Medicaid Provider Spending

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

MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC.

NPI: 1699756221 · FLORENCE, SC 29506 · General Acute Care Hospital · NPI assigned 11/10/2005

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

Authorized official ERVIN, SAMUEL controls 20+ related entities in our dataset. Read more

$90.94M
Total Medicaid Paid
2,335,676
Total Claims
1,797,869
Beneficiaries
520
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialERVIN, SAMUEL (SR VP AND CFO)
Parent OrganizationMCLEOD HEALTH
NPI Enumeration Date11/10/2005

Related Entities

Other providers sharing the same authorized official: ERVIN, SAMUEL

ProviderCityStateTotal Paid
MCLEOD LORIS SEACOAST HOSPITAL LORIS SC $24.76M
MCLEOD MEDICAL CENTER-DILLON DILLON SC $13.63M
MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC FLORENCE SC $12.62M
MCLEOD HEALTH CLARENDON MANNING SC $10.05M
MCLEOD HEALTH CHERAW CHERAW SC $6.77M
MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC. FLORENCE SC $5.72M
MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC FLORENCE SC $2.73M
MCLEOD HEALTH CLARENDON MANNING SC $1.43M
MCLEOD HEALTH CHERAW CHERAW SC $1.37M
MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC. FLORENCE SC $1.32M
MCLEOD HEALTH CHERAW BENNETTSVILLE SC $912K
MCLEOD HEALTH CHERAW DARLINGTON SC $653K
MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC. DARLINGTON SC $582K
MCLEOD HEALTH CLARENDON KINGSTREE SC $440K
MCLEOD HEALTH CLARENDON JOHNSONVILLE SC $438K
MCLEOD HEALTH CLARENDON TIMMONSVILLE SC $382K
MCLEOD HEALTH CLARENDON MANNING SC $334K
MCLEOD HEALTH CHERAW MULLINS SC $283K
MCLEOD HEALTH CLARENDON MANNING SC $273K
MCLEOD LORIS SEACOAST HOSPITAL LORIS SC $247K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 283,133 $8.06M
2019 317,447 $9.74M
2020 350,530 $10.65M
2021 389,157 $13.38M
2022 367,835 $15.11M
2023 332,122 $18.50M
2024 295,452 $15.50M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
36415 Collection of venous blood by venipuncture 150,053 102,087 $16.70M
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 27,684 19,038 $9.14M
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 19,645 17,898 $5.44M
96367 8,513 4,413 $4.22M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 13,192 7,094 $3.56M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 50,313 13,665 $2.21M
59025 Fetal non-stress test 16,012 8,623 $1.68M
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 13,292 12,165 $1.66M
A9585 Injection, gadobutrol, 0.1 ml 3,193 3,028 $1.65M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 2,288 2,176 $1.54M
96375 Therapeutic injection; each additional sequential IV push 31,039 21,171 $1.50M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 10,008 7,458 $1.45M
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 2,010 1,937 $1.33M
99283 Emergency department visit for the evaluation and management, moderate severity 32,293 29,438 $1.33M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 12,824 12,041 $1.26M
96402 1,196 1,093 $1.26M
80053 Comprehensive metabolic panel 71,370 55,339 $1.25M
36416 24,741 13,795 $1.20M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 22,179 7,022 $1.10M
J7050 Infusion, normal saline solution, 250 cc 15,804 7,383 $1.08M
96361 Intravenous infusion, hydration; each additional hour 19,299 14,352 $982K
99284 Emergency department visit for the evaluation and management, high severity 47,186 42,230 $912K
88305 Level IV - Surgical pathology, gross and microscopic examination 11,487 9,319 $901K
80048 Basic metabolic panel (calcium, ionized) 59,296 45,584 $900K
99281 Emergency department visit for the evaluation and management, self-limited or minor 7,928 7,325 $873K
J7030 Infusion, normal saline solution , 1000 cc 11,637 9,212 $780K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 30,664 25,896 $735K
81002 3,732 3,232 $731K
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 6,561 5,986 $720K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1,781 1,729 $672K
99282 Emergency department visit for the evaluation and management, low to moderate severity 6,303 5,836 $670K
