Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › KY › GLASGOW › T J SAMSON COMMUNITY HOSPITAL

T J SAMSON COMMUNITY HOSPITAL

NPI: 1770581894 · GLASGOW, KY 42141 · General Acute Care Hospital · NPI assigned 07/12/2005

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

Authorized official THORNBURY, NEIL controls 17+ related entities in our dataset. Read more

$95.74M
Total Medicaid Paid
2,471,139
Total Claims
1,769,563
Beneficiaries
525
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTHORNBURY, NEIL (CEO)
Parent OrganizationT J REGIONAL HEALTH, INC.
NPI Enumeration Date07/12/2005

Related Entities

Other providers sharing the same authorized official: THORNBURY, NEIL

ProviderCityStateTotal Paid
T J SAMSON COMMUNITY HOSPITAL GLASGOW KY $15.53M
T J HEALTH COLUMBIA INC COLUMBIA KY $11.51M
T J HEALTH COLUMBIA INC COLUMBIA KY $1.40M
T J SAMSON COMMUNITY HOSPITAL GLASGOW KY $1.22M
T J HEALTH COLUMBIA INC EDMONTON KY $1.20M
T J HEALTH COLUMBIA INC COLUMBIA KY $682K
T J HEALTH COLUMBIA INC RUSSELL SPRINGS KY $630K
T J HEALTH COLUMBIA INC SCOTTSVILLE KY $611K
T J SAMSON COMMUNITY HOSPITAL CAVE CITY KY $567K
T J SAMSON COMMUNITY HOSPITAL GLASGOW KY $549K
T J SAMSON COMMUNITY HOSPITAL GLASGOW KY $524K
T J HEALTH COLUMBIA INC TOMPKINSVILLE KY $312K
T J HEALTH COLUMBIA INC GREENSBURG KY $277K
T J HEALTH COLUMBIA INC COLUMBIA KY $125K
T J SAMSON COMMUNITY HOSPITAL GLASGOW KY $36K
T J SAMSON COMMUNITY HOSPITAL GLASGOW KY $1K
T J SAMSON COMMUNITY HOSPITAL GLASGOW KY $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 339,159 $13.73M
2019 347,503 $14.28M
2020 305,917 $11.17M
2021 365,638 $13.43M
2022 379,030 $13.94M
2023 411,697 $15.98M
2024 322,195 $13.22M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 187,209 125,108 $12.24M
99284 Emergency department visit for the evaluation and management, high severity 32,429 26,000 $7.00M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 18,771 11,083 $4.86M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 85,564 70,666 $3.49M
99283 Emergency department visit for the evaluation and management, moderate severity 24,455 21,301 $3.37M
74177 Computed tomography, abdomen and pelvis; with contrast material 7,872 5,689 $2.77M
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 45,793 40,579 $2.36M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 24,775 17,503 $2.27M
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 8,478 3,232 $2.14M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 46,149 41,682 $2.08M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 8,588 6,834 $1.94M
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 47,487 40,389 $1.93M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 36,490 11,405 $1.73M
97530 Therapeutic activities, direct patient contact, each 15 minutes 34,994 10,513 $1.54M
G0379 Direct admission of patient for hospital observation care 2,582 1,929 $1.53M
74176 Computed tomography, abdomen and pelvis; without contrast material 4,546 3,344 $1.51M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 27,606 25,064 $1.32M
70450 Computed tomography, head or brain; without contrast material 8,819 5,921 $1.22M
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 4,438 4,077 $1.06M
G0378 Hospital observation service, per hour 8,610 6,183 $1.03M
47562 550 318 $1.02M
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 47,699 26,107 $995K
71046 Radiologic examination, chest; 2 views 23,512 17,936 $939K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 26,239 7,234 $923K
96361 Intravenous infusion, hydration; each additional hour 20,826 12,459 $920K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1,829 1,316 $896K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,006 1,301 $878K
