Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › ZANESVILLE › GENESIS HEALTHCARE SYSTEM

GENESIS HEALTHCARE SYSTEM

NPI: 1598868655 · ZANESVILLE, OH 43701 · Rural Acute Care Hospital · NPI assigned 09/06/2006

$101.92M
Total Medicaid Paid
2,832,746
Total Claims
2,302,447
Beneficiaries
633
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialNORMAN, MICHAEL (CSO)
NPI Enumeration Date09/06/2006

Related Entities

Other providers sharing the same authorized official: NORMAN, MICHAEL

ProviderCityStateTotal Paid
GENESIS EMERGENCY PHYSICIANS LLC ZANESVILLE OH $10.78M
GENESIS PRIMARY CARE PHYSICIANS LLC ZANESVILLE OH $7.08M
GENESIS HEALTHCARE SYSTEM ZANESVILLE OH $4.27M
COMMUNITY AMBULANCE SERVICE ZANESVILLE OH $3.75M
PROFESSIONALS PRN LLC ZANESVILLE OH $3.21M
ELM FAMILY DENTAL ASSOCIATES LLC WEST HAVEN CT $1.26M
GENESIS ANESTHESIA PROVIDERS, LLC ZANESVILLE OH $288K
GENESIS HEALTHCARE SYSTEM ZANESVILLE OH $4K
GENESIS HEALTHCARE SYSTEM ZANESVILLE OH $582.68

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 237,169 $6.63M
2019 249,788 $7.13M
2020 219,395 $10.17M
2021 265,212 $11.31M
2022 286,146 $10.43M
2023 866,947 $29.81M
2024 708,089 $26.44M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 106,183 99,411 $12.01M
96361 Intravenous infusion, hydration; each additional hour 38,821 32,103 $11.09M
99284 Emergency department visit for the evaluation and management, high severity 53,110 48,901 $6.39M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 53,198 48,272 $4.71M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 37,358 32,224 $4.57M
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 23,681 22,421 $4.39M
99282 Emergency department visit for the evaluation and management, low to moderate severity 29,614 28,638 $3.25M
74177 Computed tomography, abdomen and pelvis; with contrast material 13,117 11,663 $2.99M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 33,041 9,900 $2.43M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24,434 21,017 $2.34M
70450 Computed tomography, head or brain; without contrast material 8,271 7,323 $1.67M
J9271 Injection, pembrolizumab, 1 mg 187 150 $1.45M
G0378 Hospital observation service, per hour 20,839 10,107 $1.37M
95810 Polysomnography; sleep staging with 4 or more additional parameters 2,519 2,439 $1.37M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 5,054 4,740 $1.36M
59025 Fetal non-stress test 8,007 3,343 $1.24M
80053 Comprehensive metabolic panel 90,637 78,871 $1.21M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 10,483 7,499 $1.06M
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 34,875 31,851 $994K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 5,599 4,346 $956K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 4,115 2,114 $871K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 19,546 17,723 $841K
84443 Thyroid stimulating hormone (TSH) 42,475 38,174 $837K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 8,418 4,650 $827K
45380 Colonoscopy, flexible; with biopsy, single or multiple 2,502 2,332 $811K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,919 2,563 $791K
95811 1,641 1,591 $778K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,407 3,160 $764K
71275 Computed tomographic angiography, chest, with contrast material 2,777 2,383 $694K
80048 Basic metabolic panel (calcium, ionized) 89,904 75,664 $614K
80061 Lipid panel 38,289 35,556 $555K
95886 2,319 2,222 $543K
