Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › HERSHEY › THE MILTON S HERSHEY MEDICAL CENTER

THE MILTON S HERSHEY MEDICAL CENTER

NPI: 1568435477 · HERSHEY, PA 17033 · Land Ambulance · NPI assigned 02/10/2006

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

Authorized official MCKENNA, DONALD controls 12+ related entities in our dataset. Read more

$78.95M
Total Medicaid Paid
1,567,535
Total Claims
1,383,426
Beneficiaries
740
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCKENNA, DONALD (PRESIDENT)
NPI Enumeration Date02/10/2006

Related Entities

Other providers sharing the same authorized official: MCKENNA, DONALD

ProviderCityStateTotal Paid
THE MILTON S. HERSHEY MEDICAL CENTER PHYSICIANS GROUP HERSHEY PA $26.66M
THE MILTON S HERSHEY MEDICAL CENTER HERSHEY PA $3.54M
THE MILTON S. HERSHEY MEDICAL CENTER HERSHEY PA $2.15M
THE MILTON S. HERSHEY MEDICAL CENTER HERSHEY PA $377K
PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER CAMP HILL PA $12K
THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP HERSHEY PA $6K
THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP HERSHEY PA $6K
THE MILTON S. HERSHEY MEDICAL CENTER HERSHEY PA $3K
THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP HERSHEY PA $1K
THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP HERSHEY PA $1K
THE MILTON S. HERSHEY MEDICAL CENTER PHYSICIAN GROUP HARRISBURG PA $1K
THE MILTON S HERSHEY MEDICAL CENTER PHYSICIAN GROUP HERSHEY PA $137.12

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,126 $386K
2019 13,287 $474K
2020 204,451 $7.73M
2021 778,889 $36.16M
2022 225,578 $11.72M
2023 191,896 $11.91M
2024 147,308 $10.57M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 305,789 278,012 $14.75M
99284 Emergency department visit for the evaluation and management, high severity 25,509 24,705 $9.21M
99283 Emergency department visit for the evaluation and management, moderate severity 28,225 27,499 $7.11M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 8,549 8,178 $4.64M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 72,806 64,361 $2.18M
G0378 Hospital observation service, per hour 2,146 2,005 $1.72M
42820 Tonsillectomy and adenoidectomy; younger than age 12 173 172 $1.29M
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,278 1,257 $1.11M
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 12,371 11,923 $1.06M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 7,167 5,424 $945K
A0427 Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 2,654 2,210 $906K
J9271 Injection, pembrolizumab, 1 mg 382 322 $826K
J1745 Injection, infliximab, excludes biosimilar, 10 mg 2,613 2,062 $786K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 3,831 2,772 $783K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 2,261 2,225 $761K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 3,722 3,614 $749K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4,856 4,776 $706K
93304 1,807 1,748 $696K
59025 Fetal non-stress test 3,872 1,803 $677K
J1459 Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg 2,834 994 $664K
A0431 Ambulance service, conventional air services, transport, one way (rotary wing) 173 149 $612K
95782 687 669 $606K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,377 2,291 $601K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1,925 1,885 $589K
T1015 Clinic visit/encounter, all-inclusive 7,945 5,206 $542K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 4,019 3,191 $516K
A0428 Ambulance service, basic life support, non-emergency transport, (bls) 3,059 2,812 $505K
J3380 Injection, vedolizumab, intravenous, 1 mg 707 656 $453K
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 1,632 1,332 $438K
76770 4,449 4,371 $424K
94010 3,654 3,602 $413K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 6,509 6,415 $398K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 754 734 $396K