80053 Comprehensive metabolic panel 85,400 54,853 $857K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 12,923 5,537 $839K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 39,918 30,891 $808K
36415 Collection of venous blood by venipuncture 210,093 96,484 $801K
76830 Ultrasound, transvaginal 6,600 6,033 $759K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 38,733 35,711 $676K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 2,131 1,863 $644K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 8,261 5,339 $642K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 671 633 $640K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 12,048 10,204 $593K
42820 Tonsillectomy and adenoidectomy; younger than age 12 256 244 $584K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,153 1,030 $577K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,391 11,435 $549K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 89,724 73,370 $531K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 8,591 5,293 $525K
71260 Computed tomography, thorax, diagnostic; with contrast material 2,666 1,637 $464K
96375 Therapeutic injection; each additional sequential IV push 14,823 10,984 $450K
71045 Radiologic examination, chest; single view 17,057 10,111 $441K
97597 7,258 2,660 $391K
95811 837 724 $388K
76705 Ultrasound, abdominal, real time with image documentation; limited 3,717 3,275 $386K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 4,208 3,926 $365K
84443 Thyroid stimulating hormone (TSH) 28,715 26,454 $360K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 2,163 831 $355K
77067 Screening mammography, bilateral, including computer-aided detection 5,033 4,835 $346K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,995 3,678 $329K
88305 Level IV - Surgical pathology, gross and microscopic examination 6,903 5,317 $321K
72141 976 803 $311K
94060 3,803 2,266 $307K
93017 3,286 2,877 $304K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 4,620 4,182 $304K
J2785 Injection, regadenoson, 0.1 mg 2,075 1,751 $301K
70551 Magnetic resonance imaging, brain; without contrast material 1,055 791 $290K
97113 3,954 1,173 $288K
J3490 Unclassified drugs 35,178 14,441 $282K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 7,512 6,979 $278K
80048 Basic metabolic panel (calcium, ionized) 45,352 27,303 $276K
80061 Lipid panel 25,445 19,669 $263K
72125 Computed tomography, cervical spine; without contrast material 1,778 1,533 $262K
80081 3,736 3,515 $262K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 34,202 26,857 $240K
76801 3,371 3,077 $234K
96367 3,771 960 $228K
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 2,329 2,083 $210K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 833 640 $195K
71275 Computed tomographic angiography, chest, with contrast material 920 688 $190K
71250 1,659 1,108 $188K
74018 5,701 4,921 $183K
76770 1,765 1,423 $175K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 244 213 $172K
78227 575 457 $169K
G0483 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; 22 or more drug class(es), including metabolite(s) if performed 1,746 1,363 $163K
93971 1,669 1,410 $156K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 9,845 9,065 $151K
45380 Colonoscopy, flexible; with biopsy, single or multiple 308 225 $149K
92526 2,808 1,102 $142K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 2,582 2,206 $142K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 4,031 1,448 $141K
74022 2,527 2,282 $138K
76700 Ultrasound, abdominal, real time with image documentation; complete 1,112 959 $136K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 428 396 $133K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,304 524 $132K
82607 11,413 10,385 $128K
77063 Screening digital breast tomosynthesis, bilateral 6,859 5,618 $126K
83036 Hemoglobin; glycosylated (A1C) 19,734 17,189 $125K
87428 3,749 3,154 $124K
