Medicaid Provider Spending

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

NORTH MISSISSIPPI MEDICAL CENTER, INC.

NPI: 1598875460 · TUPELO, MS 38801 · General Acute Care Hospital · NPI assigned 08/30/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official TOPPIN, BRUCE controls 20+ related entities in our dataset. Read more

$117.67M
Total Medicaid Paid
2,717,440
Total Claims
2,032,236
Beneficiaries
637
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTOPPIN, BRUCE (CORPORATE SECRETARY)
Parent OrganizationNORTH MISSISSIPPI MEDICAL CENTER, INC
NPI Enumeration Date08/30/2006

Related Entities

Other providers sharing the same authorized official: TOPPIN, BRUCE

ProviderCityStateTotal Paid
NORTH MISSISSIPPI MEDICAL CLINICS INC TUPELO MS $16.92M
MONROE HEALTH SERVICES, INC. AMORY MS $16.44M
CLAY COUNTY MEDICAL CORPORATION WEST POINT MS $16.13M
PONTOTOC HEALTH SERVICES, INC. PONTOTOC MS $11.55M
NORTH MISSISSIPPI MEDICAL CENTER INC. TUPELO MS $7.71M
CLAY COUNTY MEDICAL CORPORATION WEST POINT MS $7.30M
WEBSTER HEALTH SERVICES, INC. EUPORA MS $6.05M
MARION REGIONAL MEDICAL CENTER, INC. HAMILTON AL $5.48M
NORTH MISSISSIPPI MEDICAL CENTER INC. TUPELO MS $2.95M
WEBSTER HEALTH SERVICES, INC. EUPORA MS $2.84M
WEBSTER HEALTH SERVICES, INC. EUPORA MS $2.53M
NORTH MISSISSIPPI MEDICAL CENTER INC. SALTILLO MS $1.48M
NORTH MISSISSIPPI MEDICAL CENTER, INC. TUPELO MS $1.25M
NORTH MISSISSIPPI FACULTY PRACTICE PLAN LLC TUPELO MS $1.14M
NORTH MISSISSIPPI MEDICAL CENTER, INC TUPELO MS $995K
NORTH MISSISSIPPI EMERGENCY SERVICES, INC. TUPELO MS $958K
PONTOTOC HEALTH SERVICES, INC. NEW ALBANY MS $912K
PONTOTOC HEALTH SERVICES, INC. PONTOTOC MS $835K
NORTH MISSISSIPPI MEDICAL CENTER, INC. TUPELO MS $799K
NORTH MISSISSIPPI MEDICAL CENTER TUPELO MS $798K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 424,758 $19.13M
2019 414,972 $19.65M
2020 340,293 $15.22M
2021 349,379 $16.02M
2022 390,236 $16.52M
2023 413,590 $17.88M
2024 384,212 $13.24M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 92,272 75,088 $17.45M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 36,561 30,141 $9.08M
G0378 Hospital observation service, per hour 11,954 10,171 $5.49M
J2357 Injection, omalizumab, 5 mg 3,728 2,138 $5.43M
97530 Therapeutic activities, direct patient contact, each 15 minutes 78,807 14,398 $4.72M
99283 Emergency department visit for the evaluation and management, moderate severity 32,237 27,052 $4.37M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 39,412 30,997 $4.17M
J9271 Injection, pembrolizumab, 1 mg 937 629 $3.77M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 49,226 12,481 $2.45M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 22,630 15,912 $2.25M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 15,050 9,087 $2.24M
74177 Computed tomography, abdomen and pelvis; with contrast material 11,108 9,632 $1.69M
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 42,349 28,863 $1.69M
J0897 Injection, denosumab, 1 mg 2,890 2,629 $1.54M
J2323 Injection, natalizumab, 1 mg 539 477 $1.51M
96361 Intravenous infusion, hydration; each additional hour 30,295 22,584 $1.45M
71045 Radiologic examination, chest; single view 36,759 31,061 $1.42M
96375 Therapeutic injection; each additional sequential IV push 42,385 30,331 $1.21M
93458 1,278 1,158 $1.15M
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 12,976 8,321 $1.15M
