Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › CINCINNATI › CHILDREN'S HOSPITAL MEDICAL CENTER

CHILDREN'S HOSPITAL MEDICAL CENTER

NPI: 1548212988 · CINCINNATI, OH 45229 · Primary Care Clinic/Center · NPI assigned 05/16/2006

$386.70M
Total Medicaid Paid
5,296,668
Total Claims
4,360,064
Beneficiaries
918
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBROOMALL, JODIANNE (SR DIRECTOR BILLING & CODING SERV)
NPI Enumeration Date05/16/2006

Related Entities

Other providers sharing the same authorized official: BROOMALL, JODIANNE

ProviderCityStateTotal Paid
CHILDREN'S HOSPITAL MEDICAL CENTER CINCINNATI OH $56.97M
CHILDREN'S HOSPITAL MEDICAL CENTER CINCINNATI OH $51.16M
CHILDREN'S HOSPITAL MEDICAL CENTER CINCINNATI OH $19.19M
CHILDREN'S HOSPITAL MEDICAL CENTER CINCINNATI OH $17K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 465,439 $32.17M
2019 472,857 $34.21M
2020 380,682 $31.38M
2021 567,030 $39.38M
2022 727,968 $49.75M
2023 1,481,462 $106.04M
2024 1,201,230 $93.77M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 573,206 521,812 $61.84M
99283 Emergency department visit for the evaluation and management, moderate severity 140,047 130,395 $20.13M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 163,466 155,859 $17.42M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 141,939 127,299 $14.91M
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 9,913 8,472 $11.19M
96127 94,705 89,836 $11.01M
96110 Developmental screening, with scoring and documentation, per standardized instrument 43,712 41,484 $10.90M
90834 Psychotherapy, 45 minutes with patient 64,613 35,367 $8.15M
97530 Therapeutic activities, direct patient contact, each 15 minutes 102,911 39,797 $7.32M
99282 Emergency department visit for the evaluation and management, low to moderate severity 46,542 43,723 $6.26M
99284 Emergency department visit for the evaluation and management, high severity 35,219 31,941 $6.06M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 50,097 47,820 $5.97M
90791 Psychiatric diagnostic evaluation 22,350 19,273 $5.89M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 76,417 34,633 $5.88M
42820 Tonsillectomy and adenoidectomy; younger than age 12 5,082 4,333 $5.69M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 62,883 28,379 $5.67M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 47,517 44,436 $5.41M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 45,667 43,800 $5.39M
99215 Prolong outpt/office vis 51,303 45,976 $5.36M
H2020 Therapeutic behavioral services, per diem 28,622 4,178 $4.27M
90837 Psychotherapy, 53 minutes with patient 31,201 17,526 $4.26M
S0201 Partial hospitalization services, less than 24 hours, per diem 5,861 1,140 $3.52M
99219 9,681 4,845 $3.45M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 13,276 11,486 $3.40M
G0378 Hospital observation service, per hour 22,080 9,803 $3.20M
99401 14,397 13,524 $2.87M
H2019 Therapeutic behavioral services, per 15 minutes 21,597 10,273 $2.80M
D2930 Prefabricated stainless steel crown - primary tooth 4,792 3,612 $2.71M
70551 Magnetic resonance imaging, brain; without contrast material 6,073 5,399 $2.70M
J1569 Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg 1,228 603 $2.69M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 22,356 20,952 $2.64M
90847 Family psychotherapy with the patient present, 50 minutes 12,216 8,089 $2.63M
93325 15,050 13,293 $2.56M
41899 Unlisted procedure, dentoalveolar structures 3,855 3,581 $2.51M
92551 29,768 28,181 $2.32M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 3,535 3,160 $2.25M
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 15,228 11,437 $2.21M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,184 2,895 $2.15M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 4,592 3,904 $2.14M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 25,260 23,413 $2.13M
