Medicaid Provider Spending

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

SAINT MARY'S HEALTH SERVICES

NPI: 1639111057 · GRAND RAPIDS, MI 49503 · General Acute Care Hospital · NPI assigned 06/11/2006

$91.92M
Total Medicaid Paid
2,841,131
Total Claims
2,595,904
Beneficiaries
615
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBIERSACK, MATTHEW (PRESIDENT)
NPI Enumeration Date06/11/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 349,253 $10.44M
2019 348,717 $9.47M
2020 319,538 $9.93M
2021 458,443 $15.77M
2022 479,833 $16.11M
2023 504,801 $16.89M
2024 380,546 $13.30M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 342,475 291,285 $20.77M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 42,573 38,667 $13.37M
99284 Emergency department visit for the evaluation and management, high severity 50,431 45,330 $9.76M
99283 Emergency department visit for the evaluation and management, moderate severity 64,373 54,906 $7.94M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 38,978 34,996 $3.71M
99282 Emergency department visit for the evaluation and management, low to moderate severity 21,791 20,231 $1.57M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 22,152 20,666 $1.41M
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 23,455 22,441 $1.32M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 19,879 19,817 $1.29M
74177 Computed tomography, abdomen and pelvis; with contrast material 8,099 7,919 $1.10M
J0585 Injection, onabotulinumtoxina, 1 unit 2,968 1,735 $1.04M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 14,901 14,857 $976K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 12,362 12,307 $797K
96375 Therapeutic injection; each additional sequential IV push 28,008 24,327 $793K
70450 Computed tomography, head or brain; without contrast material 9,347 8,896 $778K
71046 Radiologic examination, chest; 2 views 20,869 19,917 $738K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 10,534 10,497 $692K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 66,265 65,711 $689K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 7,186 5,562 $664K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 6,303 6,215 $626K
96361 Intravenous infusion, hydration; each additional hour 18,136 15,709 $520K
90472 Immunization administration, each additional vaccine (list separately) 28,028 27,924 $515K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 10,338 10,276 $474K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 5,076 4,149 $468K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 23,171 19,139 $458K
95810 Polysomnography; sleep staging with 4 or more additional parameters 941 940 $443K
90677 3,511 3,506 $437K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 30,214 28,786 $433K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 30,193 28,783 $433K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,156 2,143 $430K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1,919 1,910 $421K
59025 Fetal non-stress test 4,243 1,744 $398K
71045 Radiologic examination, chest; single view 9,775 9,239 $361K
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 17,983 15,426 $361K
G0382 Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 4,204 4,117 $351K
80061 Lipid panel 33,528 33,325 $340K
74176 Computed tomography, abdomen and pelvis; without contrast material 3,100 3,047 $328K
76801 5,400 4,847 $318K
76705 Ultrasound, abdominal, real time with image documentation; limited 5,474 5,355 $317K
80053 Comprehensive metabolic panel 114,739 103,104 $305K
20610 2,097 1,969 $305K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 5,415 5,343 $294K
76830 Ultrasound, transvaginal 5,007 4,924 $289K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 297 293 $282K
77067 Screening mammography, bilateral, including computer-aided detection 5,368 5,356 $251K
84443 Thyroid stimulating hormone (TSH) 40,355 39,145 $250K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 33,876 29,353 $248K
