Medicaid Provider Spending

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

SAINT MARY'S HOSPITAL, INC.

NPI: 1760426969 · WATERBURY, CT 06706 · General Acute Care Hospital · NPI assigned 06/16/2006

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

Authorized official HARRIS, JAMES controls 20+ related entities in our dataset. Read more

$163.27M
Total Medicaid Paid
4,906,079
Total Claims
4,174,868
Beneficiaries
591
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHARRIS, JAMES (REGIONAL DIRECTOR OF REIMBURSEMENT)
Parent OrganizationTRINITY HEALTH OF NEW ENGLAND CORPORATION, INC.
NPI Enumeration Date06/16/2006

Related Entities

Other providers sharing the same authorized official: HARRIS, JAMES

ProviderCityStateTotal Paid
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER HARTFORD CT $266.39M
THE MERCY HOSPITAL INC SPRINGFIELD MA $98.92M
TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC HARTFORD CT $41.97M
RIVERBEND MEDICAL GROUP, INC. SPRINGFIELD MA $38.70M
SYSTEM COORDINATED SERVICES, INC SPRINGFIELD MA $18.54M
BRIGHTSIDE INC SPRINGFIELD MA $11.41M
THE MERCY HOSPITAL INC HOLYOKE MA $10.93M
MERCY INPATIENT MEDICAL ASSOCIATES INC. SPRINGFIELD MA $6.96M
STATE OF NEW YORK COMPTROLLERS OFFICE BUFFALO NY $6.05M
SAINT FRANCIS CARE MEDICAL GROUP, PC HARTFORD CT $2.00M
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER HARTFORD CT $1.42M
PIONEER VALLEY CARDIOLOGY ASSOCIATES, INC SPRINGFIELD MA $1.31M
MERCY MEDICAL GROUP, INC. SPRINGFIELD MA $1.08M
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER HARTFORD CT $382K
PRATER VOLUNTEER RESCUE SQUAD INC GRUNDY VA $331K
DIABETES AND LIFESTYLE MANAGEMENT, LLC DERRY NH $273K
MERCY SPECIALIST PHYSICIANS INC SPRINGFIELD MA $101K
HEALTH ACCESS, INC. CLARKSBURG WV $85K
GIBSON COUNTY PODIATRY LLC MILAN TN $83K
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER HARTFORD CT $45K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 628,504 $24.42M
2019 696,766 $24.96M
2020 612,515 $20.31M
2021 705,903 $22.17M
2022 747,144 $23.81M
2023 782,138 $24.01M
2024 733,109 $23.60M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 74,610 64,459 $35.58M
99284 Emergency department visit for the evaluation and management, high severity 56,687 50,780 $18.17M
99283 Emergency department visit for the evaluation and management, moderate severity 80,794 72,660 $17.99M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 72,902 62,119 $7.29M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 42,550 36,972 $6.24M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 9,607 9,093 $4.82M
99282 Emergency department visit for the evaluation and management, low to moderate severity 21,176 18,348 $2.79M
74177 Computed tomography, abdomen and pelvis; with contrast material 14,632 13,270 $2.65M
45380 Colonoscopy, flexible; with biopsy, single or multiple 3,210 3,027 $2.33M
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 14,001 5,846 $2.32M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2,765 2,458 $2.31M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 7,857 7,369 $2.19M
47562 528 480 $2.15M
71046 Radiologic examination, chest; 2 views 37,092 33,440 $2.08M
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 3,601 3,413 $2.04M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 16,386 11,372 $1.99M
70450 Computed tomography, head or brain; without contrast material 19,809 17,590 $1.97M
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 2,973 2,767 $1.95M
