Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NJ › NEPTUNE › HMH HOSPITALS CORPORATION

HMH HOSPITALS CORPORATION

NPI: 1790297547 · NEPTUNE, NJ 07753 · General Acute Care Hospital · NPI assigned 11/02/2017

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

Authorized official HAND, RICHARD controls 15+ related entities in our dataset. Read more

$128.23M
Total Medicaid Paid
1,935,584
Total Claims
1,450,618
Beneficiaries
519
Codes Billed
2018-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHAND, RICHARD (SVP FINANCE)
NPI Enumeration Date11/02/2017

Related Entities

Other providers sharing the same authorized official: HAND, RICHARD

ProviderCityStateTotal Paid
HMH HOSPITALS CORPORATION MANAHAWKIN NJ $34.80M
COMMUNITY HOSPITAL GROUP, INC EDISON NJ $954K
HACKENSACK MERIDIAN URGENT CARE PLUS PC HOBOKEN NJ $948K
HMH CARRIER BEHAVIORAL HEALTH INC BELLE MEAD NJ $669K
COMMUNITY HOSPITAL GROUP, INC EDISON NJ $453K
HACKENSACK MERIDIAN AMBULATORY CARE, INC. HOLMDEL NJ $170K
MERIDIAN CARDIOVASCULAR INTERPRETIVE SERVICES PC NEPTUNE NJ $145K
HACKENSACK MERIDIAN AMBULATORY CARE, INC. EATONTOWN NJ $382.20
HACKENSACK MERIDIAN AMBULATORY CARE, INC. HOLMDEL NJ $276.57
HACKENSACK MERIDIAN AMBULATORY CARE, INC. HACKENSACK NJ $76.92
HACKENSACK MERIDIAN AMBULATORY CARE, INC. SHREWSBURY NJ $39.35
HACKENSACK MERIDIAN AMBULATORY CARE, INC. NORTH BERGEN NJ $31.11
HACKENSACK MERIDIAN AMBULATORY CARE, INC. RED BANK NJ $25.96
HACKENSACK MERIDIAN AMBULATORY CARE, INC. OCEAN GROVE NJ $0.00
HACKENSACK MERIDIAN AMBULATORY CARE, INC. BRICK NJ $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 92,786 $7.71M
2019 237,909 $20.77M
2020 207,402 $14.80M
2021 291,538 $19.37M
2022 362,058 $21.01M
2023 405,211 $23.02M
2024 338,680 $21.55M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0378 Hospital observation service, per hour 15,233 13,297 $16.71M
99284 Emergency department visit for the evaluation and management, high severity 46,123 41,346 $16.60M
99283 Emergency department visit for the evaluation and management, moderate severity 52,151 46,370 $15.69M
99282 Emergency department visit for the evaluation and management, low to moderate severity 23,475 20,083 $4.45M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 4,820 2,974 $4.07M
S9480 Intensive outpatient psychiatric services, per diem 4,979 4,252 $4.07M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 16,262 14,778 $3.91M
41899 Unlisted procedure, dentoalveolar structures 3,979 3,884 $3.51M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 47,806 12,465 $3.41M
H0035 Mental health partial hospitalization, treatment, less than 24 hours 10,376 1,252 $2.97M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,330 10,769 $2.07M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,173 2,066 $1.88M
OP370 16,995 14,587 $1.76M
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 3,402 1,492 $1.68M
OP710 16,728 14,930 $1.66M
90832 Psychotherapy, 30 minutes with patient 15,993 7,361 $1.57M
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 1,253 1,155 $1.54M
96375 Therapeutic injection; each additional sequential IV push 16,169 13,003 $1.44M
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 23,731 6,162 $1.29M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 13,539 4,861 $1.19M
G0330 Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room 526 484 $1.14M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,071 3,784 $985K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 10,716 9,224 $969K
74177 Computed tomography, abdomen and pelvis; with contrast material 7,540 7,068 $860K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 34,401 28,916 $860K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1,703 1,638 $828K
OP278 1,057 927 $822K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,011 959 $815K
