Medicaid Provider Spending

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

MEDICAL UNIVERSITY HOSPITAL AUTHORITY

NPI: 1659435840 · CHARLESTON, SC 29425 · General Acute Care Hospital · NPI assigned 12/21/2006

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

Authorized official RAE, KARYN controls 20+ related entities in our dataset. Read more

$241.43M
Total Medicaid Paid
5,858,419
Total Claims
4,843,043
Beneficiaries
1019
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRAE, KARYN (DIRECTOR)
NPI Enumeration Date12/21/2006

Related Entities

Other providers sharing the same authorized official: RAE, KARYN

ProviderCityStateTotal Paid
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $56.50M
MEDICAL UNIVERSITY HOSPITAL AUTHORITY CHARLESTON SC $32.62M
MEDICAL UNIVERSITY HOSPITAL AUTHORITY CHARLESTON SC $12.42M
UNIVERSITY MEDICAL ASSOCIATES CHARLESTON SC $9.16M
CAROLINA FAMILY CARE, INC LANCASTER SC $6.87M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $6.15M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $5.38M
CAROLINA FAMILY CARE, INC FLORENCE SC $4.06M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $3.58M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $3.53M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $3.34M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $2.80M
UNIVERSITY MEDICAL ASSOCIATE OF THE MEDICAL UNIVERSITY OF SOUTH CAROLI CHARLESTON SC $2.30M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $1.98M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $1.88M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $1.79M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $1.72M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $1.57M
CAROLINA FAMILY CARE, INC MT PLEASANT SC $1.31M
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC $1.02M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 755,908 $30.13M
2019 792,625 $31.40M
2020 705,838 $30.20M
2021 932,459 $38.72M
2022 987,562 $42.02M
2023 894,031 $38.97M
2024 789,996 $29.98M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 372,199 325,941 $17.58M
80053 Comprehensive metabolic panel 169,784 132,574 $16.46M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 233,261 206,779 $15.46M
36415 Collection of venous blood by venipuncture 246,755 193,765 $13.18M
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 52,594 27,980 $9.54M
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 31,096 25,609 $6.78M
80048 Basic metabolic panel (calcium, ionized) 75,212 57,165 $5.08M
A9585 Injection, gadobutrol, 0.1 ml 5,955 5,071 $4.87M
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 34,515 32,386 $4.40M
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 52,137 50,141 $4.23M
A9575 Injection, gadoterate meglumine, 0.1 ml 4,405 2,871 $3.97M
99282 Emergency department visit for the evaluation and management, low to moderate severity 27,001 25,348 $3.92M
86850 38,466 30,646 $3.80M
88305 Level IV - Surgical pathology, gross and microscopic examination 25,166 18,908 $3.26M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 8,115 7,812 $3.13M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 80,419 75,331 $3.10M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 47,212 17,219 $2.92M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 23,498 16,447 $2.57M
96375 Therapeutic injection; each additional sequential IV push 29,385 19,988 $2.53M
70551 Magnetic resonance imaging, brain; without contrast material 8,810 8,411 $2.39M
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 2,407 2,317 $2.17M
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 19,898 19,415 $2.16M
97530 Therapeutic activities, direct patient contact, each 15 minutes 35,478 13,001 $2.15M
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 19,240 17,628 $2.07M
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 20,113 19,445 $2.05M
0202U Oncology (prostate), multianalyte, gene expression profiling 7,744 7,294 $1.99M
94010 13,625 12,991 $1.79M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 22,756 9,548 $1.71M
95810 Polysomnography; sleep staging with 4 or more additional parameters 3,258 3,187 $1.66M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 15,991 14,996 $1.65M
J0585 Injection, onabotulinumtoxina, 1 unit 4,980 3,248 $1.65M
95782 2,026 1,932 $1.64M
Q3014 Telehealth originating site facility fee 49,347 44,721 $1.59M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 58,975 51,143 $1.55M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 9,358 8,616 $1.53M
99283 Emergency department visit for the evaluation and management, moderate severity 42,819 39,740 $1.42M
83036 Hemoglobin; glycosylated (A1C) 47,815 44,782 $1.41M
82947 28,661 21,212 $1.40M
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 5,308 5,139 $1.39M
