Medicaid Provider Spending

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

APPALACHIAN REGIONAL HEALTHCARE, INC.

NPI: 1609869916 · HAZARD, KY 41701 · General Acute Care Hospital · NPI assigned 08/23/2005

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

Authorized official HARRIS, HOLLIE controls 20+ related entities in our dataset. Read more

$107.94M
Total Medicaid Paid
1,905,556
Total Claims
1,282,163
Beneficiaries
505
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHARRIS, HOLLIE (PRESIDENT AND CEO)
NPI Enumeration Date08/23/2005

Related Entities

Other providers sharing the same authorized official: HARRIS, HOLLIE

ProviderCityStateTotal Paid
APPALACHIAN REGIONAL HEALTHCARE, INC. HARLAN KY $55.19M
APPALACHIAN REGIONAL HEALTHCARE, INC. MIDDLESBORO KY $38.84M
APPALACHIAN REGIONAL HEALTHCARE, INC. WHITESBURG KY $33.42M
ARH MARY BRECKINRIDGE HEALTH SERVICES, INC. BARBOURVILLE KY $33.18M
APPALACHIAN REGIONAL HEALTHCARE, INC. MC DOWELL KY $26.86M
APPALACHIAN REGIONAL HEALTHCARE, INC. SOUTH WILLIAMSON KY $26.76M
APPALACHIAN REGIONAL HEALTHCARE, INC BECKLEY WV $18.33M
APPALACHIAN REGIONAL HEALTHCARE, INC. WEST LIBERTY KY $17.87M
ARH MARY BRECKINRIDGE HEALTH SERVICES, INC. HYDEN KY $16.24M
APPALACHIAN REGIONAL HEALTHCARE INC SOUTH WILLIAMSON KY $8.71M
APPALACHIAN REGIONAL HEALTHCARE, INC HARLAN KY $8.01M
APPALACHIAN REGIONAL HEALTHCARE, INC BECKLEY WV $6.24M
APPALACHIAN REGIONAL HEALTHCARE, INC. HINTON WV $6.20M
APPALACHIAN REGIONAL HEALTHCARE, INC HINTON WV $6.03M
APPALACHIAN REGIONAL HEALTHCARE, INC. HAZARD KY $4.28M
APPALACHIAN REGIONAL HEALTHCARE, INC. WHITESBURG KY $1.84M
APPALACHIAN REGIONAL HEALTHCARE, INC. HINTON WV $1.72M
APPALACHIAN REGIONAL HEALTHCARE, INC. SOUTH WILLIAMSON KY $1.60M
APPALACHIAN REGIONAL HEALTHCARE, INC. HARLAN KY $1.51M
APPALACHIAN REGIONAL HEALTHCARE, INC HAZARD KY $1.17M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 348,325 $17.33M
2019 290,920 $16.52M
2020 292,464 $15.39M
2021 319,514 $14.82M
2022 249,244 $14.45M
2023 219,805 $14.25M
2024 185,284 $15.18M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 32,304 27,246 $13.90M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 22,037 13,666 $10.70M
G0378 Hospital observation service, per hour 26,724 14,066 $9.24M
74177 Computed tomography, abdomen and pelvis; with contrast material 7,929 6,808 $5.68M
74176 Computed tomography, abdomen and pelvis; without contrast material 6,633 5,631 $3.48M
80053 Comprehensive metabolic panel 103,969 69,570 $2.33M
93458 2,217 860 $2.29M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 6,008 5,283 $2.28M
70450 Computed tomography, head or brain; without contrast material 9,690 8,019 $2.25M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 3,365 2,203 $2.15M
99283 Emergency department visit for the evaluation and management, moderate severity 19,717 17,717 $2.06M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 5,305 3,121 $2.00M
85025 Blood count; complete (CBC), automated, and automated differential WBC count 124,162 84,442 $1.79M
72148 Magnetic resonance imaging, lumbar spine; without contrast material 3,555 3,205 $1.66M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 112,529 80,954 $1.63M
96361 Intravenous infusion, hydration; each additional hour 17,559 9,720 $1.63M
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 32,253 22,341 $1.06M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 21,555 10,337 $941K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 13,831 10,379 $905K
71260 Computed tomography, thorax, diagnostic; with contrast material 3,038 2,100 $886K
