Medicaid Provider Spending

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

SPARTANBURG MEDICAL CENTER

NPI: 1609807122 · SPARTANBURG, SC 29303 · Ambulance · NPI assigned 07/05/2006

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

Authorized official MEINKE, KENNETH controls 20+ related entities in our dataset. Read more

$187.76M
Total Medicaid Paid
3,806,991
Total Claims
3,046,086
Beneficiaries
632
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMEINKE, KENNETH (CFO)
Parent OrganizationSPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC
NPI Enumeration Date07/05/2006

Related Entities

Other providers sharing the same authorized official: MEINKE, KENNETH

ProviderCityStateTotal Paid
PELHAM MEDICAL CENTER GREER SC $13.82M
SPARTANBURG MEDICAL CENTER SPARTANBURG SC $11.52M
SPARTANBURG MEDICAL CENTER DRAYTON SC $8.86M
SPARTANBURG MEDICAL CENTER SPARTANBURG SC $4.17M
SPARTANBURG MEDICAL CENTER SPARTANBURG SC $3.72M
SPARTANBURG MEDICAL CENTER SPARTANBURG SC $1.94M
SPARTANBURG MEDICAL CENTER BOILING SPRINGS SC $1.92M
SPARTANBURG MEDICAL CENTER SPARTANBURG SC $1.39M
SPARTANBURG MEDICAL CENTER SPARTANBURG SC $990K
SPARTANBURG MEDICAL CENTER GREENVILLE SC $943K
SPARTANBURG MEDICAL CENTER SPARTANBURG SC $911K
SPARTANBURG MEDICAL CENTER GAFFNEY SC $785K
SPARTANBURG MEDICAL CENTER SPARTANBURG SC $726K
SPARTANBURG MEDICAL CENTER SPARTANBURG SC $680K
SPARTANBURG MEDICAL CENTER INMAN SC $669K
SPARTANBURG MEDICAL CENTER PACOLET SC $462K
SPARTANBURG MEDICAL CENTER LANDRUM SC $446K
SPARTANBURG MEDICAL CENTER SPARTANBURG SC $413K
SPARTANBURG MEDICAL CENTER SPARTANBURG SC $325K
SPARTANBURG MEDICAL CENTER DUNCAN SC $281K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 419,238 $19.78M
2019 558,324 $28.10M
2020 501,532 $26.31M
2021 575,345 $30.80M
2022 649,193 $31.71M
2023 610,639 $29.16M
2024 492,720 $21.90M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
80053 Comprehensive metabolic panel 164,067 134,903 $16.62M
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 28,982 26,175 $9.77M
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 18,714 13,212 $9.02M
J7030 Infusion, normal saline solution , 1000 cc 46,507 34,876 $8.27M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 110,819 90,695 $7.83M
99283 Emergency department visit for the evaluation and management, moderate severity 128,416 112,546 $7.33M
J7050 Infusion, normal saline solution, 250 cc 12,258 9,051 $6.12M
36415 Collection of venous blood by venipuncture 58,376 49,172 $6.04M
81001 105,409 91,111 $5.93M
J7120 Ringers lactate infusion, up to 1000 cc 20,993 18,127 $5.73M
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 23,522 19,665 $5.43M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 94,419 31,299 $5.21M
97530 Therapeutic activities, direct patient contact, each 15 minutes 58,804 20,677 $4.62M
81025 52,303 46,746 $4.37M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 79,140 26,684 $4.32M
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 29,619 27,376 $3.87M
80048 Basic metabolic panel (calcium, ionized) 43,281 32,972 $3.50M
A0427 Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 22,449 19,544 $3.32M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 64,378 57,466 $3.01M
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 37,483 31,433 $3.01M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 31,102 27,681 $2.35M
99282 Emergency department visit for the evaluation and management, low to moderate severity 15,247 14,059 $2.35M