81002 10,163 8,887 $1.33M
87086 Culture, bacterial; quantitative colony count, urine 50,602 46,585 $1.26M
86780 27,186 26,042 $1.22M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 11,354 9,952 $1.17M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 17,585 14,079 $1.16M
76819 Fetal biophysical profile; without non-stress testing 8,056 4,938 $1.06M
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 16,118 15,700 $1.04M
92567 9,416 9,017 $1.01M
92557 5,031 4,878 $974K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 18,567 18,173 $948K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 39,986 26,324 $899K
87070 18,588 17,322 $887K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 37,882 36,141 $885K
76770 9,834 9,501 $871K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 178,993 137,602 $862K
95813 2,545 2,490 $850K
81025 20,256 18,994 $833K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 9,030 8,253 $829K
80047 8,257 7,227 $792K
96402 2,538 2,302 $727K
92551 8,935 8,813 $694K
96367 5,016 3,725 $688K
71046 Radiologic examination, chest; 2 views 26,435 24,226 $682K
82330 24,173 18,774 $679K
72141 1,464 1,416 $674K
83655 11,909 11,663 $673K
J0475 Injection, baclofen, 10 mg 1,224 1,112 $663K
87210 5,422 5,251 $656K
92579 4,756 4,539 $655K
99284 Emergency department visit for the evaluation and management, high severity 40,067 36,101 $643K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1,889 1,836 $640K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 35,094 33,418 $621K
59025 Fetal non-stress test 9,742 6,503 $619K
76705 Ultrasound, abdominal, real time with image documentation; limited 8,125 7,681 $615K
83021 17,114 13,857 $611K
87077 20,607 17,679 $601K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 701 666 $568K
82962 22,661 18,803 $556K
31231 2,475 2,339 $538K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 10,437 10,140 $538K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 8,750 8,568 $527K
93296 5,409 5,177 $524K
74018 7,935 7,459 $522K
92523 4,060 3,856 $516K
71250 4,013 3,785 $498K
31575 1,498 1,413 $494K
72197 1,054 1,011 $494K
80061 Lipid panel 27,504 26,232 $493K
16020 1,022 734 $481K
82728 33,488 30,732 $474K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 11,179 6,530 $466K
81003 11,196 10,842 $464K
74183 1,909 1,826 $463K
88304 3,560 3,451 $460K
92587 3,056 2,968 $450K
95700 777 752 $438K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 14,804 9,667 $437K
99201 6,256 6,069 $432K
96401 1,534 977 $429K
94060 1,765 1,732 $428K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 9,219 8,989 $427K
82785 3,846 3,705 $425K
96361 Intravenous infusion, hydration; each additional hour 13,879 7,971 $422K
86828 4,900 3,972 $422K
80069 4,730 4,033 $422K
81229 1,073 1,015 $399K
95816 1,899 1,831 $391K
74230 2,487 2,338 $384K
87507 1,365 1,297 $373K
82565 4,851 4,569 $360K
92604 1,371 1,264 $356K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 1,323 900 $346K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 10,590 6,517 $339K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 2,358 2,268 $332K
92526 5,893 3,456 $331K
84439 23,844 22,392 $329K
82570 26,150 23,039 $319K
76830 Ultrasound, transvaginal 3,570 3,388 $314K
96523 1,209 837 $313K
80050 General health panel 1,948 1,855 $309K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 18,114 17,454 $306K
73630 4,497 3,997 $304K
76825 1,899 1,824 $300K
11900 1,333 1,245 $290K
D0150 Comprehensive oral evaluation - new or established patient 944 717 $285K
77336 2,358 1,211 $283K
31579 422 403 $282K
70450 Computed tomography, head or brain; without contrast material 9,284 8,434 $276K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 978 847 $275K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 2,183 2,151 $275K
85027 82,188 64,877 $267K
81001 58,929 50,502 $265K
17110 784 763 $264K
73070 1,960 1,783 $261K
86900 39,091 31,167 $258K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 289 196 $255K
77334 1,206 875 $252K
67028 Intravitreal injection of a pharmacologic agent 733 663 $252K
11981 293 284 $249K
97542 2,863 2,686 $244K
92134 5,475 5,176 $244K
95811 682 663 $243K
92555 1,475 1,407 $239K
85018 9,217 8,568 $231K
72156 1,530 1,465 $230K
81511 484 452 $227K
87205 7,272 6,406 $225K
77062 1,273 1,249 $222K
J2704 Injection, propofol, 10 mg 69,179 41,119 $218K
93971 1,835 1,715 $215K
G0378 Hospital observation service, per hour 39,574 18,849 $215K
73130 2,902 2,596 $214K
72082 2,199 2,103 $214K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 4,355 3,919 $212K
92585 558 526 $212K
92610 3,145 2,930 $208K
82784 14,938 10,336 $205K
58300 365 358 $204K
96376 21,644 9,757 $202K
92582 2,174 2,074 $202K
71045 Radiologic examination, chest; single view 22,214 18,692 $202K
