Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › ORANGE › UNIVERSITY OF CALIFORNIA IRVINE

UNIVERSITY OF CALIFORNIA IRVINE

NPI: 1689608150 · ORANGE, CA 92868 · Multi-Specialty Clinic/Center · NPI assigned 07/10/2006

$153.06M
Total Medicaid Paid
4,108,074
Total Claims
2,998,472
Beneficiaries
879
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSIWABESSY, RANDOLPH (SR VP AND CFO)
NPI Enumeration Date07/10/2006

Related Entities

Other providers sharing the same authorized official: SIWABESSY, RANDOLPH

ProviderCityStateTotal Paid
UNIVERSITY OF CALIFORNIA IRVINE LAKEWOOD CA $21.51M
UNIVERSITY OF CALIFORNIA IRVINE FOUNTAIN VALLEY CA $16.83M
UNIVERSITY OF CALIFORNIA IRVINE PLACENTIA CA $6.87M
UNIVERSITY OF CALIFORNIA IRVINE LOS ALAMITOS CA $6.02M
UC REGENTS FOUNTAIN VALLEY CA $39K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 513,662 $14.78M
2019 466,997 $15.82M
2020 635,730 $21.04M
2021 680,130 $23.77M
2022 691,760 $24.55M
2023 661,156 $29.36M
2024 458,639 $23.74M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
J9271 Injection, pembrolizumab, 1 mg 9,622 3,285 $20.37M
J9299 Injection, nivolumab, 1 mg 3,965 1,106 $7.23M
J1561 Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg 9,071 1,900 $6.79M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 162,270 113,863 $6.70M
J9035 Injection, bevacizumab, 10 mg 4,514 2,554 $5.37M
J1745 Injection, infliximab, excludes biosimilar, 10 mg 2,247 1,736 $4.57M
78815 Positron emission tomography (PET) for limited area imaging 3,345 3,246 $4.37M
74177 Computed tomography, abdomen and pelvis; with contrast material 20,789 19,548 $3.84M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 8,323 7,731 $2.95M
77386 13,708 1,268 $2.77M
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 19,891 17,917 $2.34M
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 53,752 32,391 $2.22M
0760 168,916 127,575 $2.12M
J0897 Injection, denosumab, 1 mg 4,346 2,928 $2.11M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 34,962 19,756 $1.97M
J9306 Injection, pertuzumab, 1 mg 3,056 433 $1.88M
J9312 Injection, rituximab, 10 mg 1,467 519 $1.85M
J2505 Injection, pegfilgrastim, 6 mg 1,578 1,079 $1.82M
0450 Emergency room services 99,173 86,430 $1.80M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 33,087 26,759 $1.78M
71275 Computed tomographic angiography, chest, with contrast material 7,884 7,369 $1.39M
Q5108 Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg 1,868 1,289 $1.34M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 5,980 5,783 $1.26M
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 8,540 8,038 $1.22M
96375 Therapeutic injection; each additional sequential IV push 39,188 26,562 $1.19M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 18,916 12,708 $1.14M
80053 Comprehensive metabolic panel 164,182 116,872 $1.12M
J0585 Injection, onabotulinumtoxina, 1 unit 5,320 2,209 $1.12M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 7,776 7,521 $1.12M
99284 Emergency department visit for the evaluation and management, high severity 6,673 6,152 $1.07M
Q5118 Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg 1,441 524 $1.00M
G0378 Hospital observation service, per hour 3,680 3,440 $985K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 3,450 3,361 $828K
J0178 Injection, aflibercept, 1 mg 1,572 1,393 $798K
J3490 Unclassified drugs 184,272 69,799 $787K
Q5117 Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg 877 541 $770K
70450 Computed tomography, head or brain; without contrast material 14,827 13,746 $756K
J9355 Injection, trastuzumab, excludes biosimilar, 10 mg 784 355 $753K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 156,154 109,869 $734K
93975 3,744 3,502 $701K
77301 868 807 $688K
71260 Computed tomography, thorax, diagnostic; with contrast material 7,459 7,269 $686K
J9310 Injection, rituximab, 100 mg 396 186 $662K
J9202 Goserelin acetate implant, per 3.6 mg 1,749 1,523 $645K
70498 4,576 4,389 $630K
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 10,783 9,504 $625K
P9021 Red blood cells, each unit 4,770 2,871 $616K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 46,661 39,964 $609K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 14,845 12,844 $589K
96367 18,066 9,362 $562K
