Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NV › LAS VEGAS › UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA

UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA

NPI: 1548393127 · LAS VEGAS, NV 89102 · General Acute Care Hospital · NPI assigned 03/13/2007

$95.56M
Total Medicaid Paid
4,150,529
Total Claims
3,026,075
Beneficiaries
528
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialVANHOUWELING, MASON (CEO)
NPI Enumeration Date03/13/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 328,220 $6.26M
2019 683,606 $16.26M
2020 598,566 $17.46M
2021 670,564 $17.61M
2022 597,256 $13.52M
2023 653,838 $12.80M
2024 618,479 $11.65M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 104,752 88,363 $8.48M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 85,599 66,388 $8.40M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 162,056 145,585 $8.12M
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 122,926 96,778 $7.14M
99283 Emergency department visit for the evaluation and management, moderate severity 126,419 110,900 $6.32M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 72,268 64,873 $5.20M
G0378 Hospital observation service, per hour 85,895 29,327 $5.00M
74177 Computed tomography, abdomen and pelvis; with contrast material 26,258 20,803 $4.94M
70450 Computed tomography, head or brain; without contrast material 36,990 29,842 $2.47M
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 34,442 32,043 $1.95M
72125 Computed tomography, cervical spine; without contrast material 16,846 13,870 $1.43M
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 3,627 2,495 $1.37M
99282 Emergency department visit for the evaluation and management, low to moderate severity 36,384 32,380 $1.19M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 16,514 14,943 $1.19M
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 3,611 1,506 $1.11M
90999 Unlisted dialysis procedure, inpatient or outpatient 4,627 787 $1.06M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 64,297 44,455 $1.00M
99070 100,263 76,351 $971K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 5,849 4,170 $933K
99480 Subsequent intensive care, per day, low birth weight infant 8,720 3,698 $776K
80053 Comprehensive metabolic panel 154,476 103,821 $734K
71275 Computed tomographic angiography, chest, with contrast material 4,028 3,031 $709K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 36,046 28,632 $704K
70498 2,373 1,919 $681K
74176 Computed tomography, abdomen and pelvis; without contrast material 5,072 3,882 $610K
70486 5,627 4,747 $605K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 2,064 1,613 $583K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 3,504 2,658 $510K
71046 Radiologic examination, chest; 2 views 47,008 39,208 $483K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 56,844 29,503 $479K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 198,851 115,817 $461K
99233 Prolong inpt eval add15 m 7,285 3,338 $461K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 97,547 66,002 $440K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 19,094 11,600 $437K
71260 Computed tomography, thorax, diagnostic; with contrast material 4,988 4,031 $433K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 23,094 16,195 $424K
96375 Therapeutic injection; each additional sequential IV push 48,383 29,314 $412K
70551 Magnetic resonance imaging, brain; without contrast material 2,662 2,137 $403K
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 9,824 6,824 $382K
J0485 Injection, belatacept, 1 mg 1,894 851 $380K
76705 Ultrasound, abdominal, real time with image documentation; limited 7,960 6,409 $360K
0450 Emergency room services 7,573 6,540 $342K
J0561 Injection, penicillin g benzathine, 100,000 units 1,473 1,085 $333K