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 1,674 1,556 $2.24M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 21,389 16,355 $1.62M
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 16,774 15,439 $1.55M
96401 1,179 780 $1.54M
A9576 Injection, gadoteridol, (prohance multipack), per ml 2,251 2,114 $1.46M
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 24,986 23,442 $1.38M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 2,715 2,566 $1.32M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 14,549 11,853 $1.30M
A0425 Ground mileage, per statute mile 66,880 54,007 $1.28M
87081 11,946 11,453 $1.22M
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 1,721 1,675 $1.18M
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 9,471 8,799 $1.15M
81003 12,165 11,536 $1.14M
85018 20,363 19,408 $1.05M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 36,254 30,488 $1.03M
72148 Magnetic resonance imaging, lumbar spine; without contrast material 2,029 1,942 $939K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 27,560 24,763 $927K
88305 Level IV - Surgical pathology, gross and microscopic examination 9,797 9,101 $925K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 1,123 1,017 $885K
77336 2,703 1,152 $799K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 20,958 20,672 $796K
96402 706 590 $767K
71046 Radiologic examination, chest; 2 views 18,110 16,734 $764K
96361 Intravenous infusion, hydration; each additional hour 28,700 21,638 $755K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 156,162 123,817 $742K
90723 6,702 6,514 $708K
87075 7,432 7,016 $653K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 8,843 8,051 $575K
87070 3,265 2,978 $570K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 10,931 10,555 $556K
71045 Radiologic examination, chest; single view 36,274 31,814 $545K
36416 4,826 4,349 $512K
70450 Computed tomography, head or brain; without contrast material 17,037 15,611 $510K
73610 3,830 3,543 $502K
86318 2,003 1,917 $484K
93971 3,485 3,244 $479K
73130 3,477 3,247 $478K
99284 Emergency department visit for the evaluation and management, high severity 57,718 51,023 $459K
10060 800 747 $421K
12011 1,283 1,208 $412K
76830 Ultrasound, transvaginal 3,519 3,332 $404K
73630 4,553 4,213 $395K
72141 744 695 $395K
70551 Magnetic resonance imaging, brain; without contrast material 1,504 1,446 $389K
12001 1,556 1,468 $384K
73030 3,751 3,483 $382K
73562 4,508 4,209 $377K
77063 Screening digital breast tomosynthesis, bilateral 3,894 3,756 $374K
73090 1,601 1,463 $356K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,253 1,212 $353K
73110 2,564 2,374 $344K
71250 1,977 1,878 $338K
59025 Fetal non-stress test 14,011 9,482 $337K
85027 45,646 36,616 $334K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,785 3,629 $324K
93922 1,827 1,737 $313K
73140 1,177 1,104 $310K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 5,937 5,737 $305K
82784 1,777 1,636 $305K
97032 2,386 1,190 $303K
96375 Therapeutic injection; each additional sequential IV push 22,950 18,111 $290K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 10,994 7,228 $286K
82247 3,559 2,214 $282K
83655 4,646 4,547 $278K
96523 2,512 1,750 $276K
92526 7,720 3,033 $274K
87086 Culture, bacterial; quantitative colony count, urine 40,656 36,881 $265K
77066 Tomosynthesis, mammo 2,741 2,587 $255K
84112 2,543 2,228 $250K
93970 1,630 1,536 $234K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 16,107 10,098 $222K
