Medicaid Provider Spending

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

SENTARA HOSPITALS

NPI: 1437119310 · NORFOLK, VA 23507 · General Acute Care Hospital · NPI assigned 03/24/2006

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

Authorized official HANCOCK, MELINDA controls 20+ related entities in our dataset. Read more

$88.20M
Total Medicaid Paid
4,190,266
Total Claims
3,098,631
Beneficiaries
663
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHANCOCK, MELINDA (CFO)
NPI Enumeration Date03/24/2006

Related Entities

Other providers sharing the same authorized official: HANCOCK, MELINDA

ProviderCityStateTotal Paid
SENTARA HOSPITALS NORFOLK VA $79.69M
SENTARA HOSPITALS HAMPTON VA $78.52M
POTOMAC HOSPITAL CORPORATION OF PRINCE WILLIAM WOODBRIDGE VA $59.17M
SENTARA HOSPITALS SUFFOLK VA $57.85M
SENTARA RMH MEDICAL CENTER HARRISONBURG VA $52.95M
SENTARA HOSPITALS VIRGINIA BEACH VA $52.40M
SENTARA PRINCESS ANNE HOSPITAL VIRGINIA BEACH VA $37.50M
MARTHA JEFFERSON HOSPITAL CHARLOTTESVILLE VA $26.95M
HALIFAX REGIONAL HOSPITAL, INC. SOUTH BOSTON VA $23.28M
SENTARA HOSPITALS WILLIAMSBURG VA $21.89M
SENTARA ALBEMARLE REGIONAL MEDICAL CENTER ELIZABETH CITY NC $13.82M
SENTARA REFERENCE LAB SOLUTIONS, LLC NORFOLK VA $4.74M
HALIFAX REGIONAL HOSPITAL, INC SOUTH BOSTON VA $1.61M
HALIFAX REGIONAL HOSPITAL, INC NATHALIE VA $348K
HALIFAX REGIONAL HOSPITAL, INC SOUTH BOSTON VA $336K
HALIFAX REGIONAL HOSPITAL, INC CHASE CITY VA $298K
HALIFAX REGIONAL HOSPITAL, INC CLARKSVILLE VA $265K
SENTARA HOSPITALS NORFOLK VA $171K
HALIFAX REGIONAL HOSPITAL, INC SOUTH BOSTON VA $170K
SENTARA HOSPITALS NORFOLK VA $128K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 560,468 $5.28M
2019 789,528 $8.31M
2020 767,279 $13.92M
2021 809,470 $16.42M
2022 450,301 $15.49M
2023 527,991 $18.78M
2024 285,229 $9.99M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 60,111 47,391 $9.62M
99283 Emergency department visit for the evaluation and management, moderate severity 62,221 50,524 $9.59M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 49,416 38,498 $8.15M
96361 Intravenous infusion, hydration; each additional hour 22,306 15,311 $6.05M
70450 Computed tomography, head or brain; without contrast material 18,341 15,445 $3.42M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 64,010 15,413 $3.03M
99282 Emergency department visit for the evaluation and management, low to moderate severity 20,037 14,423 $2.58M
74177 Computed tomography, abdomen and pelvis; with contrast material 16,899 14,513 $2.34M
78815 Positron emission tomography (PET) for limited area imaging 2,578 2,186 $1.82M
59025 Fetal non-stress test 8,743 6,471 $1.62M
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 6,815 3,741 $1.50M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 12,938 7,997 $1.39M
71275 Computed tomographic angiography, chest, with contrast material 5,977 5,178 $1.36M
G0378 Hospital observation service, per hour 7,015 5,285 $1.25M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 4,430 3,710 $979K
J2357 Injection, omalizumab, 5 mg 3,749 1,256 $956K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,169 6,248 $889K
Q5104 Injection, infliximab-abda, biosimilar, (renflexis), 10 mg 686 592 $866K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 25,522 20,801 $806K
P9016 Red blood cells, leukocytes reduced, each unit 3,916 2,892 $775K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 2,675 2,374 $752K
96415 3,450 2,590 $749K
J1459 Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg 593 131 $732K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 11,771 6,410 $635K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 5,600 4,476 $604K
97161 6,814 6,107 $596K
36512 447 367 $558K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 7,107 5,025 $550K
