Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › BROOKLYN › NYU LANGONE HOSPITALS

NYU LANGONE HOSPITALS

NPI: 1619341716 · BROOKLYN, NY 11220 · Federally Qualified Health Center (FQHC) · NPI assigned 11/30/2015

$303.18M
Total Medicaid Paid
4,406,436
Total Claims
3,200,331
Beneficiaries
535
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMITH, WESLEY (VP REVENUE CYCLE)
Parent OrganizationNYU LANGONE HOSPITALS
NPI Enumeration Date11/30/2015

Related Entities

Other providers sharing the same authorized official: SMITH, WESLEY

ProviderCityStateTotal Paid
NYU LANGONE HOSPITALS NEW YORK NY $238.69M
NYU LANGONE HOSPITALS NEW YORK NY $117.59M
NYU LANGONE HOSPITALS MINEOLA NY $69.77M
NYU LANGONE HOSPITALS NEW YORK NY $32.22M
NYU LANGONE HOSPITALS NEW YORK NY $3.50M
NYU LANGONE HOSPITALS BROOKLYN NY $453K
NYU LANGONE HOSPITALS BROOKLYN NY $99K
NYU LANGONE HOSPITALS BROOKLYN NY $9K
NYU HOSPITALS CENTER NEW YORK NY $55.44

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 134,777 $7.12M
2019 527,308 $33.68M
2020 767,125 $47.77M
2021 844,053 $53.31M
2022 642,483 $44.21M
2023 735,055 $57.54M
2024 755,635 $59.54M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 488,964 412,175 $45.85M
90832 Psychotherapy, 30 minutes with patient 253,130 125,580 $37.59M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 255,935 204,037 $29.29M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 88,118 73,463 $9.97M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 66,604 55,192 $9.74M
99283 Emergency department visit for the evaluation and management, moderate severity 45,355 42,999 $9.69M
90834 Psychotherapy, 45 minutes with patient 52,064 28,573 $8.06M
D0999 Unspecified diagnostic procedure, by report 184,354 55,774 $7.43M
99284 Emergency department visit for the evaluation and management, high severity 35,710 33,920 $7.39M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 33,098 31,490 $6.50M
D0120 Periodic oral evaluation - established patient 156,855 63,540 $5.80M
G0378 Hospital observation service, per hour 6,291 5,820 $5.68M
99282 Emergency department visit for the evaluation and management, low to moderate severity 23,214 21,888 $5.03M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 59,664 20,756 $4.61M
90686 138,199 69,334 $4.39M
D1120 Prophylaxis - child 74,804 42,806 $4.29M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 47,599 12,382 $4.20M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 41,825 35,770 $3.48M
96361 Intravenous infusion, hydration; each additional hour 20,882 17,201 $3.27M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 33,805 30,999 $3.08M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 37,500 30,994 $3.03M
36415 Collection of venous blood by venipuncture 81,342 47,766 $2.74M
90460 Immunization administration through 18 years of age via any route, first or only component 99,557 98,156 $2.62M
D1110 Prophylaxis - adult 38,285 25,917 $2.56M
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 25,062 23,137 $2.38M
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 22,427 20,774 $2.38M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 24,369 22,900 $2.27M
D1351 Sealant - per tooth 36,477 12,405 $2.21M
90791 Psychiatric diagnostic evaluation 12,552 12,047 $1.94M
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 21,396 12,965 $1.73M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,476 2,441 $1.60M
D0150 Comprehensive oral evaluation - new or established patient 33,268 15,581 $1.58M
90651 25,503 11,147 $1.56M
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 21,474 13,150 $1.52M
D2391 Resin-based composite - one surface, posterior, primary or permanent 19,984 12,193 $1.48M
C1889 Implantable/insertable device, not otherwise classified 4,354 4,051 $1.42M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 25,978 19,143 $1.35M
93458 761 735 $1.29M
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,717 1,697 $1.24M
