Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › CINCINNATI › THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO

THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO

NPI: 1508835828 · CINCINNATI, OH 45220 · General Acute Care Hospital · NPI assigned 03/17/2006

$85.63M
Total Medicaid Paid
1,959,903
Total Claims
1,544,700
Beneficiaries
482
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCROFTON, MICHAEL (VICE PRESIDENT)
NPI Enumeration Date03/17/2006

Related Entities

Other providers sharing the same authorized official: CROFTON, MICHAEL

ProviderCityStateTotal Paid
BETHESDA HOSPITAL INC CINCINNATI OH $57.06M
HOSPICE OF CINCINNATI INCORPORATED CINCINNATI OH $54.08M
TRIHEALTH G LLC CINCINNATI OH $30.89M
TRIHEALTH H LLC CINCINNATI OH $12.50M
MCCULLOUGH-HYDE MEMORIAL HOSPITAL, INC. OXFORD OH $4.51M
TRIHEALTH U LLC CINCINNATI OH $209K
TRIHEALTH HF LLC OXFORD OH $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 170,045 $5.62M
2019 159,988 $5.45M
2020 144,006 $7.09M
2021 174,908 $7.97M
2022 186,326 $8.22M
2023 639,545 $30.01M
2024 485,085 $21.27M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 97,541 89,683 $11.90M
99284 Emergency department visit for the evaluation and management, high severity 70,540 63,058 $10.00M
96361 Intravenous infusion, hydration; each additional hour 27,133 21,322 $8.24M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 72,325 54,456 $8.16M
J9271 Injection, pembrolizumab, 1 mg 861 569 $6.83M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 42,849 33,293 $5.24M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 16,773 8,530 $3.43M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 14,464 12,385 $1.79M
59025 Fetal non-stress test 9,995 6,162 $1.59M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 11,884 9,541 $1.54M
J9173 Injection, durvalumab, 10 mg 514 88 $1.49M
74177 Computed tomography, abdomen and pelvis; with contrast material 5,734 4,572 $1.37M
70450 Computed tomography, head or brain; without contrast material 5,689 4,742 $1.32M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 7,298 3,826 $944K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 4,097 2,413 $813K
J9299 Injection, nivolumab, 1 mg 208 77 $778K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 3,102 1,706 $732K
99282 Emergency department visit for the evaluation and management, low to moderate severity 6,197 5,359 $658K
G0378 Hospital observation service, per hour 8,254 3,092 $622K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,574 4,125 $594K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 4,685 3,744 $557K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,971 1,561 $537K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 4,921 3,154 $531K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,938 1,700 $485K
J1459 Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg 340 116 $469K
64483 722 645 $419K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 8,809 7,073 $408K
71275 Computed tomographic angiography, chest, with contrast material 1,634 1,322 $393K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,301 3,148 $389K
96415 1,472 983 $380K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 928 720 $370K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 649 528 $345K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 3,292 1,465 $344K
80047 18,309 16,998 $331K
45380 Colonoscopy, flexible; with biopsy, single or multiple 613 492 $321K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 4,470 1,646 $319K
J1756 Injection, iron sucrose, 1 mg 10,113 3,602 $302K
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 1,567 1,454 $296K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1,991 1,818 $285K
76818 2,657 1,154 $280K
J1745 Injection, infliximab, excludes biosimilar, 10 mg 200 170 $258K
86850 12,012 10,608 $250K
J0897 Injection, denosumab, 1 mg 250 203 $233K
11043 933 476 $233K
95810 Polysomnography; sleep staging with 4 or more additional parameters 323 293 $232K
96367 2,332 1,449 $208K
