Medicaid Provider Spending

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

MAINEHEALTH

NPI: 1659392819 · BIDDEFORD, ME 04005 · Pharmacy · NPI assigned 07/22/2006

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

Authorized official INZANA, LUGENE controls 20+ related entities in our dataset. Read more

$70.83M
Total Medicaid Paid
2,083,723
Total Claims
1,811,615
Beneficiaries
582
Codes Billed
2018-01
First Month
2024-05
Last Month

Provider Details

Authorized OfficialINZANA, LUGENE (CFO & ASSOCIATE CFO)
NPI Enumeration Date07/22/2006

Related Entities

Other providers sharing the same authorized official: INZANA, LUGENE

ProviderCityStateTotal Paid
MAINEHEALTH PORTLAND ME $142.72M
MAINEHEALTH PORTLAND ME $115.05M
MAINEHEALTH BRUNSWICK ME $40.06M
MAINEHEALTH FARMINGTON ME $22.62M
MAINEHEALTH BIDDEFORD ME $10.89M
MAINEHEALTH FALMOUTH ME $6.54M
MAINEHEALTH PORTLAND ME $5.46M
MAINEHEALTH SCARBOROUGH ME $5.04M
MAINEHEALTH ROCKPORT ME $4.34M
MAINEHEALTH SCARBOROUGH ME $4.16M
MAINEHEALTH PORTLAND ME $4.09M
MAINEHEALTH SCARBOROUGH ME $3.94M
MAINEHEALTH PORTLAND ME $3.55M
MAINEHEALTH WALDOBORO ME $3.43M
MAINEHEALTH SCARBOROUGH ME $3.18M
MAINEHEALTH BRUNSWICK ME $2.77M
MAINEHEALTH PORTLAND ME $2.68M
MAINEHEALTH FALMOUTH ME $2.10M
MAINEHEALTH PORTLAND ME $1.87M
MAINEHEALTH CAPE ELIZABETH ME $1.82M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 347,009 $10.56M
2019 323,908 $10.33M
2020 263,627 $8.59M
2021 332,369 $11.60M
2022 334,593 $11.91M
2023 333,379 $12.23M
2024 148,838 $5.61M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 288,588 230,254 $20.29M
99284 Emergency department visit for the evaluation and management, high severity 52,670 47,062 $9.43M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 13,986 12,957 $3.89M
99283 Emergency department visit for the evaluation and management, moderate severity 23,491 22,226 $2.86M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 16,300 14,631 $1.72M
99282 Emergency department visit for the evaluation and management, low to moderate severity 15,116 14,140 $1.28M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 44,189 15,589 $1.07M
64493 2,932 2,815 $1.06M
74177 Computed tomography, abdomen and pelvis; with contrast material 6,450 6,251 $881K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 18,150 17,745 $690K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 10,587 10,501 $646K
90832 Psychotherapy, 30 minutes with patient 6,182 4,205 $628K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 6,489 6,202 $626K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 10,297 9,994 $619K
20610 5,558 5,140 $611K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,822 1,807 $604K
G0008 Administration of influenza virus vaccine 22,600 22,378 $604K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 9,496 9,423 $582K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1,110 1,104 $577K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 6,557 5,414 $555K
96361 Intravenous infusion, hydration; each additional hour 14,965 13,335 $538K
J0585 Injection, onabotulinumtoxina, 1 unit 1,665 936 $523K
70450 Computed tomography, head or brain; without contrast material 6,930 6,573 $519K
71046 Radiologic examination, chest; 2 views 14,769 13,946 $517K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20,676 19,679 $506K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,694 3,635 $505K
G0410 Group psychotherapy other than of a multiple-family group, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes 4,491 799 $477K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15,752 14,872 $444K
45380 Colonoscopy, flexible; with biopsy, single or multiple 978 965 $433K
90834 Psychotherapy, 45 minutes with patient 5,102 3,721 $432K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 7,082 6,879 $431K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 6,553 6,480 $406K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 5,598 5,375 $401K
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 8,331 7,288 $369K
