Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › BOSTON › TUFTS MEDICAL CENTER, INC.

TUFTS MEDICAL CENTER, INC.

NPI: 1730132515 · BOSTON, MA 02111 · General Acute Care Hospital · NPI assigned 05/19/2006

$164.34M
Total Medicaid Paid
4,021,450
Total Claims
3,410,265
Beneficiaries
731
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDONOVAN, STEVE (DIRECTOR OF FINANCIAL PLANNING)
NPI Enumeration Date05/19/2006

Related Entities

Other providers sharing the same authorized official: DONOVAN, STEVE

ProviderCityStateTotal Paid
TUFTS MEDICAL CENTER, INC. BOSTON MA $3.81M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 653,060 $25.33M
2019 662,416 $23.42M
2020 539,257 $17.41M
2021 686,638 $23.77M
2022 586,450 $24.33M
2023 539,637 $27.81M
2024 353,992 $22.27M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 125,094 111,220 $17.78M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 120,349 106,867 $15.71M
99283 Emergency department visit for the evaluation and management, moderate severity 49,438 42,771 $7.59M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 208,790 150,348 $6.55M
99215 Prolong outpt/office vis 37,883 34,376 $5.52M
99284 Emergency department visit for the evaluation and management, high severity 34,393 31,238 $5.29M
96361 Intravenous infusion, hydration; each additional hour 13,144 10,910 $5.07M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 27,294 24,409 $4.64M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 33,488 27,172 $4.54M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 16,528 12,279 $3.87M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 5,155 4,996 $3.40M
45380 Colonoscopy, flexible; with biopsy, single or multiple 4,284 4,159 $3.26M
G0378 Hospital observation service, per hour 25,991 12,237 $2.89M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 12,327 7,786 $2.84M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 19,482 16,058 $2.55M
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 26,735 25,945 $2.11M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13,178 12,737 $2.08M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14,141 13,662 $1.97M
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 30,262 27,339 $1.95M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 29,324 10,235 $1.52M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 8,090 7,718 $1.42M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 4,561 4,316 $1.38M
99282 Emergency department visit for the evaluation and management, low to moderate severity 9,419 8,212 $1.34M
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1,634 1,592 $1.33M
59025 Fetal non-stress test 5,158 2,906 $1.32M
70450 Computed tomography, head or brain; without contrast material 10,504 9,501 $1.30M
96415 2,738 2,137 $1.19M
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 20,825 15,863 $1.17M
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 1,003 981 $1.03M
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 3,124 2,306 $969K
74177 Computed tomography, abdomen and pelvis; with contrast material 7,533 7,157 $960K
J0585 Injection, onabotulinumtoxina, 1 unit 1,481 1,108 $891K
31575 3,458 3,296 $812K
76700 Ultrasound, abdominal, real time with image documentation; complete 5,100 5,017 $794K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 6,757 5,576 $786K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 24,278 20,099 $703K
70551 Magnetic resonance imaging, brain; without contrast material 2,442 2,357 $680K
99205 Prolong outpt/office vis 4,439 4,303 $679K
99281 Emergency department visit for the evaluation and management, self-limited or minor 4,708 4,026 $653K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 141,735 112,163 $637K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1,349 1,277 $634K
96367 4,315 2,791 $622K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 19,599 17,344 $620K