J2357 Injection, omalizumab, 5 mg 1,703 1,272 $389K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 12,855 11,985 $387K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 985 972 $386K
J0585 Injection, onabotulinumtoxina, 1 unit 4,199 3,303 $344K
71045 Radiologic examination, chest; single view 5,840 5,552 $338K
96361 Intravenous infusion, hydration; each additional hour 5,332 4,222 $318K
95117 7,277 5,435 $299K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 7,362 6,174 $283K
A0425 Ground mileage, per statute mile 6,520 5,488 $274K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2,783 2,596 $269K
92557 2,522 2,498 $267K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 12,646 12,191 $259K
45380 Colonoscopy, flexible; with biopsy, single or multiple 303 295 $241K
94060 1,082 1,063 $233K
64642 630 601 $233K
80053 Comprehensive metabolic panel 33,506 28,825 $231K
96375 Therapeutic injection; each additional sequential IV push 6,284 4,544 $230K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 3,202 3,038 $226K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 46,477 40,157 $225K
71046 Radiologic examination, chest; 2 views 3,501 3,378 $217K
J2323 Injection, natalizumab, 1 mg 242 229 $217K
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 9,887 9,500 $216K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,689 1,518 $211K
92060 5,160 5,042 $211K
95816 828 819 $209K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 1,352 1,335 $200K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 241 235 $197K
93226 2,028 2,004 $197K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 4,186 4,052 $194K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,568 4,457 $188K
36415 Collection of venous blood by venipuncture 63,578 55,962 $185K
86900 2,644 2,367 $182K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 779 769 $181K
97803 3,296 3,139 $179K
92567 6,906 6,786 $175K
92587 740 711 $175K
36430 586 344 $168K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 4,763 2,258 $150K
20610 962 895 $150K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,269 1,238 $149K
A0436 Rotary wing air mileage, per statute mile 162 137 $149K
70551 Magnetic resonance imaging, brain; without contrast material 740 721 $147K
78815 Positron emission tomography (PET) for limited area imaging 140 138 $142K
J0897 Injection, denosumab, 1 mg 1,207 1,176 $141K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,626 841 $135K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,041 606 $135K
76830 Ultrasound, transvaginal 1,301 1,256 $128K
74176 Computed tomography, abdomen and pelvis; without contrast material 831 795 $126K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,590 2,480 $125K
95708 310 248 $123K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 1,636 1,611 $122K
70450 Computed tomography, head or brain; without contrast material 1,548 1,480 $121K
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 345 339 $118K
J1439 Injection, ferric carboxymaltose, 1 mg 1,029 743 $115K
95811 147 139 $115K
31575 763 750 $109K
58300 269 264 $108K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 305 302 $107K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 1,003 951 $104K
77067 Screening mammography, bilateral, including computer-aided detection 933 923 $104K
84443 Thyroid stimulating hormone (TSH) 7,676 7,403 $103K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,930 1,766 $102K
93308 558 540 $102K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 3,488 3,380 $100K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 3,474 3,367 $99K
43235 170 166 $94K
76705 Ultrasound, abdominal, real time with image documentation; limited 999 958 $91K
93975 492 475 $90K
Q3014 Telehealth originating site facility fee 5,061 4,699 $90K
