Medicaid Provider Spending

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

VHS SINAI-GRACE HOSPITAL INC

NPI: 1760794044 · DETROIT, MI 48235 · General Acute Care Hospital · NPI assigned 07/02/2010

$96.77M
Total Medicaid Paid
2,240,741
Total Claims
2,019,666
Beneficiaries
430
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBUTCHER, GINA (CFO)
NPI Enumeration Date07/02/2010

Related Entities

Other providers sharing the same authorized official: BUTCHER, GINA

ProviderCityStateTotal Paid
PRIME HEALTHCARE SERVICES - GARDEN CITY LLC GARDEN CITY MI $31.29M
VHS SINAI-GRACE HOSPITAL INC DETROIT MI $1.47M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 431,266 $17.96M
2019 436,377 $18.53M
2020 329,616 $14.70M
2021 290,685 $13.29M
2022 283,787 $12.55M
2023 278,099 $11.47M
2024 190,911 $8.29M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 48,708 45,470 $21.41M
99284 Emergency department visit for the evaluation and management, high severity 80,309 76,306 $16.24M
99283 Emergency department visit for the evaluation and management, moderate severity 112,413 105,340 $13.82M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 123,629 102,652 $7.30M
G0378 Hospital observation service, per hour 16,812 15,464 $6.69M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 38,189 35,535 $2.78M
74177 Computed tomography, abdomen and pelvis; with contrast material 7,173 7,044 $2.02M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 5,448 5,407 $1.92M
99282 Emergency department visit for the evaluation and management, low to moderate severity 15,343 14,240 $1.26M
45380 Colonoscopy, flexible; with biopsy, single or multiple 2,299 2,279 $1.12M
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk 2,853 2,834 $1.10M
70450 Computed tomography, head or brain; without contrast material 13,009 12,602 $1.05M
71045 Radiologic examination, chest; single view 34,998 32,920 $994K
58558 632 624 $925K
20610 5,515 4,385 $921K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1,492 1,481 $636K
99281 Emergency department visit for the evaluation and management, self-limited or minor 10,490 10,003 $625K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 10,069 9,750 $601K
96375 Therapeutic injection; each additional sequential IV push 27,700 24,035 $593K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 2,272 1,037 $590K
80061 Lipid panel 9,102 8,924 $553K
71046 Radiologic examination, chest; 2 views 18,629 18,188 $541K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 1,525 1,506 $488K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 7,200 6,708 $471K
76830 Ultrasound, transvaginal 7,693 7,640 $431K
77067 Screening mammography, bilateral, including computer-aided detection 9,115 9,099 $430K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 7,891 7,835 $407K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,485 3,445 $365K
76801 7,337 6,741 $363K
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 8,489 8,225 $310K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 29,025 28,437 $307K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 29,026 28,450 $295K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1,951 1,148 $293K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 47,142 40,293 $272K
93975 2,856 2,817 $267K
H0032 Mental health service plan development by non-physician 1,979 1,814 $232K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,229 2,202 $229K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,197 2,086 $219K
71260 Computed tomography, thorax, diagnostic; with contrast material 3,985 3,924 $211K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1,541 1,533 $205K
72125 Computed tomography, cervical spine; without contrast material 6,868 6,757 $199K