0002A 4,047 4,001 $197K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,250 1,209 $193K
82105 7,950 7,546 $193K
85610 33,757 26,963 $188K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,930 3,842 $184K
73610 3,320 3,037 $178K
0001A 3,864 3,827 $177K
88720 1,519 1,244 $175K
92133 3,727 3,623 $175K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 6,765 5,525 $172K
73521 2,825 2,689 $171K
84702 7,069 5,692 $169K
86038 4,781 4,629 $169K
64642 1,602 1,488 $169K
87486 1,753 1,493 $166K
82247 4,497 3,180 $160K
73090 2,402 2,124 $158K
93922 1,166 1,097 $155K
88342 3,763 3,395 $155K
67311 621 607 $153K
76536 1,919 1,858 $153K
73590 2,808 2,482 $149K
95800 746 702 $148K
80197 24,765 14,872 $148K
86762 9,003 8,555 $148K
76885 945 919 $148K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 46,483 38,177 $147K
97802 3,907 3,714 $145K
77063 Screening digital breast tomosynthesis, bilateral 1,519 1,495 $143K
88307 5,124 4,346 $142K
93225 2,203 2,100 $141K
73560 3,806 3,325 $141K
86832 6,033 5,301 $140K
72158 1,259 1,194 $140K
87102 3,297 3,016 $135K
85007 20,863 15,136 $134K
77300 299 271 $133K
Q9958 High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml 994 804 $132K
77295 141 109 $130K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,434 2,252 $129K
89051 3,074 2,517 $129K
86480 5,106 4,763 $128K
86359 5,576 5,217 $128K
77386 1,453 117 $128K
73110 2,039 1,840 $128K
73030 2,868 2,569 $127K
70486 1,690 1,604 $124K
69210 703 669 $123K
G0270 Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes 5,323 4,751 $123K
97162 6,468 6,025 $122K
93308 1,636 1,458 $120K
43762 2,307 2,136 $118K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 4,518 4,396 $117K
76801 2,649 2,430 $114K
73140 867 817 $114K
76642 3,112 2,594 $113K
86704 4,178 3,775 $113K
86803 20,149 19,178 $113K
99215 Prolong outpt/office vis 10,612 10,006 $111K
92524 1,099 1,047 $111K
82670 1,946 1,882 $111K
83516 4,382 3,541 $106K
64615 1,612 1,554 $106K
93970 733 680 $105K
82607 10,547 10,149 $101K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 13,468 5,736 $100K
94664 5,523 5,189 $100K
80076 4,981 4,667 $99K
82627 913 898 $97K
77290 86 68 $95K
97116 4,099 1,978 $95K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 291 281 $93K
97161 4,681 4,526 $93K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 1,314 705 $93K
73552 1,941 1,731 $92K
11982 385 355 $92K
86140 17,505 15,887 $92K
93304 1,169 997 $92K
82043 7,524 7,285 $90K
83001 3,151 3,081 $89K
82040 5,041 4,861 $89K
84443 Thyroid stimulating hormone (TSH) 35,078 32,672 $88K
97535 Self-care/home management training, each 15 minutes 4,583 2,732 $88K
76937 3,196 2,673 $88K
88341 2,105 1,430 $88K
74019 1,471 1,411 $87K
10060 528 504 $87K
90686 16,097 15,734 $85K
86003 4,927 3,158 $85K
73562 1,568 1,341 $84K
92602 249 200 $83K
77080 779 744 $82K
83519 1,390 1,278 $81K
72100 2,089 2,011 $80K
P9016 Red blood cells, leukocytes reduced, each unit 6,400 5,273 $80K
73502 2,186 2,055 $78K
95886 631 619 $77K
83520 2,245 2,075 $77K
69209 530 515 $77K
92025 1,044 1,002 $76K
92083 3,583 3,467 $75K
94776 310 285 $74K
72125 Computed tomography, cervical spine; without contrast material 3,656 3,405 $73K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 1,269 1,212 $72K
93017 1,196 1,153 $70K
84484 26,365 17,198 $69K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 31,202 29,930 $69K
96368 1,290 1,002 $69K
87529 2,572 1,621 $68K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 2,548 1,024 $68K
77072 1,518 1,477 $67K
74220 727 710 $67K
94618 2,574 2,438 $67K
76870 645 612 $66K
80074 1,348 1,248 $65K
82310 2,075 1,852 $65K
87075 2,370 2,025 $64K
J2405 Injection, ondansetron hydrochloride, per 1 mg 64,349 51,598 $64K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 670 620 $64K
87807 772 756 $63K
0064U 206 189 $61K
95885 417 412 $59K
99281 Emergency department visit for the evaluation and management, self-limited or minor 289 286 $59K
0065U 249 234 $59K
0099U 920 869 $58K
0003A 1,683 1,632 $58K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 15,421 11,423 $56K
83880 12,981 11,051 $56K
94621 299 283 $56K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 2,315 2,210 $56K
87015 952 841 $55K
42820 Tonsillectomy and adenoidectomy; younger than age 12 954 941 $54K
P9612 Catheterization for collection of specimen, single patient, all places of service 1,240 1,165 $54K
93320 11,357 9,928 $53K
72040 1,171 1,140 $53K
97165 2,138 1,996 $53K
D1120 Prophylaxis - child 777 613 $53K
C1729 Catheter, drainage 2,353 1,743 $52K
90715 7,622 7,440 $51K
36593 1,299 882 $50K
92552 303 290 $49K
71260 Computed tomography, thorax, diagnostic; with contrast material 7,499 7,122 $49K
92250 3,101 2,968 $48K
49083 444 240 $47K
86146 1,550 1,031 $47K