J9271 Injection, pembrolizumab, 1 mg 60 48 $613K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 757 710 $592K
31231 2,299 2,206 $563K
20610 3,970 3,439 $558K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 5,783 5,673 $554K
J0178 Injection, aflibercept, 1 mg 1,220 1,096 $552K
67028 Intravitreal injection of a pharmacologic agent 4,370 3,934 $543K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 19,564 18,622 $502K
77067 Screening mammography, bilateral, including computer-aided detection 7,267 7,125 $495K
71046 Radiologic examination, chest; 2 views 28,539 26,479 $493K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 19,080 18,188 $489K
76770 3,025 2,897 $481K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 7,385 6,770 $479K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,553 4,095 $475K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 4,817 4,738 $472K
17110 2,070 1,988 $468K
74183 1,514 1,484 $461K
90834 Psychotherapy, 45 minutes with patient 13,577 6,222 $460K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,119 4,104 $454K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 3,678 3,575 $444K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,904 3,892 $440K
97803 6,294 5,749 $432K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 4,500 3,781 $423K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 4,279 4,191 $421K
76830 Ultrasound, transvaginal 4,043 3,920 $409K
71250 4,873 4,736 $399K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 37,112 36,031 $393K
93325 3,178 3,029 $393K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 4,262 4,198 $386K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 1,399 1,301 $370K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 9,665 8,670 $357K
11900 1,578 1,542 $355K
76705 Ultrasound, abdominal, real time with image documentation; limited 3,478 3,366 $344K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 18,816 6,702 $342K
97010 5,822 1,972 $341K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 4,463 3,900 $330K
52000 616 593 $323K
92567 9,075 8,833 $322K
71260 Computed tomography, thorax, diagnostic; with contrast material 3,824 3,683 $316K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,980 2,967 $316K
84443 Thyroid stimulating hormone (TSH) 32,127 30,447 $303K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1,358 1,323 $300K
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 15,885 14,077 $296K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,873 1,760 $295K
A9575 Injection, gadoterate meglumine, 0.1 ml 5,293 4,954 $292K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 2,731 2,644 $276K
80053 Comprehensive metabolic panel 56,291 45,194 $274K
76819 Fetal biophysical profile; without non-stress testing 3,823 2,987 $263K
92557 4,703 4,503 $262K
76536 2,118 2,094 $254K
36430 835 552 $253K
97162 3,892 3,495 $252K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,989 1,944 $249K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 20,392 17,199 $245K
90836 4,877 3,422 $240K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 16,680 15,968 $237K
83036 Hemoglobin; glycosylated (A1C) 48,738 46,223 $229K
83735 61,781 43,288 $223K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,651 1,541 $222K
80051 70,374 57,611 $219K
77080 4,143 3,945 $211K
93971 954 880 $209K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 11,782 11,422 $207K
76642 1,742 1,665 $204K
97802 2,653 2,567 $197K
92015 Determination of refractive state 10,067 9,883 $193K
J2506 Injection, pegfilgrastim, excludes biosimilar, 0.5 mg 86 67 $193K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 46,592 40,535 $186K
86833 1,538 1,405 $183K
90832 Psychotherapy, 30 minutes with patient 9,616 5,891 $178K
85027 43,022 38,093 $177K
93975 1,273 1,208 $177K