71260 Computed tomography, thorax, diagnostic; with contrast material 960 858 $206K
80053 Comprehensive metabolic panel 31,013 22,141 $180K
80048 Basic metabolic panel (calcium, ionized) 72,723 58,261 $172K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 620 552 $160K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 136,188 106,677 $159K
97530 Therapeutic activities, direct patient contact, each 15 minutes 3,043 1,982 $156K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 47,045 38,413 $153K
70496 845 680 $151K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 18,371 16,466 $146K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 802 697 $142K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 10,666 9,141 $135K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 4,165 2,896 $134K
86900 12,258 10,719 $131K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 2,274 1,124 $131K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 291 235 $129K
10060 706 590 $114K
J1439 Injection, ferric carboxymaltose, 1 mg 145 90 $111K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 761 692 $105K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 663 601 $103K
76801 744 669 $100K
36415 Collection of venous blood by venipuncture 148,906 121,226 $98K
80076 32,360 27,077 $95K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,037 1,463 $94K
76642 848 766 $94K
76705 Ultrasound, abdominal, real time with image documentation; limited 930 785 $93K
77063 Screening digital breast tomosynthesis, bilateral 1,883 1,736 $93K
19318 22 14 $92K
84484 21,153 17,060 $91K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 23,423 16,013 $89K
71271 528 479 $87K
94060 690 631 $86K
70491 325 269 $83K
43235 176 140 $80K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 642 485 $79K
71045 Radiologic examination, chest; single view 23,883 20,688 $77K
71250 816 739 $77K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 35,727 30,726 $74K
70551 Magnetic resonance imaging, brain; without contrast material 504 418 $74K
76820 1,128 497 $72K
77067 Screening mammography, bilateral, including computer-aided detection 2,786 2,533 $72K
93971 886 770 $71K
71046 Radiologic examination, chest; 2 views 7,929 7,295 $71K
90677 445 396 $70K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 4,059 3,705 $63K
82607 5,783 5,229 $63K
84443 Thyroid stimulating hormone (TSH) 6,830 5,858 $61K
36430 344 207 $61K
C9290 Injection, bupivacaine liposome, 1 mg 640 410 $60K
70498 986 794 $59K
80061 Lipid panel 8,656 7,912 $57K
93017 640 550 $56K
83970 2,190 2,009 $54K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 478 434 $51K
93970 335 292 $50K
J0561 Injection, penicillin g benzathine, 100,000 units 297 203 $49K
83036 Hemoglobin; glycosylated (A1C) 11,462 10,497 $47K
96375 Therapeutic injection; each additional sequential IV push 37,109 27,995 $47K
86780 5,817 5,082 $46K
99281 Emergency department visit for the evaluation and management, self-limited or minor 443 390 $45K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 18,445 16,529 $44K
72141 299 274 $44K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 233 196 $44K
85027 15,984 13,353 $43K
94727 691 633 $43K
88307 557 378 $42K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 617 263 $40K
90715 2,682 2,281 $39K
76536 371 329 $39K
87086 Culture, bacterial; quantitative colony count, urine 23,263 20,397 $38K
97163 1,071 884 $38K
90853 Group psychotherapy (other than of a multiple-family group) 616 52 $38K
70486 563 480 $38K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,343 637 $37K
12001 265 221 $37K
P9016 Red blood cells, leukocytes reduced, each unit 181 116 $37K
J2506 Injection, pegfilgrastim, excludes biosimilar, 0.5 mg 63 38 $37K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 870 822 $37K
82728 7,256 6,353 $37K
99215 Prolong outpt/office vis 282 275 $36K
84702 3,671 2,362 $36K
94729 690 632 $36K
97116 1,641 871 $36K
86901 12,250 10,719 $36K
72100 2,358 2,004 $36K
90686 2,051 1,938 $36K
97162 886 744 $35K
