Medicaid Provider Spending

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

THE COOPER HEALTH SYSTEM

NPI: 1568442309 · CAMDEN, NJ 08103 · General Acute Care Hospital · NPI assigned 01/18/2006

$354.03M
Total Medicaid Paid
4,611,446
Total Claims
3,670,899
Beneficiaries
801
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialREILLY, BRIAN (CFO)
NPI Enumeration Date01/18/2006

Related Entities

Other providers sharing the same authorized official: REILLY, BRIAN

ProviderCityStateTotal Paid
FAMILY CARE CHIROPRACTIC CENTER, BRIAN D.REILLY D.C.,P.A. HOT SPRINGS AR $56K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 559,312 $50.02M
2019 585,456 $52.94M
2020 480,593 $40.30M
2021 660,873 $48.99M
2022 817,103 $58.99M
2023 850,693 $58.34M
2024 657,416 $44.45M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 72,387 65,511 $34.58M
99284 Emergency department visit for the evaluation and management, high severity 89,970 80,196 $26.17M
99283 Emergency department visit for the evaluation and management, moderate severity 81,460 71,283 $24.51M
J9271 Injection, pembrolizumab, 1 mg 3,207 2,284 $17.83M
OP250 316,512 193,044 $16.51M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 13,858 13,123 $16.35M
G0378 Hospital observation service, per hour 40,356 21,649 $15.57M
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 45,720 35,960 $8.85M
96375 Therapeutic injection; each additional sequential IV push 43,075 27,001 $7.82M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 26,503 16,343 $6.93M
95810 Polysomnography; sleep staging with 4 or more additional parameters 2,927 2,872 $6.65M
64483 5,662 5,329 $5.84M
J2505 Injection, pegfilgrastim, 6 mg 1,993 1,539 $5.33M
45380 Colonoscopy, flexible; with biopsy, single or multiple 7,303 6,837 $5.14M
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 3,855 3,507 $4.54M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 7,533 7,325 $3.44M
59025 Fetal non-stress test 10,531 6,043 $3.40M
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 3,679 3,487 $3.06M
A0427 Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 13,419 12,031 $2.91M
77386 13,954 1,259 $2.89M
OP710 32,213 29,638 $2.54M
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 67,027 59,530 $2.51M
64493 2,110 2,014 $2.33M
77067 Screening mammography, bilateral, including computer-aided detection 23,151 22,696 $2.28M
J1745 Injection, infliximab, excludes biosimilar, 10 mg 1,236 1,075 $2.25M
J9299 Injection, nivolumab, 1 mg 459 296 $2.24M
J2506 Injection, pegfilgrastim, excludes biosimilar, 0.5 mg 1,153 782 $2.14M
Q5115 Injection, rituximab-abbs, biosimilar, (truxima), 10 mg 1,204 545 $2.13M
93458 905 866 $2.10M
62321 2,034 1,908 $2.09M
99282 Emergency department visit for the evaluation and management, low to moderate severity 19,406 16,259 $1.98M
74177 Computed tomography, abdomen and pelvis; with contrast material 18,601 17,170 $1.97M
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 4,651 4,257 $1.96M
J9305 Injection, pemetrexed, not otherwise specified, 10 mg 1,005 482 $1.92M
96417 6,791 4,385 $1.90M
96415 8,117 5,588 $1.85M
OP272 36,249 33,132 $1.74M
Q5107 Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg 1,533 674 $1.73M
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 24,743 23,015 $1.72M
78815 Positron emission tomography (PET) for limited area imaging 2,612 2,481 $1.72M
96411 3,806 2,476 $1.70M
Q5111 Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg 1,041 794 $1.67M
J0897 Injection, denosumab, 1 mg 1,659 1,491 $1.46M
62323 1,604 1,518 $1.42M
95816 3,730 3,625 $1.39M
64635 1,220 1,163 $1.35M
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 3,616 3,488 $1.34M
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 7,974 7,745 $1.31M
OP278 1,261 1,198 $1.30M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 29,841 24,739 $1.30M
72148 Magnetic resonance imaging, lumbar spine; without contrast material 4,321 4,215 $1.27M
