Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › SAGINAW › COVENANT MEDICAL CENTER, INC.

COVENANT MEDICAL CENTER, INC.

NPI: 1588656946 · SAGINAW, MI 48602 · General Acute Care Hospital · NPI assigned 08/21/2005

$96.77M
Total Medicaid Paid
3,505,827
Total Claims
2,899,674
Beneficiaries
583
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMAINE, MARGARET (DIRECTOR)
NPI Enumeration Date08/21/2005

Related Entities

Other providers sharing the same authorized official: MAINE, MARGARET

ProviderCityStateTotal Paid
COVENANT MEDICAL CENTER, INC. SAGINAW MI $14.75M
COVENANT MEDICAL CENTER, INC. SAGINAW MI $10.97M
COVENANT MEDICAL CENTER, INC. SAGINAW MI $5.99M
COVENANT MEDICAL CENTER, INC. SAGINAW MI $47K
COVENANT MEDICAL CENTER, INC SAGINAW MI $26K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 430,608 $13.51M
2019 553,962 $14.68M
2020 455,377 $12.03M
2021 565,612 $15.35M
2022 543,631 $14.77M
2023 528,051 $14.04M
2024 428,586 $12.39M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 80,146 72,191 $25.64M
99284 Emergency department visit for the evaluation and management, high severity 110,819 102,035 $20.64M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 36,256 31,348 $3.04M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 4,909 4,524 $2.24M
G0378 Hospital observation service, per hour 15,414 14,795 $2.10M
99283 Emergency department visit for the evaluation and management, moderate severity 16,262 15,864 $1.94M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 5,571 5,253 $1.72M
82947 43,012 28,438 $1.67M
97530 Therapeutic activities, direct patient contact, each 15 minutes 47,781 12,528 $1.49M
96361 Intravenous infusion, hydration; each additional hour 44,736 33,211 $1.47M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 62,625 18,513 $1.26M
45380 Colonoscopy, flexible; with biopsy, single or multiple 2,691 2,557 $1.26M
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 16,392 15,852 $1.17M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 15,067 12,202 $1.07M
74177 Computed tomography, abdomen and pelvis; with contrast material 8,832 8,562 $1.03M
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 24,840 23,889 $990K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 11,552 10,382 $950K
80061 Lipid panel 34,319 33,966 $913K
71045 Radiologic examination, chest; single view 25,533 24,012 $834K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 5,465 3,158 $799K
96375 Therapeutic injection; each additional sequential IV push 35,624 26,770 $795K
71046 Radiologic examination, chest; 2 views 23,868 22,837 $737K
70450 Computed tomography, head or brain; without contrast material 11,938 11,549 $728K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,577 1,507 $714K
76705 Ultrasound, abdominal, real time with image documentation; limited 12,304 12,007 $707K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 31,899 9,809 $629K
74176 Computed tomography, abdomen and pelvis; without contrast material 5,772 5,577 $550K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 13,728 3,834 $542K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1,452 1,371 $522K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 8,913 6,886 $510K
59025 Fetal non-stress test 5,826 3,402 $475K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,649 3,585 $458K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 32,753 31,769 $452K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 32,276 31,323 $444K
47562 170 167 $425K
77067 Screening mammography, bilateral, including computer-aided detection 8,547 8,530 $398K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 7,856 7,562 $379K
76830 Ultrasound, transvaginal 6,850 6,591 $375K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 2,057 2,024 $368K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4,885 4,821 $335K
58661 124 115 $314K
78815 Positron emission tomography (PET) for limited area imaging 480 478 $299K
