Medicaid Provider Spending

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

PROSPECT WATERBURY, INC.

NPI: 1477902641 · WATERBURY, CT 06708 · General Acute Care Hospital · NPI assigned 06/08/2016

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

Authorized official ELDERS, ROBERT controls 20+ related entities in our dataset. Read more

$84.62M
Total Medicaid Paid
2,313,484
Total Claims
1,785,190
Beneficiaries
435
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialELDERS, ROBERT (SECRETARY)
NPI Enumeration Date06/08/2016

Related Entities

Other providers sharing the same authorized official: ELDERS, ROBERT

ProviderCityStateTotal Paid
PROSPECT MANCHESTER HOSPITAL, INC. MANCHESTER CT $69.20M
PROSPECT CHARTERCARE RWMC, LLC PROVIDENCE RI $57.10M
PROSPECT CCMC, LLC CHESTER PA $40.89M
PROSPECT CT MEDICAL FOUNDATION, INC. MANCHESTER CT $34.07M
PROSPECT ROCKVILLE HOSPITAL, INC. VERNON CT $30.06M
PROSPECT CHARTERCARE SJHSRI, LLC NORTH PROVIDENCE RI $10.94M
PROSPECT DCMH, LLC DREXEL HILL PA $10.37M
PROSPECT CCMC, LLC CHESTER PA $5.46M
ALTA LOS ANGELES HOSPITALS, INC. LOS ANGELES CA $5.42M
PROSPECT CCMC, LLC CHESTER PA $5.03M
PROSPECT CCMC, LLC CHESTER PA $3.71M
PROSPECT CHARTERCARE PHYSICIANS, LLC CRANSTON RI $2.31M
PROSPECT ECHN HOME HEALTH, INC. VERNON CT $1.75M
PROSPECT WATERBURY HOME HEALTH, INC. WATERTOWN CT $1.30M
PROSPECT HEALTH ACCESS NETWORK, INC. CHESTER PA $1.22M
ALTA NEWPORT HOSPITAL, LLC TUSTIN CA $1.16M
PROSPECT HEALTH ACCESS NETWORK, INC. CRUM LYNNE PA $924K
PROSPECT HEALTH ACCESS NETWORK, INC. CHESTER PA $872K
PROSPECT CHARTERCARE SJHSRI, LLC NORTH PROVIDENCE RI $858K
PROSPECT HEALTH ACCESS NETWORK, INC. DREXEL HILL PA $815K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 371,582 $13.64M
2019 398,478 $13.68M
2020 309,955 $11.21M
2021 348,416 $12.70M
2022 329,059 $11.82M
2023 293,299 $10.80M
2024 262,695 $10.76M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 38,240 33,282 $20.08M
99284 Emergency department visit for the evaluation and management, high severity 46,915 41,247 $14.18M
99283 Emergency department visit for the evaluation and management, moderate severity 47,800 42,874 $9.83M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 27,110 23,242 $3.92M
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 4,762 4,379 $2.58M
74177 Computed tomography, abdomen and pelvis; with contrast material 9,810 8,805 $2.01M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 7,754 7,165 $1.89M
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 9,631 7,829 $1.31M
70450 Computed tomography, head or brain; without contrast material 13,368 11,782 $1.21M
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,604 1,454 $1.16M
71046 Radiologic examination, chest; 2 views 21,500 19,230 $1.13M
99282 Emergency department visit for the evaluation and management, low to moderate severity 9,168 8,507 $1.12M
H0015 Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education 8,292 1,336 $1.03M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 7,462 5,843 $978K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 13,233 7,741 $970K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 8,670 8,044 $970K
S9480 Intensive outpatient psychiatric services, per diem 7,744 1,073 $962K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 23,746 21,013 $912K
74176 Computed tomography, abdomen and pelvis; without contrast material 6,274 5,724 $911K
58661 176 173 $891K
93975 3,430 3,123 $724K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 34,480 18,903 $705K
96375 Therapeutic injection; each additional sequential IV push 15,957 13,736 $697K
96361 Intravenous infusion, hydration; each additional hour 17,773 14,882 $692K
71045 Radiologic examination, chest; single view 12,010 10,451 $561K