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 9,785 7,908 $1.12M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 4,593 4,119 $1.10M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 82,557 69,051 $1.02M
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 8,437 3,991 $962K
47562 391 343 $943K
95810 Polysomnography; sleep staging with 4 or more additional parameters 2,293 2,116 $857K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 41,957 33,382 $856K
87428 15,344 13,394 $853K
80053 Comprehensive metabolic panel 117,402 90,672 $814K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 22,598 6,612 $757K
70450 Computed tomography, head or brain; without contrast material 14,693 12,772 $748K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 5,638 4,929 $718K
95811 2,047 1,903 $713K
59025 Fetal non-stress test 6,994 4,705 $712K
J9299 Injection, nivolumab, 1 mg 233 130 $699K
71046 Radiologic examination, chest; 2 views 18,368 16,232 $672K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 137,977 103,133 $647K
64493 1,708 1,491 $641K
78815 Positron emission tomography (PET) for limited area imaging 1,334 1,194 $528K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 4,331 3,748 $486K
J1726 Injection, hydroxyprogesterone caproate, (makena), 10 mg 1,211 302 $469K
62323 2,311 2,138 $465K
99282 Emergency department visit for the evaluation and management, low to moderate severity 5,014 4,226 $420K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,660 10,390 $418K
76819 Fetal biophysical profile; without non-stress testing 6,098 3,959 $410K
76820 5,326 3,551 $404K
86885 6,282 5,126 $397K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 8,425 4,665 $393K
71260 Computed tomography, thorax, diagnostic; with contrast material 5,357 4,554 $387K
J1439 Injection, ferric carboxymaltose, 1 mg 1,017 606 $371K
92526 7,330 2,026 $362K
77386 1,926 159 $359K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 2,254 1,992 $352K
J1745 Injection, infliximab, excludes biosimilar, 10 mg 231 198 $337K
74176 Computed tomography, abdomen and pelvis; without contrast material 3,344 3,001 $326K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 11,248 9,798 $325K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 25,115 21,587 $325K
36902 324 276 $324K
J0129 Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) 325 282 $313K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 7,090 6,075 $297K
93304 840 784 $295K
86900 6,683 5,394 $291K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 3,875 2,966 $290K
36430 2,994 2,110 $286K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 21,760 10,105 $283K
84443 Thyroid stimulating hormone (TSH) 21,134 18,343 $265K
88307 1,642 1,338 $259K
71275 Computed tomographic angiography, chest, with contrast material 3,137 2,825 $255K
G0481 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; 8-14 drug class(es), including metabolite(s) if performed 3,240 2,735 $243K
74019 4,264 3,732 $243K
76705 Ultrasound, abdominal, real time with image documentation; limited 4,146 3,726 $243K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 2,214 1,863 $241K
67028 Intravitreal injection of a pharmacologic agent 2,809 2,495 $241K
G0379 Direct admission of patient for hospital observation care 1,844 1,629 $237K
76821 3,224 2,032 $234K
J0475 Injection, baclofen, 10 mg 676 646 $231K
97597 4,099 2,253 $229K
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 3,584 3,249 $225K