97530 Therapeutic activities, direct patient contact, each 15 minutes 19,475 6,942 $641K
77334 1,455 995 $635K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26,129 21,162 $623K
81001 38,780 34,858 $576K
77063 Screening digital breast tomosynthesis, bilateral 6,628 6,479 $534K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 6,167 3,986 $532K
82948 15,644 6,120 $478K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 38,764 30,961 $466K
71250 2,669 2,579 $465K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,519 4,909 $437K
88304 3,531 3,391 $429K
70450 Computed tomography, head or brain; without contrast material 13,875 12,854 $411K
96401 344 161 $386K
77387 4,101 406 $381K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,175 1,060 $377K
81003 18,122 16,082 $365K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 9,496 6,875 $330K
72141 751 729 $326K
70551 Magnetic resonance imaging, brain; without contrast material 1,022 965 $309K
71046 Radiologic examination, chest; 2 views 16,188 15,250 $307K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 4,131 3,932 $289K
77336 3,756 1,558 $277K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 5,327 4,934 $276K
81025 24,671 22,679 $267K
D1351 Sealant - per tooth 278 227 $246K
96523 1,940 1,356 $241K
93971 2,329 2,199 $240K
J1815 Injection, insulin, per 5 units 3,719 1,662 $232K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,054 905 $231K
76819 Fetal biophysical profile; without non-stress testing 1,187 857 $229K
D2930 Prefabricated stainless steel crown - primary tooth 2,492 2,223 $223K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 6,172 5,920 $214K
71045 Radiologic examination, chest; single view 35,254 30,989 $207K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 120,389 89,503 $198K
77300 1,011 872 $183K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 33,289 29,717 $175K
J7120 Ringers lactate infusion, up to 1000 cc 7,668 6,900 $175K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 824 820 $173K
G0378 Hospital observation service, per hour 29,362 15,698 $171K
82803 4,834 4,131 $155K
90378 1,324 1,111 $147K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 3,615 2,207 $146K
73130 2,085 1,859 $144K
86850 8,619 7,561 $140K
96376 14,873 7,991 $139K
V2632 Posterior chamber intraocular lens 588 537 $138K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 39,887 33,483 $137K
0202U Oncology (prostate), multianalyte, gene expression profiling 596 584 $137K
94060 561 550 $136K
A6449 Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard 4,995 775 $132K
77386 2,568 226 $131K
95810 Polysomnography; sleep staging with 4 or more additional parameters 467 454 $128K
74176 Computed tomography, abdomen and pelvis; without contrast material 4,072 3,819 $127K
87070 2,494 2,345 $125K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,938 2,822 $124K
73030 2,758 2,464 $121K
73610 1,993 1,808 $119K
72100 3,396 3,208 $119K
J0897 Injection, denosumab, 1 mg 468 436 $113K
A6196 Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing 1,619 695 $112K
D2330 272 228 $110K
73564 2,830 2,425 $108K
74018 2,839 2,611 $108K
87086 Culture, bacterial; quantitative colony count, urine 9,100 8,335 $105K
73630 2,521 2,269 $104K
93970 1,118 1,053 $104K
J2704 Injection, propofol, 10 mg 29,993 27,847 $102K
77295 80 71 $101K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 3,221 3,092 $99K
94010 370 354 $94K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 264 204 $90K
97161 6,462 6,136 $90K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 11,597 10,610 $88K
93922 441 424 $87K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1,580 1,510 $85K
85014 5,187 3,850 $81K
96368 1,532 997 $74K
42820 Tonsillectomy and adenoidectomy; younger than age 12 1,062 1,053 $74K
87077 3,736 3,301 $73K
87205 3,887 3,440 $72K
J2405 Injection, ondansetron hydrochloride, per 1 mg 44,628 35,427 $70K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,936 2,745 $69K
84439 5,045 4,587 $65K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 613 571 $63K