90686 15,100 14,809 $176K
Q5104 Injection, infliximab-abda, biosimilar, (renflexis), 10 mg 93 75 $172K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 106 105 $171K
86480 4,073 3,917 $168K
88305 Level IV - Surgical pathology, gross and microscopic examination 17,458 16,292 $165K
86832 1,662 1,522 $163K
11102 368 363 $161K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 3,275 3,033 $154K
84702 13,801 11,907 $152K
87536 3,775 3,580 $151K
92134 11,568 10,746 $149K
90715 7,409 7,200 $143K
87660 9,311 8,863 $141K
82728 18,173 17,060 $141K
80061 Lipid panel 39,121 37,437 $139K
J1453 Injection, fosaprepitant, 1 mg 751 502 $138K
20611 357 328 $138K
87510 8,852 8,433 $138K
J7050 Infusion, normal saline solution, 250 cc 7,346 4,595 $137K
87480 8,855 8,435 $134K
94010 1,883 1,814 $133K
83970 8,205 7,716 $131K
72100 4,811 4,665 $130K
82565 80,447 66,549 $129K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 1,527 1,320 $129K
0002A 4,058 3,939 $128K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1,589 1,520 $127K
86780 12,672 12,254 $125K
84484 15,499 12,589 $123K
J3010 Injection, fentanyl citrate, 0.1 mg 23,851 20,406 $122K
84520 77,804 64,098 $119K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 568 559 $118K
92083 6,570 6,344 $117K
80048 Basic metabolic panel (calcium, ionized) 31,583 26,236 $117K
88342 7,362 6,877 $115K
93017 1,590 1,528 $114K
J1569 Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg 113 38 $114K
86850 19,806 17,233 $113K
84466 15,377 14,634 $111K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,671 1,415 $111K
0001A 4,074 3,956 $109K
86803 11,791 11,370 $108K
92587 1,059 1,047 $104K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 4,555 4,429 $104K
72141 438 428 $101K
83880 6,904 6,034 $100K
97161 1,380 1,242 $98K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk 75 73 $97K
77063 Screening digital breast tomosynthesis, bilateral 1,824 1,810 $97K
85730 23,737 19,596 $97K
99385 913 908 $96K
76801 870 815 $95K
82947 56,341 45,584 $95K
71275 Computed tomographic angiography, chest, with contrast material 513 491 $93K
82607 11,719 11,187 $92K
84460 52,528 45,497 $91K
85610 35,118 27,360 $90K
92133 7,684 7,411 $90K
94726 1,589 1,518 $89K
96375 Therapeutic injection; each additional sequential IV push 15,636 12,233 $88K
93296 2,328 2,235 $86K
83690 18,332 16,542 $86K
84100 52,962 36,641 $85K
88307 1,403 1,275 $85K
92551 658 653 $85K
J2405 Injection, ondansetron hydrochloride, per 1 mg 22,958 19,622 $84K
J2250 Injection, midazolam hydrochloride, per 1 mg 5,909 5,393 $84K
76813 832 826 $84K
87517 2,988 2,837 $81K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 4,359 4,240 $81K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 229 220 $80K
82247 44,626 38,119 $79K
86140 23,357 20,578 $79K
Q5103 Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg 36 28 $78K
11100 275 267 $77K
84450 52,403 45,392 $77K
76827 1,810 1,372 $75K
80050 General health panel 6,096 5,775 $75K
72125 Computed tomography, cervical spine; without contrast material 4,513 4,105 $74K
87340 10,403 9,728 $73K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 1,878 1,586 $73K
92060 2,840 2,788 $72K
72197 218 213 $70K
95810 Polysomnography; sleep staging with 4 or more additional parameters 66 64 $69K
20550 321 311 $68K
73030 5,827 5,246 $66K
0004A 2,602 2,537 $66K
83540 17,103 16,250 $66K
87086 Culture, bacterial; quantitative colony count, urine 13,013 11,899 $65K
84075 43,528 37,162 $64K
76825 1,201 1,155 $64K
92579 2,094 2,064 $64K
73564 5,346 5,050 $63K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 3,124 2,869 $62K
J1950 Injection, leuprolide acetate (for depot suspension), per 3.75 mg 18 17 $60K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 2,147 1,467 $60K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,461 875 $59K
92020 1,171 1,126 $59K
92553 880 860 $58K