88305 Level IV - Surgical pathology, gross and microscopic examination 7,243 6,024 $224K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 7,557 6,658 $208K
77336 3,422 1,398 $207K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 7,415 6,545 $205K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,780 2,752 $204K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 9,813 8,849 $203K
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 4,076 3,379 $201K
72125 Computed tomography, cervical spine; without contrast material 4,483 3,843 $190K
96415 4,311 3,039 $189K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,547 1,957 $189K
96367 5,594 3,260 $184K
83880 8,987 7,720 $184K
84484 27,903 19,549 $184K
77067 Screening mammography, bilateral, including computer-aided detection 2,318 2,165 $177K
72100 3,735 3,318 $172K
87086 Culture, bacterial; quantitative colony count, urine 28,053 23,359 $172K
88342 2,704 2,213 $170K
J0585 Injection, onabotulinumtoxina, 1 unit 863 674 $167K
70551 Magnetic resonance imaging, brain; without contrast material 1,685 1,503 $167K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 3,101 669 $158K
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units 1,921 1,173 $157K
92523 1,297 1,142 $156K
87081 29,462 22,475 $155K
77334 870 596 $154K
87536 3,275 2,939 $154K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 1,089 949 $152K
77412 2,301 209 $151K
88304 3,776 3,293 $143K
J0178 Injection, aflibercept, 1 mg 628 540 $141K
76801 1,948 1,613 $141K
96401 4,166 2,702 $140K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1,651 1,513 $138K
J3262 Injection, tocilizumab, 1 mg 205 111 $137K
J2469 Injection, palonosetron hcl, 25 mcg 3,166 1,613 $136K
86923 2,834 1,718 $135K
74018 3,016 2,648 $132K
86901 8,859 7,183 $131K
20610 1,756 1,494 $123K
97161 3,349 2,911 $122K
87807 10,179 8,957 $117K
80061 Lipid panel 11,541 10,369 $117K
80048 Basic metabolic panel (calcium, ionized) 19,539 15,922 $115K
75625 93 84 $114K
93308 618 579 $110K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,541 1,291 $108K
73030 3,260 2,794 $107K
P9016 Red blood cells, leukocytes reduced, each unit 1,322 973 $106K
82731 2,139 1,775 $104K
36415 Collection of venous blood by venipuncture 51,791 36,816 $103K
72170 2,497 2,159 $99K
81001 43,654 35,543 $97K
93971 2,328 2,079 $97K
83690 21,433 17,467 $96K
72141 1,078 978 $96K
73562 2,561 2,279 $92K
86003 2,112 1,669 $91K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,064 3,908 $89K
85027 20,743 17,153 $87K
81025 13,419 11,234 $86K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 13,628 10,125 $85K
71250 2,231 2,032 $82K
87186 12,375 10,507 $82K
77300 623 537 $82K
87077 12,865 10,772 $81K
76642 2,350 2,166 $80K
77066 Tomosynthesis, mammo 1,363 1,284 $79K
83874 10,013 8,477 $79K
97162 1,996 1,742 $76K
99215 Prolong outpt/office vis 1,064 850 $73K
96417 2,717 1,520 $72K
15275 123 48 $72K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 365 326 $72K
86360 2,852 2,599 $71K
10060 679 597 $71K
73630 1,994 1,784 $70K
82553 10,125 8,314 $70K
80305 15,223 13,291 $69K
93923 1,698 1,575 $69K
J2505 Injection, pegfilgrastim, 6 mg 32 25 $64K
83655 6,321 5,329 $64K
82728 8,423 7,402 $63K
86355 2,857 2,606 $61K
72040 1,794 1,562 $61K
87040 9,312 5,500 $61K
72072 1,285 1,140 $61K
84702 5,330 3,710 $60K
12001 621 558 $60K
82607 6,431 5,813 $60K
77065 Tomosynthesis, mammo 1,582 1,410 $60K
73130 1,737 1,540 $59K
73560 1,868 1,620 $59K
73610 1,455 1,298 $59K
86357 2,852 2,599 $59K