96415 13,331 7,839 $548K
0250 37,832 25,427 $547K
J0490 Injection, belimumab, 10 mg 479 207 $541K
Q5123 Injection, rituximab-arrx, biosimilar, (riabni), 10 mg 790 316 $531K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 30,423 22,868 $524K
77014 8,721 927 $517K
99283 Emergency department visit for the evaluation and management, moderate severity 5,577 5,046 $511K
Q3014 Telehealth originating site facility fee 40,279 33,983 $505K
74176 Computed tomography, abdomen and pelvis; without contrast material 5,457 5,117 $478K
Q5107 Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg 473 173 $475K
88185 2,738 1,212 $472K
99199 Unlisted special service, procedure or report 11,486 9,571 $466K
76705 Ultrasound, abdominal, real time with image documentation; limited 11,702 10,964 $464K
72125 Computed tomography, cervical spine; without contrast material 4,730 4,449 $462K
43259 1,532 1,446 $455K
0682 530 525 $449K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 9,492 4,077 $440K
96417 10,445 6,204 $415K
P9034 Platelets, pheresis, each unit 1,136 329 $412K
36430 6,814 2,915 $408K
93308 5,834 5,530 $399K
J0185 Injection, aprepitant, 1 mg 5,449 1,674 $374K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,556 2,467 $370K
71046 Radiologic examination, chest; 2 views 19,277 17,686 $366K
P9073 Platelets, pheresis, pathogen-reduced, each unit 706 203 $361K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,609 1,511 $361K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 6,681 6,130 $347K
J3380 Injection, vedolizumab, intravenous, 1 mg 278 86 $346K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 11,733 10,416 $345K
J9395 Injection, fulvestrant, 25 mg 938 777 $340K
93970 2,424 2,276 $331K
J2469 Injection, palonosetron hcl, 25 mcg 11,139 6,443 $330K
70496 2,252 2,152 $329K
74183 1,788 1,744 $329K
J0485 Injection, belatacept, 1 mg 982 346 $320K
96361 Intravenous infusion, hydration; each additional hour 12,125 6,586 $319K
87497 8,538 5,276 $317K
0121 100 98 $304K
93971 3,589 3,295 $303K
72197 1,268 1,234 $303K
83735 66,193 39,326 $301K
71045 Radiologic examination, chest; single view 25,025 22,375 $294K
77334 2,020 1,550 $294K
Z7502 7,671 7,596 $292K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 8,084 4,604 $286K
0214 94 90 $284K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 9,012 7,908 $277K
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 1,164 1,126 $274K
84443 Thyroid stimulating hormone (TSH) 26,661 23,720 $268K
59025 Fetal non-stress test 8,814 5,019 $267K
67028 Intravitreal injection of a pharmacologic agent 6,685 5,613 $267K
77412 4,884 657 $253K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 9,201 8,649 $248K
83880 12,178 10,770 $248K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 9,202 8,648 $247K
88341 3,435 3,136 $239K
77336 5,173 2,203 $237K
80197 19,937 10,735 $233K
74178 1,565 1,535 $226K
L0172 Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf 2,010 1,919 $224K
71250 3,472 3,388 $216K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1,087 1,018 $209K
96416 3,267 1,678 $208K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 11,360 10,840 $204K
88305 Level IV - Surgical pathology, gross and microscopic examination 11,117 10,112 $201K
84484 27,486 21,539 $200K
76604 6,033 5,634 $197K
70551 Magnetic resonance imaging, brain; without contrast material 1,904 1,815 $192K
0270 87,569 60,476 $192K
80048 Basic metabolic panel (calcium, ionized) 34,283 29,391 $190K
Q5111 Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg 152 80 $190K
76830 Ultrasound, transvaginal 3,390 3,195 $187K
31237 859 734 $185K
81001 79,528 64,562 $180K
85027 36,527 27,092 $177K
77338 912 799 $177K
87631 3,774 3,249 $175K
0352 594 448 $172K
83036 Hemoglobin; glycosylated (A1C) 25,934 24,882 $172K
87799 6,347 4,779 $169K
80061 Lipid panel 18,143 17,479 $169K
84100 52,474 31,857 $168K
70486 1,862 1,780 $168K
J9305 Injection, pemetrexed, not otherwise specified, 10 mg 189 64 $163K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 3,835 2,879 $163K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 9,206 8,794 $162K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 26,762 8,524 $156K