90832 Psychotherapy, 30 minutes with patient 25,173 15,496 $2.07M
D7140 Extraction, erupted tooth or exposed root 4,003 3,141 $1.98M
96361 Intravenous infusion, hydration; each additional hour 6,100 4,933 $1.93M
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 48,501 45,275 $1.90M
90846 Family psychotherapy without the patient present, 50 minutes 8,545 6,806 $1.78M
70450 Computed tomography, head or brain; without contrast material 4,302 3,808 $1.66M
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 98,180 91,100 $1.61M
H0036 Community psychiatric supportive treatment, face-to-face, per 15 minutes 22,515 9,668 $1.55M
D1351 Sealant - per tooth 2,590 1,949 $1.54M
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,578 1,454 $1.48M
J0585 Injection, onabotulinumtoxina, 1 unit 1,722 1,447 $1.45M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 9,449 6,546 $1.44M
42830 1,373 1,118 $1.41M
88305 Level IV - Surgical pathology, gross and microscopic examination 11,076 5,573 $1.37M
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 39,262 35,327 $1.31M
01922 5,820 4,653 $1.30M
J1745 Injection, infliximab, excludes biosimilar, 10 mg 888 695 $1.30M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 3,426 2,952 $1.29M
31624 1,766 1,473 $1.29M
95004 Percutaneous tests with allergenic extracts, immediate type reaction 3,433 3,269 $1.23M
95782 1,159 1,058 $1.19M
Q5103 Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg 974 753 $1.18M
97803 12,468 11,460 $1.13M
97161 10,782 9,992 $1.11M
76770 5,809 5,238 $1.10M
96130 4,008 3,640 $1.03M
99402 5,011 4,734 $1.00M
92523 9,711 8,889 $966K
93308 2,983 2,509 $886K
92587 9,154 8,457 $881K
A0434 Specialty care transport (sct) 6,226 5,091 $853K
J3535 Drug administered through a metered dose inhaler 11,678 8,659 $839K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 4,244 3,560 $837K
76705 Ultrasound, abdominal, real time with image documentation; limited 7,444 6,569 $817K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 4,789 3,449 $809K
95715 1,047 857 $763K
44970 243 208 $748K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 32,282 14,853 $738K
A0428 Ambulance service, basic life support, non-emergency transport, (bls) 7,255 6,423 $723K
J3490 Unclassified drugs 151,600 97,784 $707K
83655 41,011 38,419 $699K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 33,639 30,447 $666K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 2,872 1,980 $629K
97150 Therapeutic procedure(s), group (2 or more individuals) 19,073 5,109 $628K
87799 5,492 2,827 $618K
36415 Collection of venous blood by venipuncture 167,877 142,520 $599K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 86,703 67,518 $579K
31622 738 604 $573K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 47,507 42,804 $571K
96415 1,398 1,051 $565K
97802 6,198 5,736 $565K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,126 1,000 $556K
00170 Anesthesia for intraoral procedures, including biopsy 17,777 16,079 $553K
93304 1,646 1,356 $527K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 27,431 24,454 $521K
97165 5,519 4,991 $510K
71046 Radiologic examination, chest; 2 views 21,758 19,011 $508K
29075 3,245 2,932 $503K
97166 4,451 4,051 $496K
92508 Group treatment of speech, language, voice, communication, and/or auditory processing disorder 12,955 4,941 $477K
67311 209 160 $468K
80053 Comprehensive metabolic panel 32,797 27,037 $467K
45380 Colonoscopy, flexible; with biopsy, single or multiple 907 773 $465K
90792 Psychiatric diagnostic evaluation with medical services 1,693 1,543 $462K
12011 2,086 1,832 $455K
29065 2,996 2,559 $454K
A0425 Ground mileage, per statute mile 15,534 13,150 $452K
D2330 775 654 $444K
31526 1,704 1,400 $434K
96156 1,603 1,461 $430K
54163 351 297 $426K
42821 296 260 $414K
97755 4,425 3,753 $407K
64643 824 746 $401K
