Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MERCY HOSPITAL FORT SMITH

NPI: 1568433480 · FORT SMITH, AR 72903 · General Acute Care Hospital · NPI assigned 01/30/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official WILCHER, GRETA controls 14+ related entities in our dataset. Read more

$22.48M
Total Medicaid Paid
1,048,252
Total Claims
853,338
Beneficiaries
397
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWILCHER, GRETA (CFO)
NPI Enumeration Date01/30/2006

Related Entities

Other providers sharing the same authorized official: WILCHER, GRETA

ProviderCityStateTotal Paid
MERCY CLINIC FORT SMITH COMMUNITIES FORT SMITH AR $24.10M
MERCY HOSPITAL ROGERS ROGERS AR $14.20M
MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES ROGERS AR $8.38M
MERCY CLINIC FORT SMITH COMMUNITIES FORT SMITH AR $2.28M
MERCY HOSPITAL ROGERS ROGERS AR $1.83M
MERCY CLINIC FORT SMITH COMMUNITIES FORT SMITH AR $1.62M
MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES ROGERS AR $318K
MERCY HOSPITAL FORT SMITH FORT SMITH AR $298K
MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES ROGERS AR $207K
MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES ROGERS AR $104K
MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES BELLA VISTA AR $86K
ST EDWARD MERCY FOUNDATION FORT SMITH AR $74K
MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES ROGERS AR $26K
MERCY HOSPITAL FORT SMITH FORT SMITH AR $127.47

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 168,806 $2.80M
2019 186,691 $3.34M
2020 162,227 $3.19M
2021 138,371 $3.30M
2022 121,026 $3.24M
2023 144,810 $3.71M
2024 126,321 $2.89M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 29,178 8,886 $1.03M
74177 Computed tomography, abdomen and pelvis; with contrast material 6,937 6,453 $854K
D9999 Unspecified adjunctive procedure, by report 825 825 $798K
80053 Comprehensive metabolic panel 54,469 45,316 $775K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 9,925 6,939 $718K
70450 Computed tomography, head or brain; without contrast material 7,554 7,001 $676K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1,935 1,795 $649K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 2,366 2,184 $575K
62323 3,510 3,395 $532K
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 8,675 6,716 $511K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 75,221 59,129 $497K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 7,907 6,777 $472K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 6,852 6,078 $463K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 4,152 3,949 $442K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 1,549 1,356 $413K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 3,656 2,143 $391K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 7,380 7,127 $326K
72125 Computed tomography, cervical spine; without contrast material 2,943 2,748 $315K
36415 Collection of venous blood by venipuncture 30,476 21,501 $312K
99283 Emergency department visit for the evaluation and management, moderate severity 3,863 3,272 $294K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,912 1,742 $290K
78815 Positron emission tomography (PET) for limited area imaging 725 641 $285K
42820 Tonsillectomy and adenoidectomy; younger than age 12 865 846 $278K
80048 Basic metabolic panel (calcium, ionized) 22,207 17,733 $272K
99284 Emergency department visit for the evaluation and management, high severity 3,977 3,424 $270K
71260 Computed tomography, thorax, diagnostic; with contrast material 2,150 2,016 $254K
97530 Therapeutic activities, direct patient contact, each 15 minutes 7,172 2,379 $248K
88305 Level IV - Surgical pathology, gross and microscopic examination 5,467 5,004 $246K
71275 Computed tomographic angiography, chest, with contrast material 1,429 1,352 $241K
80050 General health panel 6,125 5,654 $241K
J0897 Injection, denosumab, 1 mg 904 808 $216K
72141 945 872 $210K
77067 Screening mammography, bilateral, including computer-aided detection 4,103 3,865 $207K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1,995 1,040 $198K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 20,696 17,940 $189K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,847 1,719 $188K
71045 Radiologic examination, chest; single view 18,352 16,376 $155K
