Medicaid Provider Spending

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

HOLYOKE MEDICAL CENTER, INC.

NPI: 1750395737 · HOLYOKE, MA 01040 · Adult Mental Health Clinic/Center · NPI assigned 07/28/2006

$125.05M
Total Medicaid Paid
3,244,490
Total Claims
2,795,395
Beneficiaries
523
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSILVA, PAUL (VICE PRESIDENT OF FINANCE)
NPI Enumeration Date07/28/2006

Related Entities

Other providers sharing the same authorized official: SILVA, PAUL

ProviderCityStateTotal Paid
HOLYOKE MEDICAL CENTER, INC. HOLYOKE MA $922K
HOLYOKE MEDICAL CENTER, INC. HOLYOKE MA $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 526,267 $19.58M
2019 571,773 $17.64M
2020 435,446 $14.22M
2021 439,173 $16.60M
2022 453,618 $19.84M
2023 463,994 $21.17M
2024 354,219 $16.00M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 100,828 83,311 $15.51M
99283 Emergency department visit for the evaluation and management, moderate severity 78,353 72,062 $12.37M
99284 Emergency department visit for the evaluation and management, high severity 73,916 66,166 $11.58M
96361 Intravenous infusion, hydration; each additional hour 23,031 19,477 $7.68M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 59,396 17,832 $3.51M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 19,995 15,551 $3.30M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 111,736 82,186 $3.09M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 71,287 67,089 $2.74M
J2357 Injection, omalizumab, 5 mg 1,400 592 $2.55M
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 14,483 14,089 $2.49M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 5,698 5,300 $2.29M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 59,191 54,504 $1.83M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 10,672 7,876 $1.72M
70450 Computed tomography, head or brain; without contrast material 12,370 11,704 $1.66M
45380 Colonoscopy, flexible; with biopsy, single or multiple 3,474 3,268 $1.60M
74177 Computed tomography, abdomen and pelvis; with contrast material 8,078 7,726 $1.49M
74176 Computed tomography, abdomen and pelvis; without contrast material 8,091 7,727 $1.48M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 12,197 7,656 $1.47M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 15,307 13,569 $1.38M
41899 Unlisted procedure, dentoalveolar structures 701 681 $1.35M
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 29,924 27,169 $1.29M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 17,658 16,943 $1.23M
77063 Screening digital breast tomosynthesis, bilateral 18,409 17,575 $1.06M
20610 9,570 8,363 $1.02M
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 15,828 13,638 $969K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 6,195 5,726 $957K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 2,246 2,009 $907K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 6,969 6,829 $894K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 16,714 14,360 $893K
99282 Emergency department visit for the evaluation and management, low to moderate severity 5,959 5,698 $869K
76700 Ultrasound, abdominal, real time with image documentation; complete 5,824 5,658 $860K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 2,716 1,887 $840K
S9485 Crisis intervention mental health services, per diem 1,847 1,367 $777K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 149,735 129,202 $689K
93971 3,773 3,589 $654K
76830 Ultrasound, transvaginal 6,670 6,465 $648K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 2,867 2,466 $606K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 7,837 7,504 $572K
77067 Screening mammography, bilateral, including computer-aided detection 20,025 19,264 $571K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 5,433 2,695 $554K
99281 Emergency department visit for the evaluation and management, self-limited or minor 3,691 3,552 $538K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 31,160 29,747 $535K
84443 Thyroid stimulating hormone (TSH) 52,437 49,712 $527K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 4,940 1,974 $524K