97162 1,237 1,217 $87K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 66 65 $84K
95911 214 208 $84K
J9312 Injection, rituximab, 10 mg 32 14 $83K
96415 1,537 1,214 $83K
96409 494 325 $81K
93325 3,230 3,086 $80K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,188 874 $80K
93017 494 482 $76K
80061 Lipid panel 5,758 5,652 $74K
P9040 Red blood cells, leukocytes reduced, irradiated, each unit 218 166 $73K
72197 207 205 $73K
74018 1,538 1,439 $70K
94726 476 462 $69K
64615 358 355 $69K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 430 422 $69K
97802 833 794 $67K
95700 346 338 $67K
72141 319 315 $65K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1,225 475 $64K
73630 1,235 1,065 $64K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,546 813 $63K
74178 258 254 $63K
76825 133 125 $61K
74183 223 221 $61K
G0008 Administration of influenza virus vaccine 1,756 1,722 $61K
86850 2,392 2,134 $61K
80050 General health panel 469 454 $60K
72100 944 912 $60K
92134 2,004 1,945 $60K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 3,751 3,653 $59K
11981 85 84 $58K
97165 850 833 $56K
76700 Ultrasound, abdominal, real time with image documentation; complete 571 566 $55K
11102 426 409 $54K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 625 534 $54K
58661 12 12 $53K
71250 598 581 $53K
G0379 Direct admission of patient for hospital observation care 40 40 $53K
97161 711 694 $51K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 519 503 $51K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 192 190 $51K
76819 Fetal biophysical profile; without non-stress testing 442 292 $49K
76536 546 528 $49K
77334 83 68 $49K
74230 321 317 $48K
72156 190 188 $47K
93321 2,248 2,145 $47K
72195 144 139 $46K
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 1,614 1,590 $46K
17110 409 393 $46K
76801 408 392 $45K
86780 3,158 3,070 $44K
86901 2,392 2,128 $44K
93970 239 231 $42K
64493 66 64 $42K
95076 89 84 $42K
82728 4,167 3,962 $42K
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 1,232 1,208 $41K
80048 Basic metabolic panel (calcium, ionized) 7,911 6,791 $41K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 772 762 $40K
92228 1,285 1,267 $40K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 334 326 $39K
88342 519 503 $38K
72158 164 161 $38K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 197 188 $38K
93225 542 536 $37K
92083 593 584 $36K
93971 478 462 $36K
83036 Hemoglobin; glycosylated (A1C) 4,880 4,784 $35K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 1,047 1,038 $35K
76820 421 239 $35K
93350 104 101 $35K
70491 237 235 $35K
72170 517 509 $34K
73030 717 661 $34K
73610 741 646 $34K
20611 198 193 $34K
96367 840 645 $33K
95886 390 379 $33K
95115 1,051 697 $33K
86003 546 506 $32K
92579 333 317 $32K
96411 543 377 $32K
C8928 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report 97 95 $32K
31231 228 218 $32K
85027 7,242 6,236 $31K
11900 276 260 $31K
87086 Culture, bacterial; quantitative colony count, urine 5,545 5,182 $31K
76642 462 449 $31K
73560 797 700 $31K
A0434 Specialty care transport (sct) 56 45 $31K
90686 8,986 8,843 $30K
84466 2,827 2,707 $29K
77063 Screening digital breast tomosynthesis, bilateral 809 797 $29K
86923 271 227 $29K
77066 Tomosynthesis, mammo 281 273 $28K
83970 891 866 $28K
96450 98 87 $28K
20552 195 193 $28K
92201 738 705 $28K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 43 42 $27K
77336 294 136 $27K
86803 2,216 2,154 $27K
88185 95 87 $27K
70496 152 148 $27K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 912 871 $27K
86481 342 331 $26K
74240 184 178 $26K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,232 547 $25K
83735 5,802 4,079 $25K
C8921 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, for congenital cardiac anomalies; complete 54 54 $25K
72040 504 485 $25K
11104 117 112 $24K