74176 Computed tomography, abdomen and pelvis; without contrast material 3,719 3,113 $547K
80048 Basic metabolic panel (calcium, ionized) 136,919 98,651 $472K
J1745 Injection, infliximab, excludes biosimilar, 10 mg 798 602 $470K
80053 Comprehensive metabolic panel 124,468 110,916 $465K
J3490 Unclassified drugs 410,213 91,581 $439K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1,017 816 $438K
90935 Hemodialysis procedure with single evaluation by a physician 2,788 1,240 $431K
36430 3,692 2,336 $411K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 755 646 $386K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 25,402 16,783 $371K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 6,250 4,319 $359K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 4,386 825 $354K
97530 Therapeutic activities, direct patient contact, each 15 minutes 10,454 3,718 $344K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,922 2,405 $336K
97162 3,441 3,068 $332K
93458 237 201 $326K
76705 Ultrasound, abdominal, real time with image documentation; limited 4,069 3,564 $323K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 78,931 73,135 $313K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,255 2,747 $297K
76830 Ultrasound, transvaginal 3,659 3,174 $289K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 5,313 4,553 $271K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1,681 1,517 $269K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 17,074 5,118 $269K
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 16,823 14,797 $268K
95810 Polysomnography; sleep staging with 4 or more additional parameters 542 474 $249K
70551 Magnetic resonance imaging, brain; without contrast material 1,352 1,176 $245K
71046 Radiologic examination, chest; 2 views 37,677 30,519 $244K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 13,675 4,752 $237K
76642 2,439 1,916 $236K
71260 Computed tomography, thorax, diagnostic; with contrast material 7,569 6,699 $234K
99201 2,349 1,863 $233K
45380 Colonoscopy, flexible; with biopsy, single or multiple 475 393 $230K
75574 756 703 $220K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 3,780 3,271 $218K
J0485 Injection, belatacept, 1 mg 925 352 $215K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 3,342 2,764 $214K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 191,952 153,290 $210K
93971 2,731 2,302 $208K
84443 Thyroid stimulating hormone (TSH) 75,111 69,927 $207K
77063 Screening digital breast tomosynthesis, bilateral 6,098 5,594 $203K
93970 1,928 1,627 $198K
70491 1,403 1,230 $195K
10060 1,702 1,426 $193K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,356 1,209 $189K
J2350 Injection, ocrelizumab, 1 mg 15 12 $187K
72141 1,084 979 $186K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 41,457 38,820 $185K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,411 1,034 $180K
77386 489 38 $177K
59050 1,076 768 $176K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 8,816 2,322 $176K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 52,355 35,987 $172K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 78,824 73,053 $171K
80061 Lipid panel 74,544 70,207 $164K
97165 2,602 2,307 $161K
74183 610 557 $160K
71250 2,790 2,383 $153K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 53,974 41,472 $147K
77067 Screening mammography, bilateral, including computer-aided detection 6,615 6,056 $145K
83036 Hemoglobin; glycosylated (A1C) 65,208 61,038 $145K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,093 960 $143K
76770 1,520 1,327 $138K
72125 Computed tomography, cervical spine; without contrast material 8,553 7,399 $136K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 55,652 51,970 $135K
0240U 2,090 1,899 $128K
97116 5,644 2,498 $127K
77336 2,245 883 $123K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 200 180 $121K
97113 2,724 772 $121K