96161 9,896 9,772 $399K
92579 4,566 4,229 $398K
74183 819 713 $387K
95816 1,915 1,716 $379K
97750 6,427 5,839 $346K
96136 2,313 2,005 $341K
54161 274 228 $337K
94010 9,415 8,545 $333K
72197 602 509 $327K
87497 2,722 1,664 $322K
86832 1,567 1,149 $320K
97162 3,366 3,111 $314K
92567 18,328 17,087 $313K
74018 9,592 7,620 $313K
92526 4,983 2,766 $305K
76700 Ultrasound, abdominal, real time with image documentation; complete 1,536 1,390 $303K
0202U Oncology (prostate), multianalyte, gene expression profiling 1,147 1,064 $303K
92652 2,443 2,146 $297K
80076 26,203 20,537 $296K
80048 Basic metabolic panel (calcium, ionized) 19,931 15,042 $291K
76820 2,646 1,644 $290K
81229 1,182 917 $288K
84443 Thyroid stimulating hormone (TSH) 27,469 24,664 $287K
90686 34,017 31,681 $285K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 867 774 $285K
12001 1,269 1,127 $282K
92609 3,761 1,944 $280K
93320 3,258 2,896 $276K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 778 713 $272K
D2391 Resin-based composite - one surface, posterior, primary or permanent 825 700 $267K
93321 5,063 4,430 $265K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 6,487 6,010 $265K
J1050 Injection, medroxyprogesterone acetate, 1 mg 2,934 2,689 $264K
74181 748 657 $263K
97164 2,666 2,430 $262K
29405 1,549 1,385 $259K
80061 Lipid panel 27,547 25,075 $258K
99457 2,294 2,106 $257K
17110 1,165 1,057 $256K
90853 Group psychotherapy (other than of a multiple-family group) 3,958 1,481 $255K
86833 1,554 1,130 $255K
96367 2,199 1,594 $249K
80069 18,879 13,778 $248K
20680 151 115 $245K
93976 1,466 1,297 $243K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,121 1,004 $243K
82728 21,725 19,080 $240K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 20,825 18,619 $236K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 972 833 $235K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 20,824 18,618 $235K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 72,880 65,499 $235K
97168 2,372 2,190 $234K
92610 2,841 2,604 $231K
88313 2,623 2,201 $230K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 13,467 12,094 $226K
78816 143 125 $216K
96112 933 812 $206K
90670 21,772 20,418 $203K
92555 4,931 4,546 $196K
72141 568 515 $192K
92582 2,640 2,434 $190K
88185 1,566 1,271 $190K
97167 1,396 1,298 $187K
83735 22,442 14,157 $184K
83036 Hemoglobin; glycosylated (A1C) 36,197 33,067 $181K
80197 5,767 3,153 $179K
96138 926 830 $173K
76827 1,785 1,233 $172K
J7999 Compounded drug, not otherwise classified 30,584 18,255 $170K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 333 307 $169K
74230 1,192 995 $167K
76825 1,375 1,045 $167K
87505 1,244 1,072 $164K
00731 2,924 2,575 $162K
00126 6,258 5,754 $161K
88184 2,590 2,094 $161K
A0426 Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) 1,491 1,295 $157K
84439 11,721 10,417 $153K
95951 279 215 $152K
43762 927 800 $151K
J2997 Injection, alteplase recombinant, 1 mg 587 104 $149K
49452 549 443 $144K
73100 6,116 4,907 $144K
92557 1,303 1,209 $144K
90651 11,853 10,747 $143K
82977 25,904 22,247 $139K
71260 Computed tomography, thorax, diagnostic; with contrast material 425 371 $139K
76536 1,097 976 $138K
87086 Culture, bacterial; quantitative colony count, urine 23,058 20,238 $138K
83525 7,961 7,305 $137K
90698 21,440 19,918 $137K
82610 6,903 5,565 $137K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,047 948 $132K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 2,298 1,789 $132K
90633 16,021 15,042 $131K
A9575 Injection, gadoterate meglumine, 0.1 ml 5,297 4,742 $128K
97113 1,195 595 $127K
99155 860 735 $127K
96375 Therapeutic injection; each additional sequential IV push 6,434 4,850 $126K
73090 4,486 3,256 $125K
95700 1,081 973 $125K
70544 462 396 $124K
00920 2,065 1,882 $123K
86140 17,358 14,775 $122K
84100 21,978 14,564 $120K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 108 101 $119K