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 1,534 1,524 $1.13M
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 17,198 16,473 $1.11M
Q3014 Telehealth originating site facility fee 8,499 8,104 $1.10M
D0220 Intraoral - periapical first radiographic image 76,894 62,697 $1.09M
41899 Unlisted procedure, dentoalveolar structures 899 896 $1.07M
70450 Computed tomography, head or brain; without contrast material 6,634 6,381 $1.07M
D0272 Bitewings - two radiographic images 33,902 20,293 $1.07M
97530 Therapeutic activities, direct patient contact, each 15 minutes 18,655 6,879 $1.05M
93975 2,893 2,848 $1.01M
D7140 Extraction, erupted tooth or exposed root 23,012 9,778 $1.00M
74177 Computed tomography, abdomen and pelvis; with contrast material 6,020 5,914 $992K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 7,585 6,793 $946K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 7,319 7,036 $923K
90670 48,770 14,302 $842K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 13,282 4,906 $798K
90656 21,847 9,433 $781K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 52,159 50,918 $736K
D0274 Bitewings - four radiographic images 32,269 19,863 $719K
90792 Psychiatric diagnostic evaluation with medical services 4,184 4,120 $695K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 25,052 18,760 $684K
76700 Ultrasound, abdominal, real time with image documentation; complete 2,836 2,794 $662K
90633 27,995 9,439 $640K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 6,080 5,217 $636K
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) 422 417 $633K
77067 Screening mammography, bilateral, including computer-aided detection 5,395 5,330 $591K
D0140 Limited oral evaluation - problem focused 18,927 11,448 $588K
90846 Family psychotherapy without the patient present, 50 minutes 5,656 4,070 $586K
D1206 Topical application of fluoride varnish 23,735 22,834 $571K
81025 10,645 6,894 $541K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 4,133 4,026 $540K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 5,291 5,208 $529K
J2426 Injection, paliperidone palmitate extended release (invega sustenna), 1 mg 488 452 $528K
10E0XZZ 728 91 $507K
83036 Hemoglobin; glycosylated (A1C) 20,874 16,228 $494K
95708 1,548 871 $486K
80048 Basic metabolic panel (calcium, ionized) 54,967 47,147 $484K
80076 35,645 32,176 $480K
90853 Group psychotherapy (other than of a multiple-family group) 4,457 2,473 $422K
90750 3,422 3,387 $397K
99381 4,457 4,377 $386K
86703 8,812 5,552 $381K
90837 Psychotherapy, 53 minutes with patient 1,983 1,425 $369K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,746 1,703 $369K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 701 693 $359K
D0230 Intraoral - periapical each additional radiographic image 40,855 37,744 $356K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 3,736 3,646 $350K
C1769 Guide wire 1,979 1,841 $338K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 3,657 3,456 $337K
93976 1,106 1,080 $331K
76770 1,394 1,368 $318K
90715 12,792 12,281 $306K
86850 15,768 15,018 $306K
D9310 4,908 3,087 $288K
97161 3,912 3,881 $281K
90461 18,749 18,509 $279K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,481 1,457 $274K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,787 1,767 $271K
99385 2,567 2,537 $261K
12001 951 946 $260K
88305 Level IV - Surgical pathology, gross and microscopic examination 6,867 6,743 $255K
76830 Ultrasound, transvaginal 4,514 4,256 $255K
84703 32,521 28,494 $251K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,403 1,383 $249K
90746 4,358 4,343 $244K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 2,289 1,989 $242K
59025 Fetal non-stress test 3,628 3,187 $237K
54161 193 193 $232K
90681 14,285 6,651 $228K
86900 15,839 15,071 $224K
12011 780 772 $220K
76641 2,429 1,979 $217K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 9,110 3,974 $205K
85610 17,763 15,140 $199K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,570 1,477 $197K