76770 5,695 5,589 $297K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 3,946 3,925 $287K
71275 Computed tomographic angiography, chest, with contrast material 3,406 3,332 $268K
71260 Computed tomography, thorax, diagnostic; with contrast material 2,216 2,187 $263K
95816 2,437 2,342 $258K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 17,897 7,021 $251K
97162 5,746 5,684 $249K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 2,154 2,067 $242K
80053 Comprehensive metabolic panel 143,028 123,490 $237K
84443 Thyroid stimulating hormone (TSH) 45,820 44,210 $230K
70551 Magnetic resonance imaging, brain; without contrast material 2,167 2,148 $228K
97161 4,862 4,817 $226K
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 17,418 16,775 $217K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 2,442 2,411 $212K
93458 241 214 $204K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 16,823 16,665 $203K
92526 4,759 1,725 $200K
76801 3,462 3,193 $195K
99281 Emergency department visit for the evaluation and management, self-limited or minor 4,660 4,588 $185K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 164,101 134,601 $182K
93971 3,811 3,699 $181K
72141 1,415 1,392 $167K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,023 2,861 $157K
93970 1,608 1,578 $148K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,950 3,612 $141K
94060 1,175 1,150 $139K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 23,119 21,444 $138K
64400 1,058 937 $133K
76642 3,548 3,504 $130K
76536 2,729 2,714 $128K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 23,200 22,337 $124K
95811 313 292 $123K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 7,420 5,138 $122K
36415 Collection of venous blood by venipuncture 236,161 174,528 $117K
87480 22,302 21,453 $116K
87660 22,302 21,454 $116K
86900 16,923 15,880 $113K
58571 27 24 $113K
87510 21,804 20,969 $108K
10061 651 641 $107K
77063 Screening digital breast tomosynthesis, bilateral 8,336 8,328 $100K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,147 1,126 $98K
92523 886 884 $98K
99232 Subsequent hospital care, per day, moderate complexity 2,795 787 $95K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 3,899 3,748 $90K
43235 299 275 $89K
73221 747 719 $89K
58558 77 76 $87K
97597 1,122 753 $87K
83036 Hemoglobin; glycosylated (A1C) 21,426 21,207 $86K
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 766 762 $84K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 962 937 $84K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 65,887 56,227 $83K
29799 1,298 1,277 $83K
96367 3,031 2,197 $83K
70496 713 699 $82K
76881 1,505 1,483 $82K
97166 1,734 1,708 $80K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 533 346 $79K
95913 306 302 $76K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 4,625 4,611 $76K
83970 5,068 4,906 $75K
95782 150 149 $75K
36430 569 453 $71K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 7,929 7,887 $67K
88305 Level IV - Surgical pathology, gross and microscopic examination 15,892 15,023 $67K
71250 1,433 1,419 $66K
77065 Tomosynthesis, mammo 1,673 1,541 $66K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,500 2,355 $63K
87086 Culture, bacterial; quantitative colony count, urine 38,239 36,193 $63K
96415 1,366 940 $62K
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 4,960 4,949 $61K
Q5104 Injection, infliximab-abda, biosimilar, (renflexis), 10 mg 71 64 $61K
77066 Tomosynthesis, mammo 1,141 1,121 $61K
97165 1,377 1,347 $58K
95909 408 402 $56K
93017 3,053 2,996 $56K
73564 3,938 3,840 $55K
95910 422 408 $54K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 259 231 $54K
76700 Ultrasound, abdominal, real time with image documentation; complete 915 905 $53K
97116 4,222 1,704 $52K
70491 583 571 $52K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 4,327 4,166 $51K
74178 379 376 $51K
72110 2,690 2,670 $51K
