Medicaid Provider Spending

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

BAPTIST MEMORIAL HOSPITAL - GOLDEN TRIANGLE INC.

NPI: 1609830173 · COLUMBUS, MS 39705 · Ambulance · NPI assigned 04/13/2006

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

Authorized official DUCKETT, GREGORY controls 20+ related entities in our dataset. Read more

$56.02M
Total Medicaid Paid
1,817,043
Total Claims
1,258,877
Beneficiaries
366
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDUCKETT, GREGORY (SR VP/ CLO)
Parent OrganizationBAPTIST MEMORIAL HEALTH CARE CORP.
NPI Enumeration Date04/13/2006

Related Entities

Other providers sharing the same authorized official: DUCKETT, GREGORY

ProviderCityStateTotal Paid
BAPTIST MEMORIAL HOSPITAL MEMPHIS TN $51.45M
MISSISSIPPI BAPTIST MEDICAL CENTER, INC. JACKSON MS $42.05M
BAPTIST MEMORIAL HOSPITAL-DESOTO, INC, SOUTHAVEN MS $41.70M
BAPTIST MEMORIAL HOSPITAL NORTH MISSISSIPPI, INC OXFORD MS $38.92M
BAPTIST MEMORIAL MEDICAL GROUP INC MEMPHIS TN $35.67M
BAPTIST MEMORIAL HOSPITAL UNION COUNTY, INC. NEW ALBANY MS $32.79M
ANDERSON REGIONAL MEDICAL CENTER MERIDIAN MS $32.50M
BAPTIST MEMORIAL HOSPITAL-JONESBORO INC JONESBORO AR $17.05M
BAPTIST MEMORIAL HOSPITAL-TIPTON COVINGTON TN $13.88M
NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. JONESBORO AR $12.83M
BAPTIST MEDICAL CENTER - YAZOO, INC YAZOO CITY MS $11.60M
BAPTIST MEMORIAL HOSPITAL- UNION CITY INC UNION CITY TN $9.08M
BAPTIST MEDICAL CENTER-LEAKE INC CARTHAGE MS $8.26M
MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC. JACKSON MS $7.52M
BAPTIST MEMORIAL HOSPITAL-BOONEVILLE, INC. BOONEVILLE MS $7.14M
ANDERSON REGIONAL MEDICAL CENTER MERIDIAN MS $4.16M
BAPTIST MINOR MEDICAL CENTERS INC MEMPHIS TN $3.02M
ANDERSON PHYSICIAN ALLIANCE, INC. MERIDIAN MS $2.73M
BAPTIST MEMORIAL HOSPITAL-HUNTINGDON HUNTINGDON TN $2.49M
BAPTIST MEDICAL CENTER-LEAKE, INC. CARTHAGE MS $2.23M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 240,350 $7.89M
2019 243,024 $8.44M
2020 214,503 $6.63M
2021 285,422 $7.78M
2022 322,493 $8.64M
2023 287,011 $9.55M
2024 224,240 $7.09M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 53,084 41,636 $8.88M
99283 Emergency department visit for the evaluation and management, moderate severity 50,758 41,554 $6.46M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 31,300 23,972 $5.25M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 27,086 19,553 $1.90M
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 48,168 34,488 $1.75M
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 12,871 8,322 $1.46M
A0425 Ground mileage, per statute mile 18,638 11,492 $1.28M
G0378 Hospital observation service, per hour 3,481 2,316 $1.26M
99282 Emergency department visit for the evaluation and management, low to moderate severity 15,178 13,043 $1.23M
71045 Radiologic examination, chest; single view 32,061 24,378 $1.16M
74177 Computed tomography, abdomen and pelvis; with contrast material 9,376 7,285 $1.12M
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 10,734 7,537 $1.04M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 9,001 3,836 $991K
A0427 Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 10,835 7,746 $945K
J9271 Injection, pembrolizumab, 1 mg 212 131 $705K
96375 Therapeutic injection; each additional sequential IV push 29,033 17,821 $679K
J0897 Injection, denosumab, 1 mg 1,603 1,131 $664K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 9,173 6,579 $644K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 13,125 2,359 $634K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 4,279 3,648 $628K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 53,612 22,450 $607K
80053 Comprehensive metabolic panel 96,800 65,159 $590K
