Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NJ › JERSEY CITY › JERSEY CITY MEDICAL CENTER

JERSEY CITY MEDICAL CENTER

NPI: 1689744856 · JERSEY CITY, NJ 07302 · General Acute Care Hospital · NPI assigned 11/08/2006

$336.38M
Total Medicaid Paid
3,176,722
Total Claims
2,434,439
Beneficiaries
582
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKYRIACOU, JONATHAN (CEO)
Parent OrganizationRWJ BARNABAS HEALTH INC
NPI Enumeration Date11/08/2006

Related Entities

Other providers sharing the same authorized official: KYRIACOU, JONATHAN

ProviderCityStateTotal Paid
JERSEY CITY MEDICAL CENTER JERSEY CITY NJ $423K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 412,871 $47.57M
2019 430,069 $50.40M
2020 332,854 $35.13M
2021 429,380 $44.41M
2022 499,360 $44.26M
2023 573,060 $56.40M
2024 499,128 $58.22M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 100,033 89,779 $37.02M
G0378 Hospital observation service, per hour 39,941 31,067 $32.08M
99284 Emergency department visit for the evaluation and management, high severity 79,293 70,245 $31.87M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 56,159 49,239 $30.05M
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 99,120 75,341 $29.65M
H0035 Mental health partial hospitalization, treatment, less than 24 hours 77,767 7,206 $21.01M
A0427 Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 27,763 24,062 $12.45M
S9480 Intensive outpatient psychiatric services, per diem 10,266 8,226 $7.77M
99282 Emergency department visit for the evaluation and management, low to moderate severity 28,613 26,271 $7.38M
J2426 Injection, paliperidone palmitate extended release (invega sustenna), 1 mg 7,522 6,681 $5.72M
OP250 190,005 119,624 $4.76M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,957 2,806 $4.54M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 5,264 5,108 $3.67M
T2034 Crisis intervention, waiver; per diem 4,091 3,696 $3.50M
45380 Colonoscopy, flexible; with biopsy, single or multiple 2,187 2,092 $3.10M
74177 Computed tomography, abdomen and pelvis; with contrast material 13,796 13,076 $2.85M
93017 5,311 5,073 $2.47M
G0379 Direct admission of patient for hospital observation care 6,794 5,449 $2.34M
OP370 19,558 17,813 $2.14M
OP710 21,313 19,323 $2.07M
A0425 Ground mileage, per statute mile 120,662 87,040 $1.98M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 35,872 31,106 $1.86M
76818 9,613 4,536 $1.85M
70450 Computed tomography, head or brain; without contrast material 16,728 15,487 $1.83M
97530 Therapeutic activities, direct patient contact, each 15 minutes 51,752 15,337 $1.82M
96361 Intravenous infusion, hydration; each additional hour 29,329 25,615 $1.80M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 27,184 8,076 $1.79M
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 43,054 36,554 $1.71M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 71,436 19,025 $1.70M
93458 922 867 $1.69M
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 1,869 1,679 $1.58M
96375 Therapeutic injection; each additional sequential IV push 30,761 25,666 $1.53M
93975 5,928 5,404 $1.50M
A0998 Ambulance response and treatment, no transport 10,100 8,859 $1.42M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 17,222 14,560 $1.41M
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 12,108 10,285 $1.40M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 3,871 2,513 $1.40M
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 3,713 3,561 $1.37M
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 773 754 $1.34M
90832 Psychotherapy, 30 minutes with patient 25,386 16,550 $1.33M
76819 Fetal biophysical profile; without non-stress testing 7,967 6,789 $1.32M
