Medicaid Provider Spending

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

NPI: 1649726738 · GREENVILLE, SC 29605 · General Acute Care Hospital · NPI assigned 08/29/2016

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

Authorized official MILLER, POLLY controls 20+ related entities in our dataset. Read more

$86.91M
Total Medicaid Paid
2,761,731
Total Claims
2,353,572
Beneficiaries
574
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMILLER, POLLY (VP PAYOR STRATEGIES & ALIGNMENT)
NPI Enumeration Date08/29/2016

Related Entities

Other providers sharing the same authorized official: MILLER, POLLY

ProviderCityStateTotal Paid
PRISMA HEALTH-MIDLANDS COLUMBIA SC $74.58M
PRISMA HEALTH-MIDLANDS COLUMBIA SC $68.26M
PRISMA HEALTH-UPSTATE GREENVILLE SC $25.04M
PRISMA HEALTH-UPSTATE GREENVILLE SC $21.98M
PRISMA HEALTH-UPSTATE GREENVILLE SC $19.69M
PRISMA HEALTH-UPSTATE SENECA SC $15.64M
PRISMA HEALTH-MIDLANDS COLUMBIA SC $11.77M
PRISMA HEALTH-UPSTATE GREENVILLE SC $10.74M
GREENVILLE HEALTH CORPORATION GREENVILLE SC $8.90M
PRISMA HEALTH-UPSTATE GREENVILLE SC $8.32M
PRISMA HEALTH-UPSTATE GREENVILLE SC $7.45M
PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC $7.44M
PRISMA HEALTH-MIDLANDS COULMBIA SC $7.43M
PRISMA HEALTH-MIDLANDS COLUMBIA SC $6.88M
PRISMA HEALTH TUOMEY SUMTER SC $6.84M
PRISMA HEALTH-MIDLANDS COLUMBIA SC $6.77M
PRISMA HEALTH-UPSTATE GREENVILLE SC $6.37M
PRISMA HEALTH-UPSTATE GREENVILLE SC $5.00M
PRISMA HEALTH-UPSTATE GREENVILLE SC $4.65M
PRISMA HEALTH-MIDLANDS COLUMBIA SC $4.63M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 347,628 $11.80M
2019 399,519 $11.19M
2020 404,283 $11.61M
2021 475,504 $15.81M
2022 456,685 $14.81M
2023 372,540 $12.46M
2024 305,572 $9.23M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
80053 Comprehensive metabolic panel 105,844 91,373 $7.30M
36415 Collection of venous blood by venipuncture 71,607 52,144 $6.50M
99283 Emergency department visit for the evaluation and management, moderate severity 93,539 86,459 $5.64M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 3,850 3,650 $4.30M
99282 Emergency department visit for the evaluation and management, low to moderate severity 28,544 26,788 $4.13M
80048 Basic metabolic panel (calcium, ionized) 56,818 43,064 $3.53M
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 1,633 1,591 $2.91M
70551 Magnetic resonance imaging, brain; without contrast material 4,623 4,504 $2.70M
96361 Intravenous infusion, hydration; each additional hour 40,798 29,574 $2.48M
86850 17,522 16,084 $1.82M
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 16,459 15,526 $1.77M
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 15,580 14,619 $1.68M
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 20,780 19,675 $1.59M
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 34,066 17,513 $1.54M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 33,138 29,218 $1.46M
88305 Level IV - Surgical pathology, gross and microscopic examination 9,989 9,479 $1.41M
81025 24,398 22,785 $1.39M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 16,495 14,364 $1.31M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 24,745 21,649 $1.26M
87086 Culture, bacterial; quantitative colony count, urine 54,677 51,490 $1.01M
0202U Oncology (prostate), multianalyte, gene expression profiling 6,533 6,306 $1.01M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 11,761 11,273 $945K
99284 Emergency department visit for the evaluation and management, high severity 55,364 51,159 $912K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20,761 17,908 $891K
93041 2,825 2,350 $705K
71046 Radiologic examination, chest; 2 views 20,205 19,208 $673K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 11,751 11,300 $664K
72141 910 894 $659K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13,133 11,249 $654K
81001 54,531 50,007 $599K
87081 27,849 27,367 $593K
81003 18,283 17,291 $552K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 7,871 1,932 $531K