71260 Computed tomography, thorax, diagnostic; with contrast material 2,471 2,223 $540K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 19,540 17,749 $505K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 877 776 $484K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 6,866 2,480 $470K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 2,764 2,481 $466K
71046 Radiologic examination, chest; 2 views 14,330 13,348 $452K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 156,297 129,139 $443K
H0015 Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education 2,817 620 $416K
70551 Magnetic resonance imaging, brain; without contrast material 2,060 1,916 $365K
97533 4,868 1,699 $364K
62323 935 861 $361K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 21,024 19,285 $355K
93458 434 372 $342K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 892 807 $341K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 13,730 12,379 $327K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 14,230 11,659 $306K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 662 312 $291K
36475 170 107 $289K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 5,456 2,272 $289K
47563 122 99 $278K
30802 152 127 $266K
87086 Culture, bacterial; quantitative colony count, urine 28,419 24,645 $260K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 3,061 1,965 $259K
76705 Ultrasound, abdominal, real time with image documentation; limited 3,293 2,922 $251K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 6,288 5,958 $251K
78815 Positron emission tomography (PET) for limited area imaging 470 444 $248K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 11,938 11,420 $241K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 465 382 $237K
36415 Collection of venous blood by venipuncture 204,157 160,458 $234K
85027 27,753 24,410 $232K
93971 2,846 2,206 $227K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 10,282 9,244 $226K
70496 857 753 $226K
94060 2,039 1,931 $219K
42820 Tonsillectomy and adenoidectomy; younger than age 12 275 225 $216K
84439 15,911 14,074 $210K
97161 2,988 2,696 $207K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 24,632 22,160 $205K
96415 864 556 $200K
93308 840 733 $197K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 888 833 $193K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 5,986 2,384 $192K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 810 738 $192K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1,135 1,044 $190K
71250 1,979 1,871 $189K
93350 801 705 $185K
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 16,551 15,645 $179K
82607 8,525 7,590 $179K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1,025 920 $178K
J0561 Injection, penicillin g benzathine, 100,000 units 942 749 $176K
77063 Screening digital breast tomosynthesis, bilateral 3,501 3,216 $172K
93970 1,271 1,178 $162K
73630 5,113 4,293 $154K
84484 40,837 26,989 $154K
76642 1,440 1,179 $145K
74178 621 579 $144K
83036 Hemoglobin; glycosylated (A1C) 21,997 19,960 $140K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,586 961 $138K
71271 762 712 $135K
83655 5,079 4,812 $133K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 3,681 3,248 $132K
J0897 Injection, denosumab, 1 mg 159 142 $131K
76536 1,307 1,218 $130K
93017 1,991 1,790 $128K
97162 2,013 1,798 $127K
70491 476 418 $126K
J3490 Unclassified drugs 85,639 36,616 $121K
12001 806 676 $120K
95816 919 878 $117K
99281 Emergency department visit for the evaluation and management, self-limited or minor 965 871 $112K
96367 2,593 1,847 $111K
97597 1,816 1,245 $107K
72141 659 597 $106K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 11,876 10,138 $105K