77301 127 111 $59K
94010 5,987 5,536 $58K
86359 2,852 2,600 $58K
73502 2,086 1,787 $57K
70486 1,125 970 $57K
36600 1,827 1,575 $57K
78227 200 188 $55K
74230 820 738 $55K
76770 973 877 $54K
P9040 Red blood cells, leukocytes reduced, irradiated, each unit 630 442 $54K
Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units 1,381 785 $53K
76830 Ultrasound, transvaginal 712 636 $53K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,480 2,174 $53K
73590 1,485 1,261 $52K
Q5103 Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg 176 145 $52K
84703 9,083 7,685 $51K
83735 13,235 9,976 $51K
J9312 Injection, rituximab, 10 mg 17 12 $49K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 2,526 1,030 $49K
J2182 Injection, mepolizumab, 1 mg 29 27 $49K
95812 222 196 $48K
93312 384 363 $46K
93880 862 805 $44K
36591 9,159 5,349 $43K
12011 460 387 $43K
70496 540 480 $43K
97165 1,250 1,073 $42K
73090 1,074 871 $42K
36561 43 38 $42K
86480 1,293 1,162 $41K
Q5107 Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg 50 25 $41K
G0127 Trimming of dystrophic nails, any number 4,167 4,017 $40K
86738 3,640 3,175 $40K
75716 57 54 $40K
49083 188 85 $40K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 603 541 $39K
86140 13,922 11,955 $38K
64483 120 101 $38K
95990 605 570 $37K
97116 2,145 737 $37K
82784 3,923 2,956 $37K
84146 2,825 2,405 $37K
15271 61 24 $37K
73620 1,074 912 $36K
D2930 Prefabricated stainless steel crown - primary tooth 677 73 $36K
76700 Ultrasound, abdominal, real time with image documentation; complete 589 541 $35K
99281 Emergency department visit for the evaluation and management, self-limited or minor 769 670 $35K
92134 5,386 4,887 $34K
82378 4,044 3,586 $34K
83520 2,108 1,628 $33K
74178 258 234 $33K
87070 5,026 4,296 $32K
73110 790 697 $32K
G0260 Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography 415 310 $32K
97113 642 183 $31K
11719 1,618 1,523 $31K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 1,280 1,167 $31K
81003 18,501 15,647 $31K
96416 277 114 $31K
82746 4,018 3,592 $31K
93017 283 271 $30K
97167 776 655 $30K
J1200 Injection, diphenhydramine hcl, up to 50 mg 11,957 7,823 $30K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 76 73 $29K
83605 5,230 4,221 $29K
70491 334 296 $29K
72110 782 709 $28K
83550 6,654 5,905 $28K
83970 1,328 1,118 $28K
87641 1,423 1,309 $27K
86038 2,847 2,514 $27K
83036 Hemoglobin; glycosylated (A1C) 4,334 3,690 $26K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 18,999 8,196 $26K
84439 3,484 2,915 $26K
86703 2,299 2,045 $25K
73600 677 584 $24K
70498 312 279 $24K
83540 7,120 6,309 $24K
80076 6,988 6,234 $23K
87400 1,071 949 $22K
85379 3,385 2,993 $22K
82803 1,735 1,481 $22K
86225 3,060 2,728 $21K
80177 2,391 2,001 $21K
86235 562 410 $20K
85610 9,020 7,171 $20K
84153 1,518 1,391 $20K
86803 2,321 2,088 $20K
86300 2,538 2,242 $20K
93970 239 219 $20K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 55 51 $20K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 705 233 $20K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 3,193 2,945 $19K
97166 396 367 $19K
96411 566 322 $19K
85730 5,966 5,106 $19K
73552 632 538 $19K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 21,817 18,307 $19K
86160 3,275 2,502 $18K
92611 500 459 $18K
97760 546 449 $18K
83615 4,778 3,638 $17K
71101 310 285 $17K
82565 8,545 6,999 $17K
82962 11,050 6,141 $17K
76825 53 51 $17K
72131 458 404 $16K
82550 4,705 3,932 $16K
82247 3,707 1,583 $16K