87077 20,770 19,749 $529K
70450 Computed tomography, head or brain; without contrast material 15,304 14,246 $522K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 60,497 54,819 $518K
96375 Therapeutic injection; each additional sequential IV push 24,145 19,493 $495K
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 5,987 5,684 $471K
87070 10,535 10,034 $422K
76705 Ultrasound, abdominal, real time with image documentation; limited 10,590 9,979 $405K
76870 1,548 1,489 $403K
76775 4,097 3,984 $390K
85610 20,875 15,972 $378K
74018 6,521 6,025 $364K
76770 2,959 2,894 $353K
99281 Emergency department visit for the evaluation and management, self-limited or minor 2,849 2,685 $330K
71045 Radiologic examination, chest; single view 27,865 24,721 $325K
86900 18,139 16,647 $321K
83986 1,440 1,320 $319K
82565 1,797 1,631 $309K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1,399 1,371 $309K
G0378 Hospital observation service, per hour 40,342 32,394 $304K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,699 8,580 $298K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 17,646 16,727 $298K
H1001 Prenatal care, at-risk enhanced service; antepartum management 1,732 847 $290K
51600 939 922 $285K
76885 1,974 1,932 $278K
J7121 5% dextrose in lactated ringers infusion, up to 1000 cc 1,067 713 $267K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,958 2,800 $244K
76700 Ultrasound, abdominal, real time with image documentation; complete 1,850 1,812 $228K
74019 3,571 3,405 $223K
31575 570 549 $217K
76000 4,143 3,831 $209K
74230 1,843 1,807 $204K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 9,021 5,843 $199K
73080 2,032 1,929 $196K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4,185 2,638 $189K
80047 2,424 2,275 $189K
73090 2,409 2,308 $186K
87486 2,173 2,094 $183K
88300 1,704 1,664 $179K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 10,239 6,222 $174K
88307 1,985 1,858 $171K
99152 4,404 3,886 $168K
73130 2,466 2,320 $162K
88304 2,981 2,835 $162K
T1001 Nursing assessment / evaluation 929 601 $158K
71260 Computed tomography, thorax, diagnostic; with contrast material 2,522 2,378 $156K
83655 10,080 10,000 $156K
78815 Positron emission tomography (PET) for limited area imaging 1,609 1,566 $151K
84702 8,685 7,387 $149K
86140 18,472 16,763 $143K
80061 Lipid panel 21,523 20,928 $139K
12011 1,429 1,406 $137K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 115,183 93,716 $135K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 14,583 14,006 $130K
73110 2,369 2,234 $130K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 398 285 $127K
12001 1,136 1,127 $127K
74022 3,713 3,557 $118K
J7042 5% dextrose/normal saline (500 ml = 1 unit) 1,051 772 $116K
73030 2,742 2,540 $115K
76536 1,124 1,103 $115K
96376 14,504 9,133 $113K
93971 1,410 1,329 $111K
76937 2,965 2,588 $111K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 13,809 11,233 $110K
73610 3,205 2,976 $110K
73590 2,743 2,464 $109K
73630 2,879 2,711 $105K
80076 8,806 7,726 $105K
96367 2,890 2,315 $101K
71275 Computed tomographic angiography, chest, with contrast material 3,304 3,124 $101K
86780 8,956 8,683 $100K
72146 418 409 $98K
94010 250 244 $98K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 790 752 $96K
85027 51,099 43,146 $94K
73564 3,030 2,813 $93K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 9,136 8,887 $85K
95782 95 95 $85K
J7120 Ringers lactate infusion, up to 1000 cc 44,568 39,147 $85K
82728 8,527 8,114 $84K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 43,936 36,868 $83K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 4,391 4,240 $82K
87210 3,313 3,169 $82K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 574 569 $82K
42820 Tonsillectomy and adenoidectomy; younger than age 12 1,379 1,345 $81K
C1769 Guide wire 7,048 6,231 $80K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 5,091 4,753 $79K
J3490 Unclassified drugs 39,281 22,820 $76K
87340 7,476 6,984 $74K
84443 Thyroid stimulating hormone (TSH) 30,501 29,306 $72K
