Medicaid Provider Spending

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

SENTARA RMH MEDICAL CENTER

NPI: 1780694372 · HARRISONBURG, VA 22801 · Cardiac Rehabilitation Clinic/Center · NPI assigned 08/08/2006

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

Authorized official HANCOCK, MELINDA controls 20+ related entities in our dataset. Read more

$52.95M
Total Medicaid Paid
1,544,385
Total Claims
1,075,977
Beneficiaries
386
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHANCOCK, MELINDA (CFO)
Parent OrganizationSENTARA HEALTHCARE
NPI Enumeration Date08/08/2006

Related Entities

Other providers sharing the same authorized official: HANCOCK, MELINDA

ProviderCityStateTotal Paid
SENTARA HOSPITALS NORFOLK VA $88.20M
SENTARA HOSPITALS NORFOLK VA $79.69M
SENTARA HOSPITALS HAMPTON VA $78.52M
POTOMAC HOSPITAL CORPORATION OF PRINCE WILLIAM WOODBRIDGE VA $59.17M
SENTARA HOSPITALS SUFFOLK VA $57.85M
SENTARA HOSPITALS VIRGINIA BEACH VA $52.40M
SENTARA PRINCESS ANNE HOSPITAL VIRGINIA BEACH VA $37.50M
MARTHA JEFFERSON HOSPITAL CHARLOTTESVILLE VA $26.95M
HALIFAX REGIONAL HOSPITAL, INC. SOUTH BOSTON VA $23.28M
SENTARA HOSPITALS WILLIAMSBURG VA $21.89M
SENTARA ALBEMARLE REGIONAL MEDICAL CENTER ELIZABETH CITY NC $13.82M
SENTARA REFERENCE LAB SOLUTIONS, LLC NORFOLK VA $4.74M
HALIFAX REGIONAL HOSPITAL, INC SOUTH BOSTON VA $1.61M
HALIFAX REGIONAL HOSPITAL, INC NATHALIE VA $348K
HALIFAX REGIONAL HOSPITAL, INC SOUTH BOSTON VA $336K
HALIFAX REGIONAL HOSPITAL, INC CHASE CITY VA $298K
HALIFAX REGIONAL HOSPITAL, INC CLARKSVILLE VA $265K
SENTARA HOSPITALS NORFOLK VA $171K
HALIFAX REGIONAL HOSPITAL, INC SOUTH BOSTON VA $170K
SENTARA HOSPITALS NORFOLK VA $128K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 182,997 $3.79M
2019 237,447 $5.38M
2020 200,386 $6.14M
2021 228,060 $7.15M
2022 224,338 $8.44M
2023 261,177 $11.31M
2024 209,980 $10.74M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 53,337 45,831 $8.55M
99284 Emergency department visit for the evaluation and management, high severity 38,882 31,821 $5.77M
96361 Intravenous infusion, hydration; each additional hour 18,044 12,804 $4.30M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 23,546 18,654 $3.36M
41899 Unlisted procedure, dentoalveolar structures 1,622 1,571 $2.33M
99282 Emergency department visit for the evaluation and management, low to moderate severity 14,604 13,108 $2.17M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 42,125 10,590 $1.97M
74177 Computed tomography, abdomen and pelvis; with contrast material 9,583 8,273 $1.85M
70450 Computed tomography, head or brain; without contrast material 8,937 7,449 $1.53M
G0378 Hospital observation service, per hour 4,689 3,367 $930K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,602 1,470 $829K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,882 2,549 $774K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1,333 1,150 $711K
74176 Computed tomography, abdomen and pelvis; without contrast material 3,797 3,295 $697K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 6,361 2,279 $684K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 7,004 5,210 $679K
71275 Computed tomographic angiography, chest, with contrast material 2,863 2,525 $666K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 2,243 1,460 $551K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 5,372 4,466 $532K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1,453 1,312 $480K
62323 1,262 1,100 $473K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 2,793 2,529 $473K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 6,167 5,805 $465K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 5,252 3,597 $445K
45380 Colonoscopy, flexible; with biopsy, single or multiple 758 680 $441K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 3,902 2,114 $413K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 2,081 1,847 $388K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 9,561 8,008 $373K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 21,828 13,582 $356K
76705 Ultrasound, abdominal, real time with image documentation; limited 3,805 3,411 $318K
97162 2,738 2,483 $289K
70551 Magnetic resonance imaging, brain; without contrast material 1,307 1,157 $285K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 16,733 4,969 $282K
0240U 4,207 3,947 $256K
97161 3,281 2,748 $245K
97530 Therapeutic activities, direct patient contact, each 15 minutes 8,319 3,362 $242K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 18,883 5,914 $224K