70551 Magnetic resonance imaging, brain; without contrast material 1,999 1,645 $857K
72125 Computed tomography, cervical spine; without contrast material 2,592 2,333 $837K
71045 Radiologic examination, chest; single view 21,594 17,039 $833K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 12,947 3,226 $785K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 19,776 16,734 $773K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 8,872 3,809 $770K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 22,099 13,726 $769K
45380 Colonoscopy, flexible; with biopsy, single or multiple 2,005 1,326 $733K
84484 21,965 14,435 $665K
83735 26,069 18,083 $650K
36415 Collection of venous blood by venipuncture 265,448 92,814 $637K
84443 Thyroid stimulating hormone (TSH) 24,320 22,345 $628K
72131 2,332 2,046 $613K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 9,604 5,301 $611K
80048 Basic metabolic panel (calcium, ionized) 37,914 24,359 $598K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 1,380 1,166 $596K
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 14,983 9,961 $591K
72141 1,309 1,107 $527K
71275 Computed tomographic angiography, chest, with contrast material 1,135 1,016 $506K
76705 Ultrasound, abdominal, real time with image documentation; limited 5,331 4,747 $502K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 1,044 707 $471K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 35,250 17,823 $469K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 5,646 2,119 $445K
71250 1,809 1,562 $436K
97530 Therapeutic activities, direct patient contact, each 15 minutes 7,634 2,518 $433K
80061 Lipid panel 16,751 12,934 $422K
72128 1,264 1,145 $412K
87040 9,748 7,035 $410K
96367 9,817 3,373 $408K
87631 5,604 5,233 $404K
96375 Therapeutic injection; each additional sequential IV push 17,789 11,708 $387K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 3,528 1,758 $376K
71046 Radiologic examination, chest; 2 views 11,205 8,262 $372K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 658 497 $365K
88305 Level IV - Surgical pathology, gross and microscopic examination 5,456 4,397 $364K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 6,393 5,858 $360K
85730 11,968 9,752 $347K
82607 11,509 10,637 $342K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4,786 4,407 $327K
70486 1,293 1,211 $314K
96376 9,506 5,085 $311K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 12,384 9,789 $304K
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 10,230 8,944 $292K
47563 253 179 $282K
73221 639 555 $274K
83690 10,578 9,002 $263K
78815 Positron emission tomography (PET) for limited area imaging 547 375 $255K
87086 Culture, bacterial; quantitative colony count, urine 16,190 13,302 $254K
74022 2,785 2,561 $252K
87902 1,084 986 $240K
80074 4,647 4,176 $232K
81001 30,403 25,163 $228K
D7140 Extraction, erupted tooth or exposed root 372 308 $227K
74018 5,362 4,409 $221K
85610 16,502 12,868 $215K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 5,886 5,421 $210K
74178 304 223 $208K
81025 10,420 9,042 $205K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 4,617 4,249 $203K
J1439 Injection, ferric carboxymaltose, 1 mg 306 180 $201K
93971 1,790 1,596 $198K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 4,472 2,605 $193K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 4,205 1,563 $188K
73630 4,163 3,593 $186K
82728 6,003 5,259 $185K
87522 Neg quan hep c or qual rna 5,213 4,777 $184K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 29,259 19,083 $182K
93041 10,794 7,694 $181K
71271 599 573 $178K
73610 3,694 3,184 $170K