70551 Magnetic resonance imaging, brain; without contrast material 4,359 4,216 $1.24M
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 55,683 50,722 $1.18M
J9312 Injection, rituximab, 10 mg 278 194 $1.16M
43235 1,033 975 $1.12M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 23,054 14,731 $1.11M
J9355 Injection, trastuzumab, excludes biosimilar, 10 mg 411 242 $1.08M
96361 Intravenous infusion, hydration; each additional hour 17,546 9,977 $1.08M
36415 Collection of venous blood by venipuncture 159,478 123,937 $1.04M
71260 Computed tomography, thorax, diagnostic; with contrast material 10,443 9,799 $1.02M
64490 971 919 $1.02M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,309 10,198 $916K
94070 1,538 1,501 $908K
71046 Radiologic examination, chest; 2 views 48,478 44,708 $876K
C1776 Joint device (implantable) 912 775 $852K
74183 2,375 2,311 $849K
96416 3,639 2,184 $848K
36561 733 674 $837K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 723 686 $817K
41899 Unlisted procedure, dentoalveolar structures 939 816 $812K
95806 2,777 2,765 $806K
92557 3,914 3,867 $795K
88305 Level IV - Surgical pathology, gross and microscopic examination 33,089 30,374 $766K
A0431 Ambulance service, conventional air services, transport, one way (rotary wing) 434 390 $754K
77412 10,476 1,251 $752K
70450 Computed tomography, head or brain; without contrast material 18,681 17,117 $739K
64721 742 707 $728K
72141 2,662 2,586 $724K
94060 2,590 2,539 $692K
19083 689 663 $690K
93971 4,044 3,821 $680K
77334 2,756 2,053 $676K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 7,626 4,833 $672K
94010 2,946 2,844 $669K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 30,775 24,859 $655K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 46,702 29,347 $652K
42820 Tonsillectomy and adenoidectomy; younger than age 12 412 397 $639K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 11,502 4,921 $637K
76705 Ultrasound, abdominal, real time with image documentation; limited 11,544 10,969 $629K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 60,410 50,506 $617K
71250 5,343 5,172 $584K
93970 2,765 2,609 $576K
82948 57,506 39,506 $575K
94750 2,022 2,019 $568K
J3380 Injection, vedolizumab, intravenous, 1 mg 118 112 $550K
77063 Screening digital breast tomosynthesis, bilateral 21,057 20,593 $538K
J9144 Injection, daratumumab, 10 mg and hyaluronidase-fihj 162 87 $516K
J2469 Injection, palonosetron hcl, 25 mcg 9,158 5,767 $512K
92567 6,883 6,785 $508K
77066 Tomosynthesis, mammo 4,014 3,895 $507K
A0425 Ground mileage, per statute mile 58,459 44,818 $497K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,813 1,697 $493K
94729 6,207 6,027 $478K
73221 1,754 1,693 $471K
95950 271 120 $461K
31575 710 621 $456K
J0185 Injection, aprepitant, 1 mg 2,619 1,618 $455K
92579 2,109 2,081 $444K
76830 Ultrasound, transvaginal 7,044 6,856 $434K
74176 Computed tomography, abdomen and pelvis; without contrast material 4,993 4,726 $426K
76770 5,956 5,774 $420K
77336 6,280 2,840 $417K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,531 5,633 $407K
73030 10,008 9,127 $397K
J9310 Injection, rituximab, 100 mg 104 78 $394K
95708 1,788 735 $393K
49083 458 238 $382K
76700 Ultrasound, abdominal, real time with image documentation; complete 4,228 4,118 $376K
92587 2,569 2,548 $375K
76536 5,042 4,898 $370K
72125 Computed tomography, cervical spine; without contrast material 9,230 8,454 $366K
99281 Emergency department visit for the evaluation and management, self-limited or minor 3,671 3,469 $365K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 35,642 31,319 $360K
80048 Basic metabolic panel (calcium, ionized) 124,411 90,700 $355K
J2704 Injection, propofol, 10 mg 83,770 66,513 $350K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 107,363 85,990 $348K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 10,063 9,517 $346K
94726 3,951 3,786 $331K
77300 1,783 1,444 $318K