70491 1,328 1,283 $149K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1,047 998 $149K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 25,116 14,378 $143K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,936 1,721 $140K
J9228 Injection, ipilimumab, 1 mg 30 14 $139K
0300 13,448 2,707 $135K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 1,131 908 $132K
87086 Culture, bacterial; quantitative colony count, urine 25,046 21,189 $131K
91010 388 384 $130K
74174 612 592 $129K
83690 28,271 24,911 $126K
87536 2,136 1,945 $124K
97597 2,692 1,747 $124K
Z9725 2,828 2,811 $121K
86923 5,978 3,729 $121K
83605 17,028 14,332 $120K
85730 32,147 28,691 $117K
83970 4,232 3,977 $115K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,193 1,969 $114K
J2704 Injection, propofol, 10 mg 31,940 19,644 $113K
C1769 Guide wire 3,713 3,307 $113K
93017 3,089 2,928 $111K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 425 389 $108K
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 464 462 $105K
0510 64,209 48,916 $104K
85610 43,893 35,223 $101K
95708 371 369 $100K
J7030 Infusion, normal saline solution , 1000 cc 33,072 21,399 $98K
77300 926 777 $97K
J2785 Injection, regadenoson, 0.1 mg 1,301 1,219 $95K
97750 3,345 1,767 $93K
77290 719 635 $93K
76770 2,369 2,259 $92K
C1760 Closure device, vascular (implantable/insertable) 784 689 $91K
J9070 Cyclophosphamide, 100 mg 622 282 $91K
93325 1,698 1,625 $90K
52000 1,645 1,584 $89K
72131 1,556 1,455 $87K
73610 5,514 4,967 $87K
70543 470 450 $87K
0360 25,163 10,678 $86K
88307 1,178 1,098 $86K
73562 5,820 5,218 $84K
52310 316 312 $83K
J2777 Injection, faricimab-svoa, 0.1 mg 87 65 $82K
73130 4,998 4,438 $81K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 2,480 2,423 $81K
82378 7,531 5,365 $80K
J9267 Injection, paclitaxel, 1 mg 8,810 1,874 $80K
73630 5,312 4,807 $79K
0160 6,768 6,242 $79K
86803 7,247 6,933 $79K
59841 51 39 $78K
77067 Screening mammography, bilateral, including computer-aided detection 996 987 $78K
V2632 Posterior chamber intraocular lens 1,371 1,118 $78K
86480 2,369 2,287 $78K
72157 492 462 $77K
86900 19,047 15,055 $76K
88342 4,712 4,320 $76K
88184 1,712 1,259 $75K
77080 1,138 1,124 $75K
J2353 Injection, octreotide, depot form for intramuscular injection, 1 mg 59 56 $75K
36591 17,351 7,546 $75K
82570 18,991 14,863 $74K
73030 5,121 4,643 $74K
86360 2,149 2,009 $73K
87077 13,769 10,679 $73K
83615 17,817 7,954 $73K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 4,159 1,548 $71K
72156 405 390 $70K
20610 2,445 2,212 $70K
77295 284 181 $69K
31231 2,077 2,013 $69K
0710 24,778 22,030 $68K
Q9957 Injection, perflutren lipid microspheres, per ml 2,575 2,360 $67K
90715 2,649 2,454 $65K
C1887 Catheter, guiding (may include infusion/perfusion capability) 1,610 1,441 $65K
72158 523 511 $65K
73110 4,152 3,615 $65K
49083 1,089 514 $64K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 13,388 11,972 $64K
84439 11,593 10,378 $63K
J7518 Mycophenolic acid, oral, 180 mg 1,144 986 $63K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 33,194 22,141 $63K
J2997 Injection, alteplase recombinant, 1 mg 1,051 821 $63K
86780 6,379 6,018 $63K
31575 2,638 2,459 $63K
82947 21,966 19,345 $62K
95700 391 386 $62K
84702 17,440 15,421 $61K
J9217 Leuprolide acetate (for depot suspension), 7.5 mg 456 414 $59K
86359 2,161 2,019 $59K
36415 Collection of venous blood by venipuncture 34,882 27,154 $59K
J1756 Injection, iron sucrose, 1 mg 5,102 906 $59K
36561 138 125 $58K
76981 1,010 991 $57K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 18,495 9,918 $57K
72128 919 850 $56K
97165 2,179 1,468 $56K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 34,392 13,437 $55K
76641 836 735 $55K
76536 1,722 1,662 $55K
J7120 Ringers lactate infusion, up to 1000 cc 7,031 4,539 $54K
96402 4,127 3,626 $54K
73590 3,884 3,512 $53K
J9045 Injection, carboplatin, 50 mg 3,501 2,006 $52K
96411 2,154 1,303 $52K
73502 2,959 2,757 $52K
96523 7,565 4,591 $51K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 696 672 $51K
73552 2,995 2,752 $50K
84466 6,293 5,812 $50K
J0881 Injection, darbepoetin alfa, 1 microgram (non-esrd use) 762 439 $50K
J7050 Infusion, normal saline solution, 250 cc 23,098 10,433 $50K
Z7500 1,455 1,259 $49K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 2,070 1,858 $48K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 9,374 3,973 $48K