96375 Therapeutic injection; each additional sequential IV push 10,996 9,455 $357K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 5,790 5,609 $343K
77067 Screening mammography, bilateral, including computer-aided detection 6,404 6,364 $337K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 2,077 1,153 $333K
74176 Computed tomography, abdomen and pelvis; without contrast material 3,388 3,300 $321K
64635 525 494 $318K
76819 Fetal biophysical profile; without non-stress testing 3,270 1,907 $291K
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 1,490 1,462 $289K
76705 Ultrasound, abdominal, real time with image documentation; limited 4,077 3,988 $278K
90791 Psychiatric diagnostic evaluation 3,642 3,549 $264K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 3,619 3,542 $261K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 845 822 $259K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 11,699 10,220 $235K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 2,039 2,013 $230K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 15,969 6,441 $229K
G0260 Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography 969 947 $229K
76830 Ultrasound, transvaginal 2,938 2,869 $227K
71045 Radiologic examination, chest; single view 7,010 6,610 $220K
G0009 Administration of pneumococcal vaccine 8,094 8,047 $214K
97161 5,046 4,959 $200K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,732 1,704 $198K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 912 907 $192K
70496 1,248 1,222 $191K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 24,051 21,678 $184K
J2426 Injection, paliperidone palmitate extended release (invega sustenna), 1 mg 146 135 $180K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 209 205 $176K
71275 Computed tomographic angiography, chest, with contrast material 2,263 2,200 $170K
80061 Lipid panel 24,801 24,319 $168K
95810 Polysomnography; sleep staging with 4 or more additional parameters 365 360 $166K
84443 Thyroid stimulating hormone (TSH) 26,827 25,932 $162K
90853 Group psychotherapy (other than of a multiple-family group) 1,781 507 $157K
94060 1,298 1,288 $157K
59025 Fetal non-stress test 1,155 879 $156K
80053 Comprehensive metabolic panel 71,556 62,533 $152K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 424 412 $147K
64490 348 335 $138K
77063 Screening digital breast tomosynthesis, bilateral 6,187 6,149 $135K
70551 Magnetic resonance imaging, brain; without contrast material 1,318 1,303 $134K
86900 4,011 3,685 $125K
71250 2,893 2,832 $124K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 9,673 9,471 $124K
C8930 Transthoracic echocardiography, with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with physician supervision 455 441 $122K
90686 20,938 20,720 $121K
90677 782 773 $117K
93971 2,393 2,303 $115K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 9,268 8,963 $115K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 9,259 8,948 $115K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 776 756 $111K
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 8,899 8,131 $111K
76770 1,729 1,700 $105K
72141 716 707 $98K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,073 1,867 $96K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 73,627 61,692 $94K
10060 671 641 $84K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 4,839 2,109 $82K
90732 1,330 1,318 $78K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2,749 2,558 $77K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 873 844 $76K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 165 140 $76K
J0401 Injection, aripiprazole (abilify maintena), 1 mg 95 86 $76K
36415 Collection of venous blood by venipuncture 84,464 73,726 $75K
97162 3,041 2,952 $74K
76642 1,632 1,608 $73K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 7,100 6,537 $73K
D0145 Oral evaluation for a patient under three years of age 4,389 4,376 $72K
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 5,810 5,023 $70K
76536 1,296 1,278 $69K
83036 Hemoglobin; glycosylated (A1C) 23,214 22,723 $65K