85652 11,739 10,297 $16K
78226 78 68 $16K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 297 279 $15K
80074 491 439 $15K
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg 2,915 2,117 $15K
87205 5,009 3,854 $15K
11056 285 267 $15K
19083 40 36 $14K
88184 163 135 $14K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 680 636 $14K
87046 1,639 1,277 $14K
29125 227 203 $13K
84550 4,378 3,364 $13K
93925 278 252 $13K
94726 467 460 $13K
87493 446 394 $13K
86592 4,161 3,691 $13K
64447 118 96 $12K
92610 407 360 $12K
82570 4,191 3,473 $12K
73120 182 158 $12K
87045 1,506 1,276 $12K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 347 305 $12K
J1459 Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg 15 12 $12K
80164 1,271 1,088 $12K
73080 285 248 $11K
31720 86 71 $11K
11057 196 184 $11K
84450 2,936 2,129 $11K
64635 15 12 $11K
93226 194 171 $11K
77338 114 99 $11K
64415 126 98 $11K
86308 2,174 1,909 $11K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 161 138 $10K
86334 1,300 1,178 $10K
90791 Psychiatric diagnostic evaluation 337 224 $10K
84165 2,366 2,141 $10K
93225 182 159 $9K
87075 1,632 1,360 $9K
93975 62 57 $9K
0240U 1,833 1,711 $9K
64450 82 72 $9K
90686 2,059 1,882 $9K
84156 3,821 2,958 $9K
J7030 Infusion, normal saline solution , 1000 cc 33,635 24,740 $9K
80047 883 844 $9K
86704 1,386 1,222 $9K
D7140 Extraction, erupted tooth or exposed root 60 12 $9K
87340 1,577 1,392 $8K
78306 60 55 $8K
85014 4,859 3,856 $8K
12002 100 83 $8K
84132 2,873 2,457 $8K
97163 137 125 $8K
77290 44 38 $8K
64615 203 181 $8K
78264 43 41 $7K
62321 44 39 $7K
82948 2,111 1,606 $7K
88312 386 231 $7K
82140 1,032 837 $7K
27096 95 91 $7K
G0008 Administration of influenza virus vaccine 2,329 2,129 $7K
J0696 Injection, ceftriaxone sodium, per 250 mg 11,925 9,245 $7K
85045 3,228 2,196 $7K
90834 Psychotherapy, 45 minutes with patient 620 305 $7K
73060 202 170 $7K
88112 375 325 $6K
41899 Unlisted procedure, dentoalveolar structures 12 12 $6K
84238 398 362 $6K
88185 484 147 $6K
73140 154 125 $6K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 18,392 12,532 $6K
86902 23 12 $6K
86665 158 121 $6K
73100 173 132 $6K
82150 1,017 883 $6K
93325 3,180 2,899 $5K
J9045 Injection, carboplatin, 50 mg 724 380 $5K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 143 130 $5K
86769 182 171 $5K
88360 113 65 $5K
84100 1,416 1,194 $5K
80069 1,351 923 $5K
J2405 Injection, ondansetron hydrochloride, per 1 mg 41,447 31,192 $5K
76641 76 65 $5K
93321 1,545 1,445 $5K
86431 1,359 1,215 $5K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 140 131 $5K
85576 248 213 $5K
70360 97 85 $4K
80143 635 522 $4K
73221 57 54 $4K
86200 627 554 $4K
72050 114 109 $4K
85018 2,523 2,161 $4K
97542 169 124 $4K
83883 659 380 $4K
80179 620 519 $4K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 20 19 $4K
84481 274 254 $4K
20553 47 42 $4K
82272 1,563 1,359 $4K
76827 53 51 $3K
J3489 Injection, zoledronic acid, 1 mg 174 156 $3K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 2,615 2,327 $3K
86706 569 491 $3K
85049 713 683 $3K
96376 11,014 7,122 $3K
J1170 Injection, hydromorphone, up to 4 mg 14,029 9,614 $3K
93976 53 37 $3K
86664 144 121 $3K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 9,482 7,158 $3K
20552 48 42 $3K
87210 754 651 $3K
82010 488 400 $3K
82274 186 180 $3K
76870 41 36 $3K
73070 64 55 $3K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 4,836 3,733 $3K
J1756 Injection, iron sucrose, 1 mg 853 351 $3K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 1,621 1,184 $2K
