Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › BINGHAMTON › UNITED HEALTH SERVICES HOSPITALS, INC.

UNITED HEALTH SERVICES HOSPITALS, INC.

NPI: 1518998699 · BINGHAMTON, NY 13903 · General Acute Care Hospital · NPI assigned 07/06/2006

$163.20M
Total Medicaid Paid
2,757,807
Total Claims
2,226,105
Beneficiaries
661
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialOBRIEN, KATHLEEN (DIRECTOR OF THIRD PARTY REIMBURSEME)
Parent OrganizationUNITED HEALTH SERVICES INC
NPI Enumeration Date07/06/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 26,052 $756K
2019 143,054 $6.96M
2020 401,418 $22.65M
2021 539,645 $30.47M
2022 571,789 $33.36M
2023 605,108 $37.32M
2024 470,741 $31.69M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 230,686 203,467 $25.93M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 140,567 126,278 $15.79M
90791 Psychiatric diagnostic evaluation 10,591 9,649 $6.45M
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 182,040 11,690 $4.99M
96361 Intravenous infusion, hydration; each additional hour 18,739 15,620 $4.53M
99284 Emergency department visit for the evaluation and management, high severity 28,774 27,064 $4.33M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 26,551 24,421 $4.12M
99283 Emergency department visit for the evaluation and management, moderate severity 23,074 21,142 $3.63M
G2067 Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) 15,785 4,590 $3.29M
90832 Psychotherapy, 30 minutes with patient 26,044 17,894 $2.89M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 52,397 16,408 $2.72M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 23,546 23,353 $2.70M
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 35,485 32,935 $2.68M
74177 Computed tomography, abdomen and pelvis; with contrast material 7,748 7,491 $2.63M
80053 Comprehensive metabolic panel 117,321 101,069 $2.45M
70450 Computed tomography, head or brain; without contrast material 7,820 7,545 $2.33M
G9005 Coordinated care fee, risk adjusted maintenance 7,239 7,239 $2.07M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,766 2,761 $2.03M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 12,938 9,610 $1.95M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 15,957 15,319 $1.82M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 14,747 14,742 $1.67M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 14,112 13,306 $1.64M
59025 Fetal non-stress test 10,228 4,773 $1.60M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13,404 13,275 $1.56M
90834 Psychotherapy, 45 minutes with patient 11,372 7,597 $1.54M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12,766 12,724 $1.50M
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 12,259 12,157 $1.41M
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 29,096 26,279 $1.25M
74176 Computed tomography, abdomen and pelvis; without contrast material 3,642 3,557 $1.21M
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 10,219 10,111 $1.17M
H0005 Alcohol and/or drug services; group counseling by a clinician 19,023 4,868 $1.17M
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,381 1,380 $1.07M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 8,926 8,907 $1.05M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 23,190 19,691 $1.03M
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 4,590 4,195 $921K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 34,618 11,869 $890K
99282 Emergency department visit for the evaluation and management, low to moderate severity 5,763 5,564 $890K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 18,966 17,771 $855K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 18,870 6,097 $838K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,792 2,786 $792K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1,084 1,082 $773K
