Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › ME › AUGUSTA › MAINEGENERAL MEDICAL CENTER

MAINEGENERAL MEDICAL CENTER

NPI: 1669423380 · AUGUSTA, ME 04330 · General Acute Care Hospital · NPI assigned 05/15/2006

$167.78M
Total Medicaid Paid
4,791,823
Total Claims
3,946,101
Beneficiaries
812
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBRANN, TERRANCE (CFO)
NPI Enumeration Date05/15/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 588,103 $17.70M
2019 692,889 $21.73M
2020 617,137 $19.06M
2021 758,142 $25.23M
2022 744,698 $28.10M
2023 743,444 $28.39M
2024 647,410 $27.57M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 716,216 525,350 $46.93M
99283 Emergency department visit for the evaluation and management, moderate severity 83,176 76,559 $8.34M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 214,534 198,735 $8.32M
99284 Emergency department visit for the evaluation and management, high severity 67,080 63,143 $7.71M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 241,726 222,773 $6.57M
J9271 Injection, pembrolizumab, 1 mg 1,495 1,089 $6.47M
J3380 Injection, vedolizumab, intravenous, 1 mg 1,277 1,210 $4.95M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 18,116 16,237 $4.54M
74177 Computed tomography, abdomen and pelvis; with contrast material 13,121 12,379 $2.18M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 19,729 17,430 $1.96M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 19,858 11,942 $1.79M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 14,713 8,579 $1.79M
90853 Group psychotherapy (other than of a multiple-family group) 38,349 8,196 $1.75M
78815 Positron emission tomography (PET) for limited area imaging 3,234 3,120 $1.70M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 7,530 7,350 $1.64M
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 4,242 4,139 $1.55M
99282 Emergency department visit for the evaluation and management, low to moderate severity 24,928 23,562 $1.55M
99232 Subsequent hospital care, per day, moderate complexity 48,381 19,585 $1.33M
J1745 Injection, infliximab, excludes biosimilar, 10 mg 1,016 701 $1.33M
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 23,873 23,091 $1.29M
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 63,159 48,746 $1.25M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 61,061 25,872 $1.23M
90837 Psychotherapy, 53 minutes with patient 16,416 11,211 $1.13M
77386 4,116 393 $1.10M
90847 Family psychotherapy with the patient present, 50 minutes 11,605 7,478 $1.09M
71046 Radiologic examination, chest; 2 views 30,432 27,685 $1.09M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 82,972 62,718 $1.08M
90834 Psychotherapy, 45 minutes with patient 13,705 10,089 $1.02M
99215 Prolong outpt/office vis 17,132 15,118 $1.01M
Q9991 Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg 602 570 $973K
90832 Psychotherapy, 30 minutes with patient 16,428 12,181 $948K
95810 Polysomnography; sleep staging with 4 or more additional parameters 2,990 2,959 $914K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,556 3,501 $861K
45380 Colonoscopy, flexible; with biopsy, single or multiple 2,639 2,566 $858K
J0585 Injection, onabotulinumtoxina, 1 unit 2,296 1,583 $836K
G0008 Administration of influenza virus vaccine 30,736 29,635 $830K
Q9992 Injection, buprenorphine extended-release (sublocade), greater than 100 mg 527 494 $827K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 8,458 6,188 $820K
97530 Therapeutic activities, direct patient contact, each 15 minutes 15,755 5,683 $806K
0225U 4,174 3,878 $777K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1,868 1,819 $760K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 11,313 10,463 $759K
70450 Computed tomography, head or brain; without contrast material 9,373 8,687 $741K
90791 Psychiatric diagnostic evaluation 6,714 6,291 $705K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 20,957 20,258 $696K