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 36,064 33,355 $1.27M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17,221 15,935 $1.26M
97010 50,622 14,080 $1.24M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2,147 2,023 $1.21M
OP272 21,942 17,036 $1.21M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 42,382 37,379 $1.20M
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 51,624 43,891 $1.18M
71046 Radiologic examination, chest; 2 views 30,851 29,364 $1.13M
C1776 Joint device (implantable) 439 379 $964K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 22,250 17,882 $964K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1,026 946 $937K
80053 Comprehensive metabolic panel 82,778 69,172 $922K
77067 Screening mammography, bilateral, including computer-aided detection 9,657 9,566 $890K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 10,823 9,629 $860K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 3,972 3,894 $857K
90791 Psychiatric diagnostic evaluation 6,350 5,953 $835K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 36,762 10,174 $832K
90834 Psychotherapy, 45 minutes with patient 14,742 9,732 $827K
93970 3,113 2,969 $803K
90837 Psychotherapy, 53 minutes with patient 10,623 5,790 $798K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 27,304 8,668 $765K
71275 Computed tomographic angiography, chest, with contrast material 4,066 3,873 $734K
74176 Computed tomography, abdomen and pelvis; without contrast material 4,206 4,047 $706K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 96,375 80,509 $696K
A0434 Specialty care transport (sct) 625 599 $644K
J0401 Injection, aripiprazole (abilify maintena), 1 mg 878 742 $642K
95810 Polysomnography; sleep staging with 4 or more additional parameters 388 380 $637K
72125 Computed tomography, cervical spine; without contrast material 4,063 3,763 $607K
76830 Ultrasound, transvaginal 6,097 5,884 $576K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 3,961 3,897 $572K
71045 Radiologic examination, chest; single view 21,369 19,443 $566K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 9,995 9,385 $563K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 6,580 6,312 $544K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,469 7,218 $540K
OP278 905 840 $539K
76801 7,351 6,599 $529K
88305 Level IV - Surgical pathology, gross and microscopic examination 9,231 8,457 $502K
A0433 Advanced life support, level 2 (als 2) 1,029 903 $468K
70486 3,458 3,239 $444K
90792 Psychiatric diagnostic evaluation with medical services 4,290 4,040 $428K
93971 3,372 3,201 $404K
73564 7,759 7,333 $402K
71260 Computed tomography, thorax, diagnostic; with contrast material 2,036 1,900 $379K
73130 9,274 8,221 $369K
S9484 Crisis intervention mental health services, per hour 527 521 $360K
90853 Group psychotherapy (other than of a multiple-family group) 10,080 2,184 $351K
OP258 64,140 47,855 $343K
70551 Magnetic resonance imaging, brain; without contrast material 1,596 1,514 $340K
76642 3,303 3,217 $339K
76820 3,033 1,462 $337K
84484 32,764 26,137 $321K
73630 8,559 7,923 $314K
73610 9,183 8,250 $312K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 8,202 6,751 $311K
76705 Ultrasound, abdominal, real time with image documentation; limited 6,040 5,770 $303K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 13,739 12,627 $296K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,805 1,656 $284K
73110 7,378 6,189 $282K
73030 6,459 5,974 $281K
77066 Tomosynthesis, mammo 2,248 2,184 $279K
94060 1,089 1,061 $272K
76813 2,322 2,287 $263K
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) 146 139 $254K