H0001 Alcohol and/or drug assessment 4,931 4,029 $747K
71275 Computed tomographic angiography, chest, with contrast material 2,041 1,994 $724K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 5,250 5,017 $697K
H0004 Behavioral health counseling and therapy, per 15 minutes 13,827 7,913 $678K
99215 Prolong outpt/office vis 5,771 5,624 $662K
J9271 Injection, pembrolizumab, 1 mg 76 62 $641K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 20,101 19,739 $641K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 5,380 5,144 $628K
97161 6,670 6,566 $618K
99281 Emergency department visit for the evaluation and management, self-limited or minor 3,912 3,767 $589K
20610 2,209 2,166 $542K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 3,452 2,443 $498K
93970 1,069 1,055 $494K
90853 Group psychotherapy (other than of a multiple-family group) 6,517 1,471 $492K
12001 1,109 1,093 $473K
90686 21,637 21,362 $456K
76770 1,674 1,653 $442K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 20,112 19,753 $425K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 3,296 2,165 $422K
S9480 Intensive outpatient psychiatric services, per diem 3,612 693 $413K
80061 Lipid panel 27,723 27,639 $408K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 26,634 21,247 $407K
77067 Screening mammography, bilateral, including computer-aided detection 5,293 5,286 $400K
97530 Therapeutic activities, direct patient contact, each 15 minutes 13,645 4,732 $400K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 3,423 3,408 $395K
88305 Level IV - Surgical pathology, gross and microscopic examination 8,439 7,968 $385K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 13,493 13,473 $381K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 427 425 $381K
84443 Thyroid stimulating hormone (TSH) 34,498 33,898 $378K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 13,209 13,170 $378K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 5,406 4,325 $373K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,761 2,760 $366K
76830 Ultrasound, transvaginal 5,072 5,023 $356K
17110 1,350 1,264 $348K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 6,217 5,622 $340K
86900 9,731 9,213 $336K
87631 5,006 4,892 $326K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 677 586 $325K
H0037 Community psychiatric supportive treatment program, per diem 297 263 $321K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 3,220 2,639 $311K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 7,955 5,901 $303K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 5,348 4,864 $280K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,140 1,131 $276K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 12,008 11,860 $276K
96415 780 628 $272K
76700 Ultrasound, abdominal, real time with image documentation; complete 1,417 1,414 $270K
90715 9,499 9,485 $246K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 8,268 8,246 $243K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 82,516 70,684 $223K
90837 Psychotherapy, 53 minutes with patient 1,716 1,171 $219K
72131 977 966 $217K
76819 Fetal biophysical profile; without non-stress testing 3,051 1,572 $216K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 767 767 $212K
36415 Collection of venous blood by venipuncture 42,923 33,819 $208K
95810 Polysomnography; sleep staging with 4 or more additional parameters 294 294 $207K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 551 548 $202K
90648 10,242 10,237 $202K
90750 1,415 1,414 $199K
90651 4,620 4,605 $198K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 9,734 9,043 $196K
86850 9,349 8,955 $194K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,971 2,923 $192K
99385 1,617 1,612 $187K
