Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › ME › BANGOR › EASTERN MAINE MEDICAL CENTER

EASTERN MAINE MEDICAL CENTER

NPI: 1790789147 · BANGOR, ME 04401 · General Acute Care Hospital · NPI assigned 06/13/2005

$159.20M
Total Medicaid Paid
3,344,045
Total Claims
2,750,199
Beneficiaries
888
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialEDELMAN, MARC (SR. VP OF OPERATIONS)
NPI Enumeration Date06/13/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 442,841 $18.01M
2019 480,596 $20.89M
2020 437,826 $20.58M
2021 555,126 $26.43M
2022 517,724 $24.87M
2023 490,926 $25.18M
2024 419,006 $23.25M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 519,824 405,719 $34.16M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 48,841 44,988 $16.39M
J9271 Injection, pembrolizumab, 1 mg 1,733 1,169 $7.29M
99284 Emergency department visit for the evaluation and management, high severity 40,663 38,721 $5.15M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 113,315 106,133 $4.08M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 32,610 31,729 $2.96M
J9299 Injection, nivolumab, 1 mg 722 448 $2.86M
D7140 Extraction, erupted tooth or exposed root 1,118 921 $2.55M
J0585 Injection, onabotulinumtoxina, 1 unit 4,315 3,092 $2.43M
99283 Emergency department visit for the evaluation and management, moderate severity 18,997 17,868 $2.37M
77386 10,910 930 $2.36M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 18,912 9,946 $2.25M
76819 Fetal biophysical profile; without non-stress testing 38,507 23,343 $2.02M
J2505 Injection, pegfilgrastim, 6 mg 1,030 686 $1.95M
78815 Positron emission tomography (PET) for limited area imaging 3,491 3,360 $1.78M
J1745 Injection, infliximab, excludes biosimilar, 10 mg 1,043 950 $1.78M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 60,960 56,439 $1.73M
Q5104 Injection, infliximab-abda, biosimilar, (renflexis), 10 mg 873 749 $1.65M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 5,415 5,157 $1.54M
90791 Psychiatric diagnostic evaluation 29,128 17,779 $1.51M
99215 Prolong outpt/office vis 25,149 23,862 $1.50M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 16,656 13,993 $1.48M
45380 Colonoscopy, flexible; with biopsy, single or multiple 3,085 2,968 $1.45M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 7,020 6,764 $1.42M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 15,768 11,129 $1.26M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 10,359 5,329 $1.16M
99233 Prolong inpt eval add15 m 31,714 12,657 $1.15M
95810 Polysomnography; sleep staging with 4 or more additional parameters 2,312 2,278 $1.10M
99232 Subsequent hospital care, per day, moderate complexity 42,738 16,423 $1.02M
D0150 Comprehensive oral evaluation - new or established patient 1,264 1,157 $971K
74177 Computed tomography, abdomen and pelvis; with contrast material 9,244 8,872 $931K
90832 Psychotherapy, 30 minutes with patient 15,486 11,297 $923K
77412 10,791 1,111 $911K
J0178 Injection, aflibercept, 1 mg 1,074 1,017 $880K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 3,116 3,012 $784K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 3,666 3,555 $781K
77334 2,477 1,787 $731K
D2930 Prefabricated stainless steel crown - primary tooth 826 802 $728K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12,263 11,986 $721K
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 15,837 14,624 $720K
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 3,708 3,538 $661K
71260 Computed tomography, thorax, diagnostic; with contrast material 5,473 5,292 $656K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 4,948 4,840 $633K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 10,741 10,063 $630K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 9,495 9,268 $618K
71046 Radiologic examination, chest; 2 views 16,917 15,977 $613K
J9312 Injection, rituximab, 10 mg 204 116 $593K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 17,376 16,708 $562K
90792 Psychiatric diagnostic evaluation with medical services 8,507 5,336 $560K
67028 Intravitreal injection of a pharmacologic agent 8,275 7,303 $534K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 22,210 8,390 $508K
70450 Computed tomography, head or brain; without contrast material 7,351 6,839 $506K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 617 570 $482K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 21,529 13,523 $475K
G0008 Administration of influenza virus vaccine 18,442 18,122 $443K
70551 Magnetic resonance imaging, brain; without contrast material 3,311 3,213 $432K
97530 Therapeutic activities, direct patient contact, each 15 minutes 9,089 5,390 $431K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7,201 6,999 $429K
95911 2,858 2,788 $415K
96375 Therapeutic injection; each additional sequential IV push 16,157 12,153 $412K
J0897 Injection, denosumab, 1 mg 815 648 $406K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 4,915 3,580 $382K
77300 2,130 1,805 $367K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4,472 4,292 $358K
76705 Ultrasound, abdominal, real time with image documentation; limited 5,039 4,843 $357K
J1459 Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg 176 82 $356K
95708 1,116 505 $350K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 21,415 18,939 $349K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1,132 1,084 $341K
96367 9,761 5,634 $335K
96361 Intravenous infusion, hydration; each additional hour 12,033 8,146 $319K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 8,033 7,187 $317K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 8,326 8,045 $316K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 73,558 65,692 $312K
52000 1,831 1,749 $306K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 8,048 7,151 $302K
99223 Prolong inpt eval add15 m 4,402 4,268 $298K
