Medicaid Provider Spending

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

CENTRAL MAINE MEDICAL CENTER

NPI: 1689653487 · LEWISTON, ME 04240 · General Acute Care Hospital · NPI assigned 01/11/2006

$76.13M
Total Medicaid Paid
2,486,320
Total Claims
2,116,772
Beneficiaries
692
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMORIN, SUSAN (REGIONAL MANAGER PHYSICIAN PRACTICE)
NPI Enumeration Date01/11/2006

Related Entities

Other providers sharing the same authorized official: MORIN, SUSAN

ProviderCityStateTotal Paid
CENTRAL MAINE CLINICAL ASSOCIATES CORPORATION LEWISTON ME $525K
SUSAN D MORIN WOONSOCKET RI $17K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 330,649 $8.74M
2019 365,478 $10.46M
2020 317,159 $9.63M
2021 371,451 $11.48M
2022 381,752 $11.39M
2023 382,617 $11.87M
2024 337,214 $12.55M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 294,170 229,314 $16.26M
99284 Emergency department visit for the evaluation and management, high severity 63,600 58,700 $8.62M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 24,894 22,067 $5.73M
99283 Emergency department visit for the evaluation and management, moderate severity 46,422 43,106 $4.58M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 113,344 107,400 $4.02M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 74,562 70,525 $1.87M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 18,170 15,592 $1.70M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 6,735 6,430 $1.53M
A0427 Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 7,433 6,467 $1.37M
74177 Computed tomography, abdomen and pelvis; with contrast material 8,462 7,852 $1.03M
99282 Emergency department visit for the evaluation and management, low to moderate severity 15,733 14,832 $983K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 10,277 9,973 $918K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 8,788 6,212 $733K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,362 1,285 $667K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1,869 1,746 $666K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 18,881 17,965 $592K
71046 Radiologic examination, chest; 2 views 17,755 16,220 $577K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 29,219 11,689 $561K
70450 Computed tomography, head or brain; without contrast material 7,186 6,526 $550K
90834 Psychotherapy, 45 minutes with patient 8,043 4,644 $545K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 4,241 2,308 $523K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 9,097 8,717 $501K
96375 Therapeutic injection; each additional sequential IV push 15,218 11,377 $452K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 5,060 4,076 $452K
J0585 Injection, onabotulinumtoxina, 1 unit 965 603 $448K
A0425 Ground mileage, per statute mile 14,811 10,967 $442K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 8,166 7,739 $425K
59025 Fetal non-stress test 3,406 2,268 $424K
99232 Subsequent hospital care, per day, moderate complexity 16,858 7,420 $404K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7,214 6,915 $403K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 6,308 5,857 $343K
76819 Fetal biophysical profile; without non-stress testing 6,163 3,868 $340K
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 2,066 1,861 $322K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 5,925 5,508 $317K
A0428 Ambulance service, basic life support, non-emergency transport, (bls) 4,542 3,648 $311K
90832 Psychotherapy, 30 minutes with patient 4,634 2,782 $305K
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 1,707 1,555 $295K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4,999 4,759 $292K
96361 Intravenous infusion, hydration; each additional hour 10,082 8,021 $276K
71260 Computed tomography, thorax, diagnostic; with contrast material 2,987 2,810 $275K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1,298 1,228 $275K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 4,856 4,535 $273K