83880 14,447 11,364 $120K
76801 2,710 2,274 $120K
87536 6,418 5,975 $119K
93017 1,575 1,279 $113K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,850 1,564 $107K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 3,063 2,691 $104K
99215 Prolong outpt/office vis 1,236 1,088 $102K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 207 167 $92K
95806 164 156 $91K
97535 Self-care/home management training, each 15 minutes 3,913 2,698 $90K
19318 12 12 $88K
86923 4,611 2,984 $87K
93451 55 43 $86K
70496 328 305 $85K
49083 173 73 $84K
70486 2,685 2,376 $81K
97016 2,670 790 $75K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,949 2,494 $71K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 30,988 17,984 $71K
85027 54,839 46,234 $70K
12001 314 294 $64K
94660 204 140 $61K
J1439 Injection, ferric carboxymaltose, 1 mg 305 187 $61K
87481 15,155 13,876 $58K
94060 1,439 1,206 $58K
43235 106 92 $58K
80076 35,084 29,255 $58K
88185 1,407 579 $55K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 82 75 $55K
80047 16,459 13,485 $55K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 16,444 15,850 $54K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 5,738 5,346 $53K
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 7,179 5,109 $53K
87086 Culture, bacterial; quantitative colony count, urine 60,691 53,268 $51K
88305 Level IV - Surgical pathology, gross and microscopic examination 12,036 10,495 $51K
82962 46,774 19,949 $50K
77065 Tomosynthesis, mammo 1,567 1,247 $50K
74174 378 324 $50K
82607 17,747 16,426 $49K
73610 4,429 3,616 $48K
97166 459 409 $48K
94799 4,403 2,549 $47K
94618 743 618 $46K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 15,093 14,509 $46K
84439 24,010 22,457 $46K
72197 139 129 $45K
85379 9,766 8,457 $44K
90715 3,075 2,729 $44K
97035 864 301 $44K
86780 26,809 25,339 $44K
82728 19,257 17,658 $43K
93296 2,503 2,001 $43K
84484 36,553 19,640 $43K
12002 210 193 $42K
96375 Therapeutic injection; each additional sequential IV push 34,747 24,607 $42K
86703 33,597 31,613 $41K
83970 5,328 4,520 $40K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 210 194 $40K
88142 13,021 12,557 $37K
94729 2,441 2,040 $37K
77066 Tomosynthesis, mammo 1,214 1,084 $37K
86828 1,875 1,372 $37K
73590 2,696 2,215 $36K
76937 1,354 1,103 $36K
86361 5,603 5,228 $36K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 5,036 4,632 $35K
86803 20,019 18,853 $35K
36415 Collection of venous blood by venipuncture 48,341 35,269 $34K
73030 4,142 3,401 $34K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 412 375 $34K
86850 23,301 19,418 $34K
86900 25,596 20,166 $33K
36561 14 13 $32K
94726 1,581 1,307 $32K
86922 2,060 1,114 $31K
88307 2,146 1,681 $30K
J3380 Injection, vedolizumab, intravenous, 1 mg 13 12 $30K
72110 1,878 1,607 $29K
87040 5,292 2,446 $29K
73130 3,739 2,939 $29K
77412 415 42 $29K
73552 1,609 1,328 $28K
93880 448 370 $28K
64400 138 116 $28K
C1887 Catheter, guiding (may include infusion/perfusion capability) 2,325 1,907 $28K
80055 5,090 4,667 $28K
77334 342 200 $28K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 15,030 14,600 $28K
73564 4,468 3,377 $27K
84153 6,518 6,200 $27K
81001 71,794 59,310 $27K
86235 4,265 1,985 $27K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 704 559 $27K
83735 26,233 18,101 $26K
71045 Radiologic examination, chest; single view 10,791 8,885 $26K
83020 6,703 6,103 $25K
82746 11,111 10,308 $25K
87522 Neg quan hep c or qual rna 2,812 2,577 $25K
99234 801 713 $25K
73630 4,213 3,332 $25K
83550 17,861 16,577 $25K
73502 2,475 2,010 $24K
93798 271 51 $24K
77290 115 91 $24K
J2405 Injection, ondansetron hydrochloride, per 1 mg 37,941 28,476 $24K
86920 2,418 1,394 $23K
97014 945 203 $22K
J1200 Injection, diphenhydramine hcl, up to 50 mg 10,162 7,257 $22K
82043 17,059 15,998 $22K
73560 993 753 $22K
82565 12,587 9,871 $21K