80053 Comprehensive metabolic panel 82,373 72,354 $517K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 2,986 1,402 $457K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 13,543 12,864 $378K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 13,519 12,840 $378K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1,560 1,471 $343K
86900 12,805 8,493 $332K
36415 Collection of venous blood by venipuncture 182,325 132,757 $328K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 16,134 15,071 $308K
84443 Thyroid stimulating hormone (TSH) 30,112 27,840 $307K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 441 400 $303K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 559 520 $297K
93458 244 196 $264K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,937 2,672 $247K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2,764 2,315 $247K
80061 Lipid panel 27,552 25,556 $246K
71260 Computed tomography, thorax, diagnostic; with contrast material 2,817 2,522 $240K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 471 438 $238K
80048 Basic metabolic panel (calcium, ionized) 46,734 37,446 $223K
70486 1,554 1,414 $222K
95816 1,320 1,199 $217K
71275 Computed tomographic angiography, chest, with contrast material 2,099 1,861 $217K
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 981 877 $205K
59025 Fetal non-stress test 1,388 882 $182K
71250 3,305 3,047 $172K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 103,733 86,213 $171K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 30,549 27,246 $167K
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 16,313 9,333 $163K
93971 2,243 1,991 $158K
76830 Ultrasound, transvaginal 1,570 1,460 $157K
95811 234 215 $154K
88305 Level IV - Surgical pathology, gross and microscopic examination 6,663 6,039 $143K
99281 Emergency department visit for the evaluation and management, self-limited or minor 2,096 1,924 $142K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 16,903 13,972 $137K
93017 6,438 5,900 $137K
70498 1,017 915 $132K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 1,505 1,418 $122K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 2,974 2,681 $121K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 41,819 33,524 $118K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 6,508 6,176 $115K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 3,898 3,763 $110K
87625 3,901 3,763 $99K
58571 15 13 $99K
87536 1,487 1,422 $96K
72100 3,965 3,696 $94K
J2357 Injection, omalizumab, 5 mg 649 287 $89K
82607 9,844 9,057 $86K
83036 Hemoglobin; glycosylated (A1C) 15,775 14,578 $86K
58558 43 41 $84K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1,064 997 $83K
82570 26,874 13,674 $82K
86480 1,879 1,786 $80K
85027 33,388 28,668 $79K
36416 21,814 12,823 $78K
84439 13,421 12,503 $77K
71271 688 659 $71K
97602 513 315 $62K
86803 6,095 5,748 $62K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 4,638 4,464 $60K
C1769 Guide wire 1,316 962 $56K
73560 5,081 3,931 $55K
72125 Computed tomography, cervical spine; without contrast material 4,762 4,232 $54K
87086 Culture, bacterial; quantitative colony count, urine 15,739 14,086 $53K
76770 580 511 $51K
86360 1,413 1,360 $51K
86235 2,553 1,235 $50K
86618 5,014 2,383 $49K
93970 389 346 $48K
73130 3,903 3,025 $48K
0202U Oncology (prostate), multianalyte, gene expression profiling 143 131 $46K
73610 3,375 2,944 $44K
73030 4,011 3,435 $44K
82947 19,973 10,343 $42K
83655 3,905 3,771 $42K
80076 18,724 16,501 $39K
88304 2,124 1,950 $39K
76536 508 488 $39K
73630 3,292 2,839 $39K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 831 577 $38K
82746 4,574 4,203 $38K
82728 4,522 4,122 $37K
87070 6,549 6,120 $37K
88342 1,317 1,138 $36K
87077 8,383 7,701 $36K
84403 1,882 1,743 $35K
87340 4,740 4,499 $35K
81001 30,876 27,510 $34K