73030 4,161 3,405 $166K
82553 7,542 5,673 $166K
84702 6,022 5,139 $162K
84145 3,387 2,538 $162K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1,726 773 $159K
82150 4,021 3,529 $158K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 703 483 $157K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 4,654 4,321 $156K
78227 839 681 $150K
83605 5,676 4,400 $150K
72110 2,179 1,853 $143K
73110 2,909 2,421 $141K
84439 5,684 5,319 $140K
72100 3,457 2,725 $139K
87186 5,653 4,840 $139K
82550 11,454 8,787 $134K
73130 2,966 2,645 $134K
83880 3,971 3,183 $131K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 4,403 1,045 $130K
88342 1,230 1,035 $130K
87070 6,683 4,637 $125K
93970 868 783 $125K
97597 2,146 1,168 $123K
G0379 Direct admission of patient for hospital observation care 3,260 1,828 $122K
76536 1,011 921 $118K
43235 282 191 $112K
93880 1,117 959 $112K
83036 Hemoglobin; glycosylated (A1C) 10,024 9,358 $110K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 5,804 5,440 $107K
77067 Screening mammography, bilateral, including computer-aided detection 2,732 2,627 $105K
73564 1,908 1,686 $104K
80076 4,912 4,373 $102K
82746 2,781 2,530 $97K
93017 997 921 $97K
J1756 Injection, iron sucrose, 1 mg 1,348 316 $92K
83540 4,946 4,479 $92K
96368 1,981 1,326 $91K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,157 2,635 $91K
86140 6,481 5,087 $91K
83970 1,243 1,126 $90K
73560 2,183 1,810 $89K
47562 120 67 $88K
94761 2,641 1,620 $85K
73562 1,749 1,535 $84K
59025 Fetal non-stress test 1,791 1,133 $84K
77412 357 28 $83K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 197 137 $83K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,401 3,641 $82K
D2391 Resin-based composite - one surface, posterior, primary or permanent 182 152 $82K
86038 2,133 1,933 $80K
73590 1,976 1,618 $79K
84100 8,437 5,780 $79K
76700 Ultrasound, abdominal, real time with image documentation; complete 560 504 $77K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 625 567 $77K
97035 2,308 677 $77K
83550 3,870 3,560 $71K
73090 1,774 1,432 $71K
87517 1,041 948 $69K
73700 293 254 $69K
86706 2,600 2,384 $68K
82570 2,387 2,172 $68K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 4,077 3,170 $65K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 141 52 $63K
83516 1,701 1,346 $63K
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 8,067 6,874 $62K
84146 1,975 1,713 $61K
A9575 Injection, gadoterate meglumine, 0.1 ml 1,235 1,062 $61K
87340 1,924 1,795 $59K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 533 446 $57K
72040 1,450 1,155 $57K
80299 543 464 $57K
73502 1,820 1,487 $56K
82140 2,469 1,680 $55K
97162 1,564 1,137 $55K
76775 977 818 $55K
85652 5,679 4,668 $53K
0100U 918 748 $52K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,595 472 $50K
87077 3,884 2,668 $49K
J2405 Injection, ondansetron hydrochloride, per 1 mg 5,747 3,912 $49K
83883 1,488 1,281 $49K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,732 4,245 $47K
87076 4,797 3,067 $47K
76830 Ultrasound, transvaginal 387 358 $47K
76000 882 753 $47K
82172 1,660 1,437 $45K
84703 3,287 2,927 $45K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 441 405 $44K
82803 1,432 1,092 $43K
86850 3,711 2,961 $43K
86803 2,005 1,887 $42K
12001 558 513 $42K
86704 1,772 1,655 $42K
C1769 Guide wire 2,092 1,760 $41K
73080 842 715 $40K
96417 1,177 693 $40K
76801 209 179 $38K
97014 742 249 $37K
91200 771 728 $37K
97161 980 708 $36K
86900 4,696 3,540 $36K
97602 828 552 $35K
D2930 Prefabricated stainless steel crown - primary tooth 50 46 $35K
76770 530 428 $34K
86901 4,445 3,496 $34K
