Medicaid Provider Spending

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

METROPOLITAN HOSPITAL

NPI: 1619923919 · WYOMING, MI 49519 · General Acute Care Hospital · NPI assigned 05/26/2006

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

Authorized official RUSSIAN, MISTY controls 20+ related entities in our dataset. Read more

$100.96M
Total Medicaid Paid
3,651,917
Total Claims
3,123,076
Beneficiaries
654
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUSSIAN, MISTY (MANAGER, PROVIDER ENROLLMENT)
NPI Enumeration Date05/26/2006

Related Entities

Other providers sharing the same authorized official: RUSSIAN, MISTY

ProviderCityStateTotal Paid
EDWARD W SPARROW HOSPITAL ASSOCIATION LANSING MI $125.88M
SPARROW IONIA HOSPITAL IONIA MI $13.76M
SPARROW EATON HOSPITAL CHARLOTTE MI $13.22M
SPARROW CLINTON HOSPITAL SAINT JOHNS MI $8.68M
EDWARD W. SPARROW HOSPITAL ASSOCIATION LANSING MI $5.81M
SPARROW CARSON HOSPITAL CARSON CITY MI $5.48M
EDWARD W. SPARROW HOSPITAL ASSOCIATION EAST LANSING MI $5.43M
SPARROW IONIA HOSPITAL IONIA MI $3.49M
SPARROW EATON HOSPITAL CHARLOTTE MI $3.12M
EDWARD W. SPARROW HOSPITAL ASSOCIATION LANSING MI $2.77M
EDWARD W. SPARROW HOSPITAL ASSOCIATION LANSING MI $2.61M
EDWARD W SPARROW HOSPITAL ASSOCIATION LANSING MI $2.48M
EDWARD W. SPARROW HOSPITAL ASSOCIATION MASON MI $2.44M
SPARROW COMMUNITY CARE LANSING MI $2.31M
EDWARD W SPARROW HOSPITAL ASSOCIATION LANSING MI $2.31M
EDWARD W SPARROW HOSPITAL ASSOCIATION LANSING MI $1.85M
EDWARD W. SPARROW HOSPITAL ASSOCIATION LANSING MI $1.83M
EDWARD W. SPARROW HOSPITAL ASSOCIATION LANSING MI $1.65M
SPARROW IONIA HOSPITAL PORTLAND MI $1.61M
SPARROW CARSON HOSPITAL ITHACA MI $1.54M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 389,418 $12.25M
2019 400,007 $10.90M
2020 462,286 $11.95M
2021 642,050 $17.74M
2022 649,884 $17.57M
2023 609,860 $16.42M
2024 498,412 $14.14M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 311,305 270,206 $10.24M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 207,425 187,382 $8.73M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 143,036 130,377 $8.60M
99284 Emergency department visit for the evaluation and management, high severity 27,062 25,658 $5.04M
99283 Emergency department visit for the evaluation and management, moderate severity 32,843 31,368 $3.90M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 9,435 8,969 $3.56M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 39,268 23,771 $1.92M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 20,783 18,819 $1.82M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 40,150 23,969 $1.80M
99282 Emergency department visit for the evaluation and management, low to moderate severity 24,979 23,889 $1.79M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 33,948 20,423 $1.67M
74177 Computed tomography, abdomen and pelvis; with contrast material 15,184 9,289 $1.43M
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 26,030 16,564 $1.41M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 17,031 16,660 $1.33M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 22,857 13,589 $1.20M
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 19,216 12,013 $1.10M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 10,818 7,527 $1.06M
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 11,696 3,296 $1.01M
45380 Colonoscopy, flexible; with biopsy, single or multiple 3,656 2,182 $999K
59426 1,156 1,155 $972K
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 14,958 14,292 $940K