96361 Intravenous infusion, hydration; each additional hour 31,456 26,124 $1.88M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 29,087 10,089 $1.81M
95810 Polysomnography; sleep staging with 4 or more additional parameters 2,140 2,062 $1.80M
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 3,030 2,860 $1.77M
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 20,572 18,419 $1.47M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 7,083 4,228 $1.45M
J9271 Injection, pembrolizumab, 1 mg 214 149 $1.40M
J2350 Injection, ocrelizumab, 1 mg 88 73 $1.37M
96375 Therapeutic injection; each additional sequential IV push 31,766 25,262 $1.31M
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 8,886 7,991 $1.30M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 10,121 9,433 $1.12M
99281 Emergency department visit for the evaluation and management, self-limited or minor 14,977 12,185 $1000K
77067 Screening mammography, bilateral, including computer-aided detection 8,764 8,497 $948K
93976 9,428 8,655 $882K
95811 1,071 1,043 $868K
97010 12,075 4,479 $810K
J0897 Injection, denosumab, 1 mg 1,114 913 $790K
76700 Ultrasound, abdominal, real time with image documentation; complete 7,488 6,986 $737K
71045 Radiologic examination, chest; single view 16,309 14,151 $718K
74176 Computed tomography, abdomen and pelvis; without contrast material 4,740 4,355 $674K
76705 Ultrasound, abdominal, real time with image documentation; limited 5,580 5,115 $589K
84443 Thyroid stimulating hormone (TSH) 56,938 51,732 $552K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 30,559 27,861 $551K
52356 168 156 $548K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 5,718 5,258 $477K
86900 12,831 10,928 $471K
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) 1,588 981 $446K
71260 Computed tomography, thorax, diagnostic; with contrast material 4,208 3,788 $436K
70498 2,036 1,799 $385K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 11,108 9,346 $380K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1,580 1,453 $376K
76770 3,475 3,266 $373K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 181,797 149,137 $353K
70551 Magnetic resonance imaging, brain; without contrast material 2,512 2,251 $315K
76830 Ultrasound, transvaginal 3,197 2,960 $314K
83036 Hemoglobin; glycosylated (A1C) 53,211 49,144 $312K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 644 512 $298K
83718 40,916 39,351 $293K
76536 3,994 3,729 $291K
11043 823 433 $288K
94726 3,032 2,881 $287K
93971 3,999 3,644 $287K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 12,738 11,681 $267K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 12,739 11,682 $266K
82947 130,911 111,987 $264K
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 12,011 10,865 $260K
76641 2,814 2,655 $254K
82607 29,694 27,232 $251K
71275 Computed tomographic angiography, chest, with contrast material 2,194 2,006 $249K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 66,566 56,121 $242K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 6,728 4,417 $235K
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 639 587 $222K
76801 2,108 1,857 $219K
93970 1,677 1,518 $217K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1,399 1,321 $215K
0240U 1,869 1,741 $213K
94060 1,120 1,063 $206K
82247 88,403 78,733 $203K
95816 1,616 1,468 $197K
76642 3,260 3,073 $191K
82040 89,561 79,751 $190K
72100 4,791 4,500 $189K
77066 Tomosynthesis, mammo 1,560 1,488 $188K
73562 8,917 8,232 $187K
36415 Collection of venous blood by venipuncture 196,685 160,844 $185K