80048 Basic metabolic panel (calcium, ionized) 62,953 51,918 $191K
T1017 Targeted case management, each 15 minutes 1,147 745 $184K
76700 Ultrasound, abdominal, real time with image documentation; complete 2,707 2,702 $182K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 3,047 3,029 $182K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1,599 1,597 $181K
99218 744 397 $174K
10060 1,807 1,787 $158K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 3,170 3,031 $150K
72141 760 747 $140K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,656 2,613 $132K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 992 949 $130K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 694 688 $128K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 2,126 2,110 $125K
90837 Psychotherapy, 53 minutes with patient 983 632 $120K
86780 13,482 13,283 $120K
76770 2,030 2,022 $115K
81025 55,039 52,182 $101K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 4,205 4,132 $99K
70486 3,420 3,379 $99K
90791 Psychiatric diagnostic evaluation 908 887 $97K
93970 1,131 1,114 $87K
76536 1,637 1,635 $87K
80053 Comprehensive metabolic panel 29,134 27,083 $87K
72131 2,659 2,623 $85K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 9,813 9,107 $79K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,310 1,299 $77K
96361 Intravenous infusion, hydration; each additional hour 3,006 2,374 $69K
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 589 581 $68K
J1200 Injection, diphenhydramine hcl, up to 50 mg 10,851 9,372 $68K
59025 Fetal non-stress test 838 307 $68K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 8,902 8,770 $66K
84484 26,832 22,755 $66K
76642 2,155 1,882 $62K
72128 2,112 2,086 $61K
H0031 Mental health assessment, by non-physician 444 436 $61K
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 5,367 5,353 $61K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 930 865 $58K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 2,917 2,824 $58K
95810 Polysomnography; sleep staging with 4 or more additional parameters 125 123 $54K
97162 1,065 1,020 $52K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 763 673 $49K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 25,503 23,574 $49K
77066 Tomosynthesis, mammo 868 864 $49K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 19,113 18,807 $48K
72100 3,090 3,056 $47K
73564 7,861 6,669 $47K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 11,008 10,867 $47K
C8928 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report 273 267 $47K
93971 930 913 $43K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 10,610 9,477 $43K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 62,899 53,881 $42K
82962 29,021 25,072 $42K
86900 18,909 18,246 $40K
12001 2,114 2,103 $39K
90832 Psychotherapy, 30 minutes with patient 620 480 $39K
36430 296 276 $38K
87625 2,136 2,130 $37K
29515 376 368 $37K
70496 470 468 $37K
31575 219 216 $37K
73030 6,737 6,196 $36K
71271 643 643 $35K
87480 5,315 5,267 $35K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 4,411 4,378 $35K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 1,057 751 $35K
74178 225 225 $35K
P9016 Red blood cells, leukocytes reduced, each unit 462 397 $35K
87660 5,200 5,153 $35K
70491 337 333 $35K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 133 133 $34K
58661 12 12 $34K
93458 25 24 $34K
84443 Thyroid stimulating hormone (TSH) 9,268 9,014 $33K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 12,514 12,095 $33K
87510 5,113 5,067 $32K
J2704 Injection, propofol, 10 mg 19,457 18,941 $32K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 674 627 $30K
T1001 Nursing assessment / evaluation 309 305 $29K