82570 19,787 17,596 $58K
36415 Collection of venous blood by venipuncture 97,061 82,779 $58K
90791 Psychiatric diagnostic evaluation 606 595 $57K
94729 1,855 1,785 $56K
86706 7,939 7,600 $56K
86360 3,312 3,095 $56K
86901 16,945 14,730 $55K
64615 136 133 $55K
83615 33,748 25,165 $55K
99173 1,143 1,139 $55K
71271 1,028 1,017 $54K
73630 6,168 5,372 $54K
86900 20,355 17,665 $54K
82784 5,202 4,669 $53K
90837 Psychotherapy, 53 minutes with patient 460 324 $53K
88112 1,451 1,310 $53K
73130 4,532 4,010 $53K
84153 5,153 4,915 $52K
82310 23,144 17,373 $51K
ATP14 8,466 6,755 $50K
81025 7,163 6,684 $50K
84439 8,381 7,986 $49K
91322 699 690 $48K
81001 23,583 21,015 $48K
73610 6,288 5,240 $47K
82043 17,687 15,933 $46K
J1885 Injection, ketorolac tromethamine, per 15 mg 14,152 11,615 $46K
92555 1,768 1,734 $45K
71045 Radiologic examination, chest; single view 7,374 6,411 $45K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 4,161 2,515 $45K
72050 1,047 1,025 $45K
81002 24,663 21,134 $45K
86359 3,126 2,925 $44K
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 1,349 1,218 $43K
84550 24,432 18,099 $43K
J2469 Injection, palonosetron hcl, 25 mcg 825 555 $43K
90472 Immunization administration, each additional vaccine (list separately) 11,150 10,971 $43K
82746 5,614 5,318 $42K
70486 998 949 $42K
J1745 Injection, infliximab, excludes biosimilar, 10 mg 48 39 $40K
85652 20,844 18,852 $40K
84480 4,697 4,417 $40K
86334 2,777 2,436 $39K
31579 63 63 $39K
83655 3,410 3,367 $39K
70496 250 242 $39K
92025 1,227 1,183 $39K
82248 29,269 25,136 $38K
87070 6,937 6,273 $38K
81003 18,064 16,655 $37K
73562 2,771 2,343 $36K
J2704 Injection, propofol, 10 mg 11,784 11,055 $36K
88341 2,063 1,849 $36K
69210 1,504 1,436 $35K
87522 Neg quan hep c or qual rna 1,376 1,272 $35K
82948 11,697 7,796 $35K
73110 3,965 3,207 $35K
ATP07 5,813 4,530 $34K
94060 263 251 $33K
84403 1,953 1,877 $33K
93350 143 143 $33K
83516 2,863 2,646 $33K
99220 989 559 $33K
92550 446 421 $32K
90792 Psychiatric diagnostic evaluation with medical services 335 328 $32K
90838 326 185 $32K
J1756 Injection, iron sucrose, 1 mg 791 310 $32K
82105 3,231 3,061 $32K
73502 3,710 3,451 $32K
87799 2,858 2,127 $32K
46221 39 39 $31K
J1050 Injection, medroxyprogesterone acetate, 1 mg 431 429 $31K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 15,375 12,112 $31K
90677 1,539 1,492 $31K
J7120 Ringers lactate infusion, up to 1000 cc 6,730 5,839 $31K
94760 9,901 8,292 $31K
86704 3,951 3,735 $30K
82040 18,506 15,343 $29K
87040 3,004 2,479 $29K
84156 14,525 12,441 $29K
86038 3,441 3,319 $28K
88142 1,667 1,636 $28K
86235 765 609 $28K
84155 9,442 7,287 $27K
87186 5,295 4,805 $27K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 5,018 4,591 $27K
87653 1,107 1,091 $27K
86762 2,324 2,246 $27K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 29 26 $26K
86160 1,689 1,413 $26K
Q3014 Telehealth originating site facility fee 16,912 14,655 $24K
85007 9,348 7,467 $24K
80069 6,273 5,615 $23K
91200 342 326 $23K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 112 103 $23K
86923 620 484 $23K
73560 2,048 1,843 $23K
P9040 Red blood cells, leukocytes reduced, irradiated, each unit 753 558 $22K
96401 140 94 $22K
83001 1,412 1,386 $22K
80076 8,061 7,171 $21K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 77 77 $21K
77066 Tomosynthesis, mammo 351 341 $21K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,708 1,627 $21K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 650 637 $20K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 413 233 $20K
0064A 809 778 $20K
83605 2,749 2,363 $20K
87081 3,658 3,547 $20K
ATP08 4,627 3,709 $20K
G0297 Low dose ct scan (ldct) for lung cancer screening 174 167 $20K
90651 1,298 1,293 $20K
84146 1,173 1,139 $20K
76937 1,274 1,129 $19K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 3,701 3,534 $19K
72170 2,959 2,717 $19K
90480 704 698 $19K