83540 19,697 18,287 $21K
36000 985 830 $21K
87077 23,418 20,773 $21K
C1729 Catheter, drainage 2,155 1,790 $21K
86003 2,127 1,229 $20K
84702 16,279 13,023 $20K
G0390 Trauma response team associated with hospital critical care service 2,057 1,892 $20K
86832 1,797 1,314 $20K
85014 18,087 14,681 $20K
88341 1,494 1,065 $19K
73110 2,295 1,863 $19K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 1,595 1,451 $19K
86833 1,800 1,315 $19K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 37,945 27,440 $18K
70498 303 280 $18K
G0257 Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility 2,989 706 $18K
87340 20,664 19,240 $17K
93308 46 42 $17K
94010 633 539 $17K
85610 17,583 13,283 $16K
86140 9,919 8,380 $16K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,869 3,278 $16K
96376 15,614 8,559 $16K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 19 13 $15K
84703 14,752 13,010 $15K
J3010 Injection, fentanyl citrate, 0.1 mg 22,447 16,246 $14K
77470 34 25 $14K
97018 574 170 $14K
86921 2,053 1,104 $14K
86901 25,597 20,164 $14K
84100 13,679 8,703 $14K
76536 157 145 $14K
96367 767 571 $14K
73562 1,754 1,287 $14K
84403 3,349 3,162 $14K
80069 3,204 2,850 $13K
76882 218 170 $13K
77300 183 136 $13K
82677 2,654 2,504 $13K
80074 2,389 2,260 $13K
87186 16,123 14,218 $12K
87902 375 340 $12K
87529 1,061 973 $12K
12011 87 80 $12K
86480 1,360 1,288 $12K
82024 853 717 $12K
80197 5,029 2,731 $12K
84481 5,846 5,482 $12K
82105 6,518 6,157 $11K
72190 216 204 $11K
73080 1,344 1,138 $11K
84402 2,077 1,968 $11K
86300 1,541 1,423 $11K
72100 989 838 $11K
J0690 Injection, cefazolin sodium, 500 mg 9,233 6,618 $11K
87497 2,685 1,794 $10K
84145 977 803 $10K
84146 3,634 3,435 $10K
73090 1,118 922 $10K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 884 762 $10K
C1769 Guide wire 5,599 4,503 $10K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 3,109 2,051 $10K
83516 3,030 1,953 $10K
29125 74 60 $10K
81003 21,129 18,091 $9K
80164 2,285 1,925 $9K
97760 208 182 $9K
88184 705 577 $9K
76700 Ultrasound, abdominal, real time with image documentation; complete 60 59 $9K
71271 104 97 $9K
83690 23,668 19,384 $9K
93976 291 247 $9K
86160 1,819 1,449 $9K
83605 7,719 5,900 $9K
93922 204 164 $9K
82784 3,340 2,312 $9K
86038 4,475 4,123 $9K
78803 17 13 $9K
92610 153 125 $8K
83001 3,476 3,315 $8K
83615 8,314 6,772 $8K
J1756 Injection, iron sucrose, 1 mg 1,005 496 $8K
87070 6,920 6,103 $8K
87150 5,102 4,933 $8K
99205 Prolong outpt/office vis 87 80 $8K
36600 975 806 $8K
77080 238 189 $8K
85018 8,029 6,587 $8K
87081 12,799 12,136 $8K
82330 3,514 2,358 $8K
74178 26 25 $8K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 2,394 2,207 $8K
86706 5,122 4,806 $8K
81025 27,625 23,368 $8K
86317 2,198 1,663 $8K
86902 2,056 1,181 $7K
85652 11,471 9,821 $7K
82533 1,346 1,114 $7K
93923 136 119 $7K
74018 771 675 $7K
C1757 Catheter, thrombectomy/embolectomy 167 131 $7K
82670 1,882 1,775 $7K
84550 9,714 8,436 $7K
86334 1,604 1,456 $7K
90686 853 731 $7K
88342 2,984 2,339 $7K
83721 2,814 2,675 $7K
82570 7,041 6,004 $7K
87109 964 891 $6K
73060 630 515 $6K
0225U 80 77 $6K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 21 21 $6K
82378 1,089 946 $6K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 5,523 4,399 $6K
95811 19 12 $6K
83883 1,349 1,104 $6K
82947 2,055 1,814 $6K
72050 367 305 $6K
72158 39 38 $6K
88304 1,865 1,650 $6K
73700 59 50 $6K
83002 2,625 2,488 $5K
86696 2,993 2,828 $5K
P9045 Infusion, albumin (human), 5%, 250 ml 22 12 $5K
86593 2,342 2,177 $5K
92083 970 842 $5K
84425 1,660 1,520 $5K
86225 2,642 2,348 $5K
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 13 12 $5K
86360 531 509 $5K
82550 5,627 4,421 $5K
82077 15,149 12,366 $5K
94727 262 221 $5K
85730 7,357 6,109 $5K
86695 2,619 2,463 $5K
87255 1,086 1,030 $5K
86147 890 467 $5K
97167 90 80 $5K
73140 539 461 $5K
80177 1,286 1,111 $4K
92250 1,121 962 $4K
