Medicaid Provider Spending

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

LEGACY SALMON CREEK HOSPITAL

NPI: 1700809829 · VANCOUVER, WA 98686 · Clinic/Center · NPI assigned 07/26/2006

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

Authorized official JENSEN, SARAH controls 20+ related entities in our dataset. Read more

$48.76M
Total Medicaid Paid
1,503,418
Total Claims
1,260,379
Beneficiaries
338
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJENSEN, SARAH (VP FINANCE)
NPI Enumeration Date07/26/2006

Related Entities

Other providers sharing the same authorized official: JENSEN, SARAH

ProviderCityStateTotal Paid
LEGACY EMANUEL HOSPITAL & HEALTH CENTER PORTLAND OR $64.24M
LEGACY EMANUEL HOSPITAL & HEALTH CENTER PORTLAND OR $50.80M
LEGACY CLINICS LLC PORTLAND OR $48.79M
LEGACY MOUNT HOOD MEDICAL CENTER GRESHAM OR $43.16M
SILVERTON HEALTH SILVERTON OR $29.18M
LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER PORTLAND OR $18.33M
LEGACY EMANUEL HOSPITAL & HEALTH CENTER PORTLAND OR $17.03M
LEGACY MERIDIAN PARK HOSPITAL TUALATIN OR $13.28M
LEGACY SALMON CREEK HOSPITAL VANCOUVER WA $9.93M
SILVERTON HEALTH SILVERTON OR $9.72M
LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER PORTLAND OR $3.90M
LEGACY MERIDIAN PARK HOSPITAL TUALATIN OR $2.38M
LEGACY EMANUEL HOSPITAL & HEALTH CENTER SAINT HELENS OR $1.78M
SILVERTON HEALTH SILVERTON OR $1.62M
LEGACY EMANUEL HOSPITAL & HEALTH CENTER PORTLAND OR $1.48M
SILVERTON HEALTH MOUNT ANGEL OR $1.18M
LEGACY CLINICS LLC SANDY OR $654K
LEGACY EMANUEL HOSPITAL & HEALTH CENTER SAINT HELENS OR $64K
REGIONAL DERMATOLOGY, LLC FESTUS MO $38K
LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER PORTLAND OR $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 194,724 $7.46M
2019 204,856 $7.68M
2020 188,988 $6.54M
2021 218,678 $6.78M
2022 256,421 $7.36M
2023 237,677 $7.06M
2024 202,074 $5.87M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 57,599 53,977 $6.84M
96361 Intravenous infusion, hydration; each additional hour 21,428 16,007 $5.85M
99284 Emergency department visit for the evaluation and management, high severity 51,710 47,965 $4.98M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 53,322 48,093 $4.45M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 57,734 36,537 $3.54M
74177 Computed tomography, abdomen and pelvis; with contrast material 13,309 12,592 $2.20M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 16,943 14,146 $1.88M
99282 Emergency department visit for the evaluation and management, low to moderate severity 13,928 13,486 $1.60M
70450 Computed tomography, head or brain; without contrast material 12,395 11,572 $1.58M
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 7,822 4,829 $1.55M
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 9,724 8,129 $1.20M
76705 Ultrasound, abdominal, real time with image documentation; limited 8,137 7,860 $754K
74176 Computed tomography, abdomen and pelvis; without contrast material 4,189 3,994 $685K
J1745 Injection, infliximab, excludes biosimilar, 10 mg 379 352 $439K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 13,490 11,988 $417K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,547 3,200 $404K
99281 Emergency department visit for the evaluation and management, self-limited or minor 3,116 2,978 $390K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 6,062 5,899 $367K
76830 Ultrasound, transvaginal 4,327 4,229 $354K
59025 Fetal non-stress test 2,210 1,784 $347K
71275 Computed tomographic angiography, chest, with contrast material 2,212 2,096 $340K
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 4,819 4,588 $339K
12001 1,579 1,559 $335K
96415 1,520 1,092 $332K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1,363 1,327 $317K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 4,591 2,791 $317K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 12,898 7,165 $301K
93971 3,584 3,382 $287K
76770 2,528 2,464 $278K
12011 1,114 1,084 $263K
10060 1,376 1,303 $259K
97530 Therapeutic activities, direct patient contact, each 15 minutes 12,165 6,474 $257K
80053 Comprehensive metabolic panel 56,748 49,403 $253K
70496 1,535 1,456 $223K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 3,416 3,224 $218K