84165 3,687 3,270 $19K
0012A 692 677 $19K
J7030 Infusion, normal saline solution , 1000 cc 9,374 7,880 $19K
86787 1,848 1,749 $19K
77065 Tomosynthesis, mammo 283 270 $19K
73080 1,759 1,531 $18K
80197 5,461 3,709 $18K
ATP15 4,075 2,885 $18K
84402 870 850 $18K
G0105 Colorectal cancer screening; colonoscopy on individual at high risk 13 13 $18K
82150 4,269 3,699 $18K
J1644 Injection, heparin sodium, per 1000 units 4,145 1,899 $18K
ATP12 2,742 2,150 $18K
51798 1,241 1,136 $18K
82550 10,017 8,775 $18K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 4,364 3,909 $17K
87077 3,749 3,192 $17K
83883 2,118 1,727 $17K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 6,154 5,268 $17K
ATP17 3,654 2,794 $17K
72081 1,837 1,789 $17K
90734 1,692 1,681 $17K
90670 3,083 3,028 $17K
97166 226 210 $17K
86580 922 852 $17K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 957 878 $17K
87205 5,651 4,934 $17K
97163 189 178 $16K
87486 701 661 $16K
97750 433 413 $16K
20552 104 99 $16K
G0379 Direct admission of patient for hospital observation care 161 125 $16K
84703 2,832 2,716 $16K
70491 129 127 $16K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 892 817 $15K
88304 2,782 2,698 $15K
ATP09 3,111 2,102 $15K
87147 2,793 2,437 $15K
58300 50 50 $15K
0124A 662 641 $15K
87497 1,303 867 $15K
85380 2,076 1,878 $14K
88313 1,810 1,665 $14K
J3490 Unclassified drugs 2,791 2,178 $14K
J2505 Injection, pegfilgrastim, 6 mg 58 42 $14K
J0690 Injection, cefazolin sodium, 500 mg 4,775 3,718 $14K
92523 78 71 $14K
83002 856 837 $13K
92585 43 42 $13K
0011A 678 671 $13K
62323 25 25 $12K
43235 14 13 $12K
85046 3,636 3,064 $12K
90620 184 183 $12K
84425 814 790 $12K
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 3,444 2,959 $12K
86039 1,532 1,479 $12K
82670 491 478 $12K
64642 77 66 $12K
73522 1,480 1,432 $12K
73140 1,185 1,053 $12K
82274 1,099 1,068 $12K
93320 847 823 $12K
0072A 275 272 $12K
86003 101 93 $11K
86225 1,074 1,016 $11K
C9257 Injection, bevacizumab, 0.25 mg 426 400 $11K
82652 432 419 $11K
99386 146 144 $11K
0071A 267 262 $11K
0031A 436 428 $11K
74018 550 507 $10K
92552 136 136 $10K
J0696 Injection, ceftriaxone sodium, per 250 mg 1,563 1,236 $10K
ATP10 2,434 1,965 $10K
86255 969 898 $10K
J1030 Injection, methylprednisolone acetate, 40 mg 2,171 2,016 $9K
0134A 393 370 $9K
36591 1,805 1,188 $9K
73590 2,088 1,809 $9K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 75 69 $9K
85379 1,406 1,344 $9K
10060 43 41 $9K
95886 38 38 $8K
ATP13 1,391 1,211 $8K
86790 1,027 970 $8K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 28 15 $8K
72040 416 399 $8K
83520 607 568 $8K
J1170 Injection, hydromorphone, up to 4 mg 3,395 2,394 $8K
95816 27 27 $8K
83021 443 406 $8K
87581 351 330 $8K
91300 8,480 7,376 $8K
87088 1,656 1,513 $7K
88185 34 31 $7K
77336 87 50 $7K
70544 128 123 $7K
76818 142 96 $7K
93970 40 38 $7K
96110 Developmental screening, with scoring and documentation, per standardized instrument 546 543 $7K
82435 491 465 $7K
87341 717 695 $7K
77062 68 67 $7K
92582 343 341 $7K
97165 77 67 $7K
87506 60 60 $7K
92250 1,105 1,025 $7K
86431 1,649 1,589 $7K
82610 1,190 1,108 $6K
G0008 Administration of influenza virus vaccine 4,711 4,451 $6K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 342 318 $6K
11104 12 12 $6K
90656 1,204 1,183 $6K
83550 2,762 2,620 $6K
86618 435 424 $6K
74021 484 453 $6K
90691 240 237 $6K
82378 582 461 $6K
ATP06 1,656 1,354 $6K
ATP11 1,493 1,240 $6K
51741 257 231 $6K
76000 273 262 $5K
96405 101 100 $5K
86141 548 529 $5K
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,694 1,388 $5K
86304 481 389 $5K
70498 132 130 $5K
90694 670 649 $5K
82951 478 403 $5K
84166 590 526 $5K
83721 2,436 2,315 $5K
96417 1,009 699 $5K
93356 353 328 $4K
72082 255 227 $4K
76512 28 26 $4K
36000 612 538 $4K
86200 454 443 $4K
82747 346 341 $4K
92136 690 667 $4K
29580 83 13 $4K
76519 39 39 $4K
86677 312 308 $4K
82803 307 242 $4K