0002A 5,079 5,072 $196K
86901 15,833 15,062 $195K
D2930 Prefabricated stainless steel crown - primary tooth 2,640 1,310 $194K
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 11,708 11,201 $193K
C7901 Service for diagnosis, evaluation, or treatment of a mental health or substance use disorder, 30-60 minutes, provided remotely by hospital staff who are licensed to provided mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service 3,397 1,860 $190K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 13,256 12,780 $189K
J3490 Unclassified drugs 27,317 16,216 $189K
82948 31,151 21,034 $187K
0001A 5,337 5,319 $184K
97802 4,545 4,519 $183K
D0210 Intraoral - complete series of radiographic images 5,803 4,951 $181K
95700 958 954 $180K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 3,424 2,999 $173K
90674 4,860 1,811 $172K
71275 Computed tomographic angiography, chest, with contrast material 949 932 $168K
87631 3,298 2,255 $167K
99386 1,480 1,462 $162K
99401 2,633 2,549 $158K
D0160 4,936 2,577 $155K
90620 5,355 2,593 $154K
97162 2,235 2,214 $150K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 73 73 $150K
90707 6,108 4,601 $150K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 20,836 19,598 $144K
47562 68 66 $143K
77065 Tomosynthesis, mammo 1,366 1,322 $143K
77066 Tomosynthesis, mammo 1,044 1,026 $136K
76642 1,827 1,726 $135K
D0270 6,957 5,200 $134K
58558 103 103 $130K
90472 Immunization administration, each additional vaccine (list separately) 8,603 8,499 $125K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 20,535 19,019 $125K
92550 3,211 3,115 $120K
82803 10,362 9,516 $119K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 4,995 4,952 $116K
99201 1,576 1,517 $111K
77063 Screening digital breast tomosynthesis, bilateral 2,807 2,772 $107K
93970 433 424 $107K
3E0234Z 344 45 $107K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2,359 1,765 $101K
88342 2,182 2,152 $96K
97803 3,516 3,482 $96K
D9430 1,981 1,483 $94K
J1050 Injection, medroxyprogesterone acetate, 1 mg 1,983 1,965 $94K
J0561 Injection, penicillin g benzathine, 100,000 units 561 477 $93K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,428 1,758 $91K
92523 445 441 $91K
97535 Self-care/home management training, each 15 minutes 2,871 1,158 $91K
C1874 Stent, coated/covered, with delivery system 24 24 $88K
90685 2,599 1,112 $84K
90734 3,193 2,393 $82K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 846 805 $82K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 110 109 $78K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 34,648 32,411 $77K
88307 1,179 1,169 $76K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 70 68 $76K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,310 2,270 $74K
D9110 2,068 1,406 $71K
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 68 65 $71K
71046 Radiologic examination, chest; 2 views 12,582 12,251 $70K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 2,855 2,440 $70K
12002 255 251 $69K
90732 899 883 $68K
90716 3,452 3,422 $68K
J7050 Infusion, normal saline solution, 250 cc 15,963 13,591 $68K
90677 892 892 $67K
86580 3,235 2,697 $67K
95816 222 219 $67K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,169 1,054 $66K
76000 1,306 1,273 $65K
99215 Prolong outpt/office vis 552 525 $63K
J7120 Ringers lactate infusion, up to 1000 cc 19,508 17,510 $63K
99397 821 809 $63K
83880 4,239 4,087 $60K
92526 837 320 $60K
D1354 2,591 496 $59K
C1887 Catheter, guiding (may include infusion/perfusion capability) 424 412 $58K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 8,349 8,066 $56K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,236 2,107 $55K
88720 4,130 3,005 $55K
99406 5,722 5,571 $55K
D0330 Panoramic radiographic image 2,178 1,777 $54K
90662 1,794 1,773 $54K
93798 1,408 320 $54K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,576 2,531 $53K
0004A 1,353 1,347 $52K
92250 1,214 1,200 $52K