76700 Ultrasound, abdominal, real time with image documentation; complete 2,148 2,042 $216K
72100 4,449 4,196 $215K
87150 4,465 4,367 $213K
A0998 Ambulance response and treatment, no transport 6,027 5,381 $212K
86780 13,002 12,329 $210K
80061 Lipid panel 29,720 28,436 $208K
97113 6,198 1,854 $205K
99215 Prolong outpt/office vis 7,989 6,972 $198K
84702 11,729 8,878 $198K
87400 975 874 $196K
93880 1,494 1,419 $196K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,457 1,286 $196K
76705 Ultrasound, abdominal, real time with image documentation; limited 5,279 4,952 $196K
95811 802 764 $194K
72125 Computed tomography, cervical spine; without contrast material 5,898 5,493 $191K
76642 4,856 4,574 $190K
87077 13,040 12,044 $189K
74018 3,939 3,600 $188K
82947 4,386 4,211 $174K
77067 Screening mammography, bilateral, including computer-aided detection 7,107 6,875 $172K
73080 1,291 1,207 $170K
A9577 Injection, gadobenate dimeglumine (multihance), per ml 200 189 $168K
A0426 Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) 1,320 1,263 $158K
82728 9,413 8,895 $157K
76801 5,983 5,241 $156K
84443 Thyroid stimulating hormone (TSH) 30,760 29,022 $155K
73590 1,908 1,768 $147K
87807 2,710 2,568 $141K
A0428 Ambulance service, basic life support, non-emergency transport, (bls) 3,702 3,176 $141K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 11,360 10,778 $140K
93925 1,702 1,626 $137K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 30,282 27,106 $135K
74176 Computed tomography, abdomen and pelvis; without contrast material 4,340 4,056 $135K
77300 414 354 $134K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 16,188 15,172 $130K
92523 2,542 2,430 $129K
76536 1,318 1,273 $126K
J1050 Injection, medroxyprogesterone acetate, 1 mg 5,986 5,733 $125K
73221 240 224 $125K
76770 1,547 1,497 $122K
77065 Tomosynthesis, mammo 2,449 2,204 $119K
84484 40,630 27,098 $116K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 27,622 10,705 $116K
73502 2,807 2,591 $115K
83036 Hemoglobin; glycosylated (A1C) 21,594 20,594 $107K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 9,033 8,635 $106K
G0378 Hospital observation service, per hour 23,940 16,980 $104K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 48,554 40,970 $104K
88307 1,834 1,767 $104K
87210 5,069 4,786 $98K
97161 10,949 10,432 $98K
84439 8,136 7,654 $96K
90680 5,313 5,149 $91K
J3480 Injection, potassium chloride, per 2 meq 3,127 1,917 $89K
86850 17,158 15,695 $89K
41899 Unlisted procedure, dentoalveolar structures 1,926 1,904 $89K
78815 Positron emission tomography (PET) for limited area imaging 1,710 1,599 $86K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1,278 1,214 $83K
10061 149 135 $83K
85007 4,612 4,013 $81K
95816 566 554 $80K
88720 836 657 $79K
12002 504 468 $78K
85610 17,029 13,712 $74K
72070 1,303 1,240 $74K
82570 7,785 7,044 $74K
72050 727 678 $73K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 961 929 $70K
82785 889 860 $67K
59430 661 652 $66K
87581 1,282 1,253 $64K
86803 13,403 12,734 $63K
A4648 Tissue marker, implantable, any type, each 301 280 $62K
71101 512 482 $61K
82607 6,084 5,771 $61K
A9270 Non-covered item or service 5,482 4,740 $57K
70486 1,407 1,300 $57K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 7,292 3,065 $57K
77080 309 289 $54K
74021 1,302 1,214 $52K
97162 5,792 5,437 $52K
71271 315 311 $48K
J2704 Injection, propofol, 10 mg 39,668 20,370 $48K
83690 47,408 41,104 $47K
73700 326 300 $45K
73060 448 419 $45K
97165 4,737 4,473 $45K
83020 1,861 1,791 $44K
87430 652 641 $40K
97166 2,242 2,099 $39K