82728 8,423 7,581 $48K
86850 17,644 13,803 $47K
0011A 1,246 1,245 $47K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,477 2,120 $47K
72100 3,317 3,110 $46K
C1729 Catheter, drainage 3,655 2,910 $46K
92504 5,351 5,092 $45K
93880 563 539 $45K
77066 Tomosynthesis, mammo 568 563 $45K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 1,133 1,030 $44K
94060 956 946 $44K
92134 11,419 10,721 $44K
31579 728 716 $43K
73080 2,673 2,464 $43K
93798 1,867 290 $43K
74018 2,384 2,119 $43K
P9035 Platelets, pheresis, leukocytes reduced, each unit 91 37 $42K
93356 1,538 1,506 $42K
0012A 1,067 1,066 $41K
96376 1,593 1,399 $41K
86901 19,006 15,019 $41K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 111 96 $41K
50435 215 154 $41K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,722 1,998 $40K
87186 8,985 7,832 $39K
0370 7,618 6,972 $39K
0402 559 454 $38K
87070 7,712 6,930 $38K
C1726 Catheter, balloon dilatation, non-vascular 2,341 2,182 $38K
43235 212 193 $37K
88142 4,173 4,077 $37K
86140 10,650 9,851 $37K
93296 2,088 2,046 $36K
84156 12,965 9,374 $34K
C1788 Port, indwelling (implantable) 499 474 $33K
97010 3,813 828 $33K
87040 3,974 3,169 $33K
82043 7,968 7,582 $33K
C2617 Stent, non-coronary, temporary, without delivery system 1,045 949 $33K
76377 1,808 1,703 $33K
J9190 Injection, fluorouracil, 500 mg 3,855 1,571 $32K
87088 6,889 6,133 $32K
36593 493 395 $32K
J2506 Injection, pegfilgrastim, excludes biosimilar, 0.5 mg 36 26 $32K
38222 130 117 $32K
77370 418 380 $31K
87340 4,336 4,124 $31K
J0330 Injection, succinylcholine chloride, up to 20 mg 5,548 5,001 $31K
86160 1,904 1,669 $30K
87081 8,463 7,750 $30K
82803 3,312 2,944 $29K
94729 1,482 1,453 $29K
85379 4,235 3,850 $29K
88313 932 854 $28K
82610 2,451 2,140 $28K
J1453 Injection, fosaprepitant, 1 mg 601 204 $28K
31622 158 149 $28K
73090 2,113 1,943 $28K
83540 6,752 6,253 $28K
J1644 Injection, heparin sodium, per 1000 units 8,265 4,781 $28K
86301 2,420 1,702 $27K
86255 2,666 2,454 $27K
86235 661 603 $27K
84550 8,957 3,922 $27K
78306 258 239 $27K
77065 Tomosynthesis, mammo 431 405 $26K
Q5103 Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg 27 25 $26K
0320 730 548 $26K
67228 343 295 $26K
76776 301 284 $26K
J2405 Injection, ondansetron hydrochloride, per 1 mg 32,041 24,405 $25K
72170 2,368 2,253 $25K
72141 313 305 $25K
0351 163 152 $25K
J3010 Injection, fentanyl citrate, 0.1 mg 29,849 24,973 $25K
97162 1,778 1,731 $25K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 3,180 2,900 $25K
J9263 Injection, oxaliplatin, 0.5 mg 3,748 623 $24K
86304 2,871 2,186 $24K
92521 418 380 $24K
82105 1,982 1,775 $24K
73564 2,052 1,866 $24K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 1,362 1,335 $24K
87517 816 753 $24K
84403 1,538 1,461 $24K
76700 Ultrasound, abdominal, real time with image documentation; complete 478 473 $24K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 6,068 5,494 $23K
93458 40 38 $23K
93321 1,469 1,412 $23K
A9577 Injection, gadobenate dimeglumine (multihance), per ml 804 773 $23K
62323 184 181 $23K
J3475 Injection, magnesium sulfate, per 500 mg 8,507 3,942 $23K
82784 3,575 2,226 $23K
76376 1,488 1,472 $23K
J9201 Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg 1,439 558 $23K
81025 8,267 7,699 $22K
J9264 Injection, paclitaxel protein-bound particles, 1 mg 45 14 $22K
84153 1,876 1,684 $22K
97602 853 567 $22K
73060 1,714 1,561 $21K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 1,543 865 $21K
85652 11,405 10,533 $21K
76512 1,123 984 $21K
86141 2,312 2,056 $21K
76998 266 249 $21K
86334 1,564 1,364 $20K
87808 2,295 2,146 $20K
J2270 Injection, morphine sulfate, up to 10 mg 10,911 7,927 $20K
92202 2,187 2,104 $20K
77063 Screening digital breast tomosynthesis, bilateral 928 919 $20K
85018 13,917 9,519 $19K
69210 4,404 4,170 $19K
83521 1,647 766 $19K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 2,642 2,148 $19K
90677 329 315 $19K
73560 1,699 1,581 $18K
72040 1,269 1,204 $18K
Q9968 Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg 488 425 $18K
90686 1,759 1,669 $18K
82746 2,202 2,068 $18K
87205 7,614 6,847 $18K
0306 1,243 1,186 $18K
J0690 Injection, cefazolin sodium, 500 mg 9,520 7,799 $17K
86704 2,042 1,940 $17K
92083 3,245 3,158 $17K
52356 30 28 $17K