78815 Positron emission tomography (PET) for limited area imaging 1,771 1,719 $46K
77066 Tomosynthesis, mammo 1,750 1,717 $45K
76942 1,159 1,078 $45K
80164 2,395 2,183 $44K
82550 5,135 4,431 $44K
78306 264 251 $44K
93975 3,306 3,091 $44K
20610 647 620 $44K
77067 Screening mammography, bilateral, including computer-aided detection 2,351 2,321 $43K
74177 Computed tomography, abdomen and pelvis; with contrast material 10,685 10,061 $43K
77061 302 294 $43K
J1170 Injection, hydromorphone, up to 4 mg 37,105 19,131 $43K
84305 2,117 2,050 $43K
C1769 Guide wire 10,879 9,397 $43K
Q9950 Injection, sulfur hexafluoride lipid microspheres, per ml 287 142 $42K
97803 3,195 2,906 $41K
J0330 Injection, succinylcholine chloride, up to 20 mg 4,673 3,836 $40K
80177 1,495 1,397 $39K
86592 1,161 1,051 $39K
87040 8,342 5,512 $38K
86902 7,654 4,797 $38K
73060 771 708 $38K
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 940 895 $36K
97166 2,867 2,619 $36K
88184 2,216 1,666 $36K
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg 6,578 5,741 $36K
86706 5,530 5,055 $36K
88172 1,266 1,107 $36K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 624 598 $36K
80320 3,471 3,057 $36K
93880 268 239 $36K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,474 1,426 $35K
76700 Ultrasound, abdominal, real time with image documentation; complete 334 323 $35K
86225 6,076 5,804 $35K
93299 532 510 $35K
76512 417 374 $35K
0072A 872 852 $34K
87340 18,035 16,870 $34K
83735 64,678 41,201 $34K
92136 646 623 $33K
43235 1,243 1,212 $32K
76882 538 506 $32K
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 1,694 1,573 $32K
72146 157 149 $31K
84146 2,341 2,284 $31K
82390 4,697 4,631 $31K
J1650 Injection, enoxaparin sodium, 10 mg 5,741 2,524 $30K
87536 4,645 4,387 $30K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 43,673 42,090 $30K
97750 731 663 $30K
82803 30,575 22,960 $30K
90670 7,129 7,042 $29K
Q2036 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) 7,425 7,321 $29K
86695 1,206 1,051 $28K
73100 318 287 $28K
86355 2,503 2,249 $28K
87522 Neg quan hep c or qual rna 2,846 2,647 $28K
72157 838 792 $27K
76818 229 198 $27K
A9577 Injection, gadobenate dimeglumine (multihance), per ml 3,965 2,815 $27K
72170 929 878 $27K
17250 69 62 $27K
J1644 Injection, heparin sodium, per 1000 units 15,253 8,648 $27K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 612 549 $26K
94726 2,170 2,061 $26K
C9113 Injection, pantoprazole sodium, per vial 1,910 681 $26K
96409 2,798 1,795 $26K
93321 2,706 2,350 $26K
86644 2,859 2,485 $26K
87101 322 294 $26K
54161 607 605 $26K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 31,354 12,729 $26K
0399T 789 613 $26K
86769 843 803 $25K
88302 123 116 $25K
76376 185 181 $25K
12011 210 205 $25K
82103 697 646 $24K
78451 98 95 $24K
36416 19,253 17,697 $23K
95951 204 149 $23K
82085 594 564 $23K
83993 919 876 $23K
84100 48,940 31,246 $23K
97163 2,588 2,443 $23K
A9609 Fludeoxyglucose f18 up to 15 millicuries 67 65 $23K
0071A 588 583 $22K
82533 1,780 1,631 $22K
87497 9,550 6,288 $22K
86317 5,384 3,127 $22K
93351 561 504 $22K
77065 Tomosynthesis, mammo 869 851 $22K
70480 105 102 $21K
83615 18,494 14,203 $21K
74455 468 462 $21K
95819 143 138 $21K
90633 5,555 5,466 $21K
31526 339 297 $21K
94681 76 71 $21K
82378 1,189 1,104 $21K
86481 1,087 1,025 $21K
43760 358 324 $21K
76000 999 967 $20K
D2930 Prefabricated stainless steel crown - primary tooth 397 322 $20K
76820 4,293 2,255 $20K
20680 89 88 $20K
12001 102 99 $20K
J1885 Injection, ketorolac tromethamine, per 15 mg 23,855 20,615 $20K
86696 1,437 1,273 $19K
95708 109 50 $19K
93270 100 95 $19K
93298 417 407 $19K
85014 28,684 23,513 $18K
84402 1,390 1,353 $18K
92651 176 173 $18K
74240 127 123 $18K
76813 264 247 $18K
83540 22,025 20,670 $18K
70491 1,710 1,618 $17K
92611 2,613 2,451 $17K
42830 89 87 $17K
J2270 Injection, morphine sulfate, up to 10 mg 10,314 7,795 $16K
84155 5,395 5,149 $16K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 290 243 $16K
0097U 568 534 $16K
J2250 Injection, midazolam hydrochloride, per 1 mg 29,319 26,625 $16K
85730 14,652 12,547 $16K
86200 1,896 1,865 $15K
84436 683 669 $15K
73080 190 177 $15K
90651 5,250 5,178 $15K
0053A 890 866 $15K
88314 989 756 $15K
88112 1,451 1,329 $14K
72081 151 143 $14K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 51,502 49,428 $14K
J3475 Injection, magnesium sulfate, per 500 mg 5,589 3,627 $14K
J0696 Injection, ceftriaxone sodium, per 250 mg 7,677 5,903 $14K
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 2,287 1,814 $14K
84481 2,385 2,223 $13K
41899 Unlisted procedure, dentoalveolar structures 572 518 $13K
J2550 Injection, promethazine hcl, up to 50 mg 4,879 3,579 $13K
77001 919 857 $13K
82150 1,909 1,391 $13K
92586 60 56 $13K
80175 630 592 $13K
54150 52 52 $12K
82024 211 200 $12K
70543 73 73 $12K
95953 32 13 $12K