72141 1,152 1,035 $205K
71046 Radiologic examination, chest; 2 views 11,441 10,075 $203K
76642 2,025 1,671 $200K
93971 2,201 1,856 $191K
59025 Fetal non-stress test 972 730 $183K
80053 Comprehensive metabolic panel 46,235 35,750 $180K
J3490 Unclassified drugs 179,370 53,438 $173K
93976 1,684 1,477 $169K
93017 1,873 1,645 $157K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 4,813 3,063 $156K
20610 2,057 1,337 $154K
95810 Polysomnography; sleep staging with 4 or more additional parameters 278 253 $145K
73562 4,938 3,412 $137K
77067 Screening mammography, bilateral, including computer-aided detection 3,608 3,468 $135K
70496 538 487 $135K
80048 Basic metabolic panel (calcium, ionized) 41,224 31,354 $134K
47562 41 39 $130K
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 4,682 4,106 $127K
72100 4,471 3,983 $112K
73030 5,072 4,033 $111K
76830 Ultrasound, transvaginal 1,496 1,348 $109K
73110 4,006 3,116 $107K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,340 1,149 $97K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 5,188 4,746 $93K
73610 4,685 3,880 $93K
59050 445 273 $91K
76536 793 753 $88K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 29,256 22,082 $86K
73630 4,568 3,794 $86K
72125 Computed tomography, cervical spine; without contrast material 2,269 1,923 $85K
84443 Thyroid stimulating hormone (TSH) 14,156 12,441 $77K
77063 Screening digital breast tomosynthesis, bilateral 1,718 1,674 $77K
71250 1,203 1,028 $73K
73130 3,504 2,788 $73K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 2,198 1,848 $73K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 58,763 43,340 $70K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 31,605 24,779 $66K
74018 3,126 2,672 $66K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,552 1,302 $63K
12001 301 285 $62K
95806 292 276 $60K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 657 624 $60K
73221 373 342 $60K
85027 33,170 25,765 $59K
71045 Radiologic examination, chest; single view 22,613 18,477 $58K
73564 3,514 2,812 $57K
73502 3,142 2,517 $56K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 49 42 $55K
73140 1,989 1,658 $53K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 501 392 $49K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 691 626 $48K
76770 442 395 $47K
73080 2,105 1,691 $46K
94726 916 792 $45K
77066 Tomosynthesis, mammo 1,129 1,040 $44K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 89 84 $44K
93970 364 326 $43K
72050 1,204 1,085 $43K
93922 654 554 $40K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 2,226 812 $40K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 17,734 10,872 $37K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 5,587 5,281 $37K
83036 Hemoglobin; glycosylated (A1C) 8,202 7,465 $37K
80061 Lipid panel 8,267 7,539 $36K
83880 5,326 4,145 $36K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 513 444 $36K
97113 748 186 $36K
29125 346 311 $35K
97597 773 472 $34K
36415 Collection of venous blood by venipuncture 25,543 21,536 $32K
96415 139 105 $31K
97163 612 574 $31K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2,237 1,991 $30K
97165 497 406 $29K
97116 2,123 961 $28K
88305 Level IV - Surgical pathology, gross and microscopic examination 4,813 4,290 $28K
85379 7,145 6,313 $28K
64493 42 39 $28K
84484 26,463 15,241 $28K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 3,433 2,173 $27K
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 104 95 $27K
76700 Ultrasound, abdominal, real time with image documentation; complete 210 202 $26K
94010 761 660 $26K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 72 39 $26K
73590 1,491 1,150 $25K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 3,140 2,967 $24K
99281 Emergency department visit for the evaluation and management, self-limited or minor 145 133 $23K
87040 5,535 2,766 $23K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2,546 2,320 $22K
94729 1,139 979 $20K
90715 1,176 1,088 $20K
96375 Therapeutic injection; each additional sequential IV push 18,686 13,458 $20K
95816 78 74 $19K
71271 181 174 $19K
82607 2,898 2,562 $19K
97535 Self-care/home management training, each 15 minutes 686 532 $19K
73560 925 686 $18K
70486 507 460 $18K
84439 3,325 2,982 $18K
77002 531 425 $17K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 166 150 $17K
87086 Culture, bacterial; quantitative colony count, urine 15,078 12,555 $17K
82728 3,936 3,445 $17K
12011 81 76 $16K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 14 14 $16K