99215 Prolong outpt/office vis 11,141 10,710 $910K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 1,224 1,212 $897K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 5,206 3,133 $894K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 2,958 1,723 $845K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 10,334 9,315 $812K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 8,953 8,457 $793K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 75,419 74,593 $781K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14,558 14,403 $758K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 3,141 1,493 $700K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 779 778 $687K
96361 Intravenous infusion, hydration; each additional hour 22,798 20,058 $676K
90472 Immunization administration, each additional vaccine (list separately) 36,594 36,265 $648K
J0585 Injection, onabotulinumtoxina, 1 unit 2,093 1,162 $634K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 22,254 8,110 $598K
70450 Computed tomography, head or brain; without contrast material 11,442 7,135 $590K
99232 Subsequent hospital care, per day, moderate complexity 14,167 4,272 $571K
71046 Radiologic examination, chest; 2 views 25,812 16,113 $559K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 541 541 $522K
90670 13,541 13,499 $483K
93975 6,653 4,452 $482K
99233 Prolong inpt eval add15 m 8,081 2,733 $472K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1,920 1,234 $468K
96375 Therapeutic injection; each additional sequential IV push 16,963 15,190 $468K
99223 Prolong inpt eval add15 m 4,540 3,507 $457K
74176 Computed tomography, abdomen and pelvis; without contrast material 5,675 3,605 $437K
76830 Ultrasound, transvaginal 9,275 6,443 $424K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 10,246 7,118 $422K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 3,270 2,058 $411K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 2,779 1,562 $373K
80061 Lipid panel 40,102 39,837 $373K
99385 6,400 4,078 $367K
71045 Radiologic examination, chest; single view 20,219 11,343 $367K
99205 Prolong outpt/office vis 3,620 3,582 $358K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,307 804 $350K
77067 Screening mammography, bilateral, including computer-aided detection 9,854 5,824 $344K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 173 163 $329K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 5,719 4,833 $327K
76705 Ultrasound, abdominal, real time with image documentation; limited 9,499 5,844 $324K
90651 7,391 7,255 $321K
87428 15,008 14,681 $306K
71275 Computed tomographic angiography, chest, with contrast material 4,529 2,967 $299K
90677 2,853 2,846 $283K
90750 2,048 2,044 $276K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 3,801 3,401 $266K
99381 5,458 3,593 $262K
59430 1,289 1,288 $262K
86900 9,099 8,834 $256K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 8,233 7,932 $255K
59025 Fetal non-stress test 5,806 2,755 $253K
71260 Computed tomography, thorax, diagnostic; with contrast material 3,508 2,276 $246K
84443 Thyroid stimulating hormone (TSH) 44,968 44,120 $245K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 1,346 973 $244K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 11,291 6,367 $241K
80053 Comprehensive metabolic panel 79,854 74,814 $231K
76801 4,303 3,184 $228K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 8,069 7,909 $226K
94060 3,458 2,226 $225K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 10,078 9,677 $216K
17110 5,017 2,787 $213K
99239 Hospital discharge day management, more than 30 minutes 3,618 3,459 $212K
90792 Psychiatric diagnostic evaluation with medical services 2,223 1,398 $212K
99496 2,810 1,855 $209K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 16,373 16,021 $208K
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 10,556 10,125 $200K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 3,523 3,341 $199K
82947 18,632 12,557 $193K