96361 Intravenous infusion, hydration; each additional hour 16,770 11,547 $588K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 33,890 23,414 $526K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 16,483 12,638 $507K
78815 Positron emission tomography (PET) for limited area imaging 1,413 1,105 $462K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 100,754 67,295 $435K
70450 Computed tomography, head or brain; without contrast material 9,738 7,568 $418K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 16,953 14,036 $413K
J2357 Injection, omalizumab, 5 mg 717 236 $403K
71046 Radiologic examination, chest; 2 views 10,664 9,118 $399K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 12,774 2,170 $395K
97530 Therapeutic activities, direct patient contact, each 15 minutes 10,264 1,922 $363K
99281 Emergency department visit for the evaluation and management, self-limited or minor 7,883 6,779 $340K
93458 384 342 $335K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 4,367 3,362 $327K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 23,337 18,417 $325K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 9,788 8,406 $318K
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 4,897 3,750 $284K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 7,339 5,761 $274K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 4,642 3,948 $271K
J2505 Injection, pegfilgrastim, 6 mg 142 92 $262K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 853 740 $260K
74176 Computed tomography, abdomen and pelvis; without contrast material 3,201 2,563 $256K
36415 Collection of venous blood by venipuncture 118,948 78,423 $248K
71260 Computed tomography, thorax, diagnostic; with contrast material 3,791 2,848 $235K
D7140 Extraction, erupted tooth or exposed root 725 220 $231K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,887 7,788 $214K
D0272 Bitewings - two radiographic images 352 323 $208K
36902 214 186 $196K
86900 4,788 3,397 $194K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,691 676 $193K
36430 1,972 1,239 $180K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 4,218 2,289 $172K
84484 23,772 13,963 $158K
76801 2,034 1,535 $137K
72100 2,963 2,487 $132K
J2469 Injection, palonosetron hcl, 25 mcg 4,267 1,729 $132K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 10,412 8,974 $131K
99223 Prolong inpt eval add15 m 1,931 1,434 $127K
P9016 Red blood cells, leukocytes reduced, each unit 1,936 1,122 $120K
73560 3,472 2,893 $117K
99232 Subsequent hospital care, per day, moderate complexity 5,018 1,334 $117K
71275 Computed tomographic angiography, chest, with contrast material 1,737 1,326 $112K
81001 47,760 36,617 $106K
D2930 Prefabricated stainless steel crown - primary tooth 1,811 317 $106K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 15,594 10,099 $95K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 9,314 7,547 $93K
83735 25,915 17,330 $87K
A0428 Ambulance service, basic life support, non-emergency transport, (bls) 3,663 2,666 $85K
83880 4,562 3,644 $84K
94726 1,193 1,051 $79K
73630 2,032 1,709 $78K
36600 3,038 2,326 $78K
86850 4,139 2,856 $77K
73610 1,868 1,594 $77K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,190 3,960 $76K
84443 Thyroid stimulating hormone (TSH) 8,365 6,766 $76K
73030 2,271 1,875 $75K
74018 1,669 1,459 $73K
47562 30 25 $73K
85027 19,157 13,633 $72K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 28,093 21,105 $72K
93017 1,202 1,029 $72K
93971 2,107 1,769 $71K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,138 911 $71K
87807 6,937 5,932 $71K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,394 1,169 $70K
95811 209 184 $69K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 203 171 $69K
87086 Culture, bacterial; quantitative colony count, urine 13,371 10,751 $67K