92579 865 857 $252K
82948 19,773 14,480 $239K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 7,181 5,031 $236K
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 4,562 4,421 $226K
92567 3,169 3,105 $226K
G0390 Trauma response team associated with hospital critical care service 302 272 $218K
80048 Basic metabolic panel (calcium, ionized) 22,956 20,558 $206K
86850 14,557 13,071 $205K
96376 7,570 5,965 $200K
14301 152 136 $196K
77412 317 27 $192K
73590 5,300 4,813 $190K
J1745 Injection, infliximab, excludes biosimilar, 10 mg 40 37 $188K
77065 Tomosynthesis, mammo 2,135 2,011 $187K
73562 4,234 4,035 $185K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 1,626 1,533 $183K
76700 Ultrasound, abdominal, real time with image documentation; complete 2,065 2,011 $183K
90785 3,577 2,745 $183K
64483 112 111 $181K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 4,332 4,116 $181K
97161 5,051 4,848 $180K
97162 4,701 4,441 $178K
A9270 Non-covered item or service 48,234 20,339 $177K
20610 473 416 $168K
70496 1,006 928 $166K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 2,951 2,821 $166K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,249 2,132 $164K
77080 1,938 1,897 $162K
70498 1,025 950 $161K
96415 943 697 $161K
62323 116 116 $160K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,885 1,585 $159K
73080 4,491 3,876 $157K
97535 Self-care/home management training, each 15 minutes 4,468 3,729 $156K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 3,126 3,075 $150K
72110 2,518 2,467 $149K
73090 4,125 3,592 $146K
36430 753 564 $145K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 4,640 3,862 $144K
70491 687 656 $142K
36415 Collection of venous blood by venipuncture 58,014 49,904 $139K
86900 14,900 13,456 $136K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,907 3,687 $131K
Q3014 Telehealth originating site facility fee 6,553 5,424 $130K
0223U 1,293 1,227 $127K
J2785 Injection, regadenoson, 0.1 mg 1,868 1,779 $126K
96367 1,849 1,485 $126K
86803 20,802 19,970 $126K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 192 183 $123K
95811 41 40 $122K
12001 1,535 1,473 $120K
76641 630 616 $119K
62322 80 80 $118K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 504 504 $118K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 8,466 7,849 $115K
74174 465 429 $115K
C1781 Mesh (implantable) 239 226 $113K
10060 752 710 $112K
47562 71 64 $112K
97166 2,657 2,479 $112K
96417 575 314 $104K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 7,205 6,610 $103K
72131 979 909 $101K
90847 Family psychotherapy with the patient present, 50 minutes 1,816 1,585 $99K
95800 163 156 $99K
85730 24,000 20,303 $95K
12011 1,231 1,134 $95K
97150 Therapeutic procedure(s), group (2 or more individuals) 3,368 965 $94K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 11,467 9,758 $91K
81025 23,870 21,757 $90K
73502 3,970 3,692 $90K
86901 14,944 13,464 $90K
94726 919 899 $90K
85610 25,006 21,149 $88K
82962 21,308 15,347 $87K
92557 479 465 $87K
27447 59 52 $87K
A0428 Ambulance service, basic life support, non-emergency transport, (bls) 1,280 1,202 $86K
73060 2,515 2,276 $85K
76536 688 674 $84K
81001 26,880 24,568 $82K
71250 595 567 $82K
77336 742 308 $82K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 1,606 1,546 $82K
83735 17,648 14,023 $81K
77063 Screening digital breast tomosynthesis, bilateral 2,015 1,975 $79K
73552 2,832 2,610 $78K
92587 481 469 $76K
97014 2,895 898 $75K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 346 338 $74K
83690 22,306 20,368 $74K
85027 15,170 13,469 $73K
84443 Thyroid stimulating hormone (TSH) 5,983 5,528 $72K