72100 3,301 2,569 $124K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 229 172 $122K
97161 3,292 2,045 $121K
80306 11,929 10,435 $120K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 4,785 4,466 $120K
81001 49,674 41,488 $119K
73630 4,411 3,840 $119K
97162 3,000 1,810 $118K
92523 978 906 $117K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 5,860 2,149 $115K
87150 3,865 3,628 $115K
87641 5,574 5,194 $113K
90715 3,482 3,250 $112K
43235 211 159 $112K
84484 17,349 11,211 $112K
73610 3,979 3,417 $110K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 4,750 4,460 $108K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 3,538 1,652 $106K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 6,049 5,566 $105K
74019 2,936 2,611 $104K
87086 Culture, bacterial; quantitative colony count, urine 21,086 15,718 $103K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 3,514 2,661 $103K
73030 3,823 2,796 $102K
73130 3,611 3,123 $101K
87486 4,559 4,103 $101K
87581 4,435 4,079 $99K
83880 6,180 4,446 $94K
20610 1,040 628 $93K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,121 1,746 $91K
94726 1,792 1,659 $90K
76536 917 845 $88K
73110 2,952 2,383 $87K
93454 219 75 $87K
99281 Emergency department visit for the evaluation and management, self-limited or minor 2,182 2,013 $87K
73562 3,193 2,630 $86K
A9575 Injection, gadoterate meglumine, 0.1 ml 2,097 1,826 $84K
84702 8,075 5,912 $83K
70544 390 317 $81K
87070 11,297 8,559 $81K
88304 2,955 2,648 $80K
84439 11,189 10,282 $77K
76642 1,375 1,240 $76K
72110 1,319 1,034 $73K
85027 16,779 12,860 $67K
86900 5,301 3,510 $67K
81025 14,626 13,041 $65K
J2704 Injection, propofol, 10 mg 12,380 10,446 $64K
J0696 Injection, ceftriaxone sodium, per 250 mg 9,985 7,867 $60K
J1885 Injection, ketorolac tromethamine, per 15 mg 18,155 15,041 $59K
73502 1,932 1,318 $59K
82565 7,674 5,434 $58K
82728 5,469 4,968 $58K
84403 2,695 2,478 $57K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 547 513 $55K
71271 1,253 1,006 $54K
96376 3,635 2,149 $54K
83690 12,558 10,615 $52K
95117 4,071 1,490 $52K
87186 8,926 7,930 $52K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 805 736 $52K
72072 1,184 942 $51K
97750 2,007 1,667 $50K
J3010 Injection, fentanyl citrate, 0.1 mg 11,356 9,473 $50K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 2,162 1,900 $49K
76818 803 339 $49K
41899 Unlisted procedure, dentoalveolar structures 50 44 $49K
80074 1,476 1,335 $48K
99215 Prolong outpt/office vis 1,117 1,062 $48K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 99 79 $47K
58563 32 27 $46K
80051 8,900 4,044 $46K
J1030 Injection, methylprednisolone acetate, 40 mg 4,120 3,806 $45K
70486 261 233 $43K
0225U 129 129 $43K
83735 10,304 8,001 $43K
C1769 Guide wire 1,970 1,576 $42K
86803 4,112 3,860 $42K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 2,321 2,163 $41K
72040 1,235 958 $38K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,495 1,718 $38K
88312 1,396 1,240 $38K
85610 13,796 9,886 $37K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,721 3,433 $36K
62323 171 115 $36K
J2405 Injection, ondansetron hydrochloride, per 1 mg 22,989 18,320 $35K
87040 6,585 4,115 $35K
83001 2,154 2,037 $35K
J0561 Injection, penicillin g benzathine, 100,000 units 200 184 $34K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 2,154 1,550 $34K
85730 9,694 7,465 $33K
73080 1,239 1,036 $33K
77066 Tomosynthesis, mammo 398 351 $32K
87077 4,797 4,113 $31K
64493 107 66 $31K
90792 Psychiatric diagnostic evaluation with medical services 489 428 $31K
94729 1,862 1,711 $31K
J0690 Injection, cefazolin sodium, 500 mg 5,960 4,665 $31K
87088 5,722 5,077 $31K
72050 494 354 $31K
73560 992 745 $30K
83002 1,926 1,817 $30K
12001 605 563 $30K
G0008 Administration of influenza virus vaccine 1,066 924 $30K
36600 1,788 1,388 $30K