99223 Prolong inpt eval add15 m 2,491 2,238 $331K
99281 Emergency department visit for the evaluation and management, self-limited or minor 20,334 15,808 $329K
99232 Subsequent hospital care, per day, moderate complexity 6,916 2,864 $320K
99479 Subsequent intensive care, per day, very low birth weight infant 3,248 1,110 $318K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 22,189 19,760 $300K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,881 1,436 $295K
99238 Hospital discharge day management, 30 minutes or less 5,116 4,761 $293K
71045 Radiologic examination, chest; single view 58,438 43,578 $291K
96361 Intravenous infusion, hydration; each additional hour 18,868 13,868 $273K
16020 7,243 2,257 $269K
59025 Fetal non-stress test 7,940 5,520 $252K
84484 80,854 38,359 $250K
76700 Ultrasound, abdominal, real time with image documentation; complete 4,896 3,723 $227K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 15,695 11,972 $220K
J2785 Injection, regadenoson, 0.1 mg 1,476 1,306 $215K
93970 2,567 2,019 $208K
70491 1,277 1,015 $207K
76801 5,061 3,816 $205K
76830 Ultrasound, transvaginal 3,885 3,123 $204K
47562 211 161 $202K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 23,127 18,510 $190K
90715 7,578 6,957 $190K
93971 3,939 3,131 $187K
36415 Collection of venous blood by venipuncture 166,867 107,573 $186K
96376 33,624 13,077 $185K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 4,666 3,537 $184K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 21,439 15,457 $176K
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 16,849 13,878 $175K
72131 2,303 1,879 $174K
97602 11,158 2,203 $161K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 7,047 5,816 $158K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 22,394 20,812 $154K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 3,828 2,531 $153K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 10,855 5,576 $153K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,554 1,413 $144K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13,656 11,160 $143K
83880 12,790 9,175 $130K
84703 41,641 32,987 $121K
42820 Tonsillectomy and adenoidectomy; younger than age 12 192 178 $111K
99215 Prolong outpt/office vis 1,620 1,082 $108K
73130 7,140 5,789 $107K
99222 Initial hospital care, per day, moderate complexity 1,088 1,011 $105K
80048 Basic metabolic panel (calcium, ionized) 21,406 14,927 $103K
73630 5,918 4,864 $97K
99460 1,361 1,309 $96K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 182 176 $95K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,949 1,603 $94K
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) 4,438 4,035 $93K
54161 256 240 $89K
80074 5,746 4,508 $89K
12011 2,418 2,140 $88K
83690 37,394 28,190 $87K
73564 5,014 4,126 $87K
72128 1,233 1,030 $86K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 4,969 4,793 $83K
10060 1,425 1,177 $82K
A4305 Disposable drug delivery system, flow rate of 50 ml or greater per hour 23,527 18,880 $81K
73030 7,423 5,829 $81K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,333 1,075 $81K
J7030 Infusion, normal saline solution , 1000 cc 24,074 19,373 $79K
73610 5,921 4,675 $78K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 9,349 8,590 $77K
97162 4,485 2,867 $76K
12002 2,315 1,963 $76K
99201 2,681 2,532 $75K
70496 550 354 $74K
12001 2,653 2,304 $73K
87486 4,928 4,268 $72K
87581 4,923 4,266 $71K
99468 98 84 $69K
81001 65,552 49,469 $69K
73110 3,946 3,115 $65K
0250 372 285 $63K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 10,174 5,239 $62K
84443 Thyroid stimulating hormone (TSH) 15,598 10,897 $62K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 4,014 3,453 $61K
73590 6,091 4,659 $61K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 4,011 3,452 $60K