82330 2,510 2,267 $17K
J7507 Tacrolimus, immediate release, oral, 1 mg 1,297 936 $17K
87522 Neg quan hep c or qual rna 534 507 $17K
64615 735 707 $17K
J9206 Injection, irinotecan, 20 mg 802 334 $16K
97799 3,157 513 $16K
76870 489 471 $16K
86706 2,205 2,108 $16K
L0130 Cervical, flexible, thermoplastic collar, molded to patient 290 278 $16K
93923 201 199 $16K
78816 12 12 $16K
0324 585 550 $16K
J7060 5% dextrose/water (500 ml = 1 unit) 5,126 1,782 $16K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 555 525 $15K
51798 2,207 2,099 $15K
J9060 Injection, cisplatin, powder or solution, 10 mg 2,162 824 $15K
G0008 Administration of influenza virus vaccine 2,630 2,593 $15K
0002A 400 400 $15K
P9047 Infusion, albumin (human), 25%, 50 ml 229 123 $15K
94726 397 389 $15K
82274 1,207 1,175 $15K
73700 206 197 $15K
0001A 406 406 $15K
51700 804 739 $15K
J0612 Injection, calcium gluconate, not otherwise specified, 10 mg 307 38 $14K
80074 416 406 $14K
10060 647 610 $14K
82550 3,564 3,182 $14K
77280 208 168 $14K
J2250 Injection, midazolam hydrochloride, per 1 mg 22,238 20,088 $14K
76937 1,185 1,037 $14K
82010 2,455 2,160 $14K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 270 248 $14K
76642 333 330 $14K
92133 3,809 3,695 $14K
76942 1,043 977 $14K
93350 245 236 $14K
0258 207 163 $13K
96409 445 228 $13K
J1885 Injection, ketorolac tromethamine, per 15 mg 17,166 14,412 $13K
94762 1,279 1,188 $13K
76000 757 644 $13K
80076 2,846 2,609 $13K
90632 235 215 $13K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 50 49 $13K
86762 1,069 1,003 $12K
97139 2,911 545 $12K
82607 4,546 4,281 $12K
97161 862 812 $12K
J0696 Injection, ceftriaxone sodium, per 250 mg 8,505 6,880 $12K
88112 524 511 $12K
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 807 792 $12K
43249 41 38 $12K
86038 1,428 1,392 $12K
J3489 Injection, zoledronic acid, 1 mg 688 655 $11K
96401 1,660 700 $11K
99499 192 152 $11K
90662 2,019 1,987 $11K
84165 1,836 1,610 $11K
97166 740 726 $11K
84402 647 622 $11K
92523 152 147 $11K
84270 782 739 $11K
87102 2,396 2,146 $11K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 4,842 4,395 $11K
J1650 Injection, enoxaparin sodium, 10 mg 2,421 1,444 $11K
87184 2,678 2,384 $10K
82533 964 785 $10K
88173 486 444 $10K
92136 1,279 1,257 $10K
J1170 Injection, hydromorphone, up to 4 mg 6,300 4,306 $10K
20553 747 645 $10K
J0640 Injection, leucovorin calcium, per 50 mg 1,288 620 $10K
90732 363 351 $10K
83516 1,178 831 $10K
J3370 Injection, vancomycin hcl, 500 mg 2,441 1,540 $10K
C9463 Injection, aprepitant, 1 mg 129 47 $10K
84478 3,313 2,367 $10K
0762 2,094 2,020 $10K
0350 300 175 $10K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 7,017 6,157 $9K
93925 102 102 $9K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 2,561 2,380 $9K
J2370 Injection, phenylephrine hcl, up to 1 ml 6,382 5,423 $9K
74230 186 183 $9K
C9257 Injection, bevacizumab, 0.25 mg 1,398 1,240 $9K
0301 449 392 $9K
87206 2,836 2,328 $9K
99282 Emergency department visit for the evaluation and management, low to moderate severity 121 121 $9K
0420 229 137 $9K
82140 992 898 $8K
J1200 Injection, diphenhydramine hcl, up to 50 mg 13,057 8,950 $8K
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 402 360 $8K
51702 920 791 $8K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,777 1,029 $8K
91122 27 26 $8K
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring 13 13 $8K
C1762 Connective tissue, human (includes fascia lata) 12 12 $8K
93990 114 103 $8K
Q5101 Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram 467 54 $8K
88312 471 443 $7K
0730 147 141 $7K
97802 83 83 $7K
85384 1,262 841 $7K
92250 1,211 1,160 $7K
0761 1,080 751 $7K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 3,088 2,044 $7K
96368 600 397 $7K
99153 Mod sedat endo service >5yrs 323 297 $7K
80180 750 648 $7K
88360 339 325 $7K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 301 281 $7K
99152 860 807 $7K
81003 4,153 3,420 $7K
77001 182 166 $7K
87075 1,555 1,399 $6K
77470 168 143 $6K
76380 74 41 $6K
0430 144 81 $6K
43242 27 24 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,133 1,065 $6K
92226 833 587 $6K
0480 128 122 $6K
0949 845 517 $6K
90670 125 121 $6K
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 1,616 864 $6K
86920 232 107 $6K
