Medicaid Provider Spending

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

ST VINCENT HOSPITAL

NPI: 1578587150 · SANTA FE, NM 87505 · General Acute Care Hospital · NPI assigned 07/27/2006

$46.58M
Total Medicaid Paid
1,126,444
Total Claims
932,508
Beneficiaries
446
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialVALDEZ, JOSEPH (PRESIDENT CEO)
NPI Enumeration Date07/27/2006

Related Entities

Other providers sharing the same authorized official: VALDEZ, JOSEPH

ProviderCityStateTotal Paid
ST. VINCENT HOSPITAL SANTA FE NM $971K
ST. VINCENT HOSPITAL SANTA FE NM $546K
ST. VINCENT HOSPITAL SANTA FE NM $495K
ST. VINCENT HOSPITAL SANTA FE NM $330K
LA JARA PHARMACEUTICAL CENTER, INC. LA JARA CO $313K
WEST BANK CARDIOLOGY LLC PLAQUEMINE LA $291K
ST. VINCENT HOSPITAL SANTA FE NM $162K
ST. VINCENT HOSPITAL SANTA FE NM $14K
ST. VINCENT HOSPITAL SANTA FE NM $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 217,902 $9.03M
2019 109,494 $4.75M
2020 94,557 $3.58M
2021 123,713 $4.50M
2022 168,800 $7.04M
2023 217,934 $9.34M
2024 194,044 $8.35M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 27,968 25,185 $5.54M
99283 Emergency department visit for the evaluation and management, moderate severity 33,840 31,537 $4.79M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 69,974 52,833 $4.65M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 10,648 9,723 $2.66M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 9,689 9,213 $1.33M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 25,484 7,944 $1.13M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 4,465 2,592 $1.05M
74177 Computed tomography, abdomen and pelvis; with contrast material 4,249 3,983 $1.01M
G0378 Hospital observation service, per hour 5,040 2,714 $981K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 19,579 17,348 $981K
96375 Therapeutic injection; each additional sequential IV push 13,105 10,174 $904K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,283 3,025 $903K
80053 Comprehensive metabolic panel 76,132 64,258 $832K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 8,560 4,873 $813K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 1,265 1,177 $788K
99282 Emergency department visit for the evaluation and management, low to moderate severity 7,512 7,025 $691K
70450 Computed tomography, head or brain; without contrast material 4,695 4,291 $672K
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 8,529 8,262 $648K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 14,500 12,936 $596K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 77,041 63,766 $556K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 16,610 5,636 $498K
71045 Radiologic examination, chest; single view 8,825 7,993 $386K
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 5,284 4,791 $380K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 5,910 5,437 $318K
84443 Thyroid stimulating hormone (TSH) 20,617 19,458 $297K
36415 Collection of venous blood by venipuncture 72,282 58,587 $293K
84484 13,980 10,943 $276K
96361 Intravenous infusion, hydration; each additional hour 7,338 6,290 $268K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 8,373 8,057 $266K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 8,389 8,066 $264K
97602 5,485 2,845 $254K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 527 501 $240K
87481 2,890 2,212 $218K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 9,112 8,777 $209K
72125 Computed tomography, cervical spine; without contrast material 1,092 1,015 $204K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 6,093 5,396 $203K