96367 1,358 780 $148K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 932 887 $146K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 3,491 3,242 $142K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 3,498 3,249 $141K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,519 2,374 $141K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 16,767 13,838 $133K
71046 Radiologic examination, chest; 2 views 7,477 7,002 $126K
72131 1,080 1,029 $120K
97162 1,514 1,437 $118K
62321 711 691 $116K
80081 1,302 1,220 $114K
87086 Culture, bacterial; quantitative colony count, urine 14,607 13,114 $113K
84484 14,517 9,688 $111K
84443 Thyroid stimulating hormone (TSH) 9,830 8,916 $110K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 728 712 $105K
70551 Magnetic resonance imaging, brain; without contrast material 533 486 $103K
71250 1,653 1,562 $99K
83880 5,218 4,665 $98K
96361 Intravenous infusion, hydration; each additional hour 1,591 1,312 $95K
80061 Lipid panel 10,724 9,978 $93K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 4,559 4,190 $93K
87081 11,433 10,895 $88K
87631 974 926 $85K
93458 404 382 $84K
59025 Fetal non-stress test 411 362 $80K
J2405 Injection, ondansetron hydrochloride, per 1 mg 24,402 19,616 $79K
A9577 Injection, gadobenate dimeglumine (multihance), per ml 3,535 3,031 $77K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,901 3,351 $74K
82947 6,334 4,125 $73K
70498 561 523 $73K
81025 8,062 7,351 $71K
87653 1,598 1,504 $71K
74018 3,137 2,789 $70K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 369 292 $68K
86901 3,501 3,165 $68K
70496 554 517 $67K
82565 4,628 4,317 $64K
81001 20,377 18,207 $62K
83735 10,675 8,476 $62K
83690 9,372 8,366 $61K
73630 2,029 1,884 $60K
76700 Ultrasound, abdominal, real time with image documentation; complete 1,612 1,522 $59K
97161 1,309 1,193 $59K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 499 462 $58K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 595 560 $58K
77066 Tomosynthesis, mammo 887 861 $57K
97001 1,972 1,791 $56K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 310 260 $54K
83036 Hemoglobin; glycosylated (A1C) 9,043 8,416 $52K
J1650 Injection, enoxaparin sodium, 10 mg 3,365 1,916 $51K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,836 2,701 $51K
J1885 Injection, ketorolac tromethamine, per 15 mg 12,973 9,908 $51K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,298 4,163 $50K
88342 1,516 1,399 $48K
J2469 Injection, palonosetron hcl, 25 mcg 1,103 617 $48K
88304 1,162 1,108 $48K
93971 1,346 1,244 $47K
82962 6,848 4,427 $46K
T1015 Clinic visit/encounter, all-inclusive 4,074 2,968 $46K
80074 1,024 951 $44K
76536 1,286 1,247 $44K
73221 195 178 $43K
70486 393 378 $42K
72128 361 348 $42K
72100 1,619 1,516 $41K
85610 14,209 11,428 $40K
87040 3,424 2,555 $40K
82077 2,563 2,265 $39K
73030 1,518 1,391 $39K
73560 1,176 1,089 $39K
77063 Screening digital breast tomosynthesis, bilateral 3,254 3,061 $38K
85730 6,312 5,610 $38K
87070 2,741 2,472 $35K
J2785 Injection, regadenoson, 0.1 mg 643 602 $35K
87077 4,815 4,448 $33K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 864 783 $33K
82728 3,276 3,036 $32K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,003 963 $32K
84702 3,362 2,852 $32K
80143 1,673 1,487 $32K
J1815 Injection, insulin, per 5 units 2,540 1,873 $32K
83605 3,358 2,944 $31K
76642 1,028 997 $30K
87147 1,961 1,834 $30K
80179 1,603 1,439 $30K
97597 1,523 1,002 $28K
82677 987 927 $28K
84439 3,801 3,500 $28K
76770 951 908 $28K
76830 Ultrasound, transvaginal 567 544 $27K
81003 11,846 10,819 $27K
93880 673 646 $27K
76801 796 705 $26K
73610 1,326 1,248 $26K
82805 1,101 980 $25K
J0696 Injection, ceftriaxone sodium, per 250 mg 4,900 3,737 $25K
95810 Polysomnography; sleep staging with 4 or more additional parameters 224 215 $24K
80320 1,753 1,478 $24K
94729 1,267 1,210 $24K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 979 940 $23K
36591 706 404 $23K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 1,016 945 $23K
87186 4,596 4,250 $22K
82105 1,236 1,160 $22K
64493 112 100 $22K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 643 617 $21K
73130 915 855 $21K
36416 3,764 2,423 $21K
88307 232 208 $20K
87807 1,666 1,620 $20K
87088 3,279 3,045 $20K
82803 1,156 1,020 $20K
84145 1,121 1,054 $20K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 1,225 1,179 $20K
93017 1,180 1,119 $19K
83970 781 722 $19K
94727 1,289 1,230 $19K
86336 1,004 943 $18K
87210 3,305 3,025 $17K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 9,447 7,995 $17K
86140 3,610 3,311 $17K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 396 254 $16K
73562 555 522 $16K
42830 56 52 $15K
