Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › SPRINGFIELD › BAYSTATE MEDICAL CENTER INC

BAYSTATE MEDICAL CENTER INC

NPI: 1487655064 · SPRINGFIELD, MA 01199 · Clinic/Center · NPI assigned 08/09/2005

$374.47M
Total Medicaid Paid
7,805,534
Total Claims
6,765,506
Beneficiaries
895
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMARTIN, LAURIE (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date08/09/2005

Related Entities

Other providers sharing the same authorized official: MARTIN, LAURIE

ProviderCityStateTotal Paid
VERMONT DENTAL CARE BARRE VT $859K
BAYSTATE MEDICAL CENTER, INC. SPRINGFIELD MA $156K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,200,587 $63.54M
2019 1,707,423 $57.14M
2020 912,078 $43.21M
2021 1,056,230 $51.64M
2022 1,179,188 $63.40M
2023 1,005,808 $51.04M
2024 744,220 $44.49M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 495,590 414,086 $72.38M
99284 Emergency department visit for the evaluation and management, high severity 117,580 106,439 $18.23M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 87,551 77,662 $17.12M
99283 Emergency department visit for the evaluation and management, moderate severity 108,518 100,728 $17.12M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 95,197 86,886 $13.28M
96361 Intravenous infusion, hydration; each additional hour 37,935 25,733 $11.77M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 235,418 189,958 $7.68M
99215 Prolong outpt/office vis 41,112 34,276 $6.21M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 83,650 27,258 $5.25M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 29,448 22,371 $5.16M
96415 9,844 7,511 $5.14M
59025 Fetal non-stress test 19,842 13,001 $4.81M
G0378 Hospital observation service, per hour 38,459 35,398 $4.69M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 37,056 35,039 $4.61M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 24,823 14,969 $4.41M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 5,527 5,325 $3.92M
41899 Unlisted procedure, dentoalveolar structures 2,406 2,088 $3.50M
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 55,597 48,161 $3.44M
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 12,645 8,551 $3.42M
S9485 Crisis intervention mental health services, per diem 8,513 5,657 $3.40M
70450 Computed tomography, head or brain; without contrast material 24,049 22,201 $3.04M
74177 Computed tomography, abdomen and pelvis; with contrast material 23,005 21,744 $3.00M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 51,190 41,988 $2.76M
76705 Ultrasound, abdominal, real time with image documentation; limited 24,289 23,150 $2.65M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 23,228 22,002 $2.32M
95810 Polysomnography; sleep staging with 4 or more additional parameters 2,530 2,488 $2.24M
95811 3,134 3,070 $2.21M
Q5103 Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg 1,199 1,145 $2.17M
J9271 Injection, pembrolizumab, 1 mg 216 168 $2.05M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 11,088 10,877 $2.05M
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 16,864 16,692 $1.90M
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 46,204 41,350 $1.86M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 19,052 18,994 $1.81M
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 2,872 2,747 $1.81M
95806 2,806 2,782 $1.80M
93971 9,678 9,159 $1.78M
77063 Screening digital breast tomosynthesis, bilateral 26,955 26,427 $1.77M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 18,363 18,320 $1.73M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 13,492 12,250 $1.70M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 26,490 24,235 $1.60M
58661 471 468 $1.60M
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 12,288 11,881 $1.53M
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 69,767 49,099 $1.50M
J1745 Injection, infliximab, excludes biosimilar, 10 mg 1,380 1,299 $1.49M
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 59,051 56,841 $1.47M