85384 3,784 2,817 $4K
84450 5,482 4,814 $4K
84156 6,668 5,576 $4K
84445 391 360 $4K
86376 1,732 1,613 $4K
82950 8,200 7,913 $4K
87205 6,406 5,468 $4K
84436 2,853 2,676 $4K
86705 3,256 3,062 $4K
84460 4,976 4,414 $4K
86431 3,825 3,595 $4K
82652 837 782 $4K
84520 4,766 3,283 $4K
87625 1,391 1,339 $4K
88112 306 277 $4K
J1644 Injection, heparin sodium, per 1000 units 14,686 6,361 $4K
87210 13,677 11,877 $4K
J2270 Injection, morphine sulfate, up to 10 mg 15,562 10,986 $4K
87563 1,142 1,096 $4K
87799 1,556 1,091 $3K
82785 1,482 1,326 $3K
86704 1,912 1,763 $3K
75561 12 12 $3K
80143 785 687 $3K
86200 1,915 1,808 $3K
76870 44 37 $3K
92020 13 12 $3K
83921 685 641 $3K
82274 833 803 $3K
97163 95 78 $3K
20610 31 25 $3K
86769 547 519 $3K
86256 996 501 $3K
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous 800 770 $3K
84165 1,470 1,338 $3K
82627 1,025 974 $3K
83520 875 777 $3K
86677 920 864 $3K
84480 1,051 958 $3K
84681 566 524 $3K
80320 1,864 1,571 $3K
83655 2,262 2,212 $3K
86708 1,139 1,076 $3K
J2250 Injection, midazolam hydrochloride, per 1 mg 14,785 12,807 $2K
86146 220 172 $2K
86039 1,738 1,616 $2K
86709 2,377 2,262 $2K
G0008 Administration of influenza virus vaccine 695 538 $2K
82150 1,516 1,371 $2K
81329 500 469 $2K
83718 1,356 1,279 $2K
87530 364 352 $2K
86800 1,149 1,039 $2K
85045 2,441 1,865 $2K
78580 13 12 $2K
87517 215 200 $2K
86336 2,985 2,821 $2K
87449 978 877 $2K
82803 1,911 1,511 $2K
72040 80 79 $2K
80178 780 707 $2K
88360 114 94 $2K
82465 2,347 2,222 $2K
36591 250 154 $2K
87209 545 496 $2K
83010 859 748 $2K
86870 772 556 $2K
86762 4,557 4,046 $2K
82140 784 622 $2K
85460 268 229 $2K
P9603 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled 11,903 6,858 $2K
84154 384 335 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 10,934 9,278 $2K
86592 1,441 1,311 $2K
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 37 30 $2K
82553 456 304 $2K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 26 24 $2K
J2060 Injection, lorazepam, 2 mg 3,783 2,874 $2K
80179 707 630 $2K
80185 552 404 $2K
81243 483 452 $2K
82977 1,383 1,223 $2K
86618 454 430 $2K
84132 2,384 1,780 $2K
82951 1,612 1,546 $2K
93975 28 26 $1K
92134 1,178 965 $1K
84144 723 658 $1K
80202 375 130 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 16,485 13,323 $1K
86787 1,962 1,789 $1K
J1650 Injection, enoxaparin sodium, 10 mg 3,161 1,413 $1K
80156 400 334 $1K
85378 217 182 $1K
J2785 Injection, regadenoson, 0.1 mg 859 688 $1K
83525 764 722 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $1K
82040 1,530 1,419 $1K
82985 223 213 $1K
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 6,388 5,256 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 965 836 $1K
82248 1,280 1,082 $1K
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 645 607 $1K
87427 676 629 $1K
86341 175 137 $1K
88271 39 24 $1K
88275 37 24 $1K
70355 138 117 $1K
86694 689 644 $1K
82164 532 492 $1K
84478 1,076 819 $1K
84479 800 755 $1K
92526 38 25 $1K
83498 399 383 $1K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 2,615 2,240 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,254 862 $1K
J2550 Injection, promethazine hcl, up to 50 mg 2,784 1,890 $987.13
87045 675 627 $981.95
87899 378 356 $976.82
97129 46 12 $976.37
81596 31 30 $920.06
A9540 Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries 13 12 $907.24
Q4081 Injection, epoetin alfa, 100 units (for esrd on dialysis) 61 12 $884.78
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 379 355 $879.51
J1170 Injection, hydromorphone, up to 4 mg 14,868 8,954 $859.18
77012 48 38 $858.11
51798 67 43 $846.86
87102 888 772 $786.12
77417 44 24 $779.09
J0696 Injection, ceftriaxone sodium, per 250 mg 12,883 8,599 $777.91
A9575 Injection, gadoterate meglumine, 0.1 ml 5,780 4,083 $766.76
82310 2,950 2,571 $762.15
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 2,872 1,563 $737.81