90460 Immunization administration through 18 years of age via any route, first or only component 9,530 8,987 $271K
77386 1,120 87 $250K
Q3014 Telehealth originating site facility fee 16,567 14,096 $241K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4,396 4,320 $240K
77067 Screening mammography, bilateral, including computer-aided detection 4,810 4,730 $240K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 17,550 12,817 $236K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 3,198 1,441 $231K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,210 2,096 $224K
93975 1,467 1,392 $219K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 656 586 $217K
76705 Ultrasound, abdominal, real time with image documentation; limited 3,518 3,390 $217K
52000 1,276 1,226 $205K
70551 Magnetic resonance imaging, brain; without contrast material 1,655 1,591 $201K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 2,070 2,024 $200K
97161 6,125 5,808 $198K
99233 Prolong inpt eval add15 m 5,995 3,398 $198K
99215 Prolong outpt/office vis 3,916 3,763 $191K
77412 2,203 222 $182K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2,842 2,735 $177K
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 4,769 4,455 $171K
94060 2,451 2,354 $170K
84443 Thyroid stimulating hormone (TSH) 27,361 25,914 $168K
71275 Computed tomographic angiography, chest, with contrast material 2,116 1,979 $162K
80061 Lipid panel 23,903 22,984 $161K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 39,358 33,990 $157K
J1745 Injection, infliximab, excludes biosimilar, 10 mg 78 70 $156K
76830 Ultrasound, transvaginal 2,314 2,237 $156K
20610 3,892 3,159 $153K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 2,300 2,220 $153K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 5,224 4,750 $151K
90791 Psychiatric diagnostic evaluation 1,793 1,737 $147K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 180 173 $146K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 9,479 4,299 $146K
80053 Comprehensive metabolic panel 80,571 68,119 $145K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 5,681 5,292 $138K
95810 Polysomnography; sleep staging with 4 or more additional parameters 486 467 $135K
77336 2,806 1,172 $134K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 9,904 9,479 $133K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 9,518 9,008 $129K
76801 1,897 1,802 $129K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 9,517 9,007 $128K
90461 5,561 5,209 $127K
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) 703 419 $124K
72141 993 966 $123K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,393 3,285 $122K
43235 365 339 $118K
71045 Radiologic examination, chest; single view 3,964 3,438 $105K
95811 407 393 $104K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 5,605 4,795 $99K
93971 2,110 2,011 $99K
99309 Subsequent nursing facility care, per day, low to moderate complexity 4,189 3,490 $96K
97803 3,540 3,017 $90K
99223 Prolong inpt eval add15 m 1,533 1,458 $89K
77063 Screening digital breast tomosynthesis, bilateral 4,025 3,960 $89K
99336 2,639 2,267 $87K
90686 12,209 11,963 $83K
71250 2,186 2,122 $82K
96367 2,390 1,499 $80K
83036 Hemoglobin; glycosylated (A1C) 28,733 27,326 $79K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,048 1,791 $79K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 552 524 $79K
31575 1,236 1,121 $79K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 73,285 59,143 $78K
72100 3,219 2,983 $76K
70496 822 764 $76K
76642 1,860 1,675 $74K
80055 2,148 2,041 $74K
36415 Collection of venous blood by venipuncture 85,528 75,004 $72K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,385 1,312 $69K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 2,373 1,573 $67K
C8930 Transthoracic echocardiography, with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with physician supervision 289 270 $63K
92557 1,396 1,339 $61K
92587 567 564 $60K