87899 274 237 $2K
86430 451 386 $2K
82310 1,559 1,295 $2K
72197 25 24 $2K
82465 695 643 $2K
83721 320 295 $2K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 7,005 5,934 $2K
97535 Self-care/home management training, each 15 minutes 695 408 $2K
93990 99 98 $2K
J7120 Ringers lactate infusion, up to 1000 cc 6,655 4,964 $2K
77280 42 36 $2K
80050 General health panel 1,132 957 $2K
51702 65 64 $2K
80185 181 148 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 34 28 $2K
G0144 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision 57 56 $2K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 1,192 948 $2K
99205 Prolong outpt/office vis 121 89 $2K
73521 53 51 $2K
J2270 Injection, morphine sulfate, up to 10 mg 17,429 12,936 $2K
91010 15 12 $2K
72158 12 12 $2K
J9190 Injection, fluorouracil, 500 mg 262 88 $2K
87177 180 159 $2K
86696 112 101 $2K
31624 15 15 $2K
95816 12 12 $2K
82947 604 535 $2K
89050 660 544 $2K
87116 394 340 $1K
74174 19 12 $1K
87102 413 364 $1K
J1815 Injection, insulin, per 5 units 4,284 1,714 $1K
90715 2,345 2,102 $1K
J9267 Injection, paclitaxel, 1 mg 293 121 $1K
84134 133 113 $1K
0202U Oncology (prostate), multianalyte, gene expression profiling 290 252 $1K
86039 175 162 $1K
86695 113 102 $1K
82800 184 150 $1K
A9270 Non-covered item or service 15,420 9,271 $1K
J2997 Injection, alteplase recombinant, 1 mg 14 13 $1K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 112 107 $1K
84460 251 239 $1K
J0561 Injection, penicillin g benzathine, 100,000 units 12 12 $1K
36589 13 12 $1K
82043 576 519 $1K
88173 82 69 $1K
J3010 Injection, fentanyl citrate, 0.1 mg 16,184 13,755 $1K
84403 56 56 $1K
96402 64 39 $989.77
J2704 Injection, propofol, 10 mg 15,888 13,067 $929.64
72128 32 28 $895.16
99152 9,641 8,487 $884.52
89055 276 241 $877.58
86880 83 80 $872.45
92650 40 37 $869.04
J3475 Injection, magnesium sulfate, per 500 mg 2,590 1,129 $841.16
77470 13 13 $832.18
77002 947 819 $808.50
84155 1,184 1,072 $781.65
L3030 Foot, insert, removable, formed to patient foot, each 73 43 $755.90
87015 343 295 $747.20
86757 26 14 $700.29
64494 1,148 983 $675.32
88311 254 230 $672.68
97014 114 49 $655.93
J1885 Injection, ketorolac tromethamine, per 15 mg 19,867 16,105 $652.81
J7060 5% dextrose/water (500 ml = 1 unit) 1,444 367 $645.05
Q3014 Telehealth originating site facility fee 113 109 $638.06
J0640 Injection, leucovorin calcium, per 50 mg 26 12 $636.85
97032 140 61 $605.18
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 1,306 1,173 $599.51
87503 35 29 $577.12
A9537 Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries 294 271 $566.50
96101 39 30 $561.38
J7050 Infusion, normal saline solution, 250 cc 9,524 4,173 $542.93
76942 324 281 $538.39
76882 16 12 $533.15
J1980 Injection, hyoscyamine sulfate, up to 0.25 mg 909 796 $528.20
86376 33 30 $523.69
J0500 Injection, dicyclomine hcl, up to 20 mg 138 123 $514.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 4,293 3,670 $503.09
74220 12 12 $463.60
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 26 21 $404.34
88321 28 25 $403.17
87206 252 222 $397.98
J0330 Injection, succinylcholine chloride, up to 20 mg 6,755 5,672 $363.14
J2919 Injection, methylprednisolone sodium succinate, 5 mg 799 518 $358.32
82805 14 12 $354.45
99406 325 310 $348.32
J2175 Injection, meperidine hydrochloride, per 100 mg 716 578 $343.54
C9399 Unclassified drugs or biologicals 162 137 $338.72
82085 64 54 $335.93