82270 146 136 $12K
90696 1,879 1,853 $12K
J3010 Injection, fentanyl citrate, 0.1 mg 44,800 39,740 $12K
83921 605 555 $12K
84145 1,472 1,328 $12K
86235 4,150 2,701 $12K
P9038 Red blood cells, irradiated, each unit 1,312 986 $12K
J0690 Injection, cefazolin sodium, 500 mg 21,193 17,626 $12K
L0172 Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf 196 185 $11K
82525 505 479 $11K
82610 7,335 6,405 $11K
85396 141 135 $11K
82652 476 449 $11K
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 2,436 2,088 $11K
P9040 Red blood cells, leukocytes reduced, irradiated, each unit 645 479 $11K
72070 283 274 $10K
83498 940 922 $10K
87631 887 818 $10K
58301 66 64 $10K
J3480 Injection, potassium chloride, per 2 meq 2,535 1,409 $10K
85379 3,158 2,896 $10K
84134 4,495 4,239 $10K
84403 4,282 4,031 $10K
87186 12,029 10,987 $10K
70250 82 73 $10K
J0780 Injection, prochlorperazine, up to 10 mg 3,057 2,728 $10K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 31,673 27,168 $10K
97032 108 52 $9K
J1200 Injection, diphenhydramine hcl, up to 50 mg 12,350 8,308 $9K
86364 2,554 2,118 $9K
84270 479 467 $9K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 48,709 47,487 $9K
85652 17,128 16,056 $9K
73120 540 337 $9K
83690 17,144 14,431 $9K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 871 841 $9K
86645 234 219 $9K
90677 2,353 2,307 $9K
77073 117 114 $9K
84156 20,515 17,454 $9K
84144 241 226 $9K
73564 208 152 $8K
92556 178 166 $8K
84446 1,201 1,171 $8K
78264 27 26 $8K
84630 6,097 5,926 $8K
88230 483 460 $8K
83970 10,092 9,347 $8K
86787 4,621 4,219 $8K
J2765 Injection, metoclopramide hcl, up to 10 mg 1,027 858 $8K
81513 91 85 $8K
93325 15,874 13,939 $8K
82077 854 772 $8K
84681 768 721 $7K
82657 70 66 $7K
88346 2,089 1,629 $7K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 74 69 $7K
73620 518 353 $7K
86160 6,255 4,092 $7K
88185 2,709 1,477 $7K
82746 9,060 8,698 $7K
87150 69 64 $7K
86705 632 567 $7K
75809 97 87 $7K
92652 120 117 $7K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,455 1,390 $7K
31622 294 263 $6K
82010 1,318 1,179 $6K
86255 176 153 $6K
76377 131 100 $6K
99205 Prolong outpt/office vis 269 264 $6K
D1351 Sealant - per tooth 303 241 $6K
97760 31 27 $6K
97597 416 287 $6K
87799 11,619 7,556 $6K
82248 17,899 15,675 $6K
92609 892 387 $6K
75574 942 897 $6K
77370 36 24 $6K
C1830 Powered bone marrow biopsy needle 13 12 $6K
0052A 246 239 $6K
85045 24,846 18,679 $6K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 1,518 762 $6K
85384 3,127 2,053 $6K
73522 129 129 $6K
86880 98 81 $6K
70496 764 724 $6K
D0220 Intraoral - periapical first radiographic image 309 265 $6K
84165 3,014 2,743 $6K
76857 1,145 1,117 $6K
71275 Computed tomographic angiography, chest, with contrast material 1,326 1,234 $6K
83002 2,663 2,582 $6K
75561 68 67 $6K
36430 6,990 4,961 $6K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 2,203 1,863 $5K
90620 1,637 1,602 $5K
80195 667 458 $5K
D0240 51 44 $5K
84550 6,809 5,188 $5K
86663 371 364 $5K
88173 1,545 1,345 $5K
95713 94 93 $5K
64643 1,050 947 $5K
84207 3,115 3,080 $5K
D7140 Extraction, erupted tooth or exposed root 585 450 $5K
90700 1,969 1,954 $5K
87081 481 462 $5K
87206 1,825 1,534 $5K
86304 1,506 1,228 $5K
76641 108 103 $5K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 127 126 $5K
49591 26 26 $5K
82945 2,052 1,705 $5K
93750 1,417 1,060 $5K
90935 Hemodialysis procedure with single evaluation by a physician 1,989 814 $5K
82977 6,133 5,213 $5K
99195 2,368 1,928 $5K
D0272 Bitewings - two radiographic images 250 217 $5K
51784 404 379 $5K
93886 459 450 $5K
84480 1,109 1,029 $5K
84295 14,326 11,495 $4K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 33 32 $4K
80183 383 373 $4K
81370 226 200 $4K
36226 121 114 $4K
90732 1,145 1,089 $4K
85613 693 630 $4K
90656 1,321 1,286 $4K
87641 1,544 1,439 $4K
0012A 70 69 $4K
91308 144 135 $4K
84703 535 513 $4K
J2795 Injection, ropivacaine hydrochloride, 1 mg 4,246 3,682 $4K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 1,664 1,542 $4K
80158 405 176 $4K
83525 872 827 $4K
81479 Unlisted molecular pathology procedure 29 26 $4K
85240 395 368 $4K
87640 1,048 991 $4K
J1630 Injection, haloperidol, up to 5 mg 3,155 2,783 $4K
J1745 Injection, infliximab, excludes biosimilar, 10 mg 1,115 926 $4K
92550 42 41 $4K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 68 68 $4K
82950 2,900 2,813 $4K
81243 160 149 $4K
19318 61 61 $4K
62369 611 572 $4K
64644 100 90 $4K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 432 391 $4K
J3370 Injection, vancomycin hcl, 500 mg 2,152 1,582 $4K
92597 106 96 $4K
49465 29 27 $4K
84425 4,717 4,661 $3K
J1940 Injection, furosemide, up to 20 mg 2,524 1,792 $3K
74178 441 424 $3K
J1050 Injection, medroxyprogesterone acetate, 1 mg 11,411 11,063 $3K
87338 212 209 $3K
C1758 Catheter, ureteral 1,746 1,649 $3K