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 17,461 15,168 $118K
92611 1,022 929 $117K
81479 Unlisted molecular pathology procedure 3,266 2,503 $116K
95819 492 442 $115K
96202 1,205 346 $115K
72146 471 426 $113K
97763 1,850 1,356 $110K
74019 3,674 3,265 $109K
72082 3,007 2,758 $108K
82784 10,923 9,074 $107K
94621 521 483 $107K
74712 296 246 $104K
53450 58 52 $103K
51784 589 520 $101K
P9040 Red blood cells, leukocytes reduced, irradiated, each unit 411 263 $101K
86850 4,823 3,743 $101K
80050 General health panel 1,931 1,723 $97K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 6,263 5,117 $97K
64642 889 780 $97K
82803 5,118 3,768 $96K
87650 6,627 6,169 $96K
83970 3,246 2,449 $95K
D2331 223 183 $95K
90674 9,516 8,329 $95K
00520 1,369 1,177 $94K
73521 3,323 2,968 $94K
76886 684 604 $94K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 73 71 $94K
96116 333 309 $93K
95811 103 95 $93K
97535 Self-care/home management training, each 15 minutes 1,891 1,069 $93K
92133 1,664 1,463 $92K
96132 320 273 $92K
97760 1,274 1,155 $92K
D0150 Comprehensive oral evaluation - new or established patient 5,330 4,610 $91K
0001A 2,970 2,621 $90K
83520 3,892 3,335 $88K
J2704 Injection, propofol, 10 mg 37,468 30,180 $87K
Q3014 Telehealth originating site facility fee 4,210 4,111 $87K
88307 643 535 $86K
73630 4,484 3,920 $86K
71250 359 328 $86K
81025 26,954 23,495 $85K
86900 5,886 4,421 $85K
0002A 2,516 2,333 $85K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 5,888 4,822 $84K
96158 1,119 893 $84K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 479 407 $83K
0071A 2,254 2,167 $83K
83516 6,868 6,091 $83K
J3380 Injection, vedolizumab, intravenous, 1 mg 17 13 $82K
86003 3,352 3,034 $82K
97016 1,894 754 $82K
96125 327 304 $81K
99157 695 586 $81K
29345 473 413 $80K
90681 10,082 9,196 $79K
86780 9,424 8,406 $79K
D2390 200 150 $78K
70486 433 377 $78K
73070 3,725 2,891 $77K
83540 11,941 10,514 $77K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 444 400 $77K
J3262 Injection, tocilizumab, 1 mg 48 24 $76K
77075 552 443 $76K
92250 1,971 1,744 $75K
92553 805 715 $75K
D1120 Prophylaxis - child 6,217 5,543 $75K
24640 269 227 $75K
82247 6,231 4,616 $74K
76881 640 561 $74K
0072A 1,959 1,938 $74K
90839 426 359 $74K
96040 2,120 1,942 $74K
74240 467 428 $73K
73590 3,492 2,931 $73K
12002 302 271 $72K
85027 26,351 24,241 $71K
76870 1,014 904 $70K
90710 6,882 6,311 $69K
83550 10,583 9,387 $68K
90744 11,116 10,273 $68K
93975 327 257 $68K
71045 Radiologic examination, chest; single view 2,997 2,516 $68K
99454 609 541 $68K
90619 7,022 6,043 $67K
73610 4,083 3,551 $67K
24538 13 13 $66K
74270 389 334 $66K
95117 1,878 954 $66K
00813 938 804 $65K
C1769 Guide wire 1,944 1,595 $65K
88346 688 597 $65K
00300 964 831 $64K
90480 1,906 1,720 $64K
91200 610 539 $63K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 5,220 4,492 $63K
85610 9,532 7,404 $63K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,500 748 $62K
70360 3,136 2,827 $61K
90677 5,515 5,022 $60K
90716 6,145 5,646 $60K
36591 2,251 1,256 $59K
87077 6,941 6,122 $59K
75557 168 155 $59K
90715 6,544 5,880 $59K
96167 765 675 $59K
J8499 Prescription drug, oral, non chemotherapeutic, nos 8,522 4,878 $58K
51798 1,056 950 $58K
77080 776 656 $57K
92556 1,143 1,047 $57K
88342 1,578 1,328 $57K
74455 369 333 $57K
82947 12,963 11,653 $56K
82607 4,014 3,631 $55K
72081 1,885 1,699 $55K
82248 8,503 6,428 $55K
84403 4,085 3,576 $54K
96131 3,709 3,412 $54K
90707 6,263 5,754 $54K
73140 3,212 2,667 $53K
81513 314 252 $53K
10060 255 222 $53K
73560 2,932 2,557 $53K
88341 449 347 $52K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 2,640 1,246 $52K
90685 6,744 6,278 $50K
11900 246 225 $50K
90648 8,971 8,338 $50K
82330 4,796 3,502 $49K
81003 23,956 20,263 $49K
86481 2,994 2,625 $49K