96367 2,710 1,503 $66K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,854 2,353 $65K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2,855 2,354 $65K
83690 15,104 11,669 $63K
73130 1,572 1,320 $59K
86901 4,788 3,396 $58K
A0380 Bls mileage (per mile) 135 121 $57K
71250 1,821 1,373 $56K
80048 Basic metabolic panel (calcium, ionized) 10,373 7,769 $54K
86923 1,464 610 $51K
80061 Lipid panel 5,878 5,081 $50K
83605 9,319 6,282 $50K
72125 Computed tomography, cervical spine; without contrast material 1,483 1,145 $49K
87040 8,462 3,815 $46K
81025 8,143 6,660 $44K
82803 3,079 2,311 $42K
73502 1,532 1,213 $42K
94060 481 428 $41K
93798 1,819 244 $40K
99231 Subsequent hospital care, per day, straightforward or low complexity 4,174 1,072 $40K
96417 1,509 739 $40K
84702 3,848 2,736 $40K
76700 Ultrasound, abdominal, real time with image documentation; complete 791 699 $38K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 29 27 $38K
77067 Screening mammography, bilateral, including computer-aided detection 576 518 $36K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2,643 2,152 $36K
J0185 Injection, aprepitant, 1 mg 509 247 $36K
86300 4,658 2,549 $35K
82728 6,241 4,725 $34K
10060 372 323 $34K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,090 1,533 $33K
97161 1,084 824 $32K
73110 818 679 $31K
Q3014 Telehealth originating site facility fee 1,892 1,447 $30K
72040 899 766 $30K
77300 100 63 $29K
A9270 Non-covered item or service 12,804 8,943 $28K
96523 1,535 1,091 $28K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 223 180 $27K
84703 5,105 4,198 $26K
83036 Hemoglobin; glycosylated (A1C) 4,662 4,034 $26K
J0561 Injection, penicillin g benzathine, 100,000 units 307 195 $26K
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 1,476 1,217 $25K
93925 436 374 $24K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,241 1,005 $23K
82375 2,905 2,159 $21K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 372 326 $20K
85007 8,081 5,745 $20K
85610 8,711 6,229 $20K
J2997 Injection, alteplase recombinant, 1 mg 183 133 $19K
96411 779 316 $18K
70486 403 329 $18K
82150 3,811 3,162 $18K
83550 5,537 4,197 $16K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 899 207 $16K
84439 3,411 2,687 $16K
99239 Hospital discharge day management, more than 30 minutes 437 342 $15K
82607 2,370 1,889 $15K
85379 2,729 2,191 $15K
77336 248 98 $14K
86140 4,934 3,937 $14K
97116 1,276 341 $13K
70491 187 119 $13K
83050 2,893 2,159 $13K
83540 5,550 4,207 $12K
87070 2,235 1,806 $12K
93970 189 170 $12K
82378 2,019 1,274 $12K
85730 3,060 2,373 $10K
80069 3,041 1,950 $10K
93922 259 230 $10K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 64 53 $9K
99215 Prolong outpt/office vis 196 160 $9K
75716 14 13 $9K
74178 84 73 $8K
83615 2,634 1,832 $7K
93880 132 118 $7K
82550 2,093 1,582 $7K
J1439 Injection, ferric carboxymaltose, 1 mg 39 12 $7K
82746 1,306 1,057 $7K
73140 167 132 $6K
87205 2,271 1,755 $6K
84550 2,325 1,781 $6K
82570 2,074 1,729 $6K
85045 2,969 2,047 $6K
85652 4,132 3,238 $6K
73080 152 125 $6K
76000 39 33 $5K
70498 138 99 $5K
72131 158 132 $5K
82784 2,535 767 $5K
82565 2,395 1,805 $5K
99238 Hospital discharge day management, 30 minutes or less 271 173 $5K
84153 926 647 $5K
73590 112 96 $5K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 447 318 $5K
88305 Level IV - Surgical pathology, gross and microscopic examination 298 185 $5K
80164 544 416 $4K
J2800 Injection, methocarbamol, up to 10 ml 889 796 $4K
80074 231 169 $4K
J7030 Infusion, normal saline solution , 1000 cc 24,541 16,928 $4K
97162 111 89 $4K
87210 1,129 978 $4K
82043 1,145 1,021 $4K
72070 59 53 $4K
94010 66 61 $4K
G0008 Administration of influenza virus vaccine 257 206 $3K
83883 1,005 335 $3K
76642 86 72 $3K
77065 Tomosynthesis, mammo 74 64 $3K
78227 13 13 $3K
J7050 Infusion, normal saline solution, 250 cc 13,311 4,585 $3K
D1120 Prophylaxis - child 395 360 $3K