94729 2,114 2,004 $101K
73221 523 478 $100K
76775 1,141 1,065 $97K
93270 1,300 1,194 $95K
94726 1,863 1,763 $94K
84481 5,955 5,318 $93K
74018 2,268 2,025 $93K
36430 474 294 $92K
J9299 Injection, nivolumab, 1 mg 35 12 $91K
93976 1,100 971 $91K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,178 1,016 $90K
82728 6,283 5,625 $90K
43248 419 361 $90K
94762 3,310 1,751 $89K
76830 Ultrasound, transvaginal 2,140 1,886 $87K
88305 Level IV - Surgical pathology, gross and microscopic examination 17,202 9,904 $86K
76700 Ultrasound, abdominal, real time with image documentation; complete 517 484 $85K
84702 4,100 2,791 $85K
86850 5,192 4,299 $84K
80076 19,209 17,202 $83K
73562 3,215 2,691 $83K
73610 3,123 2,709 $82K
74183 351 321 $80K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 55,795 48,666 $79K
80081 2,930 2,455 $77K
J1439 Injection, ferric carboxymaltose, 1 mg 118 76 $76K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,018 744 $76K
72110 1,722 1,583 $73K
90853 Group psychotherapy (other than of a multiple-family group) 1,819 485 $73K
86780 3,163 2,655 $72K
86703 3,346 2,827 $72K
73130 3,082 2,624 $72K
72100 1,998 1,815 $71K
P9016 Red blood cells, leukocytes reduced, each unit 409 264 $70K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 1,181 973 $69K
73030 2,808 2,388 $66K
81001 58,974 53,375 $65K
20553 473 405 $64K
76770 458 424 $64K
97165 963 864 $64K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 558 534 $63K
90791 Psychiatric diagnostic evaluation 553 499 $62K
12011 405 347 $61K
86900 5,411 4,427 $59K
64493 217 117 $59K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 609 548 $59K
10060 420 365 $59K
80074 3,212 2,750 $59K
87070 4,711 4,251 $58K
95885 245 238 $57K
97035 1,074 411 $57K
43249 185 172 $56K
93925 543 519 $56K
86803 3,024 2,511 $56K
83735 26,465 20,619 $54K
80069 4,917 3,900 $54K
73110 2,085 1,801 $54K
90832 Psychotherapy, 30 minutes with patient 1,189 728 $52K
71045 Radiologic examination, chest; single view 30,426 27,743 $52K
70544 282 269 $51K
92557 490 456 $51K
75574 146 133 $49K
93880 763 735 $48K
95806 212 201 $48K
72125 Computed tomography, cervical spine; without contrast material 2,208 1,916 $47K
27096 198 104 $46K
C9290 Injection, bupivacaine liposome, 1 mg 507 371 $46K
97116 1,639 797 $46K
93922 710 680 $46K
77067 Screening mammography, bilateral, including computer-aided detection 3,475 3,217 $45K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 628 510 $45K
86140 6,833 6,083 $45K
82565 6,972 6,267 $44K
87077 4,745 4,095 $44K
52260 46 39 $43K
84153 2,604 2,311 $43K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 2,356 1,832 $42K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1,365 1,151 $41K
99215 Prolong outpt/office vis 679 589 $41K
72050 720 656 $41K
70486 896 789 $41K
82570 5,907 5,251 $41K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 19,582 15,841 $40K
72072 1,034 931 $39K
97530 Therapeutic activities, direct patient contact, each 15 minutes 985 462 $39K
87186 5,953 5,134 $38K
76801 723 609 $38K
29848 26 26 $38K
72131 611 544 $38K
76882 375 336 $38K
95911 352 329 $37K
72040 809 740 $37K
86038 2,310 1,990 $37K
73502 1,448 1,289 $36K
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 1,677 1,411 $35K
82746 3,032 2,674 $35K
83970 1,503 1,350 $35K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 3,781 3,297 $35K
12002 253 217 $34K
97113 501 285 $34K
77336 461 215 $34K
C1776 Joint device (implantable) 128 101 $34K
70498 915 815 $34K
88112 888 807 $33K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 82 82 $33K
