82465 1,190 1,189 $1K
87486 98 96 $1K
87581 98 96 $1K
J2370 Injection, phenylephrine hcl, up to 1 ml 754 749 $1K
73080 744 706 $1K
J0137 Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg 214 210 $1K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 33 33 $1K
95700 14 14 $1K
90688 619 617 $1K
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 1,821 1,522 $1K
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 519 484 $1K
73090 743 709 $1K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 241 231 $1K
90685 666 662 $1K
H1010 Non-medical family planning education, per session 187 187 $1K
88184 24 24 $1K
D1351 Sealant - per tooth 36 12 $1K
84156 768 639 $1K
J3475 Injection, magnesium sulfate, per 500 mg 812 640 $1K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 44 39 $1K
80305 1,599 1,540 $989.01
86704 272 270 $969.05
82565 307 292 $967.21
C1758 Catheter, ureteral 169 167 $936.50
85379 1,911 1,860 $918.41
82310 249 241 $882.29
84460 366 341 $856.86
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 279 257 $853.17
88261 25 25 $846.22
72170 186 171 $846.03
82785 335 309 $826.61
84075 348 325 $806.45
84450 388 362 $805.05
84132 368 358 $794.03
83718 162 162 $788.94
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 12 12 $781.00
82040 256 246 $770.00
86701 78 78 $749.32
82374 241 233 $708.07
0004A 19 19 $702.62
82746 118 115 $702.27
84295 247 239 $701.70
87430 65 65 $684.10
82435 241 233 $681.54
82550 650 609 $681.12
84520 266 254 $680.20
84155 360 339 $646.31
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 2,169 1,534 $642.23
84478 167 167 $622.59
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 203 138 $613.27
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 1,476 1,267 $609.10
J0694 Injection, cefoxitin sodium, 1 gm 76 70 $537.55
96523 36 26 $496.57
87081 337 332 $484.81
83020 79 77 $459.28
73502 79 76 $449.44
0134A 13 13 $396.20
J9060 Injection, cisplatin, powder or solution, 10 mg 14 12 $395.32
0002A 18 18 $390.41
J2919 Injection, methylprednisolone sodium succinate, 5 mg 68 56 $389.46
J7510 Prednisolone oral, per 5 mg 88 87 $385.18
88312 84 81 $375.66
70498 12 12 $372.81
90474 496 495 $371.32
72132 13 13 $350.51
88360 12 12 $343.09
86790 64 64 $338.90
87625 14 14 $330.89
73552 176 170 $314.07
87653 13 13 $305.11
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 12 12 $292.38
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 30 29 $291.15
88300 65 65 $289.86
90697 17 17 $277.10
T1013 Sign language or oral interpretive services, per 15 minutes 38 32 $264.13
73560 199 184 $254.65
73060 319 308 $254.00
87075 99 90 $237.17
84436 301 292 $231.87
87205 260 255 $222.19
82570 63 59 $200.73
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 24 24 $185.10
J1580 Injection, garamycin, gentamicin, up to 80 mg 75 73 $184.97
J3480 Injection, potassium chloride, per 2 meq 118 81 $181.92
0001A 15 15 $177.85
S0077 Injection, clindamycin phosphate, 300 mg 66 53 $175.72
J2003 Injection, lidocaine hydrochloride, 1 mg 217 200 $167.11
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 27 27 $138.87
81002 411 394 $131.55
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 32 28 $127.22
73564 14 12 $123.87
83516 66 65 $120.87
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 550 545 $97.83
87899 12 12 $95.58
83001 12 12 $94.22
96368 17 12 $89.48
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml 472 428 $88.12
88280 25 25 $80.24
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 16 12 $77.52
J7614 Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg 63 48 $77.04
84145 25 25 $70.28
82533 15 13 $69.50
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 23 21 $66.35
82043 12 12 $61.89
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 3,018 2,546 $60.16
87275 28 28 $59.67
87045 12 12 $58.84
88285 25 25 $58.44
83605 40 38 $57.20
86665 13 12 $52.61
J3370 Injection, vancomycin hcl, 500 mg 18 15 $47.44
86664 13 12 $44.34
90632 36 36 $42.85
82010 76 76 $41.02
94664 27 27 $39.03
86663 13 12 $38.05
82977 25 25 $26.64
89051 27 26 $22.64
82950 13 13 $20.97
84480 14 14 $18.46
J1596 Injection, glycopyrrolate, 0.1 mg 90 83 $18.08
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 45 42 $16.76
91301 230 223 $16.73
91312 56 56 $15.16
91305 46 45 $13.56
83993 45 45 $11.39
91300 56 52 $8.94
85378 13 13 $8.75
86308 24 24 $4.73
80320 163 155 $4.55
91307 16 13 $2.80
99152 25 25 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 17 15 $0.00
82962 12 12 $0.00
A4338 Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each 14 14 $0.00