96375 Therapeutic injection; each additional sequential IV push 20,089 15,145 $637K
96361 Intravenous infusion, hydration; each additional hour 19,110 15,551 $604K
J0897 Injection, denosumab, 1 mg 576 522 $597K
20610 5,587 4,893 $590K
96130 4,730 4,517 $560K
77412 5,257 623 $522K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 9,005 8,648 $471K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 9,470 9,252 $470K
74176 Computed tomography, abdomen and pelvis; without contrast material 4,308 4,093 $430K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 27,428 23,279 $402K
77334 1,466 1,092 $389K
76705 Ultrasound, abdominal, real time with image documentation; limited 5,815 5,651 $366K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6,819 6,528 $364K
95811 1,329 1,303 $358K
G0009 Administration of pneumococcal vaccine 11,382 11,278 $341K
J0185 Injection, aprepitant, 1 mg 2,538 1,512 $339K
97161 8,735 8,454 $337K
90846 Family psychotherapy without the patient present, 50 minutes 3,260 2,546 $333K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 397 376 $329K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 4,495 4,431 $327K
90792 Psychiatric diagnostic evaluation with medical services 4,130 3,967 $321K
43235 1,090 1,065 $303K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 21,373 10,078 $303K
80053 Comprehensive metabolic panel 156,872 127,020 $299K
52000 1,735 1,652 $280K
77067 Screening mammography, bilateral, including computer-aided detection 7,814 7,679 $277K
94060 3,690 3,561 $273K
84443 Thyroid stimulating hormone (TSH) 49,314 46,232 $271K
76819 Fetal biophysical profile; without non-stress testing 3,076 1,571 $265K
11043 2,128 1,637 $260K
96367 6,589 3,843 $258K
86900 6,821 6,124 $255K
92557 5,263 5,096 $245K
80061 Lipid panel 33,746 32,675 $245K
J9299 Injection, nivolumab, 1 mg 146 77 $244K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 6,570 3,811 $243K
76830 Ultrasound, transvaginal 3,157 3,065 $238K
J2505 Injection, pegfilgrastim, 6 mg 141 95 $235K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 4,588 4,398 $234K
Q5104 Injection, infliximab-abda, biosimilar, (renflexis), 10 mg 138 113 $222K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 51,340 44,882 $218K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,084 4,002 $215K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 304 294 $215K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 7,009 6,658 $213K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 8,492 8,237 $212K
77336 3,871 1,796 $204K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 155,565 122,707 $204K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 7,393 6,516 $202K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 441 332 $202K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 14,697 14,162 $192K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 3,295 2,967 $190K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 4,927 1,829 $187K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,045 2,973 $180K
96131 4,223 4,024 $179K
99233 Prolong inpt eval add15 m 4,915 2,391 $178K
71275 Computed tomographic angiography, chest, with contrast material 2,314 2,209 $171K
G0010 Administration of hepatitis b vaccine 5,185 5,144 $171K
71250 4,536 4,417 $167K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 3,366 3,129 $159K
77300 837 792 $159K
J2426 Injection, paliperidone palmitate extended release (invega sustenna), 1 mg 136 126 $156K
G0475 Hiv antigen/antibody, combination assay, screening 8,784 8,463 $152K
93971 3,001 2,840 $148K
96101 1,191 1,069 $148K
10060 1,329 1,265 $145K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 13,025 12,289 $144K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 12,950 12,216 $144K
99310 Prolong nursin fac eval 15m 5,751 4,218 $144K
93017 3,394 3,285 $138K
71260 Computed tomography, thorax, diagnostic; with contrast material 4,485 4,281 $136K