76819 Fetal biophysical profile; without non-stress testing 9,110 6,179 $795K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 605 515 $770K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 11,126 9,787 $756K
95816 1,436 1,399 $744K
99281 Emergency department visit for the evaluation and management, self-limited or minor 5,096 4,640 $702K
42820 Tonsillectomy and adenoidectomy; younger than age 12 402 396 $688K
96415 1,463 1,037 $667K
70450 Computed tomography, head or brain; without contrast material 11,451 10,516 $606K
80053 Comprehensive metabolic panel 88,680 64,147 $587K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 18,752 16,728 $571K
96361 Intravenous infusion, hydration; each additional hour 11,788 10,458 $563K
70551 Magnetic resonance imaging, brain; without contrast material 1,616 1,553 $563K
36430 931 582 $517K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 8,385 7,301 $505K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 2,179 2,120 $505K
92587 2,070 2,006 $490K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,545 3,309 $471K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 14,761 10,640 $461K
95810 Polysomnography; sleep staging with 4 or more additional parameters 208 202 $433K
90853 Group psychotherapy (other than of a multiple-family group) 14,252 4,648 $429K
95819 660 639 $418K
S9484 Crisis intervention mental health services, per hour 540 513 $405K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 97,626 70,267 $399K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 11,083 7,967 $378K
93976 2,834 2,692 $352K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 5,286 4,775 $335K
36591 2,275 1,138 $325K
71046 Radiologic examination, chest; 2 views 22,140 20,425 $321K
92567 2,719 2,584 $320K
OP250 131,973 63,496 $313K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 4,029 3,223 $305K
0202U Oncology (prostate), multianalyte, gene expression profiling 6,651 6,382 $304K
92557 880 848 $275K
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 4,241 4,046 $268K
96367 1,922 1,440 $265K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 8,531 5,875 $261K
OP272 20,279 18,489 $261K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2,570 2,463 $240K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,537 2,317 $237K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 5,339 3,902 $227K
59025 Fetal non-stress test 934 720 $227K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 4,283 1,674 $220K
99215 Prolong outpt/office vis 923 813 $215K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 12,642 10,031 $213K
90791 Psychiatric diagnostic evaluation 5,157 4,333 $212K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 9,561 8,890 $211K
71275 Computed tomographic angiography, chest, with contrast material 2,427 2,291 $208K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,598 1,444 $206K
72125 Computed tomography, cervical spine; without contrast material 3,793 3,524 $203K
97161 3,745 3,519 $198K
97530 Therapeutic activities, direct patient contact, each 15 minutes 3,450 1,703 $195K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,734 2,586 $192K
93017 681 633 $190K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,581 2,170 $188K
H0046 Mental health services, not otherwise specified 3,791 2,939 $186K
OP259 15,498 10,912 $182K
76705 Ultrasound, abdominal, real time with image documentation; limited 5,395 5,043 $178K
92579 661 614 $170K
93458 109 108 $165K
93970 1,207 1,136 $164K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 361 331 $161K
76813 1,765 1,724 $160K
97010 18,887 5,169 $155K
90870 617 164 $152K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,664 1,551 $151K
36415 Collection of venous blood by venipuncture 79,813 62,487 $137K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 512 476 $132K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 874 820 $120K
92526 1,655 751 $118K
OP379 3,083 3,074 $116K
70486 1,229 1,152 $114K