70486 293 285 $24K
93296 992 981 $24K
67028 Intravitreal injection of a pharmacologic agent 115 106 $24K
92609 357 119 $23K
77072 319 310 $23K
84439 3,443 3,313 $23K
92526 439 223 $23K
76882 300 273 $23K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 775 493 $23K
87497 602 335 $23K
73562 471 406 $23K
92610 419 398 $23K
38222 13 13 $23K
77080 232 231 $23K
70543 63 62 $22K
P9016 Red blood cells, leukocytes reduced, each unit 91 81 $22K
C1769 Guide wire 705 628 $22K
82784 1,690 1,505 $21K
92552 292 286 $21K
86235 355 340 $21K
49452 18 17 $21K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 546 537 $21K
84403 583 561 $21K
88184 126 116 $21K
83037 3,301 3,278 $21K
74455 98 95 $20K
96158 409 393 $19K
73590 458 405 $19K
83516 936 911 $19K
96416 82 62 $19K
73130 454 391 $19K
96417 387 264 $19K
73564 285 249 $19K
73502 397 383 $19K
87536 344 332 $18K
73120 232 162 $18K
36591 205 162 $18K
20553 117 116 $18K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 356 355 $18K
78264 65 64 $18K
73110 356 320 $18K
G0475 Hiv antigen/antibody, combination assay, screening 1,527 1,468 $18K
77065 Tomosynthesis, mammo 206 189 $18K
20550 113 104 $17K
86828 353 344 $17K
92553 231 229 $17K
87340 1,988 1,931 $17K
76870 202 197 $17K
82607 1,593 1,539 $17K
J1750 Injection, iron dextran, 50 mg 555 511 $17K
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 801 738 $17K
83880 821 772 $17K
84702 1,352 1,062 $17K
92133 722 712 $17K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 183 180 $17K
90651 1,356 1,322 $16K
97113 387 184 $16K
87799 342 198 $16K
73221 85 85 $16K
83540 3,012 2,888 $16K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 176 168 $16K
86140 4,784 4,367 $16K
97166 248 243 $16K
81025 2,574 2,435 $16K
88307 226 213 $15K
84484 2,179 1,880 $15K
73090 285 258 $15K
74019 248 236 $15K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 691 679 $15K
43762 60 59 $15K
72157 58 58 $15K
88341 180 172 $15K
82077 206 199 $15K
92551 613 606 $15K
90715 4,487 4,044 $15K
74181 110 106 $15K
78306 64 64 $14K
84100 4,461 3,062 $14K
85610 5,447 4,145 $14K
31579 50 50 $14K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 870 853 $14K
A9585 Injection, gadobutrol, 0.1 ml 6,608 5,796 $14K
83690 3,811 3,533 $14K
72125 Computed tomography, cervical spine; without contrast material 305 298 $14K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 644 630 $14K
87081 1,490 1,444 $14K
92611 238 235 $14K
92002 217 213 $13K
72081 273 266 $13K
83615 3,246 2,148 $13K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 330 311 $13K
88112 385 344 $13K
81268 69 41 $12K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 373 366 $12K
86870 47 41 $12K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 10,944 9,290 $12K
73552 330 296 $12K
81001 5,404 5,119 $11K
J1453 Injection, fosaprepitant, 1 mg 528 342 $11K
10060 51 50 $11K
92015 Determination of refractive state 8,514 8,411 $11K
73080 228 207 $11K
96156 232 227 $11K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 812 793 $11K
73070 206 175 $11K
87631 87 86 $11K
85652 5,609 5,200 $11K
92582 149 143 $11K
52000 40 39 $10K
90670 717 701 $10K
93320 237 233 $10K
51728 29 29 $10K
92555 530 518 $10K
87077 1,804 1,743 $10K
76512 127 121 $10K
73140 225 212 $10K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 160 141 $10K
70498 97 94 $10K
81003 5,669 5,352 $9K
84481 655 616 $9K
94729 461 448 $9K
80197 865 539 $9K
86762 707 694 $9K
82746 785 759 $9K
84146 478 457 $9K
99153 Mod sedat endo service >5yrs 352 338 $9K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 538 518 $9K
74174 28 28 $9K
97804 317 292 $8K
51798 384 369 $8K
51702 139 132 $8K
90734 452 438 $8K
88304 415 399 $8K
72082 157 149 $8K
99495 121 120 $8K
73620 151 123 $8K
92593 681 652 $8K
86580 314 279 $8K
83655 637 614 $8K
84460 2,096 1,908 $8K
72070 124 119 $7K
90732 474 462 $7K