97530 Therapeutic activities, direct patient contact, each 15 minutes 3,411 1,938 $55K
93017 1,380 1,278 $54K
31237 56 27 $52K
00731 1,663 1,606 $52K
98928 5,584 5,037 $51K
99239 Hospital discharge day management, more than 30 minutes 1,270 1,236 $51K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 7,662 6,382 $50K
77334 195 146 $50K
77427 782 376 $50K
82728 9,007 8,517 $48K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 3,389 3,268 $47K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 5,755 5,339 $46K
85027 26,831 23,991 $46K
93880 707 687 $45K
81511 496 471 $45K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 35,777 30,226 $45K
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 1,836 1,497 $44K
88142 5,273 4,940 $44K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 2,930 1,712 $42K
A0434 Specialty care transport (sct) 104 102 $42K
77066 Tomosynthesis, mammo 581 567 $41K
43249 92 79 $40K
77300 194 171 $39K
29581 596 237 $38K
90677 1,052 1,031 $38K
70486 902 867 $38K
97165 1,934 1,773 $38K
82607 7,400 7,059 $38K
86480 1,229 1,178 $38K
71271 694 690 $36K
74018 1,507 1,360 $36K
99349 1,006 833 $36K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 3,646 3,476 $36K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 12,800 6,470 $36K
86803 5,662 5,374 $35K
97802 721 650 $35K
10060 320 308 $34K
76536 612 604 $34K
64450 76 66 $33K
72050 863 829 $33K
87510 7,077 6,573 $33K
0001A 2,041 2,020 $33K
87660 7,076 6,572 $33K
93970 353 339 $33K
87088 16,707 15,134 $33K
87480 7,079 6,575 $33K
96127 1,912 1,801 $33K
0002A 1,911 1,891 $33K
73630 4,485 3,877 $33K
86900 3,640 3,290 $31K
99205 Prolong outpt/office vis 368 362 $31K
99406 2,305 2,118 $30K
72125 Computed tomography, cervical spine; without contrast material 2,644 2,465 $30K
36561 38 38 $29K
83655 2,995 2,836 $29K
36569 117 106 $29K
96415 793 544 $29K
74183 174 161 $29K
93922 1,554 1,478 $28K
73030 3,481 3,003 $28K
73502 2,736 2,451 $26K
82746 4,732 4,504 $25K
95806 448 438 $24K
31231 296 255 $23K
93923 644 625 $23K
97162 842 796 $23K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,885 1,789 $22K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 89 71 $22K
83970 1,417 1,342 $22K
73562 3,477 3,031 $21K
90792 Psychiatric diagnostic evaluation with medical services 313 311 $21K
J0897 Injection, denosumab, 1 mg 41 38 $21K
86703 3,133 2,979 $21K
95886 2,102 1,515 $21K
84439 6,290 5,917 $21K
73610 3,140 2,735 $20K
84702 3,383 2,591 $20K
69210 2,070 1,945 $20K
94010 2,524 2,436 $20K
99443 838 807 $20K
73130 2,777 2,228 $20K
77065 Tomosynthesis, mammo 412 369 $20K
83550 5,891 5,580 $19K
88305 Level IV - Surgical pathology, gross and microscopic examination 16,172 10,948 $19K
58301 123 104 $18K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,316 2,201 $18K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 26 25 $18K
G0432 Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening 2,408 2,287 $18K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 794 774 $17K
83540 6,772 6,419 $17K
0004A 832 821 $17K
77080 585 582 $17K
80048 Basic metabolic panel (calcium, ionized) 10,796 8,897 $17K
77014 1,092 122 $17K
90651 1,466 1,331 $17K
70491 172 161 $16K
J1453 Injection, fosaprepitant, 1 mg 269 167 $16K
87522 Neg quan hep c or qual rna 745 710 $16K
72110 897 825 $16K
90847 Family psychotherapy with the patient present, 50 minutes 189 120 $15K
97535 Self-care/home management training, each 15 minutes 1,651 1,192 $15K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 32 32 $15K
73560 1,177 855 $15K
73110 2,278 1,956 $15K
73221 125 120 $15K
90732 273 261 $14K
58300 363 322 $14K
90670 4,454 4,200 $14K
87340 3,230 3,064 $14K
99222 Initial hospital care, per day, moderate complexity 289 279 $14K
83735 14,038 11,138 $14K
99188 1,272 1,220 $14K
92567 3,236 3,112 $13K
95816 225 209 $13K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 51 50 $13K
83516 1,900 1,754 $13K
64615 108 106 $13K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 41 41 $13K