74019 5,176 5,034 $51K
29515 764 744 $50K
80048 Basic metabolic panel (calcium, ionized) 31,028 26,310 $49K
71271 917 917 $49K
86780 7,263 7,209 $49K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 41,865 34,610 $48K
82728 9,432 9,150 $46K
36591 2,745 1,665 $46K
87481 3,886 3,737 $45K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 9,591 8,451 $44K
88342 8,567 6,566 $42K
96417 1,101 647 $42K
82607 8,257 8,136 $41K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 744 738 $41K
76870 1,575 1,538 $40K
99233 Prolong inpt eval add15 m 816 328 $40K
94726 1,955 1,898 $38K
84439 13,616 13,316 $38K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 584 507 $34K
87653 3,146 3,116 $34K
85027 19,736 17,996 $33K
84702 10,853 8,204 $32K
80074 1,733 1,725 $31K
83550 8,951 8,809 $30K
77336 559 236 $30K
77080 541 540 $29K
76882 667 656 $29K
73030 4,215 3,958 $28K
70486 1,272 1,263 $28K
82746 5,846 5,743 $27K
99223 Prolong inpt eval add15 m 272 250 $27K
19083 39 39 $26K
77412 230 25 $26K
J2505 Injection, pegfilgrastim, 6 mg 19 13 $25K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 2,466 2,390 $25K
72125 Computed tomography, cervical spine; without contrast material 2,764 2,719 $24K
99239 Hospital discharge day management, more than 30 minutes 456 431 $24K
87507 250 245 $24K
87186 11,173 10,338 $24K
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 275 269 $24K
83540 9,156 9,003 $23K
74018 2,252 2,146 $22K
97022 4,055 1,223 $22K
90670 141 138 $21K
82043 8,549 8,390 $21K
73130 3,797 3,631 $20K
P9016 Red blood cells, leukocytes reduced, each unit 261 215 $20K
73630 4,075 3,920 $19K
99222 Initial hospital care, per day, moderate complexity 301 263 $19K
86803 3,730 3,710 $19K
82570 10,385 9,553 $19K
84403 1,569 1,550 $19K
83735 43,936 35,652 $18K
86480 683 677 $18K
90686 1,315 1,295 $18K
87340 5,540 5,503 $18K
78227 75 75 $18K
86140 30,523 26,734 $16K
93880 232 227 $16K
41899 Unlisted procedure, dentoalveolar structures 158 154 $16K
81001 57,414 52,617 $15K
72050 407 402 $15K
86850 15,004 14,150 $15K
73610 3,717 3,528 $15K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 5,743 5,669 $14K
86038 2,809 2,785 $14K
88341 2,035 1,419 $14K
87077 6,523 5,783 $14K
84146 2,664 2,611 $14K
97163 318 316 $13K
73502 1,937 1,884 $13K
77334 44 25 $13K
72072 701 696 $13K
85610 20,989 16,842 $13K
J1453 Injection, fosaprepitant, 1 mg 399 241 $12K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 1,070 1,068 $12K
88307 1,563 1,337 $12K
73700 255 255 $12K
87522 Neg quan hep c or qual rna 663 646 $12K
83516 1,150 1,021 $12K
86762 3,026 2,993 $12K
87070 5,044 4,686 $12K
87081 6,298 6,153 $12K
84481 1,697 1,675 $12K
86003 299 287 $11K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 47 47 $11K
84153 1,432 1,410 $11K
72100 350 344 $11K
82248 7,535 6,459 $11K
83001 1,247 1,242 $11K
96523 617 546 $11K
92610 409 399 $11K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 1,281 1,278 $11K
73110 2,283 2,187 $11K
97535 Self-care/home management training, each 15 minutes 1,429 991 $10K
87631 5,457 5,328 $10K
83880 5,792 5,327 $10K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 3,227 3,153 $9K
72158 74 74 $9K
J0561 Injection, penicillin g benzathine, 100,000 units 93 92 $9K
82565 9,274 8,043 $9K
83655 1,424 1,421 $8K
97035 1,799 723 $8K
93308 96 95 $8K
20610 156 136 $8K
G0008 Administration of influenza virus vaccine 1,165 1,149 $8K
80076 3,033 2,859 $8K
84550 7,081 6,589 $8K
84100 17,672 14,943 $8K
86364 1,361 782 $8K
82784 1,568 1,459 $8K
93225 410 405 $8K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 291 286 $8K
83002 795 793 $7K
70498 630 619 $7K
72040 507 505 $7K
84156 6,338 5,639 $6K
86258 1,069 537 $6K
C9145 Injection, aprepitant, (aponvie), 1 mg 360 355 $6K
82950 2,850 2,834 $6K
88304 2,651 2,516 $6K
10060 76 73 $6K
99221 124 111 $6K
43450 30 30 $6K
29505 88 87 $6K
82670 439 436 $6K
87088 2,180 2,135 $6K
77300 43 38 $6K
76885 142 141 $6K
