Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NC › PINEHURST › FIRSTHEALTH OF THE CAROLINAS, INC.

FIRSTHEALTH OF THE CAROLINAS, INC.

NPI: 1740208081 · PINEHURST, NC 28374 · General Acute Care Hospital · NPI assigned 07/17/2006

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

Authorized official FOSTER, MICKEY controls 20+ related entities in our dataset. Read more

$61.58M
Total Medicaid Paid
2,306,301
Total Claims
1,848,647
Beneficiaries
474
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFOSTER, MICKEY (CEO)
NPI Enumeration Date07/17/2006

Related Entities

Other providers sharing the same authorized official: FOSTER, MICKEY

ProviderCityStateTotal Paid
FHPG, LLC PINEHURST NC $3.50M
FIRSTHEALTH OF THE CAROLINAS, INC PINEHURST NC $2.94M
FIRSTHEALTH OF THE CAROLINAS, INC TROY NC $2.91M
FIRSTHEALTH OF THE CAROLINAS, INC. SOUTHERN PINES NC $2.91M
FHPG, LLC ROCKINGHAM NC $1.66M
MCPC-9, LLC ROCKINGHAM NC $1.58M
MCPC-7, LLC HAMLET NC $1.37M
MCPC-8, LLC RAEFORD NC $1.31M
MCPC-8, LLC HAMLET NC $1.25M
MCPC-1 LLC ROCKINGHAM NC $1.22M
FHPG, LLC RAEFORD NC $1.03M
MCPC-11, LLC PINEHURST NC $994K
MCPC-8, LLC ASHEBORO NC $893K
MCPC-8, LLC SANFORD NC $862K
MCPC-12, LLC PINEHURST NC $859K
MCPC-16, LLC RAEFORD NC $803K
FHPG, LLC CARTHAGE NC $697K
MCPC-2, LLC ROCKINGHAM NC $607K
MCPC-8, LLC PINEHURST NC $587K
MCPC-8, LLC SANFORD NC $573K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 525,794 $11.29M
2019 494,689 $11.19M
2020 211,739 $3.96M
2021 285,062 $8.00M
2022 256,643 $8.39M
2023 255,747 $8.55M
2024 276,627 $10.19M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 107,631 95,063 $7.94M
99283 Emergency department visit for the evaluation and management, moderate severity 108,318 97,391 $5.95M
74177 Computed tomography, abdomen and pelvis; with contrast material 6,829 6,182 $4.03M
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 39,486 34,808 $3.39M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 27,863 24,184 $2.54M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 13,682 12,518 $2.08M
96361 Intravenous infusion, hydration; each additional hour 34,597 28,995 $2.07M
70450 Computed tomography, head or brain; without contrast material 9,182 8,252 $1.74M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 46,544 40,501 $1.64M
96375 Therapeutic injection; each additional sequential IV push 30,535 24,883 $1.56M
71046 Radiologic examination, chest; 2 views 26,589 23,844 $1.30M
0240U 6,831 6,550 $1.11M
74176 Computed tomography, abdomen and pelvis; without contrast material 2,792 2,525 $978K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 22,823 18,695 $878K
80053 Comprehensive metabolic panel 95,364 82,138 $842K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 15,585 7,106 $820K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 118,290 99,936 $805K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 50,158 43,019 $710K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 9,354 8,973 $603K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 20,935 17,561 $561K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 20,935 17,560 $548K
G0378 Hospital observation service, per hour 9,327 3,892 $529K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 16,979 15,066 $488K
11045 3,174 1,473 $485K
71045 Radiologic examination, chest; single view 15,098 13,437 $481K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 4,232 3,242 $473K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 9,249 8,006 $470K
71275 Computed tomographic angiography, chest, with contrast material 1,551 1,433 $449K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 2,418 2,043 $440K
36415 Collection of venous blood by venipuncture 171,155 138,283 $421K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1,784 1,672 $415K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 35,206 29,419 $401K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 7,313 6,073 $395K
J7030 Infusion, normal saline solution , 1000 cc 47,017 37,899 $357K
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 11,304 10,390 $353K