64615 1,648 1,613 $136K
71045 Radiologic examination, chest; single view 4,215 3,858 $134K
76770 2,168 2,128 $134K
94726 5,083 4,913 $131K
96415 3,574 2,517 $126K
Q3014 Telehealth originating site facility fee 9,360 5,253 $123K
92060 10,573 10,387 $121K
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 1,610 1,192 $121K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 6,338 3,259 $119K
36415 Collection of venous blood by venipuncture 196,326 161,757 $119K
97803 4,018 3,853 $118K
92552 1,730 1,688 $116K
70491 852 813 $116K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,591 3,496 $115K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,312 1,251 $115K
90686 22,032 20,994 $113K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 7,646 7,174 $112K
93798 2,226 355 $112K
70496 684 653 $112K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,098 1,842 $111K
47562 40 40 $109K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 320 311 $105K
97162 3,394 3,275 $103K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 33,992 31,343 $103K
76536 1,655 1,611 $96K
92002 1,238 1,229 $95K
93880 1,365 1,336 $95K
96417 3,344 2,000 $94K
83036 Hemoglobin; glycosylated (A1C) 36,958 35,716 $94K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 43,932 36,141 $93K
J0178 Injection, aflibercept, 1 mg 81 75 $92K
72100 4,041 3,815 $92K
71271 1,793 1,779 $91K
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 1,462 1,450 $91K
74018 4,660 4,079 $90K
97597 1,862 1,071 $88K
76642 1,953 1,883 $85K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 2,406 2,367 $83K
20553 773 671 $81K
90677 2,140 2,120 $80K
11102 1,139 1,100 $80K
73630 7,228 6,331 $80K
11721 13,286 12,873 $80K
Q5107 Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg 66 37 $79K
73564 3,585 3,126 $79K
73030 6,720 5,988 $78K
91200 1,363 1,348 $78K
92588 420 417 $78K
20611 623 565 $77K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 102 95 $77K
93970 700 669 $77K
86780 7,001 6,649 $75K
17110 2,485 2,312 $75K
99222 Initial hospital care, per day, moderate complexity 1,240 1,210 $73K
88142 6,220 6,107 $71K
77063 Screening digital breast tomosynthesis, bilateral 7,132 7,008 $70K
20550 494 431 $69K
J2357 Injection, omalizumab, 5 mg 47 25 $69K
73610 5,565 4,940 $69K
99223 Prolong inpt eval add15 m 1,065 1,034 $68K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 4,026 3,943 $66K
99205 Prolong outpt/office vis 696 686 $66K
J9035 Injection, bevacizumab, 10 mg 36 24 $64K
76882 1,296 1,197 $63K
J1453 Injection, fosaprepitant, 1 mg 407 256 $63K
99239 Hospital discharge day management, more than 30 minutes 1,273 1,250 $62K
95117 2,223 1,109 $61K
77080 1,838 1,816 $61K
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 950 917 $60K
88184 476 428 $59K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 533 359 $59K
87522 Neg quan hep c or qual rna 2,591 2,467 $59K
77066 Tomosynthesis, mammo 1,084 1,061 $57K
94010 4,653 4,522 $57K
97165 1,474 1,433 $55K
95115 2,091 1,120 $54K
86003 1,727 1,470 $53K
31575 709 681 $52K
77301 112 108 $52K
82607 9,630 9,244 $51K
76801 583 558 $50K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 922 894 $50K
99496 1,008 984 $50K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 1,011 983 $49K
97163 974 955 $49K
87086 Culture, bacterial; quantitative colony count, urine 25,456 23,197 $48K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 3,935 3,869 $48K
85027 22,364 20,075 $47K
64483 122 120 $47K
82728 10,948 10,321 $47K
73110 3,608 3,176 $47K
73130 4,033 3,473 $47K
99231 Subsequent hospital care, per day, straightforward or low complexity 3,154 2,014 $46K
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) 361 229 $45K
80048 Basic metabolic panel (calcium, ionized) 24,130 19,808 $44K
77290 352 288 $44K
73562 4,464 3,987 $44K
70486 1,101 1,050 $42K
84702 6,922 5,577 $42K
90651 4,530 4,486 $42K
29581 453 180 $41K
99358 Prolong nursin fac eval 15m 790 405 $39K
