Medicaid Provider Spending

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

RHODE ISLAND HOSPITAL

NPI: 1588659528 · PROVIDENCE, RI 02903 · 282N00000X

$380.77M
Total Medicaid Paid
2,167,654
Total Claims
1,563,033
Beneficiaries
667
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 518,483 $74.65M
2019 581,234 $108.82M
2020 238,156 $45.44M
2021 272,370 $45.23M
2022 210,911 $36.26M
2023 184,931 $36.72M
2024 161,569 $33.66M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0378 Hospital observation per hr 10,050 8,149 $22.20M
99285 24,695 21,069 $21.21M
99284 34,990 30,650 $20.73M
99283 53,269 45,169 $17.87M
J1745 Infliximab not biosimil 10mg 3,819 3,148 $15.86M
90999 11,754 802 $10.39M
H0035 Mh partial hosp tx under 24h 7,740 664 $7.89M
Q5103 Injection, inflectra 2,410 2,097 $7.30M
96413 16,034 8,430 $6.93M
J9271 Inj pembrolizumab 1,116 663 $6.49M
99214 47,354 37,964 $5.83M
70553 4,858 4,045 $5.41M
85025 84,047 61,448 $5.19M
96375 26,034 15,648 $5.06M
77386 3,954 316 $5.05M
J1642 Inj heparin sodium per 10 u 15,952 4,985 $4.56M
J7040 Normal saline solution infus 13,979 6,775 $4.54M
96365 21,223 15,278 $4.37M
99213 46,258 40,357 $4.28M
95810 2,453 2,152 $4.25M
99212 34,725 29,089 $3.41M
80053 37,443 26,923 $3.40M
99282 22,368 17,196 $3.39M
J1100 Dexamethasone sodium phos 12,428 7,319 $3.33M
97530 36,838 14,193 $3.26M
J2405 Ondansetron hcl injection 17,685 11,082 $3.26M
96361 12,285 7,777 $3.18M
93306 4,569 3,683 $3.18M
J7050 Normal saline solution infus 9,568 6,438 $2.91M
96367 7,413 4,343 $2.83M
96372 16,424 9,750 $2.74M
80048 32,060 24,470 $2.74M
97110 38,536 14,401 $2.70M
93005 25,336 20,379 $2.66M
J0690 Cefazolin sodium injection 4,823 2,658 $2.38M
83735 20,697 12,759 $2.06M
82248 27,362 19,335 $1.99M
96366 6,010 3,631 $1.96M
99215 Prolong outpt/office vis 12,433 9,946 $1.93M
87633 4,445 3,824 $1.90M
J2704 Inj, propofol, 10 mg 10,033 6,883 $1.86M
J7030 Normal saline solution infus 10,889 6,830 $1.81M
74177 6,993 5,854 $1.76M
96374 14,531 10,960 $1.75M
J2250 Inj midazolam hydrochloride 6,912 5,190 $1.74M
11042 4,078 1,915 $1.73M
82948 17,020 10,983 $1.70M
Q9967 Locm 300-399mg/ml iodine,1ml 12,081 9,844 $1.67M
J3010 Fentanyl citrate injection 5,441 3,845 $1.63M
99204 8,324 7,298 $1.57M
J1170 Hydromorphone injection 6,494 2,840 $1.56M
G0480 Drug test def 1-7 classes 10,134 7,977 $1.55M
J3490 Drugs unclassified injection 6,177 3,655 $1.54M
J0131 Inj, acetaminophen (nos) 6,048 3,757 $1.51M
80307 8,448 6,677 $1.49M
71046 14,326 12,013 $1.48M
70450 7,550 6,476 $1.44M
43239 2,634 2,283 $1.43M
70551 2,681 2,238 $1.39M
96417 2,843 1,458 $1.37M
84484 10,586 7,519 $1.36M
85027 26,194 19,522 $1.27M
87491 13,470 11,153 $1.27M
45380 1,596 1,330 $1.27M
U0003 Cov-19 amp prb hgh thruput 9,855 8,919 $1.24M
87591 13,321 11,051 $1.22M
85610 18,946 13,108 $1.20M
96360 5,944 3,635 $1.20M
96415 4,736 2,868 $1.18M
81003 18,191 14,740 $1.18M
71260 3,999 3,436 $1.15M
J2469 Palonosetron hcl 2,999 1,484 $1.12M