G0378 Hospital observation service, per hour 6,345 5,590 $163K
76700 Ultrasound, abdominal, real time with image documentation; complete 1,472 1,448 $159K
47562 76 74 $159K
70551 Magnetic resonance imaging, brain; without contrast material 1,066 1,010 $154K
80048 Basic metabolic panel (calcium, ionized) 40,099 33,700 $146K
76801 2,885 2,620 $133K
52356 71 68 $128K
71046 Radiologic examination, chest; 2 views 21,880 20,736 $126K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 836 810 $114K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 5,556 2,827 $107K
70491 712 686 $107K
84484 26,375 22,982 $106K
76536 1,212 1,187 $106K
77063 Screening digital breast tomosynthesis, bilateral 2,548 2,526 $102K
97161 2,608 2,487 $99K
76870 1,066 1,015 $90K
97162 2,503 2,354 $88K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,277 1,210 $87K
76642 1,076 981 $86K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 57 55 $82K
96367 2,625 2,165 $74K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 265 263 $73K
29125 465 445 $69K
93976 1,269 1,212 $64K
12002 367 353 $64K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 42,820 38,405 $63K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,619 1,484 $63K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 11,163 10,599 $62K
83605 11,111 9,990 $58K
77067 Screening mammography, bilateral, including computer-aided detection 3,297 3,268 $57K
74018 4,144 3,946 $55K
87631 3,171 3,047 $53K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,069 1,899 $51K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 6,240 5,035 $50K
72100 3,599 3,438 $45K
73562 3,830 3,390 $42K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 269 254 $41K
87040 3,259 2,968 $39K
42820 Tonsillectomy and adenoidectomy; younger than age 12 25 25 $39K
73630 3,781 3,516 $37K
J1756 Injection, iron sucrose, 1 mg 1,325 617 $37K
72125 Computed tomography, cervical spine; without contrast material 2,026 1,898 $34K
90715 1,903 1,857 $33K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 3,318 3,217 $33K
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) 242 238 $32K
95819 164 161 $32K
76882 392 364 $30K
83880 7,537 6,837 $30K
73610 3,443 3,262 $28K
70486 893 856 $28K
73030 2,995 2,762 $25K
70498 1,588 1,506 $24K
97116 2,215 1,226 $24K
85379 4,679 4,472 $24K
72040 1,398 1,347 $23K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1,044 577 $23K
73130 2,794 2,532 $21K
73110 2,424 2,285 $21K
94660 72 38 $20K
80299 2,109 1,918 $20K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 92,143 78,492 $19K
71045 Radiologic examination, chest; single view 12,021 11,004 $19K
70487 102 98 $18K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 29,713 26,890 $18K
78815 Positron emission tomography (PET) for limited area imaging 40 38 $18K
73502 1,903 1,778 $18K
97166 772 688 $18K
J2469 Injection, palonosetron hcl, 25 mcg 613 373 $18K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 5,807 4,437 $17K
80143 4,155 3,665 $16K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 621 343 $16K
73140 1,657 1,605 $15K
97165 438 397 $15K
97535 Self-care/home management training, each 15 minutes 857 500 $14K
93970 147 142 $13K
72072 1,055 1,012 $12K
96375 Therapeutic injection; each additional sequential IV push 22,691 18,249 $12K
P9016 Red blood cells, leukocytes reduced, each unit 30 27 $11K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 20,232 11,433 $11K
73590 1,289 1,186 $10K
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 2,922 2,496 $8K
J0185 Injection, aprepitant, 1 mg 125 78 $8K
77066 Tomosynthesis, mammo 284 270 $8K
73080 1,395 1,321 $8K
29515 38 38 $8K
84703 29,176 27,168 $8K
88307 547 521 $8K
73090 900 850 $8K
80179 4,066 3,598 $8K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 25 25 $8K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 629 596 $8K
74174 69 67 $7K
88720 6,677 6,526 $6K
72141 40 40 $6K
51798 1,013 794 $6K
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 29 28 $6K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 278 267 $5K
10061 38 37 $5K
36415 Collection of venous blood by venipuncture 21,794 19,204 $5K
87641 664 632 $5K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 22,687 20,599 $5K
99490 Ccm add 20min 412 401 $5K