86769 171 86 $5K
G0297 Low dose ct scan (ldct) for lung cancer screening 157 157 $5K
87640 539 533 $5K
87899 831 607 $5K
82247 2,243 1,716 $5K
76000 779 744 $5K
84460 3,654 3,331 $5K
86870 57 54 $5K
84450 3,604 3,298 $5K
84134 1,151 1,089 $5K
87641 537 531 $5K
87205 5,264 4,636 $5K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 11,993 8,402 $5K
82550 12,522 10,641 $5K
81003 31,814 30,167 $5K
72131 128 126 $4K
80069 1,257 1,104 $4K
80164 1,472 1,372 $4K
83020 4,404 4,157 $4K
86430 1,612 1,605 $4K
J2405 Injection, ondansetron hydrochloride, per 1 mg 40,841 31,493 $4K
83690 34,432 30,816 $4K
73080 1,066 1,048 $4K
84703 8,004 7,775 $4K
86901 16,929 15,882 $4K
85652 4,734 4,395 $4K
85730 9,420 8,594 $4K
74183 26 24 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 497 471 $4K
82378 787 668 $4K
84480 726 716 $4K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk 16 15 $4K
J3010 Injection, fentanyl citrate, 0.1 mg 24,255 18,218 $4K
73590 1,503 1,443 $4K
73140 960 922 $4K
82105 590 586 $4K
82330 5,490 4,916 $4K
95886 3,130 3,036 $4K
84425 462 460 $4K
83021 635 633 $4K
97014 472 199 $3K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 4,138 3,648 $3K
84520 2,338 2,188 $3K
86160 492 442 $3K
83615 4,971 4,207 $3K
71101 505 498 $3K
93923 66 65 $3K
87634 155 155 $3K
99215 Prolong outpt/office vis 39 37 $3K
82951 509 509 $3K
84402 234 232 $3K
83993 338 336 $3K
88142 272 272 $3K
L4350 Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf 60 59 $3K
86200 487 486 $3K
82274 514 504 $3K
81025 40,163 37,463 $2K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 970 945 $2K
C8925 Transesophageal echocardiography (tee) with contrast, or without contrast followed by with contrast, real time with image documentation (2d) (with or without m-mode recording); including probe placement, image acquisition, interpretation and report 13 13 $2K
72170 973 947 $2K
82150 2,920 2,827 $2K
93798 41 12 $2K
87040 6,952 4,433 $2K
G0109 Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes 82 55 $2K
77290 12 12 $2K
99238 Hospital discharge day management, 30 minutes or less 53 53 $2K
73090 1,255 1,160 $2K
82140 1,408 1,268 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,685 3,611 $2K
87493 296 290 $2K
94729 2,040 1,980 $2K
80197 325 188 $2K
J0585 Injection, onabotulinumtoxina, 1 unit 12 12 $2K
80051 859 829 $2K
76641 39 38 $2K
86235 113 63 $2K
74022 3,221 3,128 $2K
97033 228 93 $2K
82533 282 264 $2K
72146 16 16 $2K
86706 371 366 $2K
84165 442 434 $2K
87046 607 592 $2K
85046 1,752 1,334 $2K
87045 607 592 $2K
86765 469 238 $2K
93350 12 12 $2K
83013 51 51 $2K
88104 236 225 $1K
82785 194 193 $1K
87015 766 741 $1K
85651 1,799 1,654 $1K
72156 13 13 $1K
87075 924 852 $1K
76604 153 153 $1K
85379 5,874 5,685 $1K
95819 14 13 $1K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 5,198 5,067 $1K
93000 140 135 $1K
97167 24 24 $1K
73522 52 50 $1K
84145 10,338 9,566 $1K
73560 1,044 994 $1K
86147 37 30 $1K
86403 1,262 1,233 $1K
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 308 305 $1K
83521 161 77 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 14 14 $1K
84484 40,796 29,848 $1K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 17 16 $990.58
76818 17 13 $990.42
90715 2,953 2,935 $943.44
95806 12 12 $892.65
94010 1,166 1,142 $892.53
87328 215 207 $890.34
J7050 Infusion, normal saline solution, 250 cc 54,209 27,040 $852.90
85018 2,074 1,628 $848.22
86787 234 232 $808.45
87329 217 208 $803.63
87529 40 38 $800.47
86376 120 120 $789.30
86694 118 117 $734.57
99231 Subsequent hospital care, per day, straightforward or low complexity 52 14 $703.68
86304 163 146 $683.86
73552 314 288 $680.53
J2785 Injection, regadenoson, 0.1 mg 184 174 $678.76
84132 4,706 4,235 $667.60
82952 366 366 $649.23
82553 8,970 7,463 $632.96
84155 506 498 $622.49
93320 1,319 1,286 $611.88
86225 100 98 $602.51
G0009 Administration of pneumococcal vaccine 93 92 $602.00
84590 181 180 $598.87