88305 Level IV - Surgical pathology, gross and microscopic examination 24,019 16,211 $39K
83655 4,872 4,660 $38K
87536 1,269 1,245 $38K
93225 625 616 $37K
67028 Intravitreal injection of a pharmacologic agent 753 709 $37K
99308 Subsequent nursing facility care, per day, straightforward 3,119 2,042 $37K
96411 1,301 810 $36K
98927 5,361 5,002 $36K
96136 4,643 4,436 $36K
36561 25 25 $36K
99426 557 533 $35K
73140 2,708 2,310 $35K
92567 10,113 9,800 $34K
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 4,337 4,181 $34K
84439 11,723 10,881 $34K
99454 2,270 2,202 $33K
80074 2,051 1,976 $33K
73502 2,961 2,760 $32K
64721 40 38 $32K
87510 3,183 3,045 $32K
87480 3,183 3,045 $31K
87660 3,183 3,045 $31K
90480 1,826 1,789 $31K
86480 868 812 $31K
H0041 Foster care, child, non-therapeutic, per diem 27 27 $31K
90670 8,208 8,154 $31K
72040 1,891 1,770 $31K
84403 2,220 2,084 $30K
83970 2,700 2,567 $30K
62323 134 125 $30K
90732 676 658 $30K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 446 422 $30K
11100 293 287 $30K
97802 488 481 $29K
96150 690 598 $29K
93923 665 647 $28K
12001 1,206 1,165 $28K
83550 10,773 10,210 $28K
91320 806 780 $28K
73560 2,892 2,464 $28K
93016 2,618 2,510 $27K
77280 517 473 $27K
83540 12,593 11,934 $26K
83516 4,506 2,920 $26K
91322 616 605 $26K
72110 709 683 $26K
73100 1,484 1,195 $25K
97166 931 887 $25K
99495 534 520 $25K
82746 4,705 4,533 $24K
J1750 Injection, iron dextran, 50 mg 197 177 $24K
D1206 Topical application of fluoride varnish 2,029 2,014 $24K
96152 674 515 $23K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,244 2,569 $23K
86140 18,777 15,670 $23K
77065 Tomosynthesis, mammo 644 608 $23K
51705 480 396 $23K
58301 127 118 $23K
72125 Computed tomography, cervical spine; without contrast material 3,431 3,222 $22K
97116 3,041 1,560 $22K
86618 4,344 3,605 $21K
J0881 Injection, darbepoetin alfa, 1 microgram (non-esrd use) 171 146 $21K
97035 4,336 2,056 $21K
96910 784 139 $21K
76870 550 523 $20K
51702 1,398 1,238 $20K
0002A 599 590 $20K
87186 9,997 9,180 $20K
43249 31 28 $20K
0001A 618 612 $20K
87081 9,020 8,735 $20K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 2,101 1,392 $20K
36430 165 115 $19K
99177 2,571 2,510 $19K
96158 989 615 $19K
78264 102 101 $19K
58300 460 432 $18K
82105 2,394 2,275 $18K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 2,669 2,588 $18K
87340 5,423 5,187 $18K
11056 729 697 $18K
90746 310 300 $18K
83735 32,683 23,687 $17K
99221 433 393 $17K
90961 462 436 $17K
96127 3,496 3,360 $17K
95816 631 594 $17K
86762 3,419 3,298 $16K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 1,491 1,454 $16K
70498 667 643 $16K
11046 144 105 $16K
73080 1,438 1,282 $16K
82784 4,369 3,836 $16K
93308 125 125 $16K
94762 318 317 $16K
96137 3,301 3,126 $16K
93922 791 783 $16K
G0297 Low dose ct scan (ldct) for lung cancer screening 848 838 $16K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 889 767 $15K
97535 Self-care/home management training, each 15 minutes 1,592 821 $15K
83880 6,341 5,648 $15K
77338 118 114 $15K
72050 420 411 $15K
90661 864 858 $15K
J2997 Injection, alteplase recombinant, 1 mg 74 57 $14K
73590 1,426 1,250 $14K
0064A 1,020 930 $14K
99238 Hospital discharge day management, 30 minutes or less 357 351 $14K
80076 4,188 3,960 $14K
99188 1,080 1,078 $13K
86706 2,953 2,805 $13K
98928 3,375 3,141 $13K
82570 9,177 8,562 $13K
86038 2,556 2,421 $13K
85610 35,171 24,633 $13K
99406 868 830 $12K
90716 2,672 2,662 $12K
81001 38,805 34,412 $12K
74178 72 66 $12K
87427 2,162 1,051 $12K
97167 361 355 $12K
92015 Determination of refractive state 6,702 6,570 $12K
74174 79 78 $11K
90870 52 24 $11K
11055 572 554 $11K
77295 27 24 $11K
0124A 852 846 $11K
88342 4,721 4,498 $11K
J1097 Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml 427 321 $11K
73090 879 732 $11K
92523 84 84 $11K
86666 3,053 1,487 $11K
17000 1,725 1,636 $11K
87905 4,118 3,930 $11K
98926 2,742 2,543 $10K
0004A 574 561 $10K
85652 12,224 10,364 $10K