72050 701 542 $34K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,658 1,556 $33K
95819 299 269 $33K
80305 4,370 3,152 $33K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,161 1,081 $33K
88304 1,576 1,407 $32K
86708 1,679 1,514 $32K
72170 823 697 $32K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,670 2,387 $32K
82977 2,032 1,832 $31K
83010 1,688 1,537 $31K
94060 490 323 $30K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 4,044 2,845 $29K
36600 1,376 1,060 $29K
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml 727 610 $28K
77063 Screening digital breast tomosynthesis, bilateral 3,842 3,145 $28K
83615 2,374 1,970 $28K
82043 2,162 1,971 $27K
82103 582 512 $25K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 213 191 $24K
85378 2,111 1,915 $23K
J1885 Injection, ketorolac tromethamine, per 15 mg 15,985 11,801 $23K
73565 483 456 $22K
77336 254 71 $22K
80202 802 371 $21K
20610 463 377 $21K
83521 549 440 $21K
62323 115 111 $21K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 881 688 $21K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,847 1,601 $20K
J0780 Injection, prochlorperazine, up to 10 mg 2,763 1,810 $20K
86431 751 695 $20K
J0561 Injection, penicillin g benzathine, 100,000 units 400 382 $19K
82247 1,722 1,444 $19K
85027 2,271 1,502 $19K
86200 1,036 967 $19K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 2,246 730 $18K
70491 92 63 $18K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 915 878 $18K
84156 1,276 1,145 $18K
G0297 Low dose ct scan (ldct) for lung cancer screening 84 72 $18K
86480 477 465 $18K
94762 384 219 $18K
J0330 Injection, succinylcholine chloride, up to 20 mg 1,785 1,499 $18K
10061 16 14 $17K
84550 1,837 1,595 $16K
88341 154 111 $16K
80164 1,323 1,142 $16K
87507 83 76 $15K
87275 1,727 1,458 $15K
90715 415 401 $15K
J1644 Injection, heparin sodium, per 1000 units 3,536 1,943 $15K
84460 1,507 1,355 $14K
76642 339 319 $14K
Q0222 Injection, bebtelovimab, 175 mg 61 57 $14K
87634 388 357 $14K
73100 370 326 $14K
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 1,868 642 $13K
J0696 Injection, ceftriaxone sodium, per 250 mg 4,237 2,091 $13K
82947 1,206 1,065 $13K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 82 74 $13K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 1,217 1,051 $13K
82652 510 472 $13K
87350 675 610 $13K
G0390 Trauma response team associated with hospital critical care service 32 31 $12K
A9537 Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries 739 689 $12K
87590 711 665 $12K
86707 615 568 $12K
72146 42 26 $12K
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) 16 16 $11K
J3490 Unclassified drugs 1,298 959 $11K
73060 258 225 $11K
99244 Office or other outpatient consultation, moderate to high complexity 470 423 $11K
81002 2,366 1,799 $11K
84481 222 211 $11K
J2270 Injection, morphine sulfate, up to 10 mg 3,659 1,799 $11K
J0690 Injection, cefazolin sodium, 500 mg 2,323 1,433 $11K
78454 81 38 $11K
73521 135 126 $10K
86709 505 452 $10K
84153 453 397 $10K
86592 1,160 1,073 $10K
0002A 957 921 $10K
87276 1,535 1,408 $10K
96415 211 137 $9K
70488 26 26 $9K
74246 76 58 $9K
93925 77 69 $9K
77066 Tomosynthesis, mammo 132 105 $9K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 152 131 $8K
72072 148 127 $8K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 889 783 $8K
76870 77 67 $8K
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring 74 63 $8K
94729 208 201 $8K
0001A 1,073 1,014 $8K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 679 641 $8K
73523 183 112 $8K
77080 377 310 $8K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 555 476 $8K
96523 839 484 $7K