92557 467 464 $29K
73700 493 491 $28K
81003 36,270 34,093 $28K
97166 874 848 $28K
73630 8,328 7,370 $28K
77065 Tomosynthesis, mammo 617 615 $27K
73221 187 182 $26K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 211 202 $26K
96367 972 762 $25K
95811 53 53 $25K
73610 7,662 6,856 $25K
70551 Magnetic resonance imaging, brain; without contrast material 262 259 $25K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 28,708 26,211 $25K
73130 7,495 6,914 $24K
90834 Psychotherapy, 45 minutes with patient 254 222 $24K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 8,179 7,358 $23K
93797 392 80 $21K
72170 5,632 5,526 $21K
72110 533 528 $21K
94726 387 386 $21K
12002 1,480 1,472 $21K
85027 34,811 32,037 $20K
12011 1,411 1,406 $20K
71275 Computed tomographic angiography, chest, with contrast material 213 207 $20K
93017 994 980 $19K
83036 Hemoglobin; glycosylated (A1C) 9,163 9,014 $19K
77063 Screening digital breast tomosynthesis, bilateral 1,462 1,461 $19K
73562 3,101 2,782 $19K
73590 4,085 3,740 $17K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,114 937 $17K
70498 462 462 $17K
88305 Level IV - Surgical pathology, gross and microscopic examination 11,318 11,149 $14K
J7050 Infusion, normal saline solution, 250 cc 3,438 2,543 $14K
73110 4,136 3,801 $14K
73560 1,204 1,007 $14K
73502 2,876 2,810 $14K
A9270 Non-covered item or service 140,383 102,942 $13K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 5,971 5,513 $13K
31500 38 37 $13K
J3480 Injection, potassium chloride, per 2 meq 1,822 1,506 $13K
84702 13,012 11,876 $13K
85610 22,160 19,710 $12K
76870 730 718 $12K
G0482 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; 15-21 drug class(es), including metabolite(s) if performed 73 73 $12K
83880 5,149 4,880 $12K
97530 Therapeutic activities, direct patient contact, each 15 minutes 2,542 1,321 $12K
72070 980 973 $12K
87340 7,602 7,473 $11K
87467 2,130 2,109 $11K
J7030 Infusion, normal saline solution , 1000 cc 25,931 22,046 $11K
94060 94 94 $11K
82951 1,429 1,416 $10K
83735 45,982 38,356 $10K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 13 13 $10K
81001 20,185 19,481 $10K
72156 27 27 $10K
86850 18,859 18,197 $10K
29125 1,165 1,134 $10K
86870 125 117 $10K
87086 Culture, bacterial; quantitative colony count, urine 7,255 7,091 $10K
Q9957 Injection, perflutren lipid microspheres, per ml 1,271 1,245 $9K
73080 2,503 2,355 $9K
82550 3,565 3,233 $9K
71250 169 167 $9K
86901 18,861 18,200 $9K
77336 149 66 $9K
74174 75 74 $9K
84100 7,184 5,737 $8K
86803 1,489 1,479 $7K
77080 122 122 $7K
73090 2,718 2,510 $7K
87631 7,026 6,894 $7K
82607 2,152 2,112 $7K
97161 85 81 $7K
90686 439 437 $7K
83690 18,414 17,162 $7K
80074 1,026 1,001 $6K
J2405 Injection, ondansetron hydrochloride, per 1 mg 24,831 22,017 $6K
J3475 Injection, magnesium sulfate, per 500 mg 5,221 4,646 $6K
97116 1,426 1,100 $6K
85730 18,235 17,305 $6K
J2270 Injection, morphine sulfate, up to 10 mg 14,207 11,880 $5K
J7120 Ringers lactate infusion, up to 1000 cc 16,283 14,854 $5K
92588 45 45 $5K
73060 1,532 1,424 $5K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 514 433 $5K
84439 2,834 2,749 $5K
0011A 221 221 $5K
C1729 Catheter, drainage 1,492 1,443 $5K
87077 3,833 3,573 $5K
90732 60 57 $5K
0012A 156 156 $5K
J0696 Injection, ceftriaxone sodium, per 250 mg 14,617 13,462 $5K
73552 2,256 2,091 $4K
74018 732 699 $4K
93880 84 83 $4K
83605 5,142 4,586 $4K
20600 30 25 $4K
82652 1,015 1,013 $4K
G0008 Administration of influenza virus vaccine 596 592 $4K
20605 36 33 $4K
97597 48 41 $4K
72040 265 261 $4K
93925 39 39 $4K
Q3014 Telehealth originating site facility fee 234 228 $3K
86762 1,565 1,552 $3K
80051 1,040 993 $3K
76819 Fetal biophysical profile; without non-stress testing 54 30 $3K