76700 Ultrasound, abdominal, real time with image documentation; complete 155 154 $10K
82785 1,687 1,500 $10K
87077 9,269 8,445 $10K
80164 2,646 2,340 $10K
72070 461 445 $10K
93793 4,009 2,039 $10K
84146 993 959 $10K
87808 3,928 3,750 $10K
82043 6,871 6,640 $9K
81025 20,100 18,452 $9K
83690 19,574 17,460 $9K
G0105 Colorectal cancer screening; colonoscopy on individual at high risk 27 26 $9K
83993 682 661 $9K
0003A 326 324 $9K
80178 3,306 2,903 $9K
90620 499 495 $8K
64493 31 25 $8K
86704 2,052 1,945 $8K
90662 2,623 2,573 $8K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 80 76 $8K
C9447 Injection, phenylephrine and ketorolac, 4 ml vial 143 111 $8K
80159 1,576 1,317 $8K
94729 5,070 4,900 $8K
52310 12 12 $8K
86850 7,108 6,394 $7K
84425 704 682 $7K
83001 844 809 $7K
87070 5,222 4,698 $7K
73501 963 875 $7K
82947 2,245 2,183 $7K
96112 49 48 $7K
96156 201 188 $7K
99427 174 166 $7K
69209 2,832 2,727 $7K
86803 1,294 1,241 $7K
99359 Prolong nursin fac eval 15m 220 106 $7K
87147 3,110 2,635 $7K
72170 497 463 $7K
99309 Subsequent nursing facility care, per day, low to moderate complexity 395 291 $7K
92134 1,898 1,839 $6K
0081A 156 153 $6K
86200 1,324 1,237 $6K
90619 1,060 1,044 $6K
87205 8,482 7,724 $6K
84153 1,722 1,614 $6K
11730 82 78 $6K
96161 209 209 $6K
0011A 217 216 $6K
96523 324 305 $5K
73700 89 82 $5K
84100 7,175 5,827 $5K
93242 226 225 $5K
86753 1,597 1,478 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 190 189 $5K
90734 3,446 3,423 $5K
69210 927 899 $5K
36593 52 41 $5K
87045 1,144 1,101 $5K
86255 803 722 $5K
G0499 Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive hbsag result 357 338 $5K
74160 39 38 $5K
82950 1,124 1,104 $5K
86430 2,113 1,984 $5K
0012A 196 195 $5K
64450 25 24 $5K
86617 752 654 $5K
99173 2,327 2,294 $5K
88307 1,032 818 $4K
97150 Therapeutic procedure(s), group (2 or more individuals) 2,485 482 $4K
91010 25 25 $4K
0134A 370 366 $4K
11981 79 77 $4K
84165 1,940 1,793 $4K
74230 89 85 $4K
90688 433 427 $4K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk 13 12 $4K
87902 66 63 $4K
11750 20 12 $4K
J9217 Leuprolide acetate (for depot suspension), 7.5 mg 26 25 $4K
98929 1,024 978 $4K
P9040 Red blood cells, leukocytes reduced, irradiated, each unit 52 37 $4K
86787 690 673 $4K
85018 5,271 4,830 $4K
96402 664 609 $4K
82533 2,405 2,056 $4K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 5,910 5,278 $4K
82550 4,966 4,211 $3K
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose 70 38 $3K
84481 412 394 $3K
83615 8,382 6,449 $3K
0082A 79 79 $3K
0154A 147 147 $3K
73522 146 140 $3K
82565 4,108 3,743 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 7,206 6,439 $3K
99281 Emergency department visit for the evaluation and management, self-limited or minor 148 103 $3K
86360 428 415 $3K
82248 1,176 1,019 $3K
81514 1,960 1,903 $3K
84156 2,239 1,880 $3K
73620 533 497 $3K
86481 84 82 $3K
82024 2,068 1,743 $3K
99460 49 49 $3K
84402 244 229 $3K
99442 582 558 $3K
88108 706 663 $3K
84550 2,216 1,988 $3K
86160 292 260 $3K
93976 38 37 $3K
87329 413 397 $3K
86359 456 440 $3K
78306 26 25 $3K
82670 169 163 $3K
85730 3,885 3,475 $3K
96160 81 81 $3K
77470 13 12 $2K
81003 23,898 21,910 $2K
96113 49 48 $2K
85379 4,748 4,463 $2K
73600 200 176 $2K
64400 15 12 $2K
86696 183 175 $2K
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 34 25 $2K
87328 317 304 $2K
96116 27 27 $2K
80305 2,245 1,218 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 23,289 21,775 $2K
82378 1,916 1,565 $2K
85014 2,368 1,990 $2K
99350 Prolong home eval add 15m 99 79 $2K
86708 438 411 $2K
99462 74 64 $2K
29125 612 579 $2K
J2704 Injection, propofol, 10 mg 25,210 23,115 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 16,829 16,128 $2K
86580 193 169 $2K
96121 25 25 $2K
92555 1,246 1,220 $2K
96132 12 12 $2K
74220 26 26 $2K
73000 85 66 $2K
86694 155 134 $2K
82140 678 583 $2K
11982 13 12 $2K
82103 457 421 $2K
0031A 65 65 $2K
12002 204 197 $2K
17250 18 15 $1K
84484 19,287 13,386 $1K