82077 11,552 10,138 $588.22
86920 686 429 $546.95
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 14 14 $539.41
29125 1,044 1,014 $508.60
J1040 Injection, methylprednisolone acetate, 80 mg 53 52 $497.88
82805 3,743 3,433 $446.34
88184 12 12 $445.93
0001A 14 14 $426.35
51798 2,074 1,993 $418.77
90656 24 24 $411.75
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 18 14 $392.11
94760 22,703 20,844 $391.32
84144 38 37 $378.72
93226 319 315 $368.30
83605 18,991 15,341 $351.75
J0558 Injection, penicillin g benzathine and penicillin g procaine, 100,000 units 12 12 $333.85
82977 129 119 $330.33
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 15 15 $304.87
86665 34 27 $301.93
J1885 Injection, ketorolac tromethamine, per 15 mg 34,927 30,313 $294.87
87209 99 95 $293.41
12002 683 679 $278.83
87177 98 94 $274.66
73060 172 168 $271.60
85384 2,063 1,810 $271.08
84630 70 69 $253.35
80178 113 110 $248.10
86696 38 37 $247.83
80177 83 80 $240.98
70360 80 79 $238.09
90472 Immunization administration, each additional vaccine (list separately) 24 24 $237.65
88302 255 230 $224.55
J3490 Unclassified drugs 49,063 24,521 $212.75
86800 26 26 $208.29
86923 52 38 $204.57
73562 15 14 $191.68
86704 42 41 $185.29
83014 51 51 $177.84
93325 1,452 1,411 $177.81
12011 995 987 $172.00
12001 1,643 1,632 $172.00
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,369 2,227 $171.45
86695 38 37 $169.81
82310 82 80 $169.13
85014 507 413 $165.77
82040 125 114 $162.41
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 16 16 $158.34
J2250 Injection, midazolam hydrochloride, per 1 mg 14,775 13,378 $148.87
97012 24 12 $147.99
87252 12 12 $147.40
83525 24 24 $145.74
82575 40 40 $143.17
J7030 Infusion, normal saline solution , 1000 cc 34,657 29,498 $138.65
82627 13 13 $134.00
86039 26 26 $128.40
85613 40 39 $127.40
83930 609 594 $125.03
82731 12 12 $123.16
94664 5,257 4,711 $112.30
84295 3,403 3,205 $108.44
82088 12 12 $107.38
85576 90 56 $107.34
86677 15 15 $102.64
94799 8,154 7,667 $99.14
Q9957 Injection, perflutren lipid microspheres, per ml 1,655 1,636 $98.28
82010 2,113 1,888 $88.79
85460 1,379 1,318 $80.29
84466 14 14 $77.73
J2704 Injection, propofol, 10 mg 18,589 17,842 $76.00
82103 15 15 $69.10
94150 1,062 1,018 $68.93
J7120 Ringers lactate infusion, up to 1000 cc 15,488 13,375 $64.23
73660 24 24 $63.21
93041 726 656 $56.82
83630 41 40 $55.42
89051 144 120 $54.66
84244 12 12 $54.29
86255 27 27 $51.59
82270 31 29 $46.83
82747 12 12 $42.56
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 17,699 16,988 $41.63
J1100 Injection, dexamethasone sodium phosphate, 1 mg 21,698 18,837 $41.11
85660 13 13 $38.02
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 2,832 2,339 $36.51
83520 15 14 $35.88
96376 11,230 8,021 $34.32
80143 1,333 1,265 $34.27
51702 1,539 1,487 $29.64
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 677 668 $28.42
J2360 Injection, orphenadrine citrate, up to 60 mg 1,476 1,444 $25.05
83090 14 14 $24.68
J0696 Injection, ceftriaxone sodium, per 250 mg 8,974 7,244 $20.48
J2270 Injection, morphine sulfate, up to 10 mg 14,241 10,956 $19.12
77002 81 80 $15.85
J1200 Injection, diphenhydramine hcl, up to 50 mg 10,472 9,058 $13.08
J3480 Injection, potassium chloride, per 2 meq 3,726 2,538 $12.31
J0780 Injection, prochlorperazine, up to 10 mg 2,934 2,731 $11.31
80179 1,196 1,163 $11.09
J0280 Injection, aminophyllin, up to 250 mg 349 342 $10.00
J0690 Injection, cefazolin sodium, 500 mg 9,709 7,327 $9.04
J2550 Injection, promethazine hcl, up to 50 mg 1,628 1,337 $8.12
82375 27 24 $6.94
J1630 Injection, haloperidol, up to 5 mg 2,488 2,171 $6.07
A9270 Non-covered item or service 22,756 4,849 $5.95
82435 3,326 3,156 $5.55
J2765 Injection, metoclopramide hcl, up to 10 mg 4,040 3,524 $3.48
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 10,109 4,176 $2.50
J1790 Injection, droperidol, up to 5 mg 3,003 2,715 $0.57
J3535 Drug administered through a metered dose inhaler 58 58 $0.52