71260 Computed tomography, thorax, diagnostic; with contrast material 3,969 3,804 $62K
78815 Positron emission tomography (PET) for limited area imaging 1,990 1,915 $60K
36600 3,441 3,030 $58K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 6,479 3,673 $57K
71271 391 388 $55K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 1,413 1,368 $55K
76770 785 750 $55K
76700 Ultrasound, abdominal, real time with image documentation; complete 543 528 $53K
73110 925 842 $53K
76642 1,266 1,199 $52K
72040 1,011 961 $52K
76536 664 644 $52K
85610 28,915 25,272 $51K
70486 1,675 1,600 $51K
74177 Computed tomography, abdomen and pelvis; with contrast material 12,094 11,434 $51K
97602 1,603 953 $50K
A6261 Wound filler, gel/paste, per fluid ounce, not otherwise specified 514 299 $50K
77412 5,447 546 $49K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,598 1,116 $48K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 4,873 2,122 $48K
77062 252 241 $46K
29581 7,888 1,262 $46K
82565 3,314 3,128 $44K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 490 427 $44K
73502 1,776 1,667 $43K
88307 1,540 1,298 $42K
C9113 Injection, pantoprazole sodium, per vial 3,904 2,183 $41K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 8,487 4,432 $39K
J1650 Injection, enoxaparin sodium, 10 mg 6,969 3,237 $39K
85027 16,136 13,486 $38K
J2270 Injection, morphine sulfate, up to 10 mg 15,173 11,736 $37K
73090 594 527 $36K
72125 Computed tomography, cervical spine; without contrast material 4,690 4,422 $36K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 49 49 $36K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 31,172 25,286 $35K
J3490 Unclassified drugs 10,669 8,414 $34K
J9271 Injection, pembrolizumab, 1 mg 1,901 1,279 $33K
74022 1,410 1,340 $33K
92523 395 381 $32K
76830 Ultrasound, transvaginal 670 650 $31K
84112 95 89 $31K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 366 333 $30K
99215 Prolong outpt/office vis 1,395 954 $30K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,042 1,858 $27K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 732 665 $27K
97116 1,780 898 $26K
97165 1,376 1,266 $26K
J2250 Injection, midazolam hydrochloride, per 1 mg 19,090 17,706 $25K
77080 233 227 $25K
83735 40,761 28,472 $25K
73590 1,053 908 $24K
J0330 Injection, succinylcholine chloride, up to 20 mg 6,042 5,671 $23K
J3475 Injection, magnesium sulfate, per 500 mg 7,445 5,688 $23K
83036 Hemoglobin; glycosylated (A1C) 10,114 9,426 $22K
93880 275 260 $22K
J1170 Injection, hydromorphone, up to 4 mg 11,023 7,927 $22K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 440 425 $22K
71275 Computed tomographic angiography, chest, with contrast material 3,387 3,184 $22K
C1769 Guide wire 6,403 5,549 $20K
41899 Unlisted procedure, dentoalveolar structures 191 186 $19K
97533 3,048 1,390 $19K
76641 234 231 $19K
J9045 Injection, carboplatin, 50 mg 1,952 1,123 $19K
87400 358 334 $18K
J2997 Injection, alteplase recombinant, 1 mg 366 288 $17K
72070 401 384 $17K
76775 290 276 $17K
97162 920 892 $17K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 3,770 3,535 $16K
88302 231 211 $16K
73560 976 830 $16K
77290 28 26 $16K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 4,766 4,166 $16K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1,182 1,128 $16K
73080 212 190 $15K
77067 Screening mammography, bilateral, including computer-aided detection 6,878 6,691 $15K
93017 1,685 1,610 $15K
95811 52 52 $14K
85730 27,095 23,802 $14K
97113 551 202 $14K
J0696 Injection, ceftriaxone sodium, per 250 mg 7,347 5,629 $14K
76801 829 780 $14K
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 132 115 $13K
49083 66 38 $13K
72131 229 212 $13K
J3480 Injection, potassium chloride, per 2 meq 2,054 1,409 $13K
94762 723 563 $13K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 174 162 $12K
86900 10,965 9,687 $12K
10060 81 78 $12K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 555 517 $11K
J3010 Injection, fentanyl citrate, 0.1 mg 23,379 21,535 $11K
J2550 Injection, promethazine hcl, up to 50 mg 4,446 3,320 $11K
80076 13,812 12,714 $10K
83690 23,265 20,681 $10K