73000 31 26 $731.82
90656 47 47 $730.65
87046 680 612 $726.66
85613 505 363 $723.99
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 1,047 854 $721.04
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 15 12 $702.88
87116 78 63 $688.57
77002 29 26 $680.86
83013 95 93 $647.21
87177 495 454 $631.15
82247 616 503 $618.57
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,894 2,582 $614.17
85046 1,983 1,492 $601.27
82390 238 223 $591.92
J2765 Injection, metoclopramide hcl, up to 10 mg 1,947 1,473 $575.68
G0103 Prostate cancer screening; prostate specific antigen test (psa) 602 536 $571.14
82172 109 105 $567.71
84075 472 443 $566.01
86141 194 176 $558.12
81479 Unlisted molecular pathology procedure 30 26 $541.13
0012A 29 27 $519.63
J1630 Injection, haloperidol, up to 5 mg 6,612 5,297 $514.59
J0171 Injection, adrenalin, epinephrine, 0.1 mg 1,294 944 $504.29
86735 354 340 $497.65
92133 1,041 918 $492.65
87075 440 367 $480.00
82107 30 27 $475.39
93282 32 26 $465.19
85660 782 745 $454.54
89051 291 198 $452.93
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 1,708 1,370 $452.20
74220 15 15 $448.07
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 60 58 $436.80
86304 112 105 $435.26
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 218 122 $423.99
84466 236 226 $406.48
80175 118 106 $405.92
86765 375 358 $370.04
80183 95 79 $364.25
82952 1,324 1,281 $363.65
88173 97 82 $351.24
82103 118 108 $342.94
87076 456 407 $342.71
88172 13 12 $342.39
J3535 Drug administered through a metered dose inhaler 81 57 $308.78
J2704 Injection, propofol, 10 mg 14,694 12,818 $304.99
0011A 32 29 $288.08
80329 21 15 $274.17
85049 813 699 $267.04
92015 Determination of refractive state 67 61 $256.38
J3370 Injection, vancomycin hcl, 500 mg 1,920 1,108 $256.30
82010 869 747 $255.08
82672 37 37 $254.96
87338 56 54 $249.00
G0475 Hiv antigen/antibody, combination assay, screening 384 326 $246.39
Q5105 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units 100 24 $238.66
86162 85 79 $236.88
81420 Fetal chromosomal aneuploidy genomic sequence analysis panel 18 12 $236.69
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 4,240 3,090 $235.83
86880 214 164 $218.54
77001 97 82 $215.43
86644 69 43 $192.95
83835 27 24 $179.65
82668 27 24 $164.95
72072 16 13 $159.73
J1940 Injection, furosemide, up to 20 mg 1,976 1,228 $152.88
88311 32 24 $148.28
88312 14 14 $122.24
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 1,750 653 $119.01
84163 180 166 $114.65
36410 60 50 $112.51
82239 42 38 $108.89
82088 15 13 $101.46
82575 101 95 $98.78
87329 56 53 $98.74
87206 193 148 $95.48
J0613 Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg 67 39 $90.00
J0780 Injection, prochlorperazine, up to 10 mg 1,982 1,702 $87.87
J1815 Injection, insulin, per 5 units 1,062 499 $86.75
86301 14 12 $86.56
81401 42 37 $84.76
85347 783 591 $81.02
86255 29 25 $80.80
84134 98 73 $80.30
51702 13 12 $79.91
72070 12 12 $77.85
91301 14 14 $75.58
A9585 Injection, gadobutrol, 0.1 ml 1,143 650 $74.48
81374 12 12 $66.90
82397 28 26 $60.77
82085 27 24 $60.48
87521 Neg quan hep c or qual rna 47 45 $60.42
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 684 538 $58.17
J0360 Injection, hydralazine hcl, up to 20 mg 1,092 805 $56.08
86707 31 27 $53.22
83993 12 12 $53.01
86617 26 12 $49.79
82525 12 12 $49.17
J7030 Infusion, normal saline solution , 1000 cc 1,164 774 $44.73
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 63 57 $42.41
87350 26 25 $41.52
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml 893 566 $40.00
85048 16 12 $36.64
86665 113 98 $36.47
J3480 Injection, potassium chloride, per 2 meq 418 281 $35.52
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 1,504 1,321 $34.77
36592 61 33 $33.12
C1758 Catheter, ureteral 59 42 $32.00
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 196 165 $30.93