99383 3,644 2,331 $192K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 15,312 14,990 $192K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 22,693 17,481 $186K
58571 81 49 $185K
64615 2,038 1,175 $184K
90686 21,176 21,117 $181K
42820 Tonsillectomy and adenoidectomy; younger than age 12 140 89 $180K
99460 3,335 3,321 $179K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 116,129 100,614 $176K
20610 2,532 1,484 $175K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 11,256 5,465 $171K
99238 Hospital discharge day management, 30 minutes or less 3,905 3,876 $165K
90620 3,590 3,572 $164K
99386 2,385 1,543 $159K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 2,992 2,975 $157K
99384 2,738 1,748 $156K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 407 261 $148K
99495 2,371 1,609 $146K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 2,053 1,259 $145K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 11,636 11,449 $144K
99222 Initial hospital care, per day, moderate complexity 1,998 1,788 $142K
99382 2,753 1,758 $141K
99220 1,424 1,374 $132K
90716 8,158 8,143 $131K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 13,056 12,958 $131K
99281 Emergency department visit for the evaluation and management, self-limited or minor 3,320 3,250 $130K
97161 3,030 2,976 $130K
36415 Collection of venous blood by venipuncture 185,315 155,759 $129K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 1,584 927 $126K
77063 Screening digital breast tomosynthesis, bilateral 8,342 4,645 $123K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 9,700 9,674 $119K
93971 3,908 2,403 $116K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 29,414 27,274 $112K
97162 2,607 2,555 $107K
96367 2,480 1,597 $107K
99244 Office or other outpatient consultation, moderate to high complexity 1,307 1,295 $106K
76642 3,795 2,126 $106K
54150 1,485 1,453 $104K
90734 6,511 6,390 $102K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,450 1,445 $101K
90732 1,318 1,302 $100K
71250 2,837 1,820 $98K
76536 3,035 1,788 $96K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 9,390 9,099 $95K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,974 2,947 $94K
83036 Hemoglobin; glycosylated (A1C) 35,984 35,628 $94K
93458 130 90 $93K
76770 2,589 1,609 $89K
59514 111 110 $89K
47562 27 27 $88K
95811 400 262 $87K
95806 1,767 1,068 $87K
97530 Therapeutic activities, direct patient contact, each 15 minutes 5,506 2,880 $86K
86780 10,569 10,506 $82K
G9002 Coordinated care fee, maintenance rate 5,232 5,013 $82K
58662 63 36 $82K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 11,496 11,453 $76K
91320 715 713 $74K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 5,877 2,291 $71K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 5,204 5,180 $70K
90837 Psychotherapy, 53 minutes with patient 1,016 369 $70K
64405 720 424 $70K
90715 11,075 10,876 $69K
70496 1,215 749 $68K
90688 4,605 4,589 $64K
49083 311 98 $63K
99462 2,616 2,158 $62K
74018 8,007 4,598 $60K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 13,214 12,169 $59K
73630 10,778 5,953 $59K
70551 Magnetic resonance imaging, brain; without contrast material 964 603 $58K
72125 Computed tomography, cervical spine; without contrast material 3,120 2,077 $58K
82728 12,130 11,980 $57K
77065 Tomosynthesis, mammo 1,798 1,029 $56K
77066 Tomosynthesis, mammo 1,376 800 $55K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 571 356 $55K
58300 1,276 1,136 $55K
0002A 1,501 1,488 $54K
87653 2,869 2,861 $52K
G0378 Hospital observation service, per hour 4,359 3,880 $52K
72141 673 430 $51K
0001A 1,556 1,554 $50K
93970 932 615 $50K
99217 1,332 1,290 $48K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 1,297 1,279 $47K
99464 1,102 1,096 $47K
90474 8,007 7,985 $46K
70491 650 402 $44K