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 58,742 56,558 $1.47M
J2357 Injection, omalizumab, 5 mg 4,068 1,861 $1.46M
76770 9,169 8,843 $1.45M
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 14,033 12,239 $1.44M
99282 Emergency department visit for the evaluation and management, low to moderate severity 10,028 9,603 $1.40M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 14,643 14,594 $1.39M
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 14,673 14,480 $1.26M
76819 Fetal biophysical profile; without non-stress testing 13,779 7,089 $1.25M
62323 3,332 3,229 $1.24M
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 9,152 9,028 $1.21M
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 6,533 4,126 $1.19M
85025 Blood count; complete (CBC), automated, and automated differential WBC count 252,214 205,432 $1.17M
70551 Magnetic resonance imaging, brain; without contrast material 4,434 4,290 $1.16M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 3,191 3,082 $1.14M
45380 Colonoscopy, flexible; with biopsy, single or multiple 2,331 2,218 $1.11M
97161 16,099 15,382 $1.11M
76642 10,109 9,798 $1.11M
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 58,342 51,692 $1.10M
93458 1,173 1,146 $1.09M
87631 13,958 13,603 $1.08M
76830 Ultrasound, transvaginal 10,609 10,311 $1.07M
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 15,121 13,974 $1.03M
43235 1,617 1,517 $982K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,653 8,278 $980K
93308 5,124 4,911 $979K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 2,619 2,499 $964K
96367 5,413 3,870 $953K
93970 4,302 4,155 $940K
H0035 Mental health partial hospitalization, treatment, less than 24 hours 3,316 432 $931K
95886 4,405 4,257 $909K
71046 Radiologic examination, chest; 2 views 66,337 61,289 $906K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 3,506 3,407 $897K
74176 Computed tomography, abdomen and pelvis; without contrast material 5,606 5,323 $893K
71275 Computed tomographic angiography, chest, with contrast material 4,945 4,684 $832K
70496 4,606 4,393 $812K
76801 7,285 6,829 $801K
36430 2,945 2,038 $789K
84443 Thyroid stimulating hormone (TSH) 79,257 75,279 $771K
93975 10,164 9,697 $757K
90834 Psychotherapy, 45 minutes with patient 9,936 6,242 $750K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 20,949 8,859 $728K
97162 11,587 11,138 $703K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 4,973 4,893 $700K
64415 1,708 1,588 $700K
77067 Screening mammography, bilateral, including computer-aided detection 28,612 28,067 $681K
J0585 Injection, onabotulinumtoxina, 1 unit 1,479 1,059 $672K
93798 15,150 3,530 $661K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 5,409 2,406 $656K
87481 14,187 12,594 $646K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 8,219 8,069 $644K
76536 5,220 5,135 $603K
93325 5,973 5,773 $599K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 33,670 33,053 $593K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 9,671 8,664 $579K
97530 Therapeutic activities, direct patient contact, each 15 minutes 9,827 5,416 $572K
94060 5,351 5,251 $569K
71260 Computed tomography, thorax, diagnostic; with contrast material 8,615 8,202 $567K
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) 1,610 1,068 $566K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 20,484 19,628 $547K
J3380 Injection, vedolizumab, intravenous, 1 mg 194 184 $546K
76813 4,243 4,181 $533K
97803 7,359 6,967 $532K
J2469 Injection, palonosetron hcl, 25 mcg 6,177 3,834 $531K
97802 7,143 7,027 $529K
J1050 Injection, medroxyprogesterone acetate, 1 mg 9,517 9,413 $524K
54161 296 295 $517K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 61,952 53,047 $506K
81513 7,246 6,788 $502K
76700 Ultrasound, abdominal, real time with image documentation; complete 3,059 3,019 $492K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 114,505 112,133 $488K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 2,060 2,023 $484K
80051 110,577 86,485 $461K