J2795 Injection, ropivacaine hydrochloride, 1 mg 2,693 1,345 $6K
16020 707 480 $6K
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 108 88 $5K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 44 44 $5K
94010 330 316 $5K
11730 1,305 1,251 $5K
82248 1,493 1,241 $5K
72190 274 259 $5K
88304 766 740 $5K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 736 341 $5K
87015 1,646 1,252 $5K
A9576 Injection, gadoteridol, (prohance multipack), per ml 732 702 $5K
99281 Emergency department visit for the evaluation and management, self-limited or minor 780 540 $5K
86200 684 679 $5K
92020 1,507 1,459 $5K
84145 330 273 $5K
0459 873 810 $5K
93041 1,648 1,579 $4K
Q0511 Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period 1,033 1,013 $4K
64415 350 337 $4K
82150 1,227 868 $4K
73140 290 261 $4K
82670 188 184 $4K
74170 37 37 $4K
J2765 Injection, metoclopramide hcl, up to 10 mg 4,065 3,471 $4K
J1815 Injection, insulin, per 5 units 6,193 3,234 $4K
86431 925 908 $4K
97116 1,298 963 $4K
J3480 Injection, potassium chloride, per 2 meq 2,098 1,363 $4K
88237 171 162 $4K
88177 221 201 $4K
J0456 Injection, azithromycin, 500 mg 509 416 $4K
87116 947 748 $4K
92025 1,324 1,282 $4K
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 2,303 828 $4K
86355 133 119 $4K
36416 1,652 1,444 $4K
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 290 269 $4K
96152 106 68 $4K
88108 545 466 $4K
86357 124 110 $4K
78264 17 12 $4K
G0009 Administration of pneumococcal vaccine 630 615 $4K
0064A 119 119 $3K
87581 112 98 $3K
66821 178 154 $3K
83883 563 245 $3K
87486 110 96 $3K
86800 305 299 $3K
J7042 5% dextrose/normal saline (500 ml = 1 unit) 621 453 $3K
84132 2,196 1,945 $3K
76882 352 330 $3K
86833 136 128 $3K
86832 136 128 $3K
76775 80 79 $3K
71020 179 172 $3K
87147 1,017 917 $3K
62270 31 25 $3K
C1763 Connective tissue, non-human (includes synthetic) 42 39 $3K
Q0512 Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period 1,338 1,046 $3K
77002 462 435 $3K
J0780 Injection, prochlorperazine, up to 10 mg 1,060 914 $3K
88300 841 788 $3K
88172 325 297 $3K
94761 208 199 $3K
82977 559 538 $3K
11732 994 961 $3K
82565 1,545 1,430 $3K
88309 38 37 $3K
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 1,354 1,289 $3K
Z7610 440 402 $3K
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg 3,143 2,579 $3K
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg 16 13 $3K
82950 664 649 $3K
99234 3,715 2,976 $3K
84295 1,736 1,540 $3K
11056 1,155 1,099 $3K
93922 70 66 $3K
73200 27 26 $3K
72110 164 161 $3K
84146 262 247 $3K
88264 103 96 $3K
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 167 111 $2K
J0610 Injection, calcium gluconate (fresenius kabi), per 10 ml 402 149 $2K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 62 52 $2K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 367 203 $2K
88321 110 110 $2K
0004A 73 73 $2K
88720 457 370 $2K
87176 810 736 $2K
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 992 608 $2K
72082 94 94 $2K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 98 88 $2K
82365 317 300 $2K
J9000 Injection, doxorubicin hydrochloride, 10 mg 301 128 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 44 40 $2K
93280 306 297 $2K
93297 123 123 $2K
74022 132 123 $2K
73000 151 133 $2K
64450 71 66 $2K
83520 281 247 $2K
J2060 Injection, lorazepam, 2 mg 3,322 2,375 $2K
77077 144 135 $2K
86147 67 48 $2K
51741 303 290 $2K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 1,376 1,242 $2K
0390 443 163 $2K
76857 123 122 $2K
85097 66 64 $2K
83001 165 146 $2K
C1781 Mesh (implantable) 12 12 $2K
84432 152 147 $2K
51728 15 15 $2K
82024 44 39 $2K
84520 1,350 1,245 $2K
J9394 Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg 33 25 $2K
95970 88 88 $2K
86300 116 98 $2K
J9370 Vincristine sulfate, 1 mg 316 178 $2K
J7121 5% dextrose in lactated ringers infusion, up to 1000 cc 478 339 $2K
92060 260 246 $2K
86256 180 167 $2K
90935 Hemodialysis procedure with single evaluation by a physician 17 13 $2K
J9171 Injection, docetaxel, 1 mg 154 75 $2K
J0360 Injection, hydralazine hcl, up to 20 mg 1,162 901 $2K
36573 15 12 $2K
86769 132 83 $2K
82435 1,324 1,220 $2K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 854 613 $2K
96150 55 52 $2K
80164 217 181 $2K
12002 173 170 $2K
84300 599 535 $2K