59025 Fetal non-stress test 1,976 1,465 $188K
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 7,117 6,889 $179K
D2930 Prefabricated stainless steel crown - primary tooth 1,185 349 $179K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 439 405 $178K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,289 791 $171K
64493 521 487 $160K
95810 Polysomnography; sleep staging with 4 or more additional parameters 242 234 $157K
90791 Psychiatric diagnostic evaluation 1,737 1,590 $151K
93017 1,111 1,038 $149K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 2,302 2,225 $141K
80061 Lipid panel 13,510 12,990 $138K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,192 1,018 $136K
71275 Computed tomographic angiography, chest, with contrast material 574 538 $130K
64483 436 417 $128K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 2,042 1,669 $127K
88305 Level IV - Surgical pathology, gross and microscopic examination 3,422 3,154 $126K
71046 Radiologic examination, chest; 2 views 2,738 2,583 $125K
71260 Computed tomography, thorax, diagnostic; with contrast material 509 481 $124K
20610 858 695 $118K
82550 11,698 10,106 $118K
73610 1,192 1,062 $112K
84703 7,938 7,121 $109K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 5,980 5,650 $109K
87086 Culture, bacterial; quantitative colony count, urine 11,969 11,114 $108K
83690 13,716 12,363 $107K
83036 Hemoglobin; glycosylated (A1C) 12,556 12,070 $106K
87800 1,965 1,855 $104K
83605 5,304 4,015 $102K
82553 5,466 4,740 $102K
73030 1,305 1,140 $102K
82803 4,081 3,351 $102K
73110 1,499 1,198 $96K
96415 772 529 $89K
83880 3,383 3,003 $86K
96417 595 372 $86K
73130 1,320 1,121 $84K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 1,793 1,696 $84K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1,486 431 $82K
96367 1,212 858 $81K
20550 320 274 $81K
J2505 Injection, pegfilgrastim, 6 mg 43 26 $80K
74176 Computed tomography, abdomen and pelvis; without contrast material 553 514 $79K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 6,653 6,043 $79K
81003 18,237 15,553 $79K
92557 867 823 $78K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 2,293 2,216 $78K
47562 27 26 $73K
84439 9,014 8,581 $72K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 4,073 3,994 $71K
C1776 Joint device (implantable) 62 50 $70K
76705 Ultrasound, abdominal, real time with image documentation; limited 746 700 $66K
87400 3,739 1,826 $66K
82607 4,187 4,016 $65K
82728 5,353 5,066 $64K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,496 1,002 $63K
97162 1,652 1,487 $62K
99152 1,622 1,409 $61K
95811 119 117 $60K
64494 482 441 $58K
73564 811 577 $58K
73562 669 580 $57K
77336 645 260 $57K
73140 822 665 $56K
92567 1,375 1,304 $55K
86803 3,429 3,345 $55K
80074 1,300 1,262 $52K
81025 4,834 4,523 $52K
70486 268 260 $52K
85610 13,753 10,034 $51K
86703 2,502 2,447 $50K
86140 4,712 4,181 $50K
84702 2,748 2,064 $49K
88307 230 217 $49K
82077 1,702 1,522 $48K
36591 916 526 $48K
86780 3,564 3,422 $48K
87040 1,800 1,120 $48K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 2,511 2,476 $45K
85379 2,268 2,092 $44K
85027 7,630 6,737 $44K
83721 5,992 5,868 $43K
94060 481 452 $43K
93971 560 516 $43K
73630 755 688 $42K
73560 835 734 $42K
31575 467 430 $41K
82948 10,006 4,030 $41K
83735 6,404 4,444 $40K
84145 1,806 1,492 $40K
80048 Basic metabolic panel (calcium, ionized) 5,246 4,012 $39K
J2469 Injection, palonosetron hcl, 25 mcg 1,437 827 $39K
80050 General health panel 1,106 1,077 $38K
87070 2,841 2,645 $37K
87186 4,076 3,651 $37K
94726 485 456 $37K