99281 Emergency department visit for the evaluation and management, self-limited or minor 447 434 $48K
92083 534 475 $48K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,657 3,667 $48K
81001 21,495 18,881 $47K
82542 3,891 3,490 $47K
84450 13,992 12,720 $47K
84460 13,817 12,562 $46K
77072 1,521 1,359 $46K
86901 5,810 4,378 $45K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 8,763 7,879 $45K
87070 5,925 5,144 $44K
J0561 Injection, penicillin g benzathine, 100,000 units 218 171 $44K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 818 635 $43K
00320 622 521 $43K
88312 864 711 $43K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 50,072 40,771 $43K
36596 83 72 $42K
72170 1,791 1,584 $42K
85730 6,068 5,028 $41K
82570 8,148 6,641 $41K
92552 1,981 1,805 $41K
88304 1,107 967 $41K
0124A 1,126 841 $41K
83605 3,369 2,434 $41K
73130 2,171 1,886 $41K
85652 15,717 13,606 $41K
94060 770 678 $40K
90661 4,843 4,798 $40K
96450 119 92 $40K
96137 2,286 1,995 $40K
92504 299 271 $39K
J3010 Injection, fentanyl citrate, 0.1 mg 53,913 43,038 $38K
86923 1,064 698 $38K
88108 1,746 1,489 $37K
97542 370 339 $37K
90723 4,794 4,448 $36K
83993 1,857 1,650 $36K
90734 3,113 3,057 $35K
85240 1,783 1,538 $35K
54640 21 16 $35K
88300 5,372 4,822 $35K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 419 381 $34K
94799 3,161 2,564 $34K
82785 2,636 2,381 $34K
Q9958 High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml 959 857 $33K
82670 2,453 2,135 $33K
72100 1,539 1,358 $33K
69210 546 470 $33K
90696 6,448 5,917 $32K
29125 854 755 $32K
00840 490 406 $32K
87186 5,409 4,780 $32K
J2405 Injection, ondansetron hydrochloride, per 1 mg 43,693 37,145 $32K
D1110 Prophylaxis - adult 313 277 $31K
70491 76 63 $31K
87641 1,076 976 $31K
77073 1,220 1,093 $31K
99221 55 46 $31K
86355 1,338 1,165 $31K
86706 5,716 5,097 $31K
90700 4,367 4,054 $31K
90472 Immunization administration, each additional vaccine (list separately) 35,339 31,844 $31K
99458 542 475 $30K
76506 215 178 $30K
72070 1,427 1,264 $30K
92522 322 297 $30K
01920 230 188 $30K
88271 383 270 $30K
97014 882 445 $30K
72040 1,784 1,591 $30K
76821 264 176 $30K
92015 Determination of refractive state 2,377 2,220 $30K
87205 7,962 6,938 $29K
25565 96 74 $29K
83880 1,247 1,002 $29K
99244 Office or other outpatient consultation, moderate to high complexity 241 229 $29K
84145 2,097 1,793 $29K
87040 4,464 3,786 $28K
86803 5,680 5,113 $28K
99243 389 328 $28K
82550 4,259 3,661 $28K
87400 982 928 $27K
86360 1,266 1,095 $27K
86359 1,339 1,166 $27K
0154A 718 579 $27K
82105 1,351 1,154 $27K
97163 223 204 $27K
82962 4,803 2,856 $27K
86480 1,309 1,240 $26K
86357 1,341 1,167 $26K
83690 6,656 5,764 $26K
00140 529 446 $26K
84305 1,539 1,366 $26K
92134 460 405 $26K
93788 293 252 $25K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 773 651 $25K
0081A 704 579 $25K
00120 225 205 $25K
73552 1,567 1,318 $25K
85046 8,262 6,709 $25K
87496 486 315 $25K
82746 2,795 2,557 $24K
83020 2,396 1,974 $24K
87340 5,496 4,929 $24K
86038 1,672 1,476 $24K
J7120 Ringers lactate infusion, up to 1000 cc 6,231 4,684 $24K
87102 2,821 2,442 $24K
87634 2,187 1,924 $23K
00400 492 438 $23K
81406 322 281 $23K
87486 954 822 $23K
83519 1,522 1,338 $23K
81405 357 308 $22K
86665 1,751 1,478 $21K
81415 29 28 $21K
85245 1,063 941 $21K
85246 1,288 1,142 $21K
86704 4,668 4,183 $21K
92607 223 194 $21K
82533 828 673 $21K
92018 18 12 $21K
78264 64 60 $20K
49500 12 12 $20K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 6,135 4,919 $20K
85014 4,348 3,634 $20K
84146 1,444 1,258 $20K
91320 763 669 $20K
94726 358 331 $20K
95076 47 41 $20K
87581 956 824 $20K
95115 559 241 $20K
00160 258 237 $20K
51701 916 785 $19K
J1750 Injection, iron dextran, 50 mg 103 90 $19K
36592 1,355 710 $19K
72142 96 87 $19K
94618 187 155 $19K
90680 2,169 2,059 $19K
70480 77 73 $19K
88275 319 221 $19K
73030 1,141 1,009 $19K
70250 629 533 $19K
54150 14 12 $18K
83002 1,069 953 $18K