88304 1,629 1,559 $38K
86738 1,709 1,636 $37K
97535 Self-care/home management training, each 15 minutes 6,677 3,955 $36K
97016 344 97 $36K
11982 122 111 $35K
92610 1,608 1,510 $35K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 3,983 3,780 $35K
87040 7,964 5,399 $33K
73552 633 589 $32K
80076 2,798 2,606 $32K
93017 1,646 1,566 $32K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 526 496 $31K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,824 2,685 $31K
81015 611 556 $31K
82565 1,048 971 $31K
77412 2,815 313 $30K
82950 2,984 2,926 $30K
90707 1,837 1,812 $29K
76775 488 460 $29K
92551 445 429 $27K
90620 159 125 $27K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 2,862 2,517 $27K
76870 415 381 $27K
J3490 Unclassified drugs 35,726 19,360 $26K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 1,274 1,224 $26K
82731 715 656 $26K
74177 Computed tomography, abdomen and pelvis; with contrast material 14,473 13,485 $25K
97035 459 209 $25K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 511 479 $24K
82272 1,602 1,485 $24K
87428 220 205 $24K
82670 395 385 $24K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 4,464 3,906 $24K
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 472 446 $24K
C1773 Retrieval device, insertable (used to retrieve fractured medical devices) 69 62 $23K
96377 51 39 $23K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 918 876 $23K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 3,233 3,011 $23K
J0185 Injection, aprepitant, 1 mg 1,814 1,047 $23K
36600 446 397 $22K
82043 4,624 4,435 $22K
S9152 Speech therapy, re-evaluation 787 765 $22K
93270 83 83 $22K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,420 3,963 $22K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 27,125 18,945 $22K
77290 66 54 $22K
90696 1,329 1,283 $21K
89051 68 40 $21K
74183 25 24 $21K
83880 14,735 12,582 $21K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 4,084 2,926 $21K
73070 101 92 $21K
86762 7,744 7,291 $20K
J2405 Injection, ondansetron hydrochloride, per 1 mg 40,606 31,905 $20K
73564 178 171 $20K
C1769 Guide wire 3,794 3,340 $19K
J1650 Injection, enoxaparin sodium, 10 mg 13,302 5,111 $19K
49083 32 24 $19K
74230 206 191 $19K
97116 7,500 3,423 $19K
86695 172 166 $18K
0202U Oncology (prostate), multianalyte, gene expression profiling 66 66 $18K
87536 1,668 1,549 $18K
J7060 5% dextrose/water (500 ml = 1 unit) 1,100 658 $18K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 366 349 $17K
74022 647 595 $17K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 145 144 $17K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 333 320 $17K
85379 5,798 5,483 $17K
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 1,287 1,134 $16K
86308 376 356 $16K
83540 8,051 7,607 $16K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 13,296 6,405 $15K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 11,825 11,257 $15K
J0696 Injection, ceftriaxone sodium, per 250 mg 12,515 8,882 $15K
86704 1,197 1,143 $15K
90651 1,692 1,546 $15K
58300 43 36 $15K
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 35 21 $14K
J2270 Injection, morphine sulfate, up to 10 mg 13,750 10,670 $14K
97168 590 540 $13K
82951 1,492 1,464 $13K
71260 Computed tomography, thorax, diagnostic; with contrast material 7,682 7,265 $13K
85652 6,163 5,714 $13K
86480 795 746 $13K
84153 1,938 1,804 $13K
76882 543 508 $13K
J0897 Injection, denosumab, 1 mg 2,352 2,146 $13K
90460 Immunization administration through 18 years of age via any route, first or only component 32,092 30,871 $13K