19083 354 350 $440K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 1,458 1,401 $438K
90686 52,511 51,632 $431K
12011 1,835 1,804 $425K
95708 1,147 930 $419K
83036 Hemoglobin; glycosylated (A1C) 83,471 80,978 $418K
90715 20,992 20,739 $417K
99201 2,921 2,836 $416K
76942 8,792 8,241 $413K
80053 Comprehensive metabolic panel 90,869 83,933 $406K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 24,134 23,482 $405K
12001 1,832 1,804 $404K
71250 5,586 5,421 $399K
83880 23,551 21,341 $399K
84484 59,021 45,251 $399K
93304 1,424 1,391 $398K
99381 3,027 2,925 $391K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 18,247 18,040 $389K
96402 694 664 $387K
95953 562 473 $384K
77412 2,490 266 $381K
85027 90,330 79,692 $371K
93017 4,502 4,389 $367K
96375 Therapeutic injection; each additional sequential IV push 55,840 40,036 $366K
58300 1,407 1,398 $366K
77336 5,566 2,349 $363K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 855 832 $360K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 6,439 5,791 $350K
87086 Culture, bacterial; quantitative colony count, urine 59,656 54,925 $340K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 14,748 14,527 $337K
90791 Psychiatric diagnostic evaluation 2,573 2,362 $337K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,445 1,371 $335K
97597 6,382 3,931 $326K
97165 3,404 3,298 $322K
77065 Tomosynthesis, mammo 6,556 6,254 $321K
92587 2,684 2,666 $311K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 117,991 103,018 $308K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 2,675 2,475 $305K
20552 1,536 1,460 $292K
74183 717 689 $288K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,821 1,817 $283K
80048 Basic metabolic panel (calcium, ionized) 80,882 71,462 $280K
83605 38,376 33,314 $280K
72100 7,830 7,590 $278K
86780 27,186 26,342 $278K
87536 6,143 5,981 $275K
76870 2,765 2,635 $275K
20610 1,650 1,511 $274K
V5160 Dispensing fee, binaural 676 610 $274K
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 10,055 8,260 $270K
88307 3,334 3,180 $267K
V5261 Hearing aid, digital, binaural, bte 526 477 $266K
81025 43,959 41,911 $257K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 3,670 3,327 $256K
94726 5,473 5,343 $253K
95782 237 236 $248K
V5266 Battery for use in hearing device 4,029 3,772 $247K
64445 999 971 $247K
87088 29,640 21,383 $246K
94729 5,473 5,386 $242K
86481 4,589 4,495 $241K
86480 5,569 5,464 $235K
77061 2,283 2,270 $224K
93922 4,151 4,054 $222K
86803 22,761 22,329 $221K
44970 65 65 $220K
77386 1,065 87 $217K
64721 291 271 $217K
J1453 Injection, fosaprepitant, 1 mg 1,768 1,165 $216K
94375 4,135 3,978 $216K
58301 850 842 $209K
84702 18,298 16,426 $207K
81001 98,521 89,732 $206K
82565 125,656 99,678 $204K
77062 2,078 2,074 $203K
77080 4,404 4,301 $200K
11982 888 883 $196K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 37,553 33,205 $192K
83690 43,103 38,855 $191K
Q3014 Telehealth originating site facility fee 46,683 40,376 $188K
74018 7,740 7,220 $187K
86850 29,711 27,430 $186K
Q5118 Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg 243 89 $186K
92552 6,977 6,940 $182K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 15,870 15,248 $182K
0001A 6,021 5,785 $176K
G0297 Low dose ct scan (ldct) for lung cancer screening 1,999 1,979 $173K
83735 47,930 36,683 $173K
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 8,426 7,180 $171K
76882 1,450 1,420 $168K
87653 5,668 5,521 $167K
0002A 5,615 5,414 $166K
72141 561 552 $164K
97014 1,896 810 $163K
82728 20,366 19,635 $163K
97035 2,489 1,016 $160K
27447 28 26 $158K
73630 8,133 7,857 $158K
88305 Level IV - Surgical pathology, gross and microscopic examination 27,633 25,299 $157K
12002 699 685 $156K
20553 683 588 $155K
83655 13,501 13,399 $154K
J1650 Injection, enoxaparin sodium, 10 mg 15,667 7,891 $154K
64615 513 466 $152K
90847 Family psychotherapy with the patient present, 50 minutes 1,682 1,325 $152K
73130 7,909 7,554 $151K
97166 1,538 1,482 $148K
11981 488 485 $148K
93225 2,791 2,732 $147K