J7070 Infusion, d5w, 1000 cc 324 222 $2K
80158 117 37 $2K
88311 483 450 $2K
74246 24 24 $2K
95957 18 18 $2K
87106 280 239 $2K
85045 671 543 $2K
86870 14 13 $1K
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 8,613 7,602 $1K
86376 129 127 $1K
72070 139 139 $1K
G0257 Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility 33 26 $1K
88262 43 42 $1K
89051 1,794 1,430 $1K
43762 38 37 $1K
90750 69 60 $1K
85576 197 101 $1K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 1,796 1,526 $1K
S0077 Injection, clindamycin phosphate, 300 mg 321 251 $1K
0071A 34 34 $1K
86592 396 374 $1K
J1940 Injection, furosemide, up to 20 mg 1,302 997 $1K
97003 157 90 $1K
12001 146 144 $1K
99497 61 61 $1K
11900 123 118 $1K
86039 147 144 $1K
A4649 Surgical supply; miscellaneous 29 27 $1K
11102 90 89 $1K
11100 26 25 $1K
88333 67 64 $1K
92611 39 39 $1K
77012 30 28 $1K
10005 14 12 $1K
70487 12 12 $1K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 384 355 $1K
0072A 28 28 $1K
96377 206 154 $1K
J1030 Injection, methylprednisolone acetate, 40 mg 1,446 1,285 $1K
87493 54 51 $1K
97535 Self-care/home management training, each 15 minutes 527 472 $1K
86593 287 274 $1K
87533 27 13 $1K
J1580 Injection, garamycin, gentamicin, up to 80 mg 555 429 $1K
84703 317 294 $983.05
99070 336 192 $968.58
36590 12 12 $967.05
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg 122 95 $951.08
86644 78 54 $922.97
80177 238 195 $914.05
C1773 Retrieval device, insertable (used to retrieve fractured medical devices) 98 98 $893.68
J3535 Drug administered through a metered dose inhaler 285 227 $849.49
92612 12 12 $803.67
84157 493 384 $802.01
88334 49 48 $776.58
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 564 410 $745.11
J0461 Injection, atropine sulfate, 0.01 mg 303 197 $707.59
0346T 26 25 $707.41
86146 52 25 $706.03
95816 24 24 $702.92
L0140 Cervical, semi-rigid, adjustable (plastic collar) 13 12 $699.85
J1250 Injection, dobutamine hydrochloride, per 250 mg 227 219 $689.92
51784 27 27 $677.99
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 24 24 $673.23
94727 64 61 $672.77
83002 66 62 $664.71
J1630 Injection, haloperidol, up to 5 mg 1,075 887 $661.90
88331 37 37 $659.44
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg 270 235 $652.14
51797 27 27 $632.43
93246 298 295 $631.63
99201 12 12 $620.34
94799 167 153 $620.00
90656 40 40 $609.44
71010 57 56 $595.60
J2175 Injection, meperidine hydrochloride, per 100 mg 721 667 $588.32
86787 46 28 $587.76
A6258 Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing 873 806 $585.87
12011 41 40 $585.27
S0164 Injection, pantoprazole sodium, 40 mg 174 117 $547.24
82945 298 234 $536.44
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml 5,280 3,689 $531.70
J2919 Injection, methylprednisolone sodium succinate, 5 mg 455 294 $502.87
96549 214 131 $492.05
86922 16 13 $483.65
29125 80 75 $481.43
83935 160 149 $474.63
J1610 Injection, glucagon hydrochloride, per 1 mg 13 13 $456.29
92610 30 28 $435.68
31624 13 12 $435.30
77387 227 50 $432.76
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 1,168 879 $427.26
84681 31 30 $425.32
76001 28 24 $421.50
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg 161 153 $416.40
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 1,555 572 $413.13
92225 29 26 $374.73
99221 14 12 $371.36
J2550 Injection, promethazine hcl, up to 50 mg 563 492 $370.97
90472 Immunization administration, each additional vaccine (list separately) 282 260 $367.03
93270 12 12 $364.00
85613 52 49 $351.66
J8540 Dexamethasone, oral, 0.25 mg 1,157 602 $342.76
73522 26 25 $339.08
92522 28 24 $324.19
11721 909 885 $316.73
17110 119 115 $315.35
C1758 Catheter, ureteral 65 49 $309.81
93978 13 12 $293.01
36589 12 12 $288.54
77332 17 14 $280.70
95983 15 14 $261.66
J3371 Injection, vancomycin hcl (mylan), not therapeutically equivalent to j3370, 500 mg 164 127 $251.98
84480 26 24 $242.94
J1171 Injection, hydromorphone, 0.1 mg 34 19 $241.87
86430 73 72 $232.57
95836 27 26 $231.14
81015 178 165 $226.84
86317 41 37 $226.49
83930 57 53 $218.69
87400 94 93 $216.51
84425 40 39 $206.22
84155 137 132 $205.30
97163 25 24 $180.06
92201 13 12 $180.04
82787 27 13 $176.67
86753 16 12 $174.28
71101 12 12 $173.70
83655 30 30 $166.60
84481 14 14 $163.42
82247 33 24 $156.39
96127 12 12 $154.86