P9040 Red blood cells, leukocytes reduced, irradiated, each unit 2,137 1,554 $312K
58300 233 219 $306K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 16,257 10,227 $306K
96523 3,976 3,116 $303K
73630 11,996 10,789 $302K
10005 326 301 $301K
70486 4,104 3,828 $301K
J2350 Injection, ocrelizumab, 1 mg 14 12 $301K
J1756 Injection, iron sucrose, 1 mg 7,032 3,098 $298K
76642 6,300 6,103 $298K
77065 Tomosynthesis, mammo 4,068 3,751 $297K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 5,889 5,231 $296K
73130 8,910 8,070 $293K
C1889 Implantable/insertable device, not otherwise classified 2,516 2,188 $292K
C1760 Closure device, vascular (implantable/insertable) 651 506 $285K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 19,703 18,469 $279K
OP259 86,333 44,034 $275K
J9217 Leuprolide acetate (for depot suspension), 7.5 mg 802 699 $271K
74178 1,181 1,091 $267K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 14,578 12,477 $264K
71271 1,633 1,537 $263K
70496 3,033 2,702 $255K
85027 70,566 54,374 $239K
73564 5,896 5,084 $238K
72110 5,233 5,112 $233K
80053 Comprehensive metabolic panel 36,722 32,115 $232K
76641 2,852 2,787 $227K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 19,692 18,476 $225K
77301 427 384 $224K
86900 26,188 21,571 $222K
81025 24,632 22,930 $221K
70498 3,112 2,793 $213K
84443 Thyroid stimulating hormone (TSH) 24,676 22,882 $212K
J7120 Ringers lactate infusion, up to 1000 cc 61,449 51,312 $208K
88341 4,505 3,798 $207K
96401 2,144 1,055 $206K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 4,807 4,505 $205K
70491 1,783 1,659 $202K
C1769 Guide wire 8,305 7,232 $198K
96402 3,152 2,780 $196K
73610 7,899 7,131 $194K
A9585 Injection, gadobutrol, 0.1 ml 16,754 14,307 $193K
27096 158 145 $189K
J9202 Goserelin acetate implant, per 3.6 mg 475 437 $185K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 10,410 6,678 $184K
73110 5,464 4,855 $184K
99215 Prolong outpt/office vis 2,164 1,970 $180K
20553 190 177 $175K
71275 Computed tomographic angiography, chest, with contrast material 2,941 2,616 $173K
20680 122 117 $172K
88307 3,374 3,001 $170K
77049 478 472 $168K
86850 25,302 20,510 $167K
J7030 Infusion, normal saline solution , 1000 cc 25,455 20,712 $163K
73560 8,379 7,552 $161K
88342 8,983 8,243 $157K
74240 1,384 1,355 $156K
92588 847 839 $154K
87536 3,172 2,965 $154K
J0640 Injection, leucovorin calcium, per 50 mg 3,860 1,798 $151K
92523 2,192 2,129 $148K
OP681 1,061 960 $145K
52000 174 169 $144K
90651 1,232 1,196 $142K
72158 475 460 $136K
C1729 Catheter, drainage 1,586 1,112 $136K
72100 4,100 3,973 $132K
36430 3,101 1,973 $132K
80061 Lipid panel 20,805 19,802 $131K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk 340 295 $129K
77290 605 579 $127K
95811 79 78 $126K
10022 137 134 $126K
20610 224 200 $124K
52005 112 111 $122K
72050 2,563 2,489 $119K
J9263 Injection, oxaliplatin, 0.5 mg 2,020 1,048 $118K
72156 392 379 $118K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 25,861 20,836 $118K
J3010 Injection, fentanyl citrate, 0.1 mg 48,781 40,453 $117K
71045 Radiologic examination, chest; single view 9,097 8,003 $115K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 10,108 9,469 $114K
73080 3,274 2,983 $113K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 4,469 4,410 $113K
78306 1,085 1,028 $112K
97161 8,166 7,064 $111K
96376 14,933 8,874 $111K
A4648 Tissue marker, implantable, any type, each 1,201 1,106 $110K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 8,396 7,935 $109K
73700 1,042 973 $108K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,840 819 $107K
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 1,633 1,402 $107K
93041 13,600 12,283 $105K
92610 1,183 1,143 $105K
88142 3,471 3,406 $102K
72040 2,584 2,448 $101K
64484 2,370 1,919 $100K
73502 5,041 4,616 $99K
88185 1,174 729 $99K
74420 1,128 1,062 $99K
84703 26,226 24,093 $98K
47562 66 65 $95K
J9070 Cyclophosphamide, 100 mg 285 210 $95K
64494 1,304 1,111 $95K
36000 14,704 12,886 $94K