93017 4,548 4,216 $174K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 34,502 26,866 $170K
71250 2,874 2,608 $165K
84439 28,524 26,086 $156K
S9480 Intensive outpatient psychiatric services, per diem 1,203 179 $152K
96415 2,057 1,509 $151K
H0015 Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education 1,154 192 $147K
72110 2,189 2,046 $144K
49083 433 180 $142K
77065 Tomosynthesis, mammo 1,309 1,233 $140K
73030 6,767 6,114 $138K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 12,209 10,972 $134K
73610 6,681 5,756 $134K
77080 1,358 1,301 $132K
96367 2,750 1,658 $119K
10061 427 397 $117K
73130 6,061 5,323 $114K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 706 531 $111K
82728 18,773 16,743 $108K
86480 2,536 2,349 $107K
J1439 Injection, ferric carboxymaltose, 1 mg 260 156 $107K
72141 839 762 $106K
36430 760 528 $102K
77063 Screening digital breast tomosynthesis, bilateral 7,069 6,843 $100K
86803 11,657 10,443 $94K
88305 Level IV - Surgical pathology, gross and microscopic examination 19,232 17,841 $94K
83550 20,940 19,092 $93K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 20,784 17,918 $93K
82310 129,859 110,969 $90K
73110 4,111 3,482 $87K
73630 5,713 5,253 $81K
84403 4,174 3,756 $77K
87086 Culture, bacterial; quantitative colony count, urine 52,639 46,333 $76K
76882 1,534 1,421 $75K
73502 4,271 3,874 $74K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 355 317 $74K
50590 30 28 $74K
93225 1,299 1,235 $72K
83540 21,295 19,423 $71K
93458 58 52 $70K
72050 879 807 $70K
97161 1,794 1,578 $69K
49650 16 15 $68K
80061 Lipid panel 20,347 17,280 $66K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 2,439 2,333 $65K
88142 5,456 5,137 $65K
80053 Comprehensive metabolic panel 30,918 24,350 $62K
70486 2,479 2,254 $62K
83970 3,067 2,779 $61K
97597 849 532 $59K
96417 1,062 641 $56K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 2,132 1,947 $56K
97162 1,795 1,553 $55K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 17,707 15,727 $54K
73590 2,586 2,231 $53K
97014 758 327 $52K
82043 15,461 14,363 $52K
87522 Neg quan hep c or qual rna 1,709 1,569 $51K
85027 27,742 23,382 $49K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 4,596 4,202 $49K
82746 7,046 6,370 $49K
82570 15,950 14,545 $48K
87070 20,139 18,331 $47K
10060 302 276 $47K
72040 2,159 2,013 $47K
86235 1,088 958 $44K
93798 529 96 $44K
93975 195 179 $41K
73560 1,668 1,469 $41K
19081 42 39 $40K
72125 Computed tomography, cervical spine; without contrast material 6,187 5,461 $40K
73080 2,409 2,110 $40K
P9016 Red blood cells, leukocytes reduced, each unit 403 298 $39K
80048 Basic metabolic panel (calcium, ionized) 46,891 34,231 $38K
81329 665 471 $38K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 361 338 $37K
82374 129,972 111,069 $36K
70491 239 209 $34K
88342 1,128 1,012 $34K
88304 3,569 3,278 $33K
86706 4,605 4,178 $33K
72070 906 826 $32K
83735 34,529 25,669 $31K
86618 3,968 3,356 $30K
86038 4,355 3,927 $30K
93880 347 322 $30K
J2506 Injection, pegfilgrastim, excludes biosimilar, 0.5 mg 48 36 $30K
73140 2,207 2,012 $30K
84153 3,279 2,941 $30K
80074 1,094 984 $29K
43251 33 29 $29K
86592 8,830 7,823 $29K
84202 2,247 2,178 $29K
87150 1,216 1,112 $29K
74019 3,141 2,903 $29K
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 669 393 $29K
82465 41,014 39,433 $29K
74018 2,180 1,971 $28K
86003 492 436 $27K
82652 919 875 $27K
83655 2,575 2,506 $27K
81003 47,216 42,031 $27K
19301 12 12 $26K
97165 496 437 $26K