99281 Emergency department visit for the evaluation and management, self-limited or minor 6,371 5,784 $248K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,227 743 $240K
90460 Immunization administration through 18 years of age via any route, first or only component 8,409 8,395 $236K
90686 27,862 27,745 $229K
41899 Unlisted procedure, dentoalveolar structures 105 103 $227K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,940 1,931 $226K
87536 4,671 4,585 $217K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 3,612 3,593 $215K
64615 1,626 1,620 $212K
95811 479 474 $203K
90651 5,920 5,905 $201K
G0378 Hospital observation service, per hour 5,893 5,311 $194K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 104,733 91,764 $178K
G0475 Hiv antigen/antibody, combination assay, screening 11,768 11,721 $173K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 4,058 3,898 $168K
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 5,860 5,840 $168K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1,636 1,632 $166K
90750 1,127 1,127 $163K
G0381 Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 3,380 3,307 $160K
64400 1,067 890 $159K
71275 Computed tomographic angiography, chest, with contrast material 1,844 1,816 $153K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 11,327 11,258 $152K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 372 372 $149K
83036 Hemoglobin; glycosylated (A1C) 35,614 35,243 $141K
93971 2,729 2,652 $141K
64405 928 843 $140K
99385 2,090 2,082 $133K
10060 1,498 1,449 $131K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 7,348 7,335 $127K
91320 1,177 1,172 $126K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 4,803 4,626 $124K
86900 8,273 7,858 $119K
97161 1,618 1,587 $116K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 3,492 2,629 $115K
G0383 Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 1,054 1,022 $112K
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 6,953 6,679 $111K
99381 1,704 1,692 $107K
81513 1,769 1,738 $105K
86360 3,754 3,722 $97K
36415 Collection of venous blood by venipuncture 118,740 105,067 $95K
70496 950 931 $93K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 6,260 6,249 $93K
Q3014 Telehealth originating site facility fee 5,826 5,425 $93K
88305 Level IV - Surgical pathology, gross and microscopic examination 6,852 6,714 $91K
70551 Magnetic resonance imaging, brain; without contrast material 818 812 $87K
97162 1,124 1,106 $85K
99383 1,274 1,273 $84K
94726 1,213 1,207 $84K
71250 1,611 1,608 $80K
0002A 2,277 2,267 $79K
72141 608 606 $76K
0001A 2,497 2,492 $74K
93976 1,287 1,259 $71K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 7,043 7,008 $71K
76642 1,962 1,943 $67K
85027 34,211 30,153 $65K
76536 2,049 1,953 $63K
86480 1,818 1,816 $59K
86780 6,933 6,870 $59K
77066 Tomosynthesis, mammo 1,046 1,039 $58K
90620 1,799 1,796 $56K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 2,059 1,172 $54K
82728 8,460 8,343 $54K
90834 Psychotherapy, 45 minutes with patient 1,150 970 $54K
90480 1,639 1,630 $53K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 445 437 $53K
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 3,263 3,255 $50K
87086 Culture, bacterial; quantitative colony count, urine 20,517 19,596 $50K
87653 3,774 3,760 $49K
17110 1,209 1,121 $49K
90837 Psychotherapy, 53 minutes with patient 953 708 $49K
82607 7,123 7,055 $48K
77063 Screening digital breast tomosynthesis, bilateral 3,871 3,864 $47K
80048 Basic metabolic panel (calcium, ionized) 20,761 18,034 $47K
90474 8,412 8,397 $47K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 1,692 1,641 $45K
86803 6,984 6,959 $45K
0124A 1,474 1,472 $43K
71271 747 747 $42K
99384 633 632 $42K
72100 3,059 3,020 $42K
G0380 Level 1 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 986 980 $42K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 304 241 $42K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 3,037 2,987 $40K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 8,157 7,840 $39K