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 1,384 1,303 $49K
76536 502 497 $48K
99383 472 471 $47K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 282 280 $45K
92579 1,332 1,329 $45K
73630 2,945 2,688 $44K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 642 627 $43K
99384 410 406 $43K
92557 1,626 1,618 $41K
88341 836 817 $41K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1,544 1,519 $40K
99173 806 466 $39K
10060 163 163 $39K
90648 2,669 919 $38K
C9600 Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch 14 13 $37K
0071A 940 937 $36K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 427 365 $35K
70486 1,122 1,104 $34K
88304 1,140 1,138 $33K
93971 713 699 $33K
0072A 826 826 $33K
58300 402 396 $33K
71260 Computed tomography, thorax, diagnostic; with contrast material 429 424 $32K
97542 216 211 $31K
70496 185 183 $31K
D1208 Topical application of fluoride, excluding varnish 1,402 1,299 $29K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2,573 2,527 $29K
96375 Therapeutic injection; each additional sequential IV push 11,462 10,608 $27K
93325 1,375 1,347 $26K
87428 566 513 $26K
97165 368 366 $24K
44970 12 12 $24K
J2704 Injection, propofol, 10 mg 19,017 11,933 $24K
72125 Computed tomography, cervical spine; without contrast material 2,159 2,104 $24K
90480 587 586 $23K
99442 483 468 $23K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 44,688 38,404 $22K
J7300 Intrauterine copper contraceptive (paragard) 24 24 $22K
93454 12 12 $22K
93304 176 172 $21K
S9465 Diabetic management program, dietitian visit 195 172 $21K
90696 2,176 1,553 $19K
D1353 503 182 $19K
J7030 Infusion, normal saline solution , 1000 cc 6,279 5,475 $19K
93320 307 306 $19K
0012A 456 455 $18K
S9140 Diabetic management program, follow-up visit to non-md provider 146 132 $17K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 175 94 $17K
77061 713 704 $17K
D3330 Endodontic therapy, molar tooth (excluding final restoration) 65 42 $17K
90744 4,226 4,015 $16K
99382 164 163 $16K
90882 74 36 $16K
77062 695 683 $16K
73562 1,773 1,646 $16K
71045 Radiologic examination, chest; single view 6,889 6,597 $15K
81002 2,471 2,365 $15K
90473 2,548 2,540 $15K
D0190 752 750 $15K
90749 849 760 $14K
90697 3,587 3,356 $14K
J1885 Injection, ketorolac tromethamine, per 15 mg 18,397 16,736 $14K
0124A 373 372 $14K
72100 856 851 $14K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 451 266 $13K
73610 2,060 1,985 $12K
D9219 270 155 $12K
91320 115 115 $12K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 119 63 $12K
0011A 536 531 $12K
80061 Lipid panel 1,150 1,138 $12K
D4341 174 68 $12K
58301 132 129 $11K
72131 411 409 $11K
96161 424 373 $11K
P9016 Red blood cells, leukocytes reduced, each unit 33 27 $11K
D9991 367 204 $11K
36416 1,805 1,626 $10K
J0690 Injection, cefazolin sodium, 500 mg 4,099 3,764 $10K
73502 730 704 $10K
92340 Fitting of spectacles, except for aphakia; monofocal 50 50 $10K
G0238 Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) 161 51 $10K
87070 3,220 3,004 $10K
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 2,135 2,098 $10K
94060 160 159 $10K
0054A 275 272 $9K
36430 33 27 $9K
29125 44 43 $9K
J0401 Injection, aripiprazole (abilify maintena), 1 mg 15 12 $9K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 958 429 $9K
80053 Comprehensive metabolic panel 1,086 938 $8K
J1170 Injection, hydromorphone, up to 4 mg 4,516 3,397 $8K
73030 1,865 1,778 $8K
57454 28 28 $8K
97166 132 130 $8K
J3010 Injection, fentanyl citrate, 0.1 mg 9,820 9,232 $8K
90847 Family psychotherapy with the patient present, 50 minutes 81 73 $8K
88142 189 122 $8K
76818 128 123 $8K
J0696 Injection, ceftriaxone sodium, per 250 mg 3,641 3,142 $7K
C1753 Catheter, intravascular ultrasound 13 12 $7K
93321 386 378 $7K
71250 87 87 $7K
D2331 91 49 $7K
94729 158 157 $7K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 9,406 8,567 $6K
81001 20,848 19,687 $6K
81003 2,599 2,538 $6K
90647 484 185 $6K
99441 234 234 $6K