92507 13,840 5,486 $1.10M
77336 2,544 1,035 $1.07M
72148 1,980 1,679 $1.03M
82306 13,143 11,240 $1.01M
97140 13,348 4,915 $1.00M
77334 1,415 960 $978K
83690 10,358 8,265 $968K
81001 15,085 12,321 $949K
J2270 Morphine sulfate injection 6,919 4,514 $933K
86850 11,569 8,677 $928K
86900 11,748 8,835 $915K
36415 45,885 36,896 $903K
93303 2,459 1,933 $898K
86901 11,689 8,793 $893K
84100 11,542 7,349 $885K
90460 12,382 11,525 $872K
99205 Prolong outpt/office vis 3,752 3,054 $863K
J1200 Diphenhydramine hcl injectio 7,223 4,293 $811K
96110 5,679 4,230 $809K
J1885 Ketorolac tromethamine inj 6,846 4,305 $798K
J9299 Injection, nivolumab 146 72 $782K
93975 2,891 2,281 $782K
96376 6,255 3,039 $773K
99203 5,652 5,079 $761K
J2505 Injection, pegfilgrastim 6mg 266 144 $758K
85730 8,206 6,843 $749K
90791 4,574 2,968 $741K
64644 660 558 $721K
72125 4,565 3,944 $717K
97113 6,986 2,941 $694K
84443 14,535 11,755 $694K
77300 849 638 $691K
71045 4,869 4,101 $686K
97803 7,783 6,112 $680K
83036 24,623 20,767 $676K
A9575 Inj gadoterate meglumi 0.1ml 5,608 4,406 $675K
78815 891 693 $667K
J1569 Gammagard liquid injection 480 178 $662K
97802 4,587 3,767 $657K
76770 4,648 3,807 $655K
85007 12,101 8,415 $634K
88305 4,477 3,556 $621K
76700 4,258 3,423 $620K
83605 3,720 2,729 $616K
96910 8,807 1,406 $606K
J0882 Darbepoetin alfa, esrd use 3,512 717 $593K
87637 2,945 2,686 $584K
J1644 Inj heparin sodium per 1000u 2,309 892 $581K
72141 1,219 959 $545K
74183 619 459 $541K
82565 16,270 11,751 $529K
J0585 Injection,onabotulinumtoxina 728 484 $526K
96411 1,204 757 $524K
P9016 Rbc leukocytes reduced 1,658 1,058 $517K
82310 10,419 7,103 $513K
80076 15,604 12,023 $506K
96416 1,419 665 $505K
77067 3,723 3,189 $505K
G1004 Cdsm ndsc 5,150 3,826 $505K
97161 4,317 3,780 $502K
84703 5,237 4,493 $499K
92523 2,078 1,869 $496K
99218 2,382 1,298 $494K
97162 3,560 3,077 $486K
84520 14,982 10,030 $481K
80061 10,512 8,936 $477K
90471 8,070 7,008 $474K
80051 10,262 6,930 $472K
82728 14,123 11,785 $469K
82805 2,685 2,046 $468K
86140 15,203 12,668 $463K
87086 8,280 6,805 $460K
87389 6,673 5,656 $453K
80050 4,766 3,747 $450K
81025 8,351 6,763 $449K
J9190 Fluorouracil injection 1,152 499 $442K
95782 264 235 $422K
C1769 Guide wire 663 434 $414K
72158 441 351 $406K
J1650 Inj enoxaparin sodium 1,796 754 $401K
76705 3,275 2,611 $396K
82947 4,388 3,572 $385K
J1453 Fosaprepitant injection 568 236 $385K
A9552 F18 fdg 832 619 $378K
77412 2,391 254 $376K
85651 14,466 12,075 $370K
36430 1,800 1,025 $365K
84295 2,711 2,176 $363K
94010 3,845 3,060 $361K
99392 2,657 2,403 $358K
J3475 Inj magnesium sulfate 1,125 634 $356K
73610 5,332 3,849 $356K
J2060 Lorazepam injection 2,008 1,450 $354K
99291 782 519 $352K
99153 Mod sedat endo service >5yrs 1,255 909 $352K
71250 1,681 1,417 $348K
J9312 Inj., rituximab, 10 mg 57 24 $343K
99391 2,779 2,312 $340K
84132 2,685 2,049 $327K
96127 8,377 6,526 $323K
99152 1,136 828 $323K
94640 2,849 1,909 $312K