J3490 Unclassified drugs 34,315 18,278 $317K
81025 38,978 33,714 $293K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 4,913 4,440 $290K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 912 826 $256K
87070 21,381 19,910 $253K
80069 38,684 32,041 $243K
72100 2,141 1,960 $234K
72125 Computed tomography, cervical spine; without contrast material 864 787 $232K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 8,632 7,904 $225K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,531 1,449 $221K
70551 Magnetic resonance imaging, brain; without contrast material 868 798 $216K
80061 Lipid panel 15,367 14,316 $212K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 8,625 7,181 $211K
99282 Emergency department visit for the evaluation and management, low to moderate severity 7,096 6,618 $207K
81001 57,157 50,512 $197K
71260 Computed tomography, thorax, diagnostic; with contrast material 955 877 $194K
84484 28,983 22,029 $192K
88305 Level IV - Surgical pathology, gross and microscopic examination 3,916 3,192 $189K
84443 Thyroid stimulating hormone (TSH) 12,104 11,075 $186K
72141 775 727 $171K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 5,346 4,976 $166K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 535 488 $160K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 10,328 3,280 $152K
96376 4,166 2,976 $151K
87086 Culture, bacterial; quantitative colony count, urine 17,568 15,471 $142K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 494 420 $139K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 625 426 $135K
85027 23,934 19,962 $131K
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 3,377 2,928 $130K
88142 6,029 5,116 $127K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 9,037 8,463 $125K
86780 8,103 6,900 $124K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 10,329 7,595 $123K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,825 1,704 $122K
73564 2,144 1,957 $116K
83690 18,446 16,224 $116K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3,459 3,138 $114K
73610 1,852 1,728 $113K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 756 689 $113K
76801 1,026 892 $111K
73630 1,855 1,731 $111K
72040 1,217 1,128 $110K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,399 1,214 $107K
70486 653 623 $106K
J1885 Injection, ketorolac tromethamine, per 15 mg 27,848 24,294 $106K
83036 Hemoglobin; glycosylated (A1C) 10,848 10,101 $105K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 674 625 $95K
83880 4,765 4,133 $89K
73130 1,517 1,431 $87K
J2785 Injection, regadenoson, 0.1 mg 543 509 $86K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 921 844 $85K
87481 1,896 1,643 $83K
76830 Ultrasound, transvaginal 1,089 984 $78K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,895 1,436 $76K
76819 Fetal biophysical profile; without non-stress testing 892 556 $74K
95810 Polysomnography; sleep staging with 4 or more additional parameters 218 198 $74K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 14,497 8,012 $70K
73030 1,645 1,532 $69K
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 937 780 $68K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 2,993 1,624 $67K
99281 Emergency department visit for the evaluation and management, self-limited or minor 3,378 3,187 $66K
A9270 Non-covered item or service 248,431 132,808 $65K
77067 Screening mammography, bilateral, including computer-aided detection 1,114 1,042 $64K
74018 1,400 1,305 $62K
93041 3,424 2,997 $61K
36902 408 358 $61K
73110 1,128 1,055 $60K
81003 25,813 22,570 $60K
J7120 Ringers lactate infusion, up to 1000 cc 6,764 5,330 $59K
93971 839 801 $57K
J2704 Injection, propofol, 10 mg 6,215 5,289 $57K
J0561 Injection, penicillin g benzathine, 100,000 units 296 287 $56K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1,998 1,702 $55K
86850 5,044 4,316 $53K
74019 961 900 $53K
73221 294 215 $50K
J2405 Injection, ondansetron hydrochloride, per 1 mg 20,095 17,073 $49K
93970 732 677 $49K
73080 617 581 $49K
93458 74 64 $48K
94664 2,235 2,074 $45K
77412 1,041 109 $45K