97530 Therapeutic activities, direct patient contact, each 15 minutes 7,038 2,194 $69K
74177 Computed tomography, abdomen and pelvis; with contrast material 9,213 8,650 $68K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 1,201 1,162 $67K
72040 1,687 1,617 $66K
82950 5,105 5,038 $65K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,952 3,884 $64K
82247 2,601 1,842 $63K
80074 2,015 1,899 $60K
73140 477 457 $60K
84484 22,673 18,066 $58K
J0690 Injection, cefazolin sodium, 500 mg 16,926 13,451 $56K
70250 315 284 $52K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 621 611 $51K
83036 Hemoglobin; glycosylated (A1C) 17,192 16,419 $50K
87045 1,303 1,265 $49K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 1,312 1,308 $48K
J2405 Injection, ondansetron hydrochloride, per 1 mg 40,635 33,658 $47K
82570 8,438 7,501 $47K
73060 872 821 $46K
82945 613 573 $46K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,663 4,392 $46K
95810 Polysomnography; sleep staging with 4 or more additional parameters 78 78 $45K
84439 6,741 6,449 $43K
85014 5,120 4,114 $43K
88313 155 145 $41K
86592 1,869 1,737 $39K
97162 4,461 3,935 $39K
49083 64 49 $39K
82330 1,726 1,526 $39K
72100 1,850 1,783 $39K
25605 107 107 $39K
70486 996 952 $37K
97161 684 623 $37K
85007 13,849 11,571 $36K
73552 1,559 1,421 $36K
82043 3,899 3,806 $36K
70496 1,235 1,166 $35K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 894 794 $34K
74455 882 856 $34K
J1650 Injection, enoxaparin sodium, 10 mg 12,989 4,532 $34K
93458 458 432 $33K
82805 1,532 1,310 $32K
76857 1,438 1,379 $31K
76882 497 472 $30K
82607 4,761 4,563 $29K
73560 980 897 $28K
76830 Ultrasound, transvaginal 2,634 2,402 $27K
72125 Computed tomography, cervical spine; without contrast material 4,757 4,468 $27K
70491 420 407 $26K
J7030 Infusion, normal saline solution , 1000 cc 34,495 28,347 $26K
D2930 Prefabricated stainless steel crown - primary tooth 138 133 $25K
10060 170 164 $25K
83020 1,734 1,480 $24K
J2250 Injection, midazolam hydrochloride, per 1 mg 18,751 16,526 $24K
94060 77 74 $24K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 76 69 $24K
99502 135 115 $24K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 406 395 $24K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 117 101 $23K
12002 354 349 $23K
70544 132 124 $23K
87807 375 368 $22K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,233 2,107 $22K
72170 1,724 1,638 $22K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 742 727 $22K
82947 2,794 2,519 $21K
80069 736 622 $20K
70360 263 256 $20K
82670 431 407 $20K
82550 4,529 3,979 $19K
89051 1,797 1,638 $18K
83993 470 459 $18K
73501 892 838 $18K
72197 13 12 $18K
73070 167 161 $18K
93975 870 833 $18K
85018 3,433 2,454 $17K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,771 1,697 $17K
84132 3,625 3,120 $17K
90686 1,655 1,581 $16K
36416 3,578 2,374 $16K
87507 440 431 $16K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1,615 1,568 $16K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 574 158 $16K
84145 4,873 4,367 $16K
87040 10,221 9,237 $15K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 595 573 $15K
82784 1,784 1,696 $15K
J3480 Injection, potassium chloride, per 2 meq 6,526 4,527 $15K
86308 980 974 $15K
84100 10,935 7,557 $15K
84146 1,258 1,206 $15K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,729 1,683 $15K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 20,876 18,264 $14K
82105 1,377 1,327 $14K
93308 1,949 1,834 $14K
97542 367 284 $14K
J1815 Injection, insulin, per 5 units 11,341 4,131 $14K
43235 296 286 $13K
88173 260 243 $13K
83001 947 935 $13K
70498 1,162 1,099 $13K
83735 26,039 17,969 $12K
J1644 Injection, heparin sodium, per 1000 units 16,577 6,693 $12K
86706 1,368 1,281 $12K
77001 696 624 $12K
86803 7,535 7,295 $12K
85347 117 108 $12K
93970 139 128 $12K
82803 4,627 4,189 $12K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,325 310 $12K
83516 1,327 1,293 $12K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 1,358 1,255 $12K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 297 267 $11K