97161 1,174 1,118 $37K
82375 3,197 2,544 $36K
82330 2,580 2,004 $36K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 3,083 2,778 $36K
96416 122 72 $35K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 1,171 1,155 $33K
86769 1,337 1,251 $33K
52000 119 107 $32K
96376 1,369 1,241 $32K
76830 Ultrasound, transvaginal 338 319 $32K
73502 764 630 $31K
C1769 Guide wire 882 767 $31K
J0585 Injection, onabotulinumtoxina, 1 unit 78 42 $30K
84403 1,439 1,389 $30K
72100 433 409 $30K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 323 304 $30K
82310 3,374 2,740 $30K
94729 662 623 $29K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 559 512 $28K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 282 111 $28K
77300 111 99 $27K
81001 5,517 5,070 $27K
83970 789 699 $27K
77334 95 80 $27K
83550 4,198 4,013 $27K
86850 3,495 3,216 $27K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 1,622 708 $26K
88304 768 733 $25K
84480 2,286 2,173 $25K
74018 457 431 $25K
82731 298 235 $24K
64635 44 39 $24K
73080 340 290 $23K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 859 832 $23K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 65 62 $22K
83050 3,193 2,542 $22K
97165 615 591 $22K
73590 339 289 $22K
82947 4,283 3,569 $22K
80051 1,050 907 $21K
84132 3,255 2,594 $21K
99195 363 305 $21K
83540 4,274 4,084 $20K
84100 2,797 1,842 $20K
84481 1,270 1,230 $20K
J0897 Injection, denosumab, 1 mg 42 38 $19K
85018 5,470 4,260 $19K
96402 185 168 $18K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 1,659 1,453 $18K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 825 786 $18K
20600 111 90 $18K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 946 485 $18K
J2785 Injection, regadenoson, 0.1 mg 228 208 $17K
62323 56 55 $17K
84295 3,147 2,510 $17K
86762 815 793 $17K
87077 2,421 2,144 $17K
82570 3,543 3,161 $17K
84153 1,439 1,326 $17K
90715 569 537 $17K
86039 1,459 1,403 $16K
43235 38 37 $16K
10060 171 164 $16K
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 94 91 $16K
87340 1,809 1,761 $16K
94750 232 222 $16K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 354 323 $16K
97010 1,573 940 $15K
85652 4,223 3,759 $15K
96411 110 69 $15K
G0260 Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography 57 55 $15K
82670 564 548 $14K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 45 40 $14K
86141 989 939 $14K
76937 940 747 $14K
84156 1,894 1,616 $14K
94664 165 153 $14K
93798 490 88 $14K
97035 1,047 460 $14K
86235 180 100 $14K
86900 3,705 3,321 $13K
86901 3,962 3,513 $13K
J1885 Injection, ketorolac tromethamine, per 15 mg 7,832 6,918 $13K
82435 3,091 2,498 $13K
84550 1,499 1,335 $13K
83001 762 747 $13K
69210 332 303 $13K
97150 Therapeutic procedure(s), group (2 or more individuals) 731 453 $12K
87147 1,166 1,024 $12K
87205 2,258 2,029 $12K
87653 306 302 $12K
64636 29 26 $11K
85730 1,978 1,698 $11K
51705 210 183 $11K
97164 471 434 $11K
D1120 Prophylaxis - child 69 67 $11K
88342 264 238 $11K
29075 58 55 $11K
J2405 Injection, ondansetron hydrochloride, per 1 mg 13,801 11,927 $11K
82378 686 523 $10K
82248 1,429 1,005 $10K
82962 2,455 1,301 $10K
80143 311 295 $10K
86431 854 816 $9K
82043 1,566 1,463 $9K
83615 1,743 1,443 $9K
12001 104 100 $9K
70551 Magnetic resonance imaging, brain; without contrast material 44 42 $9K
J0185 Injection, aprepitant, 1 mg 159 93 $9K
D7140 Extraction, erupted tooth or exposed root 73 29 $9K
J1453 Injection, fosaprepitant, 1 mg 166 111 $9K
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 25 25 $9K
51702 156 130 $9K
20553 47 45 $9K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 27 27 $8K