84460 11,780 9,026 $312K
73560 4,080 3,116 $310K
72146 493 327 $307K
83880 2,128 1,716 $306K
72131 1,669 1,412 $303K
94060 1,636 1,327 $302K
84450 11,203 8,527 $293K
93325 1,827 1,358 $289K
95812 860 794 $285K
86780 4,661 3,990 $284K
76856 2,117 1,778 $281K
J1756 Iron sucrose injection 3,529 1,112 $279K
71275 1,042 815 $278K
76536 2,427 2,012 $276K
93041 2,931 2,488 $273K
J3380 Inj vedolizumab iv 1 mg 50 38 $265K
90461 4,392 3,953 $262K
62323 502 438 $257K
83970 2,782 2,202 $254K
99393 1,839 1,803 $254K
A9585 Gadobutrol injection 1,857 1,366 $251K
86803 4,074 3,597 $247K
J9045 Carboplatin injection 252 104 $245K
97166 1,778 1,523 $242K
82040 6,373 4,428 $240K
90847 2,598 1,072 $237K
73630 3,724 2,691 $237K
73130 2,468 1,833 $231K
84439 6,034 4,494 $229K
70498 915 743 $225K
J1815 Insulin injection 617 319 $225K
Q0163 Diphenhydramine hcl 50mg 2,077 1,194 $225K
99173 3,433 3,278 $221K
82247 5,987 3,928 $220K
J9263 Oxaliplatin 242 90 $220K
83550 8,913 7,436 $219K
87040 1,636 1,130 $216K
72156 193 127 $216K
84155 5,517 3,735 $216K
84075 5,272 3,507 $215K
82607 4,580 4,024 $215K
93226 994 831 $212K
87340 3,180 2,616 $211K
73590 2,901 2,252 $211K
72128 1,218 1,029 $206K
U0005 Infec agen detec ampli probe 4,742 4,441 $203K
44970 98 56 $203K
90715 1,418 1,262 $194K
J8540 Oral dexamethasone 1,655 1,020 $194K
73110 2,275 1,715 $193K
73030 2,564 2,058 $190K
83540 9,248 7,670 $188K
99232 2,651 699 $188K
87088 2,745 2,291 $187K
87186 3,354 2,628 $185K
82330 1,298 999 $185K
82784 4,763 3,904 $183K
92526 2,110 1,075 $181K
94760 5,374 4,318 $179K
97112 2,911 1,472 $178K
86481 1,566 1,416 $178K
88304 1,320 940 $177K
83655 8,004 6,662 $175K
87077 3,671 2,787 $173K
90870 807 304 $172K
C9803 Hopd covid-19 spec collect 2,663 2,401 $168K
72100 1,977 1,570 $166K
77295 74 63 $161K
88342 988 768 $160K
J2001 Lidocaine injection 787 584 $160K
70486 937 807 $159K
G0463 Hospital outpt clinic visit 12,862 10,578 $159K
82550 2,824 2,274 $159K
83615 4,636 3,117 $158K
72082 1,789 1,540 $156K
97535 2,802 1,709 $155K
99202 1,325 1,214 $154K
76870 1,114 881 $154K
76642 1,573 1,294 $154K
87661 2,185 1,691 $153K
73090 2,004 1,512 $152K
95816 550 417 $152K
86706 3,006 2,432 $151K
92588 1,234 720 $149K
87636 731 720 $148K
86704 1,846 1,581 $147K
85379 1,412 1,142 $147K
93320 1,060 841 $145K
87070 3,623 2,830 $144K
93017 847 622 $143K
J0330 Succinycholine chloride inj 990 495 $142K
70496 559 459 $139K
87640 2,433 1,960 $138K
87641 2,454 1,931 $135K
99358 Prolong nursin fac eval 15m 1,182 717 $134K
J2930 Methylprednisolone injection 1,492 972 $133K
31575 429 320 $133K
95806 277 233 $132K
74018 2,159 1,761 $132K
73080 1,685 1,372 $129K
C1894 Intro/sheath, non-laser 154 81 $128K
86923 720 431 $128K
87205 3,329 2,537 $128K
97165 1,057 888 $126K
87481 597 471 $126K
99170 641 512 $125K
77290 195 153 $124K
73552 1,733 1,437 $123K
Q5111 Injection, udenyca 0.5 mg 53 29 $121K
J0780 Prochlorperazine injection 598 418 $119K
77301 37 26 $118K