80048 Basic metabolic panel (calcium, ionized) 11,507 10,346 $180K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 2,790 2,734 $177K
70551 Magnetic resonance imaging, brain; without contrast material 603 601 $173K
90723 8,342 8,338 $168K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2,301 2,299 $164K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 4,460 3,920 $163K
20611 374 364 $157K
92567 2,256 2,255 $155K
87486 3,673 3,597 $149K
90680 7,407 7,405 $149K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 526 515 $147K
70491 529 523 $145K
64493 207 200 $145K
86480 2,520 2,511 $144K
86901 9,775 9,229 $135K
83036 Hemoglobin; glycosylated (A1C) 20,895 18,979 $132K
90670 6,764 6,758 $129K
G0382 Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 834 717 $129K
99381 1,110 1,101 $128K
84702 13,660 11,778 $127K
12011 282 280 $126K
J3490 Unclassified drugs 2,374 2,359 $124K
99205 Prolong outpt/office vis 1,065 1,060 $123K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,654 1,639 $123K
83880 3,611 3,406 $122K
G0482 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; 15-21 drug class(es), including metabolite(s) if performed 691 611 $122K
90734 5,554 5,549 $122K
42820 Tonsillectomy and adenoidectomy; younger than age 12 71 71 $119K
G0378 Hospital observation service, per hour 3,333 2,544 $118K
J1050 Injection, medroxyprogesterone acetate, 1 mg 3,263 3,261 $117K
90633 5,905 5,904 $117K
D7140 Extraction, erupted tooth or exposed root 1,842 1,204 $116K
90677 3,303 3,302 $116K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 8,689 8,643 $115K
97165 1,375 1,362 $115K
G0381 Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 725 648 $115K
87536 1,364 1,353 $113K
93971 1,463 1,427 $112K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 247 145 $111K
71046 Radiologic examination, chest; 2 views 9,258 9,014 $111K
J3380 Injection, vedolizumab, intravenous, 1 mg 26 26 $110K
96367 1,860 1,567 $105K
96375 Therapeutic injection; each additional sequential IV push 12,243 8,326 $104K
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 5,424 4,862 $103K
76641 1,799 1,795 $103K
H0033 Oral medication administration, direct observation 3,923 388 $103K
D1110 Prophylaxis - adult 1,997 1,533 $101K
97162 834 828 $101K
77066 Tomosynthesis, mammo 1,205 1,201 $101K
84439 13,578 13,427 $101K
73221 365 360 $98K
76536 1,872 1,865 $98K
81003 58,280 46,727 $98K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 5,311 1,819 $97K
71250 1,168 1,157 $97K
51798 332 318 $97K
76942 483 478 $96K
76820 2,471 1,080 $94K
99383 794 791 $94K
72125 Computed tomography, cervical spine; without contrast material 2,286 2,235 $93K
J0592 Injection, buprenorphine hydrochloride, 0.1 mg 6,011 266 $93K
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 401 399 $93K
92557 1,551 1,551 $92K
72141 356 356 $92K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 20,038 18,150 $91K
88342 1,540 1,479 $90K
87522 Neg quan hep c or qual rna 2,253 2,222 $89K
77065 Tomosynthesis, mammo 1,014 973 $88K
12002 191 189 $87K
83655 6,929 6,881 $86K
99386 739 738 $86K
93880 261 261 $82K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 46 46 $82K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 8,721 7,813 $80K
87581 3,675 3,597 $80K
97116 2,451 1,050 $79K
93017 912 909 $78K
85610 19,698 17,727 $78K
87086 Culture, bacterial; quantitative colony count, urine 21,642 20,335 $77K
81025 16,881 15,920 $76K
70486 942 929 $75K
86803 8,263 8,227 $74K
77063 Screening digital breast tomosynthesis, bilateral 4,363 4,358 $74K
G2078 Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure 1,751 929 $72K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 97 97 $71K
Q5103 Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg 87 77 $71K
87390 2,856 2,827 $70K
87634 1,508 1,488 $67K
80329 928 697 $67K
58300 438 435 $67K