45380 Colonoscopy, flexible; with biopsy, single or multiple 393 277 $60K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 4,924 4,264 $59K
99221 933 820 $59K
87040 18,465 7,874 $57K
73090 4,637 3,613 $57K
76870 1,992 1,648 $52K
44970 46 37 $51K
81025 20,379 17,422 $50K
70544 633 408 $49K
Z7502 1,245 1,085 $47K
99231 Subsequent hospital care, per day, straightforward or low complexity 2,404 329 $46K
51701 2,347 2,068 $46K
29125 1,900 1,622 $45K
74018 4,517 3,677 $44K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,634 377 $44K
81002 33,539 29,272 $44K
J2270 Injection, morphine sulfate, up to 10 mg 17,950 12,049 $44K
84702 8,640 6,386 $42K
88305 Level IV - Surgical pathology, gross and microscopic examination 6,767 4,539 $42K
99205 Prolong outpt/office vis 310 287 $41K
73502 2,917 2,301 $41K
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) 2,500 2,359 $41K
73080 2,717 2,253 $40K
99239 Hospital discharge day management, more than 30 minutes 695 618 $39K
87086 Culture, bacterial; quantitative colony count, urine 14,406 11,230 $39K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 661 553 $39K
87430 4,509 3,491 $39K
85730 26,711 18,982 $39K
J7120 Ringers lactate infusion, up to 1000 cc 14,152 11,128 $38K
93017 3,704 2,535 $38K
76770 772 582 $37K
83735 42,528 16,292 $37K
0001A 2,354 1,789 $34K
97161 1,665 1,180 $34K
99152 2,454 1,677 $33K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,879 1,732 $33K
73560 3,115 2,320 $33K
J7050 Infusion, normal saline solution, 250 cc 5,977 3,964 $32K
0002A 1,934 1,497 $31K
J3370 Injection, vancomycin hcl, 500 mg 3,937 1,608 $31K
80061 Lipid panel 11,575 8,015 $30K
83605 10,527 6,185 $30K
87428 1,455 1,340 $29K
95819 142 115 $29K
96367 3,502 2,194 $29K
J0696 Injection, ceftriaxone sodium, per 250 mg 11,907 8,544 $29K
85610 31,153 21,103 $28K
80069 27,684 10,360 $28K
73552 2,350 1,860 $28K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 44 37 $28K
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 5,765 1,956 $28K
14040 107 101 $27K
73120 2,266 1,762 $27K
73700 290 210 $26K
70487 155 128 $26K
A9577 Injection, gadobenate dimeglumine (multihance), per ml 1,040 851 $25K
0270 926 785 $23K
54360 32 29 $23K
74019 1,439 1,317 $23K
94644 967 826 $22K
73060 2,096 1,599 $22K
70549 90 65 $22K
87077 7,797 5,407 $21K
83036 Hemoglobin; glycosylated (A1C) 12,510 8,381 $21K
J1650 Injection, enoxaparin sodium, 10 mg 9,663 4,033 $21K
73140 1,376 1,160 $21K
29105 587 509 $20K
82962 39,616 11,986 $20K
71250 308 245 $20K
J1815 Injection, insulin, per 5 units 7,288 2,503 $19K
73562 1,432 1,157 $19K
3074F 30,743 29,402 $19K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 64 12 $19K
97166 1,435 903 $18K
J8540 Dexamethasone, oral, 0.25 mg 9,883 9,129 $18K
J0780 Injection, prochlorperazine, up to 10 mg 2,429 2,228 $18K
86901 21,459 15,787 $18K
86900 21,524 15,826 $18K
73600 1,804 1,340 $17K
73100 1,308 1,031 $17K
87186 4,947 3,527 $17K
G0383 Level 4 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) 902 833 $16K
72100 1,310 1,127 $16K
86140 9,482 7,075 $16K
73620 1,495 1,139 $16K
94060 333 297 $16K
87799 3,997 1,629 $15K
87070 3,651 2,607 $15K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 5,439 4,757 $15K
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 4,651 3,425 $15K
73070 1,328 1,036 $15K
93458 32 24 $15K
99199 Unlisted special service, procedure or report 312 242 $15K
82803 2,830 1,850 $14K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3,181 1,859 $14K
72040 992 865 $14K
99218 436 184 $14K
72170 1,533 1,211 $14K
29515 540 445 $14K
86850 14,829 10,998 $13K
82550 7,498 4,945 $13K
J1790 Injection, droperidol, up to 5 mg 2,434 2,143 $13K
12013 384 331 $13K
87081 4,093 3,649 $13K
99252 258 207 $13K
90732 375 328 $13K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 170 97 $12K
54300 12 12 $12K
L4361 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf 230 209 $11K