93356 312 294 $71K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 704 653 $67K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 4,306 4,159 $67K
94729 543 528 $67K
J1885 Injection, ketorolac tromethamine, per 15 mg 26,424 23,272 $67K
83880 6,693 6,173 $67K
73140 2,421 2,208 $66K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 4,307 4,161 $66K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 5,242 5,052 $62K
97116 3,346 1,439 $61K
58558 40 40 $60K
77334 134 105 $59K
88312 2,853 2,739 $58K
J1631 Injection, haloperidol decanoate, per 50 mg 2,707 2,458 $58K
80320 3,892 3,520 $57K
81003 21,338 20,107 $56K
88304 3,126 2,997 $55K
97168 1,045 1,032 $53K
J1756 Injection, iron sucrose, 1 mg 1,865 763 $53K
0202U Oncology (prostate), multianalyte, gene expression profiling 519 461 $52K
74018 1,869 1,776 $51K
80061 Lipid panel 4,659 4,398 $51K
OP379 458 458 $50K
92523 642 631 $49K
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 3,239 3,123 $47K
29125 807 737 $47K
87040 4,040 3,576 $45K
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 2,337 2,075 $45K
76870 813 775 $44K
G0269 Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug) 359 354 $43K
97165 880 860 $43K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 3,079 2,773 $43K
73000 551 462 $43K
C1769 Guide wire 2,266 1,972 $43K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,142 1,103 $42K
98971 1,667 1,566 $41K
84702 5,720 4,590 $40K
87086 Culture, bacterial; quantitative colony count, urine 8,001 7,538 $38K
OP402 45 33 $36K
95806 117 114 $36K
J1650 Injection, enoxaparin sodium, 10 mg 2,269 1,673 $35K
OP637 8,972 5,736 $35K
C9290 Injection, bupivacaine liposome, 1 mg 736 655 $35K
82805 2,635 2,383 $34K
J2405 Injection, ondansetron hydrochloride, per 1 mg 18,699 16,340 $34K
93976 670 663 $34K
83605 3,983 3,591 $34K
J2704 Injection, propofol, 10 mg 11,481 9,595 $34K
76821 229 116 $33K
87428 431 417 $33K
J0690 Injection, cefazolin sodium, 500 mg 4,662 3,347 $33K
A9577 Injection, gadobenate dimeglumine (multihance), per ml 599 559 $30K
72170 1,254 1,205 $30K
J2270 Injection, morphine sulfate, up to 10 mg 5,092 3,964 $29K
84100 4,944 3,527 $29K
83036 Hemoglobin; glycosylated (A1C) 5,112 4,750 $29K
12002 329 319 $29K
G0382 Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 587 573 $29K
29705 310 291 $29K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 10,212 8,896 $27K
P9016 Red blood cells, leukocytes reduced, each unit 466 366 $26K
C1887 Catheter, guiding (may include infusion/perfusion capability) 781 718 $26K
44970 14 13 $26K
76770 328 308 $25K
73560 535 481 $25K
87902 231 223 $25K
OP255 4,188 4,083 $24K
G0008 Administration of influenza virus vaccine 1,343 1,317 $24K
J2250 Injection, midazolam hydrochloride, per 1 mg 7,111 6,669 $24K
90715 2,522 2,400 $24K
J3010 Injection, fentanyl citrate, 0.1 mg 10,306 9,300 $23K
72100 536 500 $23K
J0696 Injection, ceftriaxone sodium, per 250 mg 4,274 3,747 $22K
OP270 2,130 1,965 $22K
93880 109 103 $22K
87631 539 529 $22K
72050 342 340 $22K
85007 6,205 5,578 $21K
87340 5,448 4,847 $21K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 1,798 1,658 $21K
J0561 Injection, penicillin g benzathine, 100,000 units 218 198 $20K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 40 40 $20K
97164 551 534 $20K
J1644 Injection, heparin sodium, per 1000 units 1,931 1,419 $20K
80076 2,356 2,164 $20K
84550 479 424 $20K
76775 248 246 $20K
C1760 Closure device, vascular (implantable/insertable) 648 597 $19K
88307 329 298 $19K
87522 Neg quan hep c or qual rna 585 563 $18K
87430 2,884 2,837 $18K
90750 178 172 $18K
92553 265 258 $17K
15853 329 279 $17K
71101 370 348 $17K
86920 449 421 $16K
95819 25 25 $16K
82375 2,535 2,292 $16K