95782 26 26 $113K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 7,851 6,249 $111K
76801 1,796 1,651 $109K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 16,606 13,936 $104K
76770 1,550 1,483 $103K
76820 1,765 904 $100K
84484 21,543 15,377 $98K
93971 2,067 1,948 $96K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 403 372 $88K
71045 Radiologic examination, chest; single view 6,052 5,540 $87K
96376 4,394 3,380 $85K
45380 Colonoscopy, flexible; with biopsy, single or multiple 155 141 $85K
76821 1,194 594 $82K
76830 Ultrasound, transvaginal 1,504 1,457 $79K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 554 516 $75K
90460 Immunization administration through 18 years of age via any route, first or only component 4,323 4,005 $73K
84443 Thyroid stimulating hormone (TSH) 9,101 8,170 $72K
J1745 Injection, infliximab, excludes biosimilar, 10 mg 29 24 $71K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 11,632 10,456 $71K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,879 1,815 $71K
71250 930 876 $70K
96417 207 131 $70K
97165 1,248 1,184 $66K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 9,372 8,133 $64K
97162 1,025 936 $58K
80048 Basic metabolic panel (calcium, ionized) 9,833 7,973 $56K
94762 351 342 $55K
80061 Lipid panel 6,240 5,766 $53K
97116 2,603 1,574 $52K
86885 8,914 7,794 $51K
J3490 Unclassified drugs 6,878 5,342 $51K
76536 836 802 $50K
G0379 Direct admission of patient for hospital observation care 418 405 $50K
99381 413 392 $48K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 256 242 $48K
92523 297 294 $48K
OP258 55,311 36,922 $47K
83735 18,292 11,318 $47K
42830 37 37 $47K
88305 Level IV - Surgical pathology, gross and microscopic examination 3,598 3,358 $47K
90792 Psychiatric diagnostic evaluation with medical services 2,591 2,035 $45K
93975 512 504 $45K
OP270 9,630 8,861 $44K
69421 38 35 $43K
81003 20,155 18,506 $43K
C1769 Guide wire 2,076 1,579 $42K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 3,611 3,438 $42K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 3,612 3,439 $42K
0002A 1,302 1,300 $42K
90715 2,255 2,116 $41K
90834 Psychotherapy, 45 minutes with patient 1,141 522 $39K
85610 11,961 9,653 $38K
C9290 Injection, bupivacaine liposome, 1 mg 718 606 $38K
0001A 1,305 1,299 $38K
74018 3,742 3,504 $37K
77336 270 129 $37K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2,059 1,875 $36K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 913 902 $35K
82962 14,249 9,068 $33K
73030 1,995 1,882 $32K
93041 381 363 $32K
83036 Hemoglobin; glycosylated (A1C) 6,559 5,999 $32K
P9040 Red blood cells, leukocytes reduced, irradiated, each unit 55 38 $31K
97535 Self-care/home management training, each 15 minutes 790 572 $31K
J2704 Injection, propofol, 10 mg 14,363 12,019 $31K
83690 13,719 12,214 $31K
76700 Ultrasound, abdominal, real time with image documentation; complete 501 485 $31K
83880 4,910 4,078 $30K
86901 11,008 9,249 $30K
73630 2,361 2,196 $30K
86900 10,669 9,053 $30K
85730 8,160 7,176 $29K
73610 2,384 2,152 $29K
70498 372 339 $28K
OP279 4,102 3,902 $28K
87040 3,297 2,785 $28K
92610 107 105 $28K
82077 6,479 5,436 $28K
58558 25 24 $27K
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 1,541 1,374 $27K
OP682 114 113 $27K
87086 Culture, bacterial; quantitative colony count, urine 10,757 9,918 $26K
81001 16,710 15,168 $26K
72131 504 467 $25K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,547 3,246 $25K
81025 12,351 11,303 $25K
J1170 Injection, hydromorphone, up to 4 mg 5,156 3,598 $23K
87070 7,035 6,612 $23K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 449 405 $23K
84100 11,868 7,395 $23K
OP229 463 415 $23K
84439 3,883 3,512 $23K
70496 303 273 $23K
90670 806 695 $23K
J1644 Injection, heparin sodium, per 1000 units 7,969 3,642 $23K
72141 101 95 $22K
84145 2,694 2,379 $22K
J2405 Injection, ondansetron hydrochloride, per 1 mg 21,228 17,428 $22K
82728 3,045 2,478 $22K