73030 7,855 7,489 $146K
73560 8,832 8,452 $146K
70491 1,035 998 $144K
51725 488 472 $144K
73610 7,872 7,532 $143K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 4,427 4,095 $143K
93880 2,425 2,365 $142K
J7297 Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg 216 216 $141K
96523 3,430 2,452 $140K
92523 1,050 1,040 $140K
72040 3,582 3,448 $140K
87040 17,982 11,803 $138K
82607 17,117 16,656 $136K
84439 24,464 23,494 $136K
84520 110,468 89,490 $136K
80061 Lipid panel 35,083 34,226 $136K
99383 1,368 1,355 $135K
47562 37 36 $134K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 181 181 $134K
71045 Radiologic examination, chest; single view 20,796 18,851 $133K
84703 24,358 22,494 $133K
76825 1,087 1,049 $130K
J1644 Injection, heparin sodium, per 1000 units 21,332 11,752 $129K
ATP14 19,110 15,552 $128K
64447 835 815 $127K
90651 11,107 11,080 $126K
J2405 Injection, ondansetron hydrochloride, per 1 mg 65,124 55,176 $125K
J0690 Injection, cefazolin sodium, 500 mg 30,871 23,733 $125K
99385 1,323 1,320 $124K
J2704 Injection, propofol, 10 mg 54,474 50,103 $123K
95816 387 387 $121K
J0485 Injection, belatacept, 1 mg 455 217 $121K
87340 16,618 16,179 $120K
87522 Neg quan hep c or qual rna 3,997 3,899 $120K
90662 4,351 4,163 $118K
90674 5,525 5,483 $115K
71271 2,824 2,752 $115K
82947 79,200 69,960 $114K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 3,789 3,611 $113K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk 111 111 $110K
77300 869 780 $110K
77066 Tomosynthesis, mammo 3,972 3,873 $109K
70498 4,458 4,263 $108K
76775 1,378 1,334 $108K
87081 18,549 18,032 $107K
76604 1,257 1,209 $107K
58558 58 57 $105K
86140 26,473 24,680 $103K
84460 62,434 55,662 $103K
ATP08 17,453 13,560 $102K
90677 4,358 4,310 $101K
J3010 Injection, fentanyl citrate, 0.1 mg 40,445 38,251 $100K
J2250 Injection, midazolam hydrochloride, per 1 mg 23,875 22,656 $99K
69209 1,404 1,322 $98K
86923 2,144 1,732 $97K
20680 82 79 $97K
88342 4,728 4,402 $96K
10060 545 539 $95K
73110 5,049 4,782 $95K
86003 1,569 1,489 $94K
86762 8,000 7,811 $94K
76820 1,907 991 $94K
72125 Computed tomography, cervical spine; without contrast material 10,329 9,586 $93K
84450 57,824 51,348 $93K
92567 3,257 3,206 $93K
29824 94 88 $93K
99384 932 929 $93K
90837 Psychotherapy, 53 minutes with patient 934 720 $92K
86360 4,242 4,169 $91K
73502 4,724 4,519 $89K
70486 2,350 2,264 $87K
64493 139 133 $87K
87186 15,172 14,388 $87K
85610 46,213 33,603 $87K
83970 5,212 4,978 $87K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 1,563 1,520 $87K
73562 2,552 2,515 $85K
27130 13 13 $84K
V5264 Ear mold/insert, not disposable, any type 1,076 990 $84K
J1950 Injection, leuprolide acetate (for depot suspension), per 3.75 mg 37 36 $83K
J1170 Injection, hydromorphone, up to 4 mg 24,816 15,193 $83K
57454 226 225 $82K
99188 6,139 6,105 $81K
ATP07 12,573 9,891 $81K
J1885 Injection, ketorolac tromethamine, per 15 mg 30,884 27,053 $81K
76885 550 548 $80K
76857 898 876 $80K
92250 7,197 7,135 $78K
83550 15,891 15,397 $78K
82570 29,748 27,471 $78K
90670 16,144 15,988 $77K
74220 1,187 1,176 $77K
97016 959 391 $77K
83013 1,481 1,465 $76K
93926 529 514 $75K
64450 400 381 $75K
96368 2,545 1,726 $74K
86355 4,250 4,178 $74K
86357 4,237 4,166 $73K
86359 4,232 4,161 $73K
94660 723 433 $72K
86317 6,733 6,555 $72K
90732 2,663 2,577 $71K
82330 9,864 7,758 $70K
G0008 Administration of influenza virus vaccine 10,179 9,558 $70K
87486 2,823 2,732 $70K
80305 10,530 7,372 $70K
87581 2,828 2,735 $70K
93226 2,815 2,755 $69K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 42,132 38,310 $69K
88341 1,635 1,475 $69K
86900 27,106 24,909 $68K
82784 9,129 7,930 $68K
92550 903 888 $67K
82247 43,681 37,668 $67K
29826 94 94 $65K
83540 17,529 16,974 $65K
83021 4,172 4,073 $64K
83718 11,567 11,406 $64K
86787 6,000 5,858 $64K
82746 7,954 7,731 $63K
87210 15,523 11,933 $63K
J1200 Injection, diphenhydramine hcl, up to 50 mg 16,753 11,240 $63K
92557 1,259 1,225 $62K
90472 Immunization administration, each additional vaccine (list separately) 44,822 44,402 $62K