84702 11,489 9,638 $26K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1,841 1,722 $26K
97166 552 492 $25K
84481 2,656 2,392 $25K
87340 5,948 5,131 $25K
73090 1,490 1,258 $25K
84146 2,015 1,780 $25K
87186 12,246 10,991 $24K
82105 2,185 1,975 $23K
83001 1,820 1,582 $23K
83525 2,644 2,413 $23K
84480 2,582 2,354 $23K
J2505 Injection, pegfilgrastim, 6 mg 21 14 $22K
84402 1,192 1,072 $21K
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 5,515 4,807 $20K
84270 1,193 1,066 $20K
59025 Fetal non-stress test 131 114 $19K
83002 1,464 1,266 $19K
85610 35,555 29,758 $19K
87338 1,769 1,613 $18K
77085 302 292 $18K
74183 72 69 $18K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 15 15 $18K
78306 87 79 $17K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 195 54 $17K
93923 311 291 $17K
87536 305 276 $17K
J2469 Injection, palonosetron hcl, 25 mcg 1,701 954 $16K
82784 2,659 2,283 $16K
72131 303 283 $16K
97530 Therapeutic activities, direct patient contact, each 15 minutes 304 217 $15K
77062 1,048 993 $14K
86376 1,798 1,604 $14K
83520 1,299 1,224 $14K
82670 756 661 $14K
74220 127 121 $14K
86140 10,548 9,563 $14K
82951 1,261 1,173 $14K
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 134 120 $13K
73221 67 63 $13K
85652 11,064 9,947 $13K
86762 3,335 2,739 $12K
97035 182 94 $12K
86200 1,790 1,656 $12K
83880 10,407 9,285 $12K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 401 371 $12K
87088 5,283 4,773 $12K
72170 1,696 1,527 $11K
87077 6,418 5,788 $11K
85730 9,214 7,866 $11K
86225 1,299 1,175 $11K
80076 18,418 14,817 $10K
87506 98 91 $10K
86160 752 686 $10K
70496 1,123 995 $9K
83516 1,457 1,151 $9K
86364 825 757 $9K
81001 15,873 14,156 $9K
86800 1,046 953 $9K
86696 625 589 $9K
82533 1,034 863 $9K
73551 577 518 $9K
83690 41,453 36,111 $9K
78014 28 27 $9K
86430 2,806 2,588 $8K
71101 778 717 $8K
83993 610 529 $8K
78264 25 25 $8K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk 12 12 $8K
86920 751 591 $8K
86787 741 684 $8K
88112 373 325 $7K
87147 4,632 4,307 $7K
88307 665 604 $6K
86695 625 589 $6K
82627 387 340 $6K
G0379 Direct admission of patient for hospital observation care 12 12 $6K
97116 135 110 $6K
82248 38,687 34,632 $6K
86765 589 540 $6K
90675 24 12 $6K
86769 163 154 $6K
73060 516 454 $6K
86255 685 576 $6K
87493 323 280 $6K
86334 1,028 876 $6K
84165 2,193 1,859 $6K
86735 535 488 $6K
86704 807 695 $5K
96411 87 55 $5K
90686 338 322 $5K
73564 90 84 $5K
12011 1,650 1,522 $5K
80164 1,087 909 $5K
82785 429 382 $5K
12001 2,285 2,132 $5K
82150 2,309 2,035 $5K
86141 825 749 $5K
41899 Unlisted procedure, dentoalveolar structures 34 27 $4K
86360 144 129 $4K
84156 2,576 2,216 $4K
94010 1,723 1,634 $4K
84207 288 258 $4K
87075 3,988 3,234 $4K
G0378 Hospital observation service, per hour 11,338 9,086 $4K
73700 60 55 $3K
87427 602 545 $3K
83020 1,556 1,153 $3K
77061 247 234 $3K
84450 91,533 81,562 $3K
88173 1,067 930 $3K
82550 7,932 6,948 $3K
87400 6,945 6,403 $3K
81376 15 12 $3K
29515 28 24 $3K
83630 233 183 $3K
87328 376 345 $3K
J0185 Injection, aprepitant, 1 mg 46 25 $3K
83521 909 764 $3K
87045 602 545 $3K
73100 42 36 $3K
84478 41,044 39,432 $3K
87046 601 545 $3K
0011A 358 183 $3K
82565 132,567 113,269 $3K
82140 1,260 1,042 $3K
87329 352 321 $3K
73660 359 328 $3K
85045 3,261 2,876 $2K
86258 161 141 $2K
85379 7,734 6,962 $2K
85018 3,085 2,466 $2K
86850 12,646 10,768 $2K
85014 2,886 2,285 $2K
87205 3,689 2,971 $2K
83010 876 759 $2K
12002 563 525 $2K
82523 210 190 $2K
86780 172 170 $2K
92950 13 13 $2K
76857 112 106 $2K
86381 118 100 $2K
81025 15,448 14,100 $2K
94618 285 268 $2K