76700 Ultrasound, abdominal, real time with image documentation; complete 378 356 $33K
73502 2,574 2,140 $32K
84153 3,104 2,890 $31K
83970 1,378 1,249 $31K
73110 1,975 1,688 $29K
90853 Group psychotherapy (other than of a multiple-family group) 1,701 510 $29K
0001A 1,081 913 $29K
84480 2,867 2,676 $27K
86318 2,467 1,776 $27K
83550 4,886 4,474 $26K
86592 7,214 6,850 $26K
93976 274 247 $25K
93308 209 200 $25K
87081 9,163 8,650 $22K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 694 625 $22K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 82 64 $22K
86038 2,795 2,618 $22K
83540 5,278 4,833 $21K
78431 68 63 $20K
87186 4,677 4,228 $19K
70496 341 311 $18K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,378 2,064 $18K
82043 5,448 5,000 $17K
G0378 Hospital observation service, per hour 9,627 6,690 $16K
76819 Fetal biophysical profile; without non-stress testing 151 77 $16K
85651 8,481 7,678 $15K
72040 857 794 $15K
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 532 480 $15K
85610 28,956 21,432 $15K
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation 154 143 $15K
73562 734 665 $15K
88307 780 663 $14K
74018 537 468 $14K
83880 11,502 10,084 $14K
G0297 Low dose ct scan (ldct) for lung cancer screening 215 207 $14K
86800 1,511 1,409 $14K
77067 Screening mammography, bilateral, including computer-aided detection 144 138 $14K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 25 25 $14K
83721 2,525 2,331 $14K
73070 1,292 1,115 $13K
84270 765 705 $13K
0002A 463 375 $12K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 979 908 $12K
86706 1,682 1,562 $12K
G0144 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision 905 868 $12K
97161 1,683 1,443 $12K
86376 1,421 1,334 $11K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 11,317 7,860 $11K
83735 17,030 12,965 $11K
70551 Magnetic resonance imaging, brain; without contrast material 159 136 $11K
86617 1,170 546 $11K
87522 Neg quan hep c or qual rna 328 303 $11K
86200 1,843 1,719 $11K
86140 5,108 4,470 $11K
88112 733 671 $10K
93307 77 71 $10K
83525 1,155 1,086 $10K
72070 679 631 $10K
90675 37 12 $9K
81003 25,760 22,970 $9K
70491 60 50 $9K
84702 5,055 4,317 $8K
86703 975 923 $8K
86334 722 677 $8K
97162 577 506 $8K
80074 245 230 $8K
86431 2,562 2,401 $7K
73590 739 643 $7K
81025 19,103 17,057 $7K
84484 32,916 23,772 $7K
72131 126 113 $7K
83516 682 486 $7K
84481 577 535 $7K
82550 5,058 4,391 $7K
84146 468 427 $6K
73140 503 447 $6K
93880 97 83 $6K
86003 128 67 $6K
82652 216 205 $6K
83690 22,819 19,844 $6K
72050 205 191 $6K
82565 4,495 4,007 $6K
85730 7,365 6,458 $6K
85018 5,163 4,392 $6K
83021 371 354 $6K
82731 275 222 $5K
96376 3,395 2,811 $5K
10060 39 36 $5K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 689 602 $5K
12001 921 849 $5K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 4,820 3,694 $5K
85007 3,425 3,039 $5K
86696 304 277 $4K
86160 312 277 $4K
80051 2,251 1,957 $4K
10061 13 12 $4K
87205 2,174 1,898 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 11,877 5,418 $4K
82150 3,635 3,381 $4K
82040 1,185 1,096 $3K
Q9950 Injection, sulfur hexafluoride lipid microspheres, per ml 297 273 $3K
82105 214 213 $3K
84460 1,913 1,724 $3K
83001 212 201 $3K
87088 842 771 $3K
74174 14 12 $3K
86901 12,778 8,492 $3K
80164 439 395 $3K
84100 9,628 7,114 $3K
82784 411 366 $3K
87075 550 457 $3K
84550 3,062 2,634 $3K
86255 312 293 $3K
84156 1,731 1,397 $3K
86704 313 298 $2K
97597 35 24 $2K
76641 34 25 $2K
71101 351 310 $2K
83020 207 188 $2K
80050 General health panel 719 658 $2K
87040 5,101 3,017 $2K
86328 80 72 $2K
86225 218 201 $2K
73090 299 271 $2K
84703 8,189 7,457 $2K
87634 39 39 $2K
12002 188 178 $2K
84450 1,845 1,664 $2K
87631 1,076 1,004 $1K
85379 4,480 4,019 $1K
84165 320 295 $1K
83605 9,488 7,949 $1K