92526 2,053 1,101 $93K
90715 7,574 7,290 $92K
73590 4,253 3,826 $92K
77295 144 133 $91K
72197 229 225 $91K
72070 2,419 2,341 $91K
86360 3,085 2,881 $91K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 38,897 28,404 $90K
76870 2,051 1,969 $89K
C9290 Injection, bupivacaine liposome, 1 mg 2,871 2,589 $88K
J9190 Injection, fluorouracil, 500 mg 5,041 2,115 $88K
91020 79 75 $88K
OP252 19,338 12,541 $87K
74246 995 953 $87K
J1439 Injection, ferric carboxymaltose, 1 mg 117 70 $86K
83036 Hemoglobin; glycosylated (A1C) 22,764 21,469 $86K
J1453 Injection, fosaprepitant, 1 mg 402 283 $83K
J0690 Injection, cefazolin sodium, 500 mg 18,690 15,404 $82K
81001 50,461 45,621 $82K
88360 1,853 1,595 $81K
73562 2,036 1,730 $80K
96367 4,067 2,863 $79K
10060 1,054 939 $79K
86901 26,659 21,690 $78K
80076 40,966 33,801 $78K
A0436 Rotary wing air mileage, per statute mile 432 389 $78K
92611 237 226 $77K
85610 34,898 29,160 $77K
73090 3,020 2,637 $77K
J2250 Injection, midazolam hydrochloride, per 1 mg 42,245 37,510 $76K
J9045 Injection, carboplatin, 50 mg 2,750 1,784 $75K
78264 599 581 $74K
76775 1,212 1,185 $74K
83735 42,664 30,258 $74K
58558 77 64 $72K
73120 2,073 1,636 $72K
20552 68 67 $70K
86803 5,215 4,933 $70K
Q5104 Injection, infliximab-abda, biosimilar, (renflexis), 10 mg 60 49 $69K
85007 27,705 20,524 $69K
J3490 Unclassified drugs 44,697 27,228 $69K
86359 3,091 2,885 $68K
74174 948 868 $68K
96368 3,616 2,341 $67K
77338 433 376 $66K
76818 797 500 $65K
74022 2,959 2,813 $64K
86480 1,848 1,733 $63K
84484 23,577 17,395 $63K
76937 3,132 2,719 $62K
45381 212 180 $61K
87390 7,490 7,113 $61K
C1781 Mesh (implantable) 278 256 $61K
77080 1,817 1,693 $59K
97530 Therapeutic activities, direct patient contact, each 15 minutes 5,824 3,067 $59K
Q5117 Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg 54 24 $59K
93308 2,529 2,279 $58K
J1815 Injection, insulin, per 5 units 5,225 2,278 $58K
72146 241 229 $58K
87088 21,716 19,797 $54K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 2,798 2,596 $53K
J9267 Injection, paclitaxel, 1 mg 2,188 1,115 $53K
J9201 Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg 1,414 614 $53K
74018 2,114 1,938 $52K
76882 2,021 1,944 $51K
J2405 Injection, ondansetron hydrochloride, per 1 mg 43,965 34,253 $50K
82728 7,214 6,631 $49K
58100 65 63 $49K
70544 233 226 $49K
58301 40 39 $48K
74241 454 453 $48K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 567 554 $48K
Q9957 Injection, perflutren lipid microspheres, per ml 2,131 1,852 $48K
27447 65 54 $47K
J3370 Injection, vancomycin hcl, 500 mg 5,518 3,412 $47K
73552 2,679 2,456 $47K
88172 1,304 1,205 $46K
A0998 Ambulance response and treatment, no transport 519 485 $46K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 13,847 12,396 $46K
J9171 Injection, docetaxel, 1 mg 520 347 $45K
0011A 1,419 1,416 $44K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 6,420 4,210 $44K
58661 48 41 $44K
J0491 Injection, anifrolumab-fnia, 1 mg 15 13 $43K
OP270 3,035 2,645 $43K
J1626 Injection, granisetron hydrochloride, 100 mcg 4,109 1,954 $42K
J1200 Injection, diphenhydramine hcl, up to 50 mg 14,970 9,796 $41K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 10,186 8,362 $41K
73523 854 797 $41K
J9395 Injection, fulvestrant, 25 mg 110 89 $40K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 869 867 $39K
73060 1,637 1,492 $39K
88304 4,773 4,532 $39K
64636 456 358 $39K
86702 5,560 5,326 $38K
OP258 28,057 20,949 $38K
74230 868 818 $38K
76942 653 629 $38K
83880 6,667 5,893 $37K
0001A 1,128 1,125 $37K
74019 1,223 1,166 $37K
87081 5,292 5,040 $37K
73600 1,235 1,105 $37K
84100 21,910 15,435 $37K
J9041 Injection, bortezomib, 0.1 mg 46 12 $36K
72080 1,150 1,124 $36K
86701 5,532 5,322 $36K
95886 440 431 $36K
72157 115 112 $36K
97165 2,920 2,505 $36K
85730 15,330 13,674 $36K
75574 158 157 $35K
97166 712 697 $35K
J1644 Injection, heparin sodium, per 1000 units 7,029 3,231 $34K
78816 40 37 $33K
88313 1,347 1,176 $33K