84157 2,169 1,795 $3K
73000 39 36 $3K
84132 14,943 11,950 $3K
82140 238 224 $3K
90734 4,679 4,604 $3K
87481 100 95 $3K
82951 447 431 $3K
54640 13 13 $3K
86665 2,707 2,365 $3K
83605 25,227 20,001 $3K
86923 10,070 6,104 $3K
84432 83 78 $3K
J2060 Injection, lorazepam, 2 mg 2,534 2,043 $3K
92511 30 29 $3K
81231 15 13 $3K
B4088 Gastrostomy/jejunostomy tube, low-profile, any material, any type, each 13 13 $3K
97014 27 12 $3K
J2370 Injection, phenylephrine hcl, up to 1 ml 3,221 2,964 $3K
90710 2,575 2,540 $3K
11100 165 160 $3K
73600 62 52 $3K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 5,246 4,923 $3K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 5,435 4,996 $3K
11102 195 187 $3K
J1610 Injection, glucagon hydrochloride, per 1 mg 29 25 $2K
83521 1,537 699 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 2,319 2,138 $2K
70544 12 12 $2K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 7,907 6,737 $2K
51600 541 523 $2K
86147 1,564 1,049 $2K
J0612 Injection, calcium gluconate, not otherwise specified, 10 mg 365 244 $2K
0124A 508 498 $2K
83020 60 56 $2K
84300 556 515 $2K
94644 675 594 $2K
74181 12 12 $2K
96411 1,910 1,286 $2K
J1790 Injection, droperidol, up to 5 mg 1,373 1,154 $2K
96118 42 40 $2K
51798 373 346 $2K
0051A 109 108 $2K
51741 73 67 $2K
86431 1,844 1,804 $2K
36600 195 167 $2K
51701 668 613 $2K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 608 574 $2K
76506 15 12 $2K
86376 1,748 1,682 $2K
84445 163 160 $2K
G0379 Direct admission of patient for hospital observation care 263 239 $2K
92626 43 41 $2K
82272 45 42 $2K
93280 12 12 $2K
84153 812 698 $2K
97035 43 26 $2K
82157 50 48 $2K
96138 103 95 $2K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 3,337 2,592 $2K
83883 1,707 1,115 $2K
36561 53 52 $2K
88313 2,508 1,897 $2K
80143 114 103 $2K
80329 249 229 $2K
87517 540 492 $2K
82164 52 49 $2K
52310 46 41 $2K
86870 594 369 $2K
76821 2,448 1,318 $2K
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 14 14 $2K
86162 119 113 $2K
86833 5,847 5,142 $2K
86357 1,816 1,644 $2K
90678 59 57 $2K
86258 460 233 $1K
88360 52 47 $1K
80321 434 391 $1K
36591 12,997 7,760 $1K
85046 3,474 2,527 $1K
85397 25 24 $1K
97164 57 54 $1K
G0008 Administration of influenza virus vaccine 6,559 6,429 $1K
74022 266 252 $1K
80179 75 70 $1K
94770 15 12 $1K
80323 78 67 $1K
84450 1,177 1,105 $1K
50435 59 51 $1K
90716 1,732 1,693 $1K
90707 1,674 1,651 $1K
11721 15 15 $1K
91307 55 55 $1K
J2785 Injection, regadenoson, 0.1 mg 310 292 $1K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 852 787 $1K
M0244 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency 31 30 $1K
94729 5,739 5,438 $1K
85347 2,792 1,956 $1K
0154A 91 91 $1K
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed 160 143 $1K
J1580 Injection, garamycin, gentamicin, up to 80 mg 163 138 $1K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 653 563 $1K
0082A 112 110 $1K
99407 35 28 $987.52
J3372 Injection, vancomycin hcl (xellia), not therapeutically equivalent to j3370, 500 mg 418 267 $976.88
86735 203 193 $967.83
95911 27 25 $966.22
M0222 Intravenous injection, bebtelovimab, includes injection and post administration monitoring 20 19 $963.83
86777 1,053 871 $945.76
86580 111 99 $935.41
84460 2,659 2,529 $933.83
95874 1,307 1,214 $927.80
J0561 Injection, penicillin g benzathine, 100,000 units 190 132 $903.89
76827 976 929 $901.11
J1815 Injection, insulin, per 5 units 145 72 $876.32
J1756 Injection, iron sucrose, 1 mg 2,468 1,467 $869.27
92504 904 870 $863.16
70498 1,103 1,047 $844.30
77412 300 39 $837.42
90660 85 84 $832.02
A4210 Needle-free injection device, each 82 81 $818.73
82435 1,001 910 $811.05
86708 967 851 $779.17
84590 1,218 1,188 $776.86
90685 306 301 $744.68
78803 12 12 $730.59
0011A 12 12 $728.79
84478 390 255 $698.02
86341 54 49 $695.95
93356 3,157 2,749 $681.67
90723 6,265 6,213 $659.37
84075 753 685 $654.28
92522 12 12 $637.15
90744 287 260 $635.08
97022 27 12 $603.87
90472 Immunization administration, each additional vaccine (list separately) 16,903 16,628 $580.00
72131 12 12 $550.67
62270 307 260 $537.38
90694 432 414 $532.08
90661 273 272 $519.24
82379 168 161 $498.88
J9370 Vincristine sulfate, 1 mg 2,088 1,389 $493.29
87184 800 727 $490.38
J0881 Injection, darbepoetin alfa, 1 microgram (non-esrd use) 435 317 $475.45
99173 9,243 9,120 $460.22
81374 12 12 $454.87
87177 15 14 $433.96
86301 172 158 $424.42
87625 317 311 $402.26
82365 14 13 $387.30
29065 25 25 $377.96
76776 56 51 $355.35
99152 5,263 4,833 $337.84
76932 252 179 $314.60
91320 112 108 $311.00
0081A 65 65 $287.00
86039 2,148 2,078 $285.28
90680 3,262 3,243 $276.77
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring 74 69 $268.50
82088 13 13 $259.75
J0735 Injection, clonidine hydrochloride, 1 mg 424 417 $246.19
86308 12 12 $238.69