97535 Self-care/home management training, each 15 minutes 692 556 $3K
86787 1,070 1,065 $3K
G0297 Low dose ct scan (ldct) for lung cancer screening 94 92 $3K
71101 799 792 $3K
82728 1,158 1,120 $3K
J1953 Injection, levetiracetam, 10 mg 1,330 1,174 $3K
J1644 Injection, heparin sodium, per 1000 units 16,655 8,150 $3K
82746 751 743 $3K
72050 65 63 $2K
J0690 Injection, cefazolin sodium, 500 mg 5,656 5,294 $2K
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) 145 145 $2K
90715 7,467 7,403 $2K
90674 217 210 $2K
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 3,729 2,415 $2K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 3,506 3,461 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 3,733 3,680 $2K
90935 Hemodialysis procedure with single evaluation by a physician 25 12 $2K
87081 2,076 2,042 $2K
86923 307 282 $2K
76813 40 40 $2K
87040 1,671 1,557 $2K
74019 335 331 $2K
88307 187 183 $2K
10061 13 13 $2K
87529 801 432 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,447 1,431 $2K
94660 263 165 $2K
J1170 Injection, hydromorphone, up to 4 mg 7,551 6,556 $2K
84153 389 376 $2K
83037 513 513 $2K
84460 7,228 6,952 $2K
84703 3,880 3,828 $2K
84450 7,420 7,148 $2K
73140 748 714 $2K
S0077 Injection, clindamycin phosphate, 300 mg 367 318 $2K
96376 8,213 6,099 $2K
J0780 Injection, prochlorperazine, up to 10 mg 3,058 2,940 $1K
83001 240 240 $1K
29750 15 13 $1K
92950 14 12 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 27,396 25,497 $1K
83002 209 209 $1K
82248 4,086 3,906 $1K
84132 3,145 2,956 $1K
96415 30 15 $1K
82570 1,262 1,154 $1K
82670 136 136 $1K
12013 108 108 $1K
96523 51 44 $1K
83540 996 957 $1K
82043 668 666 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,325 1,579 $1K
85379 3,651 3,574 $995.60
J1630 Injection, haloperidol, up to 5 mg 5,657 4,596 $987.48
J2060 Injection, lorazepam, 2 mg 5,610 4,453 $969.67
82803 437 416 $883.42
88304 833 804 $878.97
11721 939 931 $866.63
36415 Collection of venous blood by venipuncture 2,935 2,708 $802.56
97165 52 47 $802.09
96417 25 12 $799.97
74022 438 431 $788.63
29580 15 12 $764.77
88342 182 180 $764.06
84075 4,353 4,186 $758.68
82565 1,364 1,307 $750.74
J7060 5% dextrose/water (500 ml = 1 unit) 1,137 911 $728.13
84481 143 136 $726.10
87070 999 960 $719.01
90656 30 30 $650.48
86140 577 563 $641.47
94010 41 41 $632.81
J1650 Injection, enoxaparin sodium, 10 mg 1,022 552 $631.40
88312 2,652 2,630 $617.88
85651 386 378 $599.79
82150 1,092 1,060 $595.13
83550 418 404 $563.18
84156 826 760 $511.39
82247 3,705 3,553 $504.78
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 37 37 $499.61
93922 129 129 $486.20
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 152 151 $476.28
82810 330 313 $455.66
11056 43 42 $447.50
84520 587 561 $416.92
J3370 Injection, vancomycin hcl, 500 mg 1,212 792 $412.86
87807 924 897 $399.89
76820 59 38 $373.27
87205 1,045 1,003 $369.19
84403 60 59 $362.48
82010 1,750 1,617 $355.43
70360 71 70 $318.40
74420 13 12 $317.97
99152 29 28 $308.90
88341 13 12 $302.94
C1760 Closure device, vascular (implantable/insertable) 30 28 $289.05
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 688 593 $287.65
C1887 Catheter, guiding (may include infusion/perfusion capability) 102 97 $280.38
J2765 Injection, metoclopramide hcl, up to 10 mg 5,031 4,411 $277.12
83615 517 487 $261.64
83050 426 414 $254.53
84154 68 67 $243.14
J3415 Injection, pyridoxine hcl, 100 mg 561 491 $226.68
84146 43 43 $225.13
82105 37 37 $221.63
J1940 Injection, furosemide, up to 20 mg 945 533 $213.29
J7042 5% dextrose/normal saline (500 ml = 1 unit) 681 611 $206.02
85014 1,125 969 $205.71
S0028 Injection, famotidine, 20 mg 909 832 $200.00
86592 94 92 $187.10