92083 607 573 $16K
73700 142 138 $15K
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 46 40 $15K
49083 23 12 $15K
Q9957 Injection, perflutren lipid microspheres, per ml 382 335 $15K
87400 3,456 3,417 $15K
92133 929 868 $15K
72128 103 96 $15K
64484 51 50 $14K
86140 4,620 4,295 $13K
29075 88 80 $13K
90846 Family psychotherapy without the patient present, 50 minutes 208 186 $13K
0240U 295 256 $13K
J1170 Injection, hydromorphone, up to 4 mg 4,989 3,592 $13K
87081 3,571 3,512 $13K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,505 2,457 $13K
J2765 Injection, metoclopramide hcl, up to 10 mg 4,417 4,018 $12K
J7510 Prednisolone oral, per 5 mg 752 725 $12K
85378 3,277 3,166 $12K
J1815 Injection, insulin, per 5 units 1,777 1,332 $11K
77300 62 51 $11K
20553 14 13 $11K
87807 2,317 2,261 $11K
97802 664 616 $11K
93226 28 26 $11K
95913 12 12 $11K
94760 194 193 $10K
82728 1,227 1,094 $10K
83050 2,586 2,334 $10K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,837 1,662 $10K
85380 1,111 1,052 $10K
99215 Prolong outpt/office vis 72 72 $10K
J1200 Injection, diphenhydramine hcl, up to 50 mg 3,978 3,361 $10K
99201 122 121 $10K
J2060 Injection, lorazepam, 2 mg 2,843 2,360 $9K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 238 228 $9K
72020 392 385 $9K
80164 334 296 $9K
80047 3,077 2,954 $8K
36591 157 121 $8K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 287 277 $8K
93225 28 26 $8K
92134 477 426 $8K
82542 713 701 $8K
82550 2,243 1,961 $7K
87186 1,088 1,017 $7K
71100 260 258 $7K
J1630 Injection, haloperidol, up to 5 mg 1,501 1,270 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,335 1,317 $7K
M0244 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency 65 65 $7K
J0741 Injection, cabotegravir and rilpivirine, 2mg/3mg 275 261 $6K
99422 448 421 $6K
80051 1,979 1,786 $6K
77290 12 12 $6K
85651 2,247 2,111 $6K
14302 97 87 $6K
29130 211 182 $6K
93925 30 24 $6K
G0257 Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility 84 63 $6K
J3370 Injection, vancomycin hcl, 500 mg 473 432 $6K
87088 1,942 1,863 $6K
90686 620 611 $5K
90677 186 179 $5K
83550 1,034 930 $5K
86592 1,458 1,392 $5K
98972 128 124 $5K
88313 233 227 $5K
90472 Immunization administration, each additional vaccine (list separately) 465 447 $5K
91200 25 25 $5K
85055 260 200 $5K
87070 777 735 $5K
82607 863 773 $5K
95886 12 12 $5K
82731 111 107 $5K
82746 716 643 $5K
92555 77 76 $5K
90651 25 24 $5K
76882 48 41 $5K
87205 965 904 $5K
83615 1,115 973 $4K
97163 120 116 $4K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 348 314 $4K
0001A 126 126 $4K
85018 2,330 2,108 $4K
0002A 124 124 $4K
G0009 Administration of pneumococcal vaccine 341 318 $4K
87077 715 695 $4K
J1030 Injection, methylprednisolone acetate, 40 mg 397 393 $4K
87536 43 43 $4K
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 712 693 $4K
90662 133 129 $4K
98970 365 351 $4K
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 719 699 $4K
82985 457 407 $4K
83540 1,043 939 $4K
A0422 Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation 401 358 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 107 106 $3K
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 71 69 $3K
84134 623 560 $3K
M0222 Intravenous injection, bebtelovimab, includes injection and post administration monitoring 54 53 $3K
96523 46 37 $3K
72141 13 12 $3K
J1940 Injection, furosemide, up to 20 mg 271 183 $3K
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 1,801 1,681 $3K
93923 16 13 $3K
88341 45 43 $3K
88342 162 148 $3K
84156 614 504 $3K
84439 483 405 $3K
A0426 Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) 25 25 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 33 29 $3K