83735 30,795 21,514 $13K
83615 1,359 1,189 $12K
J1644 Injection, heparin sodium, per 1000 units 13,113 6,314 $12K
97750 1,471 1,243 $11K
87522 Neg quan hep c or qual rna 735 691 $11K
86580 1,820 1,535 $11K
70498 1,016 956 $11K
80164 2,989 2,524 $11K
84436 586 550 $10K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 9,472 6,969 $10K
77334 758 533 $10K
J2505 Injection, pegfilgrastim, 6 mg 137 96 $9K
69210 65 59 $9K
43235 150 142 $9K
0002A 262 257 $9K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 128 123 $9K
0001A 259 253 $9K
86003 743 721 $9K
73560 148 133 $9K
82550 4,408 3,761 $8K
97150 Therapeutic procedure(s), group (2 or more individuals) 2,966 1,153 $8K
84146 786 748 $8K
84132 1,154 1,024 $8K
J1170 Injection, hydromorphone, up to 4 mg 10,161 7,716 $8K
95806 49 49 $8K
87045 317 294 $8K
J2370 Injection, phenylephrine hcl, up to 1 ml 5,097 4,726 $8K
77001 396 360 $7K
84145 1,431 1,351 $7K
83001 694 676 $7K
86706 1,733 1,643 $7K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 351 322 $7K
51798 2,020 1,896 $6K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 119 112 $6K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 24,774 23,111 $6K
72040 67 65 $6K
84703 245 232 $6K
31645 55 48 $6K
84403 1,346 1,259 $6K
87641 534 518 $6K
84144 96 88 $6K
J1885 Injection, ketorolac tromethamine, per 15 mg 32,604 20,972 $6K
86140 11,214 9,925 $6K
A4649 Surgical supply; miscellaneous 314 299 $6K
82803 2,963 2,590 $6K
77280 15 12 $5K
86900 20,157 17,986 $5K
58301 27 27 $5K
82105 184 175 $5K
77386 730 51 $5K
84550 1,223 1,126 $5K
93458 137 117 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 226 214 $5K
88341 843 792 $5K
86038 1,767 1,684 $5K
84156 4,458 3,714 $5K
82330 915 839 $5K
86360 784 741 $4K
J2791 Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu 83 78 $4K
J7042 5% dextrose/normal saline (500 ml = 1 unit) 89 52 $4K
J1439 Injection, ferric carboxymaltose, 1 mg 1,565 952 $4K
J3370 Injection, vancomycin hcl, 500 mg 2,222 1,389 $4K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 26 25 $4K
83605 10,250 8,427 $4K
87420 154 150 $4K
J1745 Injection, infliximab, excludes biosimilar, 10 mg 1,068 651 $4K
73660 27 27 $4K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 21 19 $4K
71275 Computed tomographic angiography, chest, with contrast material 825 778 $4K
88184 12 12 $4K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 772 564 $4K
87324 78 70 $4K
82077 9,682 8,304 $3K
80050 General health panel 38 35 $3K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 34,636 22,114 $3K
90686 7,639 7,457 $3K
J2250 Injection, midazolam hydrochloride, per 1 mg 16,179 12,298 $3K
C1887 Catheter, guiding (may include infusion/perfusion capability) 1,002 918 $3K
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 13,899 10,296 $3K
36902 261 236 $3K
83021 1,816 1,756 $3K
31624 43 39 $3K
J1200 Injection, diphenhydramine hcl, up to 50 mg 9,225 7,417 $3K
82378 345 303 $3K
87140 5,407 4,905 $3K
J0456 Injection, azithromycin, 500 mg 584 375 $3K
72170 154 146 $3K
J0690 Injection, cefazolin sodium, 500 mg 10,667 8,768 $3K
J3475 Injection, magnesium sulfate, per 500 mg 5,551 3,629 $3K
84134 494 442 $3K
P9016 Red blood cells, leukocytes reduced, each unit 1,640 1,272 $3K
94668 19 12 $2K
73100 19 18 $2K
45380 Colonoscopy, flexible; with biopsy, single or multiple 494 449 $2K
C1726 Catheter, balloon dilatation, non-vascular 13 13 $2K
97164 235 206 $2K
94760 409 256 $2K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 1,456 1,155 $2K