85027 8,004 6,147 $5K
43235 13 13 $5K
83690 23,045 20,979 $5K
J3490 Unclassified drugs 3,620 2,524 $4K
81001 24,006 22,144 $4K
71101 1,171 1,130 $4K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 242 232 $4K
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) 29 29 $4K
51701 1,853 1,710 $4K
81003 22,409 21,105 $4K
95816 17 17 $4K
76641 46 39 $4K
84112 311 277 $4K
87086 Culture, bacterial; quantitative colony count, urine 10,218 9,526 $4K
77065 Tomosynthesis, mammo 118 107 $3K
45380 Colonoscopy, flexible; with biopsy, single or multiple 13 13 $3K
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) 26 26 $3K
96376 8,593 5,413 $3K
36592 2,994 2,813 $3K
83735 10,454 8,086 $3K
36430 65 56 $3K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1,514 1,448 $3K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 3,330 3,229 $3K
93017 39 38 $3K
86900 4,332 4,083 $3K
72131 101 97 $2K
80069 1,055 632 $2K
86850 3,250 3,051 $2K
84443 Thyroid stimulating hormone (TSH) 3,789 3,544 $2K
71250 73 70 $2K
85610 11,665 9,484 $2K
J1453 Injection, fosaprepitant, 1 mg 17 13 $2K
73560 283 252 $2K
87081 3,947 3,856 $2K
73221 13 12 $2K
J7050 Infusion, normal saline solution, 250 cc 4,577 2,377 $2K
82075 2,321 1,871 $2K
83036 Hemoglobin; glycosylated (A1C) 2,027 1,923 $2K
96417 371 223 $2K
90686 221 217 $1K
84702 4,024 3,624 $1K
Q0114 Fern test 257 238 $1K
82803 6,508 5,734 $1K
80076 811 758 $1K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 6,496 2,871 $1K
87210 3,017 2,902 $1K
82077 4,854 4,327 $1K
73521 38 37 $1K
86901 4,332 4,083 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg 7,471 5,824 $1K
74019 348 329 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,068 3,970 $994.02
87186 5,729 5,409 $959.18
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,650 2,503 $953.23
93325 29 27 $929.28
80061 Lipid panel 487 457 $925.63
86140 3,822 3,591 $894.73
J2405 Injection, ondansetron hydrochloride, per 1 mg 21,717 18,430 $876.46
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 12 12 $875.62
88305 Level IV - Surgical pathology, gross and microscopic examination 3,479 3,306 $849.68
82247 327 263 $847.88
J1170 Injection, hydromorphone, up to 4 mg 7,839 5,804 $814.49
87077 5,688 5,343 $727.48
82947 2,470 1,980 $688.87
76819 Fetal biophysical profile; without non-stress testing 14 12 $676.42
J1885 Injection, ketorolac tromethamine, per 15 mg 21,970 19,117 $667.48
85730 2,304 2,049 $664.76
87070 2,662 2,542 $640.23
J1815 Injection, insulin, per 5 units 10,062 3,729 $618.90
97763 16 12 $604.93
86780 200 195 $577.92
77080 12 12 $573.73
96368 136 113 $573.63
36416 8,290 6,888 $547.63
86923 31 28 $501.02
J0780 Injection, prochlorperazine, up to 10 mg 3,141 2,769 $479.08
C9113 Injection, pantoprazole sodium, per vial 1,871 1,309 $475.24
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 41 41 $451.84
J3360 Injection, diazepam, up to 5 mg 357 277 $445.48
85652 1,299 1,238 $408.82
93798 92 12 $399.39
A9577 Injection, gadobenate dimeglumine (multihance), per ml 3,033 2,563 $375.37
J1100 Injection, dexamethasone sodium phosphate, 1 mg 14,435 12,781 $358.31
J3480 Injection, potassium chloride, per 2 meq 2,615 1,475 $355.01
87205 3,444 3,246 $343.28
70360 63 62 $319.78
J2704 Injection, propofol, 10 mg 14,814 10,718 $319.64
87088 2,156 2,049 $310.85
99152 706 671 $294.04
Q9957 Injection, perflutren lipid microspheres, per ml 121 114 $290.08
J2270 Injection, morphine sulfate, up to 10 mg 4,651 3,974 $264.66
84100 2,486 2,050 $264.05
J0171 Injection, adrenalin, epinephrine, 0.1 mg 1,485 1,406 $259.23
90674 28 27 $253.31
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,103 943 $250.63
82565 394 353 $234.93
73660 42 39 $228.86
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 449 444 $221.68
A9270 Non-covered item or service 29,266 5,851 $216.38
J1200 Injection, diphenhydramine hcl, up to 50 mg 4,968 4,101 $204.97
88304 1,353 1,321 $187.53
C1769 Guide wire 1,780 1,627 $176.00
J0690 Injection, cefazolin sodium, 500 mg 6,573 5,176 $164.06
83986 519 481 $159.62
82570 819 711 $153.59
72220 12 12 $152.72
82248 199 163 $133.74
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 2,945 2,796 $129.76
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 14 12 $122.76
72170 15 15 $117.54