84156 4,986 3,816 $18K
85247 1,115 993 $18K
86849 457 409 $18K
80299 798 531 $18K
90675 53 14 $18K
93505 17 13 $17K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 1,525 1,348 $17K
83001 1,556 1,378 $17K
92585 46 42 $17K
86160 1,482 1,148 $17K
J3590 Unclassified biologics 190 162 $16K
86376 1,334 1,185 $16K
81403 113 89 $16K
D2335 17 17 $16K
J2515 Injection, pentobarbital sodium, per 50 mg 430 361 $16K
87493 430 393 $16K
D0272 Bitewings - two radiographic images 1,951 1,683 $16K
73564 861 761 $16K
86664 1,577 1,370 $16K
J2795 Injection, ropivacaine hydrochloride, 1 mg 6,167 5,426 $16K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 101 82 $15K
71555 36 31 $15K
80164 1,033 908 $15K
87808 4,776 4,212 $15K
0082A 405 383 $15K
51600 199 170 $15K
90732 414 335 $14K
99403 52 48 $14K
99238 Hospital discharge day management, 30 minutes or less 49 47 $14K
L3060 Foot, arch support, removable, premolded, longitudinal/ metatarsal, each 724 675 $14K
93000 732 678 $14K
87529 785 677 $14K
90717 95 92 $14K
D7111 28 26 $14K
81244 328 253 $14K
73000 943 819 $14K
83615 2,392 1,609 $13K
95957 135 112 $13K
94770 185 172 $13K
73060 905 765 $13K
84590 1,344 1,200 $13K
51727 42 40 $13K
93226 195 180 $13K
87071 1,679 1,442 $13K
73660 734 639 $13K
84252 1,481 1,354 $13K
80320 496 428 $13K
96101 91 89 $13K
84270 1,081 925 $13K
92524 187 167 $13K
0051A 368 327 $13K
93971 134 116 $12K
88237 113 82 $12K
76010 810 710 $12K
81382 48 24 $12K
J0690 Injection, cefazolin sodium, 500 mg 4,898 3,595 $12K
J1756 Injection, iron sucrose, 1 mg 368 204 $12K
D0240 1,420 1,199 $12K
88188 346 287 $12K
75561 13 12 $12K
80169 610 386 $12K
84295 3,938 3,186 $12K
84155 1,918 1,520 $12K
82948 971 763 $12K
76642 103 86 $11K
36430 84 52 $11K
P9016 Red blood cells, leukocytes reduced, each unit 37 27 $11K
76857 98 84 $11K
93296 306 273 $11K
P9037 Platelets, pheresis, leukocytes reduced, irradiated, each unit 20 12 $11K
84446 1,194 1,071 $11K
92583 339 307 $11K
81243 330 255 $10K
82379 869 798 $10K
95199 747 658 $10K
84075 2,045 1,619 $10K
84132 4,020 3,187 $10K
J1815 Injection, insulin, per 5 units 707 321 $10K
81265 50 37 $10K
69200 332 274 $10K
82627 701 593 $10K
87536 441 354 $10K
87177 474 396 $10K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 106 90 $10K
92228 120 116 $10K
87265 958 821 $10K
J7030 Infusion, normal saline solution , 1000 cc 1,837 1,113 $10K
C1726 Catheter, balloon dilatation, non-vascular 201 149 $10K
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 3,527 3,256 $10K
J2270 Injection, morphine sulfate, up to 10 mg 5,677 5,100 $10K
D1206 Topical application of fluoride varnish 623 608 $10K
J1885 Injection, ketorolac tromethamine, per 15 mg 10,925 9,030 $10K
86317 382 332 $10K
93225 195 180 $10K
00940 40 38 $10K
81259 46 38 $10K
85384 1,811 1,414 $9K
76800 62 61 $9K
86308 1,184 1,048 $9K
73562 612 532 $9K
99156 621 512 $9K
76499 238 213 $9K
73620 592 499 $9K
88230 87 66 $9K
73110 378 335 $9K
92550 73 65 $9K
0052A 226 222 $8K
C1887 Catheter, guiding (may include infusion/perfusion capability) 435 371 $8K
12013 43 39 $8K
84703 2,133 1,893 $8K
85018 2,517 2,229 $8K
90380 615 435 $8K
72147 39 37 $8K
0173A 221 159 $8K
31575 28 27 $8K
88187 500 430 $8K
82310 1,422 1,097 $8K
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 111 85 $8K
81226 76 70 $8K
93017 57 57 $8K
D7240 Removal of impacted tooth - completely bony 12 12 $7K
58300 55 55 $7K
87522 Neg quan hep c or qual rna 298 284 $7K
90849 41 14 $7K
96113 593 504 $7K
90381 783 565 $7K
81225 89 83 $7K
J1644 Injection, heparin sodium, per 1000 units 4,339 861 $7K
86141 670 565 $7K
84466 921 789 $7K
J2250 Injection, midazolam hydrochloride, per 1 mg 10,514 9,247 $7K
86644 208 153 $7K
80230 532 454 $7K
83498 694 592 $7K
91319 634 581 $7K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 855 779 $6K
J0696 Injection, ceftriaxone sodium, per 250 mg 4,087 2,872 $6K