86850 3,196 2,902 $15K
85014 2,686 2,318 $15K
17250 143 107 $14K
82607 1,543 1,454 $14K
84481 1,152 1,111 $14K
82330 1,166 1,030 $14K
73110 584 550 $13K
87641 652 596 $13K
72170 487 462 $13K
J2704 Injection, propofol, 10 mg 21,011 13,167 $12K
86900 3,475 3,141 $12K
71020 848 796 $12K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 264 240 $12K
12001 57 57 $11K
73502 534 502 $11K
82746 1,081 988 $11K
J7030 Infusion, normal saline solution , 1000 cc 7,371 6,192 $11K
43235 106 102 $11K
85379 1,188 1,114 $11K
87522 Neg quan hep c or qual rna 314 290 $10K
93922 643 617 $10K
97165 194 183 $10K
97003 319 294 $10K
83550 1,879 1,742 $10K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 8,295 6,204 $10K
J3010 Injection, fentanyl citrate, 0.1 mg 14,975 13,042 $10K
80329 686 565 $10K
70491 77 74 $10K
85027 2,528 2,213 $9K
J1453 Injection, fosaprepitant, 1 mg 160 100 $9K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 290 259 $9K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 48 45 $9K
97166 121 116 $9K
95811 73 66 $9K
94060 336 319 $8K
83540 2,152 1,981 $8K
85018 2,405 2,039 $8K
86696 365 325 $8K
84132 1,689 1,496 $8K
86803 558 521 $8K
82950 1,386 1,338 $8K
72040 292 272 $8K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1,062 845 $8K
85652 3,399 3,141 $8K
C1769 Guide wire 160 154 $8K
99152 348 333 $8K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,333 2,053 $7K
43450 206 194 $7K
82570 2,366 2,200 $7K
84703 774 711 $7K
87205 2,105 1,853 $7K
G0260 Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography 94 91 $7K
90715 461 441 $6K
84112 88 79 $6K
84295 1,303 1,172 $6K
86592 1,341 1,255 $6K
82550 1,009 883 $6K
80076 930 840 $6K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 7,917 3,287 $6K
84153 411 377 $5K
J2250 Injection, midazolam hydrochloride, per 1 mg 8,760 7,716 $5K
82248 925 701 $5K
82043 1,654 1,564 $5K
J7050 Infusion, normal saline solution, 250 cc 4,977 2,396 $5K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 638 617 $5K
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 142 130 $5K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 930 355 $5K
96417 54 40 $5K
82010 691 602 $5K
80069 877 765 $5K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 29 25 $5K
87634 54 54 $5K
71010 600 543 $4K
J0690 Injection, cefazolin sodium, 500 mg 6,794 5,590 $4K
77334 37 24 $4K
93970 166 153 $4K
81002 1,228 1,019 $4K
82247 596 426 $4K
86039 467 442 $4K
86695 364 325 $4K
77065 Tomosynthesis, mammo 96 92 $4K
96375 Therapeutic injection; each additional sequential IV push 10,427 7,809 $4K
84480 345 302 $3K
83615 803 707 $3K
80164 364 309 $3K
86038 348 319 $3K
84550 1,001 928 $3K
77412 123 12 $3K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 80 72 $3K
84146 130 122 $3K
J1200 Injection, diphenhydramine hcl, up to 50 mg 5,601 4,123 $3K
12011 15 15 $3K
80047 43 38 $3K
74000 157 149 $3K
73590 100 92 $3K
J2060 Injection, lorazepam, 2 mg 2,184 1,873 $3K
36600 219 191 $3K
87340 243 231 $2K
12002 15 12 $2K
87428 37 37 $2K
84156 865 776 $2K
82784 140 124 $2K
87899 270 225 $2K
78306 28 26 $2K
36430 25 24 $2K
73070 135 131 $2K
88341 14 14 $2K
A9270 Non-covered item or service 5,790 4,140 $2K
87493 81 72 $2K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 124 36 $2K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 436 155 $2K
86431 385 360 $2K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 1,520 1,271 $2K
93226 44 44 $2K
81000 489 472 $2K
84403 72 68 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 258 232 $2K
84100 381 304 $2K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,061 873 $2K
83655 93 93 $2K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 31 26 $2K
77336 57 24 $1K
82140 298 264 $1K
87075 133 117 $1K
97164 46 41 $1K
J2270 Injection, morphine sulfate, up to 10 mg 4,752 3,873 $1K
J3475 Injection, magnesium sulfate, per 500 mg 1,566 1,113 $1K
77080 16 13 $1K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 3,405 2,290 $1K
J1170 Injection, hydromorphone, up to 4 mg 4,439 3,460 $1K
J0780 Injection, prochlorperazine, up to 10 mg 2,583 2,395 $1K
73090 68 66 $1K
74022 49 45 $987.34
87400 81 80 $964.50
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 3,864 3,673 $928.71
82951 81 81 $918.92
94010 77 75 $904.82
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 17,859 12,416 $892.41
86300 68 61 $879.15
96415 16 13 $868.30
J7120 Ringers lactate infusion, up to 1000 cc 9,136 8,300 $862.13
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 45 43 $836.48