86695 183 175 $1K
J7120 Ringers lactate infusion, up to 1000 cc 26,986 23,957 $1K
88304 1,808 1,565 $1K
73070 105 93 $1K
95909 14 14 $1K
87040 4,871 2,752 $1K
84460 534 509 $1K
87449 368 351 $1K
90935 Hemodialysis procedure with single evaluation by a physician 70 25 $1K
70355 45 38 $1K
87075 765 681 $1K
29515 17 16 $1K
86364 207 191 $1K
0073A 30 30 $1K
81511 12 12 $1K
11104 17 15 $1K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 109 105 $1K
72114 26 26 $1K
12011 84 80 $1K
87324 330 315 $1K
80175 238 222 $1K
0071A 28 28 $1K
95806 26 24 $1K
J7030 Infusion, normal saline solution , 1000 cc 26,747 19,471 $1K
64405 14 14 $1K
99306 Prolong nursin fac eval 15m 39 39 $1K
77399 14 14 $1K
92551 157 157 $1K
83002 95 90 $1K
87478 119 117 $999.89
J3010 Injection, fentanyl citrate, 0.1 mg 20,294 17,650 $987.20
86376 108 101 $977.48
86235 62 37 $964.20
73660 106 104 $922.29
83520 149 139 $920.94
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 17 17 $910.00
82150 1,042 935 $902.81
0083A 21 21 $891.24
87102 569 500 $890.92
99443 86 81 $888.23
83883 652 558 $885.37
87400 3,021 1,785 $876.34
0173A 36 36 $865.45
51798 2,086 1,879 $822.13
J1885 Injection, ketorolac tromethamine, per 15 mg 18,616 16,115 $817.24
86765 97 91 $802.01
90653 273 272 $794.86
73120 44 39 $784.37
82247 233 141 $768.66
97810 69 61 $767.08
99336 26 26 $764.41
74022 101 96 $748.61
87484 119 117 $722.70
87469 119 117 $722.39
87468 119 117 $722.39
85045 678 606 $720.65
86308 1,303 1,250 $714.91
98925 248 228 $693.13
86705 72 72 $659.12
87430 2,167 2,091 $658.56
64447 80 75 $651.38
86735 81 76 $633.93
90744 4,571 4,555 $626.74
96377 142 95 $606.76
96159 115 89 $583.59
70030 16 13 $579.17
82542 154 139 $559.84
80197 187 89 $548.01
93243 13 13 $545.27
J2405 Injection, ondansetron hydrochloride, per 1 mg 26,573 21,470 $541.58
0034A 32 32 $527.02
95886 210 204 $489.59
92133 438 415 $477.23
74019 43 42 $473.13
51784 15 12 $470.11
80156 113 105 $444.26
86225 104 98 $443.12
86682 44 44 $429.14
J3490 Unclassified drugs 1,034 494 $424.60
90656 959 958 $418.00
93270 25 24 $417.02
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 5,757 3,639 $412.76
86920 266 181 $372.19
83605 5,103 4,351 $370.56
A4649 Surgical supply; miscellaneous 509 378 $364.94
87015 144 142 $357.10
J2250 Injection, midazolam hydrochloride, per 1 mg 14,865 13,670 $352.00
84132 475 315 $346.85
99334 24 22 $344.34
88187 17 12 $339.30
82010 858 756 $324.85
90680 5,925 5,903 $316.72
J1100 Injection, dexamethasone sodium phosphate, 1 mg 18,221 14,553 $313.28
99441 96 93 $310.63
11719 88 84 $306.80
94761 516 481 $305.04
81002 1,389 1,345 $303.58
82671 14 12 $290.70
86709 67 63 $285.53
82962 6,789 4,467 $283.27
92250 127 123 $278.22
86769 12 12 $274.42
86800 39 37 $271.72
82390 92 87 $263.93
82310 197 169 $256.11
80050 General health panel 15 15 $245.00
94664 1,719 1,331 $243.99
J2270 Injection, morphine sulfate, up to 10 mg 4,152 3,477 $235.45
83021 83 83 $234.78
72220 49 44 $234.09
92083 57 56 $231.35
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 164 83 $223.94
87338 29 28 $223.79
0013A 13 13 $223.50
J0736 Injection, clindamycin phosphate, 300 mg 313 268 $213.75
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 14 12 $200.70
87420 250 237 $199.07
71101 16 16 $191.42
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 1,440 1,330 $185.88
83020 84 83 $180.18
J0690 Injection, cefazolin sodium, 500 mg 7,308 6,140 $179.89
80069 54 52 $178.95
36600 31 25 $175.26
90715 10,221 9,819 $173.66
84480 29 27 $155.98
84450 68 63 $154.76
82803 951 832 $148.83
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 3,209 3,094 $147.76
86677 16 16 $147.30
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 7,397 5,190 $146.86
73060 15 14 $146.74
82951 12 12 $141.57
J0696 Injection, ceftriaxone sodium, per 250 mg 4,570 2,798 $140.36
92556 213 203 $129.12
J3480 Injection, potassium chloride, per 2 meq 956 711 $125.75
94375 13 13 $124.65
99348 19 17 $120.65