80179 272 260 $8K
82247 1,238 756 $8K
85014 1,628 1,369 $8K
86480 164 154 $8K
36410 514 395 $8K
83516 520 370 $8K
87081 1,076 1,058 $8K
12011 84 82 $8K
85651 1,633 1,519 $8K
73090 112 101 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 412 401 $7K
72170 100 91 $7K
82140 415 354 $7K
97530 Therapeutic activities, direct patient contact, each 15 minutes 411 261 $7K
84402 288 267 $7K
73070 98 97 $7K
83090 394 389 $7K
97166 164 154 $6K
87522 Neg quan hep c or qual rna 132 125 $6K
82024 186 148 $6K
84112 98 92 $6K
86376 285 274 $6K
31231 41 39 $6K
95819 40 39 $6K
43244 14 14 $6K
97163 104 99 $6K
82784 771 479 $6K
86787 367 355 $5K
96368 218 157 $5K
49083 19 13 $5K
93351 12 12 $5K
87449 340 335 $5K
86328 197 173 $5K
71101 80 75 $5K
82533 288 258 $5K
82105 229 219 $5K
70498 19 15 $5K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 1,993 1,742 $5K
H0050 Alcohol and/or drug services, brief intervention, per 15 minutes 66 64 $4K
64490 18 16 $4K
J1040 Injection, methylprednisolone acetate, 80 mg 1,417 1,273 $4K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 324 293 $4K
29580 83 26 $4K
64615 13 13 $4K
87807 134 133 $4K
J2704 Injection, propofol, 10 mg 755 695 $4K
0077U 46 40 $4K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 48 43 $4K
82747 284 277 $4K
94760 675 484 $4K
29125 28 27 $3K
J0696 Injection, ceftriaxone sodium, per 250 mg 525 326 $3K
84144 122 121 $3K
80069 461 414 $3K
80076 371 344 $3K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 112 110 $3K
J1200 Injection, diphenhydramine hcl, up to 50 mg 2,469 1,996 $3K
99153 Mod sedat endo service >5yrs 306 267 $3K
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 242 223 $3K
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) 19 12 $3K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 70 44 $3K
86200 223 213 $3K
83655 204 196 $3K
J2795 Injection, ropivacaine hydrochloride, 1 mg 563 487 $3K
93225 51 51 $3K
36000 99 92 $3K
83013 41 41 $3K
82746 276 260 $3K
G0008 Administration of influenza virus vaccine 122 114 $3K
90686 114 107 $3K
84270 125 116 $3K
77338 14 12 $3K
88141 454 449 $3K
82977 171 162 $2K
86304 149 132 $2K
93246 51 51 $2K
12002 27 27 $2K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 397 362 $2K
J0690 Injection, cefazolin sodium, 500 mg 893 621 $2K
95912 27 26 $2K
84146 124 121 $2K
81015 708 682 $2K
29581 51 12 $2K
87420 132 131 $2K
86696 67 67 $2K
86038 138 130 $2K
86800 96 90 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,946 2,491 $2K
82950 265 260 $2K
76700 Ultrasound, abdominal, real time with image documentation; complete 27 27 $2K
87075 120 101 $2K
J1170 Injection, hydromorphone, up to 4 mg 1,132 779 $2K
82805 47 42 $2K
86812 56 55 $2K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 344 322 $2K
51798 68 56 $2K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 186 181 $2K
64491 17 15 $2K
J0330 Injection, succinylcholine chloride, up to 20 mg 107 99 $1K
86695 67 67 $1K
87073 101 87 $1K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 36 24 $1K
93970 13 13 $1K
36592 49 38 $1K
J3010 Injection, fentanyl citrate, 0.1 mg 3,293 2,520 $1K
86706 113 111 $1K
87046 120 101 $1K
76820 15 12 $1K
86300 55 42 $1K
87045 102 101 $1K
93270 43 40 $1K
86256 78 57 $1K
80299 26 25 $1K
83002 66 65 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 281 257 $1K
87088 155 147 $1K
82951 46 44 $1K
83718 142 134 $990.41
73552 14 13 $966.54
83921 46 38 $933.72
84478 145 137 $931.80
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 770 551 $914.79
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 12 12 $878.63