49083 29 13 $12K
86140 8,581 7,522 $12K
82565 13,723 11,574 $12K
17110 268 229 $12K
72070 400 377 $12K
86003 294 264 $12K
82105 1,335 1,266 $11K
93296 1,429 1,307 $11K
84481 1,798 1,705 $11K
82947 6,544 5,748 $11K
86704 2,322 2,218 $11K
76775 373 366 $11K
99442 633 613 $11K
85610 20,363 13,318 $10K
87081 4,962 4,753 $10K
80069 4,722 3,950 $10K
G0482 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; 15-21 drug class(es), including metabolite(s) if performed 157 123 $10K
86038 1,872 1,781 $10K
74221 131 131 $10K
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) 727 706 $10K
90837 Psychotherapy, 53 minutes with patient 89 66 $9K
96158 211 199 $9K
90473 205 199 $9K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 407 394 $9K
82950 2,233 2,144 $9K
86592 2,916 2,770 $9K
36591 768 507 $9K
87186 5,856 5,356 $9K
96417 277 161 $9K
J2469 Injection, palonosetron hcl, 25 mcg 634 407 $9K
90678 33 32 $9K
86706 1,650 1,555 $9K
80299 2,474 1,760 $9K
84153 1,183 1,144 $9K
80051 9,890 8,321 $9K
84425 687 666 $9K
87070 4,246 3,941 $9K
G0008 Administration of influenza virus vaccine 4,156 4,076 $9K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 3,146 2,341 $8K
98927 1,804 1,650 $8K
84403 549 526 $8K
0011A 535 527 $8K
84460 4,716 4,438 $8K
81001 21,111 18,613 $8K
90853 Group psychotherapy (other than of a multiple-family group) 245 100 $8K
99385 110 105 $8K
11981 106 100 $8K
85651 7,185 6,251 $8K
81025 13,297 12,154 $8K
83880 4,960 4,361 $7K
0071A 196 195 $7K
84450 4,786 4,485 $7K
64483 73 72 $7K
90656 905 902 $7K
84520 11,781 9,809 $7K
86618 1,495 1,429 $7K
95913 65 62 $7K
88342 2,092 1,939 $7K
99348 216 161 $6K
80076 1,593 1,471 $6K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 543 507 $6K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2,946 2,874 $6K
87581 5,757 5,341 $6K
90662 1,808 1,758 $6K
91200 109 102 $6K
86850 3,641 3,291 $6K
20551 132 104 $5K
70498 841 776 $5K
82043 3,806 3,642 $5K
86708 920 868 $5K
29075 84 69 $5K
84100 3,071 2,504 $5K
0072A 131 131 $5K
93229 606 350 $5K
95251 492 483 $5K
87147 3,533 3,295 $5K
73080 742 656 $4K
85018 4,148 3,556 $4K
87641 287 272 $4K
82247 2,217 1,936 $4K
76770 54 54 $4K
83021 246 241 $4K
82784 1,378 957 $4K
95819 25 25 $4K
88307 856 665 $4K
84146 346 330 $4K
93280 535 524 $4K
96150 37 37 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 184 180 $4K
87536 179 168 $4K
74178 53 49 $4K
93798 80 12 $4K
99231 Subsequent hospital care, per day, straightforward or low complexity 230 131 $4K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 483 463 $4K
82248 2,920 2,578 $4K
86317 212 105 $4K
82570 1,672 1,545 $3K
81003 11,008 10,168 $3K
84270 250 237 $3K
90734 1,787 1,691 $3K
77062 62 62 $3K
0031A 176 175 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,679 4,480 $3K
83690 13,607 12,026 $3K
87640 299 279 $3K
87077 4,184 3,843 $3K
93926 119 112 $3K
97116 570 382 $3K
83001 337 313 $3K
96156 64 63 $3K
73564 671 595 $3K
85730 3,357 2,873 $3K
99308 Subsequent nursing facility care, per day, straightforward 161 114 $3K
84446 353 337 $3K
G0297 Low dose ct scan (ldct) for lung cancer screening 149 144 $3K
84590 399 385 $3K
72040 216 199 $3K
93225 68 65 $3K
84597 310 299 $3K
87205 3,573 3,251 $3K
83993 192 188 $3K
99335 87 67 $3K
73140 330 294 $3K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 212 188 $3K
86431 1,175 1,121 $2K
73590 507 425 $2K
0124A 253 236 $2K
92582 30 30 $2K
82670 134 123 $2K
84075 1,579 1,452 $2K
99383 36 36 $2K
90716 1,191 1,133 $2K
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 172 167 $2K
86160 463 288 $2K
93976 39 38 $2K
92579 112 110 $2K
11720 346 339 $2K
82274 331 318 $2K
43248 12 12 $2K
86376 319 299 $2K
94729 2,251 2,157 $2K
93295 151 141 $2K
72131 89 82 $2K
84156 1,469 1,281 $2K
94726 499 469 $2K
74174 16 15 $2K
87209 144 138 $2K
0064A 158 157 $2K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 448 436 $2K
84480 290 260 $2K