86923 2,726 1,958 $33K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 2,771 2,309 $33K
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 283 237 $32K
76377 1,234 1,052 $32K
81003 16,734 15,587 $32K
C1730 Catheter, electrophysiology, diagnostic, other than 3d mapping (19 or fewer electrodes) 620 534 $32K
76981 519 462 $32K
83021 1,908 1,593 $31K
77470 90 85 $31K
82607 5,391 5,010 $30K
0012A 900 896 $30K
95800 141 140 $30K
0002A 826 823 $30K
OP251 4,424 3,059 $30K
72052 642 626 $30K
83605 10,832 8,931 $30K
83970 1,800 1,688 $29K
J9206 Injection, irinotecan, 20 mg 934 491 $29K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 4,902 3,657 $28K
87340 3,511 3,333 $28K
64633 29 25 $28K
51701 322 291 $28K
83690 21,760 19,178 $27K
72131 411 370 $27K
J1650 Injection, enoxaparin sodium, 10 mg 18,344 8,837 $27K
72114 684 670 $27K
97164 1,357 1,328 $27K
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 7,445 5,700 $27K
C1892 Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away 619 605 $27K
90686 3,465 3,347 $27K
12011 499 460 $26K
J2370 Injection, phenylephrine hcl, up to 1 ml 1,718 1,572 $25K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 552 523 $24K
87077 6,099 5,591 $24K
95819 55 52 $24K
83550 6,394 5,962 $23K
84702 5,729 4,795 $23K
42830 14 14 $23K
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 9,258 8,145 $23K
73522 657 654 $23K
87641 2,757 2,162 $23K
87070 3,908 3,575 $23K
45330 26 25 $22K
88173 2,231 2,010 $22K
72120 675 646 $22K
73200 184 165 $22K
0031A 797 794 $22K
C1788 Port, indwelling (implantable) 461 407 $22K
C1887 Catheter, guiding (may include infusion/perfusion capability) 948 757 $22K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 270 254 $21K
96377 1,320 940 $21K
87186 5,776 5,317 $21K
87640 2,631 2,083 $21K
0064A 702 686 $21K
90733 337 315 $21K
62322 30 29 $21K
J7050 Infusion, normal saline solution, 250 cc 6,646 4,550 $21K
84439 4,745 4,433 $20K
72170 1,515 1,404 $20K
77001 705 633 $20K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 98 98 $20K
0004A 691 686 $20K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 989 928 $20K
99152 2,970 2,649 $19K
J1885 Injection, ketorolac tromethamine, per 15 mg 26,344 21,213 $19K
84153 2,361 2,237 $19K
J2270 Injection, morphine sulfate, up to 10 mg 14,896 11,162 $19K
77059 39 39 $19K
99153 Mod sedat endo service >5yrs 2,654 2,367 $19K
87522 Neg quan hep c or qual rna 1,521 1,396 $19K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,102 1,909 $18K
J1170 Injection, hydromorphone, up to 4 mg 16,065 9,779 $18K
80329 3,612 2,569 $18K
80074 1,534 1,397 $18K
88184 876 739 $17K
76098 317 296 $17K
36590 13 12 $17K
77061 1,577 1,319 $17K
73100 482 409 $17K
82784 1,785 1,592 $17K
A0433 Advanced life support, level 2 (als 2) 69 66 $17K
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) 38 24 $17K
86703 2,394 2,141 $16K
86706 2,322 2,189 $16K
45331 12 12 $16K
70360 725 693 $16K
64450 26 24 $16K
73000 447 370 $15K
93017 66 65 $15K
81401 143 142 $15K
87040 4,525 3,618 $15K
64491 479 379 $15K
58571 45 26 $15K
96409 54 39 $15K
83540 5,859 5,412 $15K
82746 2,414 2,255 $14K
26055 13 12 $14K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 2,089 1,712 $14K
97802 1,518 1,265 $14K
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 1,191 1,078 $14K
82570 9,587 8,972 $14K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 177 173 $14K
86140 9,085 8,147 $13K
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 1,386 950 $13K
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 8,973 7,789 $13K
G0379 Direct admission of patient for hospital observation care 155 127 $13K
29515 475 451 $13K
G0297 Low dose ct scan (ldct) for lung cancer screening 120 120 $13K
83520 876 749 $13K
82043 6,638 6,385 $12K
C1726 Catheter, balloon dilatation, non-vascular 604 511 $12K
J3475 Injection, magnesium sulfate, per 500 mg 2,748 1,875 $12K
29125 325 297 $12K
43251 18 14 $12K
74220 92 92 $12K
82330 2,485 2,055 $12K