70496 64 53 $3K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 19,232 13,556 $3K
12001 28 27 $3K
D1208 Topical application of fluoride, excluding varnish 68 60 $3K
84165 1,125 856 $2K
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring 25 21 $2K
92523 32 25 $2K
73090 64 49 $2K
76775 52 43 $2K
D1206 Topical application of fluoride varnish 357 320 $2K
41899 Unlisted procedure, dentoalveolar structures 14 14 $2K
90686 284 210 $2K
J2250 Injection, midazolam hydrochloride, per 1 mg 10,850 8,157 $2K
C1887 Catheter, guiding (may include infusion/perfusion capability) 1,182 902 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 55 39 $2K
36589 13 13 $2K
36416 695 502 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg 28,258 19,404 $1K
96415 32 24 $1K
84156 590 461 $1K
M0222 Intravenous injection, bebtelovimab, includes injection and post administration monitoring 17 12 $1K
86803 167 136 $1K
96416 20 12 $1K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 4,752 3,610 $1K
M0239 Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring 21 16 $1K
76770 15 14 $1K
83970 60 50 $1K
74019 13 13 $1K
J1200 Injection, diphenhydramine hcl, up to 50 mg 12,431 7,794 $1K
84480 90 81 $997.36
86003 623 14 $951.52
84100 500 358 $947.71
J8540 Dexamethasone, oral, 0.25 mg 712 308 $930.30
82009 407 267 $929.98
J0640 Injection, leucovorin calcium, per 50 mg 280 61 $913.59
A0426 Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) 173 128 $846.69
36591 391 265 $716.38
80177 76 66 $667.12
83516 186 80 $663.78
C1769 Guide wire 4,563 3,466 $660.49
86480 31 24 $631.02
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 8,187 4,429 $608.12
76536 13 12 $598.58
J7120 Ringers lactate infusion, up to 1000 cc 5,720 3,890 $591.07
74022 15 12 $580.97
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 20,128 15,340 $579.23
85014 321 211 $554.97
76830 Ultrasound, transvaginal 12 12 $529.71
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 1,298 1,022 $508.27
J2780 Injection, ranitidine hydrochloride, 25 mg 190 90 $484.76
J2550 Injection, promethazine hcl, up to 50 mg 8,769 6,557 $474.89
86038 90 67 $464.82
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 3,830 2,858 $459.62
96377 111 77 $454.56
D0230 Intraoral - periapical each additional radiographic image 832 208 $433.24
J3475 Injection, magnesium sulfate, per 500 mg 1,373 834 $410.22
C1760 Closure device, vascular (implantable/insertable) 212 171 $399.05
J3010 Injection, fentanyl citrate, 0.1 mg 10,638 8,138 $388.22
0012A 17 16 $387.65
J9190 Injection, fluorouracil, 500 mg 326 63 $358.18
J2270 Injection, morphine sulfate, up to 10 mg 13,508 9,395 $350.63
85018 220 139 $350.02
96376 5,314 3,273 $340.35
0004A 16 13 $335.13
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 29 12 $313.81
J0696 Injection, ceftriaxone sodium, per 250 mg 12,917 10,363 $305.24
82785 29 16 $290.84
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 920 336 $288.95
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 2,933 2,199 $275.80
83695 54 42 $271.73
82272 99 87 $266.83
0011A 25 23 $259.94
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 1,930 1,487 $257.52
82085 56 42 $237.94
87046 12 12 $219.88
87427 18 12 $218.96
D0220 Intraoral - periapical first radiographic image 400 365 $217.14
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 254 197 $209.86
85384 34 32 $195.10
80076 31 28 $189.35
84681 16 13 $179.85
J2919 Injection, methylprednisolone sodium succinate, 5 mg 504 382 $178.66
83655 13 13 $175.76
82553 23 14 $173.77
86200 25 24 $140.52
86160 26 12 $130.48
85347 38 25 $120.28
87045 12 12 $114.69
83525 14 12 $98.81
J1885 Injection, ketorolac tromethamine, per 15 mg 20,295 15,705 $93.08
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 409 233 $92.98
86060 12 12 $89.93