86695 143 128 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 480 391 $1K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 14 12 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,861 2,388 $1K
96415 28 24 $1K
0031A 56 56 $1K
82977 247 226 $1K
90791 Psychiatric diagnostic evaluation 314 268 $1K
J2785 Injection, regadenoson, 0.1 mg 4,010 3,668 $1K
97116 167 121 $1K
87430 5,802 5,430 $1K
86665 78 39 $1K
J3490 Unclassified drugs 112,598 42,631 $1K
84134 137 88 $1K
86735 99 91 $1K
0012A 60 52 $1K
74019 41 38 $1K
86850 8,872 7,818 $1K
86708 106 102 $1K
88302 303 286 $1K
12011 324 311 $972.03
84432 88 83 $966.42
86765 90 82 $935.56
36430 14 12 $917.72
72170 116 101 $879.57
85014 531 497 $874.62
86790 570 503 $838.17
96367 15 15 $837.84
C1781 Mesh (implantable) 13 12 $827.68
86308 799 739 $818.25
86039 112 105 $755.26
84132 417 352 $712.14
83002 56 52 $712.07
86920 112 88 $682.58
82140 160 129 $668.16
P9016 Red blood cells, leukocytes reduced, each unit 14 12 $601.80
80177 100 90 $564.23
88142 44 42 $563.34
84112 66 52 $553.68
Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units 37 13 $553.35
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,597 688 $540.00
C1760 Closure device, vascular (implantable/insertable) 34 28 $519.18
82247 222 175 $508.54
85041 218 209 $506.00
76642 12 12 $490.90
86664 39 39 $467.52
87427 50 25 $412.20
86666 40 27 $408.24
87329 43 39 $377.85
87328 43 39 $377.85
82803 599 490 $375.52
82670 15 14 $373.52
90715 2,520 2,336 $338.31
90792 Psychiatric diagnostic evaluation with medical services 35 33 $318.79
84520 2,521 2,214 $313.38
82248 381 308 $310.60
74420 30 24 $303.66
J8499 Prescription drug, oral, non chemotherapeutic, nos 45,473 20,223 $289.62
76870 42 39 $274.52
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 17,087 14,801 $262.69
83615 239 197 $257.90
97165 61 55 $253.94
86709 30 29 $247.25
84155 260 233 $240.01
87046 39 37 $239.73
93225 43 35 $222.54
87045 39 37 $216.48
87102 29 25 $192.48
86317 15 14 $186.16
0011A 25 21 $186.00
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 36 16 $182.91
51702 33 25 $176.92
86812 15 12 $172.55
73552 59 50 $164.53
85045 77 71 $157.94
82785 15 12 $157.30
86753 18 14 $153.79
99215 Prolong outpt/office vis 93 83 $152.85
83921 13 13 $141.48
J7030 Infusion, normal saline solution , 1000 cc 28,531 23,087 $136.73
84145 105 90 $127.90
82010 801 665 $124.30
76937 41 36 $121.00
80143 1,377 1,254 $101.64
J3475 Injection, magnesium sulfate, per 500 mg 1,497 1,233 $92.16
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 4,912 4,485 $89.70
73060 13 13 $88.74
J2704 Injection, propofol, 10 mg 13,254 10,333 $82.45
88341 502 411 $80.60
80320 4,506 3,944 $80.25
87420 528 492 $80.15
71100 15 13 $69.15
86705 12 12 $67.50
82085 15 13 $64.89
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 3,541 3,207 $63.84
84436 16 15 $59.04
80179 1,299 1,188 $57.91
87220 14 13 $56.98
82950 12 12 $54.48
80178 16 14 $44.17
85008 1,201 1,049 $31.09
A9270 Non-covered item or service 55,411 9,137 $30.44
J1885 Injection, ketorolac tromethamine, per 15 mg 22,542 19,144 $29.56
J2405 Injection, ondansetron hydrochloride, per 1 mg 21,477 17,768 $23.83
J2270 Injection, morphine sulfate, up to 10 mg 11,721 8,647 $20.11
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 4,704 3,975 $19.74
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 2,047 1,833 $15.41
84311 14 12 $13.36
J1644 Injection, heparin sodium, per 1000 units 8,293 4,165 $12.82
J7120 Ringers lactate infusion, up to 1000 cc 8,279 6,064 $11.50
J0696 Injection, ceftriaxone sodium, per 250 mg 3,331 2,759 $10.14
J1200 Injection, diphenhydramine hcl, up to 50 mg 3,908 3,365 $9.24
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 3,011 2,622 $8.17
80305 309 157 $7.55
J2765 Injection, metoclopramide hcl, up to 10 mg 4,401 3,756 $7.33
83986 14 12 $6.84
J1630 Injection, haloperidol, up to 5 mg 2,133 1,775 $6.40