87653 231 222 $7K
87186 1,246 1,213 $7K
86160 484 451 $7K
C1887 Catheter, guiding (may include infusion/perfusion capability) 360 339 $7K
86038 772 742 $7K
76885 76 73 $7K
84550 2,092 1,235 $7K
85046 1,745 1,575 $7K
87522 Neg quan hep c or qual rna 213 205 $7K
76818 53 28 $7K
58301 24 24 $7K
83605 1,229 1,063 $7K
99173 525 520 $7K
10005 14 14 $7K
49083 18 12 $7K
99152 514 489 $7K
86706 749 730 $7K
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 96 94 $7K
51705 62 56 $6K
80069 984 809 $6K
51741 111 109 $6K
82670 268 251 $6K
82570 1,517 1,380 $6K
83001 393 376 $6K
82962 3,402 2,593 $6K
97163 61 60 $6K
86335 292 262 $6K
73100 118 97 $6K
77073 98 97 $6K
86618 387 372 $6K
86704 565 551 $6K
J2704 Injection, propofol, 10 mg 15,789 11,037 $6K
V5264 Ear mold/insert, not disposable, any type 158 155 $6K
77300 30 30 $6K
82565 1,878 1,737 $6K
70360 97 93 $6K
11721 185 181 $6K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 348 332 $6K
87070 1,204 1,135 $6K
80143 88 86 $6K
91010 13 13 $5K
73060 119 113 $5K
87040 718 639 $5K
87505 66 66 $5K
83520 156 146 $5K
X0592 162 153 $5K
86334 365 334 $5K
84145 447 410 $5K
97164 102 101 $5K
91200 45 45 $5K
70480 47 47 $5K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 376 362 $5K
83002 328 316 $5K
P9604 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge 426 273 $5K
76942 245 231 $5K
82950 929 915 $5K
87102 798 773 $5K
93298 114 114 $5K
84156 1,659 1,488 $5K
71275 Computed tomographic angiography, chest, with contrast material 26 25 $5K
87205 1,733 1,651 $5K
82024 145 131 $4K
83993 150 146 $4K
82043 990 969 $4K
82657 156 146 $4K
82105 379 366 $4K
96368 212 165 $4K
36592 45 38 $4K
80076 641 600 $4K
92558 408 395 $4K
80320 37 36 $4K
83883 320 284 $4K
97542 142 134 $4K
11982 13 13 $4K
94375 27 25 $4K
96112 28 27 $4K
87493 144 139 $4K
84075 1,129 1,068 $4K
84270 216 211 $4K
90834 Psychotherapy, 45 minutes with patient 388 292 $4K
64643 202 193 $4K
84153 242 234 $4K
86361 206 198 $4K
V5266 Battery for use in hearing device 201 196 $4K
86225 390 376 $4K
96402 103 98 $4K
36416 1,460 1,254 $4K
82977 711 544 $4K
82378 319 257 $4K
85379 603 569 $4K
82247 1,216 1,090 $4K
J2469 Injection, palonosetron hcl, 25 mcg 1,657 866 $4K
84450 936 816 $4K
84425 194 182 $4K
57454 12 12 $4K
A0426 Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) 14 14 $3K
97116 345 221 $3K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 72 72 $3K
72146 43 43 $3K
83020 301 289 $3K
74221 25 25 $3K
85730 1,023 945 $3K
A4215 Needle, sterile, any size, each 345 313 $3K
82397 307 295 $3K
82951 215 215 $3K
11719 112 108 $3K
51701 37 37 $3K
92652 14 14 $3K
64644 14 12 $3K
95819 13 13 $3K
90723 373 359 $3K
82550 712 626 $3K
86360 72 66 $3K
84165 438 398 $3K
82533 230 209 $3K
76827 43 38 $3K
82627 156 149 $3K
93925 20 19 $3K
73700 27 27 $3K
95910 12 12 $3K
91037 12 12 $3K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 117 114 $3K
95909 12 12 $3K
88302 166 153 $3K
84144 150 133 $3K
93356 366 358 $3K
82785 223 220 $3K
86147 70 69 $3K
96376 1,258 830 $3K
87529 85 81 $3K
76821 39 27 $3K
87338 177 174 $2K
96116 13 13 $2K
A0998 Ambulance response and treatment, no transport 26 26 $2K
11720 105 102 $2K
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 14 12 $2K
64405 13 12 $2K
86039 267 254 $2K
86200 245 235 $2K
86359 72 66 $2K
82248 523 357 $2K
76937 60 58 $2K
97760 60 54 $2K
93880 17 17 $2K
20605 13 12 $2K
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 136 131 $2K
86376 189 183 $2K
99385 186 183 $2K
58100 13 13 $2K
87210 353 343 $2K
83498 119 114 $2K
86355 64 57 $2K
80179 84 77 $2K
90472 Immunization administration, each additional vaccine (list separately) 400 393 $2K
86787 136 135 $2K
88720 332 284 $2K
99381 115 113 $2K
J3490 Unclassified drugs 1,480 1,239 $2K
83525 168 165 $2K
51784 30 30 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 4,009 3,424 $2K