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 5,179 4,032 $82.70
G0379 Direct admission of patient for hospital observation care 13 13 $82.68
86308 17 12 $62.60
J2175 Injection, meperidine hydrochloride, per 100 mg 992 668 $53.53
84132 13 12 $50.09
J1170 Injection, hydromorphone, up to 4 mg 6,067 4,005 $49.32
J0690 Injection, cefazolin sodium, 500 mg 5,594 3,637 $44.15
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 1,034 846 $36.84
J2704 Injection, propofol, 10 mg 7,006 5,247 $33.32
J2060 Injection, lorazepam, 2 mg 2,141 1,587 $23.30
J1644 Injection, heparin sodium, per 1000 units 7,814 3,936 $22.95
83521 1,131 429 $22.18
C9113 Injection, pantoprazole sodium, per vial 1,640 1,002 $15.97
J1650 Injection, enoxaparin sodium, 10 mg 1,764 758 $12.80
J1030 Injection, methylprednisolone acetate, 40 mg 1,525 1,337 $12.28
94729 1,205 1,059 $11.79
J3370 Injection, vancomycin hcl, 500 mg 1,350 861 $10.50
J0780 Injection, prochlorperazine, up to 10 mg 2,020 1,538 $8.94
J3480 Injection, potassium chloride, per 2 meq 89 48 $7.86
J1940 Injection, furosemide, up to 20 mg 2,290 1,552 $6.76
77063 Screening digital breast tomosynthesis, bilateral 243 213 $6.03
J1790 Injection, droperidol, up to 5 mg 556 465 $4.07
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 15 12 $1.91
J7060 5% dextrose/water (500 ml = 1 unit) 283 60 $1.71
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg 50 31 $0.89
J2370 Injection, phenylephrine hcl, up to 1 ml 1,974 1,330 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 1,263 940 $0.00
94760 230 109 $0.00
J2785 Injection, regadenoson, 0.1 mg 507 447 $0.00
J0592 Injection, buprenorphine hydrochloride, 0.1 mg 675 569 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 76 69 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 1,433 1,112 $0.00
36410 13 12 $0.00
96368 662 373 $0.00
A0888 Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) 2,864 1,687 $0.00
77001 428 360 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 946 733 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 941 364 $0.00
A9609 Fludeoxyglucose f18 up to 15 millicuries 207 164 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 343 272 $0.00
C1750 Catheter, hemodialysis/peritoneal, long-term 81 77 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 31 28 $0.00
J2805 Injection, sincalide, 5 micrograms 12 12 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 733 597 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 413 287 $0.00
J3490 Unclassified drugs 125 89 $0.00
J3411 Injection, thiamine hcl, 100 mg 30 14 $0.00
J1630 Injection, haloperidol, up to 5 mg 27 25 $0.00
99205 Prolong outpt/office vis 16 15 $0.00
J0456 Injection, azithromycin, 500 mg 33 25 $0.00
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 853 740 $0.00
J0595 Injection, butorphanol tartrate, 1 mg 33 27 $0.00
J1953 Injection, levetiracetam, 10 mg 451 340 $0.00
J2300 Injection, nalbuphine hydrochloride, per 10 mg 282 227 $0.00
90715 629 516 $0.00
J7510 Prednisolone oral, per 5 mg 901 825 $0.00
84145 640 505 $0.00
C1788 Port, indwelling (implantable) 476 373 $0.00
76937 415 321 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 563 440 $0.00
J1956 Injection, levofloxacin, 250 mg 65 41 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 67 56 $0.00
J1171 Injection, hydromorphone, 0.1 mg 128 98 $0.00
C1874 Stent, coated/covered, with delivery system 59 52 $0.00
C1729 Catheter, drainage 40 24 $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 102 80 $0.00
A9537 Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries 13 13 $0.00
J1643 Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units 128 62 $0.00
J1580 Injection, garamycin, gentamicin, up to 80 mg 21 14 $0.00
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 13 12 $0.00