72157 109 79 $117K
86003 758 492 $114K
73502 1,398 1,132 $114K
95886 779 489 $112K
99235 517 342 $112K
87502 771 632 $111K
96523 718 456 $111K
93971 722 586 $111K
92567 3,286 2,058 $110K
J0171 Adrenalin epinephrine inject 613 402 $109K
99394 706 689 $107K
87015 889 762 $107K
J9035 Bevacizumab injection 25 12 $106K
0241U 747 678 $106K
80047 576 459 $105K
92610 711 594 $104K
99281 784 653 $104K
92557 1,261 883 $101K
94761 216 172 $101K
86708 912 818 $99K
83516 2,681 2,009 $99K
88341 448 334 $99K
96112 491 337 $99K
96402 476 428 $98K
J0696 Ceftriaxone sodium injection 1,070 744 $98K
72170 1,305 1,143 $97K
77066 Tomosynthesis, mammo 612 459 $94K
99238 1,092 749 $94K
70491 281 197 $93K
86787 789 713 $93K
73060 962 757 $92K
J7512 Prednisone ir or dr oral 1mg 824 456 $91K
85660 911 743 $90K
87651 1,026 922 $90K
J0640 Leucovorin calcium injection 262 128 $88K
92579 1,371 831 $88K
72197 88 67 $87K
93010 7,973 7,035 $86K
87880 2,856 2,221 $86K
82465 4,630 4,020 $85K
96900 655 130 $85K
45385 190 146 $83K
85014 2,247 1,615 $82K
J3420 Vitamin b12 injection 560 383 $81K
76830 526 413 $81K
87505 539 308 $81K
83718 3,760 3,333 $80K
82378 894 691 $79K
87801 578 472 $78K
20610 339 254 $75K
J1050 Medroxyprogesterone acetate 1,587 1,226 $74K
74176 348 288 $74K
73100 1,486 931 $74K
77063 1,843 1,770 $70K
96161 3,076 2,454 $68K
96409 436 177 $68K
84403 1,149 990 $68K
90686 958 871 $68K
77338 58 39 $67K
76885 654 461 $66K
93271 394 254 $66K
90846 613 326 $65K
J0688 Inj cefazolin sodium, hikma 71 49 $64K
99222 458 331 $64K
84480 1,251 800 $63K
81415 31 31 $63K
A4550 Surgical trays 354 229 $61K
J1750 Inj iron dextran 163 141 $61K
86038 1,525 1,296 $61K
85045 4,739 3,679 $60K
84153 1,512 1,264 $60K
92551 1,500 1,048 $59K
87081 214 133 $58K
84165 825 642 $58K
82570 1,676 1,359 $58K
87522 Neg quan hep c or qual rna 582 420 $56K
87507 114 81 $56K
94729 828 676 $55K
82043 4,224 3,619 $55K
92134 556 420 $53K
72040 1,030 866 $52K
J2501 Paricalcitol 6,169 324 $51K
95908 337 177 $51K
84156 1,457 1,192 $49K
86480 495 357 $49K
94727 825 673 $49K
99221 254 170 $49K
73564 770 501 $48K
G0008 Admin influenza virus vac 899 768 $47K
99211 1,297 1,010 $47K
G8979 Mobility goal status 142 112 $47K
G8978 Mobility current status 133 107 $46K
45378 82 48 $45K
92585 262 138 $45K
J2920 Methylprednisolone injection 103 52 $44K
86618 475 385 $44K
87536 194 185 $42K
96111 375 213 $41K
51701 266 235 $41K
99417 Prolong home eval add 15m 830 742 $40K
82977 2,104 1,589 $40K
J2997 Alteplase recombinant 179 80 $40K
11045 132 43 $40K
95910 160 57 $40K
83001 900 654 $39K
73000 408 309 $38K
82140 270 206 $38K
85018 2,347 1,317 $38K
87207 244 238 $38K
81514 107 98 $36K
J9217 Leuprolide acetate suspnsion 116 104 $36K
95004 320 240 $36K
U0002 Covid-19 lab test non-cdc 288 249 $35K
83002 829 586 $34K
84702 427 343 $34K
82746 685 609 $34K
82670 588 424 $34K
64645 364 327 $33K
87480 606 474 $33K
87510 606 473 $33K
64646 15 14 $33K