84702 8,357 6,179 $38K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 39 39 $38K
99382 573 573 $37K
47562 12 12 $35K
90746 489 489 $33K
70491 290 286 $33K
81420 Fetal chromosomal aneuploidy genomic sequence analysis panel 164 162 $33K
73564 2,830 2,786 $33K
83655 4,448 4,322 $32K
70486 1,227 1,216 $32K
80074 1,655 1,643 $32K
95806 395 394 $30K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,808 1,063 $30K
73030 3,698 3,565 $30K
73562 2,342 2,329 $30K
93017 1,119 1,104 $29K
88342 1,176 1,157 $29K
90732 415 412 $29K
83970 1,648 1,608 $28K
83550 6,859 6,759 $28K
84439 7,896 7,694 $28K
90670 12,083 12,045 $28K
87340 7,288 7,250 $28K
45380 Colonoscopy, flexible; with biopsy, single or multiple 70 69 $27K
96161 1,870 1,842 $26K
97597 333 223 $26K
0054A 813 812 $26K
87481 2,162 2,116 $25K
99495 423 422 $25K
76775 958 943 $24K
99386 367 366 $24K
87522 Neg quan hep c or qual rna 1,280 1,209 $24K
73630 4,329 4,195 $23K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 396 381 $23K
83540 7,503 7,383 $23K
77065 Tomosynthesis, mammo 572 523 $22K
72125 Computed tomography, cervical spine; without contrast material 3,226 3,100 $22K
73502 2,464 2,391 $22K
86592 8,661 8,592 $22K
90678 74 73 $22K
90734 4,913 4,890 $21K
97165 759 736 $21K
87186 7,714 7,436 $21K
90791 Psychiatric diagnostic evaluation 341 340 $20K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 35,944 31,177 $20K
0004A 658 658 $20K
73610 3,872 3,594 $19K
83735 23,664 19,370 $19K
81025 7,014 6,823 $19K
90688 2,337 2,323 $19K
97166 504 496 $18K
84146 1,786 1,763 $18K
83880 3,699 3,527 $18K
84403 1,590 1,556 $18K
99406 1,321 1,288 $17K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 67 67 $17K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,401 4,321 $17K
86762 4,136 4,125 $17K
0012A 502 502 $17K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 1,589 1,584 $16K
73130 3,313 3,225 $16K
87077 6,091 5,896 $16K
82746 2,507 2,483 $16K
90716 4,097 4,092 $16K
87070 5,027 4,837 $16K
92551 2,264 2,261 $16K
87808 6,432 6,295 $15K
93246 894 888 $15K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 1,433 1,428 $15K
82043 5,794 5,759 $15K
81001 45,611 42,316 $15K
0071A 508 508 $15K
86850 8,138 7,729 $14K
90656 1,680 1,680 $14K
72110 460 458 $14K
85610 13,589 11,204 $14K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 39 39 $14K
74018 1,897 1,762 $13K
94010 1,238 1,231 $13K
0072A 370 369 $13K
96127 3,007 2,987 $13K
90694 533 532 $13K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 25 25 $13K
82570 6,012 5,704 $13K
83001 1,290 1,283 $12K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 43 43 $12K
0011A 496 496 $12K
96116 103 103 $11K
97802 598 598 $11K
84481 1,411 1,370 $11K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 3,009 2,957 $11K
86787 2,404 2,394 $11K
86593 3,183 3,159 $11K
73110 2,060 1,959 $11K
83516 1,235 718 $10K
82670 649 619 $10K
86235 242 238 $10K
P9016 Red blood cells, leukocytes reduced, each unit 57 52 $10K
86706 1,984 1,970 $10K
93970 97 97 $10K
0052A 266 266 $9K
86140 5,496 5,030 $9K
72040 679 668 $9K
70320 86 86 $9K
91200 168 166 $8K
87205 9,603 9,157 $8K
82962 8,158 7,802 $8K
99493 249 245 $8K
11982 92 90 $8K
87210 5,835 5,587 $8K
82784 1,259 1,247 $8K
0051A 240 239 $8K
80076 2,188 2,087 $8K
73140 895 874 $8K
90832 Psychotherapy, 30 minutes with patient 150 136 $8K
80305 8,677 7,947 $7K
82950 2,580 2,563 $7K
76870 376 368 $7K
92083 1,231 1,218 $7K
96367 169 151 $7K
80069 1,896 1,639 $7K
85018 6,122 6,081 $7K
74021 730 703 $7K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 6,772 5,613 $7K
90682 113 113 $7K
83002 690 685 $6K
86364 616 562 $6K
84703 25,750 24,282 $6K
86769 362 359 $6K
87088 2,756 2,654 $6K
95700 68 67 $6K
64483 14 14 $6K
86039 1,195 1,177 $6K
43235 27 26 $6K
85007 5,168 4,473 $6K
82105 678 664 $6K
81002 4,667 4,434 $6K
88307 223 219 $6K
80164 1,509 1,412 $6K
82951 745 742 $6K