73523 40 39 $3K
J2469 Injection, palonosetron hcl, 25 mcg 386 206 $3K
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 2,097 1,868 $3K
J0360 Injection, hydralazine hcl, up to 20 mg 484 415 $2K
72040 36 35 $2K
G0383 Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 27 26 $2K
82947 517 427 $2K
82248 881 798 $2K
92610 12 12 $2K
85652 1,108 1,005 $2K
82330 391 356 $2K
82652 104 99 $2K
G0381 Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 53 52 $2K
87486 154 141 $2K
84520 466 462 $2K
87150 256 229 $2K
70544 14 12 $2K
87581 154 141 $2K
J7626 Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg 215 141 $2K
73522 30 28 $2K
82378 159 109 $2K
59025 Fetal non-stress test 13 13 $2K
0004A 59 58 $2K
90836 29 28 $2K
J0694 Injection, cefoxitin sodium, 1 gm 357 316 $2K
J3475 Injection, magnesium sulfate, per 500 mg 1,285 1,071 $2K
99421 255 251 $2K
T1017 Targeted case management, each 15 minutes 17 17 $2K
OP510 37 35 $2K
J2370 Injection, phenylephrine hcl, up to 1 ml 197 166 $2K
82150 228 214 $2K
J1453 Injection, fosaprepitant, 1 mg 29 13 $2K
A4648 Tissue marker, implantable, any type, each 52 49 $2K
82803 105 101 $2K
82570 496 436 $2K
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 135 132 $2K
94660 50 42 $1K
93922 24 24 $1K
92225 28 28 $1K
A9575 Injection, gadoterate meglumine, 0.1 ml 373 349 $1K
84703 494 455 $1K
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 41 41 $1K
80329 110 94 $1K
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 134 131 $1K
96368 38 27 $1K
87075 214 196 $1K
87147 304 295 $1K
M0239 Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring 32 32 $1K
82784 48 41 $1K
J0330 Injection, succinylcholine chloride, up to 20 mg 616 580 $1K
93990 14 12 $1K
80074 79 75 $1K
92526 28 12 $1K
0054A 35 35 $1K
J0780 Injection, prochlorperazine, up to 10 mg 63 63 $1K
90674 167 167 $994.45
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring 26 21 $993.63
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 1,124 893 $986.25
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 1,093 892 $934.18
73200 12 12 $912.63
0064A 27 27 $896.91
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg 574 542 $861.72
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 86 82 $861.50
97032 27 13 $855.65
80143 182 174 $837.07
J0171 Injection, adrenalin, epinephrine, 0.1 mg 755 553 $831.51
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 1,361 1,235 $805.20
85384 146 129 $791.18
J0456 Injection, azithromycin, 500 mg 49 38 $790.24
0031A 62 59 $789.40
86308 220 195 $765.12
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 392 287 $723.23
80179 114 111 $684.98
36600 71 65 $677.91
J2919 Injection, methylprednisolone sodium succinate, 5 mg 478 400 $652.45
73070 46 42 $609.34
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 27 26 $601.02
86359 15 15 $590.00
90656 70 70 $586.89
J0280 Injection, aminophyllin, up to 250 mg 124 120 $569.27
74022 32 31 $534.06
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 373 321 $523.71
86703 36 36 $497.60
0071A 12 12 $485.60
84145 40 38 $482.52
86780 61 61 $470.80
86923 61 49 $455.64
72070 12 12 $453.14
86334 28 27 $438.10
86300 35 26 $436.97
92020 12 12 $436.90
J3480 Injection, potassium chloride, per 2 meq 372 272 $432.91
73660 40 37 $402.29
93463 13 13 $345.58
29505 15 12 $342.21
88311 26 25 $325.17
85045 231 164 $324.32
92060 15 15 $315.00
C7900 Service for diagnosis, evaluation, or treatment of a mental health or substance use disorder, 15-29 minutes, provided remotely by hospital staff who are licensed to provide mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service 462 296 $300.05