76700 Ultrasound, abdominal, real time with image documentation; complete 934 923 $62K
87481 10,605 5,191 $60K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 30,793 26,787 $55K
97165 1,650 1,617 $55K
97597 1,009 638 $54K
97530 Therapeutic activities, direct patient contact, each 15 minutes 3,838 2,086 $53K
29581 857 407 $53K
97803 1,691 1,399 $52K
62323 211 209 $52K
41899 Unlisted procedure, dentoalveolar structures 24 24 $50K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1,365 530 $49K
43235 160 159 $49K
77066 Tomosynthesis, mammo 668 663 $48K
72100 2,051 2,007 $46K
80048 Basic metabolic panel (calcium, ionized) 25,565 20,820 $46K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 5,146 5,055 $45K
74018 2,232 2,142 $45K
73221 324 314 $43K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 3,530 3,461 $42K
90651 3,685 3,649 $42K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,987 1,884 $42K
64721 52 52 $42K
0002A 1,708 1,683 $39K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,547 1,300 $39K
77080 1,248 1,240 $39K
82607 7,420 7,201 $39K
76801 429 393 $38K
88142 3,298 3,250 $38K
C8928 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report 120 119 $37K
73562 4,245 4,038 $36K
86780 3,131 3,046 $36K
64615 291 283 $35K
86003 909 877 $35K
82728 5,929 5,701 $33K
96127 4,238 3,830 $32K
0001A 1,686 1,674 $32K
0011A 1,257 1,256 $32K
90870 213 86 $32K
0012A 1,230 1,211 $32K
20611 292 284 $32K
73030 4,645 4,159 $32K
77065 Tomosynthesis, mammo 614 564 $32K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,755 3,616 $31K
93880 492 481 $31K
99495 726 717 $31K
73630 4,797 4,229 $31K
87511 5,397 5,193 $30K
86803 5,461 5,325 $30K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 1,332 1,309 $30K
97802 570 537 $30K
90670 5,983 5,953 $29K
99188 1,173 1,149 $29K
95811 55 55 $28K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 5,473 5,266 $28K
90847 Family psychotherapy with the patient present, 50 minutes 255 201 $28K
G0010 Administration of hepatitis b vaccine 869 868 $28K
85027 16,690 14,800 $28K
82746 5,591 5,416 $28K
73502 3,079 2,965 $27K
98929 2,334 2,021 $27K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 29 29 $26K
98928 2,845 2,411 $25K
93225 599 594 $25K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 1,407 1,369 $24K
D1206 Topical application of fluoride varnish 4,022 4,015 $23K
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation 253 244 $23K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 859 841 $22K
71271 376 373 $22K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 704 695 $22K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 6,296 5,299 $21K
97166 1,296 1,249 $21K
93970 217 214 $21K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 106 105 $20K
83655 4,324 4,211 $20K
91320 607 603 $20K
87522 Neg quan hep c or qual rna 856 828 $19K
17110 429 408 $19K
83550 5,674 5,476 $19K
85610 16,397 10,653 $19K
94010 352 349 $18K
84702 3,320 2,530 $18K
73130 2,847 2,514 $18K
74174 126 124 $18K
74183 111 111 $18K
87086 Culture, bacterial; quantitative colony count, urine 18,377 16,821 $18K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 4,751 3,770 $18K
73110 2,991 2,657 $18K
72125 Computed tomography, cervical spine; without contrast material 3,045 2,916 $18K
83540 6,375 6,154 $17K
83970 1,145 1,105 $17K
73600 1,695 1,441 $17K
84439 4,177 4,010 $16K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 2,220 2,166 $16K
12001 1,020 997 $16K
0054A 846 837 $16K
80076 4,663 4,430 $15K
97116 2,325 1,255 $15K
87070 11,148 10,818 $15K
97014 1,128 528 $15K
99232 Subsequent hospital care, per day, moderate complexity 645 290 $14K
84403 1,003 961 $14K
93017 789 782 $14K
Q3014 Telehealth originating site facility fee 967 947 $14K
73610 3,024 2,854 $14K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 308 301 $14K
70486 412 401 $14K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 982 863 $13K
94660 243 227 $13K
58300 385 378 $13K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 816 806 $12K
69209 1,326 1,290 $12K
83735 19,669 15,752 $12K
0124A 1,091 1,083 $12K