87205 5,700 5,293 $11K
J3370 Injection, vancomycin hcl, 500 mg 2,454 1,506 $11K
93017 906 863 $11K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 2,995 1,454 $11K
J2550 Injection, promethazine hcl, up to 50 mg 3,508 2,735 $11K
42975 234 203 $11K
94664 2,073 1,795 $11K
86480 622 587 $10K
36600 243 193 $10K
J1200 Injection, diphenhydramine hcl, up to 50 mg 6,701 5,539 $10K
83880 8,382 7,356 $10K
83540 7,252 6,920 $10K
83690 21,634 19,288 $10K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 191 54 $9K
84157 727 675 $9K
86038 1,654 1,589 $9K
J0696 Injection, ceftriaxone sodium, per 250 mg 10,286 7,914 $9K
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 5,212 4,497 $9K
78264 37 36 $9K
J2270 Injection, morphine sulfate, up to 10 mg 11,529 8,939 $9K
C1760 Closure device, vascular (implantable/insertable) 549 503 $9K
J1885 Injection, ketorolac tromethamine, per 15 mg 21,325 17,617 $9K
43762 290 269 $9K
92610 734 653 $9K
31622 828 736 $9K
84550 2,859 2,562 $9K
10061 111 109 $8K
95811 15 15 $8K
82077 6,155 5,559 $8K
83615 3,577 3,176 $7K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 2,348 2,260 $7K
82272 123 119 $7K
J3475 Injection, magnesium sulfate, per 500 mg 4,379 3,479 $7K
87522 Neg quan hep c or qual rna 1,366 1,294 $7K
82270 67 64 $7K
G0379 Direct admission of patient for hospital observation care 1,040 1,004 $7K
72156 12 12 $7K
59025 Fetal non-stress test 4,443 3,686 $7K
44970 437 425 $7K
97116 1,371 511 $7K
84156 5,887 4,890 $7K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 4,696 4,551 $7K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 28,221 24,922 $7K
91010 26 25 $7K
J1170 Injection, hydromorphone, up to 4 mg 18,382 13,353 $7K
73100 109 99 $7K
93798 122 25 $6K
76377 13 13 $6K
86695 284 271 $6K
82951 579 576 $6K
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 3,532 2,881 $6K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 4,292 3,688 $6K
73562 193 177 $6K
J1745 Injection, infliximab, excludes biosimilar, 10 mg 163 90 $6K
82627 100 100 $6K
A4314 Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) 254 224 $6K
62270 150 136 $6K
88112 158 146 $5K
84295 1,668 1,402 $5K
80164 1,786 1,510 $5K
76604 279 265 $5K
31526 528 483 $5K
82962 116 96 $5K
82435 567 499 $5K
C1726 Catheter, balloon dilatation, non-vascular 333 300 $5K
76942 1,185 1,098 $5K
71250 69 64 $5K
88302 61 58 $5K
36430 1,087 827 $5K
80143 2,265 2,098 $5K
69210 45 45 $5K
74270 29 29 $4K
01961 38 38 $4K
80177 537 492 $4K
95700 707 688 $4K
J7050 Infusion, normal saline solution, 250 cc 1,441 1,367 $4K
87324 212 198 $4K
93976 3,465 3,266 $4K
87338 134 131 $4K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 5,276 4,671 $4K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 5,441 5,080 $4K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 944 643 $4K
A9585 Injection, gadobutrol, 0.1 ml 4,506 4,187 $4K
74420 138 130 $4K
J3010 Injection, fentanyl citrate, 0.1 mg 15,911 14,358 $4K
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 1,283 1,059 $4K
97166 1,086 920 $4K
J2060 Injection, lorazepam, 2 mg 3,614 2,784 $3K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 39 38 $3K
87177 312 301 $3K
86704 321 306 $3K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 3,895 2,189 $3K
84402 506 498 $3K
72070 97 96 $3K
85379 4,619 4,381 $3K
76801 542 496 $3K
G0257 Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility 1,705 465 $3K
83970 1,574 1,475 $3K
88184 30 27 $3K
51798 1,238 879 $3K
86762 4,960 4,725 $3K
85384 1,147 949 $3K
87102 284 262 $3K
84403 1,330 1,288 $3K
C9285 Lidocaine 70 mg/tetracaine 70 mg, per patch 909 851 $3K
83605 9,854 8,321 $3K
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 2,154 1,636 $3K
82150 249 233 $2K
J2785 Injection, regadenoson, 0.1 mg 677 640 $2K
31720 17 15 $2K
P9016 Red blood cells, leukocytes reduced, each unit 1,008 825 $2K
95716 216 192 $2K
43248 393 371 $2K
J0330 Injection, succinylcholine chloride, up to 20 mg 6,599 6,024 $2K