85027 6,547 5,254 $21K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 1,551 1,300 $21K
73562 1,766 1,658 $20K
73130 1,771 1,676 $20K
J3010 Injection, fentanyl citrate, 0.1 mg 13,173 12,054 $19K
72110 812 777 $19K
90677 589 557 $19K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 15,340 12,979 $19K
86923 1,469 1,105 $19K
83605 3,859 3,254 $18K
84703 8,639 7,807 $18K
73110 1,294 1,211 $17K
83789 3,456 2,985 $17K
J1439 Injection, ferric carboxymaltose, 1 mg 19 12 $17K
99153 Mod sedat endo service >5yrs 1,258 1,145 $17K
J2250 Injection, midazolam hydrochloride, per 1 mg 8,715 7,748 $16K
82607 2,496 2,268 $16K
J1756 Injection, iron sucrose, 1 mg 155 83 $16K
C1889 Implantable/insertable device, not otherwise classified 33 26 $16K
J1885 Injection, ketorolac tromethamine, per 15 mg 15,248 12,342 $16K
84702 3,451 2,979 $16K
73590 1,155 1,060 $16K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 72 70 $15K
88304 1,569 1,480 $15K
86140 8,863 7,464 $15K
77072 368 357 $14K
G0390 Trauma response team associated with hospital critical care service 86 79 $14K
90686 2,340 2,105 $14K
87088 2,860 2,772 $14K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 13 13 $13K
82803 1,863 1,597 $13K
54640 14 13 $13K
76870 514 485 $13K
97022 538 163 $12K
92550 85 77 $12K
83550 2,827 2,355 $12K
87186 2,835 2,532 $12K
0004A 351 336 $12K
76818 245 214 $11K
96401 33 26 $11K
J0185 Injection, aprepitant, 1 mg 36 26 $11K
73502 991 938 $11K
95716 20 13 $11K
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 13 13 $10K
92611 36 36 $10K
74174 103 92 $10K
92588 31 27 $10K
73564 618 568 $10K
87077 3,071 2,616 $10K
85379 3,151 2,888 $9K
82550 2,917 2,445 $9K
95700 35 29 $9K
82746 1,626 1,476 $9K
J1200 Injection, diphenhydramine hcl, up to 50 mg 3,951 2,894 $9K
54830 12 12 $9K
80143 1,815 1,590 $8K
G0008 Administration of influenza virus vaccine 479 469 $8K
85651 4,361 3,890 $8K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,365 3,307 $8K
85045 2,468 1,998 $8K
99152 1,359 1,257 $8K
P9016 Red blood cells, leukocytes reduced, each unit 46 38 $8K
80179 1,743 1,529 $8K
G0451 Development testing, with interpretation and report, per standardized instrument form 311 308 $8K
83540 2,624 2,127 $8K
J2270 Injection, morphine sulfate, up to 10 mg 5,333 4,078 $8K
88307 355 312 $8K
J0696 Injection, ceftriaxone sodium, per 250 mg 2,583 2,024 $7K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 35 35 $7K
C1760 Closure device, vascular (implantable/insertable) 282 235 $7K
J2785 Injection, regadenoson, 0.1 mg 65 53 $7K
76000 424 408 $7K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 630 562 $7K
J2060 Injection, lorazepam, 2 mg 2,887 2,059 $7K
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 95 79 $7K
J1815 Injection, insulin, per 5 units 1,047 433 $7K
80164 834 733 $6K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 154 144 $6K
J7050 Infusion, normal saline solution, 250 cc 539 318 $6K
82570 2,291 1,971 $6K
88313 1,266 1,189 $6K
88342 653 589 $6K
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 2,806 1,918 $6K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,344 1,156 $6K
76825 13 13 $6K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 939 920 $6K
70491 86 80 $6K
A9585 Injection, gadobutrol, 0.1 ml 660 647 $6K
90651 98 92 $6K
94770 38 38 $6K
83615 3,360 2,068 $5K
73080 474 446 $5K
82784 650 450 $5K
87581 910 899 $5K
87486 910 899 $5K
96523 44 37 $5K
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 1,521 1,357 $5K
73090 442 401 $5K
96127 896 855 $5K
82248 1,173 730 $5K
76775 129 127 $5K
95800 17 15 $5K
J0330 Injection, succinylcholine chloride, up to 20 mg 2,677 1,294 $5K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 14 12 $4K
72100 303 295 $4K
97166 41 41 $4K
74019 392 385 $4K
L8699 Prosthetic implant, not otherwise specified 263 248 $4K
72170 285 273 $4K
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg 1,943 1,477 $4K
J0690 Injection, cefazolin sodium, 500 mg 4,243 2,965 $4K