76827 1,055 1,021 $62K
80076 18,850 17,643 $61K
17250 502 409 $61K
0124A 2,450 2,367 $59K
87480 3,882 3,778 $58K
77334 383 316 $58K
29125 375 339 $58K
93296 2,073 2,046 $58K
87510 3,880 3,775 $58K
87660 3,866 3,764 $57K
84403 3,217 3,091 $57K
87070 9,486 8,879 $56K
64417 129 125 $54K
J0696 Injection, ceftriaxone sodium, per 250 mg 12,747 9,190 $54K
0054A 1,822 1,767 $54K
82043 20,662 19,897 $54K
85730 15,887 14,483 $54K
85379 8,747 8,229 $53K
86901 27,016 24,904 $53K
84075 33,297 30,084 $52K
95910 966 944 $51K
90480 1,276 1,273 $51K
83516 4,191 3,700 $51K
73140 2,010 1,953 $50K
90746 2,200 2,156 $50K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 30 30 $50K
82105 3,550 3,480 $49K
36415 Collection of venous blood by venipuncture 164,644 142,180 $48K
73080 3,680 3,494 $48K
91320 904 902 $47K
86704 6,444 6,267 $46K
90832 Psychotherapy, 30 minutes with patient 1,059 737 $46K
85652 24,398 23,108 $45K
19081 43 41 $45K
75574 363 345 $44K
72072 1,316 1,288 $44K
80050 General health panel 2,774 2,754 $44K
87147 10,251 9,711 $43K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 7,269 6,896 $43K
0004A 1,681 1,622 $43K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 334 328 $43K
96118 93 93 $43K
99382 463 458 $43K
ATP11 7,026 5,547 $42K
Q5108 Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg 21 14 $42K
97012 576 226 $41K
81003 26,690 24,543 $41K
74240 221 221 $41K
82803 2,623 2,338 $40K
49083 90 51 $40K
10005 118 116 $40K
52356 14 13 $40K
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units 116 49 $40K
84146 2,689 2,644 $39K
ATP15 5,788 4,700 $39K
74174 350 335 $39K
87529 1,020 973 $38K
87077 10,204 9,413 $37K
58100 134 132 $36K
95819 116 115 $36K
92579 856 850 $35K
83001 2,334 2,308 $34K
96040 1,050 977 $33K
0071A 725 722 $33K
84153 3,791 3,635 $33K
54150 15 15 $32K
ATP17 6,185 4,499 $31K
73590 3,547 3,383 $31K
74230 214 212 $30K
90656 2,564 2,539 $30K
83721 6,895 6,473 $30K
J3490 Unclassified drugs 10,498 7,014 $30K
82465 12,154 11,972 $30K
82950 7,078 6,995 $30K
96411 1,800 1,100 $30K
97116 927 548 $29K
Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units 309 67 $29K
86618 2,353 2,301 $28K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 2,119 2,059 $27K
42830 13 13 $27K
27096 65 65 $27K
81508 1,515 1,366 $27K
0072A 631 630 $27K
82670 1,236 1,206 $27K
87902 241 239 $26K
86038 3,106 3,067 $26K
0031A 883 775 $26K
ATP06 4,459 3,075 $26K
J2270 Injection, morphine sulfate, up to 10 mg 22,665 16,436 $25K
58340 37 37 $25K
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 927 886 $25K
90734 8,665 8,634 $25K
49450 69 63 $25K
82962 69,771 46,987 $24K
93797 772 422 $24K
84100 18,871 13,855 $24K
90714 963 961 $23K
82550 10,442 9,179 $23K
88173 707 672 $23K
95885 87 85 $23K
87205 7,741 7,285 $22K
ATP09 3,704 2,614 $22K
77002 264 245 $22K
72170 1,810 1,709 $22K
84481 1,972 1,882 $22K
J2182 Injection, mepolizumab, 1 mg 26 24 $22K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 12,055 11,640 $22K
86708 2,751 2,701 $22K
97535 Self-care/home management training, each 15 minutes 401 278 $22K
96417 5,668 3,461 $22K
93923 251 247 $21K
83002 1,483 1,458 $21K
94664 1,893 1,834 $21K
80179 2,749 2,507 $21K
84163 1,671 1,649 $21K
82150 4,894 4,615 $21K
84156 9,803 8,480 $21K
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg 3,250 2,336 $21K
0052A 537 533 $21K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 878 473 $20K
96416 157 99 $20K
80074 679 659 $20K
29881 12 12 $20K
86665 1,101 726 $20K
J2790 Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) 130 126 $20K
82010 3,659 3,281 $19K
J3370 Injection, vancomycin hcl, 500 mg 5,306 3,452 $19K
81002 7,109 6,065 $19K
80164 2,762 2,521 $19K
J0780 Injection, prochlorperazine, up to 10 mg 3,828 3,360 $19K
ATP10 4,506 3,720 $19K
99281 Emergency department visit for the evaluation and management, self-limited or minor 127 124 $18K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 65 65 $18K
72131 690 667 $18K
88112 517 429 $18K