73140 1,600 1,469 $12K
83880 4,575 4,200 $11K
95911 38 37 $11K
99233 Prolong inpt eval add15 m 339 176 $11K
87340 3,346 3,283 $11K
90480 1,030 1,012 $11K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 183 166 $11K
64495 2,311 1,945 $11K
64494 3,288 2,637 $11K
82784 1,798 1,745 $10K
86140 8,077 7,197 $10K
86618 2,164 2,127 $9K
58301 43 40 $9K
86480 202 201 $9K
97035 1,842 811 $9K
97163 299 293 $8K
86706 1,491 1,450 $8K
81511 133 133 $8K
76870 229 220 $8K
73560 1,002 927 $7K
92551 893 879 $7K
98927 1,324 1,207 $7K
29075 41 39 $7K
82950 1,525 1,505 $7K
73564 1,002 939 $7K
70491 59 59 $7K
59430 41 39 $7K
94726 291 291 $7K
87186 6,719 6,389 $6K
73080 917 856 $6K
86038 1,229 1,202 $6K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 943 929 $6K
83001 493 478 $6K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 1,414 1,395 $5K
84146 519 499 $5K
70498 1,239 1,213 $5K
83516 912 814 $5K
73590 607 533 $5K
85652 6,130 5,558 $5K
0071A 616 611 $5K
86704 815 795 $5K
82043 3,780 3,685 $5K
87046 452 443 $5K
90662 1,548 1,530 $5K
99223 Prolong inpt eval add15 m 97 96 $5K
82785 578 566 $5K
72040 277 273 $5K
90716 1,953 1,934 $5K
97535 Self-care/home management training, each 15 minutes 983 612 $5K
88305 Level IV - Surgical pathology, gross and microscopic examination 6,492 6,325 $5K
84425 380 370 $4K
81025 3,994 3,870 $4K
82947 1,624 1,560 $4K
99173 1,703 1,671 $4K
64415 60 58 $4K
81001 15,805 14,550 $4K
72110 130 128 $4K
0052A 144 144 $4K
87077 7,110 6,768 $4K
84153 690 671 $4K
96132 22 17 $4K
90734 2,386 2,377 $4K
86850 4,181 3,928 $4K
87493 448 434 $4K
0072A 518 517 $4K
84402 247 242 $4K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 3,520 3,430 $4K
83690 11,309 10,328 $3K
83721 1,006 994 $3K
82670 196 190 $3K
99239 Hospital discharge day management, more than 30 minutes 121 121 $3K
90739 29 28 $3K
84100 2,704 1,855 $3K
11102 56 54 $3K
99403 63 52 $3K
99402 169 154 $3K
J3010 Injection, fentanyl citrate, 0.1 mg 11,096 10,495 $3K
73100 478 353 $3K
86762 1,733 1,704 $3K
85018 4,994 4,804 $3K
90792 Psychiatric diagnostic evaluation with medical services 50 40 $3K
71101 545 534 $3K
20550 26 24 $3K
88342 1,371 1,328 $3K
80164 665 638 $3K
86364 538 529 $3K
83993 199 197 $3K
G0378 Hospital observation service, per hour 2,970 2,604 $3K
29405 20 13 $3K
0004A 968 964 $3K
0051A 104 103 $3K
81003 17,383 16,235 $3K
72070 87 87 $3K
80050 General health panel 151 144 $2K
99385 39 36 $2K
99215 Prolong outpt/office vis 69 69 $2K
93296 165 163 $2K
93308 27 26 $2K
87469 378 376 $2K
87468 377 375 $2K
0081A 162 161 $2K
99496 82 81 $2K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 996 532 $2K
82550 1,636 1,521 $2K
87427 458 449 $2K
84550 1,511 1,353 $2K
86481 64 64 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg 14,547 13,060 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 7,747 7,388 $2K
82565 1,088 1,007 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 12,935 12,426 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 101 94 $2K
11100 15 14 $2K
J2250 Injection, midazolam hydrochloride, per 1 mg 8,846 8,192 $2K
84703 2,477 2,416 $2K
0134A 209 206 $2K
85730 1,997 1,796 $2K
87045 464 455 $2K
72131 81 79 $2K
0082A 115 113 $2K
84165 596 574 $2K
87536 62 61 $2K
93976 20 20 $2K
86431 705 690 $2K
90619 903 883 $2K
90681 3,046 3,023 $2K
90715 6,778 6,686 $1K
80178 728 680 $1K
80074 111 107 $1K
99222 Initial hospital care, per day, moderate complexity 38 35 $1K
87209 136 119 $1K
12011 80 79 $1K
72050 31 31 $1K
90744 3,876 3,841 $1K
80069 558 503 $1K
99397 92 83 $1K
20605 13 12 $1K
99238 Hospital discharge day management, 30 minutes or less 77 75 $1K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 12,430 11,863 $1K
51798 208 194 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 3,132 3,014 $1K
0154A 87 85 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity 84 41 $1K
73090 178 154 $1K
93226 621 616 $1K
J2704 Injection, propofol, 10 mg 12,214 11,432 $1K
52000 12 12 $985.85
11981 12 12 $975.90
82570 694 617 $973.39
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 66 60 $961.85