87522 Neg quan hep c or qual rna 1,107 922 $33K
74174 291 270 $32K
83540 4,242 3,751 $32K
88341 765 429 $32K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 803 681 $31K
52356 20 13 $31K
87493 958 829 $30K
84403 1,482 1,272 $30K
84450 5,476 4,810 $30K
93325 402 362 $30K
87400 1,560 750 $30K
86592 1,079 930 $29K
85652 8,639 7,634 $28K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 46,521 41,664 $28K
73120 852 404 $28K
83605 14,410 11,086 $28K
85610 7,705 5,528 $28K
84460 5,812 5,127 $28K
97598 125 82 $27K
87081 2,175 1,887 $27K
77080 382 351 $27K
43235 115 105 $27K
82043 4,531 4,210 $26K
80320 2,789 2,233 $26K
77334 182 61 $26K
84146 1,376 1,165 $26K
96523 677 465 $26K
64483 55 45 $25K
87340 1,657 1,365 $25K
90837 Psychotherapy, 53 minutes with patient 269 172 $25K
74019 355 321 $25K
90715 1,901 1,636 $25K
73080 1,199 1,057 $24K
88307 393 307 $23K
47562 15 14 $23K
83516 1,476 965 $23K
84270 1,289 1,104 $23K
86901 5,398 4,428 $23K
86160 2,259 1,022 $23K
J2469 Injection, palonosetron hcl, 25 mcg 1,870 1,037 $23K
73140 740 657 $22K
83001 981 823 $22K
87902 156 130 $22K
77065 Tomosynthesis, mammo 589 473 $21K
J1756 Injection, iron sucrose, 1 mg 897 515 $20K
64415 143 116 $20K
97166 259 247 $20K
27447 13 13 $19K
86480 644 548 $19K
82962 17,003 9,330 $18K
82784 1,514 1,231 $18K
82533 733 579 $18K
77386 91 12 $18K
82105 917 820 $17K
83550 3,156 2,818 $17K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 814 768 $17K
73560 799 559 $17K
73521 528 392 $17K
82040 1,749 1,400 $16K
86431 1,947 1,716 $16K
82247 2,017 1,167 $16K
64400 58 42 $16K
73590 1,057 867 $15K
86200 1,506 1,380 $15K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 49 41 $15K
86235 1,407 673 $15K
92567 863 807 $15K
88342 1,472 1,244 $15K
80349 768 596 $15K
20552 119 110 $15K
87046 1,785 797 $14K
86706 1,194 981 $14K
93312 63 62 $14K
88738 2,069 1,966 $14K
83690 30,322 27,182 $14K
82805 590 500 $14K
86618 887 747 $14K
82950 1,493 1,177 $14K
76870 429 380 $14K
82248 2,047 1,553 $13K
95909 276 266 $13K
97535 Self-care/home management training, each 15 minutes 489 381 $13K
83880 4,314 3,616 $13K
86696 694 534 $13K
71101 639 580 $13K
78227 44 42 $13K
20611 52 37 $13K
94664 4,982 3,891 $12K
J1453 Injection, fosaprepitant, 1 mg 718 417 $12K
87045 923 797 $12K
77066 Tomosynthesis, mammo 335 308 $12K
73090 856 758 $12K
94618 179 168 $12K
J2790 Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) 168 141 $11K
96375 Therapeutic injection; each additional sequential IV push 37,733 30,065 $11K
86376 638 551 $11K
92523 168 157 $11K
87205 5,304 4,007 $11K
72052 232 218 $11K
82550 2,265 1,830 $10K
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 280 240 $10K
96376 6,162 3,410 $10K
86256 791 736 $10K
93225 97 88 $10K
J0640 Injection, leucovorin calcium, per 50 mg 314 127 $10K
86704 596 461 $10K
20610 107 71 $10K
83002 655 543 $10K
73700 88 79 $10K
95913 232 217 $10K
90834 Psychotherapy, 45 minutes with patient 163 108 $9K
84550 2,515 1,997 $9K
73200 85 79 $9K
77300 71 23 $9K
83721 829 756 $9K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,522 2,103 $9K
97150 Therapeutic procedure(s), group (2 or more individuals) 297 117 $9K
84480 702 598 $9K
80197 597 269 $8K
86695 512 417 $8K
0240U 47 38 $8K
93799 450 79 $8K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 730 643 $8K
77295 14 12 $8K
82627 287 229 $8K
86920 355 226 $8K
87147 1,499 1,309 $8K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 191 150 $7K
73060 446 402 $7K
87328 698 596 $7K
74160 74 70 $7K
83525 300 261 $7K
80164 484 404 $7K
84100 1,861 1,453 $7K