92504 482 471 $2K
C1729 Catheter, drainage 122 111 $2K
86592 459 447 $2K
86357 59 53 $2K
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 248 244 $2K
80177 164 154 $2K
86431 413 400 $2K
96132 14 14 $2K
97535 Self-care/home management training, each 15 minutes 155 134 $2K
12001 27 27 $2K
77002 29 27 $2K
70250 32 30 $2K
86146 52 52 $2K
59430 42 42 $2K
87075 301 270 $2K
82150 367 341 $2K
84630 162 159 $2K
84305 103 101 $2K
89051 373 324 $1K
92523 12 12 $1K
82947 427 414 $1K
84520 707 651 $1K
84207 27 26 $1K
87899 69 68 $1K
90647 483 407 $1K
80164 108 101 $1K
72131 27 27 $1K
82232 109 96 $1K
86141 126 121 $1K
83921 73 71 $1K
99281 Emergency department visit for the evaluation and management, self-limited or minor 13 12 $1K
G0009 Administration of pneumococcal vaccine 65 62 $1K
92583 54 52 $1K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 122 121 $1K
Q9957 Injection, perflutren lipid microspheres, per ml 302 262 $1K
86021 92 86 $1K
94761 12 12 $998.72
J1170 Injection, hydromorphone, up to 4 mg 5,635 3,295 $986.36
99386 43 43 $949.54
88172 14 14 $945.37
69209 27 27 $940.84
85018 429 361 $919.73
88173 32 32 $915.45
86708 84 84 $915.21
82103 38 37 $891.56
80175 75 75 $884.64
82040 391 370 $879.77
96113 27 25 $861.37
82330 103 91 $855.57
0081A 14 14 $845.91
85384 109 84 $827.53
J1100 Injection, dexamethasone sodium phosphate, 1 mg 11,401 8,965 $825.49
90662 419 412 $815.28
96161 92 91 $807.10
J2270 Injection, morphine sulfate, up to 10 mg 3,119 2,144 $804.63
87206 266 247 $789.19
82952 174 174 $777.90
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 28 27 $749.08
90746 54 54 $725.92
17250 13 12 $716.86
J9370 Vincristine sulfate, 1 mg 665 430 $715.10
90750 41 41 $712.92
84703 151 144 $712.85
87106 83 81 $704.61
88313 12 12 $653.32
88300 154 150 $624.33
3078F 71,131 61,153 $621.57
71271 12 12 $613.40
84446 54 54 $613.06
J1644 Injection, heparin sodium, per 1000 units 2,314 1,306 $601.93
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 14 13 $591.52
81002 184 175 $587.62
J0780 Injection, prochlorperazine, up to 10 mg 1,373 1,138 $586.98
90681 86 85 $585.29
J1885 Injection, ketorolac tromethamine, per 15 mg 8,358 6,480 $577.28
86696 29 28 $576.06
82310 189 179 $575.93
82803 73 66 $572.24
85240 36 36 $535.22
87116 109 98 $509.87
86800 37 37 $508.14
86645 26 26 $505.76
82507 16 16 $486.46
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 1,174 839 $480.20
87147 136 133 $475.29
86694 29 29 $474.66
86644 29 29 $467.79
J1650 Injection, enoxaparin sodium, 10 mg 1,628 780 $458.70
90480 25 25 $456.66
73600 14 12 $454.78
J3475 Injection, magnesium sulfate, per 500 mg 1,617 943 $445.77
J2405 Injection, ondansetron hydrochloride, per 1 mg 14,038 10,304 $430.12
93926 13 13 $426.66
86695 30 29 $421.64
J0696 Injection, ceftriaxone sodium, per 250 mg 2,314 1,612 $411.83
J3010 Injection, fentanyl citrate, 0.1 mg 11,383 8,280 $398.75
84300 85 81 $395.53
51600 13 13 $371.74
92592 63 59 $352.07
80051 101 87 $349.84
82340 50 50 $332.06
84157 144 125 $331.73
82945 133 113 $320.46
87015 105 94 $315.06
J1815 Injection, insulin, per 5 units 852 403 $313.62
86341 27 27 $310.75
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 703 521 $307.43
95873 473 452 $302.70
82164 28 25 $299.10
90633 227 209 $282.93
83521 18 13 $282.58
87045 44 44 $276.50
87046 43 43 $276.50
86665 12 12 $273.27
83945 16 16 $260.80
J0690 Injection, cefazolin sodium, 500 mg 4,409 2,833 $252.56
J1200 Injection, diphenhydramine hcl, up to 50 mg 3,322 2,357 $252.40
84681 14 14 $250.62
0352U 13 13 $242.48
81015 141 139 $229.28
88311 47 46 $220.31
85598 14 14 $217.46
J8501 Aprepitant, oral, 5 mg 95 71 $214.50
84105 35 34 $213.22
99417 Prolong home eval add 15m 47 47 $210.85
86301 15 12 $209.96
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 27 26 $206.40
84590 28 28 $204.55