J0610 Injection, calcium gluconate (fresenius kabi), per 10 ml 1,836 1,159 $231.47
83930 76 66 $230.45
83010 404 372 $214.03
85246 58 57 $203.24
86901 36,812 29,543 $197.61
86334 1,391 1,239 $190.48
96120 118 115 $182.39
80201 14 14 $155.99
87116 1,009 885 $145.02
75573 61 54 $144.36
96139 102 94 $144.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 1,747 1,624 $140.90
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 1,472 987 $140.10
86825 17 12 $135.29
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 2,133 1,568 $129.94
81406 26 24 $126.40
86920 2,211 1,461 $122.85
92227 47 45 $120.60
C1760 Closure device, vascular (implantable/insertable) 313 294 $118.00
96146 77 74 $103.83
86360 5,548 5,174 $92.70
88108 617 516 $91.09
31502 12 12 $85.09
87088 1,467 1,389 $81.73
51728 100 91 $75.19
86008 202 187 $69.16
86800 966 921 $65.91
86141 34 25 $64.43
J0360 Injection, hydralazine hcl, up to 20 mg 864 740 $52.39
90655 82 79 $46.69
87581 1,752 1,493 $45.24
51797 94 87 $40.90
86682 26 22 $30.89
84244 27 27 $27.79
83935 13 12 $25.33
82239 12 12 $23.42
85245 61 61 $23.28
82373 27 27 $23.27
82397 14 13 $19.31
88312 1,426 1,210 $19.17
84466 9,110 8,565 $17.45
86765 242 232 $16.94
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 3,849 3,315 $5.01
84166 90 80 $0.24
91318 27 27 $0.02
J1596 Injection, glycopyrrolate, 0.1 mg 589 541 $0.00
88261 425 400 $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 110 85 $0.00
86922 833 547 $0.00
84597 281 279 $0.00
87107 123 119 $0.00
Q5107 Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg 16 12 $0.00
96417 2,822 1,866 $0.00
93567 101 85 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 3,337 2,803 $0.00
77012 305 290 $0.00
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml 118 96 $0.00
J1453 Injection, fosaprepitant, 1 mg 1,402 987 $0.00
82374 935 857 $0.00
D2391 Resin-based composite - one surface, posterior, primary or permanent 80 66 $0.00
76981 477 455 $0.00
85670 170 158 $0.00
88237 295 234 $0.00
36592 202 123 $0.00
D2929 66 50 $0.00
36224 86 71 $0.00
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg 376 317 $0.00
J9271 Injection, pembrolizumab, 1 mg 914 728 $0.00
82542 13 12 $0.00
G8984 Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals 89 68 $0.00
81450 52 43 $0.00
11104 24 24 $0.00
81329 231 203 $0.00
84520 967 887 $0.00
J1953 Injection, levetiracetam, 10 mg 466 339 $0.00
85300 16 13 $0.00
75970 35 24 $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 455 376 $0.00
G8996 Swallowing functional limitation, current status at therapy episode outset and at reporting intervals 95 71 $0.00
J3489 Injection, zoledronic acid, 1 mg 14 12 $0.00
J9190 Injection, fluorouracil, 500 mg 212 111 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 446 373 $0.00
75827 30 25 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 53 45 $0.00
80365 380 243 $0.00
87899 19 17 $0.00
J0692 Injection, cefepime hydrochloride, 500 mg 64 38 $0.00
C1788 Port, indwelling (implantable) 134 126 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 201 148 $0.00
90713 42 41 $0.00
Q0244 Injection, casirivimab and imdevimab, 1200 mg 29 28 $0.00
J9260 Injection, methotrexate sodium, 50 mg 57 41 $0.00
85049 142 92 $0.00
82465 18 17 $0.00
J0897 Injection, denosumab, 1 mg 13 12 $0.00
36005 47 45 $0.00
93460 54 50 $0.00
A4315 Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone 112 107 $0.00
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 37 37 $0.00
P9045 Infusion, albumin (human), 5%, 250 ml 87 42 $0.00
C1757 Catheter, thrombectomy/embolectomy 46 40 $0.00
85306 17 14 $0.00
90473 55 54 $0.00
36010 12 12 $0.00
J1569 Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg 58 39 $0.00
J2506 Injection, pegfilgrastim, excludes biosimilar, 0.5 mg 45 24 $0.00
87076 13 13 $0.00
J2323 Injection, natalizumab, 1 mg 13 12 $0.00
G8997 Swallowing functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 95 71 $0.00
C1776 Joint device (implantable) 13 13 $0.00
10005 13 13 $0.00
J7511 Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg 85 40 $0.00
87209 15 14 $0.00
54360 12 12 $0.00
J9035 Injection, bevacizumab, 10 mg 28 24 $0.00
47562 12 12 $0.00
83718 19 18 $0.00
J9201 Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg 23 12 $0.00
C1874 Stent, coated/covered, with delivery system 42 39 $0.00
J1171 Injection, hydromorphone, 0.1 mg 707 346 $0.00
87902 26 26 $0.00
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 23 12 $0.00
78816 28 25 $0.00
93568 16 14 $0.00
77003 51 39 $0.00
38222 30 29 $0.00
66982 16 13 $0.00
94642 29 24 $0.00
M0220 Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), includes injection and post administration monitoring 21 20 $0.00
31624 15 14 $0.00
J9310 Injection, rituximab, 100 mg 17 12 $0.00
70360 15 15 $0.00
0042T 13 13 $0.00
87207 15 13 $0.00