J0500 Injection, dicyclomine hcl, up to 20 mg 636 570 $42K
86803 2,483 2,265 $42K
87077 4,973 4,333 $41K
82607 3,126 2,860 $41K
J2469 Injection, palonosetron hcl, 25 mcg 284 180 $41K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 646 605 $41K
70491 156 139 $41K
97162 1,250 1,156 $41K
86762 2,578 2,179 $40K
77336 1,211 504 $40K
76700 Ultrasound, abdominal, real time with image documentation; complete 386 358 $38K
76870 317 283 $38K
J0330 Injection, succinylcholine chloride, up to 20 mg 1,970 1,718 $37K
71250 440 404 $37K
29125 1,074 1,005 $37K
83735 8,059 6,026 $36K
72131 149 137 $36K
87186 4,227 3,726 $35K
73590 596 549 $35K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 1,682 1,238 $34K
84702 3,760 2,976 $34K
62323 289 253 $34K
73140 707 653 $33K
87340 3,608 3,036 $33K
83605 5,084 4,246 $33K
93017 1,040 945 $32K
96367 1,204 894 $32K
72110 263 249 $32K
82948 12,379 6,770 $31K
A9585 Injection, gadobutrol, 0.1 ml 1,157 1,042 $31K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 831 648 $31K
73090 545 521 $31K
94760 4,875 3,517 $31K
76770 287 265 $30K
87040 3,468 2,478 $30K
C1769 Guide wire 1,619 1,378 $30K
87660 1,614 1,269 $29K
87480 1,614 1,269 $29K
82105 1,448 1,307 $28K
J0690 Injection, cefazolin sodium, 500 mg 3,220 2,386 $27K
84439 2,865 2,672 $27K
72070 506 463 $26K
95811 78 75 $26K
86003 174 157 $26K
J2270 Injection, morphine sulfate, up to 10 mg 7,559 6,013 $26K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 7,422 6,160 $26K
88307 368 300 $25K
93460 27 27 $25K
97161 1,079 975 $25K
J2360 Injection, orphenadrine citrate, up to 60 mg 1,710 1,554 $25K
80048 Basic metabolic panel (calcium, ionized) 3,778 3,318 $24K
45380 Colonoscopy, flexible; with biopsy, single or multiple 287 265 $24K
77334 306 171 $23K
94761 4,398 3,816 $23K
82728 2,002 1,800 $22K
76536 237 222 $22K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 2,141 1,845 $22K
84466 2,104 1,909 $22K
84112 299 262 $21K
C1887 Catheter, guiding (may include infusion/perfusion capability) 759 650 $21K
82677 792 715 $20K
88304 703 647 $20K
J1170 Injection, hydromorphone, up to 4 mg 4,737 3,226 $20K
J0780 Injection, prochlorperazine, up to 10 mg 892 800 $19K
J7050 Infusion, normal saline solution, 250 cc 2,772 1,641 $19K
10060 654 607 $18K
0012A 358 335 $18K
12001 525 501 $18K
0002A 343 311 $18K
87641 875 823 $18K
36591 2,406 1,544 $17K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 1,746 1,501 $16K
86901 5,749 4,894 $16K
86900 5,748 4,894 $16K
82746 1,331 1,235 $16K
85379 2,201 1,984 $16K
87210 3,628 3,344 $15K
87807 1,224 1,168 $15K
90715 904 858 $15K
87640 671 646 $15K
12011 449 420 $15K
0001A 367 325 $15K
99152 1,064 948 $14K
73502 1,098 1,017 $14K
86336 791 713 $14K
J1650 Injection, enoxaparin sodium, 10 mg 1,877 1,057 $14K
97010 1,913 813 $14K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,060 921 $14K
83540 2,440 2,232 $13K
87046 529 437 $13K
87081 2,166 1,903 $13K
J1453 Injection, fosaprepitant, 1 mg 74 42 $13K
82570 2,475 2,213 $13K
76642 436 363 $12K
99153 Mod sedat endo service >5yrs 815 729 $12K
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 4,770 3,855 $12K
J3010 Injection, fentanyl citrate, 0.1 mg 5,510 4,625 $12K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 3,333 1,203 $12K
J2800 Injection, methocarbamol, up to 10 ml 314 284 $11K
80074 292 248 $11K
82950 1,884 1,659 $11K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 465 388 $11K
88342 539 478 $11K
J2250 Injection, midazolam hydrochloride, per 1 mg 4,674 4,034 $11K
80305 892 810 $10K
36430 178 146 $10K
29505 299 287 $10K
0011A 405 378 $10K
J3475 Injection, magnesium sulfate, per 500 mg 941 668 $10K
82077 897 769 $10K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,585 1,544 $10K
77280 188 127 $10K
85610 3,847 3,088 $9K
73560 252 226 $9K
J0696 Injection, ceftriaxone sodium, per 250 mg 3,389 2,822 $9K
84153 585 551 $9K
J1626 Injection, granisetron hydrochloride, 100 mcg 891 391 $9K
C1729 Catheter, drainage 642 588 $9K
82550 2,024 1,710 $9K
82803 602 518 $9K
83021 513 435 $9K
73660 136 128 $8K
76942 277 229 $8K
74022 99 85 $8K