71046 Radiologic examination, chest; 2 views 25,217 23,984 $517K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 7,809 7,556 $492K
76775 4,540 4,421 $487K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 18,449 17,470 $475K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 6,974 6,380 $473K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 17,962 17,208 $465K
99232 Subsequent hospital care, per day, moderate complexity 15,953 6,679 $384K
76642 3,957 3,339 $372K
80053 Comprehensive metabolic panel 101,635 90,919 $350K
88305 Level IV - Surgical pathology, gross and microscopic examination 16,443 15,427 $346K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 18,253 7,635 $328K
76705 Ultrasound, abdominal, real time with image documentation; limited 3,368 3,262 $318K
95886 1,806 1,437 $316K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 6,646 6,496 $310K
93970 1,309 1,279 $263K
96375 Therapeutic injection; each additional sequential IV push 22,678 18,756 $253K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 22,232 18,934 $246K
76536 2,211 2,146 $240K
97803 3,851 3,635 $238K
86481 3,740 3,598 $231K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 12,541 12,175 $226K
76801 2,055 1,740 $220K
95806 1,835 1,527 $220K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 10,418 9,179 $219K
94060 3,427 3,274 $214K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 26,212 23,579 $213K
92567 5,059 4,969 $212K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,197 889 $201K
97530 Therapeutic activities, direct patient contact, each 15 minutes 8,753 3,938 $200K
93017 2,094 1,930 $195K
ATP14 25,932 22,636 $194K
99222 Initial hospital care, per day, moderate complexity 3,850 3,575 $194K
52000 680 659 $191K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 2,280 1,254 $188K
97161 5,029 4,803 $187K
84484 27,591 23,258 $182K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 6,268 6,089 $180K
71275 Computed tomographic angiography, chest, with contrast material 863 826 $179K
72100 5,801 5,644 $178K
99223 Prolong inpt eval add15 m 2,969 2,768 $177K
83036 Hemoglobin; glycosylated (A1C) 31,296 29,880 $174K
82607 19,916 19,083 $174K
97162 4,198 3,978 $165K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 43,680 37,632 $165K
99239 Hospital discharge day management, more than 30 minutes 4,865 4,443 $163K
87480 10,011 9,678 $163K
87510 10,040 9,672 $162K
87660 9,932 9,658 $162K
80061 Lipid panel 58,925 56,090 $160K
73564 5,643 4,895 $160K
92588 1,426 1,417 $158K
50590 131 108 $154K
99233 Prolong inpt eval add15 m 4,831 2,211 $153K
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 6,564 5,270 $152K
81025 23,028 21,359 $148K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 6,064 5,909 $148K
73130 7,893 6,378 $146K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 566 551 $146K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 47,538 42,751 $146K
73030 7,145 6,435 $145K
G0378 Hospital observation service, per hour 6,402 2,537 $144K
92557 1,987 1,892 $144K
92579 1,762 1,760 $143K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 5,177 2,255 $142K
88342 6,155 5,719 $142K
83690 29,719 27,260 $140K
70551 Magnetic resonance imaging, brain; without contrast material 526 510 $137K
82746 15,924 15,261 $136K
86803 13,829 13,291 $136K
95810 Polysomnography; sleep staging with 4 or more additional parameters 456 361 $136K
83880 8,773 7,944 $135K
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 6,794 5,940 $134K
87631 1,401 1,277 $132K
97802 1,965 1,945 $132K
84702 10,316 8,771 $131K
77062 1,390 1,287 $131K
73630 5,886 5,285 $131K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,565 1,545 $125K
83970 5,992 5,610 $125K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 786 697 $121K
86780 11,287 10,837 $121K
80048 Basic metabolic panel (calcium, ionized) 56,459 49,087 $120K
88142 7,535 7,410 $120K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 1,751 1,455 $119K
85027 29,733 25,826 $117K
71250 2,351 2,264 $116K
97804 2,047 1,243 $116K
82947 54,551 41,169 $111K
82728 12,829 12,223 $109K
71045 Radiologic examination, chest; single view 18,280 16,936 $102K
94727 3,371 3,213 $102K
83735 24,838 22,395 $101K
81001 45,004 41,047 $97K