C1769 Guide wire 1,881 1,600 $6K
72128 206 187 $6K
87329 707 602 $6K
81025 35,354 32,119 $6K
94660 47 21 $6K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 16 15 $6K
84132 2,076 1,635 $6K
81596 73 55 $6K
80171 301 268 $6K
84156 1,572 1,139 $6K
73552 480 400 $6K
82947 1,354 1,130 $5K
82150 542 430 $5K
J7999 Compounded drug, not otherwise classified 4,353 2,765 $5K
85018 1,878 1,274 $5K
72082 64 55 $5K
85014 1,425 1,002 $5K
85379 3,939 3,408 $5K
87088 706 608 $5K
90686 400 361 $5K
62321 15 12 $4K
83520 219 185 $4K
J0500 Injection, dicyclomine hcl, up to 20 mg 305 246 $4K
86708 395 295 $4K
72146 29 28 $4K
87150 152 150 $4K
93975 44 41 $4K
83615 2,894 2,186 $4K
82977 665 385 $4K
77301 14 12 $4K
J8501 Aprepitant, oral, 5 mg 288 249 $4K
82677 96 93 $4K
80177 281 236 $4K
C1887 Catheter, guiding (may include infusion/perfusion capability) 1,032 907 $4K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 11,590 5,520 $4K
82670 167 145 $4K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 1,405 1,151 $4K
84144 166 131 $4K
84703 382 330 $4K
97760 52 50 $3K
84520 1,200 913 $3K
J7030 Infusion, normal saline solution , 1000 cc 52,535 44,280 $3K
86308 542 455 $3K
95908 86 86 $3K
88304 1,525 1,252 $3K
72170 941 810 $3K
82140 567 466 $3K
72158 13 13 $3K
82951 128 112 $3K
86147 135 50 $3K
84445 116 99 $3K
86334 154 126 $3K
80324 128 106 $3K
97014 65 38 $2K
C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, other than peel-away 49 38 $2K
64450 45 32 $2K
80051 291 215 $2K
86665 119 46 $2K
72156 12 12 $2K
84075 551 321 $2K
85730 1,947 1,463 $2K
84681 159 132 $2K
87040 3,641 1,887 $2K
84145 2,798 2,363 $2K
94010 27 24 $2K
J2704 Injection, propofol, 10 mg 13,009 10,782 $2K
82330 687 568 $2K
81002 11,489 10,032 $2K
85045 535 447 $2K
J1170 Injection, hydromorphone, up to 4 mg 7,163 4,255 $2K
86225 140 114 $2K
77002 25 17 $2K
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 40 40 $2K
77470 15 13 $2K
95910 74 71 $1K
86694 120 91 $1K
J9045 Injection, carboplatin, 50 mg 158 99 $1K
64447 29 25 $1K
86705 113 78 $1K
G0260 Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography 17 15 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 25,707 20,071 $1K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 209 89 $1K
J0690 Injection, cefazolin sodium, 500 mg 5,494 3,902 $1K
29125 545 474 $1K
T1002 Rn services, up to 15 minutes 54 38 $1K
85597 20 12 $1K
88142 66 65 $1K
86709 136 97 $1K
80178 125 114 $1K
86336 96 93 $1K
86762 55 50 $1K
J0736 Injection, clindamycin phosphate, 300 mg 899 662 $1K
97803 12 12 $1K
80359 114 94 $1K
86880 136 116 $1K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 13,385 7,313 $1K
84155 470 413 $1K
86800 89 76 $1K
36600 683 531 $1K
84425 113 96 $1K
82310 205 165 $987.18
97164 13 13 $981.14
86870 34 24 $927.14
92579 13 13 $922.64
J1100 Injection, dexamethasone sodium phosphate, 1 mg 15,219 11,310 $919.69
77338 12 12 $918.74
87210 767 633 $908.31
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 1,921 1,587 $907.23
J3590 Unclassified biologics 101 86 $901.71
J0131 Injection, acetaminophen, not otherwise specified,10 mg 338 269 $874.82
85049 444 332 $853.59
J7120 Ringers lactate infusion, up to 1000 cc 15,630 13,566 $850.76
74022 37 37 $836.27
J2405 Injection, ondansetron hydrochloride, per 1 mg 34,977 29,535 $828.03
J3535 Drug administered through a metered dose inhaler 260 226 $817.83
83883 150 76 $777.89
29130 138 117 $756.16
72220 13 12 $751.36
J3010 Injection, fentanyl citrate, 0.1 mg 13,328 11,153 $742.44
88173 116 87 $730.89
82803 777 599 $709.28