83010 15 12 $140.95
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 35 25 $132.51
85014 111 101 $132.43
85347 61 38 $125.51
86308 28 28 $118.12
G0127 Trimming of dystrophic nails, any number 13 13 $114.66
96110 Developmental screening, with scoring and documentation, per standardized instrument 13 13 $110.25
J2003 Injection, lidocaine hydrochloride, 1 mg 52 39 $105.20
87045 13 12 $103.40
76514 110 110 $103.26
83550 28 27 $102.07
L4386 Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 13 13 $99.66
20550 14 12 $96.52
J1596 Injection, glycopyrrolate, 0.1 mg 51 49 $95.96
S0028 Injection, famotidine, 20 mg 5,239 3,061 $94.68
82962 129 104 $94.38
A6257 Transparent film, sterile, 16 sq. in. or less, each dressing 1,107 939 $88.76
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12 12 $82.66
99001 247 225 $80.00
83006 14 13 $78.51
82042 59 39 $76.24
J0692 Injection, cefepime hydrochloride, 500 mg 18 12 $70.67
J2590 Injection, oxytocin, up to 10 units 12 12 $67.86
86580 43 41 $67.82
84460 13 12 $64.74
81479 Unlisted molecular pathology procedure 29 27 $62.87
51736 15 15 $62.58
J1950 Injection, leuprolide acetate (for depot suspension), per 3.75 mg 12 12 $61.52
87046 26 12 $60.91
82595 14 13 $60.29
84540 27 25 $48.61
J1953 Injection, levetiracetam, 10 mg 23 12 $48.23
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 304 274 $47.80
J1920 Injection, labetalol hydrochloride, 5 mg 17 15 $42.50
51701 13 13 $42.00
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 12 12 $40.74
69209 17 16 $37.61
0272 891 545 $37.59
A6457 Tubular dressing with or without elastic, any width, per linear yard 14 13 $35.86
A6213 Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing 12 12 $33.96
J1643 Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units 46 46 $32.68
J8499 Prescription drug, oral, non chemotherapeutic, nos 399 158 $25.84
82465 14 13 $25.52
S5010 5% dextrose and 0.45% normal saline, 1000 ml 426 314 $24.50
J2470 Injection, pantoprazole sodium, 40 mg 17 14 $24.21
81050 14 13 $23.64
83986 15 13 $19.57
A4217 Sterile water/saline, 500 ml 28 27 $15.98
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 32 29 $15.88
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 23 16 $10.88
A9150 Non-prescription drugs 174 126 $9.94
72050 14 14 $9.29
A6222 Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 146 124 $7.88
11000 15 13 $6.00
A9270 Non-covered item or service 829 453 $4.42
20611 12 12 $3.38
J2730 Injection, pralidoxime chloride, up to 1 gm 12 12 $2.88
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 628 580 $1.59
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 571 530 $1.55
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 139 122 $0.69
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 134 117 $0.68
Q0164 Prochlorperazine maleate, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 67 59 $0.59
G8996 Swallowing functional limitation, current status at therapy episode outset and at reporting intervals 135 116 $0.24
G8997 Swallowing functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 144 123 $0.24
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 227 209 $0.08
G8989 Self care functional limitation, discharge status, at discharge from therapy or to end reporting 16 13 $0.05
0519 221 179 $0.00
0611 89 87 $0.00
0305 103 87 $0.00
90480 13 13 $0.00
0440 22 15 $0.00
0610 51 43 $0.00
0335 687 228 $0.00
0310 406 164 $0.00
0341 21 20 $0.00
G8998 Swallowing functional limitation, discharge status, at discharge from therapy or to end reporting 49 38 $0.00
0780 1,576 1,418 $0.00
3044F 51 51 $0.00
0636 4,468 1,474 $0.00
0482 17 17 $0.00
0409 14 13 $0.00
0612 Calcium glucon (wg critical) 23 13 $0.00
0280 66 47 $0.00
S0030 Injection, metronidazole, 500 mg 162 94 $0.00
0349 37 32 $0.00
0276 17 14 $0.00
0481 37 13 $0.00
99072 282 149 $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 91 87 $0.00
0489 95 62 $0.00
0260 560 237 $0.00
0278 140 104 $0.00
0483 62 50 $0.00
0311 41 40 $0.00
0361 49 28 $0.00
0920 406 251 $0.00
0921 22 18 $0.00
0750 107 76 $0.00
0333 209 23 $0.00
G8984 Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals 73 70 $0.00
0343 27 27 $0.00
0940 94 61 $0.00
0460 60 36 $0.00
0274 21 19 $0.00
0623 37 25 $0.00
91322 13 13 $0.00