93880 143 130 $8K
J1200 Injection, diphenhydramine hcl, up to 50 mg 3,759 3,056 $8K
85730 2,248 1,978 $8K
82565 1,268 1,054 $8K
80047 1,174 1,045 $8K
77300 245 163 $8K
82043 1,360 1,309 $8K
73060 187 173 $8K
C1776 Joint device (implantable) 12 12 $8K
29130 198 187 $7K
85007 2,679 2,225 $7K
Q3014 Telehealth originating site facility fee 587 492 $7K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 251 231 $7K
87899 648 578 $7K
P9016 Red blood cells, leukocytes reduced, each unit 124 96 $7K
81513 1,372 1,233 $7K
84703 940 867 $7K
83001 382 335 $7K
71101 177 158 $6K
80076 876 759 $6K
86140 1,542 1,378 $6K
82248 2,289 1,930 $6K
80164 541 449 $6K
J2550 Injection, promethazine hcl, up to 50 mg 2,637 2,103 $6K
J1040 Injection, methylprednisolone acetate, 80 mg 400 358 $6K
77387 76 12 $6K
84146 313 285 $6K
97597 523 405 $6K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 237 196 $6K
82784 521 410 $5K
88341 109 82 $5K
96417 360 205 $5K
96411 196 125 $5K
87205 1,845 1,544 $5K
76775 105 91 $5K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 1,603 1,379 $5K
J3480 Injection, potassium chloride, per 2 meq 701 443 $5K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 72 64 $5K
12002 131 123 $5K
84156 1,227 973 $4K
82951 317 304 $4K
87045 493 437 $4K
J1940 Injection, furosemide, up to 20 mg 807 591 $4K
82805 269 225 $4K
J1756 Injection, iron sucrose, 1 mg 35 12 $4K
85652 1,858 1,655 $4K
84100 2,434 1,885 $4K
J7070 Infusion, d5w, 1000 cc 1,051 396 $4K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 180 175 $4K
J1644 Injection, heparin sodium, per 1000 units 1,876 1,222 $4K
87147 928 795 $4K
85045 1,273 926 $4K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 442 415 $4K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 72 71 $4K
72158 12 12 $4K
J2060 Injection, lorazepam, 2 mg 1,381 1,136 $4K
J3370 Injection, vancomycin hcl, 500 mg 592 410 $4K
94762 937 443 $4K
86038 322 281 $3K
97530 Therapeutic activities, direct patient contact, each 15 minutes 609 327 $3K
J0881 Injection, darbepoetin alfa, 1 microgram (non-esrd use) 22 12 $3K
73552 203 185 $3K
85014 2,336 1,987 $3K
87536 141 123 $3K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 28 14 $3K
82553 452 333 $3K
87510 1,614 1,269 $3K
97163 70 63 $3K
84403 107 98 $3K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 50 49 $3K
J2765 Injection, metoclopramide hcl, up to 10 mg 1,057 936 $3K
84550 997 881 $3K
77014 39 12 $3K
82040 564 511 $3K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 13 12 $3K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 16 13 $3K
82247 407 321 $3K
83525 182 178 $2K
51798 234 212 $2K
87631 30 26 $2K
83615 635 550 $2K
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 1,152 973 $2K
83883 211 171 $2K
77066 Tomosynthesis, mammo 95 77 $2K
86923 48 26 $2K
83721 257 233 $2K
84165 451 369 $2K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 381 122 $2K
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 33 32 $2K
C9113 Injection, pantoprazole sodium, per vial 346 252 $2K
36600 307 262 $2K
20610 67 65 $2K
73700 16 12 $2K
87075 308 259 $2K
J0360 Injection, hydralazine hcl, up to 20 mg 717 599 $2K
82150 397 359 $2K
86592 475 412 $2K
J2370 Injection, phenylephrine hcl, up to 1 ml 505 442 $2K
80320 268 252 $2K
29515 49 46 $2K
82947 684 606 $2K
82378 170 142 $2K
59025 Fetal non-stress test 34 26 $2K
82375 270 226 $2K
72170 110 103 $2K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 240 98 $2K
84436 344 303 $2K
C1892 Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away 353 295 $2K
72050 13 13 $2K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 5,207 2,711 $1K
77417 128 62 $1K
90686 173 162 $1K
82272 746 662 $1K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 24 14 $1K
84481 75 71 $1K
51702 136 126 $1K
84480 121 113 $1K
L1930 Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment 101 96 $1K
72082 16 13 $1K
J7614 Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg 242 215 $1K
82952 293 281 $1K
J3486 Injection, ziprasidone mesylate, 10 mg 24 12 $1K
86334 130 106 $1K
83050 269 225 $1K