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 1,953 1,231 $2K
83090 205 175 $2K
86617 233 196 $2K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 47 27 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,097 973 $2K
84550 3,657 3,235 $2K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 161 71 $2K
36591 27 24 $1K
83721 259 222 $1K
80178 410 357 $1K
83883 485 394 $1K
96402 88 65 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 6,036 5,234 $1K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 13 12 $1K
86355 144 129 $1K
86359 144 129 $1K
86357 144 129 $1K
82378 846 655 $1K
74241 14 13 $1K
87040 11,152 9,486 $1K
86705 156 127 $975.77
0004A 27 26 $965.87
84100 14,888 11,020 $934.78
90715 4,599 4,282 $913.50
84460 91,281 81,412 $890.57
83498 44 40 $886.94
87653 28 28 $871.26
86901 12,832 10,929 $853.50
86709 119 96 $829.49
84484 39,155 32,187 $819.99
86015 101 87 $763.76
86694 65 63 $761.19
87081 146 141 $760.80
84132 131,319 112,121 $746.44
82977 946 860 $744.18
86708 97 85 $733.46
82653 76 75 $726.33
82435 129,974 111,071 $725.50
81596 31 29 $717.42
82805 2,021 1,784 $716.14
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,799 1,722 $691.15
84080 98 90 $677.76
83605 13,779 11,436 $650.32
84590 92 81 $648.82
86231 83 71 $646.97
J2359 Injection, olanzapine, 0.5 mg 52 45 $644.54
84410 12 12 $609.48
0001A 90 42 $602.23
96376 9,755 6,561 $596.07
82705 157 145 $587.25
83615 4,028 3,253 $575.93
82390 79 68 $570.43
76981 13 13 $568.08
51701 2,813 2,561 $555.39
76377 7,463 6,624 $551.43
84630 58 56 $489.15
86665 44 39 $484.96
80051 237 217 $443.06
0064A 13 13 $440.00
87529 67 65 $435.63
86308 580 540 $429.23
16020 29 24 $428.03
86039 63 63 $426.40
82103 46 40 $411.53
82656 51 45 $394.70
86304 40 39 $384.63
87625 14 12 $371.76
73522 15 15 $358.59
J3490 Unclassified drugs 74,835 37,261 $325.64
J2310 Injection, naloxone hydrochloride, per 1 mg 71 65 $319.99
82077 6,277 5,459 $314.72
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 4,303 3,662 $306.32
82088 12 12 $305.80
84520 132,005 112,833 $295.81
86664 42 39 $292.20
73552 14 14 $288.15
83695 27 27 $274.18
76870 1,241 1,159 $271.90
84255 14 13 $268.18
89051 783 489 $262.56
86812 15 12 $246.50
29125 52 49 $221.03
84075 88,441 78,812 $213.71
82495 14 13 $213.07
82330 838 765 $211.34
87807 1,474 1,412 $209.97
84425 12 12 $206.33
83921 17 17 $204.36
93041 4,609 4,231 $160.93
86677 32 31 $152.46
80185 37 29 $139.26
86431 39 38 $135.50
84466 14 13 $134.09
80177 52 48 $125.41
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,903 4,689 $101.70
86663 15 14 $100.24
84295 130,056 111,124 $98.91
83918 15 14 $94.32
J0131 Injection, acetaminophen, not otherwise specified,10 mg 939 809 $81.41
84155 88,159 78,565 $63.74
86300 141 102 $59.61
88300 13 12 $55.32
J1170 Injection, hydromorphone, up to 4 mg 14,794 9,196 $55.30
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 38 36 $51.88
80047 151 127 $51.64
82553 1,412 1,262 $50.83
82948 4,438 3,920 $50.36
81243 770 579 $42.59
86403 5,015 4,662 $38.63
84703 12 12 $35.90
88312 9,059 8,557 $34.60
82232 29 26 $33.67
99152 1,641 1,495 $33.29
87076 14 12 $30.88
J1100 Injection, dexamethasone sodium phosphate, 1 mg 23,404 19,888 $29.39
83935 14 12 $28.36
J1885 Injection, ketorolac tromethamine, per 15 mg 35,575 31,009 $28.10
80143 758 672 $26.84
J2704 Injection, propofol, 10 mg 37,905 26,837 $26.02
J0736 Injection, clindamycin phosphate, 300 mg 22 13 $25.46
83930 15 13 $25.24
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 24,249 21,704 $23.50