90792 Psychiatric diagnostic evaluation with medical services 402 402 $67K
20550 275 269 $65K
90710 3,195 3,194 $64K
83970 1,698 1,672 $63K
76642 1,258 1,253 $62K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 96 95 $61K
19083 37 36 $60K
90707 2,850 2,847 $59K
36416 3,973 2,752 $58K
90716 2,715 2,715 $57K
86360 1,353 1,333 $55K
90696 2,783 2,783 $55K
92587 795 794 $55K
58100 128 128 $54K
90700 2,703 2,700 $54K
88307 454 429 $53K
10060 180 173 $52K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 162 160 $52K
88304 1,319 1,298 $52K
99384 442 442 $52K
93225 495 495 $52K
94060 375 372 $51K
90656 2,533 2,400 $50K
J1726 Injection, hydroxyprogesterone caproate, (makena), 10 mg 96 37 $50K
D0140 Limited oral evaluation - problem focused 2,297 1,867 $49K
G0380 Level 1 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 280 237 $49K
87340 6,362 6,339 $49K
82607 4,815 4,794 $49K
73110 2,744 2,411 $49K
S9484 Crisis intervention mental health services, per hour 99 98 $48K
97535 Self-care/home management training, each 15 minutes 1,147 830 $48K
87070 14,151 13,854 $47K
29125 225 214 $47K
85027 12,404 12,000 $45K
84403 1,959 1,940 $45K
95816 253 251 $44K
41899 Unlisted procedure, dentoalveolar structures 45 45 $43K
S9485 Crisis intervention mental health services, per diem 30 28 $41K
82728 4,294 4,242 $41K
98968 366 231 $41K
82670 1,612 1,526 $40K
72100 1,258 1,236 $38K
86762 4,060 4,033 $37K
98967 324 160 $36K
C1763 Connective tissue, non-human (includes synthetic) 33 28 $36K
73630 3,503 3,310 $35K
87625 1,213 1,212 $34K
90671 1,609 1,608 $34K
86140 21,208 19,181 $34K
99382 299 297 $33K
84146 1,953 1,918 $32K
86592 8,506 8,465 $32K
82803 957 878 $32K
73564 2,094 2,034 $32K
57454 71 71 $32K
H0038 Self-help/peer services, per 15 minutes 851 594 $31K
72110 798 796 $31K
70498 84 84 $31K
84153 2,102 2,088 $31K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,263 4,497 $30K
86357 1,316 1,296 $30K
86359 1,314 1,294 $30K
76870 449 440 $30K
86355 1,313 1,293 $30K
71271 513 512 $29K
98966 244 192 $29K
84144 1,531 1,296 $28K
87529 679 585 $28K
73130 2,408 2,199 $28K
82570 6,462 6,299 $28K
G9001 Coordinated care fee, initial rate 373 373 $28K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,393 1,211 $28K
76801 358 351 $28K
83001 1,692 1,678 $27K
84402 1,197 1,186 $27K
77080 386 385 $27K
86618 2,636 2,606 $27K
D0330 Panoramic radiographic image 688 473 $27K
86787 4,439 4,414 $26K
73610 2,727 2,537 $26K
82043 5,523 5,463 $26K
97760 681 667 $25K
88341 528 482 $25K
97014 1,248 479 $24K
93458 14 14 $24K
58661 13 13 $24K
92526 214 107 $23K
73030 2,354 2,248 $23K
72040 926 918 $23K
71045 Radiologic examination, chest; single view 7,592 7,178 $23K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 9,661 9,502 $23K
85018 2,587 2,261 $22K
97035 1,527 656 $21K
81511 257 256 $21K
86003 644 512 $21K
82784 2,207 2,046 $21K
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 172 150 $21K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 125 125 $21K
87902 76 76 $20K
73502 1,328 1,299 $20K
86706 2,405 2,388 $19K
94726 361 361 $19K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 171 50 $19K
80361 1,016 932 $18K
83002 1,114 1,080 $18K
80076 1,546 1,516 $18K
80050 General health panel 440 429 $18K
87077 4,857 4,496 $18K
74018 1,165 1,129 $18K
86580 1,930 1,695 $18K
64483 24 24 $17K
90620 639 637 $17K
11102 40 40 $17K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 273 263 $17K
H2011 Crisis intervention service, per 15 minutes 111 96 $17K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 329 325 $17K
11981 69 68 $17K
83550 3,446 3,400 $17K
93226 311 311 $16K
73140 1,410 1,301 $16K
80069 1,450 1,414 $16K
86039 2,844 2,828 $16K
86160 1,075 973 $16K
58301 117 117 $16K
87186 4,726 4,344 $16K
83540 3,855 3,801 $16K
11721 358 329 $16K