J0696 Injection, ceftriaxone sodium, per 250 mg 7,856 6,589 $12K
97162 399 369 $12K
86592 8,583 8,139 $12K
92609 199 97 $12K
12002 267 242 $11K
73070 696 571 $11K
72082 238 238 $11K
38222 14 12 $11K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 9,442 8,454 $11K
88112 1,335 1,243 $11K
86762 1,556 1,488 $11K
12001 480 422 $11K
77417 676 432 $10K
94618 396 385 $10K
70487 217 203 $10K
86704 1,411 1,308 $10K
80320 5,664 5,212 $10K
74221 207 191 $10K
19301 18 12 $10K
73620 468 391 $10K
J3489 Injection, zoledronic acid, 1 mg 228 201 $10K
81000 5,644 4,358 $10K
70480 79 78 $10K
86235 338 130 $10K
83655 958 942 $10K
85018 2,498 2,057 $10K
87210 4,908 4,362 $10K
87147 3,623 2,797 $9K
83883 326 267 $9K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 145 142 $9K
77002 208 186 $9K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 2,441 1,948 $9K
86922 273 201 $9K
OP720 131 101 $9K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 37 37 $9K
84403 484 448 $9K
86038 1,653 1,517 $9K
82550 4,972 4,218 $9K
87205 3,371 3,092 $9K
88302 629 583 $9K
J0780 Injection, prochlorperazine, up to 10 mg 4,827 4,076 $9K
82803 1,647 1,396 $9K
85097 69 61 $9K
90677 63 57 $8K
87075 2,755 2,525 $8K
85652 8,346 7,502 $8K
0124A 345 324 $8K
84132 1,941 1,624 $8K
88300 1,199 1,083 $8K
J7060 5% dextrose/water (500 ml = 1 unit) 6,000 3,887 $8K
J2997 Injection, alteplase recombinant, 1 mg 27 26 $8K
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 503 493 $8K
93923 29 28 $8K
86160 1,397 923 $8K
J9000 Injection, doxorubicin hydrochloride, 10 mg 298 185 $8K
76801 315 305 $8K
97535 Self-care/home management training, each 15 minutes 1,172 776 $7K
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 462 453 $7K
M0222 Intravenous injection, bebtelovimab, includes injection and post administration monitoring 43 42 $7K
77072 159 158 $7K
73718 27 26 $7K
J2060 Injection, lorazepam, 2 mg 2,606 2,043 $7K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 6,884 4,631 $7K
75561 14 14 $7K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 2,766 2,102 $7K
Q0114 Fern test 1,515 1,314 $7K
84295 1,618 1,348 $7K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 573 563 $7K
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 457 449 $7K
93975 26 24 $7K
0134A 300 278 $7K
93312 12 12 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,646 3,515 $7K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 86 77 $7K
0072A 188 187 $7K
90832 Psychotherapy, 30 minutes with patient 166 99 $6K
80179 1,881 1,672 $6K
19081 14 14 $6K
88311 1,109 1,015 $6K
0054A 225 220 $6K
80069 2,358 2,015 $6K
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 5,906 4,588 $6K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 641 544 $6K
97116 2,258 1,516 $6K
82248 1,581 1,490 $6K
85045 2,528 2,074 $6K
82247 1,452 1,187 $6K
0071A 147 147 $6K
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg 655 411 $5K
G0390 Trauma response team associated with hospital critical care service 43 39 $5K
86870 216 180 $5K
G0008 Administration of influenza virus vaccine 459 439 $5K
83615 2,535 1,970 $5K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 13 13 $5K
86905 737 399 $5K
38900 56 39 $5K
J8501 Aprepitant, oral, 5 mg 528 480 $5K
0051A 144 139 $5K
59200 13 12 $5K
J8499 Prescription drug, oral, non chemotherapeutic, nos 925 600 $5K
86255 1,087 969 $5K
81329 48 48 $5K
84311 770 761 $5K
70543 15 15 $4K
82105 482 435 $4K
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 1,257 1,160 $4K
84146 309 295 $4K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 227 219 $4K
J0461 Injection, atropine sulfate, 0.01 mg 1,295 739 $4K
29888 15 13 $4K
84156 2,097 1,782 $4K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 724 669 $4K
C1758 Catheter, ureteral 1,289 1,126 $4K
85379 3,834 3,564 $4K
77333 58 58 $4K
77387 242 24 $4K
83516 630 561 $4K
76000 106 105 $4K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 358 346 $4K
77014 69 12 $4K