J1815 Injection, insulin, per 5 units 2,053 960 $30K
83540 6,685 6,186 $29K
J2360 Injection, orphenadrine citrate, up to 60 mg 1,586 1,363 $28K
84481 2,092 1,939 $28K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 92 87 $28K
82670 1,082 1,008 $28K
J1170 Injection, hydromorphone, up to 4 mg 7,854 5,571 $27K
83550 4,692 4,338 $27K
82746 2,627 2,409 $27K
84703 4,144 3,788 $27K
84146 1,569 1,480 $26K
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 112 89 $26K
99153 Mod sedat endo service >5yrs 873 685 $26K
73090 965 775 $25K
73221 99 86 $25K
99152 1,452 1,162 $25K
87075 4,110 3,420 $25K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 215 145 $24K
J7999 Compounded drug, not otherwise classified 2,803 1,943 $24K
73590 844 724 $24K
J2270 Injection, morphine sulfate, up to 10 mg 8,712 5,905 $24K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 9,628 8,295 $24K
82962 5,460 3,205 $23K
86850 3,208 2,735 $21K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 94 88 $21K
82803 1,969 1,501 $20K
J2790 Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) 244 230 $20K
80076 3,239 2,803 $20K
82947 6,034 4,444 $20K
70491 91 62 $19K
82950 3,570 3,418 $19K
93458 135 14 $19K
J2805 Injection, sincalide, 5 micrograms 227 202 $18K
86038 1,966 1,815 $18K
80069 2,994 1,815 $18K
78815 Positron emission tomography (PET) for limited area imaging 52 26 $18K
90686 2,627 2,396 $18K
90677 622 578 $18K
99406 1,308 1,176 $18K
83605 3,272 2,363 $17K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 1,364 1,103 $16K
80050 General health panel 1,087 699 $16K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,941 1,615 $16K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 26 24 $16K
81003 6,725 5,176 $16K
0012A 930 904 $16K
J1040 Injection, methylprednisolone acetate, 80 mg 829 723 $16K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 69 59 $15K
86140 3,955 3,282 $15K
J3370 Injection, vancomycin hcl, 500 mg 772 419 $15K
90472 Immunization administration, each additional vaccine (list separately) 585 568 $15K
96161 1,022 871 $15K
97166 255 212 $15K
82150 3,850 3,394 $15K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 1,829 1,134 $15K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 250 215 $14K
86376 1,357 1,284 $14K
0011A 1,003 935 $14K
84144 909 859 $14K
85007 5,662 4,459 $14K
95816 113 103 $14K
J1644 Injection, heparin sodium, per 1000 units 4,341 1,782 $14K
10060 117 85 $13K
72131 110 83 $13K
97165 448 294 $13K
J2765 Injection, metoclopramide hcl, up to 10 mg 8,112 6,786 $13K
J0585 Injection, onabotulinumtoxina, 1 unit 24 12 $13K
C1889 Implantable/insertable device, not otherwise classified 445 290 $13K
82043 3,234 2,658 $13K
87522 Neg quan hep c or qual rna 443 404 $12K
82570 3,270 2,858 $12K
86308 2,892 2,738 $12K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 1,814 1,497 $12K
95819 79 70 $12K
84402 572 545 $12K
86901 3,994 3,420 $11K
17110 106 100 $11K
99495 323 270 $11K
84550 2,870 2,520 $11K
87205 4,346 3,516 $11K
84145 945 774 $11K
71101 335 242 $10K
76641 105 95 $10K
59025 Fetal non-stress test 104 72 $10K
C1886 Catheter, extravascular tissue ablation, any modality (insertable) 51 40 $10K
86592 2,567 2,200 $10K
82375 1,533 1,156 $10K
J0330 Injection, succinylcholine chloride, up to 20 mg 995 829 $10K
83525 1,025 961 $9K
G0297 Low dose ct scan (ldct) for lung cancer screening 226 211 $9K
87350 1,079 963 $9K
93270 326 285 $9K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 132 63 $9K
84520 4,417 3,826 $9K
85652 4,534 3,886 $9K
84112 168 151 $9K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 352 295 $9K
85379 1,601 1,395 $9K
Q9950 Injection, sulfur hexafluoride lipid microspheres, per ml 106 91 $8K
G0009 Administration of pneumococcal vaccine 244 223 $8K
J7050 Infusion, normal saline solution, 250 cc 192 106 $8K
82550 1,988 1,541 $8K