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 9,393 8,721 $116.57
J1200 Injection, diphenhydramine hcl, up to 50 mg 9,267 6,532 $115.12
82985 26 25 $103.75
93226 498 490 $102.27
C1769 Guide wire 3,038 2,788 $102.26
82977 24 24 $94.79
36416 34,579 28,714 $92.44
83721 25 24 $84.43
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 2,221 1,943 $82.47
89051 527 305 $78.49
98968 22 12 $76.68
86901 6,821 6,124 $75.89
Q9957 Injection, perflutren lipid microspheres, per ml 2,515 2,410 $72.39
J1644 Injection, heparin sodium, per 1000 units 3,507 2,217 $63.56
C9290 Injection, bupivacaine liposome, 1 mg 1,417 1,338 $63.56
J0131 Injection, acetaminophen, not otherwise specified,10 mg 7,942 7,306 $60.29
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 16,301 7,087 $58.22
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 1,863 1,815 $57.32
J2785 Injection, regadenoson, 0.1 mg 1,314 1,283 $57.32
J1170 Injection, hydromorphone, up to 4 mg 4,192 2,938 $57.23
J1040 Injection, methylprednisolone acetate, 80 mg 2,266 2,158 $52.96
96376 3,379 2,999 $52.00
17003 241 218 $49.90
90472 Immunization administration, each additional vaccine (list separately) 19,630 19,187 $41.04
J0330 Injection, succinylcholine chloride, up to 20 mg 2,177 1,528 $40.63
92136 27 24 $37.36
84075 29 25 $37.33
G0476 Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test 362 357 $35.09
82952 12 12 $32.34
V2632 Posterior chamber intraocular lens 542 407 $28.13
G0143 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under physician supervision 700 688 $27.85
83010 15 13 $25.16
J9045 Injection, carboplatin, 50 mg 839 483 $24.43
J7060 5% dextrose/water (500 ml = 1 unit) 5,276 2,530 $24.43
80177 12 12 $24.32
L4350 Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf 26 25 $24.00
84520 14 12 $23.86
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 3,236 2,743 $23.25
73552 14 13 $22.63
94760 1,883 1,325 $22.00
86301 16 14 $20.81
J1580 Injection, garamycin, gentamicin, up to 80 mg 715 659 $16.67
J8499 Prescription drug, oral, non chemotherapeutic, nos 1,456 1,151 $13.76
82040 25 24 $13.76
J1030 Injection, methylprednisolone acetate, 40 mg 1,777 1,681 $12.68
J3475 Injection, magnesium sulfate, per 500 mg 1,993 1,301 $11.78
96368 2,043 1,194 $11.78
88173 587 410 $9.96
85384 12 12 $8.68
82800 61 53 $8.66
82553 30 28 $7.92
J7050 Infusion, normal saline solution, 250 cc 6,796 3,777 $7.46
90474 5,877 5,858 $5.94
C9113 Injection, pantoprazole sodium, per vial 1,214 1,027 $5.25
J2765 Injection, metoclopramide hcl, up to 10 mg 2,602 2,407 $1.47
J1836 Injection, metronidazole, 10 mg 27 24 $0.21
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml 24,361 13,181 $0.00
C1776 Joint device (implantable) 440 404 $0.00
90633 5,499 5,473 $0.00
99051 1,788 1,745 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 1,016 846 $0.00
90707 2,638 2,626 $0.00
A6212 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing 343 328 $0.00
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 2,111 1,899 $0.00
90710 2,638 2,626 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 3,175 3,124 $0.00
J1756 Injection, iron sucrose, 1 mg 770 291 $0.00
91300 1,058 983 $0.00
G8984 Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals 280 274 $0.00
87999 44 41 $0.00
90713 245 244 $0.00
93321 314 310 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 2,342 2,062 $0.00
90700 310 308 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 873 847 $0.00
99152 2,648 2,507 $0.00
J0640 Injection, leucovorin calcium, per 50 mg 691 387 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 582 568 $0.00
90685 3,127 3,113 $0.00
J3370 Injection, vancomycin hcl, 500 mg 1,137 867 $0.00
76942 485 472 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 1,111 1,020 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 150 67 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 271 245 $0.00
84145 39 38 $0.00
76937 1,154 1,080 $0.00