99218 750 700 $18K
80047 6,143 4,610 $17K
88304 5,670 5,410 $17K
ATP03 6,644 5,266 $17K
82785 1,428 1,386 $17K
84270 1,142 1,112 $17K
86334 1,992 1,809 $17K
97804 281 117 $16K
P9016 Red blood cells, leukocytes reduced, each unit 716 546 $16K
96133 76 72 $16K
86765 1,665 1,648 $16K
93978 341 327 $16K
ATP04 3,215 2,547 $15K
82378 1,492 1,361 $15K
87075 2,526 2,342 $15K
77290 49 42 $15K
73090 2,699 2,506 $15K
85045 5,079 4,377 $15K
10022 45 36 $14K
V5267 Hearing aid or assistive listening device/supplies/accessories, not otherwise specified 1,559 1,497 $14K
86735 1,432 1,415 $14K
0051A 361 360 $14K
ATP02 3,954 3,292 $14K
86580 596 587 $13K
82248 10,662 9,628 $13K
96139 87 85 $13K
J3489 Injection, zoledronic acid, 1 mg 556 518 $13K
82040 8,366 7,737 $13K
84132 8,841 7,756 $13K
82310 8,509 7,277 $13K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 2,073 1,919 $13K
83615 7,554 6,631 $13K
83520 1,155 1,107 $13K
95700 689 629 $12K
87046 809 684 $12K
51784 77 73 $12K
J2060 Injection, lorazepam, 2 mg 10,362 8,397 $12K
90707 4,894 4,888 $12K
95912 149 143 $12K
85014 8,107 7,270 $12K
86376 1,139 1,120 $11K
90632 3,575 3,571 $11K
87507 31 30 $11K
87517 485 475 $11K
82274 1,563 1,524 $11K
96401 86 62 $11K
74019 600 571 $11K
90649 861 855 $11K
85018 5,586 5,284 $10K
82140 1,364 1,251 $10K
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 1,436 1,392 $10K
92611 156 156 $10K
77072 116 116 $10K
J1630 Injection, haloperidol, up to 5 mg 8,774 7,722 $10K
86664 739 726 $10K
G0257 Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility 88 52 $10K
11721 280 279 $10K
90716 4,627 4,622 $10K
77280 89 75 $9K
77295 12 12 $9K
80069 5,386 4,968 $9K
84550 6,857 6,310 $9K
Q0114 Fern test 1,702 1,590 $9K
72158 55 53 $9K
82652 454 435 $9K
72050 168 168 $9K
92558 65 65 $9K
83014 1,464 1,447 $9K
86304 887 786 $9K
62322 13 13 $9K
83883 1,186 1,049 $8K
64405 26 24 $8K
96132 88 84 $8K
86431 2,048 2,034 $8K
82553 1,644 1,465 $8K
80177 965 906 $8K
80143 2,079 1,800 $8K
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 519 484 $8K
84436 2,516 2,044 $8K
86160 666 540 $8K
ATP12 1,329 1,006 $8K
84295 5,685 5,095 $8K
75561 27 27 $8K
G0260 Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography 205 198 $8K
99386 82 82 $8K
82627 442 430 $7K
ATP05 1,351 1,068 $7K
82533 581 530 $7K
76937 407 376 $7K
86706 1,022 1,002 $7K
73552 1,061 1,003 $7K
86235 276 227 $7K
0003A 423 414 $7K
86677 677 663 $7K
90739 106 106 $7K
82800 1,092 988 $7K
ATP18 1,298 944 $7K
24640 12 12 $7K
J0640 Injection, leucovorin calcium, per 50 mg 1,638 461 $6K
0012A 376 370 $6K
87799 382 350 $6K
72132 484 461 $6K
36591 3,847 2,750 $6K
ATP13 1,304 986 $6K
51729 22 16 $6K
M0220 Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), includes injection and post administration monitoring 82 74 $6K
83010 684 635 $6K
87209 461 418 $6K
86696 476 467 $6K
84165 1,293 1,169 $6K
11045 19 14 $5K
73700 124 117 $5K
90473 4,238 4,225 $5K
80197 2,257 1,165 $5K
82977 1,819 1,766 $5K
87899 594 571 $5K
92555 346 344 $5K
70360 102 101 $5K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 1,042 426 $5K
74740 25 25 $5K
90839 778 642 $5K
86200 582 573 $5K
86308 1,041 1,020 $5K
84480 661 639 $5K
73060 830 786 $5K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 14,787 12,920 $5K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 112 75 $5K
87206 1,149 956 $4K
G0009 Administration of pneumococcal vaccine 1,961 1,908 $4K
0011A 385 376 $4K
87045 699 682 $4K
87476 146 144 $4K
82951 388 384 $4K
87338 464 461 $4K
84134 498 423 $4K
96376 25,872 14,204 $4K
ATP16 765 555 $4K
86800 447 428 $4K
86870 84 74 $4K
86039 527 519 $4K
89051 1,056 736 $4K
51600 12 12 $4K
83921 479 473 $4K
86364 872 836 $4K
95913 103 101 $4K
76981 42 42 $3K
71101 117 114 $3K
92551 390 390 $3K
96409 83 52 $3K
92610 38 37 $3K
92650 55 54 $3K
78264 14 14 $3K
86617 285 281 $3K
82172 262 261 $3K
84466 369 361 $3K
J3475 Injection, magnesium sulfate, per 500 mg 3,974 2,994 $3K
84155 3,214 2,964 $3K
H0046 Mental health services, not otherwise specified 67 52 $3K