G0127 Trimming of dystrophic nails, any number 652 630 $2K
98926 518 469 $2K
84165 609 573 $2K
11056 88 86 $2K
J3010 Injection, fentanyl citrate, 0.1 mg 16,523 13,469 $2K
G0250 Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequently than once a week; billing units of service include 4 tests 2,285 2,230 $2K
51705 29 24 $2K
J7120 Ringers lactate infusion, up to 1000 cc 9,516 7,834 $2K
87625 109 102 $2K
82040 1,909 1,751 $1K
90620 88 72 $1K
99397 168 155 $1K
93308 148 141 $1K
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) 962 942 $1K
99177 224 222 $1K
77280 28 24 $1K
90649 808 800 $1K
82550 1,278 1,089 $1K
51798 2,605 2,458 $1K
90480 62 58 $1K
80164 394 366 $1K
J2250 Injection, midazolam hydrochloride, per 1 mg 11,119 9,774 $1K
84703 1,553 1,488 $1K
87046 119 113 $1K
99496 39 39 $1K
64405 12 12 $1K
99292 19 18 $1K
93271 13 13 $1K
97035 286 113 $1K
88720 282 248 $1K
83520 180 173 $1K
J2405 Injection, ondansetron hydrochloride, per 1 mg 18,431 15,021 $1K
74230 28 27 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 12,269 9,921 $1K
72170 134 118 $1K
92552 12 12 $1K
83605 6,613 5,580 $1K
81002 3,455 3,164 $1K
J0690 Injection, cefazolin sodium, 500 mg 3,975 3,175 $1K
A0426 Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) 12 12 $1K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 96 82 $1K
G0378 Hospital observation service, per hour 6,274 3,201 $1K
96523 54 53 $1K
93351 25 25 $1K
88304 1,357 1,121 $999.44
87177 144 138 $984.02
72146 12 12 $966.59
73090 221 180 $958.84
84630 146 139 $952.85
J1885 Injection, ketorolac tromethamine, per 15 mg 11,399 9,754 $950.50
J3490 Unclassified drugs 2,293 1,908 $929.92
76882 39 36 $927.25
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 6,808 5,768 $912.80
84160 607 571 $907.01
90673 94 94 $874.53
99441 97 96 $868.38
86787 79 77 $867.21
93270 83 50 $862.90
86255 118 106 $862.27
85045 741 700 $856.37
99310 Prolong nursin fac eval 15m 16 12 $854.27
93016 79 76 $848.20
96380 55 55 $847.00
85380 3,142 2,903 $844.24
82525 114 106 $807.79
83615 922 775 $799.13
85014 2,017 1,600 $794.33
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 148 137 $792.09
87040 3,983 2,884 $771.61
96376 4,748 3,176 $768.98
86352 2,119 1,924 $761.89
G0009 Administration of pneumococcal vaccine 314 304 $761.48
83883 172 159 $746.23
99347 58 44 $726.87
99221 27 26 $720.30
84550 530 503 $712.67
99337 14 12 $712.08
76870 69 66 $703.14
99350 Prolong home eval add 15m 14 13 $689.32
97166 26 25 $687.84
84132 599 511 $685.77
82310 639 532 $669.92
94727 925 891 $667.99
87427 105 100 $661.20
17250 36 27 $657.80
87493 58 54 $644.00
90619 451 426 $633.88
87045 119 113 $591.97
82805 2,011 1,683 $583.34
99152 2,674 2,365 $567.51
93018 79 76 $563.64
90681 2,355 2,234 $560.90
73700 14 12 $550.57
84484 14,252 10,964 $548.98
82977 168 161 $544.35
91320 31 27 $530.04
86923 56 49 $513.70
93246 28 28 $498.01
93283 26 26 $496.37
51702 26 25 $482.14
90682 15 14 $473.65
82785 71 64 $455.68
D1206 Topical application of fluoride varnish 46 46 $453.75
86665 27 26 $438.30
73552 97 82 $433.11
92611 25 25 $427.98
J1170 Injection, hydromorphone, up to 4 mg 6,622 4,538 $424.61
82533 68 54 $422.64
83002 47 40 $417.51
93289 40 40 $401.24
99173 187 187 $400.18
88300 668 595 $374.26
85049 374 355 $367.76
86200 92 87 $356.79
86361 107 97 $353.33
11721 24 24 $351.83
74019 32 29 $351.04
99495 13 12 $331.01
G0400 Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels 14 14 $330.86
93288 14 14 $329.11
72128 12 12 $324.46
99305 12 12 $277.56
00811 12 12 $268.44
92610 24 24 $262.22
97605 22 12 $254.09
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 89 86 $232.72
80177 56 54 $211.04
84134 32 25 $210.50
92551 25 25 $207.50
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 14 12 $205.31
93325 207 197 $203.71
C1769 Guide wire 3,139 2,786 $190.88
82951 18 18 $179.18
86334 28 27 $177.74
86705 25 25 $176.55
82150 113 111 $174.67
86225 27 25 $174.61
87338 24 24 $173.95
90723 2,105 2,021 $168.13
73060 32 25 $165.62