J3372 Injection, vancomycin hcl (xellia), not therapeutically equivalent to j3370, 500 mg 720 532 $11K
97530 Therapeutic activities, direct patient contact, each 15 minutes 2,056 736 $11K
00731 189 172 $11K
36592 1,154 873 $10K
J1170 Injection, hydromorphone, up to 4 mg 6,515 3,960 $10K
J3490 Unclassified drugs 1,294 1,022 $10K
36430 1,006 610 $10K
J1885 Injection, ketorolac tromethamine, per 15 mg 12,505 10,299 $10K
97116 2,207 845 $10K
94729 367 331 $9K
93308 142 127 $9K
86803 2,532 2,042 $9K
97163 725 420 $9K
J2405 Injection, ondansetron hydrochloride, per 1 mg 30,171 21,717 $9K
80197 8,708 2,500 $9K
74021 542 473 $9K
96127 2,222 2,160 $9K
85027 7,400 4,484 $8K
94726 316 285 $8K
85380 2,473 1,900 $8K
87497 1,472 808 $7K
70480 73 62 $7K
94664 905 707 $7K
72141 80 63 $7K
0031A 334 243 $7K
90670 119 92 $7K
J1953 Injection, levetiracetam, 10 mg 1,196 822 $7K
J8499 Prescription drug, oral, non chemotherapeutic, nos 2,296 1,997 $7K
87340 3,271 2,584 $7K
85060 1,040 854 $7K
86780 1,818 1,343 $6K
A4248 Chlorhexidine containing antiseptic, 1 ml 1,728 1,615 $6K
82010 2,286 1,733 $6K
J2358 Injection, olanzapine, long-acting, 1 mg 534 372 $6K
87210 4,039 3,329 $6K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 54 52 $6K
84100 12,107 4,703 $6K
J3010 Injection, fentanyl citrate, 0.1 mg 16,475 13,377 $6K
84439 2,849 2,044 $6K
J0690 Injection, cefazolin sodium, 500 mg 9,715 7,192 $6K
74174 20 12 $6K
85652 7,047 4,976 $5K
99462 182 151 $5K
A6206 Contact layer, sterile, 16 sq. in. or less, each dressing 112 66 $5K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 23 22 $5K
J1200 Injection, diphenhydramine hcl, up to 50 mg 5,471 4,333 $5K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 376 196 $5K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 809 609 $5K
87807 726 689 $5K
J2704 Injection, propofol, 10 mg 14,913 12,011 $5K
J0360 Injection, hydralazine hcl, up to 20 mg 1,248 745 $5K
85576 185 132 $5K
83970 229 154 $5K
86593 2,503 2,079 $5K
3044F 5,106 4,796 $5K
86705 1,266 985 $5K
A6210 Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing 813 342 $5K
92610 193 130 $5K
83615 9,253 2,937 $5K
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 8,162 7,434 $5K
36591 987 653 $4K
00920 28 28 $4K
86706 1,165 963 $4K
J3480 Injection, potassium chloride, per 2 meq 3,573 2,150 $4K
76604 124 110 $4K
90935 Hemodialysis procedure with single evaluation by a physician 220 97 $4K
29580 228 38 $4K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 10,810 9,054 $4K
J7042 5% dextrose/normal saline (500 ml = 1 unit) 2,381 1,471 $4K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 1,442 1,096 $4K
J2060 Injection, lorazepam, 2 mg 4,475 3,467 $4K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 1,966 1,494 $4K
1160F 47,999 45,536 $4K
A9585 Injection, gadobutrol, 0.1 ml 142 139 $4K
G0390 Trauma response team associated with hospital critical care service 287 217 $4K
99253 41 38 $4K
86923 635 336 $4K
87088 1,502 1,064 $4K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 19 12 $3K
88307 405 264 $3K
99153 Mod sedat endo service >5yrs 1,453 898 $3K
J3475 Injection, magnesium sulfate, per 500 mg 1,728 1,276 $3K
J1644 Injection, heparin sodium, per 1000 units 3,287 1,292 $3K
88304 2,392 1,757 $3K
J2795 Injection, ropivacaine hydrochloride, 1 mg 3,401 2,469 $3K
62270 59 39 $3K
20610 71 62 $3K
J1940 Injection, furosemide, up to 20 mg 1,416 585 $3K
90746 128 103 $3K
J2765 Injection, metoclopramide hcl, up to 10 mg 3,761 3,127 $3K
97165 184 125 $3K
82728 1,849 1,119 $3K
31526 13 13 $3K
90472 Immunization administration, each additional vaccine (list separately) 265 223 $3K
73200 28 24 $3K
96368 390 272 $2K
86141 474 372 $2K
C9113 Injection, pantoprazole sodium, per vial 2,147 1,016 $2K
84481 597 424 $2K
J2800 Injection, methocarbamol, up to 10 ml 476 397 $2K