85652 6,006 5,559 $6K
0081A 149 149 $5K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 446 384 $5K
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring 20 20 $5K
81003 12,032 11,594 $5K
86258 404 399 $5K
82947 206 200 $5K
86704 975 968 $5K
93350 30 29 $5K
92133 1,986 1,959 $5K
95713 24 24 $5K
11981 136 135 $5K
93351 17 17 $5K
87147 3,054 2,933 $5K
83690 19,350 17,916 $5K
87902 41 39 $4K
82248 1,751 1,420 $4K
77080 77 77 $4K
72072 313 311 $4K
73080 995 959 $4K
0154A 120 120 $4K
57454 26 26 $4K
84425 362 361 $4K
86038 665 662 $4K
69209 763 753 $4K
20553 32 30 $4K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 219 106 $4K
74183 28 28 $4K
87899 378 215 $4K
95909 25 25 $4K
85730 5,344 5,059 $4K
84550 2,025 1,903 $4K
84156 2,941 2,658 $4K
80055 112 112 $4K
82550 2,540 2,341 $4K
95913 12 12 $4K
70498 837 825 $4K
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 12 12 $3K
83615 1,629 1,334 $3K
84100 3,661 2,935 $3K
82140 1,086 967 $3K
73560 411 403 $3K
86901 8,659 8,193 $3K
87081 3,070 3,035 $3K
80197 546 401 $3K
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 45 43 $3K
76882 85 76 $3K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,751 2,438 $3K
0003A 105 105 $3K
88341 105 101 $3K
87529 138 116 $3K
10005 13 13 $3K
74019 372 366 $3K
73590 870 844 $3K
94060 27 27 $3K
95819 29 29 $3K
G0297 Low dose ct scan (ldct) for lung cancer screening 107 107 $3K
86431 1,116 1,109 $3K
0082A 79 78 $3K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 17 15 $3K
86580 374 355 $3K
82044 1,293 1,288 $3K
11750 16 12 $3K
71101 719 707 $3K
80159 259 201 $3K
96415 46 39 $3K
88142 317 316 $3K
78320 15 15 $3K
86696 292 277 $3K
84484 22,658 18,926 $2K
58100 24 24 $2K
90662 265 255 $2K
96118 27 26 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 112 109 $2K
87220 4,568 4,415 $2K
87641 180 179 $2K
80081 93 93 $2K
99484 124 124 $2K
95812 12 12 $2K
88304 842 833 $2K
84153 284 275 $2K
80178 869 791 $2K
58301 15 15 $2K
G0384 Level 5 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 12 12 $2K
74178 12 12 $2K
83020 450 439 $2K
86695 293 277 $2K
90744 4,388 4,367 $2K
87040 2,761 1,785 $2K
G0008 Administration of influenza virus vaccine 1,576 1,541 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 451 407 $2K
86708 279 279 $2K
82247 584 418 $2K
87338 222 221 $1K
87901 24 24 $1K
G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes 18 12 $1K
99492 44 43 $1K
82952 653 650 $1K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 131 89 $1K
86923 64 39 $1K
85379 4,664 4,559 $1K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 51 49 $1K
73700 26 26 $1K
0074A 56 56 $1K
85045 698 663 $1K
76770 14 14 $1K
84590 160 160 $1K
90653 90 87 $1K
87400 1,000 871 $1K
82533 118 101 $1K
86225 154 153 $972.16
83605 11,709 10,249 $969.69
96132 14 14 $949.39
86200 161 161 $947.21
99232 Subsequent hospital care, per day, moderate complexity 38 17 $930.23
12001 1,240 1,235 $915.09
87045 249 243 $911.67
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 48 48 $860.91
86376 111 111 $839.63
86003 25 24 $793.23
11721 59 59 $746.65
82805 1,417 1,287 $734.50
87900 24 24 $733.09
85660 422 409 $725.55
87517 50 49 $689.08
93298 40 40 $676.71
97535 Self-care/home management training, each 15 minutes 257 169 $652.69
58300 40 40 $648.94
76000 132 126 $594.62
82565 927 893 $592.45
73090 204 198 $570.00
0031A 19 19 $543.55
87563 31 27 $531.11
86800 61 61 $483.15
87449 84 76 $462.22
82150 140 138 $387.43
0053A 13 13 $380.55
86682 62 60 $364.62
88173 15 13 $356.73
87806 1,341 1,330 $350.11
87015 123 121 $348.75
87046 98 94 $346.64
87906 12 12 $333.67
0202U Oncology (prostate), multianalyte, gene expression profiling 1,232 1,216 $333.42
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 19 18 $331.90
90756 12 12 $306.90
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 235 232 $305.60
82274 25 25 $260.91
92060 546 541 $256.03
72050 12 12 $245.82
82652 16 16 $242.44
87430 3,054 3,018 $235.39
82330 32 12 $235.38