80320 1,704 1,552 $16K
82950 2,970 2,967 $15K
87081 4,280 4,226 $15K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 233 231 $15K
69210 149 148 $15K
0001A 381 381 $15K
90460 Immunization administration through 18 years of age via any route, first or only component 1,175 1,166 $15K
52000 12 12 $15K
G0483 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; 22 or more drug class(es), including metabolite(s) if performed 68 68 $15K
43248 31 31 $14K
86703 1,199 1,196 $14K
87205 8,866 8,669 $14K
0002A 347 341 $14K
82746 1,392 1,385 $14K
77336 53 27 $14K
72082 293 293 $14K
99442 136 132 $14K
86235 1,026 634 $13K
84480 1,796 1,774 $13K
85652 8,799 8,395 $13K
83735 9,614 8,205 $13K
85730 9,609 9,047 $13K
0071A 335 333 $13K
51702 38 37 $13K
73560 1,041 977 $13K
86376 1,102 1,094 $12K
0012A 375 375 $12K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 6,232 5,963 $12K
11104 25 25 $12K
82105 1,365 1,351 $12K
83021 1,086 1,079 $12K
11750 26 24 $12K
36600 411 389 $12K
93242 134 133 $12K
90732 299 299 $12K
96127 3,979 3,894 $12K
0225U 677 658 $11K
0072A 290 290 $11K
D0120 Periodic oral evaluation - established patient 409 407 $11K
0011A 433 432 $11K
D0220 Intraoral - periapical first radiographic image 815 808 $11K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 350 347 $11K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 71 70 $10K
90682 416 416 $10K
86765 981 979 $10K
99050 1,151 1,145 $10K
92579 162 162 $9K
73590 765 688 $9K
74183 25 25 $9K
36430 37 26 $9K
75574 67 67 $9K
97802 219 219 $9K
91322 285 284 $9K
64635 14 13 $9K
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter 153 149 $8K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,040 969 $8K
73090 506 430 $8K
D1120 Prophylaxis - child 194 182 $8K
83020 1,087 1,079 $8K
86364 1,079 1,075 $8K
86431 1,765 1,754 $8K
A9573 Injection, gadopiclenol, 1 ml 381 377 $7K
86800 637 630 $7K
84481 700 698 $7K
90739 150 150 $7K
86735 815 812 $7K
80159 544 479 $7K
86665 275 255 $6K
86666 547 523 $6K
73080 612 557 $6K
P9016 Red blood cells, leukocytes reduced, each unit 18 13 $6K
84550 2,224 1,970 $6K
87040 3,185 2,627 $6K
82533 921 885 $6K
82248 1,404 1,336 $6K
97016 340 127 $6K
94729 362 362 $6K
80164 488 456 $6K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,703 1,353 $6K
83690 10,935 10,096 $6K
86704 703 701 $6K
80178 891 836 $6K
86708 638 635 $6K
74019 290 288 $5K
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 213 213 $5K
93798 188 41 $5K
73562 600 590 $5K
88185 44 42 $5K
76825 26 26 $5K
99051 595 590 $5K
83615 1,684 1,477 $5K
82627 248 246 $5K
86753 449 445 $5K
0003A 138 138 $5K
90714 178 177 $5K
84100 1,649 1,475 $5K
90678 75 75 $5K
86696 422 415 $5K
82962 7,108 5,062 $5K
82550 6,579 5,804 $4K
76882 79 78 $4K
J2785 Injection, regadenoson, 0.1 mg 69 69 $4K
80358 857 807 $4K
83721 858 850 $4K
91200 64 64 $4K
J0574 Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine 604 77 $4K
95886 63 61 $4K
86617 371 200 $4K
74174 12 12 $4K
J2469 Injection, palonosetron hcl, 25 mcg 493 285 $4K
99233 Prolong inpt eval add15 m 34 12 $4K
0064A 101 101 $4K
84484 10,379 8,730 $4K
85014 1,691 1,575 $4K
86225 622 619 $4K
84156 1,439 1,337 $4K
92588 63 63 $4K
87147 2,405 2,300 $4K
99441 58 54 $4K
82565 1,002 950 $4K
84436 1,282 1,176 $4K
83516 629 550 $4K
31575 47 47 $4K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 2,527 2,411 $4K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 713 581 $4K
82150 3,415 3,300 $3K
97803 101 99 $3K
80365 548 440 $3K
87806 183 183 $3K
29405 14 14 $3K
99443 49 48 $3K
86709 488 486 $3K
0051A 87 85 $3K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 214 210 $3K
G0476 Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test 99 98 $3K
87506 28 28 $3K
A9575 Injection, gadoterate meglumine, 0.1 ml 274 274 $3K
90480 281 280 $3K