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) 233 134 $35K
83735 13,760 8,927 $32K
77386 151 14 $32K
81025 53,451 47,471 $31K
83540 8,173 7,229 $30K
76830 Ultrasound, transvaginal 785 685 $29K
80320 2,749 2,172 $28K
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 3,580 3,334 $28K
96416 532 309 $27K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 7,159 6,664 $27K
Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units 314 128 $27K
77336 224 82 $25K
72125 Computed tomography, cervical spine; without contrast material 1,470 1,244 $24K
97167 692 544 $23K
80069 1,745 1,181 $23K
86762 4,057 3,792 $23K
82525 1,536 1,409 $21K
81001 43,734 38,172 $21K
82746 3,283 2,940 $20K
11045 74 38 $20K
73560 1,955 1,549 $19K
77334 62 42 $19K
73630 1,942 1,606 $19K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk 38 26 $18K
84439 1,553 1,334 $18K
73030 1,705 1,415 $18K
12002 126 113 $18K
96523 416 259 $17K
S9470 Nutritional counseling, dietitian visit 189 142 $17K
96376 4,793 2,237 $16K
83550 6,636 5,804 $16K
72040 1,005 848 $16K
81002 33,812 23,570 $16K
74183 72 59 $16K
76775 177 163 $16K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 3,195 3,039 $15K
87510 537 516 $15K
77062 405 367 $15K
82570 3,779 3,158 $15K
J1453 Injection, fosaprepitant, 1 mg 975 586 $15K
73130 1,446 1,225 $15K
84425 1,523 1,443 $15K
73610 1,503 1,287 $15K
12011 92 86 $14K
J7030 Infusion, normal saline solution , 1000 cc 13,492 7,859 $14K
74018 506 425 $14K
83880 4,440 3,522 $13K
J0640 Injection, leucovorin calcium, per 50 mg 768 381 $13K
84630 1,532 1,415 $13K
86140 2,961 2,318 $13K
88185 197 74 $13K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 9,017 3,709 $12K
96368 1,041 562 $12K
97535 Self-care/home management training, each 15 minutes 644 403 $12K
87340 1,634 1,456 $12K
93325 131 111 $11K
85610 6,201 4,709 $11K
93880 163 140 $11K
62323 30 27 $11K
J3490 Unclassified drugs 6,666 2,729 $11K
84590 1,431 1,348 $11K
J2997 Injection, alteplase recombinant, 1 mg 91 70 $11K
77300 22 12 $11K
20610 88 67 $11K
64493 21 13 $10K
36591 480 361 $10K
84144 500 392 $10K
82951 457 417 $10K
88305 Level IV - Surgical pathology, gross and microscopic examination 4,328 3,119 $10K
82565 3,147 2,555 $10K
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 1,519 1,305 $10K
82962 9,238 5,193 $9K
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 740 658 $9K
86481 490 449 $9K
95816 49 41 $9K
93976 77 56 $9K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 24 13 $9K
73502 921 773 $9K
83690 22,855 19,192 $9K
72070 531 452 $9K
87522 Neg quan hep c or qual rna 468 406 $9K
87653 849 777 $8K
77080 123 108 $8K
77065 Tomosynthesis, mammo 397 347 $8K
36593 90 70 $8K
73110 922 759 $8K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,904 1,845 $8K
87660 551 529 $8K
82950 2,841 2,683 $8K
97802 88 78 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,968 2,477 $8K
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 6,958 6,119 $7K
88341 148 108 $7K
95811 13 13 $7K
J2791 Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu 104 101 $6K
J1726 Injection, hydroxyprogesterone caproate, (makena), 10 mg 13 12 $6K
77066 Tomosynthesis, mammo 468 420 $6K
97166 156 104 $6K
82952 455 415 $6K
91322 226 203 $6K
84156 3,116 2,450 $6K
73562 467 381 $6K
81003 17,994 16,335 $6K
72131 69 67 $5K
84100 1,860 1,317 $5K
88184 137 74 $5K
97014 197 56 $5K
80349 299 274 $5K
86038 426 369 $5K
93925 40 38 $5K
87210 6,503 5,546 $5K
84550 3,351 2,589 $5K
90832 Psychotherapy, 30 minutes with patient 74 26 $5K
84153 781 688 $5K
83615 4,265 3,197 $5K
71100 494 416 $5K
92558 86 80 $4K
83605 4,123 2,999 $4K
82784 1,279 851 $4K
73070 563 466 $4K
73140 401 326 $4K
73221 17 12 $4K
77061 129 115 $4K
85652 1,699 1,357 $4K
80348 205 176 $4K
J9045 Injection, carboplatin, 50 mg 634 295 $4K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 12,011 9,912 $4K
82533 239 189 $4K
82247 2,373 1,837 $4K
83883 1,003 592 $4K
82043 1,255 1,124 $4K
83020 346 304 $4K
G0008 Administration of influenza virus vaccine 2,288 2,176 $3K