J2550 Injection, promethazine hcl, up to 50 mg 2,159 1,847 $2K
81005 22 16 $2K
83986 27 27 $2K
82140 1,640 1,383 $2K
86592 72 72 $2K
52000 27 25 $2K
70360 26 25 $2K
92611 209 182 $2K
73620 14 13 $2K
G0659 Drug test(s), definitive, utilizing 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), excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase), performed without method or drug-specific calibration, without matrix-matched quality control material, or without use of stable isotope or other universally recognized internal standard(s) for each drug, drug metabolite or drug class per specimen; qualitative or quantitative, all sources, includes specimen validity testing, per day, any number of drug classes 3,810 3,548 $2K
72072 25 25 $2K
72052 12 12 $2K
87640 139 132 $2K
C9113 Injection, pantoprazole sodium, per vial 1,250 679 $2K
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 1,971 1,681 $2K
J2060 Injection, lorazepam, 2 mg 3,595 2,769 $2K
J2765 Injection, metoclopramide hcl, up to 10 mg 3,395 2,864 $2K
90715 4,346 4,043 $2K
70491 353 326 $2K
J1940 Injection, furosemide, up to 20 mg 3,034 1,715 $2K
85660 169 153 $2K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 198 194 $2K
J3010 Injection, fentanyl citrate, 0.1 mg 18,043 15,358 $2K
97542 15 13 $2K
86334 450 415 $2K
85730 12,045 10,555 $2K
88309 49 48 $2K
86769 153 148 $1K
C1766 Introducer/sheath, guiding, intracardiac electrophysiological, steerable, other than peel-away 776 679 $1K
J1953 Injection, levetiracetam, 10 mg 896 611 $1K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 34 33 $1K
85460 158 150 $1K
71100 14 13 $1K
86705 63 58 $1K
86870 157 130 $1K
J2795 Injection, ropivacaine hydrochloride, 1 mg 1,099 632 $1K
J0780 Injection, prochlorperazine, up to 10 mg 4,504 3,947 $1K
J1756 Injection, iron sucrose, 1 mg 1,516 489 $1K
84030 15 14 $1K
Q9957 Injection, perflutren lipid microspheres, per ml 37 37 $1K
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 3,400 2,452 $1K
J0561 Injection, penicillin g benzathine, 100,000 units 48 38 $1K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 116 96 $1K
86923 1,040 820 $1K
87255 28 28 $1K
77049 12 12 $1K
87505 14 14 $1K
83516 668 596 $1K
0352U 103 99 $1K
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 982 622 $986.81
80306 183 179 $983.53
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 8,389 7,392 $978.29
70496 1,047 990 $971.79
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 55 54 $968.36
20610 29 27 $948.54
C9463 Injection, aprepitant, 1 mg 54 33 $916.34
78306 28 27 $910.26
87449 567 477 $888.72
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 2,536 1,743 $884.66
85396 813 758 $873.41
74220 12 12 $841.31
J0171 Injection, adrenalin, epinephrine, 0.1 mg 1,848 1,177 $832.39
82746 2,443 2,309 $817.65
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 2,267 1,153 $817.00
19083 71 67 $816.08
80143 977 878 $811.61
87340 11,264 10,602 $795.67
86361 316 289 $760.67
87338 43 41 $745.66
51702 55 54 $692.75
87493 136 125 $653.29
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 783 711 $651.12
84100 5,740 4,059 $643.56
87186 14,195 12,779 $624.17
86304 13 12 $621.57
90670 9,055 8,820 $601.00
G0475 Hiv antigen/antibody, combination assay, screening 620 612 $596.33
90677 62 60 $582.66
88112 13 12 $526.00
82553 728 517 $503.95
J2003 Injection, lidocaine hydrochloride, 1 mg 536 376 $490.98
90461 13,173 12,561 $459.89
J2469 Injection, palonosetron hcl, 25 mcg 3,855 2,269 $452.00
94660 252 165 $447.78