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 904 836 $116.00
84156 751 643 $114.43
82550 892 791 $112.91
84550 1,284 1,140 $106.91
84450 451 399 $103.41
84439 254 227 $103.14
82365 13 13 $99.86
J3010 Injection, fentanyl citrate, 0.1 mg 12,085 10,639 $95.19
J1790 Injection, droperidol, up to 5 mg 1,041 953 $92.89
J2765 Injection, metoclopramide hcl, up to 10 mg 2,663 2,409 $90.30
J2250 Injection, midazolam hydrochloride, per 1 mg 6,757 6,065 $85.81
74022 128 120 $82.93
J1644 Injection, heparin sodium, per 1000 units 6,029 2,750 $79.34
73552 27 25 $76.05
J0131 Injection, acetaminophen, not otherwise specified,10 mg 328 315 $63.56
84520 370 330 $61.59
J0736 Injection, clindamycin phosphate, 300 mg 99 91 $58.98
73000 13 13 $55.33
J2060 Injection, lorazepam, 2 mg 3,271 2,830 $53.58
99153 Mod sedat endo service >5yrs 361 342 $52.43
J2550 Injection, promethazine hcl, up to 50 mg 3,225 2,756 $50.17
82272 333 326 $45.59
J1650 Injection, enoxaparin sodium, 10 mg 4,279 1,386 $38.52
J3370 Injection, vancomycin hcl, 500 mg 1,119 539 $22.34
90682 38 37 $18.93
86308 65 64 $16.53
87045 40 40 $14.69
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 3,408 2,597 $14.46
88342 297 270 $14.13
J7030 Infusion, normal saline solution , 1000 cc 47 40 $14.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 13 13 $13.05
87427 26 26 $12.62
J1940 Injection, furosemide, up to 20 mg 1,065 667 $12.36
J7060 5% dextrose/water (500 ml = 1 unit) 711 530 $10.00
J2470 Injection, pantoprazole sodium, 40 mg 142 100 $7.74
J1630 Injection, haloperidol, up to 5 mg 224 192 $7.59
87046 40 40 $7.35
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 126 119 $5.22
J1171 Injection, hydromorphone, 0.1 mg 94 78 $4.98
82010 117 109 $0.92
J2370 Injection, phenylephrine hcl, up to 1 ml 1,866 1,669 $0.00
99406 24 24 $0.00
L8699 Prosthetic implant, not otherwise specified 287 279 $0.00
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 318 262 $0.00
C2617 Stent, non-coronary, temporary, without delivery system 267 256 $0.00
J1836 Injection, metronidazole, 10 mg 256 150 $0.00
88300 137 136 $0.00
C1747 Endoscope, single-use (i.e. disposable), urinary tract, imaging/illumination device (insertable) 26 24 $0.00
86880 12 12 $0.00
73060 30 25 $0.00
C1889 Implantable/insertable device, not otherwise classified 195 175 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 297 279 $0.00
G0008 Administration of influenza virus vaccine 192 190 $0.00
J8540 Dexamethasone, oral, 0.25 mg 35 28 $0.00
81015 13 12 $0.00
J1920 Injection, labetalol hydrochloride, 5 mg 44 40 $0.00
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 27 24 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 26 25 $0.00
J3411 Injection, thiamine hcl, 100 mg 68 52 $0.00
90694 25 25 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 17 15 $0.00
99292 44 41 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 20 18 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 24 24 $0.00
90673 12 12 $0.00
82728 13 12 $0.00
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 231 213 $0.00
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg 67 61 $0.00
Q9961 High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml 458 417 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 1,709 1,166 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 668 633 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 1,206 977 $0.00
C1758 Catheter, ureteral 256 244 $0.00
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 123 85 $0.00
51702 18 14 $0.00
89051 33 27 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 28 26 $0.00
A4649 Surgical supply; miscellaneous 31 31 $0.00
C1776 Joint device (implantable) 25 25 $0.00
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 26 25 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 162 154 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 383 171 $0.00
J0694 Injection, cefoxitin sodium, 1 gm 140 112 $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 45 41 $0.00
86765 25 13 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 26 26 $0.00
90662 66 64 $0.00
87075 13 12 $0.00
29105 13 12 $0.00
J3371 Injection, vancomycin hcl (mylan), not therapeutically equivalent to j3370, 500 mg 29 19 $0.00
94799 19 14 $0.00