51798 14 12 $22.56
J2270 Injection, morphine sulfate, up to 10 mg 7,435 5,978 $21.88
J2405 Injection, ondansetron hydrochloride, per 1 mg 31,526 26,529 $19.73
J0696 Injection, ceftriaxone sodium, per 250 mg 7,634 5,957 $19.18
81002 4,874 4,461 $16.69
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 1,310 1,204 $13.65
80179 715 641 $13.42
71100 12 12 $12.49
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 2,771 2,373 $9.11
J1644 Injection, heparin sodium, per 1000 units 9,365 4,576 $8.32
99153 Mod sedat endo service >5yrs 1,372 1,250 $7.22
82962 2,587 1,172 $6.87
C9113 Injection, pantoprazole sodium, per vial 3,006 1,896 $6.70
J0690 Injection, cefazolin sodium, 500 mg 9,729 7,826 $6.62
J1953 Injection, levetiracetam, 10 mg 310 241 $5.34
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 1,756 1,538 $4.65
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 5,177 4,340 $3.21
J1200 Injection, diphenhydramine hcl, up to 50 mg 7,613 6,217 $2.72
70360 27 24 $2.70
J2250 Injection, midazolam hydrochloride, per 1 mg 16,460 14,833 $2.45
J7120 Ringers lactate infusion, up to 1000 cc 473 448 $2.42
J2765 Injection, metoclopramide hcl, up to 10 mg 4,905 4,376 $2.42
J3010 Injection, fentanyl citrate, 0.1 mg 18,338 16,493 $2.25
J3475 Injection, magnesium sulfate, per 500 mg 6,889 4,497 $2.07
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 546 478 $1.71
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 496 442 $1.55
J3480 Injection, potassium chloride, per 2 meq 1,868 1,347 $1.10
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 342 298 $1.05
J2550 Injection, promethazine hcl, up to 50 mg 277 248 $1.00
J1630 Injection, haloperidol, up to 5 mg 2,706 2,326 $1.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 326 283 $0.97
J1940 Injection, furosemide, up to 20 mg 1,052 777 $0.80
G0475 Hiv antigen/antibody, combination assay, screening 880 778 $0.77
J1650 Injection, enoxaparin sodium, 10 mg 3,585 2,149 $0.66
J8540 Dexamethasone, oral, 0.25 mg 475 380 $0.27
J2060 Injection, lorazepam, 2 mg 4,165 3,365 $0.26
J1836 Injection, metronidazole, 10 mg 112 52 $0.25
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 13 13 $0.03
93226 1,299 1,235 $0.00
J3370 Injection, vancomycin hcl, 500 mg 2,206 1,448 $0.00
51702 145 129 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 2,800 2,240 $0.00
J1171 Injection, hydromorphone, 0.1 mg 328 248 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 390 353 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 476 425 $0.00
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen 2,649 2,128 $0.00
Q9950 Injection, sulfur hexafluoride lipid microspheres, per ml 199 186 $0.00
A9575 Injection, gadoterate meglumine, 0.1 ml 2,869 2,577 $0.00
94729 2,998 2,849 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 439 304 $0.00
90714 64 54 $0.00
J3486 Injection, ziprasidone mesylate, 10 mg 50 39 $0.00
88313 2,206 2,075 $0.00
Q0177 Hydroxyzine pamoate, 25 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 1,810 1,236 $0.00
J1756 Injection, iron sucrose, 1 mg 2,352 977 $0.00
82272 143 138 $0.00
J0694 Injection, cefoxitin sodium, 1 gm 815 419 $0.00
J7510 Prednisolone oral, per 5 mg 97 94 $0.00
69209 116 93 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 222 194 $0.00
A9531 Iodine i-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries) 14 14 $0.00
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 170 160 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 561 490 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,201 2,010 $0.00