J2360 Injection, orphenadrine citrate, up to 60 mg 3,657 3,121 $328.30
82785 17 12 $319.10
83001 24 24 $309.04
86618 22 15 $306.60
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 1,989 1,703 $300.75
J0171 Injection, adrenalin, epinephrine, 0.1 mg 1,319 1,093 $288.16
J0690 Injection, cefazolin sodium, 500 mg 10,700 8,128 $272.88
82955 35 24 $269.91
J3480 Injection, potassium chloride, per 2 meq 2,185 1,288 $269.07
82670 14 14 $257.95
82040 50 46 $244.11
J2550 Injection, promethazine hcl, up to 50 mg 5,850 4,174 $242.90
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 168 152 $232.80
J9263 Injection, oxaliplatin, 0.5 mg 23 12 $227.64
97150 Therapeutic procedure(s), group (2 or more individuals) 392 261 $219.22
88313 23 13 $212.66
J2250 Injection, midazolam hydrochloride, per 1 mg 13,012 10,825 $211.14
87209 14 12 $195.57
87420 19 13 $187.96
82077 46 40 $186.65
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 9,158 7,705 $181.50
C1769 Guide wire 3,550 3,188 $181.07
A9575 Injection, gadoterate meglumine, 0.1 ml 935 812 $148.80
83010 58 57 $148.51
J1650 Injection, enoxaparin sodium, 10 mg 3,503 2,133 $146.83
87329 13 12 $146.52
J0131 Injection, acetaminophen, not otherwise specified,10 mg 860 670 $144.65
94729 486 479 $143.00
J0780 Injection, prochlorperazine, up to 10 mg 2,608 2,120 $138.00
88341 2,088 1,287 $137.50
90656 292 266 $104.64
J2060 Injection, lorazepam, 2 mg 2,138 1,725 $97.20
90732 18 18 $85.04
77012 242 222 $74.16
80178 12 12 $73.40
90670 13 13 $66.57
J2370 Injection, phenylephrine hcl, up to 1 ml 2,169 1,859 $64.35
J0461 Injection, atropine sulfate, 0.01 mg 197 146 $58.48
84145 3,444 2,996 $54.42
92201 389 334 $53.53
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 2,128 1,652 $52.36
82330 14 12 $49.61
J1644 Injection, heparin sodium, per 1000 units 5,602 3,953 $44.36
86593 15 13 $41.56
J1580 Injection, garamycin, gentamicin, up to 80 mg 260 218 $40.70
82525 15 14 $39.25
82365 14 13 $34.83
82668 12 12 $33.82
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 218 171 $26.40
J1940 Injection, furosemide, up to 20 mg 2,441 1,765 $23.07
J3370 Injection, vancomycin hcl, 500 mg 2,544 1,474 $21.71
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 615 568 $18.02
C9113 Injection, pantoprazole sodium, per vial 2,157 1,434 $15.93
J2795 Injection, ropivacaine hydrochloride, 1 mg 637 485 $14.72
J0736 Injection, clindamycin phosphate, 300 mg 204 167 $12.12
J2765 Injection, metoclopramide hcl, up to 10 mg 2,468 1,890 $10.45
91300 17 17 $9.33
J2471 Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg 153 113 $6.53
95874 39 37 $5.89
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 238 186 $3.90
92202 77 73 $3.62
J1956 Injection, levofloxacin, 250 mg 37 24 $2.94
99153 Mod sedat endo service >5yrs 4,360 3,855 $2.20
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 112 44 $2.13
77063 Screening digital breast tomosynthesis, bilateral 1,239 1,123 $1.52
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 388 305 $1.02
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 300 276 $0.66
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 135 111 $0.66
36592 22 17 $0.13
J1920 Injection, labetalol hydrochloride, 5 mg 33 25 $0.07
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 701 416 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 5,042 4,481 $0.00
J1953 Injection, levetiracetam, 10 mg 563 356 $0.00