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 5,340 4,412 $690.56
86003 36 28 $690.46
76942 79 63 $684.18
J2270 Injection, morphine sulfate, up to 10 mg 3,633 2,867 $680.25
36416 4,461 3,809 $668.67
70547 25 25 $657.75
J1650 Injection, enoxaparin sodium, 10 mg 1,240 668 $656.83
85598 20 12 $656.10
96402 112 92 $655.71
00910 62 57 $649.68
96417 1,394 737 $619.99
80329 459 307 $612.86
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 28,856 24,639 $611.50
J3370 Injection, vancomycin hcl, 500 mg 1,566 982 $604.24
00731 642 565 $587.53
00840 226 177 $586.38
00400 189 157 $585.25
82024 16 12 $560.88
00790 375 321 $553.97
29515 148 120 $546.61
86787 20 16 $545.39
J1644 Injection, heparin sodium, per 1000 units 3,015 1,549 $479.58
81050 96 81 $452.19
73000 12 12 $428.23
77370 13 13 $426.98
71111 13 12 $419.94
83630 25 25 $413.69
82010 537 397 $399.78
J2360 Injection, orphenadrine citrate, up to 60 mg 1,394 1,158 $399.61
85635 20 12 $388.39
C9113 Injection, pantoprazole sodium, per vial 1,028 691 $384.09
92610 13 13 $363.64
82553 20 12 $359.14
96368 226 158 $352.84
82378 76 62 $350.22
J0696 Injection, ceftriaxone sodium, per 250 mg 3,075 2,053 $349.96
85007 79 77 $349.00
88360 15 12 $337.48
90656 79 77 $333.91
82575 17 12 $331.49
00160 51 40 $321.69
J7605 Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms 883 369 $320.01
99195 15 12 $312.50
J2795 Injection, ropivacaine hydrochloride, 1 mg 889 737 $300.21
51798 84 72 $267.77
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 389 212 $264.65
J1250 Injection, dobutamine hydrochloride, per 250 mg 208 182 $260.47
84295 690 542 $253.42
73660 15 13 $252.97
80354 76 64 $249.96
84305 15 12 $245.71
83993 18 16 $244.81
J0171 Injection, adrenalin, epinephrine, 0.1 mg 511 436 $218.90
82103 16 14 $207.53
85732 40 12 $204.22
80361 17 12 $202.54
85613 47 12 $196.22
85670 20 12 $187.34
82164 14 12 $181.26
84436 27 25 $178.19
J1940 Injection, furosemide, up to 20 mg 970 576 $177.17
84466 14 12 $173.00
J1953 Injection, levetiracetam, 10 mg 85 66 $170.44
J2919 Injection, methylprednisolone sodium succinate, 5 mg 724 547 $168.65
J2550 Injection, promethazine hcl, up to 50 mg 1,174 868 $161.70
J1200 Injection, diphenhydramine hcl, up to 50 mg 4,980 3,461 $157.43
82435 632 501 $157.06
80365 13 13 $151.03
J3360 Injection, diazepam, up to 5 mg 146 114 $150.96
J3475 Injection, magnesium sulfate, per 500 mg 3,504 1,589 $143.55
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,077 836 $141.50
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 418 267 $131.65
82375 598 506 $128.04
J0360 Injection, hydralazine hcl, up to 20 mg 282 229 $120.02
J0780 Injection, prochlorperazine, up to 10 mg 848 691 $118.90
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 2,806 2,420 $118.20
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 956 871 $113.61
J2765 Injection, metoclopramide hcl, up to 10 mg 1,880 1,407 $112.26
J1030 Injection, methylprednisolone acetate, 40 mg 725 656 $111.97
J2250 Injection, midazolam hydrochloride, per 1 mg 13,740 12,023 $107.61
J0692 Injection, cefepime hydrochloride, 500 mg 431 244 $107.19
85705 20 12 $102.11
J2175 Injection, meperidine hydrochloride, per 100 mg 4,872 4,517 $97.60
J1580 Injection, garamycin, gentamicin, up to 80 mg 776 611 $88.10
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 2,221 1,667 $82.42
J7510 Prednisolone oral, per 5 mg 653 518 $80.13
93321 14 14 $73.28
J2060 Injection, lorazepam, 2 mg 1,043 767 $71.97
J7050 Infusion, normal saline solution, 250 cc 4,615 2,888 $71.72
J1630 Injection, haloperidol, up to 5 mg 891 724 $67.62
89051 18 12 $57.33