J3480 Injection, potassium chloride, per 2 meq 1,638 1,160 $3K
C2625 Stent, non-coronary, temporary, with delivery system 49 40 $3K
77012 40 38 $3K
87324 111 104 $3K
90834 Psychotherapy, 45 minutes with patient 111 58 $3K
82272 620 601 $3K
97010 494 185 $3K
88312 367 341 $3K
82805 1,096 951 $3K
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) 123 81 $3K
J7297 Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg 37 34 $3K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 31 29 $3K
82533 467 374 $3K
92553 42 40 $3K
93325 12 12 $3K
80164 458 393 $3K
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 1,777 1,360 $3K
86769 367 337 $3K
87529 360 243 $3K
J0137 Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg 2,432 2,069 $3K
0052A 87 82 $3K
84550 1,877 1,515 $3K
86708 281 276 $3K
64447 22 17 $3K
83986 827 816 $3K
88331 134 127 $3K
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 6,869 5,893 $2K
94660 107 85 $2K
84481 444 413 $2K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 16 16 $2K
90732 208 208 $2K
87206 459 396 $2K
82977 833 755 $2K
83010 271 238 $2K
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring 32 29 $2K
87102 408 383 $2K
91320 32 32 $2K
90658 182 179 $2K
84165 535 461 $2K
72192 12 12 $2K
99205 Prolong outpt/office vis 14 14 $2K
82310 1,750 1,619 $2K
93880 12 12 $2K
82010 1,411 1,224 $2K
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg 282 262 $2K
82565 876 826 $2K
85384 236 194 $2K
90792 Psychiatric diagnostic evaluation with medical services 100 95 $2K
84402 101 91 $2K
J1630 Injection, haloperidol, up to 5 mg 2,964 2,434 $2K
J0330 Injection, succinylcholine chloride, up to 20 mg 2,728 1,813 $2K
P9016 Red blood cells, leukocytes reduced, each unit 20 16 $2K
82951 370 347 $2K
86618 186 165 $2K
0399T 13 13 $2K
90472 Immunization administration, each additional vaccine (list separately) 341 328 $2K
92552 12 12 $2K
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 122 119 $2K
J1940 Injection, furosemide, up to 20 mg 1,273 826 $2K
84425 145 133 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 57 56 $2K
J9060 Injection, cisplatin, powder or solution, 10 mg 109 52 $1K
92524 25 25 $1K
86334 231 209 $1K
76376 23 23 $1K
87807 138 137 $1K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 4,012 2,805 $1K
87086 Culture, bacterial; quantitative colony count, urine 752 673 $1K
OP271 3,103 2,969 $1K
82378 173 145 $1K
J2790 Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) 27 26 $1K
J1596 Injection, glycopyrrolate, 0.1 mg 2,624 2,216 $1K
36416 278 229 $1K
82270 173 162 $1K
38792 20 14 $1K
0034A 57 55 $1K
C9113 Injection, pantoprazole sodium, per vial 2,556 1,243 $1K
J2919 Injection, methylprednisolone sodium succinate, 5 mg 513 323 $1K
87045 200 185 $1K
64495 26 26 $997.43
99195 16 12 $993.85
84145 380 365 $978.77
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 91 89 $970.66
86430 841 762 $918.71
72190 25 24 $894.53
89051 452 393 $888.57
76604 29 26 $863.13
82040 1,050 910 $856.19
90739 26 26 $843.33
90670 38 38 $841.22
70355 110 106 $823.15
99385 12 12 $806.82
83001 79 72 $799.40
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 5,672 4,788 $783.37
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 19 12 $759.04
J0692 Injection, cefepime hydrochloride, 500 mg 370 181 $758.50
83521 196 122 $751.91
90480 32 32 $720.00
J7042 5% dextrose/normal saline (500 ml = 1 unit) 1,040 847 $702.89
76885 12 12 $694.53
86304 102 88 $693.17
87118 78 72 $657.54
0003A 23 23 $657.08
J1953 Injection, levetiracetam, 10 mg 219 171 $619.20
82945 104 94 $595.57
J2310 Injection, naloxone hydrochloride, per 1 mg 530 461 $574.85
C1782 Morcellator 41 25 $541.65
93888 12 12 $490.02
J2765 Injection, metoclopramide hcl, up to 10 mg 1,614 1,276 $476.98
87899 111 90 $460.18
71101 12 12 $451.36
83921 44 38 $440.42
12013 16 14 $422.82
73140 26 25 $409.19
83993 27 26 $408.98
J2785 Injection, regadenoson, 0.1 mg 13 13 $408.78
71100 27 27 $393.60
36593 12 12 $378.52