90474 6,950 6,912 $3K
87177 460 417 $3K
86593 802 789 $3K
86255 320 307 $3K
86695 287 280 $3K
93298 183 181 $3K
0134A 84 83 $3K
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 418 388 $2K
80178 766 711 $2K
87449 418 405 $2K
94644 2,829 2,614 $2K
73660 70 68 $2K
87324 396 385 $2K
84144 161 152 $2K
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 628 474 $2K
78306 12 12 $2K
83521 421 270 $2K
88312 166 154 $2K
88302 566 533 $2K
77470 13 12 $2K
80180 511 442 $2K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 3,163 2,330 $2K
0081A 66 66 $2K
85246 96 92 $2K
77338 27 25 $2K
64494 80 79 $2K
74178 12 12 $2K
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 1,835 1,400 $2K
J9045 Injection, carboplatin, 50 mg 597 346 $2K
96138 85 83 $2K
73521 28 28 $2K
83525 235 231 $2K
94668 13 12 $2K
96119 25 25 $2K
88300 763 753 $2K
96116 13 12 $2K
96121 13 12 $2K
99205 Prolong outpt/office vis 12 12 $2K
J1439 Injection, ferric carboxymaltose, 1 mg 36 24 $2K
86147 79 74 $2K
90678 110 104 $2K
90887 29 27 $2K
95911 12 12 $2K
72081 24 24 $2K
84305 110 109 $2K
77001 17 15 $2K
92556 100 98 $1K
87329 196 193 $1K
99397 149 131 $1K
87102 313 284 $1K
72128 136 129 $1K
86225 197 188 $1K
51798 783 753 $1K
84145 280 253 $1K
85245 61 57 $1K
80156 254 246 $1K
80175 227 221 $1K
74175 53 53 $1K
97163 13 13 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $1K
93041 2,577 2,078 $1K
82952 389 385 $1K
82435 962 874 $1K
85347 418 403 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 234 174 $1K
0053A 28 28 $1K
86709 143 137 $1K
85397 52 50 $1K
J2560 Injection, phenobarbital sodium, up to 120 mg 130 104 $1K
85651 453 447 $1K
90633 1,810 1,810 $1K
82677 56 55 $981.47
88313 240 181 $979.56
86336 66 66 $972.29
93321 2,582 2,519 $953.94
0082A 26 26 $939.36
94761 3,089 2,425 $937.69
85660 223 217 $921.09
72129 288 275 $914.53
83090 93 93 $869.17
80162 154 140 $861.23
83993 72 69 $854.01
74160 13 13 $852.46
J1836 Injection, metronidazole, 10 mg 234 183 $849.55
86644 75 63 $827.23
91319 158 158 $790.02
82088 26 26 $776.81
90696 3,837 3,832 $753.62
70310 444 423 $747.41
91305 2,637 2,520 $740.96
83498 39 36 $739.73
93280 41 40 $718.62
82397 62 62 $692.23
84425 70 68 $689.91
0121A 38 38 $688.05
91318 125 125 $653.60
0154A 14 14 $642.18
84630 86 86 $605.02
J0330 Injection, succinylcholine chloride, up to 20 mg 3,127 2,547 $594.90
90671 217 216 $588.84
86141 90 89 $585.35
84300 244 227 $563.74
82340 198 188 $561.46
86341 24 15 $561.33
83835 42 38 $542.62
82272 244 232 $540.62
ATP19 127 106 $513.45
86300 42 38 $511.65
86146 19 12 $496.94
84402 24 24 $488.04
96136 13 13 $466.00
76000 30 29 $431.84
85240 27 27 $431.79
81596 47 46 $428.65
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 160 89 $424.20
85613 69 69 $420.82
80299 55 52 $409.48
80230 12 12 $408.12
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 1,944 1,863 $386.40
88142 28 28 $378.42
84244 25 25 $373.98
94645 507 473 $371.35
70320 414 348 $354.88
72220 14 14 $349.64
87350 55 55 $344.49
90682 14 14 $319.15
86707 44 44 $317.97
11719 12 12 $317.11
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 2,661 2,485 $307.46
J1580 Injection, garamycin, gentamicin, up to 80 mg 187 162 $299.29
J1920 Injection, labetalol hydrochloride, 5 mg 16 12 $297.04
84154 41 41 $292.16
J1790 Injection, droperidol, up to 5 mg 1,048 950 $283.16
81050 205 201 $266.84
82103 26 24 $259.05
J1940 Injection, furosemide, up to 20 mg 336 240 $248.97
93299 12 12 $239.62
89055 99 99 $236.92
J9190 Injection, fluorouracil, 500 mg 1,528 564 $228.37
86258 15 14 $221.52
93750 13 13 $210.62
J0561 Injection, penicillin g benzathine, 100,000 units 19 12 $173.80
82390 36 36 $172.04
J2765 Injection, metoclopramide hcl, up to 10 mg 2,810 2,433 $171.22
94010 18 18 $170.84
90620 16 16 $170.36
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 194 184 $164.44
80185 57 52 $159.30
85384 30 28 $158.82
84432 12 12 $156.04
73000 15 15 $154.32
86301 39 27 $146.80
86335 12 12 $142.03
90685 2,051 2,028 $139.83