84550 2,892 1,728 $4K
86480 95 89 $4K
12001 124 118 $4K
0064A 121 118 $4K
29580 34 13 $4K
90734 74 64 $4K
J3480 Injection, potassium chloride, per 2 meq 1,773 1,079 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,310 1,259 $3K
88312 1,083 1,038 $3K
74022 294 287 $3K
C1887 Catheter, guiding (may include infusion/perfusion capability) 700 614 $3K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 707 412 $3K
A9575 Injection, gadoterate meglumine, 0.1 ml 1,479 1,318 $3K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 3,027 1,887 $3K
87999 1,254 1,229 $3K
90688 221 219 $3K
84156 1,616 1,324 $3K
80320 451 398 $3K
0071A 73 73 $3K
88300 1,354 1,327 $3K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 791 753 $3K
0072A 64 63 $3K
84480 224 212 $3K
73552 230 200 $3K
93880 39 37 $3K
76604 129 121 $3K
Q9957 Injection, perflutren lipid microspheres, per ml 47 36 $3K
80047 2,003 1,817 $3K
0012A 94 94 $3K
87205 696 630 $3K
82010 1,010 882 $3K
73140 289 277 $3K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 62 58 $2K
97018 51 13 $2K
J3370 Injection, vancomycin hcl, 500 mg 481 287 $2K
0011A 86 84 $2K
90723 645 601 $2K
M0239 Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring 19 19 $2K
90681 801 709 $2K
J7042 5% dextrose/normal saline (500 ml = 1 unit) 2,037 1,475 $2K
J3475 Injection, magnesium sulfate, per 500 mg 1,509 1,047 $2K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 30 12 $2K
J1650 Injection, enoxaparin sodium, 10 mg 2,364 1,171 $2K
74230 36 36 $2K
97035 33 12 $2K
99442 36 36 $2K
90656 316 291 $2K
82247 472 292 $2K
82378 135 119 $2K
86780 117 114 $2K
29125 77 77 $2K
85055 59 24 $1K
C9113 Injection, pantoprazole sodium, per vial 2,104 1,445 $1K
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 1,131 457 $1K
94760 35 32 $1K
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 588 447 $1K
D1110 Prophylaxis - adult 139 139 $1K
73700 40 37 $1K
86308 471 446 $1K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 45 45 $1K
J1630 Injection, haloperidol, up to 5 mg 1,162 842 $1K
80074 85 84 $1K
90847 Family psychotherapy with the patient present, 50 minutes 33 13 $1K
J2765 Injection, metoclopramide hcl, up to 10 mg 2,112 1,795 $1K
M0222 Intravenous injection, bebtelovimab, includes injection and post administration monitoring 16 16 $1K
10060 46 42 $1K
12002 41 39 $1K
82043 429 393 $1K
87641 253 220 $1K
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 1,367 885 $1K
J3360 Injection, diazepam, up to 5 mg 331 226 $1K
76998 18 12 $1K
90472 Immunization administration, each additional vaccine (list separately) 82 82 $1K
87420 580 575 $1K
86618 203 184 $985.70
D0120 Periodic oral evaluation - established patient 110 110 $983.50
86592 509 442 $973.70
88173 27 27 $930.26
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 21 21 $927.72
J0360 Injection, hydralazine hcl, up to 20 mg 602 406 $910.38
76857 12 12 $892.31
86803 135 112 $884.07
88341 27 25 $882.93
86850 177 166 $873.24
76001 42 41 $871.16
85014 2,094 1,862 $855.15
87640 259 228 $840.30
73560 87 81 $830.74
85378 191 186 $818.18
87147 631 605 $798.15
97164 12 12 $789.02
J3411 Injection, thiamine hcl, 100 mg 165 98 $777.92
80076 216 201 $747.52
0124A 28 27 $741.86
83520 48 39 $725.60
84132 272 229 $690.04
82977 904 366 $685.47
87340 197 172 $683.86
82150 333 314 $678.85
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 40 37 $671.18
Q3014 Telehealth originating site facility fee 55 49 $627.36
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 605 410 $602.91
J1940 Injection, furosemide, up to 20 mg 149 87 $597.31
Q9953 Injection, iron-based magnetic resonance contrast agent, per ml 25 25 $596.07
86617 71 71 $585.94
84560 268 247 $577.98
J2919 Injection, methylprednisolone sodium succinate, 5 mg 299 239 $566.88
86141 398 356 $542.52
82140 179 122 $541.53
96040 13 13 $539.82
J3371 Injection, vancomycin hcl (mylan), not therapeutically equivalent to j3370, 500 mg 72 52 $513.83