94618 38 37 $4K
73552 420 377 $4K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 691 618 $4K
Q9950 Injection, sulfur hexafluoride lipid microspheres, per ml 40 25 $4K
ATP03 5,323 4,781 $4K
77061 44 44 $4K
J1815 Injection, insulin, per 5 units 1,006 380 $4K
83020 356 348 $4K
ATP04 2,458 2,044 $4K
ATP16 972 704 $4K
95250 163 155 $4K
87802 393 386 $4K
96376 3,699 2,501 $4K
12011 12 12 $4K
76942 91 71 $4K
87102 477 426 $4K
82533 280 253 $4K
82950 806 798 $4K
84436 678 635 $4K
11719 491 481 $4K
90662 860 799 $3K
91306 658 648 $3K
76870 55 52 $3K
93304 13 12 $3K
86765 300 288 $3K
J7060 5% dextrose/water (500 ml = 1 unit) 2,140 1,168 $3K
77300 14 12 $3K
86735 280 268 $3K
90474 1,860 1,845 $3K
90733 51 51 $3K
12001 12 12 $3K
90633 1,986 1,973 $3K
96111 41 40 $3K
C1769 Guide wire 1,673 1,310 $3K
0003A 183 181 $3K
J2795 Injection, ropivacaine hydrochloride, 1 mg 198 138 $3K
87634 46 44 $3K
86708 356 339 $3K
93880 39 38 $2K
87902 12 12 $2K
ATP18 628 489 $2K
82805 79 71 $2K
87338 207 206 $2K
10061 12 12 $2K
85045 1,099 933 $2K
86707 224 218 $2K
72131 60 57 $2K
86320 94 94 $2K
73090 573 483 $2K
84590 254 250 $2K
90716 661 655 $2K
86147 88 54 $2K
83521 228 206 $2K
96112 14 13 $2K
87350 201 198 $2K
ATP02 826 672 $2K
36592 3,401 2,339 $2K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 1,817 1,331 $2K
81370 93 77 $2K
73521 104 103 $2K
90653 263 259 $2K
86800 154 148 $2K
29075 16 12 $2K
86146 82 49 $2K
0144A 41 41 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 560 531 $2K
90746 58 54 $2K
80320 849 772 $2K
74019 119 118 $2K
83921 150 140 $2K
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 73 62 $2K
84295 806 752 $2K
99397 128 111 $2K
J2270 Injection, morphine sulfate, up to 10 mg 1,211 1,021 $2K
95117 40 24 $2K
86376 116 110 $1K
J8540 Dexamethasone, oral, 0.25 mg 1,017 571 $1K
82627 77 76 $1K
84270 93 90 $1K
92556 39 39 $1K
ATP05 349 282 $1K
85018 811 733 $1K
99195 18 15 $1K
86335 138 121 $1K
86301 88 69 $1K
76820 31 12 $1K
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 2,271 1,494 $1K
17000 42 42 $1K
90732 79 67 $1K
76514 52 51 $1K
72110 145 141 $1K
99152 87 78 $1K
88184 35 31 $1K
85384 190 168 $1K
A9585 Injection, gadobutrol, 0.1 ml 694 660 $1K
82330 192 171 $1K
J3590 Unclassified biologics 29 24 $1K
20600 20 14 $1K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 1,057 628 $1K
77072 26 25 $1K
89051 266 228 $1K
99442 157 143 $1K
94664 40 39 $1K
90707 601 595 $1K
90678 55 54 $1K
97535 Self-care/home management training, each 15 minutes 20 12 $1K
J3475 Injection, magnesium sulfate, per 500 mg 942 630 $1K
83525 96 95 $1K
A4222 Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) 894 508 $996.06
82465 678 658 $995.51
84630 119 114 $971.21
87529 29 24 $966.64
J3489 Injection, zoledronic acid, 1 mg 183 153 $923.53
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 14 13 $900.00
97804 12 12 $880.04
82977 499 466 $866.74
88312 168 161 $862.95
94762 256 228 $857.84
91303 266 262 $836.29
93280 42 38 $833.93
90680 2,462 2,415 $823.32
82785 74 69 $820.06
96161 64 63 $787.84
85049 339 322 $783.72
76881 20 16 $771.42
90649 1,081 1,076 $765.85
86361 65 65 $759.15
87116 90 64 $732.16
82374 268 256 $730.03
76882 17 15 $681.34
91301 784 754 $669.79
95251 63 61 $656.53
84132 674 560 $652.24
J1650 Injection, enoxaparin sodium, 10 mg 138 64 $650.48
99188 15 15 $643.72
86592 200 193 $629.65
80299 62 55 $596.30
86665 45 36 $593.97
94727 13 13 $591.82
84445 13 13 $556.68
72070 15 15 $544.45
82024 12 12 $530.70
G0009 Administration of pneumococcal vaccine 449 438 $519.71
94761 1,753 1,499 $508.89
80074 12 12 $504.12
87449 77 68 $503.09
90658 793 792 $481.65
J2060 Injection, lorazepam, 2 mg 316 236 $477.36
83010 77 53 $463.52
99153 Mod sedat endo service >5yrs 31 25 $445.00
J1790 Injection, droperidol, up to 5 mg 677 574 $442.93
87075 82 70 $435.47
99244 Office or other outpatient consultation, moderate to high complexity 294 290 $407.33