36000 356 342 $1K
96415 70 48 $1K
77290 14 12 $1K
77001 39 36 $1K
72114 14 13 $1K
93226 16 12 $1K
97035 156 84 $998.31
93225 16 12 $994.32
76937 26 25 $988.13
97165 46 41 $974.73
85018 717 566 $967.05
87625 45 37 $921.34
86376 63 59 $906.98
11043 12 12 $904.75
96523 384 256 $890.44
87522 Neg quan hep c or qual rna 31 25 $856.29
J1010 Injection, methylprednisolone acetate, 1 mg 30 28 $850.68
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 200 126 $821.86
P9612 Catheterization for collection of specimen, single patient, all places of service 350 312 $819.50
83516 57 53 $805.41
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 16,911 13,159 $798.47
J0171 Injection, adrenalin, epinephrine, 0.1 mg 219 197 $752.13
0003A 16 16 $745.17
73562 16 13 $744.51
73620 21 15 $715.28
87449 94 82 $714.00
96368 52 39 $693.06
80185 104 83 $691.08
J2919 Injection, methylprednisolone sodium succinate, 5 mg 45 39 $678.30
87324 79 67 $658.36
88173 16 14 $643.81
L4386 Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 44 41 $636.22
84155 493 406 $634.65
J7999 Compounded drug, not otherwise classified 1,295 1,036 $618.61
97750 278 231 $604.49
83520 65 56 $603.00
77333 12 12 $586.52
70360 12 12 $568.72
74220 15 14 $521.58
84132 759 618 $515.93
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg 80 65 $503.04
86308 81 78 $486.08
J7603 277 242 $479.63
E0110 Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips 1,086 1,043 $447.10
83970 16 13 $421.63
81002 151 141 $420.62
A4217 Sterile water/saline, 500 ml 63 55 $403.44
J1630 Injection, haloperidol, up to 5 mg 122 113 $403.30
86361 13 12 $400.32
0031A 18 16 $375.98
10061 15 13 $368.91
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml 431 302 $350.11
88333 31 25 $338.84
G0008 Administration of influenza virus vaccine 197 186 $335.17
84134 34 25 $321.71
G0257 Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility 67 36 $320.65
86430 66 57 $314.19
82977 80 56 $311.21
J7042 5% dextrose/normal saline (500 ml = 1 unit) 32 28 $302.26
84450 84 82 $295.32
82785 15 13 $292.68
84460 125 122 $291.41
87184 29 27 $290.58
84302 264 222 $277.65
82140 34 29 $277.54
83002 12 12 $276.96
J7121 5% dextrose in lactated ringers infusion, up to 1000 cc 42 26 $249.03
89051 42 37 $233.64
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 61 51 $231.03
C1780 Lens, intraocular (new technology) 30 29 $190.29
86304 13 12 $188.67
88172 13 12 $187.24
77065 Tomosynthesis, mammo 16 14 $187.10
90674 13 13 $160.97
86706 13 13 $160.68
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 13 13 $143.38
36416 177 166 $137.05
97150 Therapeutic procedure(s), group (2 or more individuals) 86 25 $132.17
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 787 688 $131.01
L1830 Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf 109 104 $119.40
83550 16 15 $118.44
J8540 Dexamethasone, oral, 0.25 mg 247 216 $117.83
43450 15 14 $113.88
J0461 Injection, atropine sulfate, 0.01 mg 18 12 $109.96
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 25 25 $98.63
77063 Screening digital breast tomosynthesis, bilateral 15 15 $92.12
J1956 Injection, levofloxacin, 250 mg 13 12 $92.11
Q9961 High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml 14 13 $79.75
97116 25 12 $59.55
51701 341 325 $56.43
C1758 Catheter, ureteral 13 12 $52.21
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 25 12 $32.28
36592 13 12 $28.37
84520 67 54 $11.65
91300 733 562 $1.80
91301 763 693 $1.68
91303 18 16 $0.12
81511 274 191 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 243 219 $0.00
A0426 Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) 283 132 $0.00
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 374 345 $0.00
A0427 Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 16 13 $0.00
99241 13 12 $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 207 181 $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 789 687 $0.00
G8984 Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals 180 155 $0.00
A0425 Ground mileage, per statute mile 431 202 $0.00
0598T 17 14 $0.00
99001 59 39 $0.00