J3370 Injection, vancomycin hcl, 500 mg 365 226 $201.26
90832 Psychotherapy, 30 minutes with patient 15 12 $196.48
J2997 Injection, alteplase recombinant, 1 mg 105 24 $192.46
82436 29 28 $184.75
J8540 Dexamethasone, oral, 0.25 mg 691 375 $184.56
94760 12 12 $182.20
86664 12 12 $182.02
85246 12 12 $176.39
88312 12 12 $174.54
82390 13 13 $167.16
84560 29 29 $162.90
85999 95 93 $161.36
84133 30 29 $158.01
82010 48 44 $152.40
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 82 79 $151.74
83986 42 42 $150.23
J2250 Injection, midazolam hydrochloride, per 1 mg 4,816 3,983 $128.08
82140 30 27 $125.75
80201 18 13 $125.16
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 1,002 715 $122.92
85613 14 14 $117.62
J2765 Injection, metoclopramide hcl, up to 10 mg 1,014 807 $109.54
82525 13 13 $105.56
84392 16 16 $90.88
J0461 Injection, atropine sulfate, 0.01 mg 173 133 $78.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 438 325 $77.80
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 965 589 $76.98
J0330 Injection, succinylcholine chloride, up to 20 mg 271 197 $57.97
J2060 Injection, lorazepam, 2 mg 527 358 $57.82
86308 13 12 $53.59
J1580 Injection, garamycin, gentamicin, up to 80 mg 322 224 $53.42
J3480 Injection, potassium chloride, per 2 meq 140 78 $48.47
85660 12 12 $42.87
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 1,327 948 $41.72
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 21 12 $30.24
V5275 Ear impression, each 27 26 $28.80
J0290 Injection, ampicillin sodium, 500 mg 27 13 $23.04
J9250 Methotrexate sodium, 5 mg 23 13 $21.26
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 145 140 $17.00
J2550 Injection, promethazine hcl, up to 50 mg 80 62 $12.28
85014 13 13 $11.90
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 277 135 $9.84
C9113 Injection, pantoprazole sodium, per vial 32 14 $7.31
J0131 Injection, acetaminophen, not otherwise specified,10 mg 3,878 2,852 $4.40
3074F 80,818 69,216 $0.16
3008F 57,548 53,603 $0.12
3077F 9,507 8,469 $0.02
3075F 10,410 9,591 $0.02
3079F 20,308 18,358 $0.02
1111F 809 689 $0.02
3080F 7,042 6,329 $0.01
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg 554 514 $0.00
J1756 Injection, iron sucrose, 1 mg 868 494 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 283 238 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 451 445 $0.00
3051F 443 437 $0.00
3046F 475 466 $0.00
90700 28 27 $0.00
91321 406 400 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 139 135 $0.00
91322 266 263 $0.00
91320 38 38 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 1,196 973 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 367 285 $0.00
A4314 Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) 27 25 $0.00
J1171 Injection, hydromorphone, 0.1 mg 222 151 $0.00
0100U 61 56 $0.00
90380 34 34 $0.00
90678 40 40 $0.00
J1953 Injection, levetiracetam, 10 mg 17 13 $0.00
91308 87 85 $0.00
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 14 14 $0.00
J9201 Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg 23 12 $0.00
A4649 Surgical supply; miscellaneous 13 12 $0.00
J0475 Injection, baclofen, 10 mg 12 12 $0.00
3044F 3,169 3,130 $0.00
90677 590 580 $0.00
Q5121 Injection, infliximab-axxq, biosimilar, (avsola), 10 mg 331 220 $0.00
3052F 284 280 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 65 65 $0.00
3061F 121 120 $0.00
90656 1,241 1,229 $0.00
91318 19 18 $0.00
A9270 Non-covered item or service 177 166 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 43 39 $0.00
J2350 Injection, ocrelizumab, 1 mg 28 26 $0.00
3060F 95 95 $0.00
90381 12 12 $0.00
J9299 Injection, nivolumab, 1 mg 65 45 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 13 13 $0.00
J7050 Infusion, normal saline solution, 250 cc 33 31 $0.00
J0178 Injection, aflibercept, 1 mg 12 12 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 34 34 $0.00