87536 1,792 1,735 $96K
V5160 Dispensing fee, binaural 258 198 $94K
77080 1,965 1,908 $94K
80076 46,653 42,213 $91K
10060 568 539 $91K
73610 4,908 4,472 $90K
85610 42,247 27,749 $90K
V5266 Battery for use in hearing device 2,168 2,089 $90K
84439 16,542 15,581 $89K
83013 1,731 1,683 $85K
87340 10,724 10,350 $85K
99215 Prolong outpt/office vis 1,338 1,308 $84K
87088 14,916 13,717 $82K
ATP15 10,001 9,007 $82K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 245 243 $81K
74246 653 608 $80K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 435 435 $79K
73110 4,299 3,657 $78K
73502 4,009 3,599 $78K
99231 Subsequent hospital care, per day, straightforward or low complexity 5,551 1,980 $76K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 817 811 $73K
77065 Tomosynthesis, mammo 1,980 1,746 $72K
87071 8,246 7,895 $70K
96415 325 207 $69K
77066 Tomosynthesis, mammo 2,887 2,624 $69K
72125 Computed tomography, cervical spine; without contrast material 3,990 3,803 $68K
86706 8,832 8,431 $67K
87040 7,543 5,334 $66K
86704 7,588 7,262 $65K
97035 1,330 568 $64K
93975 624 607 $64K
87086 Culture, bacterial; quantitative colony count, urine 12,604 11,799 $63K
95811 133 131 $63K
87522 Neg quan hep c or qual rna 1,964 1,891 $63K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 6,814 5,496 $61K
86140 17,930 16,718 $61K
76981 1,100 1,085 $58K
80050 General health panel 3,649 3,485 $58K
83655 5,131 4,974 $58K
74018 2,717 2,553 $57K
81003 34,166 31,216 $56K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 13,509 12,313 $56K
ATP08 10,572 8,918 $56K
V5261 Hearing aid, digital, binaural, bte 82 72 $54K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 2,331 1,271 $54K
83540 12,780 12,234 $53K
94729 3,384 3,280 $53K
ATP17 12,265 11,057 $50K
73560 4,804 3,963 $50K
92587 409 409 $49K
84153 3,781 3,644 $48K
82043 17,454 16,452 $48K
83605 7,024 6,141 $48K
80305 5,047 3,044 $47K
84425 3,016 2,903 $46K
80051 31,612 27,348 $45K
12001 244 232 $45K
J2405 Injection, ondansetron hydrochloride, per 1 mg 25,041 19,800 $43K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,118 3,971 $43K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 578 490 $42K
87186 7,324 6,765 $42K
82565 35,458 30,758 $41K
90715 1,771 1,723 $40K
ATP07 5,951 5,276 $38K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,080 1,926 $37K
85730 9,841 9,186 $35K
58100 350 308 $35K
82784 4,310 3,113 $34K
84520 34,251 29,742 $34K
ATP18 4,658 4,097 $34K
86038 4,226 4,018 $34K
72050 524 511 $33K
85379 4,764 4,544 $33K
86850 4,275 3,731 $32K
36415 Collection of venous blood by venipuncture 84,551 65,894 $32K
J3010 Injection, fentanyl citrate, 0.1 mg 13,745 9,977 $32K
83550 5,616 5,256 $31K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 69 69 $30K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 8,347 7,102 $29K
81513 262 259 $29K
J3300 Injection, triamcinolone acetonide, preservative free, 1 mg 478 398 $28K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 1,388 1,193 $28K
84403 1,788 1,689 $27K
85652 15,909 14,889 $27K
86360 1,261 1,222 $27K
86618 2,509 1,985 $27K
73562 1,508 1,222 $27K
83525 3,229 3,092 $26K
29125 188 172 $26K
59025 Fetal non-stress test 138 92 $26K
51798 6,597 6,167 $25K
84590 2,995 2,922 $25K
87070 3,807 3,555 $24K
ATP03 6,509 5,605 $24K
43775 35 33 $24K
83516 1,445 995 $24K
J0690 Injection, cefazolin sodium, 500 mg 3,896 3,307 $23K
84630 2,852 2,791 $23K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,888 3,460 $22K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 40 40 $21K
64721 95 83 $21K
88112 731 690 $21K
85007 8,647 7,012 $21K
77061 305 244 $21K
74240 139 139 $21K
86709 2,676 2,574 $21K
J2250 Injection, midazolam hydrochloride, per 1 mg 8,849 7,751 $20K
84146 1,280 1,220 $19K
93225 573 558 $19K
86235 1,072 574 $19K
86762 1,526 1,501 $19K
V5020 Conformity evaluation 275 246 $18K
86900 4,955 4,442 $18K
93016 2,141 2,018 $18K
86359 1,249 1,210 $18K
73080 887 830 $18K
72110 507 444 $17K
Q3014 Telehealth originating site facility fee 5,328 4,667 $17K
86787 1,444 1,398 $17K
76813 100 99 $15K
95909 238 162 $15K
84402 836 788 $15K
90791 Psychiatric diagnostic evaluation 172 171 $15K
86160 1,444 906 $14K