87086 Culture, bacterial; quantitative colony count, urine 24,481 23,068 $44K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 11,983 11,766 $44K
10060 565 425 $43K
80074 2,562 2,550 $43K
99243 790 784 $42K
70486 1,578 1,009 $42K
86003 2,390 1,175 $42K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 4,401 4,385 $41K
88305 Level IV - Surgical pathology, gross and microscopic examination 14,730 10,109 $41K
58301 656 547 $41K
G0476 Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test 2,006 2,003 $40K
74183 397 239 $40K
84466 9,304 9,155 $40K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 943 883 $39K
80048 Basic metabolic panel (calcium, ionized) 46,327 38,935 $38K
72100 3,609 2,128 $38K
93350 326 217 $38K
87070 14,103 13,671 $37K
86480 1,552 1,545 $37K
81025 27,600 26,494 $36K
20553 484 284 $36K
86803 8,090 8,071 $35K
88342 2,248 1,964 $35K
59425 72 71 $35K
73562 5,563 3,125 $34K
84702 7,886 6,026 $34K
87507 302 299 $33K
90480 870 868 $33K
73030 6,145 3,635 $31K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 96 96 $31K
G9007 Coordinated care fee, scheduled team conference 4,946 4,539 $31K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,789 1,282 $30K
94726 2,889 1,815 $30K
93017 1,923 1,896 $30K
99152 5,522 4,599 $29K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,565 1,359 $29K
64400 220 195 $29K
82607 6,893 6,835 $29K
84439 8,294 8,089 $29K
73610 5,994 3,456 $28K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 2,055 1,377 $28K
11750 309 129 $27K
83970 1,700 1,653 $27K
0071A 729 727 $27K
0012A 753 751 $25K
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 7,711 6,807 $25K
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring 85 85 $25K
11981 471 423 $25K
73130 5,658 3,127 $25K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 901 644 $24K
82670 1,975 1,965 $24K
97165 630 610 $24K
0124A 863 854 $24K
83540 10,627 9,968 $23K
84410 986 978 $23K
0072A 616 616 $23K
95886 1,181 790 $23K
59899 327 258 $22K
73502 3,609 2,206 $22K
83013 1,049 1,043 $21K
93016 1,909 1,884 $21K
70498 741 468 $21K
0054A 638 633 $21K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 68 68 $21K
73110 3,804 2,182 $20K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 5,499 4,609 $20K
43450 185 113 $20K
73564 2,708 1,726 $19K
0011A 752 752 $19K
11721 1,976 1,280 $18K
83001 2,278 2,274 $18K
99231 Subsequent hospital care, per day, straightforward or low complexity 765 472 $18K
0004A 495 486 $18K
96160 2,661 1,590 $18K
87340 7,638 7,610 $18K
83655 2,792 2,699 $18K
74178 188 120 $17K
95911 95 57 $17K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk 41 41 $17K
84146 2,435 2,404 $17K
97802 370 369 $17K
87205 13,216 12,715 $17K
98966 12,522 11,521 $16K
95251 900 895 $16K
78815 Positron emission tomography (PET) for limited area imaging 44 25 $16K
51798 1,054 893 $16K
83735 13,304 10,915 $16K
82570 11,516 11,210 $16K
69210 1,202 757 $15K
0064A 473 450 $15K
87186 8,261 7,604 $15K
85027 8,278 7,797 $15K
92133 890 889 $15K
83002 1,768 1,763 $15K
81001 37,400 35,151 $15K
85055 1,845 1,395 $14K
98926 1,941 1,227 $14K
92015 Determination of refractive state 1,659 1,658 $14K
93320 2,432 1,549 $14K
99406 2,243 1,499 $14K
11982 242 196 $14K
84403 1,277 1,265 $14K
93018 1,880 1,857 $14K
82043 9,532 9,474 $14K
83880 2,679 2,513 $13K
31231 309 198 $13K
81002 13,284 12,777 $13K
J1453 Injection, fosaprepitant, 1 mg 187 114 $13K
90656 1,254 1,254 $13K
72131 440 271 $13K
71271 302 169 $13K
84144 1,665 1,612 $13K
31575 271 177 $12K
58558 22 12 $12K
J2785 Injection, regadenoson, 0.1 mg 749 738 $12K
86580 1,372 1,290 $12K
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision 849 841 $12K
93298 853 852 $12K
76870 681 383 $12K
86850 8,253 8,084 $12K
99245 108 108 $12K
72114 777 433 $11K
74019 1,429 838 $11K
96127 10,663 10,493 $11K
73221 137 77 $11K