J1020 Injection, methylprednisolone acetate, 20 mg 187 168 $274.38
90671 16 16 $253.20
85044 191 159 $249.45
86706 49 39 $245.13
86038 47 42 $240.30
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 30 29 $230.32
87641 45 29 $225.21
84165 49 44 $207.67
J7605 Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms 33 24 $201.64
86160 15 13 $196.38
86200 15 13 $194.34
80185 15 12 $192.40
J2310 Injection, naloxone hydrochloride, per 1 mg 81 63 $189.40
90697 171 158 $178.59
J1596 Injection, glycopyrrolate, 0.1 mg 385 362 $171.30
J7030 Infusion, normal saline solution , 1000 cc 223 185 $168.96
92002 12 12 $167.51
D0330 Panoramic radiographic image 66 66 $155.71
88112 15 15 $147.16
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 157 59 $136.40
81002 40 39 $135.38
J3360 Injection, diazepam, up to 5 mg 91 71 $124.96
G8985 Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 39 37 $123.32
G8984 Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals 26 25 $122.32
J1171 Injection, hydromorphone, 0.1 mg 192 115 $117.43
90680 170 157 $108.79
90688 12 12 $107.28
J1953 Injection, levetiracetam, 10 mg 46 36 $105.40
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 47 42 $104.32
85347 13 13 $103.24
J2003 Injection, lidocaine hydrochloride, 1 mg 475 427 $102.86
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 78 64 $97.32
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 54 46 $97.13
J3371 Injection, vancomycin hcl (mylan), not therapeutically equivalent to j3370, 500 mg 437 366 $94.60
J1836 Injection, metronidazole, 10 mg 213 157 $91.03
80177 25 25 $90.30
82565 35 32 $71.71
J8540 Dexamethasone, oral, 0.25 mg 13 13 $70.99
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 167 97 $70.76
83010 15 12 $70.48
S0028 Injection, famotidine, 20 mg 26 25 $59.49
J3490 Unclassified drugs 13 13 $58.09
84300 25 24 $54.49
90673 14 14 $49.94
J1790 Injection, droperidol, up to 5 mg 51 40 $47.36
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 171 115 $46.71
J1010 Injection, methylprednisolone acetate, 1 mg 61 51 $46.11
J2471 Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg 82 69 $45.91
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 842 668 $37.96
J7120 Ringers lactate infusion, up to 1000 cc 38 33 $37.26
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 87 84 $35.44
J1643 Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units 400 288 $34.27
G2062 Qualified nonphysician healthcare professional online assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 11-20 minutes 17 14 $33.02
86880 14 12 $31.20
D0150 Comprehensive oral evaluation - new or established patient 25 25 $30.00
D0140 Limited oral evaluation - problem focused 76 72 $28.20
88300 12 12 $27.52
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 46 45 $26.58
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 23 13 $15.67
91300 263 236 $13.81
J0500 Injection, dicyclomine hcl, up to 20 mg 12 12 $11.77
J2470 Injection, pantoprazole sodium, 40 mg 16 14 $10.64
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 19 17 $9.91
J3411 Injection, thiamine hcl, 100 mg 20 15 $7.00
91303 40 39 $7.00
J0697 Injection, sterile cefuroxime sodium, per 750 mg 17 17 $6.00
J0736 Injection, clindamycin phosphate, 300 mg 15 13 $5.79
Q0245 Injection, bamlanivimab and etesevimab, 2100 mg 15 15 $5.00
J0687 Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg 417 370 $4.93
85014 13 13 $4.61
Q0244 Injection, casirivimab and imdevimab, 1200 mg 12 12 $3.00
Q0239 Injection, bamlanivimab-xxxx, 700 mg 14 14 $2.00
J2372 Injection, phenylephrine hydrochloride (biorphen), 20 micrograms 45 37 $1.00
91307 12 12 $1.00
82810 15 12 $0.00
88160 15 15 $0.00
99080 79 14 $0.00