S0077 Injection, clindamycin phosphate, 300 mg 199 173 $0.00
95957 35 32 $0.00
76942 45 43 $0.00
J7030 Infusion, normal saline solution , 1000 cc 371 332 $0.00
J1453 Injection, fosaprepitant, 1 mg 90 55 $0.00
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 15 15 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 57 51 $0.00
76376 108 96 $0.00
81206 119 94 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 142 135 $0.00
J1580 Injection, garamycin, gentamicin, up to 80 mg 94 75 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 59 45 $0.00
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 18 12 $0.00
84112 12 12 $0.00
J3489 Injection, zoledronic acid, 1 mg 15 13 $0.00
91300 83 72 $0.00
81401 24 24 $0.00
82800 14 13 $0.00
77002 12 12 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 19 16 $0.00
97803 46 44 $0.00
84145 12 12 $0.00
C1776 Joint device (implantable) 16 15 $0.00
C1769 Guide wire 2,748 2,505 $0.00
C1781 Mesh (implantable) 659 605 $0.00
83009 4,071 3,841 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 2,321 1,907 $0.00
Q3014 Telehealth originating site facility fee 186 172 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 3,206 2,781 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 3,346 2,652 $0.00
96368 294 222 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 3,052 2,837 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 414 358 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 572 528 $0.00
V2632 Posterior chamber intraocular lens 543 433 $0.00
94760 2,491 2,379 $0.00
J2785 Injection, regadenoson, 0.1 mg 1,682 1,568 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 20 14 $0.00
11045 2,539 1,263 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 301 270 $0.00
84157 17 12 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 849 756 $0.00
J3411 Injection, thiamine hcl, 100 mg 1,118 830 $0.00
88341 346 313 $0.00
J2305 Injection, nitroglycerin, 5 mg 32 26 $0.00
A9585 Injection, gadobutrol, 0.1 ml 510 450 $0.00
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 130 122 $0.00
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 127 70 $0.00
0352U 68 65 $0.00
J0500 Injection, dicyclomine hcl, up to 20 mg 531 511 $0.00
J0713 Injection, ceftazidime, per 500 mg 42 36 $0.00
C2617 Stent, non-coronary, temporary, without delivery system 289 275 $0.00
A4648 Tissue marker, implantable, any type, each 41 38 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 202 110 $0.00
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 191 189 $0.00
85660 14 12 $0.00
J9045 Injection, carboplatin, 50 mg 43 26 $0.00
88311 68 62 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 753 610 $0.00
J0456 Injection, azithromycin, 500 mg 39 27 $0.00
J1815 Injection, insulin, per 5 units 24 18 $0.00
C9290 Injection, bupivacaine liposome, 1 mg 63 61 $0.00
J0280 Injection, aminophyllin, up to 250 mg 40 37 $0.00
J7050 Infusion, normal saline solution, 250 cc 61 47 $0.00
96377 71 50 $0.00
91306 13 13 $0.00
C1726 Catheter, balloon dilatation, non-vascular 12 12 $0.00
C1819 Surgical tissue localization and excision device (implantable) 13 13 $0.00
94644 16 14 $0.00
A9512 Technetium tc-99m pertechnetate, diagnostic, per millicurie 14 14 $0.00
J9267 Injection, paclitaxel, 1 mg 58 24 $0.00
91301 188 175 $0.00
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 15 13 $0.00
C1766 Introducer/sheath, guiding, intracardiac electrophysiological, steerable, other than peel-away 16 14 $0.00