84481 811 780 $426.26
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,799 1,356 $416.50
84466 6,259 5,906 $415.20
J7999 Compounded drug, not otherwise classified 1,916 1,792 $408.50
86787 128 119 $391.10
83525 69 64 $381.46
86200 232 225 $368.44
88342 2,510 2,261 $365.46
99205 Prolong outpt/office vis 14 14 $344.12
82533 55 50 $322.27
86664 12 12 $305.94
85045 2,230 1,949 $273.05
80178 83 63 $264.85
99459 117 109 $255.05
82150 161 153 $237.73
84402 79 75 $232.60
82010 114 106 $232.11
86677 16 15 $232.09
97163 141 135 $228.50
G8996 Swallowing functional limitation, current status at therapy episode outset and at reporting intervals 66 53 $214.06
88360 14 13 $213.12
82952 1,504 1,476 $195.75
96376 3,121 2,872 $188.31
90647 6,580 6,397 $179.66
90662 169 137 $179.46
83970 305 248 $173.63
C1729 Catheter, drainage 28 27 $172.06
84165 635 588 $170.16
90633 3,480 3,395 $161.10
90656 106 106 $157.62
82248 306 253 $145.52
86901 20,155 17,983 $142.23
87101 12 12 $132.05
P9047 Infusion, albumin (human), 25%, 50 ml 31 24 $123.51
J8597 Antiemetic drug, oral, not otherwise specified 3,580 3,214 $118.95
84460 61 58 $109.21
96415 3,438 2,621 $95.22
85384 189 170 $85.51
G8997 Swallowing functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 75 57 $82.51
83520 39 29 $81.88
96417 2,838 1,851 $78.46
88302 145 141 $73.03
96367 3,242 2,149 $60.64
83883 419 382 $51.29
80051 21 13 $47.01
86431 907 866 $45.64
83921 17 17 $44.56
J0330 Injection, succinylcholine chloride, up to 20 mg 930 798 $41.60
96411 360 234 $35.92
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 1,467 1,305 $35.30
80177 29 29 $30.25
96416 550 297 $28.33
87205 4,135 3,703 $24.07
82652 25 24 $21.04
88300 25 24 $18.57
86376 56 55 $18.49
80179 840 768 $14.91
80185 13 12 $13.69
J0360 Injection, hydralazine hcl, up to 20 mg 1,821 1,483 $12.71
J1790 Injection, droperidol, up to 5 mg 549 496 $12.66
87206 43 36 $7.62
G8984 Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals 112 89 $3.19
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 884 782 $1.31
J8540 Dexamethasone, oral, 0.25 mg 296 222 $1.00
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 1,624 1,515 $0.77
96368 1,190 754 $0.00
83550 1,176 1,119 $0.00
J2785 Injection, regadenoson, 0.1 mg 1,148 1,091 $0.00
J0610 Injection, calcium gluconate (fresenius kabi), per 10 ml 63 53 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 234 213 $0.00
G0008 Administration of influenza virus vaccine 373 341 $0.00
90694 85 73 $0.00
C2617 Stent, non-coronary, temporary, without delivery system 13 13 $0.00
J1630 Injection, haloperidol, up to 5 mg 537 425 $0.00
87181 17 16 $0.00
G0257 Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility 673 344 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 2,418 2,122 $0.00
36430 1,232 967 $0.00
90716 1,933 1,906 $0.00
P9612 Catheterization for collection of specimen, single patient, all places of service 130 120 $0.00
C9399 Unclassified drugs or biologicals 150 140 $0.00
87046 176 166 $0.00
87088 52 52 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 179 163 $0.00
83002 170 161 $0.00
75574 25 25 $0.00
J2997 Injection, alteplase recombinant, 1 mg 54 42 $0.00
J9045 Injection, carboplatin, 50 mg 342 237 $0.00
86225 28 27 $0.00
G0379 Direct admission of patient for hospital observation care 145 140 $0.00
86880 233 211 $0.00
J9267 Injection, paclitaxel, 1 mg 27 12 $0.00
86258 14 14 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 181 163 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 16 12 $0.00