73000 26 26 $2K
72158 39 39 $2K
90715 2,614 2,525 $2K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 11,583 11,116 $2K
83520 109 108 $2K
95249 15 12 $2K
86769 200 196 $2K
97165 754 693 $2K
52356 39 39 $2K
0002A 50 49 $2K
82533 183 168 $2K
85730 8,822 7,851 $2K
86580 2,065 1,663 $2K
86160 274 263 $1K
25600 37 37 $1K
36561 28 28 $1K
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 19 17 $1K
Q3014 Telehealth originating site facility fee 280 235 $1K
74330 48 40 $1K
51701 418 347 $1K
96368 314 291 $1K
80081 12 12 $1K
82465 221 215 $1K
82785 14 14 $1K
J2765 Injection, metoclopramide hcl, up to 10 mg 2,874 2,378 $1K
82746 2,609 2,486 $1K
97535 Self-care/home management training, each 15 minutes 414 253 $1K
85652 4,421 4,148 $1K
86696 393 373 $1K
L4386 Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 13 12 $1K
86738 58 58 $1K
80179 2,004 1,874 $1K
49591 12 12 $1K
80197 643 357 $1K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 4,303 3,447 $986.30
0001A 78 74 $981.27
84425 472 456 $978.55
77003 26 25 $961.40
J2370 Injection, phenylephrine hcl, up to 1 ml 785 678 $884.42
J1596 Injection, glycopyrrolate, 0.1 mg 881 861 $874.92
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,652 1,290 $868.36
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring 30 30 $856.19
J0360 Injection, hydralazine hcl, up to 20 mg 64 52 $848.80
73502 84 82 $809.58
99156 311 304 $807.85
87493 137 130 $807.12
77076 13 12 $796.65
86902 31 24 $769.85
J1940 Injection, furosemide, up to 20 mg 2,281 1,414 $718.37
83013 13 13 $715.05
90682 759 730 $709.98
93320 26 25 $704.93
84144 51 43 $693.56
86431 672 656 $675.86
82977 346 310 $647.28
J1953 Injection, levetiracetam, 10 mg 1,334 963 $645.62
82140 1,115 957 $638.15
0097U 14 14 $608.98
80178 43 37 $582.00
82010 1,279 1,101 $572.54
86787 690 666 $566.09
J0131 Injection, acetaminophen, not otherwise specified,10 mg 1,630 1,398 $530.10
88342 1,478 1,355 $517.79
73620 26 25 $514.68
86200 129 127 $472.59
C9113 Injection, pantoprazole sodium, per vial 807 382 $466.08
36591 311 220 $461.78
86376 392 384 $457.11
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 2,178 2,094 $444.50
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 38 37 $444.05
J1836 Injection, metronidazole, 10 mg 303 217 $440.58
86644 13 12 $431.99
82310 43 39 $426.52
86901 18,129 16,638 $419.32
93325 106 101 $401.64
87529 12 12 $398.09
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 264 239 $378.80
86870 651 605 $376.54
87186 15,084 14,238 $340.02
85651 4,601 4,260 $257.74
84481 270 261 $256.58
90732 193 191 $252.49
73600 13 12 $245.62
36410 1,174 999 $241.55
92250 14 14 $238.63
86255 758 720 $203.96
99153 Mod sedat endo service >5yrs 2,952 2,631 $199.02
0004A 49 49 $196.34
G0103 Prostate cancer screening; prostate specific antigen test (psa) 158 156 $183.12
83519 50 30 $179.31
86923 896 709 $172.74
82438 27 26 $142.82
83721 598 553 $142.56
82248 3,033 2,244 $136.86
A4338 Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each 338 328 $120.00
90662 375 353 $118.58
85045 4,491 3,938 $115.36
86235 74 67 $104.76
84466 7,052 6,734 $84.88
83002 343 340 $83.38
87581 2,195 2,109 $77.27
87634 17 16 $69.33
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 1,053 979 $53.45
J1790 Injection, droperidol, up to 5 mg 345 317 $51.14
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 9,188 6,754 $45.63
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 432 356 $41.98
84460 38 37 $41.62
84480 27 27 $37.66
90750 51 48 $33.00
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 491 255 $27.77
87075 1,788 1,664 $27.69
J1630 Injection, haloperidol, up to 5 mg 1,487 1,110 $23.43
86039 38 36 $15.11
82390 14 14 $14.53
85385 415 319 $10.61
84450 12 12 $10.03
J0780 Injection, prochlorperazine, up to 10 mg 2,013 1,768 $8.12
86003 14 14 $6.32
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 1,466 1,278 $5.86
T1015 Clinic visit/encounter, all-inclusive 28 20 $5.47
85660 53 36 $4.07