82172 31 29 $165.18
82272 421 395 $157.18
93294 33 33 $155.78
93352 12 12 $151.62
86901 3,642 3,290 $150.08
J2370 Injection, phenylephrine hcl, up to 1 ml 2,954 2,418 $146.09
93321 73 71 $143.20
73100 84 75 $141.91
36416 15,681 11,782 $141.14
90744 200 198 $138.44
99153 Mod sedat endo service >5yrs 1,362 1,213 $135.89
81000 467 444 $131.64
J7030 Infusion, normal saline solution , 1000 cc 13,028 10,443 $124.62
12001 481 461 $119.64
86039 28 28 $117.03
86762 12 12 $116.18
84681 15 12 $115.90
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 3,287 3,112 $112.86
82962 2,767 2,592 $109.75
86664 12 12 $102.27
82010 876 734 $101.02
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg 1,195 1,014 $100.72
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 2,057 1,795 $100.30
96402 16 12 $99.33
74022 14 14 $92.58
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 348 326 $92.38
86765 15 15 $91.69
J2795 Injection, ropivacaine hydrochloride, 1 mg 355 295 $90.89
86709 12 12 $90.08
71101 13 13 $89.59
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 30 25 $86.44
93226 68 65 $85.94
J1200 Injection, diphenhydramine hcl, up to 50 mg 4,150 3,271 $85.03
36600 27 27 $84.63
84295 50 43 $80.44
0003A 13 12 $80.02
76937 2,845 2,443 $72.69
84155 127 118 $68.10
90715 5,975 5,649 $67.94
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 930 811 $66.44
J1644 Injection, heparin sodium, per 1000 units 4,735 2,620 $65.19
86308 82 78 $63.12
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 42 33 $61.86
87634 72 70 $60.66
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 5,494 5,133 $60.15
87207 63 60 $59.90
87807 154 143 $49.75
12011 54 49 $47.84
82140 37 28 $43.71
J7999 Compounded drug, not otherwise classified 980 883 $43.56
J2270 Injection, morphine sulfate, up to 10 mg 3,223 2,548 $41.56
88108 24 24 $41.09
82952 18 18 $40.66
J1030 Injection, methylprednisolone acetate, 40 mg 1,997 1,615 $40.18
82374 27 25 $40.14
0012A 95 95 $40.01
82435 28 26 $37.77
86800 15 13 $28.50
J0696 Injection, ceftriaxone sodium, per 250 mg 3,816 2,782 $22.06
88302 53 43 $21.24
98929 12 12 $20.22
83721 12 12 $19.34
J2060 Injection, lorazepam, 2 mg 3,000 2,483 $13.33
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 406 361 $11.67
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 975 798 $10.06
J1790 Injection, droperidol, up to 5 mg 284 249 $4.50
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 42 37 $4.44
90672 13 13 $0.13
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 29 28 $0.02
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 693 596 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 1,617 1,226 $0.00
77417 76 37 $0.00
C2617 Stent, non-coronary, temporary, without delivery system 12 12 $0.00
90696 912 865 $0.00
90647 2,473 2,361 $0.00
96368 103 67 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 643 592 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 283 277 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 212 190 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 1,019 826 $0.00
90698 115 110 $0.00
J7050 Infusion, normal saline solution, 250 cc 604 513 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 570 555 $0.00
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 331 295 $0.00
36410 723 625 $0.00
C1726 Catheter, balloon dilatation, non-vascular 208 178 $0.00
91306 65 64 $0.00
J1940 Injection, furosemide, up to 20 mg 217 137 $0.00
J2785 Injection, regadenoson, 0.1 mg 395 347 $0.00
91303 98 98 $0.00
88341 788 657 $0.00
91307 332 300 $0.00
94760 959 621 $0.00
90697 1,108 1,032 $0.00
G8981 Changing & maintaining body position functional limitation, current status, at therapy episode outset and at reporting intervals 15 15 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 168 161 $0.00
J1630 Injection, haloperidol, up to 5 mg 163 141 $0.00