A9561 Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries 24 24 $0.00
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 94 81 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 36 25 $0.00
36561 12 12 $0.00
J1950 Injection, leuprolide acetate (for depot suspension), per 3.75 mg 14 12 $0.00
74174 37 36 $0.00
80320 504 465 $0.00
J9299 Injection, nivolumab, 1 mg 21 13 $0.00
J1836 Injection, metronidazole, 10 mg 63 46 $0.00
86364 14 14 $0.00
J1920 Injection, labetalol hydrochloride, 5 mg 246 135 $0.00
86255 83 79 $0.00
86300 90 64 $0.00
A0433 Advanced life support, level 2 (als 2) 29 27 $0.00
84480 18 16 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 45 37 $0.00
96380 53 53 $0.00
J8501 Aprepitant, oral, 5 mg 26 26 $0.00
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 16 14 $0.00
88185 12 12 $0.00
V2632 Posterior chamber intraocular lens 17 14 $0.00
90688 27 27 $0.00
G0432 Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening 71 55 $0.00
J9022 Injection, atezolizumab, 10 mg 17 12 $0.00
99406 13 13 $0.00
86800 12 12 $0.00
G8991 Other physical or occupational therapy primary functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 14 12 $0.00
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) 35 32 $0.00
85576 15 12 $0.00
80329 12 12 $0.00
84479 24 24 $0.00
C1892 Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away 17 14 $0.00
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 26 13 $0.00
90700 1,681 1,645 $0.00
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 1,171 1,132 $0.00
87899 320 313 $0.00
J2506 Injection, pegfilgrastim, excludes biosimilar, 0.5 mg 36 28 $0.00
J0694 Injection, cefoxitin sodium, 1 gm 100 88 $0.00
86696 145 138 $0.00
J1453 Injection, fosaprepitant, 1 mg 231 134 $0.00
90734 1,483 1,324 $0.00
J0692 Injection, cefepime hydrochloride, 500 mg 303 159 $0.00
88313 58 53 $0.00
J0736 Injection, clindamycin phosphate, 300 mg 134 123 $0.00
J3486 Injection, ziprasidone mesylate, 10 mg 338 185 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 446 327 $0.00
58571 37 36 $0.00
J0640 Injection, leucovorin calcium, per 50 mg 701 254 $0.00
29125 42 38 $0.00
90710 1,364 1,318 $0.00
C1757 Catheter, thrombectomy/embolectomy 358 297 $0.00
J9190 Injection, fluorouracil, 500 mg 759 260 $0.00
96381 15 15 $0.00
58661 182 180 $0.00
C1776 Joint device (implantable) 81 75 $0.00
J9271 Injection, pembrolizumab, 1 mg 381 291 $0.00
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 163 143 $0.00
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 100 43 $0.00
74178 40 39 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 311 180 $0.00
J1580 Injection, garamycin, gentamicin, up to 80 mg 269 196 $0.00
G8985 Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 137 109 $0.00
87427 176 167 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 155 88 $0.00
51701 13 13 $0.00
90685 27 27 $0.00
J1171 Injection, hydromorphone, 0.1 mg 126 102 $0.00
J1956 Injection, levofloxacin, 250 mg 19 14 $0.00
82705 12 12 $0.00
47562 89 89 $0.00
90672 45 43 $0.00
J3489 Injection, zoledronic acid, 1 mg 110 103 $0.00
83721 12 12 $0.00
J9263 Injection, oxaliplatin, 0.5 mg 34 12 $0.00
84425 29 28 $0.00
86235 55 42 $0.00
90678 17 15 $0.00
84450 15 14 $0.00
D2930 Prefabricated stainless steel crown - primary tooth 15 15 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 15 13 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 13 13 $0.00
86665 12 12 $0.00
C1788 Port, indwelling (implantable) 12 12 $0.00