73070 84 76 $916.62
84460 293 290 $908.48
0031A 26 26 $867.72
96160 37 37 $858.98
94664 134 132 $852.90
85379 3,380 3,233 $850.07
93922 36 36 $846.52
84156 781 680 $834.71
87205 2,578 2,468 $819.31
84484 16,083 10,953 $816.87
90710 1,890 1,875 $810.90
72170 40 39 $806.50
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4,896 2,470 $791.09
80305 782 727 $778.70
0064A 129 129 $777.51
Q9957 Injection, perflutren lipid microspheres, per ml 2,606 2,528 $649.15
88304 671 659 $626.83
86682 63 40 $618.76
93246 115 112 $614.56
87177 117 105 $610.98
93923 12 12 $593.24
64636 687 445 $567.37
88112 57 57 $545.08
0083A 49 49 $540.60
87040 2,839 2,324 $529.68
74022 146 140 $517.17
86787 48 43 $502.32
73521 25 25 $487.67
86580 44 32 $477.11
G0297 Low dose ct scan (ldct) for lung cancer screening 14 14 $476.15
J1200 Injection, diphenhydramine hcl, up to 50 mg 2,787 2,366 $463.57
98926 160 149 $461.89
96367 12 12 $458.91
12002 75 75 $451.58
G0177 Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more) 3,659 698 $447.09
94729 1,220 1,211 $439.19
83020 43 43 $437.58
87505 15 12 $423.31
84163 40 40 $421.40
82533 40 38 $404.00
99221 15 15 $403.80
84481 50 48 $398.44
87081 414 400 $394.68
G0176 Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more) 4,293 785 $366.40
83615 249 185 $356.04
80306 1,742 1,645 $345.23
86617 76 44 $344.26
82465 82 82 $340.65
83002 40 39 $334.40
J1790 Injection, droperidol, up to 5 mg 1,517 1,248 $331.28
87210 1,057 923 $324.12
J1040 Injection, methylprednisolone acetate, 80 mg 5,191 5,037 $323.18
87420 865 835 $321.70
83605 3,879 3,431 $311.44
73660 42 42 $304.62
J0131 Injection, acetaminophen, not otherwise specified,10 mg 1,415 1,342 $289.44
G0238 Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) 18 13 $286.41
J0690 Injection, cefazolin sodium, 500 mg 4,351 3,721 $284.05
J1885 Injection, ketorolac tromethamine, per 15 mg 9,191 8,049 $282.90
J0171 Injection, adrenalin, epinephrine, 0.1 mg 720 602 $276.85
73620 84 70 $263.28
82040 327 316 $255.91
81002 1,793 1,730 $255.82
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 15 13 $253.29
85007 824 668 $242.81
82105 27 26 $231.02
87338 26 26 $221.10
86308 316 309 $220.38
96376 3,409 2,848 $217.72
82805 627 566 $197.57
J1170 Injection, hydromorphone, up to 4 mg 3,771 3,006 $194.50
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 893 868 $193.78
J1644 Injection, heparin sodium, per 1000 units 3,278 1,419 $192.12
97150 Therapeutic procedure(s), group (2 or more individuals) 25 13 $189.78
J1050 Injection, medroxyprogesterone acetate, 1 mg 3,106 3,008 $177.52
90688 14 14 $172.53
0074A 54 54 $169.50
84450 79 78 $163.57
87529 30 30 $157.72
82103 43 39 $155.13
86360 38 38 $148.61
82150 99 92 $146.82
91322 128 124 $145.92
A9575 Injection, gadoterate meglumine, 0.1 ml 2,433 2,249 $142.77
82248 46 38 $141.83
J2270 Injection, morphine sulfate, up to 10 mg 5,145 4,315 $134.52
11721 12 12 $132.90
J3475 Injection, magnesium sulfate, per 500 mg 2,087 1,708 $123.81
86359 38 38 $123.18
87634 63 62 $121.32
84520 148 145 $120.62
87207 20 20 $119.80
86334 17 17 $107.83
C1769 Guide wire 707 671 $105.08
93270 12 12 $104.97
90472 Immunization administration, each additional vaccine (list separately) 15,295 15,079 $101.14
83525 15 13 $92.44
86901 4,095 3,768 $91.47
93242 25 25 $88.53
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 1,174 982 $84.46
J1630 Injection, haloperidol, up to 5 mg 1,612 1,235 $79.71
J1030 Injection, methylprednisolone acetate, 40 mg 3,149 2,973 $78.81
J0153 Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) 421 411 $76.27
0003A 28 28 $75.90
87484 69 69 $73.68
83521 14 12 $69.30
86765 15 13 $67.30
84155 101 95 $66.60
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 1,752 1,545 $66.01
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 25 25 $65.34
84466 12 12 $65.25
83010 13 13 $64.30
J3370 Injection, vancomycin hcl, 500 mg 760 536 $57.20
85045 38 36 $56.99
86039 12 12 $56.05
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 242 231 $54.39
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 318 310 $52.13