J9370 Vincristine sulfate 1 mg inj 100 41 $33K
77072 729 507 $33K
83883 584 419 $32K
80197 1,558 989 $32K
73070 701 453 $32K
76981 265 169 $31K
95819 106 78 $31K
Q9966 Locm 200-299mg/ml iodine,1ml 439 315 $31K
84402 625 434 $31K
82955 242 232 $31K
J1630 Haloperidol injection 210 171 $31K
96101 54 53 $30K
87660 602 469 $30K
93321 412 237 $29K
88175 595 456 $29K
87624 424 308 $29K
77065 Tomosynthesis, mammo 263 198 $29K
87631 149 140 $28K
99231 544 166 $28K
95885 393 165 $28K
92611 232 192 $28K
J2710 Neostigmine methylslfte inj 246 165 $28K
86360 305 208 $26K
64643 95 64 $26K
82435 189 165 $26K
78452 60 40 $26K
72081 480 433 $26K
99174 321 318 $26K
76857 331 209 $25K
84550 1,565 1,011 $25K
86364 1,119 1,086 $25K
76882 384 298 $25K
84146 566 401 $24K
88307 162 97 $24K
74019 332 269 $24K
93225 234 130 $24K
82105 626 403 $24K
80177 232 168 $24K
74230 231 167 $24K
88173 197 144 $24K
36591 169 112 $23K
91200 205 146 $23K
95873 181 105 $23K
70544 52 36 $21K
72110 217 201 $21K
82747 446 324 $21K
83921 450 347 $21K
A9502 Tc99m tetrofosmin 60 43 $20K
A9541 Tc99m sulfur colloid 76 70 $20K
J7307 Etonogestrel implant system 17 15 $20K
96368 110 51 $18K
86160 329 282 $18K
ATP08 2,826 1,981 $18K
66984 38 29 $18K
74174 40 30 $18K
83030 932 724 $17K
73721 34 24 $17K
86765 259 213 $17K
86359 304 207 $17K
42820 25 13 $16K
0002A 716 714 $16K
88185 66 40 $16K
92083 188 119 $16K
97116 178 79 $16K
82272 282 201 $15K
86735 243 199 $15K
89051 115 94 $15K
86334 241 159 $15K
92014 117 98 $15K
82139 424 226 $15K
86665 207 110 $15K
95909 83 53 $15K
72070 227 152 $15K
G1011 Cdsm qualified nos 215 178 $15K
97750 225 166 $14K
86682 108 102 $14K
76506 127 79 $14K
20552 16 12 $14K
0001A 769 762 $14K
J3489 Zoledronic acid 1mg 28 25 $14K
90675 55 29 $13K
96160 255 251 $13K
J0134 Inj acetaminophen -fresenius 301 233 $13K
82150 484 299 $13K
80074 135 101 $12K
80164 171 88 $12K
86147 88 67 $12K
G2023 Specimen collect covid-19 585 524 $12K
36593 88 38 $12K
70360 258 175 $12K
J2785 Regadenoson injection 39 26 $12K
87206 525 371 $11K
90832 313 91 $11K
87209 89 52 $11K
83721 530 424 $11K
86762 136 119 $11K
G0500 Mod sedat endo service >5yrs 65 59 $11K
87075 213 180 $11K
92133 180 120 $11K
87177 89 52 $10K
86141 324 179 $10K
87338 394 326 $10K
90834 172 83 $10K
J2765 Metoclopramide hcl injection 135 95 $10K
92582 233 123 $10K
87799 114 79 $10K
J2919 Inj, methylpred sod succ 5mg 221 161 $10K
M0239 Bamlanivimab-xxxx infusion 42 39 $10K
G0297 Ldct for lung ca screen 45 37 $10K
87635 125 116 $9K
51798 222 160 $9K
81416 13 13 $9K
82652 118 67 $9K
86235 117 94 $9K
ATP15 1,110 821 $9K
83993 268 139 $9K
93042 921 668 $8K
93270 107 43 $8K
83020 219 135 $8K
73562 213 135 $8K
90472 165 146 $8K
99223 Prolong inpt eval add15 m 61 54 $8K
0124A 219 206 $8K
96131 36 24 $8K
82397 220 216 $8K
82533 150 119 $7K
J8499 Oral prescrip drug non chemo 288 224 $7K
85240 184 134 $7K
M0245 Bamlan and etesev infusion 21 21 $7K
12011 50 48 $7K
73140 152 105 $7K