43246 12 12 $0.00
P9041 Infusion, albumin (human), 5%, 50 ml 16 16 $0.00
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg 14 12 $0.00
36227 18 12 $0.00
88350 3,144 1,622 $0.00
99153 Mod sedat endo service >5yrs 3,887 3,602 $0.00
J2997 Injection, alteplase recombinant, 1 mg 2,369 1,831 $0.00
D0230 Intraoral - periapical each additional radiographic image 318 278 $0.00
88311 770 662 $0.00
81277 213 182 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 1,085 1,043 $0.00
D1206 Topical application of fluoride varnish 1,084 795 $0.00
C1726 Catheter, balloon dilatation, non-vascular 1,215 1,115 $0.00
96415 4,392 3,320 $0.00
36512 2,371 2,134 $0.00
J0461 Injection, atropine sulfate, 0.01 mg 538 412 $0.00
90474 3,084 3,062 $0.00
86664 386 379 $0.00
J0586 Injection, abobotulinumtoxina, 5 units 1,136 964 $0.00
J9045 Injection, carboplatin, 50 mg 456 283 $0.00
C9285 Lidocaine 70 mg/tetracaine 70 mg, per patch 1,376 1,333 $0.00
82952 332 321 $0.00
J1097 Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml 802 692 $0.00
93505 817 592 $0.00
C2617 Stent, non-coronary, temporary, without delivery system 386 359 $0.00
J1250 Injection, dobutamine hydrochloride, per 250 mg 258 233 $0.00
P9035 Platelets, pheresis, leukocytes reduced, each unit 165 75 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 610 577 $0.00
86921 604 369 $0.00
G0009 Administration of pneumococcal vaccine 638 633 $0.00
V2632 Posterior chamber intraocular lens 1,332 1,159 $0.00
74174 260 250 $0.00
J9312 Injection, rituximab, 10 mg 41 24 $0.00
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 122 116 $0.00
D9420 509 370 $0.00
88264 250 200 $0.00
J1439 Injection, ferric carboxymaltose, 1 mg 116 76 $0.00
J7060 5% dextrose/water (500 ml = 1 unit) 447 271 $0.00
G0010 Administration of hepatitis b vaccine 221 208 $0.00
90480 254 250 $0.00
J0185 Injection, aprepitant, 1 mg 797 535 $0.00
88331 167 100 $0.00
J9250 Methotrexate sodium, 5 mg 409 283 $0.00
85303 19 16 $0.00
86687 78 63 $0.00
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 98 89 $0.00
A4344 Indwelling catheter, foley type, two-way, all silicone or polyurethane, each 41 39 $0.00
52000 97 91 $0.00
J1459 Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg 156 54 $0.00
94660 90 51 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 659 598 $0.00
87147 272 259 $0.00
85097 55 36 $0.00
J0178 Injection, aflibercept, 1 mg 125 105 $0.00
J2353 Injection, octreotide, depot form for intramuscular injection, 1 mg 31 24 $0.00
84255 57 50 $0.00
82104 127 119 $0.00
96450 119 106 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 26 26 $0.00
83550 4,249 3,994 $0.00
J0485 Injection, belatacept, 1 mg 183 162 $0.00
J1950 Injection, leuprolide acetate (for depot suspension), per 3.75 mg 192 182 $0.00
93531 134 104 $0.00
C1892 Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away 313 278 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 240 205 $0.00
93597 97 84 $0.00
J1836 Injection, metronidazole, 10 mg 70 57 $0.00
50200 45 41 $0.00
J3411 Injection, thiamine hcl, 100 mg 47 37 $0.00
91319 15 15 $0.00
86945 67 30 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 96 74 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 13 13 $0.00
G8982 Changing & maintaining body position functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 85 76 $0.00
J9267 Injection, paclitaxel, 1 mg 91 46 $0.00
93451 214 191 $0.00
C1755 Catheter, intraspinal 40 37 $0.00
96377 15 12 $0.00
G8981 Changing & maintaining body position functional limitation, current status, at therapy episode outset and at reporting intervals 69 62 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 98 75 $0.00
J9070 Cyclophosphamide, 100 mg 108 62 $0.00
G8998 Swallowing functional limitation, discharge status, at discharge from therapy or to end reporting 19 12 $0.00
62367 13 12 $0.00
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 39 37 $0.00
86905 47 42 $0.00
93463 14 12 $0.00
C9463 Injection, aprepitant, 1 mg 30 25 $0.00
J0697 Injection, sterile cefuroxime sodium, per 750 mg 82 60 $0.00
87158 66 62 $0.00
Q0221 Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), 600 mg 20 19 $0.00
93458 63 52 $0.00
82553 23 13 $0.00
J1805 Injection, esmolol hydrochloride, 10 mg 39 36 $0.00
86826 17 12 $0.00
86593 72 69 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 26 24 $0.00
29075 39 38 $0.00
86356 16 12 $0.00
D0210 Intraoral - complete series of radiographic images 45 25 $0.00
88239 118 103 $0.00
62370 21 16 $0.00
87176 14 13 $0.00
C9290 Injection, bupivacaine liposome, 1 mg 12 12 $0.00
85660 20 20 $0.00
J2505 Injection, pegfilgrastim, 6 mg 21 12 $0.00
93596 18 16 $0.00
86353 15 15 $0.00
J0456 Injection, azithromycin, 500 mg 21 12 $0.00
75820 45 44 $0.00
Q0247 Injection, sotrovimab, 500 mg 26 25 $0.00