C1788 Port, indwelling (implantable) 70 61 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 235 216 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 1,436 1,242 $0.00
C1760 Closure device, vascular (implantable/insertable) 1,241 1,106 $0.00
77387 1,103 105 $0.00
C9257 Injection, bevacizumab, 0.25 mg 901 811 $0.00
97598 139 78 $0.00
84112 934 790 $0.00
Q4186 Epifix, per square centimeter (add-on, list separately in addition to primary procedure) 712 275 $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 727 653 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,056 887 $0.00
G8997 Swallowing functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 201 185 $0.00
C1776 Joint device (implantable) 99 84 $0.00
C1874 Stent, coated/covered, with delivery system 94 82 $0.00
G8996 Swallowing functional limitation, current status at therapy episode outset and at reporting intervals 178 163 $0.00
J7510 Prednisolone oral, per 5 mg 90 87 $0.00
93356 52 48 $0.00
Q0244 Injection, casirivimab and imdevimab, 1200 mg 332 302 $0.00
76937 71 65 $0.00
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 63 61 $0.00
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 43 41 $0.00
J1171 Injection, hydromorphone, 0.1 mg 363 268 $0.00
0042T 13 12 $0.00
J3260 Injection, tobramycin sulfate, up to 80 mg 72 64 $0.00
64636 15 12 $0.00
84166 25 24 $0.00
77085 33 27 $0.00
J1020 Injection, methylprednisolone acetate, 20 mg 16 16 $0.00
Q0245 Injection, bamlanivimab and etesevimab, 2100 mg 17 17 $0.00
J2305 Injection, nitroglycerin, 5 mg 72 67 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 1,363 1,123 $0.00
36416 4,001 1,911 $0.00
J1630 Injection, haloperidol, up to 5 mg 307 260 $0.00
A4648 Tissue marker, implantable, any type, each 180 159 $0.00
96368 574 361 $0.00
77001 557 483 $0.00
93320 338 318 $0.00
94760 986 723 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 1,449 1,347 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 429 179 $0.00
11045 199 113 $0.00
99243 1,432 1,255 $0.00
J7999 Compounded drug, not otherwise classified 3,243 2,498 $0.00
G0009 Administration of pneumococcal vaccine 200 199 $0.00
A9561 Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries 41 40 $0.00
C1889 Implantable/insertable device, not otherwise classified 860 699 $0.00
J1741 Injection, ibuprofen, 100 mg 448 263 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 173 163 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 144 138 $0.00
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 94 86 $0.00
77417 276 120 $0.00
C2623 Catheter, transluminal angioplasty, drug-coated, non-laser 71 71 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 190 176 $0.00
C2617 Stent, non-coronary, temporary, without delivery system 204 168 $0.00
94660 68 39 $0.00
80320 513 430 $0.00
80329 193 145 $0.00
G8982 Changing & maintaining body position functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 15 14 $0.00
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 243 142 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 147 84 $0.00
J2785 Injection, regadenoson, 0.1 mg 51 49 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 90 89 $0.00
G8998 Swallowing functional limitation, discharge status, at discharge from therapy or to end reporting 44 42 $0.00
J3490 Unclassified drugs 52 43 $0.00
J0456 Injection, azithromycin, 500 mg 22 12 $0.00
J3410 Injection, hydroxyzine hcl, up to 25 mg 16 16 $0.00
J3360 Injection, diazepam, up to 5 mg 31 26 $0.00