J0694 Injection, cefoxitin sodium, 1 gm 26 24 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 721 659 $0.00
88313 225 129 $0.00
J1171 Injection, hydromorphone, 0.1 mg 116 90 $0.00
77387 154 24 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 440 397 $0.00
J1953 Injection, levetiracetam, 10 mg 15 13 $0.00
91321 309 309 $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 383 363 $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 699 672 $0.00
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 218 214 $0.00
C1788 Port, indwelling (implantable) 24 24 $0.00
80143 56 50 $0.00
J3489 Injection, zoledronic acid, 1 mg 13 12 $0.00
88104 13 12 $0.00
J9190 Injection, fluorouracil, 500 mg 286 166 $0.00
90648 36 36 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 130 108 $0.00
A6021 Collagen dressing, sterile, size 16 sq. in. or less, each 32 24 $0.00
J9263 Injection, oxaliplatin, 0.5 mg 78 50 $0.00
90671 44 44 $0.00
90380 30 30 $0.00
J9060 Injection, cisplatin, powder or solution, 10 mg 34 13 $0.00
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) 123 117 $0.00
C1758 Catheter, ureteral 44 40 $0.00
90649 13 13 $0.00
80179 51 46 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 58 58 $0.00
L1830 Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf 12 12 $0.00
96133 12 12 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 27 27 $0.00
A9270 Non-covered item or service 1,327 1,127 $0.00
99153 Mod sedat endo service >5yrs 1,963 1,855 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 1,948 1,749 $0.00
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 120 116 $0.00
J1815 Injection, insulin, per 5 units 522 281 $0.00
90696 2,262 2,250 $0.00
J1630 Injection, haloperidol, up to 5 mg 832 662 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 267 177 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 1,922 1,799 $0.00
90697 292 291 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 220 217 $0.00
91306 280 235 $0.00
J2060 Injection, lorazepam, 2 mg 3,339 2,651 $0.00
C1781 Mesh (implantable) 58 51 $0.00
90698 8,190 8,162 $0.00
36000 135 122 $0.00
J0500 Injection, dicyclomine hcl, up to 20 mg 37 36 $0.00
G8986 Carrying, moving & handling objects functional limitation, discharge status, at discharge from therapy or to end reporting 54 53 $0.00
88172 87 79 $0.00
90636 27 25 $0.00
G0378 Hospital observation service, per hour 648 607 $0.00
J7999 Compounded drug, not otherwise classified 52 38 $0.00
A6197 Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing 241 185 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 143 139 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 661 619 $0.00
88185 295 177 $0.00
90632 213 209 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 94 81 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 100 98 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 498 481 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 675 614 $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 68 65 $0.00
J1940 Injection, furosemide, up to 20 mg 404 309 $0.00
C1726 Catheter, balloon dilatation, non-vascular 168 163 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 761 673 $0.00
88300 13 13 $0.00
64494 16 12 $0.00
J0461 Injection, atropine sulfate, 0.01 mg 42 24 $0.00
77417 69 39 $0.00
91301 305 297 $0.00
C2617 Stent, non-coronary, temporary, without delivery system 16 14 $0.00
74420 63 61 $0.00
A4364 Adhesive, liquid or equal, any type, per oz 110 108 $0.00
J9267 Injection, paclitaxel, 1 mg 207 78 $0.00
88341 317 255 $0.00
77001 74 71 $0.00
88311 45 36 $0.00
A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler 26 26 $0.00
91303 46 46 $0.00
29130 13 13 $0.00
90381 84 84 $0.00
64415 16 16 $0.00
G8981 Changing & maintaining body position functional limitation, current status, at therapy episode outset and at reporting intervals 14 13 $0.00
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 33 26 $0.00