J1030 Methylprednisolone 40 mg inj 163 131 $7K
86664 203 111 $7K
83520 209 121 $6K
88184 65 40 $6K
85246 128 96 $6K
J1720 Hydrocortisone sodium succ i 137 102 $6K
74241 37 26 $6K
86800 195 135 $6K
73521 128 78 $6K
86146 62 41 $6K
ATP07 1,285 668 $6K
86376 193 156 $6K
86039 176 149 $6K
84305 119 97 $6K
77280 26 13 $6K
86663 203 111 $6K
87493 17 12 $5K
J3301 Triamcinolone acet inj nos 374 266 $5K
85060 243 91 $5K
92550 195 64 $5K
83021 107 65 $5K
70355 43 37 $5K
64615 26 25 $5K
V5011 Hearing aid fitting/checking 26 13 $5K
90662 317 254 $5K
84466 187 135 $5K
82010 85 72 $5K
82785 133 104 $5K
29125 39 37 $5K
90480 106 38 $4K
81206 19 13 $4K
86592 86 83 $4K
85384 60 39 $4K
72190 64 52 $4K
85245 75 59 $4K
J3480 Inj potassium chloride 34 27 $4K
J1171 Inj, hydromorphone, 0.1 mg 13 12 $3K
82787 35 24 $3K
93970 19 12 $3K
91065 22 12 $3K
96380 87 83 $3K
84270 45 37 $3K
87184 93 67 $3K
0031A 100 99 $3K
12001 27 23 $3K
C9113 Inj pantoprazole sodium, via 17 12 $3K
83010 88 38 $3K
82374 61 47 $3K
76937 18 12 $3K
J3370 Vancomycin hcl injection 92 39 $3K
90714 15 15 $2K
J1071 Inj testosterone cypionate 321 144 $2K
96130 16 12 $2K
0154A 88 87 $2K
0111A 96 92 $2K
0250 1,224 389 $2K
83519 70 55 $2K
87147 55 28 $2K
72050 27 25 $2K
99233 Prolong inpt eval add15 m 29 12 $2K
86225 79 61 $2K
86357 49 36 $2K
86355 49 36 $2K
84425 84 66 $2K
86308 38 33 $2K
J0295 Ampicillin sulbactam 1.5 gm 76 27 $2K
90713 12 12 $2K
84481 51 42 $2K
86580 199 115 $2K
86431 139 117 $2K
74221 14 14 $2K
99239 26 25 $2K
73120 22 12 $2K
97016 38 13 $2K
90670 62 56 $2K
99195 19 14 $2K
99443 38 37 $2K
V2632 Post chmbr intraocular lens 21 14 $2K
87102 79 24 $1K
90833 70 27 $1K
T1016 Case management 25 25 $1K
J2543 Piperacillin/tazobactam 27 15 $1K
J2003 Inj, lidocaine hcl, 1 mg 18 17 $1K
97755 14 12 $1K
86753 16 16 $1K
83090 44 28 $1K
83498 13 13 $1K
J1953 Levetiracetam injection 13 12 $1K
G2212 Prolong outpt/office vis 16 13 $1K
82525 40 28 $986.76
84432 29 14 $925.64
92553 20 18 $924.86
94664 12 12 $912.52
88313 15 14 $829.07
99441 84 77 $795.86
84478 75 63 $781.70
90656 14 14 $773.96
J2550 Promethazine hcl injection 51 44 $755.44
77073 12 12 $753.82
97542 13 12 $741.99
82627 12 12 $681.83
92136 18 14 $652.36
80230 12 12 $622.32
J1940 Furosemide injection 20 12 $578.23
76514 28 16 $558.27
51702 21 13 $548.45
84134 17 15 $538.66
87650 15 15 $506.55
G0009 Admin pneumococcal vaccine 37 34 $491.78
80175 21 13 $438.02
86902 15 13 $411.65
88300 35 16 $400.05
J9255 Inj, methotrexate (accord) 33 12 $328.33
92593 12 12 $321.30
80299 12 12 $287.32
86200 14 12 $280.90
J7620 Albuterol ipratrop non-comp 50 30 $279.72
92025 18 14 $278.41
H2021 Com wrap-around sv, 15 min 29 17 $273.66
99442 17 16 $255.19
99406 12 12 $228.96
ATP14 34 24 $208.41
ATP09 33 25 $189.46
82438 15 15 $151.03
J7613 Albuterol non-comp unit 37 12 $133.55
0003A 19 16 $25.76
G0439 Ppps, subseq visit 13 12 $7.04
90674 15 14 $6.52
99070 16 15 $0.00
C1713 Anchor/screw bn/bn,tis/bn 24 13 $0.00