J2060 Injection, lorazepam, 2 mg 3,449 2,833 $5.93
J1170 Injection, hydromorphone, up to 4 mg 5,881 4,159 $5.42
80365 258 210 $5.05
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 6,327 5,091 $3.88
J8540 Dexamethasone, oral, 0.25 mg 737 493 $3.84
J1100 Injection, dexamethasone sodium phosphate, 1 mg 8,142 7,235 $3.07
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 1,124 968 $2.62
J0690 Injection, cefazolin sodium, 500 mg 5,620 4,424 $1.88
J3010 Injection, fentanyl citrate, 0.1 mg 11,381 9,473 $1.60
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 858 750 $1.38
S0164 Injection, pantoprazole sodium, 40 mg 819 694 $0.77
J2250 Injection, midazolam hydrochloride, per 1 mg 9,939 8,578 $0.34
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 759 652 $0.24
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 759 653 $0.24
J1815 Injection, insulin, per 5 units 1,865 994 $0.14
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 114 91 $0.02
J7050 Infusion, normal saline solution, 250 cc 3,014 2,249 $0.00
A9698 Non-radioactive contrast imaging material, not otherwise classified, per study 489 430 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 297 252 $0.00
J0280 Injection, aminophyllin, up to 250 mg 1,253 1,167 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 74 55 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 2,939 2,572 $0.00
A9555 Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries 68 63 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 218 180 $0.00
77001 41 29 $0.00
J2175 Injection, meperidine hydrochloride, per 100 mg 91 72 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 43 41 $0.00
91307 189 166 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 144 123 $0.00
C2617 Stent, non-coronary, temporary, without delivery system 30 24 $0.00
51798 30 12 $0.00
80329 77 45 $0.00
C9290 Injection, bupivacaine liposome, 1 mg 159 134 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 29 28 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 85 75 $0.00
J3480 Injection, potassium chloride, per 2 meq 77 61 $0.00
C1889 Implantable/insertable device, not otherwise classified 24 24 $0.00
Q0247 Injection, sotrovimab, 500 mg 16 15 $0.00
93000 16 12 $0.00
J1940 Injection, furosemide, up to 20 mg 34 25 $0.00
J7121 5% dextrose in lactated ringers infusion, up to 1000 cc 24 14 $0.00
J0706 Injection, caffeine citrate, 5 mg 14 12 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 198 177 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 1,619 1,419 $0.00
J1956 Injection, levofloxacin, 250 mg 476 399 $0.00
A4550 Surgical trays 90 89 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 1,516 1,366 $0.00
80354 1,051 890 $0.00
88313 213 196 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 187 165 $0.00
J1171 Injection, hydromorphone, 0.1 mg 148 117 $0.00
99001 54 50 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 128 116 $0.00
J7510 Prednisolone oral, per 5 mg 111 104 $0.00
87210 16 15 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 223 99 $0.00
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 71 59 $0.00
80362 20 14 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 15 13 $0.00
J3370 Injection, vancomycin hcl, 500 mg 185 113 $0.00
J1580 Injection, garamycin, gentamicin, up to 80 mg 171 102 $0.00
80348 102 75 $0.00
36600 14 13 $0.00
82948 58 30 $0.00
76942 20 12 $0.00
J7070 Infusion, d5w, 1000 cc 21 16 $0.00
80346 55 50 $0.00
78434 55 50 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 165 139 $0.00
81401 12 12 $0.00
91300 62 62 $0.00
C9113 Injection, pantoprazole sodium, per vial 105 81 $0.00
Q0244 Injection, casirivimab and imdevimab, 1200 mg 23 19 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 16 15 $0.00
99152 37 36 $0.00