0031A 16 16 $510.64
86038 82 62 $507.72
84481 44 42 $507.59
86870 17 12 $496.41
80177 69 63 $492.62
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 762 684 $488.27
J2469 Injection, palonosetron hcl, 25 mcg 46 25 $478.09
97799 58 40 $454.74
90716 76 61 $453.00
J0500 Injection, dicyclomine hcl, up to 20 mg 57 38 $437.66
90697 569 543 $430.81
12011 24 24 $428.68
J0171 Injection, adrenalin, epinephrine, 0.1 mg 178 154 $418.31
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 458 343 $416.77
J0137 Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg 397 314 $413.63
84153 62 52 $406.37
J2790 Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) 14 13 $398.27
J7030 Infusion, normal saline solution , 1000 cc 616 436 $383.71
84146 14 12 $365.89
90647 331 271 $354.59
72040 27 24 $330.49
J1920 Injection, labetalol hydrochloride, 5 mg 349 186 $294.67
90707 115 92 $292.69
J2370 Injection, phenylephrine hcl, up to 1 ml 446 355 $272.12
J1596 Injection, glycopyrrolate, 0.1 mg 534 462 $261.01
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 44 42 $254.60
87899 101 94 $249.81
86706 69 55 $241.99
82565 678 627 $237.23
73060 28 26 $234.89
88112 21 14 $230.14
83970 25 19 $217.66
88172 12 12 $209.64
J0780 Injection, prochlorperazine, up to 10 mg 114 92 $207.92
86704 54 42 $181.14
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg 144 90 $177.40
85384 118 50 $177.23
OP637 19,885 2,730 $176.19
87076 28 28 $160.60
82533 16 13 $160.16
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) 14 13 $156.98
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 66 39 $151.42
87390 12 12 $148.14
J1953 Injection, levetiracetam, 10 mg 64 46 $141.52
86665 33 27 $139.77
84436 27 27 $137.82
86769 16 12 $131.05
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 403 304 $122.49
80069 18 14 $119.82
90633 479 402 $118.59
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 78 40 $111.38
C1770 Imaging coil, magnetic resonance (insertable) 14 12 $107.91
J2310 Injection, naloxone hydrochloride, per 1 mg 28 16 $97.82
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 69 57 $96.89
90671 115 104 $96.00
87015 97 89 $90.48
J1171 Injection, hydromorphone, 0.1 mg 158 92 $76.86
J2470 Injection, pantoprazole sodium, 40 mg 226 147 $75.16
86431 15 12 $64.81
86364 15 12 $64.23
84165 13 12 $52.06
86664 15 12 $50.10
82270 13 13 $49.32
99151 12 12 $48.98
J0290 Injection, ampicillin sodium, 500 mg 39 14 $48.71
73070 23 12 $43.91
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 27 14 $38.54
87045 40 38 $36.00
87536 14 14 $35.60
J0737 Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg 16 12 $34.91
J2003 Injection, lidocaine hydrochloride, 1 mg 36 26 $34.27
D1206 Topical application of fluoride varnish 26 24 $33.00
J3590 Unclassified biologics 203 197 $31.50
J7510 Prednisolone oral, per 5 mg 169 153 $29.32
84300 13 12 $28.80
J2550 Injection, promethazine hcl, up to 50 mg 118 114 $26.58
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 85 81 $23.86
J8540 Dexamethasone, oral, 0.25 mg 56 46 $15.98
90380 32 32 $15.57
Q0239 Injection, bamlanivimab-xxxx, 700 mg 17 17 $14.00
90381 28 27 $12.47
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 160 114 $10.63
84155 15 13 $9.04
91300 2,484 2,204 $9.01
90700 36 30 $3.00
J3372 Injection, vancomycin hcl (xellia), not therapeutically equivalent to j3370, 500 mg 22 16 $1.31
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 109 105 $1.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 99 96 $1.00
Q0244 Injection, casirivimab and imdevimab, 1200 mg 47 44 $0.00
Q0245 Injection, bamlanivimab and etesevimab, 2100 mg 23 19 $0.00
91312 28 27 $0.00
91301 192 190 $0.00
91306 110 106 $0.00
87507 12 12 $0.00
86361 16 12 $0.00
91307 119 104 $0.00
Q0222 Injection, bebtelovimab, 175 mg 18 18 $0.00
J0687 Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg 69 44 $0.00
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml 12 12 $0.00