J0360 Injection, hydralazine hcl, up to 20 mg 4,621 3,676 $10K
J7121 5% dextrose in lactated ringers infusion, up to 1000 cc 97 76 $10K
76937 1,040 965 $10K
62323 131 117 $9K
J1940 Injection, furosemide, up to 20 mg 2,071 1,283 $9K
97535 Self-care/home management training, each 15 minutes 2,969 1,701 $9K
82570 2,062 1,824 $9K
77066 Tomosynthesis, mammo 874 836 $9K
84702 5,128 4,503 $8K
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 978 818 $8K
72170 570 522 $7K
88342 2,706 2,531 $7K
86140 4,358 3,957 $7K
89051 118 115 $7K
84443 Thyroid stimulating hormone (TSH) 13,904 12,547 $7K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 145 144 $7K
J1885 Injection, ketorolac tromethamine, per 15 mg 19,950 17,537 $7K
87807 1,817 1,717 $7K
97014 53 25 $7K
97164 577 546 $7K
36902 1,136 1,056 $7K
71101 72 67 $7K
G0379 Direct admission of patient for hospital observation care 919 867 $6K
77280 88 72 $6K
87186 4,190 3,648 $6K
J7060 5% dextrose/water (500 ml = 1 unit) 2,885 1,424 $6K
J0690 Injection, cefazolin sodium, 500 mg 15,138 12,330 $6K
92609 282 120 $6K
87640 1,736 1,651 $6K
J0692 Injection, cefepime hydrochloride, 500 mg 1,058 629 $6K
82607 2,178 2,028 $5K
80061 Lipid panel 6,186 5,707 $5K
76870 55 50 $5K
82330 959 831 $5K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 755 390 $5K
73552 304 265 $5K
95951 15 14 $5K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 7,316 6,716 $5K
J1200 Injection, diphenhydramine hcl, up to 50 mg 9,762 5,909 $5K
12001 43 43 $5K
J1644 Injection, heparin sodium, per 1000 units 7,342 5,468 $5K
Q5107 Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg 88 38 $5K
90686 1,238 1,144 $5K
94644 4,302 3,888 $5K
86592 2,072 1,954 $5K
93458 120 119 $5K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 25 25 $5K
83615 1,932 1,730 $5K
J1756 Injection, iron sucrose, 1 mg 3,373 1,739 $5K
77065 Tomosynthesis, mammo 375 350 $5K
85018 4,940 3,593 $5K
77072 126 125 $5K
88112 97 96 $4K
72158 40 40 $4K
J2060 Injection, lorazepam, 2 mg 3,733 2,613 $4K
43235 153 148 $4K
A4351 Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each 217 216 $4K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 2,831 1,846 $4K
88173 62 40 $4K
P9016 Red blood cells, leukocytes reduced, each unit 1,708 1,268 $4K
J7042 5% dextrose/normal saline (500 ml = 1 unit) 408 326 $4K
87081 35 30 $4K
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 280 258 $4K
78227 13 13 $4K
82728 4,003 3,636 $4K
D7140 Extraction, erupted tooth or exposed root 1,373 1,202 $4K
94760 883 548 $4K
96377 155 110 $4K
73060 121 106 $4K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,017 991 $4K
90670 539 485 $4K
95816 41 41 $4K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 2,412 2,286 $4K
77001 807 702 $3K
73562 76 70 $3K
77061 29 29 $3K
93798 60 12 $3K
83550 3,932 3,631 $3K
87430 657 631 $3K
86901 10,978 9,688 $3K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 2,236 1,770 $3K
86703 1,518 1,424 $3K
84156 1,235 1,041 $3K
85046 3,480 2,585 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 31 29 $3K
72197 42 36 $3K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 3,645 3,442 $3K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 200 179 $3K
96411 1,533 907 $3K
J2785 Injection, regadenoson, 0.1 mg 1,382 1,316 $3K
97166 57 57 $2K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 1,401 1,336 $2K
J0185 Injection, aprepitant, 1 mg 183 91 $2K
J3370 Injection, vancomycin hcl, 500 mg 1,779 1,272 $2K
J0881 Injection, darbepoetin alfa, 1 microgram (non-esrd use) 510 338 $2K
99201 27 27 $2K
J1950 Injection, leuprolide acetate (for depot suspension), per 3.75 mg 28 25 $2K
J2765 Injection, metoclopramide hcl, up to 10 mg 1,337 1,110 $2K
93454 15 13 $2K
84132 2,208 1,918 $2K
74220 50 50 $2K
85379 4,549 4,229 $2K
73700 15 15 $2K
74221 13 13 $2K
87040 8,437 5,410 $2K
83880 10,590 9,276 $2K
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 3,000 2,613 $2K
84484 30,390 20,760 $2K
J1790 Injection, droperidol, up to 5 mg 743 688 $2K
J1953 Injection, levetiracetam, 10 mg 413 259 $2K
G0257 Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility 1,047 558 $2K