87075 104 91 $234.76
82010 1,167 1,058 $233.55
87101 88 82 $223.71
84144 22 17 $222.81
91319 159 159 $217.96
69210 77 76 $216.12
84466 42 42 $209.79
82955 44 44 $206.23
12011 438 435 $198.90
84480 27 26 $186.82
86308 289 287 $174.15
93299 13 12 $171.56
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 299 234 $170.98
82627 12 12 $168.22
91318 146 144 $162.82
87807 583 573 $160.89
83993 13 13 $159.21
87106 38 37 $158.44
90698 6,981 6,944 $158.08
J1050 Injection, medroxyprogesterone acetate, 1 mg 6,827 6,796 $156.00
84436 52 51 $155.56
72220 14 14 $146.54
93270 13 13 $135.24
86920 27 26 $131.88
95886 1,532 1,389 $129.52
86703 494 492 $123.48
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 232 231 $101.11
73000 14 12 $101.09
84165 27 27 $96.99
88172 17 13 $79.59
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 11,743 11,197 $77.11
84402 12 12 $71.75
J7030 Infusion, normal saline solution , 1000 cc 25,263 21,275 $71.26
87324 12 12 $69.88
72170 38 38 $64.84
93922 53 53 $64.79
76380 68 62 $63.24
86665 23 12 $61.32
93325 561 553 $60.01
96376 7,197 5,609 $59.44
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 755 660 $58.18
90715 11,530 11,480 $57.60
G0009 Administration of pneumococcal vaccine 53 52 $52.20
73552 29 28 $49.45
81000 26 26 $46.02
97116 31 24 $45.63
J1650 Injection, enoxaparin sodium, 10 mg 1,942 811 $45.12
93356 1,067 1,065 $43.56
J1885 Injection, ketorolac tromethamine, per 15 mg 29,714 26,861 $41.85
87581 235 232 $40.56
87486 235 232 $40.55
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 19 15 $38.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 27,891 24,321 $34.97
87209 26 26 $29.74
85004 16 12 $29.12
87102 15 12 $23.60
J2270 Injection, morphine sulfate, up to 10 mg 7,272 6,469 $19.09
84460 13 12 $17.60
J0696 Injection, ceftriaxone sodium, per 250 mg 6,374 5,761 $17.44
87177 26 26 $14.87
99152 172 167 $13.86
96138 67 67 $12.91
94760 226 143 $12.50
J7120 Ringers lactate infusion, up to 1000 cc 9,511 7,650 $12.45
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 2,810 2,473 $11.30
J2360 Injection, orphenadrine citrate, up to 60 mg 5,245 4,967 $11.13
J3010 Injection, fentanyl citrate, 0.1 mg 11,939 10,337 $10.26
J0690 Injection, cefazolin sodium, 500 mg 5,935 5,040 $8.50
83520 1,912 1,263 $6.00
J1790 Injection, droperidol, up to 5 mg 2,233 2,025 $4.38
A9270 Non-covered item or service 3,749 1,151 $3.59
J1100 Injection, dexamethasone sodium phosphate, 1 mg 9,637 8,973 $2.99
J1200 Injection, diphenhydramine hcl, up to 50 mg 11,055 9,525 $2.93
J1170 Injection, hydromorphone, up to 4 mg 8,684 6,954 $2.71
J1920 Injection, labetalol hydrochloride, 5 mg 42 40 $2.19
J0780 Injection, prochlorperazine, up to 10 mg 2,480 2,229 $2.04
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 1,036 760 $1.87
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 89 65 $1.64
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 966 869 $1.50
J2060 Injection, lorazepam, 2 mg 4,256 3,648 $1.00
36416 1,827 1,683 $0.92
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 102 73 $0.50
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 381 374 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 256 247 $0.00
90648 5,998 5,991 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 523 517 $0.00
A9575 Injection, gadoterate meglumine, 0.1 ml 2,705 2,647 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 2,984 2,360 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 989 834 $0.00
90700 2,774 2,774 $0.00
90707 4,004 3,999 $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 65 57 $0.00
J1644 Injection, heparin sodium, per 1000 units 2,490 1,712 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 449 442 $0.00
90681 2,720 2,718 $0.00
90633 7,536 7,527 $0.00
94729 1,148 1,143 $0.00
90710 3,208 3,200 $0.00
90685 990 989 $0.00
91300 383 364 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,049 988 $0.00
77002 221 214 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 155 149 $0.00