J2805 Injection, sincalide, 5 micrograms 92 86 $7K
90714 475 447 $7K
84436 352 318 $7K
J3370 Injection, vancomycin hcl, 500 mg 285 119 $7K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 300 115 $7K
84403 246 227 $7K
J3010 Injection, fentanyl citrate, 0.1 mg 3,301 2,800 $7K
12002 98 97 $7K
85379 424 385 $7K
88185 77 49 $7K
99499 129 115 $6K
82390 231 213 $6K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 13 13 $6K
82565 439 385 $6K
D2330 13 12 $6K
82465 536 421 $6K
84132 630 488 $6K
80143 548 506 $6K
86256 105 92 $6K
86804 243 212 $6K
17110 402 354 $5K
82248 249 207 $5K
87430 598 510 $5K
J1040 Injection, methylprednisolone acetate, 80 mg 464 419 $5K
84478 519 450 $5K
C1776 Joint device (implantable) 15 12 $5K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 281 263 $5K
94010 336 273 $5K
73600 142 125 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 514 436 $5K
73620 148 124 $5K
97166 99 94 $5K
82274 199 148 $5K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 1,348 1,134 $5K
V2632 Posterior chamber intraocular lens 47 32 $5K
86703 449 355 $5K
84450 491 430 $5K
J2919 Injection, methylprednisolone sodium succinate, 5 mg 432 230 $5K
J1170 Injection, hydromorphone, up to 4 mg 2,560 1,784 $5K
86705 144 139 $5K
73070 197 168 $5K
90686 481 423 $5K
Q0247 Injection, sotrovimab, 500 mg 87 66 $5K
93242 467 452 $4K
85045 738 683 $4K
86160 29 29 $4K
J1956 Injection, levofloxacin, 250 mg 733 396 $4K
82948 1,536 939 $4K
87449 83 68 $4K
11045 22 14 $4K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,758 1,354 $4K
86762 321 304 $4K
94726 207 200 $4K
87205 908 752 $4K
73522 44 43 $4K
72020 150 123 $4K
70544 15 13 $3K
84480 128 118 $3K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 402 310 $3K
51702 120 98 $3K
77065 Tomosynthesis, mammo 52 41 $3K
J2360 Injection, orphenadrine citrate, up to 60 mg 353 316 $3K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 25 25 $3K
78306 41 27 $3K
0012A 330 322 $3K
73552 60 55 $3K
J2785 Injection, regadenoson, 0.1 mg 50 49 $3K
86235 70 66 $3K
83001 70 66 $3K
83520 53 53 $3K
A9270 Non-covered item or service 3,483 275 $3K
73120 86 82 $3K
82104 351 323 $3K
83037 760 709 $3K
87150 13 12 $2K
82962 1,383 786 $2K
71101 42 38 $2K
29125 61 54 $2K
83921 62 57 $2K
J2806 Injection, sincalide (maia), not therapeutically equivalent to j2805, 5 micrograms 18 18 $2K
86308 195 181 $2K
77417 37 14 $2K
J2250 Injection, midazolam hydrochloride, per 1 mg 2,004 1,769 $2K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 20 18 $2K
95910 74 67 $2K
99215 Prolong outpt/office vis 45 40 $2K
0011A 355 338 $2K
88307 18 15 $2K
87075 85 73 $2K
J3475 Injection, magnesium sulfate, per 500 mg 294 156 $2K
10060 15 14 $2K
J1030 Injection, methylprednisolone acetate, 40 mg 227 206 $2K
J0736 Injection, clindamycin phosphate, 300 mg 179 128 $2K
76882 60 48 $2K
80185 105 80 $2K
C9290 Injection, bupivacaine liposome, 1 mg 23 13 $2K
93270 41 41 $2K
84520 139 131 $2K
12011 31 31 $2K
94760 311 262 $2K
92523 21 19 $2K
88108 144 115 $2K
88142 77 70 $1K
77085 88 47 $1K
82009 110 96 $1K
J1650 Injection, enoxaparin sodium, 10 mg 63 25 $1K
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 802 710 $1K
C1730 Catheter, electrophysiology, diagnostic, other than 3d mapping (19 or fewer electrodes) 164 152 $1K
80171 30 29 $1K
86756 215 206 $1K
96416 19 12 $1K
0097U 31 24 $1K
93320 18 15 $1K
J2780 Injection, ranitidine hydrochloride, 25 mg 151 131 $1K
Q2039 Influenza virus vaccine, not otherwise specified 103 100 $1K
83655 46 45 $1K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 253 205 $1K
J2370 Injection, phenylephrine hcl, up to 1 ml 225 185 $1K