87046 562 508 $8K
J2550 Injection, promethazine hcl, up to 50 mg 3,388 2,639 $8K
80143 804 679 $7K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 1,931 1,171 $7K
J1650 Injection, enoxaparin sodium, 10 mg 1,211 506 $7K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 1,305 350 $7K
96523 453 331 $7K
J2250 Injection, midazolam hydrochloride, per 1 mg 10,321 8,554 $7K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 742 622 $7K
86800 633 615 $7K
J0780 Injection, prochlorperazine, up to 10 mg 653 569 $7K
77065 Tomosynthesis, mammo 99 81 $7K
87634 173 164 $7K
80179 689 597 $6K
J0500 Injection, dicyclomine hcl, up to 20 mg 197 172 $6K
87081 280 268 $6K
58100 60 55 $6K
83516 376 271 $6K
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 187 120 $6K
76870 88 81 $6K
97802 151 143 $6K
29075 40 28 $6K
86430 1,264 1,174 $6K
84436 1,136 1,076 $6K
90670 734 711 $5K
85018 1,003 671 $5K
87493 218 192 $5K
72170 192 155 $5K
A9537 Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries 436 406 $5K
85014 2,802 2,469 $5K
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 453 243 $5K
99499 85 80 $5K
87045 679 570 $5K
J1010 Injection, methylprednisolone acetate, 1 mg 646 603 $5K
97010 1,687 525 $5K
93242 259 237 $5K
83655 514 499 $5K
94664 186 116 $5K
93225 86 78 $5K
J1596 Injection, glycopyrrolate, 0.1 mg 790 564 $4K
83615 965 800 $4K
87340 664 604 $4K
J2795 Injection, ropivacaine hydrochloride, 1 mg 444 357 $4K
92583 137 137 $4K
82627 202 193 $4K
90651 71 68 $4K
11102 43 40 $4K
J1200 Injection, diphenhydramine hcl, up to 50 mg 3,103 2,322 $4K
82247 859 594 $4K
86003 71 67 $3K
82784 398 366 $3K
58300 230 209 $3K
86665 199 122 $3K
11981 39 39 $3K
73564 95 82 $3K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 606 447 $3K
0064A 375 316 $3K
86885 414 356 $3K
C1773 Retrieval device, insertable (used to retrieve fractured medical devices) 293 260 $3K
73620 92 82 $3K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 221 173 $3K
82951 249 243 $3K
64615 31 12 $3K
76882 79 67 $3K
51798 219 185 $3K
86480 63 58 $3K
11982 14 13 $3K
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 1,092 915 $3K
86618 234 215 $2K
96127 324 319 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 416 366 $2K
86696 137 67 $2K
77080 97 64 $2K
93880 15 13 $2K
86200 226 216 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,505 1,366 $2K
J2060 Injection, lorazepam, 2 mg 970 769 $2K
C9113 Injection, pantoprazole sodium, per vial 581 383 $2K
J0360 Injection, hydralazine hcl, up to 20 mg 203 133 $2K
76819 Fetal biophysical profile; without non-stress testing 25 14 $2K
C1887 Catheter, guiding (may include infusion/perfusion capability) 80 74 $2K
20553 20 12 $2K
86695 132 67 $2K
93970 19 15 $2K
90697 755 737 $2K
73700 15 12 $2K
A4624 Tracheal suction catheter, any type other than closed system, each 352 280 $2K
86762 200 186 $2K
93246 87 85 $2K
84100 454 292 $1K
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml 126 118 $1K
25600 14 12 $1K
87807 206 200 $1K
A9270 Non-covered item or service 15,025 4,528 $1K
86664 110 102 $1K
J2919 Injection, methylprednisolone sodium succinate, 5 mg 145 125 $1K
17000 32 25 $1K
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 610 278 $1K
73521 14 14 $1K
94618 38 31 $1K
97167 15 14 $1K
12011 25 24 $1K
J2370 Injection, phenylephrine hcl, up to 1 ml 407 350 $1K
72082 18 15 $1K
29105 15 12 $1K
87210 192 143 $1K
A9698 Non-radioactive contrast imaging material, not otherwise classified, per study 135 57 $1K
77062 56 37 $1K
51701 29 26 $1K
J2305 Injection, nitroglycerin, 5 mg 195 82 $1K
86580 111 101 $985.33
90656 249 244 $893.18
86593 216 207 $891.03
17250 17 12 $885.13
84156 342 275 $877.44
J1050 Injection, medroxyprogesterone acetate, 1 mg 25 24 $867.63
88307 19 12 $854.42
86920 17 12 $842.73
92610 16 15 $832.60
0001A 37 25 $788.08