82664 308 248 $3K
87040 2,076 1,385 $3K
90656 395 392 $3K
87077 2,968 2,297 $3K
83516 335 213 $3K
82550 996 740 $3K
87070 2,889 2,378 $3K
J3489 Injection, zoledronic acid, 1 mg 246 202 $3K
76819 Fetal biophysical profile; without non-stress testing 148 104 $3K
72110 61 55 $3K
86431 289 264 $3K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 1,217 1,127 $3K
86923 101 67 $3K
J2800 Injection, methocarbamol, up to 10 ml 1,053 715 $3K
J7050 Infusion, normal saline solution, 250 cc 17,244 7,115 $3K
84450 2,479 1,935 $3K
90480 224 202 $3K
84460 2,469 1,922 $3K
76700 Ultrasound, abdominal, real time with image documentation; complete 15 14 $3K
29515 609 527 $3K
73590 388 302 $3K
80074 367 324 $3K
87186 2,745 2,178 $3K
83001 164 136 $3K
85730 4,007 3,149 $2K
88342 653 501 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg 30,172 21,363 $2K
85045 2,091 1,683 $2K
73700 33 25 $2K
86706 269 232 $2K
84165 672 533 $2K
97597 20 14 $2K
96402 303 245 $2K
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 4,574 3,113 $2K
84520 1,834 1,419 $2K
29125 415 348 $2K
J1650 Injection, enoxaparin sodium, 10 mg 2,303 881 $2K
87536 123 101 $2K
90837 Psychotherapy, 53 minutes with patient 18 12 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 15 12 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg 5,786 4,104 $2K
85379 1,957 1,589 $2K
97803 18 14 $2K
J9263 Injection, oxaliplatin, 0.5 mg 238 119 $2K
83525 73 65 $2K
84403 143 134 $2K
74019 164 123 $2K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 108 91 $2K
84145 708 539 $1K
82803 1,923 1,478 $1K
84146 101 86 $1K
93225 15 14 $1K
88304 615 446 $1K
00840 114 80 $1K
88360 17 13 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 14,983 11,974 $1K
86304 252 186 $1K
86870 49 39 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 9,905 6,107 $1K
J7120 Ringers lactate infusion, up to 1000 cc 6,877 4,672 $1K
97161 60 57 $1K
87480 537 516 $1K
87430 2,328 1,913 $987.61
A9575 Injection, gadoterate meglumine, 0.1 ml 1,486 1,279 $966.54
87205 950 797 $954.35
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,454 917 $953.52
J1170 Injection, hydromorphone, up to 4 mg 3,219 1,822 $938.73
C9113 Injection, pantoprazole sodium, per vial 858 375 $928.45
J2704 Injection, propofol, 10 mg 9,934 5,018 $925.08
86200 104 97 $921.63
87088 931 737 $910.51
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 30 30 $899.25
73090 118 93 $847.87
93242 14 13 $839.35
86920 25 15 $808.93
87493 32 24 $796.24
J1644 Injection, heparin sodium, per 1000 units 2,746 1,151 $792.72
85018 329 170 $783.56
Q0114 Fern test 744 637 $778.59
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 1,757 811 $770.49
82105 96 70 $738.25
76937 19 13 $717.00
92523 12 12 $709.94
80358 72 53 $693.11
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,890 1,784 $686.23
92567 112 107 $683.81
80306 358 328 $668.85
82378 402 284 $651.45
86704 81 74 $641.02
85014 399 246 $600.81
86235 61 42 $579.21
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 92 78 $535.40
82627 14 12 $508.47
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg 207 170 $506.57
86361 59 54 $499.55
J0360 Injection, hydralazine hcl, up to 20 mg 629 398 $492.27
J1953 Injection, levetiracetam, 10 mg 75 51 $491.91
84402 30 28 $488.44
92582 16 16 $476.26
J3370 Injection, vancomycin hcl, 500 mg 616 396 $440.88
J2360 Injection, orphenadrine citrate, up to 60 mg 1,108 849 $438.43
83010 218 173 $416.36
J2550 Injection, promethazine hcl, up to 50 mg 3,369 1,969 $415.95
82010 721 541 $414.45
86160 71 66 $387.57
J3475 Injection, magnesium sulfate, per 500 mg 1,528 824 $381.42
87481 45 44 $379.54
82947 58 54 $367.02
J0690 Injection, cefazolin sodium, 500 mg 2,522 1,625 $359.22
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,404 1,205 $347.34
86161 40 38 $345.45
J0500 Injection, dicyclomine hcl, up to 20 mg 58 42 $339.72
G0009 Administration of pneumococcal vaccine 449 399 $317.19
97750 13 13 $293.42
90678 55 54 $288.35
J3010 Injection, fentanyl citrate, 0.1 mg 4,784 3,396 $278.38