P9016 Red blood cells, leukocytes reduced, each unit 813 524 $2K
80050 General health panel 238 228 $2K
84145 375 263 $2K
E0114 Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips 701 628 $2K
99254 29 24 $2K
87205 854 760 $2K
99464 32 30 $2K
Z7610 195 162 $2K
C1769 Guide wire 4,307 2,643 $2K
G0257 Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility 128 47 $2K
69209 201 179 $2K
99497 558 308 $2K
72110 67 61 $2K
88312 910 607 $2K
3075F 1,431 1,366 $2K
85384 575 458 $2K
99499 33 25 $2K
97605 142 41 $2K
71101 91 84 $2K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 20,412 18,571 $2K
93041 3,019 1,269 $2K
73000 91 78 $1K
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 14 13 $1K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 2,869 1,936 $1K
86709 1,293 1,002 $1K
J2250 Injection, midazolam hydrochloride, per 1 mg 9,372 7,833 $1K
3078F 22,197 21,275 $1K
J1630 Injection, haloperidol, up to 5 mg 1,075 864 $1K
0004A 58 50 $1K
Q9957 Injection, perflutren lipid microspheres, per ml 89 84 $1K
80202 333 210 $1K
J0456 Injection, azithromycin, 500 mg 453 273 $1K
70360 107 93 $1K
84156 2,469 1,607 $1K
90686 430 368 $1K
85007 1,657 1,329 $1K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 17,037 13,875 $1K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 387 161 $1K
82607 811 472 $1K
L1830 Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf 37 25 $1K
73522 87 65 $1K
J2360 Injection, orphenadrine citrate, up to 60 mg 131 117 $1K
3079F 7,099 6,771 $984.00
51702 157 87 $982.22
37799 81 55 $959.70
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 47 45 $953.50
70355 128 116 $909.17
84466 1,015 566 $898.50
0012A 173 112 $896.53
88342 335 218 $889.56
0011A 268 166 $817.19
85018 2,031 1,144 $775.86
70250 58 49 $768.39
82140 207 146 $752.64
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 14 14 $738.00
97167 94 54 $735.50
J2359 Injection, olanzapine, 0.5 mg 70 55 $726.42
J7799 Noc drugs, other than inhalation drugs, administered through dme 858 308 $707.95
1126F 18,006 17,046 $699.01
99384 13 12 $687.00
83540 1,277 776 $684.83
A4314 Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) 510 369 $675.27
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) 42 42 $653.59
89051 406 233 $644.40
1157F 8,171 7,594 $624.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 331 197 $623.69
0353U 1,568 1,356 $599.62
84132 1,034 565 $593.28
76377 18 17 $558.00
86769 33 21 $547.69
93307 16 12 $545.86
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 21 12 $509.77
86592 254 220 $507.61
29540 46 39 $497.68
84550 966 672 $485.75
82570 1,295 817 $484.09
87536 30 25 $464.40
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 1,024 774 $462.85
85347 257 197 $448.35
76010 27 25 $432.74
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 63 57 $431.00
73660 42 36 $384.27
88300 1,020 828 $361.57
J0330 Injection, succinylcholine chloride, up to 20 mg 1,050 876 $360.20
0099U 135 76 $339.38
97535 Self-care/home management training, each 15 minutes 67 27 $338.36
99000 123 112 $331.61
3048F 2,342 2,214 $321.00
82248 243 167 $317.50
3077F 755 712 $272.01
J0500 Injection, dicyclomine hcl, up to 20 mg 30 27 $269.88
J2919 Injection, methylprednisolone sodium succinate, 5 mg 79 66 $257.53
86480 18 14 $256.33
94010 13 12 $252.55
L3260 Surgical boot/shoe, each 29 24 $244.55
97606 32 13 $238.32
J2175 Injection, meperidine hydrochloride, per 100 mg 422 346 $234.34
1125F 14,278 13,657 $225.03
87653 19 16 $215.46
82565 196 134 $206.71
81003 544 378 $194.65
85014 1,140 507 $193.74
87075 234 166 $192.64
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 169 155 $179.33
87147 108 85 $178.36
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 13 13 $173.01
J2470 Injection, pantoprazole sodium, 40 mg 116 86 $157.50
86704 14 12 $145.27