86225 2,618 2,536 $10K
76641 279 151 $10K
98967 5,497 5,041 $10K
83722 1,172 1,155 $10K
73140 1,798 1,036 $10K
43235 58 39 $10K
J1756 Injection, iron sucrose, 1 mg 310 128 $10K
97597 240 116 $10K
86769 535 373 $10K
82784 2,950 2,510 $10K
93296 575 575 $10K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 385 254 $10K
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography 39 39 $9K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,024 2,008 $9K
86762 3,455 3,435 $9K
86376 1,749 1,727 $9K
82746 1,904 1,888 $9K
88307 886 779 $9K
94729 3,896 2,432 $9K
81003 11,573 11,255 $9K
72040 989 566 $9K
86787 3,517 3,504 $9K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 25 13 $9K
99219 122 121 $8K
84481 1,177 1,152 $8K
86038 2,447 2,438 $8K
97803 316 313 $8K
87077 4,184 3,778 $8K
73590 1,972 1,119 $8K
86140 5,833 5,601 $8K
85610 10,188 8,672 $8K
80076 5,480 5,299 $8K
72050 808 482 $8K
72110 915 664 $8K
57454 78 74 $8K
87529 709 366 $7K
82950 2,805 2,795 $7K
86141 2,128 2,070 $7K
93244 552 551 $7K
85018 5,540 5,476 $7K
87088 3,710 3,611 $7K
94010 1,381 867 $7K
84480 1,154 1,122 $7K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 684 666 $6K
92557 876 865 $6K
92083 222 222 $6K
74174 66 39 $6K
87081 5,327 4,993 $6K
73560 1,537 874 $6K
83993 604 602 $6K
83516 1,356 1,054 $6K
99254 61 61 $6K
84703 5,164 5,046 $6K
90662 629 622 $5K
98927 972 687 $5K
93242 424 423 $5K
82248 11,814 10,593 $5K
86200 1,373 1,372 $5K
92551 1,663 1,663 $5K
84153 761 751 $5K
87147 4,563 3,097 $5K
86431 2,961 2,953 $5K
76937 1,130 776 $5K
83690 13,947 12,977 $4K
93325 3,507 2,292 $4K
86364 1,191 1,171 $4K
71101 541 297 $4K
99397 135 108 $4K
86706 1,112 1,106 $4K
88304 1,648 1,440 $4K
0134A 172 170 $4K
90473 426 426 $4K
98968 1,478 1,308 $4K
86901 9,148 8,883 $4K
76882 77 49 $4K
J1050 Injection, medroxyprogesterone acetate, 1 mg 1,284 1,282 $4K
85652 4,929 4,786 $3K
99221 70 66 $3K
86696 471 468 $3K
95713 13 13 $3K
93308 93 68 $3K
93000 404 403 $3K
72197 24 15 $3K
99421 329 315 $3K
99459 277 271 $3K
98925 531 315 $3K
73080 631 392 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument 747 746 $3K
93227 209 208 $3K
0081A 86 86 $3K
84550 1,975 1,892 $3K
93880 54 39 $3K
82247 1,033 635 $3K
85730 5,163 4,697 $3K
90679 12 12 $3K
80069 753 649 $3K
82105 555 545 $3K
11045 237 87 $3K
88341 1,187 744 $3K
73700 86 54 $3K
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 362 359 $3K
85651 2,879 2,754 $3K
72202 441 249 $3K
88112 322 312 $3K
99417 Prolong home eval add 15m 119 112 $3K
73070 665 365 $3K
90632 651 649 $3K
86704 648 642 $3K
83014 1,048 1,043 $3K
73090 621 347 $2K
93225 52 51 $2K
83615 1,291 1,163 $2K
86695 471 468 $2K
82565 1,863 1,769 $2K
72070 215 120 $2K
84100 2,725 2,154 $2K
92567 2,211 2,140 $2K
86160 512 275 $2K
0154A 60 60 $2K
76818 29 24 $2K
86235 107 55 $2K
86812 289 288 $2K
84156 1,621 1,495 $2K
82550 1,421 1,301 $2K
87522 Neg quan hep c or qual rna 113 95 $2K
90744 179 177 $2K
51701 581 550 $2K
82977 778 735 $2K
86665 376 189 $2K
J7120 Ringers lactate infusion, up to 1000 cc 12,897 11,175 $2K
0074A 63 63 $2K
0051A 46 46 $2K
J1644 Injection, heparin sodium, per 1000 units 6,300 2,935 $2K
90672 369 369 $2K
86308 1,198 1,183 $2K
J7030 Infusion, normal saline solution , 1000 cc 26,426 23,001 $2K
92587 12 12 $2K
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 63 63 $1K
Q9950 Injection, sulfur hexafluoride lipid microspheres, per ml 208 148 $1K
0052A 40 40 $1K
86694 250 249 $1K
86255 349 253 $1K
10022 15 13 $1K
84425 217 215 $1K
82627 110 110 $1K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,343 1,236 $1K
99487 Ccm add 20min 67 64 $1K
85379 2,859 2,804 $1K
92552 85 83 $1K
90714 623 619 $1K
69209 318 206 $1K
87045 254 254 $1K
74021 202 192 $1K
0031A 29 29 $1K
92136 51 50 $992.69
95700 13 13 $988.83