82525 12 12 $132.30
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 5,520 5,159 $121.27
86694 14 13 $118.72
36416 9,034 7,298 $113.17
83930 45 38 $107.40
87101 14 14 $105.03
82360 15 14 $102.15
88360 14 12 $100.14
80183 13 13 $95.69
82375 13 12 $94.93
36410 41 39 $81.95
83935 34 28 $81.84
93282 12 12 $76.50
72020 25 25 $70.53
82787 13 13 $64.60
87106 13 13 $53.25
88311 82 77 $51.00
86063 14 12 $35.70
86008 35 27 $32.72
87176 14 12 $32.16
90710 4,072 4,072 $31.84
94760 2,791 2,664 $31.77
84478 212 140 $29.60
ATP20 14 12 $25.99
74022 13 13 $25.81
J9267 Injection, paclitaxel, 1 mg 348 159 $23.13
90680 11,137 11,102 $22.02
87015 16 12 $18.27
A9575 Injection, gadoterate meglumine, 0.1 ml 7,657 6,898 $13.14
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 3,286 2,897 $7.14
91307 1,384 1,261 $5.64
C9113 Injection, pantoprazole sodium, per vial 210 113 $4.99
C1769 Guide wire 4,728 4,408 $3.58
J2370 Injection, phenylephrine hcl, up to 1 ml 7,156 6,328 $2.13
J1171 Injection, hydromorphone, 0.1 mg 228 181 $1.44
91300 8,039 7,184 $0.08
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 3,426 2,902 $0.08
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 1,652 1,530 $0.05
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 454 421 $0.05
99153 Mod sedat endo service >5yrs 3,210 3,043 $0.00
90723 4,732 4,730 $0.00
90744 1,262 1,260 $0.00
90698 6,756 6,743 $0.00
90697 3,950 3,935 $0.00
81511 184 128 $0.00
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 470 449 $0.00
90634 5,967 5,967 $0.00
J7999 Compounded drug, not otherwise classified 213 210 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 67 51 $0.00
91301 247 239 $0.00
G0103 Prostate cancer screening; prostate specific antigen test (psa) 259 259 $0.00
93320 179 177 $0.00
C1732 Catheter, electrophysiology, diagnostic/ablation, 3d or vector mapping 27 25 $0.00
J0461 Injection, atropine sulfate, 0.01 mg 42 24 $0.00
J2785 Injection, regadenoson, 0.1 mg 687 666 $0.00
A4648 Tissue marker, implantable, any type, each 26 26 $0.00
91303 561 460 $0.00
J0610 Injection, calcium gluconate (fresenius kabi), per 10 ml 38 25 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 13 12 $0.00
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 17 15 $0.00
C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, other than peel-away 13 13 $0.00
90688 567 567 $0.00
91315 45 45 $0.00
G8998 Swallowing functional limitation, discharge status, at discharge from therapy or to end reporting 12 12 $0.00
90381 24 24 $0.00
J0456 Injection, azithromycin, 500 mg 16 14 $0.00
J3411 Injection, thiamine hcl, 100 mg 13 13 $0.00
91317 13 13 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 1,494 1,439 $0.00
J2359 Injection, olanzapine, 0.5 mg 13 12 $0.00
99152 4,009 3,814 $0.00
90648 6,100 6,097 $0.00
90700 1,822 1,822 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 132 126 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 65 38 $0.00
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg 129 117 $0.00
C1760 Closure device, vascular (implantable/insertable) 31 27 $0.00
91312 2,102 2,034 $0.00
G8996 Swallowing functional limitation, current status at therapy episode outset and at reporting intervals 33 30 $0.00
01992 78 78 $0.00
91313 82 81 $0.00
91308 185 178 $0.00
J1956 Injection, levofloxacin, 250 mg 29 26 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 76 69 $0.00
Q0220 Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), 300 mg 37 32 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 73 70 $0.00
90611 28 27 $0.00
G8997 Swallowing functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 34 30 $0.00
76376 93 90 $0.00
77387 115 12 $0.00
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 12 12 $0.00
90713 40 40 $0.00
C1776 Joint device (implantable) 40 40 $0.00
J1756 Injection, iron sucrose, 1 mg 39 25 $0.00
J2310 Injection, naloxone hydrochloride, per 1 mg 13 12 $0.00
J1953 Injection, levetiracetam, 10 mg 40 26 $0.00
J9370 Vincristine sulfate, 1 mg 21 12 $0.00