J3105 Injection, terbutaline sulfate, up to 1 mg 63 51 $3.02
97163 13 12 $2.09
C2617 Stent, non-coronary, temporary, without delivery system 604 571 $0.00
G0008 Administration of influenza virus vaccine 709 673 $0.00
88341 473 428 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 203 176 $0.00
94660 220 83 $0.00
86664 59 54 $0.00
82952 303 303 $0.00
P9612 Catheterization for collection of specimen, single patient, all places of service 254 229 $0.00
J2305 Injection, nitroglycerin, 5 mg 87 85 $0.00
D7140 Extraction, erupted tooth or exposed root 16 13 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 98 89 $0.00
J1805 Injection, esmolol hydrochloride, 10 mg 243 166 $0.00
94760 87 86 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 493 464 $0.00
J0461 Injection, atropine sulfate, 0.01 mg 66 64 $0.00
90656 43 40 $0.00
J1459 Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg 120 78 $0.00
J1920 Injection, labetalol hydrochloride, 5 mg 116 80 $0.00
J8540 Dexamethasone, oral, 0.25 mg 211 139 $0.00
87449 257 239 $0.00
90677 54 54 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 50 44 $0.00
75710 117 93 $0.00
G0009 Administration of pneumococcal vaccine 29 26 $0.00
87206 40 36 $0.00
86317 17 17 $0.00
84134 29 26 $0.00
88185 31 28 $0.00
96415 217 192 $0.00
94644 41 38 $0.00
A9270 Non-covered item or service 61 37 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 21 12 $0.00
87116 12 12 $0.00
43259 12 12 $0.00
86800 26 26 $0.00
85240 13 13 $0.00
86920 13 12 $0.00
86364 12 12 $0.00
C2623 Catheter, transluminal angioplasty, drug-coated, non-laser 14 13 $0.00
90480 13 12 $0.00
70543 12 12 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 23 13 $0.00
86225 12 12 $0.00
88312 586 569 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 2,284 1,996 $0.00
85460 13 13 $0.00
Q9958 High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml 276 269 $0.00
86665 62 57 $0.00
P9045 Infusion, albumin (human), 5%, 250 ml 18 13 $0.00
87329 16 15 $0.00
82610 143 126 $0.00
C1757 Catheter, thrombectomy/embolectomy 38 28 $0.00
87328 16 15 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 471 411 $0.00
77012 14 13 $0.00
90685 30 30 $0.00
90472 Immunization administration, each additional vaccine (list separately) 81 75 $0.00
94729 178 174 $0.00
95951 212 166 $0.00
87209 325 314 $0.00
J0735 Injection, clonidine hydrochloride, 1 mg 84 67 $0.00
90670 42 36 $0.00
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 192 101 $0.00
J0585 Injection, onabotulinumtoxina, 1 unit 103 72 $0.00
94770 315 308 $0.00
95812 34 31 $0.00
J0694 Injection, cefoxitin sodium, 1 gm 172 151 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 25 24 $0.00
Q9960 High osmolar contrast material, 200-249 mg/ml iodine concentration, per ml 154 152 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 157 119 $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 433 356 $0.00
J0670 Injection, mepivacaine hydrochloride, per 10 ml 14 12 $0.00
95816 14 13 $0.00
G0390 Trauma response team associated with hospital critical care service 100 94 $0.00
J0612 Injection, calcium gluconate, not otherwise specified, 10 mg 25 12 $0.00
C1758 Catheter, ureteral 52 51 $0.00
86708 46 40 $0.00
47562 65 64 $0.00
J1171 Injection, hydromorphone, 0.1 mg 281 230 $0.00
87899 38 26 $0.00
C1874 Stent, coated/covered, with delivery system 93 89 $0.00
C1788 Port, indwelling (implantable) 42 40 $0.00
85245 13 13 $0.00
29125 12 12 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 54 45 $0.00
10005 15 15 $0.00
J1580 Injection, garamycin, gentamicin, up to 80 mg 109 68 $0.00
84165 13 13 $0.00
87207 26 13 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 41 36 $0.00
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 $0.00
J0692 Injection, cefepime hydrochloride, 500 mg 22 12 $0.00
0124A 28 27 $0.00
58661 30 29 $0.00
87902 12 12 $0.00
91320 13 12 $0.00
90461 12 12 $0.00
85246 13 13 $0.00
J1956 Injection, levofloxacin, 250 mg 15 12 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 13 13 $0.00