96417 41 25 $963.04
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 10,300 9,418 $961.45
72128 25 14 $951.06
96415 22 12 $900.41
87807 240 236 $867.06
82533 123 119 $854.92
87400 3,232 1,599 $852.10
73552 184 112 $830.02
86800 128 126 $824.82
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 233 228 $810.71
G0008 Administration of influenza virus vaccine 1,351 1,336 $799.94
97014 105 55 $785.65
87109 108 108 $763.88
0003A 21 21 $757.00
86008 13 12 $749.47
76857 23 14 $723.22
86664 189 189 $720.77
99441 93 92 $718.60
87563 88 87 $707.02
90707 7,794 7,771 $698.60
J2790 Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) 13 12 $679.86
92002 17 17 $667.32
84155 585 564 $651.69
73660 141 87 $639.47
86663 189 189 $618.63
87420 1,080 1,075 $613.76
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 2,058 2,009 $613.20
82951 76 76 $591.37
73521 48 27 $591.18
86039 301 300 $579.64
87220 529 464 $563.08
84484 11,763 9,238 $508.12
80164 111 102 $474.27
84590 88 88 $446.61
J1885 Injection, ketorolac tromethamine, per 15 mg 18,095 16,812 $435.71
80178 182 160 $405.73
87449 93 93 $403.77
11900 15 13 $389.90
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 36 36 $387.80
84165 106 105 $366.37
99442 40 38 $359.06
72170 56 39 $351.21
17000 14 12 $345.13
83021 81 81 $317.99
93321 117 82 $317.94
87493 27 27 $312.71
87075 371 328 $308.10
Q9957 Injection, perflutren lipid microspheres, per ml 96 95 $299.42
11102 15 15 $295.69
95249 13 13 $286.92
72220 43 24 $278.12
J2405 Injection, ondansetron hydrochloride, per 1 mg 25,914 22,106 $270.82
97535 Self-care/home management training, each 15 minutes 40 26 $243.43
81000 345 343 $235.66
94760 24,177 22,667 $218.81
84154 38 38 $208.74
93248 14 14 $207.76
92250 12 12 $203.22
76942 13 12 $200.53
87040 859 441 $200.40
85014 5,415 5,121 $182.72
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) 739 717 $178.94
92555 88 85 $176.24
J0696 Injection, ceftriaxone sodium, per 250 mg 4,097 3,589 $175.04
82952 75 75 $168.94
85046 81 79 $165.78
12001 266 256 $164.30
85660 66 66 $150.16
76377 33 28 $143.16
12002 53 52 $141.76
93922 17 12 $135.05
73060 44 25 $133.98
93246 14 14 $133.04
84080 39 39 $130.79
J2919 Injection, methylprednisolone sodium succinate, 5 mg 130 111 $126.94
J1100 Injection, dexamethasone sodium phosphate, 1 mg 17,165 15,621 $121.60
86618 26 26 $108.56
82310 96 77 $105.27
87324 29 29 $104.44
83605 2,607 1,971 $103.92
J2550 Injection, promethazine hcl, up to 50 mg 6,968 6,279 $100.59
73600 21 12 $90.89
82103 26 26 $87.08
82378 13 13 $82.15
87328 12 12 $77.42
73620 19 12 $75.19
29125 14 14 $74.88
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 12 12 $71.04
90696 3,440 3,435 $69.00
J3411 Injection, thiamine hcl, 100 mg 77 60 $68.08
87329 12 12 $67.14
98928 58 50 $66.96
12011 39 39 $66.17
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 1,136 991 $63.13
36000 6,805 6,656 $63.02
83525 12 12 $62.50
82272 52 50 $59.42
J0780 Injection, prochlorperazine, up to 10 mg 689 590 $57.48
J2360 Injection, orphenadrine citrate, up to 60 mg 3,740 3,613 $53.65
80047 5,206 4,958 $53.54
82085 12 12 $53.25
82652 15 15 $52.32
A9270 Non-covered item or service 32,466 30,236 $40.38
J2469 Injection, palonosetron hcl, 25 mcg 152 93 $40.22
87102 43 39 $38.12
G0009 Administration of pneumococcal vaccine 86 85 $36.58
J7050 Infusion, normal saline solution, 250 cc 7,882 4,193 $35.43
87641 33 30 $34.66
A9698 Non-radioactive contrast imaging material, not otherwise classified, per study 81 62 $33.00
84132 24 24 $32.31
87210 27 27 $26.03
82140 12 12 $25.56
J1040 Injection, methylprednisolone acetate, 80 mg 152 152 $23.43
S0020 Injection, bupivicaine hydrochloride, 30 ml 2,727 2,645 $22.06
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 525 466 $21.91
82150 13 13 $21.34