81001 37,114 30,506 $16K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 941 854 $15K
94060 561 425 $15K
80076 10,191 8,704 $14K
80047 3,637 3,054 $14K
73090 691 582 $13K
76870 149 137 $13K
86140 4,528 3,925 $12K
81025 16,938 14,442 $12K
10060 84 63 $12K
72072 547 494 $12K
86850 3,586 2,920 $11K
87631 465 437 $11K
70498 548 492 $11K
97802 158 150 $11K
11045 22 13 $11K
93880 129 110 $11K
87634 668 614 $11K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 938 891 $10K
72040 410 348 $10K
86901 5,410 4,106 $10K
82962 19,563 7,879 $10K
93296 1,363 1,061 $10K
77065 Tomosynthesis, mammo 261 225 $10K
H0035 Mental health partial hospitalization, treatment, less than 24 hours 93 13 $10K
84112 339 282 $9K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,544 2,318 $9K
85610 6,738 4,657 $9K
83516 844 442 $8K
62321 14 12 $8K
80143 1,916 1,672 $8K
83735 8,288 5,403 $8K
99234 264 230 $8K
86803 844 775 $8K
70491 72 64 $7K
J1756 Injection, iron sucrose, 1 mg 871 356 $7K
83550 3,139 2,798 $7K
94799 2,191 1,050 $7K
J3010 Injection, fentanyl citrate, 0.1 mg 12,650 9,789 $7K
82746 1,592 1,376 $7K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 20,121 15,503 $7K
83690 17,604 14,383 $6K
86235 481 223 $6K
88342 994 911 $6K
85652 4,563 3,897 $6K
83540 3,236 2,891 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,546 1,289 $6K
87077 6,110 4,737 $6K
87186 5,169 4,019 $6K
96367 153 110 $6K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 16 16 $5K
84702 2,975 2,376 $5K
87081 2,018 1,812 $5K
96376 7,947 4,601 $5K
85730 3,076 2,480 $5K
86900 5,405 4,105 $5K
12002 29 27 $5K
82784 731 522 $4K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 179 159 $4K
72120 141 124 $4K
83605 5,342 4,115 $4K
76801 159 152 $4K
82565 2,597 2,156 $4K
84153 512 453 $4K
80179 1,863 1,637 $4K
74019 143 135 $4K
J1644 Injection, heparin sodium, per 1000 units 5,644 2,546 $4K
J0897 Injection, denosumab, 1 mg 15 12 $4K
J2785 Injection, regadenoson, 0.1 mg 674 575 $4K
74178 12 12 $3K
82043 1,463 1,344 $3K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 1,479 1,269 $3K
90686 326 278 $3K
86618 275 250 $3K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 16 12 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg 13,761 11,664 $3K
84100 3,382 2,121 $3K
70320 1,041 1,006 $3K
86703 309 293 $3K
87210 1,998 1,811 $3K
85014 3,378 2,409 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg 21,457 16,826 $2K
81003 6,951 5,971 $2K
87070 2,365 1,868 $2K
71101 348 310 $2K
72070 188 146 $2K
86160 365 226 $2K
85018 1,903 1,168 $2K
A9575 Injection, gadoterate meglumine, 0.1 ml 2,735 2,106 $2K
88304 795 723 $2K
86431 523 487 $2K
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 6,612 5,483 $2K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 2,512 1,339 $2K
84703 4,071 3,616 $2K
86225 330 309 $2K
Q0243 Injection, casirivimab and imdevimab, 2400 mg 12 12 $2K
86038 262 249 $2K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 13 13 $2K
76819 Fetal biophysical profile; without non-stress testing 16 14 $2K
84550 868 651 $2K
94760 9,112 4,948 $1K
84481 263 245 $1K
82550 1,240 952 $1K
96523 41 36 $1K
87340 341 316 $1K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 285 274 $1K
76882 15 13 $1K
87449 460 384 $1K
77336 53 28 $1K
80050 General health panel 186 183 $1K
87522 Neg quan hep c or qual rna 56 53 $1K
74246 12 12 $1K
87427 356 318 $1K
J8540 Dexamethasone, oral, 0.25 mg 781 350 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg 6,349 3,935 $1K
83970 58 52 $1K
76775 16 12 $1K
87205 2,554 2,009 $1K
80164 168 135 $1K
72131 12 12 $1K
82077 4,194 3,483 $1K
J2550 Injection, promethazine hcl, up to 50 mg 2,419 1,748 $1K
G0008 Administration of influenza virus vaccine 219 184 $965.33
92610 13 12 $955.72
86200 206 185 $951.75
J1200 Injection, diphenhydramine hcl, up to 50 mg 3,541 2,727 $942.31
J1100 Injection, dexamethasone sodium phosphate, 1 mg 8,569 7,722 $941.99
73660 33 29 $904.20
J2060 Injection, lorazepam, 2 mg 2,334 1,730 $872.27
82570 304 255 $865.23
J2250 Injection, midazolam hydrochloride, per 1 mg 4,602 4,191 $857.70
J1170 Injection, hydromorphone, up to 4 mg 3,896 2,660 $836.21
J1040 Injection, methylprednisolone acetate, 80 mg 1,664 1,388 $829.19
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 354 257 $789.62
72170 69 53 $786.30
87045 378 335 $709.14
73552 82 51 $681.14
J2704 Injection, propofol, 10 mg 7,688 7,137 $645.82
87899 171 154 $642.62
82785 69 63 $641.30
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 443 260 $614.96
86039 109 99 $609.72