36581 16 12 $1K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 44 42 $1K
82375 12 12 $1K
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 646 326 $1K
J0780 Injection, prochlorperazine, up to 10 mg 125 118 $1K
82550 1,875 1,638 $1K
74174 41 39 $1K
A9270 Non-covered item or service 11,184 5,900 $1K
87210 1,796 1,724 $1K
70496 76 74 $1K
83540 3,960 3,594 $1K
84100 4,509 3,457 $985.32
70491 229 218 $970.52
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 799 768 $861.28
84145 2,668 2,397 $840.82
C9290 Injection, bupivacaine liposome, 1 mg 762 722 $815.78
J8540 Dexamethasone, oral, 0.25 mg 510 262 $815.78
96417 3,910 2,239 $804.25
82947 1,100 973 $786.39
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units 79 48 $778.33
90715 1,974 1,868 $746.22
97035 23 12 $740.29
93976 25 25 $740.18
A4314 Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) 222 199 $713.91
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 1,681 1,544 $711.53
83605 7,990 6,530 $678.99
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,072 1,909 $661.42
80143 2,557 2,303 $656.63
78306 12 12 $643.31
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 20 12 $623.14
96415 2,789 1,843 $622.17
74230 13 13 $575.84
94729 1,051 1,022 $546.96
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 110 69 $516.59
87147 563 508 $496.10
82043 1,159 1,075 $489.04
J0171 Injection, adrenalin, epinephrine, 0.1 mg 2,169 2,024 $479.99
75574 81 76 $473.68
Q3014 Telehealth originating site facility fee 682 604 $445.95
86738 334 315 $429.79
94726 910 887 $425.78
J2470 Injection, pantoprazole sodium, 40 mg 159 127 $407.89
J1050 Injection, medroxyprogesterone acetate, 1 mg 408 396 $358.74
J2175 Injection, meperidine hydrochloride, per 100 mg 720 688 $355.81
J9190 Injection, fluorouracil, 500 mg 859 428 $335.93
36430 1,994 1,406 $326.28
84550 1,575 1,351 $320.90
43249 90 77 $261.92
85652 4,790 4,463 $235.37
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring 31 29 $201.91
82784 691 363 $201.06
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 347 311 $199.01
87140 594 515 $191.48
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 27 25 $185.14
88341 232 173 $164.36
J0640 Injection, leucovorin calcium, per 50 mg 561 222 $146.18
90677 95 90 $145.99
83655 13 12 $145.95
90460 Immunization administration through 18 years of age via any route, first or only component 1,435 1,323 $134.88
M0222 Intravenous injection, bebtelovimab, includes injection and post administration monitoring 13 12 $132.76
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 107 103 $116.23
82077 4,126 3,735 $112.86
70360 12 12 $112.06
82247 168 100 $110.66
82378 957 865 $108.63
86038 151 140 $103.75
G8984 Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals 19 17 $96.99
80329 195 138 $88.00
87641 1,963 1,865 $71.44
74178 29 27 $66.89
99152 1,472 1,297 $59.92
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 79 26 $55.22
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 4,554 4,204 $50.58
80164 275 239 $45.95
73070 17 15 $44.87
87340 1,601 1,488 $40.64
90698 130 118 $39.82
80179 2,510 2,263 $38.59
90461 719 669 $38.22
90680 16 12 $35.74
75635 49 49 $28.52
86923 529 372 $21.60
J2919 Injection, methylprednisolone sodium succinate, 5 mg 302 223 $15.45
82746 1,274 1,183 $12.76
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 326 295 $10.84
J7510 Prednisolone oral, per 5 mg 1,308 1,168 $10.46
J2370 Injection, phenylephrine hcl, up to 1 ml 2,751 2,524 $8.44
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 343 321 $7.86
84295 734 638 $7.53
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 378 340 $7.29
80320 1,070 968 $7.17
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 1,511 1,348 $0.00
C1726 Catheter, balloon dilatation, non-vascular 286 256 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 446 411 $0.00
J9267 Injection, paclitaxel, 1 mg 1,093 413 $0.00
84703 400 385 $0.00
99153 Mod sedat endo service >5yrs 590 517 $0.00
J0456 Injection, azithromycin, 500 mg 416 294 $0.00
94660 155 55 $0.00
87449 183 164 $0.00
A6550 Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories 59 55 $0.00