90674 28 21 $29.66
85240 13 13 $27.80
86328 28 25 $24.53
Q0177 Hydroxyzine pamoate, 25 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 1,137 817 $24.16
J8597 Antiemetic drug, oral, not otherwise specified 527 411 $23.03
J8540 Dexamethasone, oral, 0.25 mg 68 38 $18.15
84300 18 17 $17.74
80299 43 37 $15.79
82272 176 145 $14.21
85245 14 12 $13.89
C1760 Closure device, vascular (implantable/insertable) 517 418 $11.96
86645 14 13 $10.93
86308 13 13 $10.38
J3411 Injection, thiamine hcl, 100 mg 155 68 $7.99
J3475 Injection, magnesium sulfate, per 500 mg 382 221 $6.44
84295 20 15 $4.82
89055 16 14 $3.97
82945 18 12 $3.54
J1580 Injection, garamycin, gentamicin, up to 80 mg 84 53 $3.16
J2720 Injection, protamine sulfate, per 10 mg 163 132 $2.67
84432 15 13 $2.05
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 757 664 $1.74
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 25 24 $1.14
J3360 Injection, diazepam, up to 5 mg 106 77 $0.38
A6258 Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing 144 123 $0.24
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 366 221 $0.01
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 310 191 $0.01
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 187 178 $0.00
J1171 Injection, hydromorphone, 0.1 mg 632 330 $0.00
G8990 Other physical or occupational therapy primary functional limitation, current status, at therapy episode outset and at reporting intervals 41 24 $0.00
J0692 Injection, cefepime hydrochloride, 500 mg 53 26 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 299 203 $0.00
J2310 Injection, naloxone hydrochloride, per 1 mg 17 13 $0.00
J1953 Injection, levetiracetam, 10 mg 591 404 $0.00
88333 50 42 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 272 263 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 14 14 $0.00
J2800 Injection, methocarbamol, up to 10 ml 94 86 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 438 381 $0.00
C1874 Stent, coated/covered, with delivery system 30 26 $0.00
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg 89 57 $0.00
J0736 Injection, clindamycin phosphate, 300 mg 55 39 $0.00
C1788 Port, indwelling (implantable) 14 13 $0.00
76376 175 161 $0.00
Q0243 Injection, casirivimab and imdevimab, 2400 mg 16 16 $0.00
C2625 Stent, non-coronary, temporary, with delivery system 15 13 $0.00
88313 17 13 $0.00
A9577 Injection, gadobenate dimeglumine (multihance), per ml 419 337 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 54 48 $0.00
86663 13 13 $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 591 404 $0.00
36416 384 199 $0.00
C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, other than peel-away 209 181 $0.00
G8991 Other physical or occupational therapy primary functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 85 49 $0.00
J1817 Insulin for administration through dme (i.e., insulin pump) per 50 units 367 146 $0.00
J1920 Injection, labetalol hydrochloride, 5 mg 32 31 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 452 339 $0.00
A4648 Tissue marker, implantable, any type, each 26 25 $0.00
C1726 Catheter, balloon dilatation, non-vascular 36 26 $0.00
88331 12 12 $0.00
72170 40 39 $0.00
C1781 Mesh (implantable) 27 27 $0.00
73660 14 12 $0.00
C1750 Catheter, hemodialysis/peritoneal, long-term 68 54 $0.00
84157 19 13 $0.00
J2175 Injection, meperidine hydrochloride, per 100 mg 39 35 $0.00
G0269 Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug) 19 13 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 28 25 $0.00
J1805 Injection, esmolol hydrochloride, 10 mg 29 29 $0.00
C1730 Catheter, electrophysiology, diagnostic, other than 3d mapping (19 or fewer electrodes) 14 12 $0.00
C9290 Injection, bupivacaine liposome, 1 mg 17 15 $0.00
A6257 Transparent film, sterile, 16 sq. in. or less, each dressing 14 13 $0.00