80362 255 232 $3K
80350 253 225 $3K
85379 2,987 2,872 $3K
88108 43 43 $3K
99232 Subsequent hospital care, per day, moderate complexity 39 15 $3K
72128 13 13 $3K
81596 44 44 $3K
29515 12 12 $3K
73700 13 13 $2K
84112 55 50 $2K
86664 216 215 $2K
90713 111 110 $2K
80356 476 434 $2K
82947 372 366 $2K
80346 472 430 $2K
90381 89 89 $2K
80348 455 413 $2K
82247 582 412 $2K
G0008 Administration of influenza virus vaccine 245 243 $2K
80353 477 435 $2K
86920 39 38 $2K
90694 185 184 $2K
0031A 58 58 $2K
D1208 Topical application of fluoride, excluding varnish 150 150 $2K
90380 80 80 $2K
74178 12 12 $2K
J0185 Injection, aprepitant, 1 mg 18 12 $2K
87468 83 82 $2K
87484 83 82 $2K
87469 81 79 $2K
99239 Hospital discharge day management, more than 30 minutes 16 16 $2K
86769 49 49 $2K
88184 27 26 $2K
90744 80 80 $2K
99401 38 38 $2K
D0274 Bitewings - four radiographic images 44 44 $2K
94799 27 24 $2K
83993 126 125 $2K
95909 13 13 $2K
84520 461 443 $1K
73620 176 165 $1K
99454 14 14 $1K
97010 114 54 $1K
91321 56 56 $1K
82553 40 40 $1K
86308 961 956 $1K
85576 63 62 $1K
83525 125 124 $1K
96411 58 37 $1K
86870 14 12 $1K
82951 126 126 $1K
90636 19 19 $1K
80325 237 217 $1K
80306 148 132 $1K
72072 51 51 $1K
80349 232 210 $1K
Q9950 Injection, sulfur hexafluoride lipid microspheres, per ml 56 56 $1K
99406 25 25 $1K
72050 51 51 $1K
73120 78 77 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg 2,689 1,904 $942.03
90679 24 24 $917.82
J7030 Infusion, normal saline solution , 1000 cc 15,064 12,161 $917.58
J3370 Injection, vancomycin hcl, 500 mg 687 436 $917.22
86923 12 12 $907.32
90685 52 52 $900.00
83605 3,136 2,750 $881.43
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 409 286 $836.18
99152 131 131 $807.92
72170 114 114 $789.61
87478 33 32 $745.11
96376 2,632 1,711 $734.79
70496 13 13 $703.64
87210 832 819 $696.59
96523 16 12 $694.44
72114 27 27 $690.37
87476 32 32 $676.68
J3475 Injection, magnesium sulfate, per 500 mg 1,757 1,436 $668.93
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 2,004 1,707 $667.74
86705 92 90 $637.31
86200 88 87 $565.39
80324 111 102 $563.97
A9585 Injection, gadobutrol, 0.1 ml 77 76 $560.29
84165 79 76 $546.12
Q9957 Injection, perflutren lipid microspheres, per ml 27 27 $542.07
73000 27 25 $541.20
J7120 Ringers lactate infusion, up to 1000 cc 7,772 7,074 $525.38
96417 159 106 $522.02
92555 15 15 $500.80
80345 77 65 $476.32
J7050 Infusion, normal saline solution, 250 cc 6,572 4,362 $474.78
82378 82 63 $461.32
80323 88 77 $459.94
94760 389 357 $459.86
86255 66 65 $428.72
73660 12 12 $404.38
73521 13 13 $391.88
94664 241 219 $369.10
D1206 Topical application of fluoride varnish 12 12 $360.00
90632 12 12 $331.08
J2360 Injection, orphenadrine citrate, up to 60 mg 900 791 $328.72
86780 27 27 $327.65
J1885 Injection, ketorolac tromethamine, per 15 mg 9,657 8,628 $326.76
99000 17 17 $321.64
80354 30 24 $312.06
J2310 Injection, naloxone hydrochloride, per 1 mg 13 12 $309.94
73070 15 13 $297.68
C1769 Guide wire 658 644 $279.54
J2405 Injection, ondansetron hydrochloride, per 1 mg 10,278 8,973 $279.22
C9290 Injection, bupivacaine liposome, 1 mg 536 532 $272.29
83521 21 12 $241.47
80359 43 42 $218.45
J1100 Injection, dexamethasone sodium phosphate, 1 mg 7,010 5,958 $216.00
82785 16 16 $208.98
84155 98 96 $206.50
85045 84 79 $199.69
J1200 Injection, diphenhydramine hcl, up to 50 mg 3,145 2,516 $194.32
76376 183 159 $171.36
88302 28 27 $170.89
J0690 Injection, cefazolin sodium, 500 mg 4,056 3,299 $167.72
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,549 1,510 $165.94
82140 65 63 $160.71
98940 628 353 $160.33
86141 14 14 $156.09
J3486 Injection, ziprasidone mesylate, 10 mg 306 242 $153.42
90662 17 17 $153.01
Q3014 Telehealth originating site facility fee 28 28 $152.55
J2704 Injection, propofol, 10 mg 6,020 5,833 $147.16