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 58 54 $373.58
82140 172 147 $373.18
88333 62 51 $372.43
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 1,393 989 $359.65
J2795 Injection, ropivacaine hydrochloride, 1 mg 497 432 $352.21
87209 53 48 $327.65
S0190 Mifepristone, oral, 200 mg 31 27 $320.60
82150 136 118 $313.50
90791 Psychiatric diagnostic evaluation 26 24 $303.16
87517 12 12 $273.29
C2617 Stent, non-coronary, temporary, without delivery system 13 13 $272.85
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 1,580 643 $263.26
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg 198 173 $262.95
J9370 Vincristine sulfate, 1 mg 35 24 $262.29
83002 30 28 $256.51
J0703 Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg 112 64 $248.18
J1050 Injection, medroxyprogesterone acetate, 1 mg 446 385 $244.55
87563 102 99 $224.45
84157 158 140 $222.39
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 450 344 $219.11
G0103 Prostate cancer screening; prostate specific antigen test (psa) 30 30 $214.64
87338 25 25 $212.85
90632 12 12 $208.09
86885 19 12 $187.67
86705 15 14 $178.40
87046 188 173 $172.54
J0561 Injection, penicillin g benzathine, 100,000 units 29 26 $160.46
87116 108 87 $149.86
80202 23 12 $144.00
J0360 Injection, hydralazine hcl, up to 20 mg 298 227 $142.29
J1817 Insulin for administration through dme (i.e., insulin pump) per 50 units 900 472 $136.51
85014 231 167 $133.36
82172 13 12 $129.42
86787 12 12 $123.48
87177 53 48 $111.75
29505 26 25 $104.40
J2150 Injection, mannitol, 25% in 50 ml 58 28 $99.76
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 254 141 $98.95
J1171 Injection, hydromorphone, 0.1 mg 355 227 $98.56
J2470 Injection, pantoprazole sodium, 40 mg 183 98 $90.02
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 686 538 $86.43
86376 13 13 $83.44
84460 57 55 $80.86
83519 13 12 $80.72
J1580 Injection, garamycin, gentamicin, up to 80 mg 121 91 $78.18
85041 123 83 $74.14
J3250 Injection, trimethobenzamide hcl, up to 200 mg 20 12 $72.08
82274 28 28 $71.00
80177 31 27 $65.72
J0741 Injection, cabotegravir and rilpivirine, 2mg/3mg 182 150 $64.85
86880 25 13 $61.50
84300 29 24 $58.43
89060 14 12 $55.66
90656 19 18 $55.39
82657 23 14 $51.60
86593 17 14 $51.38
J7510 Prednisolone oral, per 5 mg 495 445 $48.95
90756 16 16 $48.60
92522 12 12 $48.17
J1836 Injection, metronidazole, 10 mg 206 140 $43.03
J1956 Injection, levofloxacin, 250 mg 44 38 $37.62
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml 106 102 $37.19
J3411 Injection, thiamine hcl, 100 mg 120 71 $31.05
82435 341 256 $27.36
82947 200 161 $27.10
81002 35 35 $26.75
A4649 Surgical supply; miscellaneous 22 17 $25.81
J1643 Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units 461 146 $18.47
Q0164 Prochlorperazine maleate, 5 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 32 24 $16.00
J1920 Injection, labetalol hydrochloride, 5 mg 232 167 $15.14
89050 37 28 $9.62
82962 18 16 $7.80
86308 12 12 $7.60
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 12 12 $7.47
91312 367 340 $4.00
91305 582 532 $2.00
91303 817 811 $1.00
91307 328 314 $0.01
J0737 Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg 14 12 $0.00
90611 96 63 $0.00
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 16 15 $0.00
64634 15 13 $0.00
91313 299 278 $0.00
J0585 Injection, onabotulinumtoxina, 1 unit 35 24 $0.00
94664 64 60 $0.00
91300 2,644 2,457 $0.00
Q0245 Injection, bamlanivimab and etesevimab, 2100 mg 20 20 $0.00
J0184 Injection, amisulpride, 1 mg 12 12 $0.00
38525 21 15 $0.00
91306 687 666 $0.00
91301 2,337 2,303 $0.00
Q0222 Injection, bebtelovimab, 175 mg 44 41 $0.00
90935 Hemodialysis procedure with single evaluation by a physician 21 13 $0.00
Q9992 Injection, buprenorphine extended-release (sublocade), greater than 100 mg 15 15 $0.00
OP637 345 187 $0.00
Q9968 Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg 16 13 $0.00
Q0247 Injection, sotrovimab, 500 mg 29 27 $0.00