82525 631 556 $6K
82043 1,939 1,721 $6K
82397 871 736 $6K
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 157 133 $6K
96111 45 42 $6K
80306 887 775 $6K
80195 331 248 $6K
86800 656 595 $6K
87481 313 251 $6K
82272 609 502 $6K
84480 568 474 $6K
87209 474 396 $6K
0073A 163 155 $6K
86353 49 37 $6K
84630 791 691 $6K
84484 739 619 $6K
73600 311 267 $6K
0003A 156 156 $6K
85250 407 336 $6K
82436 602 463 $6K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 3,501 1,854 $6K
91318 554 514 $6K
72125 Computed tomography, cervical spine; without contrast material 44 37 $5K
D0120 Periodic oral evaluation - established patient 291 280 $5K
92612 28 26 $5K
84300 925 723 $5K
73080 119 105 $5K
90691 369 361 $5K
82747 749 666 $5K
82465 2,134 1,935 $5K
83992 512 412 $5K
76830 Ultrasound, transvaginal 48 37 $5K
84478 1,386 1,066 $5K
86225 586 474 $5K
A9573 Injection, gadopiclenol, 1 ml 434 425 $5K
74220 61 56 $5K
0053A 136 136 $5K
83021 247 202 $5K
76376 95 87 $5K
84238 254 198 $5K
82040 1,145 998 $5K
86255 411 341 $4K
76942 132 102 $4K
92060 76 69 $4K
S9443 Lactation classes, non-physician provider, per session 4,231 3,231 $4K
82378 237 204 $4K
00635 142 104 $4K
82150 959 824 $4K
82390 564 493 $4K
96900 162 29 $4K
86337 320 282 $4K
96401 59 49 $4K
86341 389 341 $4K
82103 382 323 $4K
87269 277 246 $4K
86235 316 276 $4K
84255 319 279 $4K
85045 1,130 938 $4K
80183 392 341 $4K
93786 211 196 $4K
43760 12 12 $4K
80329 1,016 820 $4K
90474 7,787 6,989 $4K
84702 270 230 $3K
84436 458 400 $3K
84133 628 489 $3K
71100 78 65 $3K
87272 278 247 $3K
17250 17 12 $3K
84550 954 788 $3K
87088 791 698 $3K
0174A 87 62 $3K
29450 26 14 $3K
86677 220 198 $3K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 229 197 $3K
82140 262 226 $3K
70496 15 12 $3K
J1170 Injection, hydromorphone, up to 4 mg 1,063 882 $3K
96376 336 226 $3K
93886 12 12 $3K
82657 250 217 $3K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 1,134 954 $3K
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 879 241 $3K
85347 758 558 $3K
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 5,189 3,750 $3K
86703 1,031 875 $3K
73700 13 12 $3K
83010 164 111 $3K
J1610 Injection, glucagon hydrochloride, per 1 mg 16 12 $3K
96203 914 266 $3K
82565 419 369 $2K
86787 186 158 $2K
84681 303 251 $2K
80201 289 256 $2K
80177 198 178 $2K
92626 29 29 $2K
80323 588 484 $2K
30901 13 12 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 463 451 $2K
D2332 15 15 $2K
75565 34 30 $2K
01830 34 27 $2K
95714 23 16 $2K
93356 77 75 $2K
89051 488 417 $2K
82010 221 190 $2K
84425 197 179 $2K
82104 270 226 $2K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 41 24 $2K
85230 136 106 $2K
86431 231 205 $2K
00790 14 13 $2K
87101 583 484 $2K
81470 14 12 $2K
86769 43 39 $2K
95712 29 26 $2K
96139 939 838 $2K
86902 81 51 $2K
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg 455 297 $2K
85270 172 150 $2K
90713 235 197 $2K
80325 554 450 $2K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 974 652 $2K
29105 49 36 $2K
84134 167 153 $2K
85397 109 101 $2K
95012 221 203 $2K
J7060 5% dextrose/water (500 ml = 1 unit) 195 128 $2K
J0780 Injection, prochlorperazine, up to 10 mg 1,132 983 $2K
86645 97 82 $2K
85379 290 235 $2K
96102 12 12 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 25 12 $2K
82139 138 109 $2K
83921 147 124 $1K
84520 539 430 $1K
80353 520 422 $1K
80348 509 413 $1K
82805 15 12 $1K
85576 40 37 $1K
84210 151 118 $1K
0083A 35 34 $1K
J3475 Injection, magnesium sulfate, per 500 mg 217 151 $1K
83935 274 230 $1K
87106 281 251 $1K
87075 340 290 $1K
77081 31 28 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 13 $1K
73120 50 40 $1K
86015 125 111 $1K
94729 28 26 $1K
J0330 Injection, succinylcholine chloride, up to 20 mg 113 107 $1K
01480 28 24 $998.43
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 2,667 1,968 $984.83
36416 1,218 1,022 $981.18