88173 15 14 $867.94
97167 13 13 $856.36
82150 68 66 $844.56
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 525 420 $829.19
83520 135 66 $827.86
99281 Emergency department visit for the evaluation and management, self-limited or minor 14 12 $813.43
76770 12 12 $772.79
86308 58 57 $771.62
97032 42 26 $744.86
89051 93 81 $742.03
J9190 Injection, fluorouracil, 500 mg 208 72 $728.60
87338 54 54 $724.86
82465 142 134 $719.39
J2370 Injection, phenylephrine hcl, up to 1 ml 121 110 $706.96
88112 26 25 $678.98
86225 48 48 $631.33
86364 57 39 $596.99
J7120 Ringers lactate infusion, up to 1000 cc 438 378 $586.89
87641 12 12 $545.96
84436 103 95 $533.65
J3475 Injection, magnesium sulfate, per 500 mg 407 353 $515.76
J7050 Infusion, normal saline solution, 250 cc 144 104 $504.73
J2060 Injection, lorazepam, 2 mg 370 319 $500.60
82627 26 26 $498.90
93242 17 16 $448.93
97803 12 12 $431.68
J2250 Injection, midazolam hydrochloride, per 1 mg 2,032 1,716 $424.52
A6258 Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing 163 151 $414.16
J2270 Injection, morphine sulfate, up to 10 mg 433 347 $412.38
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 13 12 $407.10
J3490 Unclassified drugs 657 503 $394.42
84165 45 37 $376.35
A4351 Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each 148 144 $371.97
J3370 Injection, vancomycin hcl, 500 mg 250 179 $356.93
97012 23 12 $351.31
J1650 Injection, enoxaparin sodium, 10 mg 366 181 $341.57
97168 14 12 $322.55
J7030 Infusion, normal saline solution , 1000 cc 225 149 $274.35
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 17 13 $270.29
84300 68 64 $264.80
84630 13 13 $261.18
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg 600 539 $246.12
82565 45 42 $233.35
84155 61 51 $197.57
80354 22 21 $192.47
J0640 Injection, leucovorin calcium, per 50 mg 64 37 $161.90
J2765 Injection, metoclopramide hcl, up to 10 mg 332 304 $160.67
J1010 Injection, methylprednisolone acetate, 1 mg 177 149 $156.95
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 89 84 $155.43
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml 216 164 $150.80
80178 19 15 $137.68
G1010 Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program 449 391 $132.34
J2550 Injection, promethazine hcl, up to 50 mg 215 177 $128.37
97116 15 12 $118.59
A4213 Syringe, sterile, 20 cc or greater, each 12 12 $112.24
J1756 Injection, iron sucrose, 1 mg 41 24 $90.15
J1626 Injection, granisetron hydrochloride, 100 mcg 25 15 $67.29
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 43 38 $62.88
82009 14 14 $59.38
C9113 Injection, pantoprazole sodium, per vial 24 18 $54.54
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 42 26 $46.32
A9585 Injection, gadobutrol, 0.1 ml 12 12 $39.66
J1596 Injection, glycopyrrolate, 0.1 mg 59 57 $38.89
J2919 Injection, methylprednisolone sodium succinate, 5 mg 43 38 $24.25
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 47 26 $24.16
J1644 Injection, heparin sodium, per 1000 units 48 26 $18.79
J2003 Injection, lidocaine hydrochloride, 1 mg 93 84 $15.47
J1030 Injection, methylprednisolone acetate, 40 mg 16 14 $15.42
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 30 24 $15.04
J2470 Injection, pantoprazole sodium, 40 mg 69 56 $2.53
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 153 132 $0.00
77002 86 78 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 180 151 $0.00
JLL00 38 27 $0.00
S0020 Injection, bupivicaine hydrochloride, 30 ml 187 145 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 27 24 $0.00
88341 13 13 $0.00