J1940 Injection, furosemide, up to 20 mg 885 393 $277.71
J2270 Injection, morphine sulfate, up to 10 mg 1,964 1,727 $276.44
82670 25 25 $275.85
86593 161 119 $272.54
82140 149 125 $270.12
84703 149 110 $267.59
80329 220 163 $267.10
82150 245 188 $262.62
88720 29 29 $256.99
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 260 255 $250.93
84270 14 12 $230.26
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 45 44 $229.80
36416 1,101 1,081 $227.61
0124A 61 51 $225.96
86698 46 39 $215.85
J1815 Injection, insulin, per 5 units 670 267 $210.10
29240 16 12 $198.73
J0780 Injection, prochlorperazine, up to 10 mg 1,152 881 $195.60
82985 52 46 $186.74
86225 32 30 $173.82
87015 124 99 $172.44
J3480 Injection, potassium chloride, per 2 meq 1,458 764 $168.80
C1889 Implantable/insertable device, not otherwise classified 197 161 $167.87
86364 12 12 $163.04
83921 86 85 $151.86
J2765 Injection, metoclopramide hcl, up to 10 mg 1,892 1,305 $149.33
86376 12 12 $141.62
J1200 Injection, diphenhydramine hcl, up to 50 mg 5,292 3,324 $134.21
83090 45 45 $133.25
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml 2,174 1,980 $132.74
84132 53 43 $132.45
86147 14 12 $130.45
85612 28 26 $128.27
J2919 Injection, methylprednisolone sodium succinate, 5 mg 705 512 $120.15
C1769 Guide wire 317 238 $118.25
86301 18 13 $111.04
82272 226 190 $107.37
72220 17 12 $105.50
90750 23 19 $101.79
J3411 Injection, thiamine hcl, 100 mg 781 418 $100.20
86146 14 12 $98.67
J1790 Injection, droperidol, up to 5 mg 1,138 818 $95.72
80143 322 247 $95.03
82248 36 26 $94.11
84481 12 12 $92.62
87081 90 86 $91.47
J0330 Injection, succinylcholine chloride, up to 20 mg 1,628 1,008 $85.17
81050 17 15 $84.60
J2250 Injection, midazolam hydrochloride, per 1 mg 3,891 2,709 $72.66
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 717 398 $72.10
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,861 1,210 $60.90
J2060 Injection, lorazepam, 2 mg 525 363 $58.76
90662 17 14 $57.24
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 294 238 $55.03
J7121 5% dextrose in lactated ringers infusion, up to 1000 cc 743 496 $54.41
87075 114 102 $46.49
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 105 72 $40.50
80164 14 14 $33.92
C1887 Catheter, guiding (may include infusion/perfusion capability) 72 51 $31.91
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 22 13 $27.66
94760 1,219 860 $27.60
86308 15 12 $24.29
87625 19 16 $20.17
J2470 Injection, pantoprazole sodium, 40 mg 179 124 $19.37
87102 42 38 $16.90
87206 42 38 $16.90
87116 42 38 $16.90
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 27 12 $14.42
J1171 Injection, hydromorphone, 0.1 mg 291 186 $14.22
96417 1,618 851 $12.46
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 120 91 $10.81
J1596 Injection, glycopyrrolate, 0.1 mg 607 537 $7.64
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 709 544 $5.30
J1836 Injection, metronidazole, 10 mg 36 27 $4.55
J1920 Injection, labetalol hydrochloride, 5 mg 89 79 $3.64
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 82 75 $1.58
91305 45 45 $0.35
J9190 Injection, fluorouracil, 500 mg 931 398 $0.00
H1000 Prenatal care, at-risk assessment 45 42 $0.00
96401 29 12 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 94 66 $0.00
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg 34 33 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 80 48 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 24 15 $0.00
93356 16 14 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 19 12 $0.00
92651 14 12 $0.00
00402 25 16 $0.00
C1729 Catheter, drainage 15 12 $0.00
J9267 Injection, paclitaxel, 1 mg 736 269 $0.00
J2785 Injection, regadenoson, 0.1 mg 207 164 $0.00
96411 473 266 $0.00
A4648 Tissue marker, implantable, any type, each 41 36 $0.00
64494 21 13 $0.00
94761 166 80 $0.00
29540 27 24 $0.00
J0173 Injection, epinephrine (belcher), not therapeutically equivalent to j0171, 0.1 mg 12 12 $0.00
00160 13 12 $0.00
51798 23 12 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 25 14 $0.00
00790 18 12 $0.00