00170 Anesthesia for intraoral procedures, including biopsy 71 67 $14K
J1885 Injection, ketorolac tromethamine, per 15 mg 11,060 10,061 $14K
99443 879 856 $14K
99442 1,287 1,260 $14K
86003 186 174 $14K
99221 295 271 $14K
95911 152 109 $14K
J1650 Injection, enoxaparin sodium, 10 mg 1,022 450 $13K
90792 Psychiatric diagnostic evaluation with medical services 234 212 $13K
87077 3,176 2,922 $13K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 64 64 $13K
57454 101 91 $12K
93226 645 620 $12K
86901 4,814 4,330 $12K
82077 2,757 2,356 $12K
95885 51 50 $12K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 37 37 $12K
00731 163 149 $11K
71260 Computed tomography, thorax, diagnostic; with contrast material 132 130 $11K
86431 2,729 2,633 $11K
93018 2,137 2,015 $11K
88304 1,877 1,777 $11K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 55 55 $11K
82570 3,806 3,717 $10K
73620 630 553 $10K
71271 246 230 $10K
86255 1,192 1,002 $10K
99205 Prolong outpt/office vis 96 94 $10K
97014 287 141 $10K
72040 304 289 $10K
86200 1,166 1,108 $10K
82550 5,098 4,622 $10K
J1170 Injection, hydromorphone, up to 4 mg 4,916 2,829 $10K
86334 830 811 $10K
97033 154 57 $9K
88307 167 163 $9K
94010 151 150 $9K
00811 133 119 $9K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 44 44 $9K
V5011 Fitting/orientation/checking of hearing aid 318 281 $9K
86364 736 711 $9K
83001 607 590 $8K
83721 2,099 1,896 $8K
80179 1,010 886 $8K
43659 29 28 $8K
64615 63 51 $8K
87338 896 867 $8K
87507 27 26 $8K
ATP11 1,333 1,130 $7K
29130 60 50 $7K
76770 76 69 $7K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 264 262 $7K
73565 2,600 2,518 $7K
87205 2,672 2,429 $7K
97165 86 83 $7K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 677 621 $7K
96127 170 162 $7K
J2795 Injection, ropivacaine hydrochloride, 1 mg 1,631 1,489 $7K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 350 344 $7K
43249 44 27 $7K
71101 365 355 $7K
86376 677 640 $6K
82105 638 621 $6K
87481 234 126 $6K
76942 62 61 $6K
ATP02 2,306 1,979 $6K
86790 760 742 $6K
84703 862 828 $6K
84156 2,876 2,653 $6K
95250 126 126 $6K
J0585 Injection, onabotulinumtoxina, 1 unit 20 13 $5K
70486 141 139 $5K
76870 50 48 $5K
92552 132 131 $5K
J2704 Injection, propofol, 10 mg 2,817 1,956 $5K
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 67 57 $5K
96367 446 323 $5K
90834 Psychotherapy, 45 minutes with patient 92 70 $5K
A9585 Injection, gadobutrol, 0.1 ml 2,372 2,008 $5K
80164 925 846 $5K
73600 310 285 $5K
84460 3,625 3,406 $5K
82248 2,734 2,507 $5K
73120 266 232 $5K
V5264 Ear mold/insert, not disposable, any type 48 43 $5K
80143 745 624 $4K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 173 153 $4K
87902 56 55 $4K
84450 3,342 3,148 $4K
97535 Self-care/home management training, each 15 minutes 71 64 $4K
84550 2,974 2,679 $4K
84100 3,761 3,308 $4K
93297 507 472 $4K
Q9957 Injection, perflutren lipid microspheres, per ml 506 480 $4K
86800 441 368 $4K
83615 2,269 2,063 $4K
82652 147 144 $4K
86708 437 415 $4K
86225 475 435 $4K
93227 407 403 $4K
87147 973 940 $4K
64493 36 25 $4K
97116 131 74 $4K
96376 2,776 2,299 $4K
92593 112 110 $4K
84436 1,026 947 $3K
ATP10 690 612 $3K
86735 357 342 $3K
88141 174 174 $3K
86765 362 353 $3K
ATP09 733 660 $3K
ATP04 769 646 $3K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 2,176 2,122 $3K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 3,163 2,445 $3K
84165 514 504 $3K
J0696 Injection, ceftriaxone sodium, per 250 mg 2,375 2,022 $3K
73590 232 221 $3K
90686 188 179 $3K
82310 3,051 2,772 $3K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 313 277 $3K
86592 940 927 $3K
87581 112 110 $3K
87486 112 110 $3K
82803 167 157 $3K
95251 216 211 $3K
85045 1,197 1,156 $3K
J1200 Injection, diphenhydramine hcl, up to 50 mg 3,062 2,488 $3K
00813 31 28 $3K
99385 27 27 $3K
82950 536 529 $3K
83520 55 50 $3K
85018 1,449 1,334 $2K
87046 312 192 $2K
84481 219 202 $2K
J1050 Injection, medroxyprogesterone acetate, 1 mg 33 27 $2K
J2270 Injection, morphine sulfate, up to 10 mg 5,500 3,919 $2K
82553 423 372 $2K
J1756 Injection, iron sucrose, 1 mg 345 146 $2K
90480 47 47 $2K
73140 131 117 $2K
88313 340 335 $2K
93925 27 25 $2K
ATP16 267 225 $2K
99386 14 14 $2K