J0171 Injection, adrenalin, epinephrine, 0.1 mg 194 190 $186.41
80185 287 255 $184.77
J1580 Injection, garamycin, gentamicin, up to 80 mg 898 826 $164.11
73600 29 27 $151.44
82540 136 135 $149.11
80143 125 125 $144.73
A9585 Injection, gadobutrol, 0.1 ml 457 435 $142.58
J2560 Injection, phenobarbital sodium, up to 120 mg 74 65 $141.80
86696 61 61 $139.40
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 127 89 $135.52
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 848 833 $135.10
99153 Mod sedat endo service >5yrs 14 13 $134.40
84295 533 509 $131.23
S0020 Injection, bupivicaine hydrochloride, 30 ml 1,475 1,435 $129.86
85046 141 134 $110.10
85018 654 529 $108.59
90472 Immunization administration, each additional vaccine (list separately) 16 16 $103.41
82140 214 185 $101.17
80076 86 85 $95.15
87075 96 89 $93.67
86038 25 25 $78.58
J0360 Injection, hydralazine hcl, up to 20 mg 324 285 $78.20
81002 217 191 $68.77
J7121 5% dextrose in lactated ringers infusion, up to 1000 cc 191 179 $59.36
84550 83 79 $58.03
85384 108 106 $57.73
86695 37 37 $56.23
82947 25 25 $56.20
82330 80 77 $55.50
J0461 Injection, atropine sulfate, 0.01 mg 42 41 $52.37
86703 58 56 $51.68
73620 12 12 $48.48
82040 275 266 $48.30
94729 391 390 $42.32
80164 94 88 $41.27
76821 46 27 $35.58
J3411 Injection, thiamine hcl, 100 mg 280 239 $31.38
88302 13 13 $30.24
82747 13 12 $29.46
72190 14 12 $29.40
J0153 Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) 40 38 $28.13
J1245 Injection, dipyridamole, per 10 mg 27 26 $27.92
83021 13 13 $27.48
86701 38 38 $27.36
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 381 377 $23.24
J0592 Injection, buprenorphine hydrochloride, 0.1 mg 19 13 $21.43
73070 13 13 $17.88
J3010 Injection, fentanyl citrate, 0.1 mg 7,735 7,572 $15.39
J2250 Injection, midazolam hydrochloride, per 1 mg 8,798 8,426 $13.36
82948 303 152 $13.09
82272 106 104 $9.46
86359 14 13 $8.89
86360 14 13 $8.89
94727 16 16 $8.82
80177 12 12 $8.33
J2310 Injection, naloxone hydrochloride, per 1 mg 27 27 $7.83
92567 13 13 $7.00
90632 61 61 $4.97
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 233 178 $4.20
J2370 Injection, phenylephrine hcl, up to 1 ml 506 501 $3.52
85660 35 35 $3.46
90714 100 99 $2.26
S0030 Injection, metronidazole, 500 mg 24 13 $1.07
J1050 Injection, medroxyprogesterone acetate, 1 mg 213 212 $0.06
J0330 Injection, succinylcholine chloride, up to 20 mg 420 413 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 613 609 $0.00
A4648 Tissue marker, implantable, any type, each 29 28 $0.00
C1781 Mesh (implantable) 13 13 $0.00
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 101 101 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 152 120 $0.00
C1769 Guide wire 962 866 $0.00
96368 38 37 $0.00
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) 12 12 $0.00
J1790 Injection, droperidol, up to 5 mg 379 356 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 79 79 $0.00
11045 78 38 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 155 153 $0.00
V2632 Posterior chamber intraocular lens 12 12 $0.00
11730 34 33 $0.00
76604 13 13 $0.00
A9576 Injection, gadoteridol, (prohance multipack), per ml 977 950 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 331 315 $0.00
C9113 Injection, pantoprazole sodium, per vial 1,781 1,308 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 1,223 1,208 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 459 456 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 262 209 $0.00
92592 319 308 $0.00
C1782 Morcellator 348 343 $0.00
J1171 Injection, hydromorphone, 0.1 mg 127 111 $0.00
82542 63 62 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 16 16 $0.00
73000 13 12 $0.00
J0692 Injection, cefepime hydrochloride, 500 mg 21 12 $0.00