J3480 Injection, potassium chloride, per 2 meq 994 481 $56.95
83050 593 502 $55.48
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 4,164 2,632 $55.13
86146 20 12 $50.70
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 112 77 $48.92
J7060 5% dextrose/water (500 ml = 1 unit) 1,111 603 $48.76
J7070 Infusion, d5w, 1000 cc 764 305 $48.43
J1040 Injection, methylprednisolone acetate, 80 mg 3,224 3,038 $38.77
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg 115 104 $33.79
90472 Immunization administration, each additional vaccine (list separately) 12 12 $27.21
J1335 Injection, ertapenem sodium, 500 mg 24 14 $25.94
J3411 Injection, thiamine hcl, 100 mg 26 13 $22.99
J0137 Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg 61 50 $21.56
J1596 Injection, glycopyrrolate, 0.1 mg 616 518 $20.31
J2470 Injection, pantoprazole sodium, 40 mg 209 171 $19.29
A9575 Injection, gadoterate meglumine, 0.1 ml 2,030 1,638 $18.64
J1010 Injection, methylprednisolone acetate, 1 mg 473 445 $16.84
J1956 Injection, levofloxacin, 250 mg 178 124 $15.96
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 15 15 $15.57
85347 85 69 $15.42
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 36 25 $14.77
J2003 Injection, lidocaine hydrochloride, 1 mg 1,080 794 $12.62
J1171 Injection, hydromorphone, 0.1 mg 417 303 $11.52
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 874 744 $9.35
J9190 Injection, fluorouracil, 500 mg 184 67 $7.56
J0461 Injection, atropine sulfate, 0.01 mg 49 27 $4.82
J0456 Injection, azithromycin, 500 mg 161 107 $2.33
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 31 26 $2.22
J1920 Injection, labetalol hydrochloride, 5 mg 230 179 $1.71
J1836 Injection, metronidazole, 10 mg 40 26 $1.53
J1805 Injection, esmolol hydrochloride, 10 mg 14 13 $1.34
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 17 14 $0.90
Q0245 Injection, bamlanivimab and etesevimab, 2100 mg 32 15 $0.29
A9577 Injection, gadobenate dimeglumine (multihance), per ml 149 134 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 3,532 2,958 $0.00
01830 99 92 $0.00
00170 Anesthesia for intraoral procedures, including biopsy 683 554 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 565 374 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 133 125 $0.00
01810 368 324 $0.00
00811 112 87 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 2,328 2,103 $0.00
82800 83 64 $0.00
76376 732 629 $0.00
00918 21 14 $0.00
20930 14 13 $0.00
95912 17 17 $0.00
J2720 Injection, protamine sulfate, per 10 mg 12 12 $0.00
51702 26 24 $0.00
96549 181 65 $0.00
Q0169 Promethazine hydrochloride, 12.5 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 19 14 $0.00
J8499 Prescription drug, oral, non chemotherapeutic, nos 26 25 $0.00
22853 26 13 $0.00
00300 57 43 $0.00
01402 14 14 $0.00
J2785 Injection, regadenoson, 0.1 mg 713 658 $0.00
A9270 Non-covered item or service 2,000 1,515 $0.00
96411 482 244 $0.00
00813 558 495 $0.00
C2617 Stent, non-coronary, temporary, without delivery system 100 84 $0.00
88311 17 16 $0.00
J0173 Injection, epinephrine (belcher), not therapeutically equivalent to j0171, 0.1 mg 44 44 $0.00
C1888 Catheter, ablation, non-cardiac, endovascular (implantable) 183 122 $0.00
01480 73 57 $0.00
93320 328 296 $0.00
77001 27 25 $0.00
00126 59 55 $0.00
64494 133 74 $0.00
00952 12 12 $0.00
J9267 Injection, paclitaxel, 1 mg 25 12 $0.00
J7042 5% dextrose/normal saline (500 ml = 1 unit) 18 13 $0.00
01400 14 14 $0.00
95940 15 14 $0.00
C1778 Lead, neurostimulator (implantable) 30 24 $0.00
95938 15 14 $0.00
94761 23 15 $0.00