J1170 Injection, hydromorphone, up to 4 mg 19,298 12,877 $0.39
J2060 Injection, lorazepam, 2 mg 4,185 3,456 $0.21
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 779 743 $0.00
J1756 Injection, iron sucrose, 1 mg 3,084 1,237 $0.00
A9575 Injection, gadoterate meglumine, 0.1 ml 3,754 3,669 $0.00
76937 100 93 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,157 832 $0.00
J1644 Injection, heparin sodium, per 1000 units 6,632 3,205 $0.00
82800 844 785 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 5,456 4,187 $0.00
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 255 253 $0.00
J3370 Injection, vancomycin hcl, 500 mg 1,600 945 $0.00
J1580 Injection, garamycin, gentamicin, up to 80 mg 131 111 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 694 663 $0.00
J1245 Injection, dipyridamole, per 10 mg 320 316 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 232 189 $0.00
0353U 875 839 $0.00
A9537 Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries 73 73 $0.00
3078F 1,075 987 $0.00
88173 40 37 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 1,157 1,062 $0.00
76981 193 191 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 84 81 $0.00
C1758 Catheter, ureteral 24 24 $0.00
J3250 Injection, trimethobenzamide hcl, up to 200 mg 158 151 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 281 227 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 128 127 $0.00
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 331 190 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 700 468 $0.00
85347 75 70 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 559 457 $0.00
76942 153 148 $0.00
J1953 Injection, levetiracetam, 10 mg 234 183 $0.00
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 43 43 $0.00
J0737 Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg 65 57 $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 278 225 $0.00
C1729 Catheter, drainage 250 151 $0.00
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 188 78 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 66 66 $0.00
97150 Therapeutic procedure(s), group (2 or more individuals) 12 12 $0.00
86922 38 24 $0.00
C1776 Joint device (implantable) 38 38 $0.00
93356 26 26 $0.00
J1171 Injection, hydromorphone, 0.1 mg 319 238 $0.00
A4556 Electrodes, (e.g., apnea monitor), per pair 919 914 $0.00
96368 861 642 $0.00
J7999 Compounded drug, not otherwise classified 5,798 4,693 $0.00
J3360 Injection, diazepam, up to 5 mg 368 313 $0.00
J0500 Injection, dicyclomine hcl, up to 20 mg 746 722 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 613 453 $0.00
J7060 5% dextrose/water (500 ml = 1 unit) 1,438 524 $0.00
C1769 Guide wire 1,249 1,204 $0.00
0352U 1,711 1,653 $0.00
J3411 Injection, thiamine hcl, 100 mg 371 295 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 2,861 2,820 $0.00
94660 108 51 $0.00
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 248 120 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 383 336 $0.00
J1626 Injection, granisetron hydrochloride, 100 mcg 712 340 $0.00
J7042 5% dextrose/normal saline (500 ml = 1 unit) 254 179 $0.00
3075F 86 86 $0.00
3079F 220 215 $0.00
3074F 1,074 993 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 179 92 $0.00
J2175 Injection, meperidine hydrochloride, per 100 mg 102 94 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 87 87 $0.00
0346T 96 95 $0.00
J2805 Injection, sincalide, 5 micrograms 49 49 $0.00
82945 29 26 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 97 38 $0.00
J1940 Injection, furosemide, up to 20 mg 168 104 $0.00
29130 56 55 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 469 453 $0.00
86921 58 36 $0.00
3008F 79 76 $0.00
36416 19 18 $0.00
64402 20 13 $0.00
84157 41 38 $0.00
A4217 Sterile water/saline, 500 ml 143 101 $0.00
0240U 28 28 $0.00
J1250 Injection, dobutamine hydrochloride, per 250 mg 12 12 $0.00
88185 18 12 $0.00
96377 16 12 $0.00