J2250 Injection, midazolam hydrochloride, per 1 mg 13,672 13,103 $20.29
83520 27 26 $19.09
96376 2,362 2,235 $18.77
95012 120 76 $16.00
85045 13 13 $15.81
93041 3,174 3,087 $15.64
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 74 71 $14.02
J1200 Injection, diphenhydramine hcl, up to 50 mg 5,784 5,096 $11.74
J3475 Injection, magnesium sulfate, per 500 mg 1,328 909 $11.16
J7070 Infusion, d5w, 1000 cc 1,627 732 $10.41
J0280 Injection, aminophyllin, up to 250 mg 12 12 $10.34
89051 50 26 $7.34
82010 26 25 $4.78
J2704 Injection, propofol, 10 mg 12,561 11,760 $3.49
J3480 Injection, potassium chloride, per 2 meq 380 198 $3.00
S0028 Injection, famotidine, 20 mg 2,072 1,731 $2.25
J1815 Injection, insulin, per 5 units 2,387 1,566 $2.12
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg 16 16 $0.00
90700 4,738 4,722 $0.00
A4565 Slings 1,984 1,951 $0.00
90633 8,522 8,495 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 517 397 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 370 351 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 15,803 15,070 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 8,879 7,576 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 602 595 $0.00
90681 6,517 6,498 $0.00
C1776 Joint device (implantable) 473 469 $0.00
90713 795 791 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 535 449 $0.00
J3370 Injection, vancomycin hcl, 500 mg 93 51 $0.00
C1729 Catheter, drainage 684 401 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 1,177 1,119 $0.00
99173 800 799 $0.00
90648 909 909 $0.00
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 25 25 $0.00
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 321 304 $0.00
82800 153 143 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 51 49 $0.00
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 207 199 $0.00
88173 76 53 $0.00
90685 96 96 $0.00
84145 57 53 $0.00
C1780 Lens, intraocular (new technology) 18 12 $0.00
99001 16 16 $0.00
76000 12 12 $0.00
A9578 Injection, gadobenate dimeglumine (multihance multipack), per ml 21 20 $0.00
C1769 Guide wire 1,974 1,824 $0.00
A9585 Injection, gadobutrol, 0.1 ml 3,572 3,505 $0.00
J1630 Injection, haloperidol, up to 5 mg 850 756 $0.00
90723 11,458 11,438 $0.00
90647 10,706 10,677 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 506 482 $0.00
J0690 Injection, cefazolin sodium, 500 mg 5,967 5,105 $0.00
J3490 Unclassified drugs 1,048 974 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 1,278 1,250 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 7,396 6,991 $0.00
90698 161 161 $0.00
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 2,693 2,536 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 2,937 1,578 $0.00
99153 Mod sedat endo service >5yrs 782 639 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 1,195 1,140 $0.00
J8501 Aprepitant, oral, 5 mg 633 625 $0.00
J2060 Injection, lorazepam, 2 mg 2,632 2,141 $0.00
90680 399 399 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 252 194 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 105 100 $0.00
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) 49 48 $0.00
88300 176 171 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 127 110 $0.00
C1889 Implantable/insertable device, not otherwise classified 479 476 $0.00
C1726 Catheter, balloon dilatation, non-vascular 12 12 $0.00
J3360 Injection, diazepam, up to 5 mg 298 273 $0.00
91318 25 25 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 152 134 $0.00
C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, other than peel-away 67 64 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 28 27 $0.00
91319 59 59 $0.00
96368 18 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 45 24 $0.00
36416 28 26 $0.00
90660 15 15 $0.00