0352U 617 548 $142.63
J0692 Injection, cefepime hydrochloride, 500 mg 32 26 $129.50
J0131 Injection, acetaminophen, not otherwise specified,10 mg 116 101 $127.78
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 318 300 $126.43
3049F 505 467 $126.00
J3371 Injection, vancomycin hcl (mylan), not therapeutically equivalent to j3370, 500 mg 180 154 $124.14
84520 139 96 $122.36
87046 38 29 $121.07
87045 38 29 $121.07
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 47 38 $120.81
84157 119 88 $106.35
82945 119 87 $106.10
99490 Ccm add 20min 13 12 $104.56
J1836 Injection, metronidazole, 10 mg 226 129 $102.89
82746 102 57 $89.27
J0687 Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg 508 454 $85.94
86317 16 14 $81.84
86644 19 18 $81.17
86664 17 13 $75.85
86682 15 13 $71.04
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg 20 12 $70.26
J1171 Injection, hydromorphone, 0.1 mg 196 141 $68.96
J0610 Injection, calcium gluconate (fresenius kabi), per 10 ml 41 31 $64.13
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 122 92 $64.04
86787 17 16 $63.31
86735 14 12 $62.30
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 940 816 $62.25
J1580 Injection, garamycin, gentamicin, up to 80 mg 85 57 $62.05
86765 14 12 $61.53
86635 15 14 $56.40
J0571 Buprenorphine, oral, 1 mg 21 13 $55.75
80076 42 26 $49.58
85046 42 27 $45.32
3080F 270 247 $45.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 309 264 $41.44
G0008 Administration of influenza virus vaccine 512 317 $40.65
G0009 Administration of pneumococcal vaccine 682 375 $40.65
86308 12 12 $38.83
80164 20 12 $36.82
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 66 62 $26.85
J0736 Injection, clindamycin phosphate, 300 mg 13 12 $25.22
J2370 Injection, phenylephrine hcl, up to 1 ml 164 139 $24.87
85045 42 24 $24.37
J2003 Injection, lidocaine hydrochloride, 1 mg 558 487 $23.09
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 16 14 $22.71
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 431 369 $22.16
J1596 Injection, glycopyrrolate, 0.1 mg 88 80 $14.10
J0694 Injection, cefoxitin sodium, 1 gm 30 12 $13.00
86703 13 12 $9.35
1170F 10,495 9,979 $6.00
3050F 106 95 $6.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 30 29 $4.60
84300 36 12 $3.32
91300 2,039 1,619 $2.86
J1920 Injection, labetalol hydrochloride, 5 mg 31 27 $2.40
91303 106 100 $0.15
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 8,280 5,318 $0.07
91301 85 75 $0.05
3008F 30,287 28,718 $0.00
4010F 2,764 2,584 $0.00
99024 1,507 1,062 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 275 177 $0.00
1111F 7,381 7,009 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 275 177 $0.00
C1781 Mesh (implantable) 12 12 $0.00
A9270 Non-covered item or service 217 116 $0.00
C1830 Powered bone marrow biopsy needle 1,094 753 $0.00
80329 215 113 $0.00
80320 164 135 $0.00
3061F 268 249 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 366 248 $0.00
87507 85 68 $0.00
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) 53 39 $0.00
94760 15 12 $0.00
L0150 Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece) 16 12 $0.00
E0130 Walker, rigid (pickup), adjustable or fixed height 16 12 $0.00
90739 13 12 $0.00
3288F 47,674 45,409 $0.00
1159F 21,577 20,644 $0.00
3725F 40,187 38,205 $0.00
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 129 87 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 1,685 995 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 1,032 677 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 929 563 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 1,033 683 $0.00
0202U Oncology (prostate), multianalyte, gene expression profiling 170 136 $0.00
C1729 Catheter, drainage 323 142 $0.00
3046F 15 13 $0.00
87631 14 12 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 14 13 $0.00