80175 13 12 $49.64
69210 13 12 $45.18
88341 38 36 $43.79
J0330 Injection, succinylcholine chloride, up to 20 mg 996 531 $37.68
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 310 190 $37.65
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 348 335 $37.45
J0780 Injection, prochlorperazine, up to 10 mg 624 580 $31.87
95886 766 759 $30.08
80177 15 13 $27.97
85014 80 65 $24.48
87807 59 57 $23.42
29125 26 26 $23.33
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 216 216 $22.55
80051 12 12 $21.51
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 23 12 $19.62
J1815 Injection, insulin, per 5 units 2,375 1,477 $18.47
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 1,053 991 $16.16
C9290 Injection, bupivacaine liposome, 1 mg 164 158 $15.28
J0696 Injection, ceftriaxone sodium, per 250 mg 3,171 2,339 $14.80
J2765 Injection, metoclopramide hcl, up to 10 mg 1,457 1,308 $14.73
83986 41 40 $14.24
J2060 Injection, lorazepam, 2 mg 3,262 2,716 $12.26
J1650 Injection, enoxaparin sodium, 10 mg 1,924 619 $10.82
82272 16 15 $6.66
90474 3,133 3,103 $5.37
81000 249 221 $4.80
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 519 483 $4.14
G8982 Changing & maintaining body position functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 27 24 $0.00
J2372 Injection, phenylephrine hydrochloride (biorphen), 20 micrograms 392 283 $0.00
36416 9,154 8,055 $0.00
J3480 Injection, potassium chloride, per 2 meq 248 179 $0.00
90698 6,798 6,738 $0.00
90696 1,776 1,761 $0.00
A6454 Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard 428 128 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 233 228 $0.00
J3490 Unclassified drugs 648 630 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 253 128 $0.00
V2632 Posterior chamber intraocular lens 238 207 $0.00
93320 284 276 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 132 129 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 134 131 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 150 147 $0.00
C9399 Unclassified drugs or biologicals 195 192 $0.00
Q2039 Influenza virus vaccine, not otherwise specified 85 85 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 125 122 $0.00
A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler 82 81 $0.00
91307 1,085 1,013 $0.00
64492 159 146 $0.00
91305 834 813 $0.00
91306 30 30 $0.00
91315 70 69 $0.00
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 118 117 $0.00
82803 12 12 $0.00
J1940 Injection, furosemide, up to 20 mg 76 50 $0.00
J2785 Injection, regadenoson, 0.1 mg 75 74 $0.00
99153 Mod sedat endo service >5yrs 40 40 $0.00
90632 25 23 $0.00
88307 24 24 $0.00
91318 35 35 $0.00
91301 1,639 1,591 $0.00
96368 25 25 $0.00
91317 36 36 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 18 17 $0.00
C1726 Catheter, balloon dilatation, non-vascular 12 12 $0.00
91303 25 23 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 2,658 2,479 $0.00
G8985 Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 265 249 $0.00
91308 369 340 $0.00
91300 2,413 2,213 $0.00
90633 4,190 4,139 $0.00
91321 211 203 $0.00
81329 338 335 $0.00
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg 325 308 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 234 205 $0.00
76942 111 109 $0.00
90714 64 64 $0.00
90707 2,006 1,986 $0.00
82009 216 190 $0.00
93325 372 363 $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 722 672 $0.00
90713 144 142 $0.00
G8984 Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals 213 207 $0.00
64491 316 266 $0.00
36600 12 12 $0.00
77002 16 16 $0.00
C1776 Joint device (implantable) 64 62 $0.00
90671 1,254 1,220 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 612 590 $0.00
91313 105 103 $0.00
91312 684 677 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 670 621 $0.00
82375 13 13 $0.00
82140 15 14 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 22 17 $0.00
90685 165 164 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 18 18 $0.00
94727 13 13 $0.00
90672 27 27 $0.00
87400 42 42 $0.00
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) 15 15 $0.00