80177 117 104 $834.77
85045 293 278 $767.46
J1956 Injection, levofloxacin, 250 mg 221 179 $744.41
88142 48 45 $699.33
0202U Oncology (prostate), multianalyte, gene expression profiling 3,156 3,053 $664.57
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 274 256 $660.13
J1644 Injection, heparin sodium, per 1000 units 1,859 1,232 $655.37
J2765 Injection, metoclopramide hcl, up to 10 mg 2,680 2,374 $648.42
87045 72 66 $628.51
90686 99 84 $548.76
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 825 748 $541.52
87328 56 50 $534.61
87329 56 50 $523.78
J0330 Injection, succinylcholine chloride, up to 20 mg 654 566 $518.15
87046 72 66 $500.62
J2175 Injection, meperidine hydrochloride, per 100 mg 2,070 1,939 $491.37
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 1,190 979 $463.73
82150 80 76 $451.54
29580 39 24 $450.85
86762 24 24 $431.55
92523 13 13 $385.52
J3480 Injection, potassium chloride, per 2 meq 210 138 $377.90
J1953 Injection, levetiracetam, 10 mg 26 12 $370.00
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 40 38 $355.00
J0670 Injection, mepivacaine hydrochloride, per 10 ml 1,488 1,231 $350.36
S0028 Injection, famotidine, 20 mg 1,551 1,134 $316.41
97116 360 158 $314.21
76870 12 12 $304.52
80349 16 16 $298.90
83001 13 13 $292.05
82952 81 81 $287.11
83516 16 12 $253.85
83930 30 25 $227.00
86200 29 27 $225.12
P9612 Catheterization for collection of specimen, single patient, all places of service 14 14 $219.00
99153 Mod sedat endo service >5yrs 86 84 $218.21
84165 27 26 $204.47
97535 Self-care/home management training, each 15 minutes 28 27 $185.98
86923 46 40 $183.60
J1630 Injection, haloperidol, up to 5 mg 97 80 $166.92
0353U 238 225 $164.94
J1940 Injection, furosemide, up to 20 mg 372 266 $164.50
J3370 Injection, vancomycin hcl, 500 mg 265 137 $150.40
G0378 Hospital observation service, per hour 442 382 $144.96
88312 62 45 $143.00
93923 17 15 $141.30
83921 14 12 $141.06
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) 112 78 $135.60
83986 29 27 $128.00
82378 13 12 $108.36
J2550 Injection, promethazine hcl, up to 50 mg 206 174 $81.60
80178 13 12 $66.01
S0020 Injection, bupivicaine hydrochloride, 30 ml 440 378 $65.64
J2370 Injection, phenylephrine hcl, up to 1 ml 165 156 $59.89
83883 14 12 $58.26
84460 13 12 $45.36
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 376 163 $34.99
J2919 Injection, methylprednisolone sodium succinate, 5 mg 178 133 $33.40
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg 21 18 $27.84
J0171 Injection, adrenalin, epinephrine, 0.1 mg 12 12 $27.40
82340 12 12 $25.86
J7510 Prednisolone oral, per 5 mg 206 184 $24.85
96376 2,381 1,741 $22.44
S0164 Injection, pantoprazole sodium, 40 mg 99 70 $16.61
J0360 Injection, hydralazine hcl, up to 20 mg 19 13 $15.91
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 70 39 $15.52
J0461 Injection, atropine sulfate, 0.01 mg 62 43 $14.64
J2795 Injection, ropivacaine hydrochloride, 1 mg 2,339 1,217 $13.56
J1596 Injection, glycopyrrolate, 0.1 mg 232 197 $10.68
S0077 Injection, clindamycin phosphate, 300 mg 38 24 $7.61
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 405 267 $5.93
J1030 Injection, methylprednisolone acetate, 40 mg 228 218 $5.36
J0736 Injection, clindamycin phosphate, 300 mg 13 13 $4.83
J2360 Injection, orphenadrine citrate, up to 60 mg 42 39 $3.27
J0137 Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg 283 174 $3.20
J2305 Injection, nitroglycerin, 5 mg 56 42 $2.61
J2003 Injection, lidocaine hydrochloride, 1 mg 391 348 $1.80
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 283 269 $1.10
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 257 246 $0.96
J0687 Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg 83 66 $0.14
J0131 Injection, acetaminophen, not otherwise specified,10 mg 673 609 $0.02
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 390 319 $0.01
G0008 Administration of influenza virus vaccine 57 45 $0.00
97010 156 57 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 1,283 1,255 $0.00
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 817 560 $0.00
J7060 5% dextrose/water (500 ml = 1 unit) 77 49 $0.00
94761 12 12 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 18 12 $0.00
J8540 Dexamethasone, oral, 0.25 mg 189 149 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 26 26 $0.00
J1171 Injection, hydromorphone, 0.1 mg 47 32 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 50 41 $0.00
92610 14 12 $0.00