J3480 Injection, potassium chloride, per 2 meq 258 182 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 298 286 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 56 30 $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 29 28 $0.00
G8991 Other physical or occupational therapy primary functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 389 352 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 614 543 $0.00
77001 157 146 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 44 30 $0.00
A4648 Tissue marker, implantable, any type, each 45 41 $0.00
C1889 Implantable/insertable device, not otherwise classified 59 54 $0.00
J8597 Antiemetic drug, oral, not otherwise specified 652 542 $0.00
G8998 Swallowing functional limitation, discharge status, at discharge from therapy or to end reporting 14 12 $0.00
93320 14 14 $0.00
G8992 Other physical or occupational therapy primary functional limitation, discharge status, at discharge from therapy or to end reporting 15 15 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 48 48 $0.00
91301 682 668 $0.00
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 13 12 $0.00
J1250 Injection, dobutamine hydrochloride, per 250 mg 29 29 $0.00
J9045 Injection, carboplatin, 50 mg 25 12 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 70 67 $0.00
L3924 Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf 14 13 $0.00
94761 103 61 $0.00
90381 45 45 $0.00
J2790 Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) 14 14 $0.00
G8989 Self care functional limitation, discharge status, at discharge from therapy or to end reporting 112 107 $0.00
J3370 Injection, vancomycin hcl, 500 mg 580 361 $0.00
90707 1,158 1,094 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 2,096 1,692 $0.00
90633 2,806 2,663 $0.00
91300 4,793 4,399 $0.00
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 654 582 $0.00
90648 88 87 $0.00
90472 Immunization administration, each additional vaccine (list separately) 5,013 4,809 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 913 886 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 1,213 825 $0.00
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 23 13 $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 700 598 $0.00
G8997 Swallowing functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 130 100 $0.00
90700 1,216 1,134 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 802 688 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 140 123 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 1,864 851 $0.00
90710 1,385 1,318 $0.00
C1776 Joint device (implantable) 27 26 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 259 237 $0.00
90685 691 683 $0.00
C1788 Port, indwelling (implantable) 38 38 $0.00
C9113 Injection, pantoprazole sodium, per vial 592 372 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 535 512 $0.00
88173 41 36 $0.00
93356 42 40 $0.00
G8990 Other physical or occupational therapy primary functional limitation, current status, at therapy episode outset and at reporting intervals 298 282 $0.00
76376 113 107 $0.00
J1020 Injection, methylprednisolone acetate, 20 mg 27 27 $0.00
91312 237 222 $0.00
J1171 Injection, hydromorphone, 0.1 mg 130 89 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 264 223 $0.00
G8996 Swallowing functional limitation, current status at therapy episode outset and at reporting intervals 80 69 $0.00
C1729 Catheter, drainage 287 153 $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 100 89 $0.00
88360 24 24 $0.00
82800 71 54 $0.00
G8984 Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals 55 53 $0.00
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg 16 14 $0.00
J1756 Injection, iron sucrose, 1 mg 50 24 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 37 36 $0.00
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 28 24 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 14 14 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 14 14 $0.00
90713 27 27 $0.00
91308 16 13 $0.00
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 18 18 $0.00