80177 27 27 $141.16
76827 15 15 $136.80
83527 13 13 $128.40
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 463 244 $125.34
94010 14 14 $125.31
71101 13 12 $124.07
87329 16 15 $120.16
J3010 Injection, fentanyl citrate, 0.1 mg 10,406 9,564 $120.01
86695 39 38 $116.71
J7060 5% dextrose/water (500 ml = 1 unit) 1,287 927 $107.85
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 139 136 $103.31
90472 Immunization administration, each additional vaccine (list separately) 932 929 $99.37
J1644 Injection, heparin sodium, per 1000 units 2,406 1,251 $95.65
J2250 Injection, midazolam hydrochloride, per 1 mg 7,963 7,780 $80.13
C9113 Injection, pantoprazole sodium, per vial 461 300 $78.43
85300 12 12 $78.29
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 380 327 $74.58
J1650 Injection, enoxaparin sodium, 10 mg 1,050 691 $73.51
82952 30 30 $71.50
89055 29 29 $70.03
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 125 107 $53.72
82977 14 14 $45.18
J1040 Injection, methylprednisolone acetate, 80 mg 392 389 $44.27
J1815 Injection, insulin, per 5 units 806 381 $38.61
73060 12 12 $37.15
J1170 Injection, hydromorphone, up to 4 mg 1,495 1,249 $32.78
J0330 Injection, succinylcholine chloride, up to 20 mg 280 235 $32.35
84145 108 102 $29.22
73600 12 12 $28.37
J2765 Injection, metoclopramide hcl, up to 10 mg 1,791 1,512 $27.25
J2270 Injection, morphine sulfate, up to 10 mg 1,146 948 $20.23
J2060 Injection, lorazepam, 2 mg 1,809 1,428 $19.79
J2919 Injection, methylprednisolone sodium succinate, 5 mg 219 183 $14.58
J0171 Injection, adrenalin, epinephrine, 0.1 mg 39 39 $10.81
J3480 Injection, potassium chloride, per 2 meq 59 37 $8.91
J2370 Injection, phenylephrine hcl, up to 1 ml 270 269 $8.89
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 627 512 $8.47
84075 15 15 $7.59
88300 24 24 $6.54
84460 13 13 $6.32
C1889 Implantable/insertable device, not otherwise classified 836 835 $5.31
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg 13 13 $5.26
J2470 Injection, pantoprazole sodium, 40 mg 34 26 $5.19
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 829 704 $4.43
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 415 390 $4.25
82040 15 15 $2.46
J2800 Injection, methocarbamol, up to 10 ml 31 28 $2.45
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 207 198 $1.82
J1630 Injection, haloperidol, up to 5 mg 65 53 $1.39
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 14 12 $0.74
J2795 Injection, ropivacaine hydrochloride, 1 mg 101 101 $0.63
3008F 66 66 $0.63
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg 29 29 $0.62
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 199 165 $0.48
S0077 Injection, clindamycin phosphate, 300 mg 57 51 $0.24
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 43 42 $0.19
A4649 Surgical supply; miscellaneous 922 847 $0.15
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 239 237 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 343 277 $0.00
J1171 Injection, hydromorphone, 0.1 mg 51 42 $0.00
E0114 Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips 15 15 $0.00
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 162 156 $0.00
J0137 Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg 15 15 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 53 39 $0.00
99231 Subsequent hospital care, per day, straightforward or low complexity 48 12 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 16 16 $0.00
A4364 Adhesive, liquid or equal, any type, per oz 163 163 $0.00
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 29 26 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 18 14 $0.00
95806 15 14 $0.00
99496 14 13 $0.00
99417 Prolong home eval add 15m 50 49 $0.00
J8540 Dexamethasone, oral, 0.25 mg 18 15 $0.00
J1836 Injection, metronidazole, 10 mg 17 12 $0.00