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 30 26 $609.13
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 389 228 $591.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,147 858 $583.92
J2270 Injection, morphine sulfate, up to 10 mg 6,414 4,652 $577.24
77080 27 24 $576.06
84145 527 447 $532.84
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 1,717 1,409 $527.00
A9585 Injection, gadobutrol, 0.1 ml 519 406 $510.86
J3535 Drug administered through a metered dose inhaler 365 321 $508.87
84403 41 37 $507.33
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 342 267 $431.40
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 215 206 $380.34
86147 35 15 $346.68
86705 68 65 $339.76
82805 618 473 $329.11
82247 42 26 $317.91
97803 13 13 $315.78
J2765 Injection, metoclopramide hcl, up to 10 mg 480 403 $313.79
J0690 Injection, cefazolin sodium, 500 mg 3,418 2,837 $305.14
82803 646 548 $285.71
73060 65 55 $278.02
83655 15 15 $260.33
86706 64 61 $258.23
80177 52 43 $253.31
86376 12 12 $251.75
77073 18 14 $236.28
J0171 Injection, adrenalin, epinephrine, 0.1 mg 279 180 $218.49
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,428 1,035 $218.22
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 1,354 1,204 $211.20
86146 28 12 $207.70
84156 134 104 $188.92
83615 295 238 $186.26
J7030 Infusion, normal saline solution , 1000 cc 1,791 1,212 $186.15
86003 26 13 $179.84
J0780 Injection, prochlorperazine, up to 10 mg 1,766 1,488 $173.76
87807 248 225 $161.22
85613 23 15 $152.74
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 803 708 $147.52
86704 27 25 $140.59
86256 20 13 $140.03
87046 218 182 $132.49
J1030 Injection, methylprednisolone acetate, 40 mg 508 441 $127.62
86780 13 12 $112.81
51702 21 12 $110.00
83721 38 36 $106.66
86308 69 63 $97.99
80178 13 13 $94.53
C1769 Guide wire 801 649 $74.96
74022 21 16 $73.08
86920 39 24 $72.25
82310 103 95 $63.39
82010 314 246 $51.75
84165 16 13 $49.83
82248 259 220 $46.87
85046 48 37 $40.45
J1650 Injection, enoxaparin sodium, 10 mg 550 281 $38.44
A9577 Injection, gadobenate dimeglumine (multihance), per ml 740 458 $36.80
J1815 Injection, insulin, per 5 units 287 184 $35.91
87493 35 28 $33.54
J2795 Injection, ropivacaine hydrochloride, 1 mg 830 732 $28.30
87185 74 54 $27.23
80320 27 24 $23.79
85045 32 25 $18.54
J7612 Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg 131 104 $10.68
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 179 152 $7.15
J1940 Injection, furosemide, up to 20 mg 228 133 $4.25
51798 138 90 $2.54
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 122 74 $1.84
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 28 24 $1.38
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 286 122 $0.96
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 413 213 $0.49
J3370 Injection, vancomycin hcl, 500 mg 233 92 $0.37
C1729 Catheter, drainage 158 131 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 29 26 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 565 464 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 293 276 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 322 282 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 122 86 $0.00
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 187 174 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 210 163 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 47 37 $0.00
A4618 Breathing circuits 152 148 $0.00
J7614 Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg 18 12 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 52 42 $0.00
J1171 Injection, hydromorphone, 0.1 mg 89 61 $0.00
A6254 Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing 12 12 $0.00
J1817 Insulin for administration through dme (i.e., insulin pump) per 50 units 283 124 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 276 218 $0.00
A4215 Needle, sterile, any size, each 13 13 $0.00
J8597 Antiemetic drug, oral, not otherwise specified 116 99 $0.00
J3360 Injection, diazepam, up to 5 mg 17 14 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 32 25 $0.00
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml 65 57 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 184 167 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 306 237 $0.00
C1755 Catheter, intraspinal 95 91 $0.00
82330 54 44 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 15 12 $0.00
82150 17 14 $0.00
A6222 Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 12 12 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 12 12 $0.00
88307 15 15 $0.00