J1040 Injection, methylprednisolone acetate, 80 mg 1,141 1,002 $2K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 578 567 $2K
93880 15 15 $2K
93296 63 61 $2K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 46 45 $2K
84480 171 161 $2K
73090 91 85 $2K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 14 14 $2K
93458 12 12 $2K
99238 Hospital discharge day management, 30 minutes or less 61 58 $2K
82785 158 151 $1K
83010 156 150 $1K
J2785 Injection, regadenoson, 0.1 mg 421 392 $1K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 78 76 $1K
99441 286 280 $1K
72070 36 36 $1K
ATP05 317 271 $1K
ATP06 382 328 $1K
93244 106 106 $1K
82040 1,253 1,084 $1K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 681 637 $1K
97150 Therapeutic procedure(s), group (2 or more individuals) 423 176 $1K
83002 118 107 $1K
86039 174 169 $1K
82150 269 253 $1K
82533 114 94 $1K
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation 52 41 $1K
82024 59 54 $1K
83883 124 110 $1K
92591 25 25 $1K
90656 210 208 $1K
85014 541 508 $999.73
J2060 Injection, lorazepam, 2 mg 1,647 1,287 $995.65
J3475 Injection, magnesium sulfate, per 500 mg 1,199 1,003 $934.88
82140 110 90 $920.22
87045 133 127 $839.03
64494 27 25 $813.65
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 73 38 $770.16
72170 55 51 $761.16
82172 66 63 $751.53
72072 24 24 $725.97
80178 237 212 $712.65
82977 514 488 $711.19
J2765 Injection, metoclopramide hcl, up to 10 mg 3,113 2,699 $687.96
94644 581 495 $677.31
J1020 Injection, methylprednisolone acetate, 20 mg 952 921 $651.82
87255 41 37 $630.00
97597 33 25 $609.52
86769 62 35 $607.04
J3370 Injection, vancomycin hcl, 500 mg 181 92 $602.25
86141 56 56 $599.33
G0297 Low dose ct scan (ldct) for lung cancer screening 26 25 $595.95
87324 84 76 $584.52
97760 16 13 $580.97
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 339 305 $562.71
82272 317 283 $556.75
46600 38 37 $526.31
27096 14 14 $520.87
93242 130 125 $502.33
92556 26 26 $486.01
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 193 172 $483.75
74220 13 12 $474.18
86147 29 25 $449.94
84145 62 58 $415.48
87625 13 13 $392.23
G0008 Administration of influenza virus vaccine 163 162 $380.18
J1956 Injection, levofloxacin, 250 mg 422 323 $371.50
93356 200 171 $349.52
81002 165 142 $320.37
85060 31 30 $271.75
86308 55 55 $256.65
V5275 Ear impression, each 12 12 $253.53
82009 107 91 $237.66
20550 12 12 $229.46
86300 29 26 $222.39
80185 31 26 $218.72
87210 51 47 $184.90
82378 29 26 $171.18
J1630 Injection, haloperidol, up to 5 mg 15 14 $159.56
94664 173 158 $157.37
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 92 88 $156.32
87209 16 14 $150.50
89050 55 52 $145.51
82985 15 15 $144.61
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) 22 15 $135.52
88311 26 25 $133.74
82274 13 13 $87.06
96160 48 48 $83.04
90472 Immunization administration, each additional vaccine (list separately) 63 63 $76.36
87177 16 14 $74.50
90732 14 12 $71.26
ATP13 27 26 $65.34
82340 13 13 $61.55
99152 20 12 $50.37
A9576 Injection, gadoteridol, (prohance multipack), per ml 31 30 $33.64
82465 14 12 $26.88
82247 39 26 $25.90
J2919 Injection, methylprednisolone sodium succinate, 5 mg 92 74 $23.15
0011A 27 22 $22.00
J7120 Ringers lactate infusion, up to 1000 cc 18 16 $20.28
J8540 Dexamethasone, oral, 0.25 mg 60 55 $12.57
S0028 Injection, famotidine, 20 mg 80 67 $6.00
P9604 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge 97 51 $5.20
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 338 265 $5.11
81596 72 71 $0.00
0012A 18 18 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 132 125 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 14 13 $0.00
C1769 Guide wire 14 13 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 12 12 $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 514 487 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 450 438 $0.00
J1580 Injection, garamycin, gentamicin, up to 80 mg 50 50 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 95 95 $0.00
90661 113 113 $0.00
G0177 Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more) 15 15 $0.00
91321 24 24 $0.00
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 13 13 $0.00