80329 851 768 $397.55
81000 145 141 $391.10
87807 51 50 $386.38
87206 108 79 $385.37
97116 14 12 $381.71
86308 81 80 $353.52
82525 39 38 $350.84
86364 33 30 $348.09
86705 40 40 $337.82
96127 295 295 $326.49
83498 13 13 $322.14
90744 1,715 1,695 $320.78
J1630 Injection, haloperidol, up to 5 mg 64 62 $313.59
74022 26 26 $310.95
76377 140 133 $287.99
85014 299 273 $285.29
82103 28 26 $248.85
86870 19 15 $245.81
84305 12 12 $232.80
V2632 Posterior chamber intraocular lens 538 498 $215.00
86258 12 12 $208.70
86381 12 12 $202.05
99443 31 29 $182.59
84244 13 12 $180.54
99243 109 107 $176.48
83519 13 12 $175.13
86828 24 24 $168.98
J2765 Injection, metoclopramide hcl, up to 10 mg 484 423 $168.73
51701 29 27 $154.77
82340 25 25 $154.76
82164 13 12 $145.77
82010 31 25 $144.20
99024 486 421 $141.34
0296T 14 14 $141.15
G0103 Prostate cancer screening; prostate specific antigen test (psa) 1,034 1,014 $133.67
93246 29 29 $132.12
84432 13 13 $124.47
87015 25 13 $120.70
86593 41 40 $117.65
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 62 54 $116.17
J0171 Injection, adrenalin, epinephrine, 0.1 mg 29 25 $115.52
85390 14 13 $114.40
83718 129 128 $105.17
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 30 30 $98.61
80164 28 25 $97.86
88300 97 81 $93.23
L1820 Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 13 12 $92.43
84300 26 24 $91.87
90698 2,789 2,738 $90.78
90460 Immunization administration through 18 years of age via any route, first or only component 25 25 $86.62
82390 12 12 $85.23
88311 14 14 $72.40
80503 43 39 $72.33
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 63 61 $66.87
87324 47 40 $59.05
A4344 Indwelling catheter, foley type, two-way, all silicone or polyurethane, each 12 12 $57.90
M0220 Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), includes injection and post administration monitoring 19 15 $54.00
Q2039 Influenza virus vaccine, not otherwise specified 120 115 $50.85
ATP21 13 13 $49.28
90710 602 598 $48.98
73060 13 12 $40.33
93321 16 15 $34.75
A4311 Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) 181 152 $32.29
91312 718 692 $25.07
J3473 Injection, hyaluronidase, recombinant, 1 usp unit 284 264 $22.95
91313 422 398 $3.72
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 201 166 $3.33
J1171 Injection, hydromorphone, 0.1 mg 110 79 $2.56
J1836 Injection, metronidazole, 10 mg 18 12 $1.84
J3370 Injection, vancomycin hcl, 500 mg 119 68 $0.20
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 181 167 $0.00
90473 368 361 $0.00
0690T 394 388 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 178 149 $0.00
90785 34 26 $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 48 48 $0.00
90461 15 15 $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 218 199 $0.00
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 101 90 $0.00
11720 12 12 $0.00
Q0243 Injection, casirivimab and imdevimab, 2400 mg 22 13 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 26 25 $0.00
J1245 Injection, dipyridamole, per 10 mg 12 12 $0.00
91321 128 125 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 12 12 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 15 12 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 14 13 $0.00
Q0220 Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), 300 mg 38 15 $0.00
76981 14 13 $0.00
90700 12 12 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 27 25 $0.00
90657 630 629 $0.00
46600 26 25 $0.00
90702 288 280 $0.00
J2785 Injection, regadenoson, 0.1 mg 48 44 $0.00
90696 532 532 $0.00
91307 521 495 $0.00
A4615 Cannula, nasal 12 12 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 39 37 $0.00
J0173 Injection, epinephrine (belcher), not therapeutically equivalent to j0171, 0.1 mg 13 13 $0.00
99406 13 12 $0.00
81599 13 12 $0.00
J3480 Injection, potassium chloride, per 2 meq 17 13 $0.00