74420 13 13 $1K
87480 114 102 $1K
83002 28 25 $1K
87510 100 98 $1K
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 25 12 $1K
84270 61 54 $1K
85384 61 47 $1K
82272 324 239 $998.64
95909 30 28 $994.24
72070 13 12 $967.10
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 176 55 $965.95
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 96 72 $960.77
81490 14 14 $955.50
85014 138 95 $945.64
87660 100 98 $924.35
87338 44 39 $901.14
85018 126 88 $900.98
93922 32 28 $868.83
G0008 Administration of influenza virus vaccine 130 125 $868.61
C1889 Implantable/insertable device, not otherwise classified 29 25 $833.08
95886 73 66 $757.83
82378 15 12 $754.52
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 13 13 $726.27
82785 13 13 $725.37
99195 19 18 $720.80
87653 42 38 $708.60
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg 58 51 $672.71
76857 30 27 $671.99
85660 75 47 $650.41
Q3014 Telehealth originating site facility fee 326 277 $639.66
90791 Psychiatric diagnostic evaluation 29 16 $625.70
93000 45 29 $615.76
82105 44 40 $609.57
J9190 Injection, fluorouracil, 500 mg 30 12 $587.88
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) 102 66 $586.38
99243 33 31 $575.85
80050 General health panel 32 29 $572.26
C2617 Stent, non-coronary, temporary, without delivery system 15 12 $547.35
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report 37 28 $538.45
0004A 70 68 $532.83
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 138 115 $521.64
J8540 Dexamethasone, oral, 0.25 mg 277 121 $519.48
99205 Prolong outpt/office vis 33 32 $518.24
J2310 Injection, naloxone hydrochloride, per 1 mg 32 26 $473.29
90656 19 19 $456.74
J2469 Injection, palonosetron hcl, 25 mcg 64 38 $435.06
83721 35 32 $428.07
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 15 12 $424.00
97116 21 12 $420.16
90633 18 18 $414.47
90662 33 30 $405.24
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 60 50 $404.04
J1790 Injection, droperidol, up to 5 mg 48 45 $400.27
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 17 16 $396.20
J1200 Injection, diphenhydramine hcl, up to 50 mg 549 455 $387.82
36416 191 111 $386.93
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 294 275 $383.93
0064A 54 50 $372.84
J0360 Injection, hydralazine hcl, up to 20 mg 58 41 $365.61
J1171 Injection, hydromorphone, 0.1 mg 57 36 $364.84
J2003 Injection, lidocaine hydrochloride, 1 mg 316 246 $357.72
90632 23 20 $348.80
83525 14 13 $344.44
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 43 16 $328.60
87493 22 17 $295.99
87081 17 14 $289.41
97164 25 12 $273.17
84402 20 16 $271.72
J2470 Injection, pantoprazole sodium, 40 mg 92 51 $267.59
J2765 Injection, metoclopramide hcl, up to 10 mg 330 259 $239.86
0296T 14 13 $229.50
86037 24 24 $216.35
J7510 Prednisolone oral, per 5 mg 118 110 $214.65
J1940 Injection, furosemide, up to 20 mg 118 63 $203.00
84134 13 13 $184.75
29700 38 28 $171.26
J2060 Injection, lorazepam, 2 mg 238 189 $167.96
80178 14 12 $154.01
85007 19 13 $150.48
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 78 73 $138.69
88302 22 13 $136.17
J3411 Injection, thiamine hcl, 100 mg 39 27 $107.17
81003 15 13 $104.26
J3480 Injection, potassium chloride, per 2 meq 17 13 $97.11
0003A 14 14 $86.40
86580 30 28 $83.97
J3410 Injection, hydroxyzine hcl, up to 25 mg 15 12 $68.39
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 13 12 $17.16
Q0244 Injection, casirivimab and imdevimab, 1200 mg 174 160 $0.18
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 21 14 $0.02
Q0243 Injection, casirivimab and imdevimab, 2400 mg 39 31 $0.01