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 17 13 $775.13
96160 67 56 $767.60
82952 220 214 $741.07
29125 27 25 $738.80
82977 159 150 $701.07
87209 47 41 $686.94
86255 78 72 $664.61
83013 16 15 $663.47
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 238 200 $660.69
83970 32 25 $654.64
84165 94 91 $643.58
97150 Therapeutic procedure(s), group (2 or more individuals) 79 50 $613.22
83921 47 46 $594.88
84460 158 141 $577.94
84207 40 38 $569.44
82140 29 25 $535.28
0002A 22 17 $534.40
J0171 Injection, adrenalin, epinephrine, 0.1 mg 16 13 $524.94
86702 62 58 $513.92
86704 59 52 $505.09
73600 14 13 $503.19
84132 190 127 $480.67
82677 27 27 $469.45
86706 61 57 $464.30
73552 14 14 $445.38
J8499 Prescription drug, oral, non chemotherapeutic, nos 515 200 $441.50
J3475 Injection, magnesium sulfate, per 500 mg 85 51 $432.99
90619 53 52 $432.70
Q9956 Injection, octafluoropropane microspheres, per ml 16 13 $423.30
J1171 Injection, hydromorphone, 0.1 mg 117 98 $422.86
73120 15 13 $418.31
82679 25 25 $414.43
69210 13 12 $403.00
92504 54 47 $399.18
88302 54 25 $396.02
95115 28 12 $383.65
86701 63 59 $382.69
87177 47 41 $342.38
98929 44 26 $342.19
84446 41 36 $336.97
64494 42 38 $329.91
97810 28 13 $329.03
A6449 Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard 221 195 $316.02
86060 40 38 $308.51
J1940 Injection, furosemide, up to 20 mg 142 66 $296.35
A6197 Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing 127 57 $284.93
88300 43 38 $280.19
A6250 Skin sealants, protectants, moisturizers, ointments, any type, any size 48 46 $271.69
90723 178 173 $267.25
90716 75 75 $256.55
87425 27 26 $244.72
J0736 Injection, clindamycin phosphate, 300 mg 32 12 $239.87
C1729 Catheter, drainage 34 13 $230.37
85246 12 12 $229.40
84425 15 13 $228.43
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 39 15 $215.15
82105 12 12 $207.80
97035 26 13 $201.30
J1956 Injection, levofloxacin, 250 mg 20 12 $192.03
84153 12 12 $190.66
90662 111 58 $187.43
84155 73 63 $163.07
86225 12 12 $158.80
90474 14 14 $144.72
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 21 20 $138.23
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 15 15 $138.14
86334 13 12 $127.99
G8984 Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals 30 15 $126.14
89055 41 38 $120.09
J2471 Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg 90 78 $112.68
82270 42 34 $110.21
J1094 Injection, dexamethasone acetate, 1 mg 42 26 $109.12
86008 12 12 $107.58
82785 14 12 $100.15
J0595 Injection, butorphanol tartrate, 1 mg 35 28 $98.64
85045 34 29 $94.35
82009 45 37 $90.02
87106 15 12 $87.58
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 345 271 $83.67
83090 12 12 $71.68
97811 23 12 $62.64
90633 420 416 $60.45
J1953 Injection, levetiracetam, 10 mg 15 12 $43.03
81050 14 12 $42.45
84134 14 13 $39.81
A4351 Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each 112 92 $37.70
84450 16 12 $30.46
Q0244 Injection, casirivimab and imdevimab, 1200 mg 22 20 $22.23
85347 19 12 $17.12
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 40 28 $7.88
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 44 25 $6.42
J8597 Antiemetic drug, oral, not otherwise specified 51 49 $5.26
90681 551 533 $2.01
90647 206 200 $0.79
90700 78 77 $0.75
90707 88 87 $0.72
Q0245 Injection, bamlanivimab and etesevimab, 2100 mg 13 12 $0.18
90671 27 26 $0.16
90381 13 13 $0.02
3078F 660 541 $0.01
G8985 Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 14 12 $0.00
G9163 Spoken language expression functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge or to end reporting 43 36 $0.00
1126F 188 159 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 16 14 $0.00
G9162 Spoken language expression functional limitation, current status at therapy episode outset and at reporting intervals 56 48 $0.00
1125F 60 57 $0.00