77080 181 181 $6K
97035 166 94 $6K
73130 1,916 1,837 $6K
90688 154 79 $6K
J2250 Injection, midazolam hydrochloride, per 1 mg 8,388 8,173 $6K
85730 10,998 10,464 $6K
87254 164 109 $6K
0003A 161 161 $6K
90649 120 29 $6K
D0603 3,784 3,640 $6K
J1644 Injection, heparin sodium, per 1000 units 5,111 3,285 $5K
90632 162 160 $5K
0064A 137 132 $5K
87086 Culture, bacterial; quantitative colony count, urine 6,061 5,837 $5K
86780 1,088 1,071 $5K
84443 Thyroid stimulating hormone (TSH) 3,571 3,444 $5K
73110 1,351 1,281 $5K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 135 133 $5K
J3370 Injection, vancomycin hcl, 500 mg 774 624 $4K
97116 136 79 $4K
94727 143 142 $4K
84484 15,480 11,969 $4K
J3535 Drug administered through a metered dose inhaler 1,687 1,444 $4K
J2270 Injection, morphine sulfate, up to 10 mg 3,443 2,919 $4K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 836 820 $4K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 12 12 $4K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 7,921 7,097 $4K
73560 328 284 $4K
99443 52 52 $4K
J1815 Injection, insulin, per 5 units 2,022 998 $4K
92978 14 13 $4K
76870 171 160 $4K
88184 71 69 $4K
83735 9,863 7,599 $4K
90380 178 128 $4K
73590 1,242 1,177 $4K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 952 932 $3K
J2405 Injection, ondansetron hydrochloride, per 1 mg 12,966 11,844 $3K
85027 1,796 1,646 $3K
74220 32 32 $3K
G0008 Administration of influenza virus vaccine 637 635 $3K
J7060 5% dextrose/water (500 ml = 1 unit) 1,222 1,005 $3K
70551 Magnetic resonance imaging, brain; without contrast material 25 25 $3K
86360 81 81 $3K
83690 15,450 14,550 $3K
J1650 Injection, enoxaparin sodium, 10 mg 1,853 1,101 $3K
84702 5,675 5,174 $3K
J2765 Injection, metoclopramide hcl, up to 10 mg 3,719 3,511 $3K
70498 135 133 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 199 198 $3K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 1,284 1,249 $3K
72195 13 13 $3K
73564 325 296 $3K
90474 265 264 $3K
87507 38 37 $3K
82962 1,014 974 $3K
95705 14 13 $2K
D0321 116 108 $2K
90381 129 48 $2K
T2101 Human breast milk processing, storage and distribution only 68 29 $2K
72128 190 190 $2K
99496 15 15 $2K
D9995 66 40 $2K
11981 24 24 $2K
J2370 Injection, phenylephrine hcl, up to 1 ml 1,551 1,517 $2K
90839 15 12 $2K
96376 1,834 1,665 $2K
90661 42 14 $2K
97760 45 40 $2K
72170 1,091 1,071 $2K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 66 66 $2K
92083 23 12 $2K
0081A 52 52 $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 417 398 $2K
74018 465 451 $2K
97163 25 25 $2K
G0009 Administration of pneumococcal vaccine 184 183 $2K
88185 71 69 $2K
S0028 Injection, famotidine, 20 mg 4,341 4,054 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 168 165 $2K
87040 5,072 3,010 $2K
86803 362 349 $2K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 59 59 $2K
J2795 Injection, ropivacaine hydrochloride, 1 mg 548 384 $2K
73080 853 829 $2K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 1,353 977 $1K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 217 203 $1K
J3411 Injection, thiamine hcl, 100 mg 708 547 $1K
J1631 Injection, haloperidol decanoate, per 50 mg 66 62 $1K
J0780 Injection, prochlorperazine, up to 10 mg 423 404 $1K
82570 655 576 $1K
G0010 Administration of hepatitis b vaccine 106 106 $1K
73060 467 445 $1K
84439 1,192 1,173 $1K
J8540 Dexamethasone, oral, 0.25 mg 1,488 1,034 $1K
J3475 Injection, magnesium sulfate, per 500 mg 1,289 1,138 $1K
86140 2,736 2,607 $1K
93017 20 19 $1K
0134A 31 31 $1K
0082A 28 28 $1K
82607 400 395 $1K
91300 9,933 8,989 $1K
D9248 54 53 $1K
85384 424 372 $1K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 865 613 $1K
84100 4,091 2,916 $998.90
73090 836 808 $992.14
J2305 Injection, nitroglycerin, 5 mg 196 194 $934.81
90698 4,708 4,695 $933.09
D1999 18 18 $900.00
87186 1,283 1,249 $855.88
90710 1,345 1,332 $825.21
0013A 20 20 $823.45
D4342 27 14 $766.55
D2390 24 12 $764.50
99152 415 396 $690.57