J1630 Injection, haloperidol, up to 5 mg 823 525 $0.00
D3310 111 103 $0.00
86803 258 246 $0.00
84153 164 158 $0.00
87088 48 44 $0.00
77417 25 12 $0.00
82985 226 220 $0.00
96409 23 12 $0.00
83521 417 188 $0.00
A4648 Tissue marker, implantable, any type, each 216 197 $0.00
J2505 Injection, pegfilgrastim, 6 mg 241 170 $0.00
64721 67 67 $0.00
C1750 Catheter, hemodialysis/peritoneal, long-term 172 151 $0.00
90634 17 15 $0.00
C1768 Graft, vascular 45 44 $0.00
J1805 Injection, esmolol hydrochloride, 10 mg 14 12 $0.00
J0461 Injection, atropine sulfate, 0.01 mg 54 36 $0.00
D1208 Topical application of fluoride, excluding varnish 73 69 $0.00
G0008 Administration of influenza virus vaccine 376 342 $0.00
72020 39 37 $0.00
86920 63 53 $0.00
J2469 Injection, palonosetron hcl, 25 mcg 208 105 $0.00
70498 77 76 $0.00
74420 12 12 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 96 94 $0.00
85660 28 25 $0.00
J1920 Injection, labetalol hydrochloride, 5 mg 56 44 $0.00
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 23 15 $0.00
83883 26 15 $0.00
19083 13 13 $0.00
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 40 39 $0.00
J2404 Injection, nicardipine, 0.1 mg 16 15 $0.00
12002 15 14 $0.00
90656 12 12 $0.00
90651 15 12 $0.00
C9463 Injection, aprepitant, 1 mg 28 13 $0.00
80050 General health panel 30 27 $0.00
90744 31 26 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 20 15 $0.00
A9540 Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries 18 13 $0.00
J9035 Injection, bevacizumab, 10 mg 28 13 $0.00
84155 331 298 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 2,412 2,183 $0.00
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen 92 81 $0.00
96416 433 348 $0.00
36905 207 168 $0.00
J9217 Leuprolide acetate (for depot suspension), 7.5 mg 57 51 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 926 863 $0.00
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 267 258 $0.00
82248 263 173 $0.00
J1956 Injection, levofloxacin, 250 mg 157 134 $0.00
86334 261 237 $0.00
C1757 Catheter, thrombectomy/embolectomy 736 594 $0.00
83970 28 24 $0.00
87075 89 78 $0.00
Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units 784 503 $0.00
84165 397 356 $0.00
C1776 Joint device (implantable) 346 334 $0.00
J1580 Injection, garamycin, gentamicin, up to 80 mg 87 82 $0.00
C1729 Catheter, drainage 15 14 $0.00
84520 41 36 $0.00
36830 38 37 $0.00
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 78 70 $0.00
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk 12 12 $0.00
J3489 Injection, zoledronic acid, 1 mg 152 132 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 839 778 $0.00
77012 12 12 $0.00
27447 24 24 $0.00
94645 41 38 $0.00
90472 Immunization administration, each additional vaccine (list separately) 29 28 $0.00
82140 78 66 $0.00
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 91 85 $0.00
J9263 Injection, oxaliplatin, 0.5 mg 168 60 $0.00
C9088 Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg 13 13 $0.00
36558 14 14 $0.00
C1874 Stent, coated/covered, with delivery system 15 13 $0.00
85347 20 12 $0.00
90633 15 15 $0.00
J0694 Injection, cefoxitin sodium, 1 gm 31 27 $0.00
J1171 Injection, hydromorphone, 0.1 mg 16 14 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 50 49 $0.00
J2506 Injection, pegfilgrastim, excludes biosimilar, 0.5 mg 57 37 $0.00
97168 70 59 $0.00
P9045 Infusion, albumin (human), 5%, 250 ml 14 12 $0.00
J3105 Injection, terbutaline sulfate, up to 1 mg 36 32 $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 33 29 $0.00
J0595 Injection, butorphanol tartrate, 1 mg 13 12 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 24 23 $0.00
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 15 13 $0.00
J0736 Injection, clindamycin phosphate, 300 mg 15 13 $0.00
J9355 Injection, trastuzumab, excludes biosimilar, 10 mg 27 12 $0.00
D2932 13 12 $0.00
77301 15 13 $0.00
A9575 Injection, gadoterate meglumine, 0.1 ml 31 28 $0.00
C1760 Closure device, vascular (implantable/insertable) 38 38 $0.00
92611 13 13 $0.00
J1453 Injection, fosaprepitant, 1 mg 23 12 $0.00
77338 17 15 $0.00