J1071 Injection, testosterone cypionate, 1 mg 19 12 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 40 40 $0.00
A4315 Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone 24 24 $0.00
J3486 Injection, ziprasidone mesylate, 10 mg 330 282 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,522 1,502 $0.00
76376 708 705 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 57 54 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 251 232 $0.00
J3370 Injection, vancomycin hcl, 500 mg 66 54 $0.00
J2800 Injection, methocarbamol, up to 10 ml 13 13 $0.00
C1758 Catheter, ureteral 124 121 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 71 52 $0.00
J1953 Injection, levetiracetam, 10 mg 17 12 $0.00
29125 25 25 $0.00
76937 93 88 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 77 76 $0.00
J1171 Injection, hydromorphone, 0.1 mg 166 137 $0.00
90713 64 64 $0.00
87660 12 12 $0.00
76942 24 24 $0.00
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 13 12 $0.00
90671 91 91 $0.00
99173 92 92 $0.00
J1756 Injection, iron sucrose, 1 mg 19 12 $0.00
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 12 12 $0.00
0502F 39 30 $0.00
J2310 Injection, naloxone hydrochloride, per 1 mg 21 14 $0.00
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 13 13 $0.00
64447 12 12 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 191 186 $0.00
90696 3,242 3,235 $0.00
J1815 Injection, insulin, per 5 units 882 387 $0.00
J1630 Injection, haloperidol, up to 5 mg 1,785 1,527 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 1,309 1,091 $0.00
J7050 Infusion, normal saline solution, 250 cc 1,650 1,213 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 28 25 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 249 247 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 4,440 4,076 $0.00
90680 6,385 6,360 $0.00
90647 952 951 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,527 3,300 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 522 502 $0.00
90723 5,148 5,143 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 777 587 $0.00
73660 13 13 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 6,652 6,285 $0.00
J3411 Injection, thiamine hcl, 100 mg 522 415 $0.00
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1,230 1,177 $0.00
12002 163 163 $0.00
J3490 Unclassified drugs 3,565 2,500 $0.00
A9585 Injection, gadobutrol, 0.1 ml 321 315 $0.00
J2704 Injection, propofol, 10 mg 9,867 8,342 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 404 325 $0.00
C1769 Guide wire 1,210 1,147 $0.00
J2785 Injection, regadenoson, 0.1 mg 185 185 $0.00
G0471 Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) 1,868 1,168 $0.00
J3480 Injection, potassium chloride, per 2 meq 323 212 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 13 12 $0.00
93320 184 182 $0.00
95885 55 52 $0.00
99494 113 113 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 306 303 $0.00
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 70 51 $0.00
A4344 Indwelling catheter, foley type, two-way, all silicone or polyurethane, each 30 30 $0.00
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 412 400 $0.00
90632 78 78 $0.00
96139 67 66 $0.00
0352U 839 815 $0.00
A4648 Tissue marker, implantable, any type, each 52 51 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 25 25 $0.00
90619 52 52 $0.00
87480 12 12 $0.00
J8501 Aprepitant, oral, 5 mg 15 15 $0.00
99153 Mod sedat endo service >5yrs 30 29 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 43 34 $0.00
J1940 Injection, furosemide, up to 20 mg 14 13 $0.00
80320 33 30 $0.00
J3360 Injection, diazepam, up to 5 mg 51 50 $0.00
C1781 Mesh (implantable) 13 13 $0.00
87510 12 12 $0.00
64415 12 12 $0.00
A9561 Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries 28 28 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 14 13 $0.00
90381 12 12 $0.00
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 12 12 $0.00
84270 13 13 $0.00
73060 13 13 $0.00