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 896 798 $675.44
D0145 Oral evaluation for a patient under three years of age 16 12 $639.82
J7042 5% dextrose/normal saline (500 ml = 1 unit) 442 395 $638.12
87430 136 136 $615.11
0052A 15 15 $596.63
96380 24 24 $594.48
76882 15 13 $590.41
A9585 Injection, gadobutrol, 0.1 ml 48 48 $586.88
84156 299 275 $578.70
0154A 14 14 $571.47
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 177 102 $567.46
86357 17 17 $514.09
96367 16 15 $506.03
85652 1,897 1,819 $503.94
73010 130 124 $499.82
J1630 Injection, haloperidol, up to 5 mg 580 511 $480.94
84112 12 12 $475.65
73552 144 141 $465.48
85379 2,577 2,520 $449.47
83605 1,537 1,459 $434.36
J1200 Injection, diphenhydramine hcl, up to 50 mg 920 851 $432.97
73140 297 291 $425.32
82728 354 341 $397.67
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 140 91 $393.73
86923 15 12 $380.41
86359 17 17 $354.09
88172 12 12 $350.37
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 2,082 1,611 $345.90
87340 115 109 $324.99
82248 135 108 $315.78
88173 13 12 $304.88
84550 180 169 $299.31
D2330 13 13 $257.35
87205 523 505 $254.20
J0330 Injection, succinylcholine chloride, up to 20 mg 121 119 $244.66
82550 1,304 1,246 $241.77
74019 97 96 $238.89
D0240 14 13 $221.21
91307 310 291 $215.75
D1330 1,794 1,786 $210.23
86706 131 128 $195.18
99407 25 25 $184.17
80320 1,325 1,228 $182.15
82746 108 106 $175.50
87275 67 66 $171.54
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 723 716 $166.80
92133 13 12 $153.02
86769 13 12 $151.68
73120 25 24 $143.72
90723 328 328 $143.58
91312 309 309 $142.93
73100 55 54 $132.62
J2060 Injection, lorazepam, 2 mg 244 213 $112.53
86704 126 123 $110.66
83540 76 74 $103.63
J0694 Injection, cefoxitin sodium, 1 gm 14 14 $101.09
82247 84 65 $99.43
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 28 26 $98.24
72070 26 26 $96.67
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 2,934 2,373 $93.92
91305 201 194 $88.07
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 46 44 $87.95
D9920 13 13 $71.86
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 38 37 $61.93
J1580 Injection, garamycin, gentamicin, up to 80 mg 33 33 $54.92
83550 48 47 $54.31
J3480 Injection, potassium chloride, per 2 meq 95 69 $53.25
J1836 Injection, metronidazole, 10 mg 68 56 $50.93
J0697 Injection, sterile cefuroxime sodium, per 750 mg 26 26 $49.90
91308 110 106 $49.86
J2919 Injection, methylprednisolone sodium succinate, 5 mg 27 25 $49.56
73620 13 13 $42.82
83615 27 26 $42.16
82010 265 252 $34.98
90713 48 47 $33.53
J7510 Prednisolone oral, per 5 mg 39 39 $29.00
90700 383 382 $28.71
87899 14 13 $24.91
J7614 Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg 73 55 $21.37
85347 26 25 $20.11
82150 15 13 $16.54
91315 13 13 $10.30
91313 18 18 $9.95
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml 210 202 $9.87
86592 12 12 $9.53
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen 954 839 $8.44
91301 696 678 $5.94
J1171 Injection, hydromorphone, 0.1 mg 58 42 $2.25
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 23 21 $1.00
J1596 Injection, glycopyrrolate, 0.1 mg 71 63 $0.21
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 141 134 $0.00
G8984 Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals 64 61 $0.00
81007 134 131 $0.00
84145 126 122 $0.00
99080 55 13 $0.00
G0390 Trauma response team associated with hospital critical care service 13 13 $0.00
71100 27 27 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 16 16 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 122 116 $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 72 66 $0.00
87075 12 12 $0.00
D1310 1,770 1,765 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 197 195 $0.00
J1597 Injection, glycopyrrolate (glyrx-pf), 0.1 mg 16 14 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 12 12 $0.00
80329 121 120 $0.00
86361 56 56 $0.00
J7999 Compounded drug, not otherwise classified 12 12 $0.00
81015 22 22 $0.00