88104 63 51 $949.85
86880 74 64 $941.91
80158 80 37 $937.72
96160 31 31 $914.50
80345 121 101 $880.90
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 14 12 $869.31
80346 223 189 $862.66
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 585 501 $855.50
82540 94 84 $854.02
76981 12 12 $852.43
84165 60 58 $843.76
S9485 Crisis intervention mental health services, per diem 32 29 $818.94
94680 31 31 $817.88
87181 74 63 $797.50
92604 28 26 $789.94
86592 116 102 $771.00
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 12 12 $768.47
0012A 26 26 $751.34
76937 18 16 $744.19
73565 12 12 $704.96
80178 30 25 $703.40
99453 18 15 $699.24
01400 25 25 $689.38
86618 71 60 $671.63
J9370 Vincristine sulfate, 1 mg 341 183 $656.66
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 1,316 1,165 $644.99
J2919 Injection, methylprednisolone sodium succinate, 5 mg 387 299 $618.20
J8540 Dexamethasone, oral, 0.25 mg 2,473 1,152 $605.84
51741 25 25 $575.13
76882 26 24 $565.42
96381 928 768 $564.36
30300 61 57 $547.12
80358 121 101 $527.92
01730 14 14 $499.84
87210 381 336 $499.02
00930 19 14 $489.72
80369 121 101 $484.94
83090 93 72 $482.44
86828 14 12 $475.92
72149 16 14 $469.66
88348 15 12 $451.65
0151A 13 12 $441.54
80364 149 126 $437.93
86708 60 50 $431.88
86705 15 12 $419.81
80175 34 30 $419.07
J1836 Injection, metronidazole, 10 mg 230 152 $416.92
0011A 63 29 $411.64
69209 247 210 $409.84
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 2,251 1,805 $408.91
86735 36 30 $400.04
88311 52 51 $393.31
J3360 Injection, diazepam, up to 5 mg 152 130 $388.10
96121 45 44 $366.00
L4361 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf 12 12 $354.63
86765 35 29 $335.65
J1596 Injection, glycopyrrolate, 0.1 mg 157 137 $327.32
83695 24 24 $327.18
J7510 Prednisolone oral, per 5 mg 919 719 $320.44
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 12 12 $311.79
D0140 Limited oral evaluation - problem focused 12 12 $311.64
96133 65 56 $305.80
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,085 664 $282.86
00830 29 26 $282.28
80145 18 14 $281.35
95873 35 32 $278.95
83721 47 41 $276.54
82653 15 13 $272.04
82180 34 33 $261.61
83883 29 29 $249.94
76377 14 13 $210.68
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg 145 133 $205.95
J0736 Injection, clindamycin phosphate, 300 mg 84 57 $196.52
86762 16 13 $193.85
92608 67 59 $187.99
80203 26 26 $185.65
83919 13 12 $178.95
84207 18 13 $145.60
82085 50 42 $145.06
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 21 13 $120.84
82945 15 12 $117.14
82017 15 12 $115.16
J7507 Tacrolimus, immediate release, oral, 1 mg 50 14 $104.75
84220 12 12 $103.85
80361 47 38 $99.57
88738 16 15 $98.28
70210 27 26 $85.81
J1597 Injection, glycopyrrolate (glyrx-pf), 0.1 mg 96 93 $85.31
80356 47 38 $84.92
80373 47 38 $84.92
80360 47 38 $84.92
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen 683 541 $81.83
87339 38 27 $81.60
80365 47 38 $59.08
85999 55 52 $58.63
80363 27 25 $55.13
80357 47 38 $54.95
80341 47 38 $54.95
80371 47 38 $54.95
80359 47 38 $54.95
80368 47 38 $54.95
80355 47 38 $54.95
80334 47 38 $54.95
80344 47 38 $54.95
80372 47 38 $54.95
80337 47 38 $54.95
80366 47 38 $54.95
80338 47 38 $54.95
J0834 Injection, cosyntropin, 0.25 mg 17 16 $54.11
93568 23 14 $53.09
85300 14 12 $52.23
80347 27 25 $50.35
91300 4,974 4,291 $44.07
91307 4,529 4,269 $43.73
J9250 Methotrexate sodium, 5 mg 129 81 $41.90
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 356 209 $41.83
85670 13 12 $34.28
80370 27 25 $32.24
J1940 Injection, furosemide, up to 20 mg 25 13 $13.51
91308 1,230 1,038 $11.40
91305 1,054 947 $9.55
91312 1,066 802 $8.52
91315 739 599 $6.78
J3480 Injection, potassium chloride, per 2 meq 16 12 $6.24
91317 252 177 $2.35
J2060 Injection, lorazepam, 2 mg 13 13 $0.71
91301 83 49 $0.39
96168 282 232 $0.00
87081 13 12 $0.00
96159 385 278 $0.00