77336 6,419 2,710 $297K
G0379 Direct admission of patient for hospital observation care 250 243 $291K
20610 2,850 2,520 $287K
99205 Prolong outpt/office vis 2,735 2,684 $284K
43235 862 821 $283K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 27,523 18,743 $282K
95811 716 704 $281K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 2,130 2,045 $278K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 2,720 2,666 $277K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 7,481 3,615 $270K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4,246 4,146 $266K
95886 12,158 11,877 $263K
76830 Ultrasound, transvaginal 3,536 3,417 $261K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 4,254 3,966 $247K
96116 1,505 1,489 $244K
J1453 Injection, fosaprepitant, 1 mg 2,377 1,340 $240K
64642 1,472 1,435 $240K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 3,677 3,618 $233K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 4,809 4,712 $231K
74183 1,752 1,694 $224K
95819 1,354 1,320 $223K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 3,331 3,264 $222K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 5,606 3,273 $222K
77067 Screening mammography, bilateral, including computer-aided detection 4,371 4,306 $215K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,536 2,433 $211K
95909 2,324 2,278 $209K
J1439 Injection, ferric carboxymaltose, 1 mg 652 541 $207K
92587 1,021 1,000 $206K
J9305 Injection, pemetrexed, not otherwise specified, 10 mg 86 52 $203K
93454 230 221 $202K
72141 1,591 1,550 $202K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,690 4,554 $201K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 3,772 3,420 $199K
96416 1,517 794 $196K
77301 419 392 $193K
J1950 Injection, leuprolide acetate (for depot suspension), per 3.75 mg 159 140 $186K
96158 3,993 2,989 $184K
71250 3,516 3,427 $184K
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 2,946 2,853 $180K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 8,329 3,475 $175K
95812 1,050 1,027 $174K
90834 Psychotherapy, 45 minutes with patient 3,018 2,291 $171K
71275 Computed tomographic angiography, chest, with contrast material 2,020 1,961 $171K
90837 Psychotherapy, 53 minutes with patient 2,333 1,603 $165K
93971 3,400 3,207 $161K
93924 2,479 2,401 $161K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 4,986 4,789 $159K
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) 834 617 $157K
J0185 Injection, aprepitant, 1 mg 1,219 720 $156K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 6,707 6,299 $155K
76770 2,554 2,503 $153K
96415 4,499 2,899 $149K
72197 450 436 $147K
95910 1,777 1,728 $142K
96132 1,158 1,138 $142K
31575 1,905 1,818 $141K
93296 11,754 11,570 $141K
73221 1,188 1,156 $139K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 405 388 $138K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 12,316 11,255 $137K
0002A 5,840 5,655 $137K
90473 3,106 3,075 $136K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 4,676 3,068 $136K
J2469 Injection, palonosetron hcl, 25 mcg 7,081 3,846 $133K
36561 126 121 $132K
96130 3,225 3,179 $130K
96417 4,682 2,696 $129K
93970 1,432 1,368 $128K
0001A 6,093 5,950 $125K
97803 5,693 5,350 $123K
92557 2,140 2,069 $123K
J9217 Leuprolide acetate (for depot suspension), 7.5 mg 668 613 $120K
76801 1,542 1,455 $119K
J0475 Injection, baclofen, 10 mg 727 689 $115K
71045 Radiologic examination, chest; single view 5,104 4,487 $115K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 10,395 10,099 $115K
93880 2,159 2,085 $115K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 10,405 10,108 $114K
G0260 Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography 460 383 $114K
77338 967 821 $114K
97161 2,730 2,655 $112K
77295 248 224 $111K
42820 Tonsillectomy and adenoidectomy; younger than age 12 27 26 $108K
90686 12,567 12,338 $108K
00170 Anesthesia for intraoral procedures, including biopsy 1,023 992 $107K
Q5118 Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg 58 38 $106K
58661 29 26 $104K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 113 109 $98K
94010 4,073 3,909 $94K
J2997 Injection, alteplase recombinant, 1 mg 883 658 $91K
93923 2,709 2,604 $91K
J2777 Injection, faricimab-svoa, 0.1 mg 166 82 $89K
64615 880 851 $88K
77290 721 605 $88K
99239 Hospital discharge day management, more than 30 minutes 2,133 2,061 $87K
43249 156 149 $85K
51705 1,320 1,094 $83K
94726 1,344 1,308 $82K
76536 1,456 1,419 $81K
J2506 Injection, pegfilgrastim, excludes biosimilar, 0.5 mg 76 54 $81K
77066 Tomosynthesis, mammo 1,172 1,141 $79K
76642 2,383 2,228 $78K
99220 1,016 983 $77K
96101 763 755 $77K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 98 97 $74K
95700 590 583 $74K
62369 1,068 1,004 $74K
Q3014 Telehealth originating site facility fee 5,753 5,174 $74K
97162 2,226 2,151 $73K
93225 1,856 1,808 $72K
77063 Screening digital breast tomosynthesis, bilateral 2,933 2,888 $70K
95953 263 125 $70K
J0881 Injection, darbepoetin alfa, 1 microgram (non-esrd use) 654 430 $69K
96411 2,084 1,290 $69K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 48,130 43,628 $67K
93017 3,702 3,551 $67K
72100 3,299 3,216 $66K
93798 1,430 261 $66K
90677 1,431 1,403 $66K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 2,387 2,114 $65K
D2929 71 71 $65K
96131 3,173 3,126 $63K
97163 2,340 2,244 $63K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 14,423 13,204 $62K
84443 Thyroid stimulating hormone (TSH) 19,578 18,086 $61K
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 1,525 1,483 $61K
92523 514 504 $59K
80053 Comprehensive metabolic panel 97,512 76,151 $59K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 8,309 8,079 $58K
64493 130 119 $58K
70491 441 428 $58K
99222 Initial hospital care, per day, moderate complexity 1,118 1,080 $54K
96152 649 481 $53K
99495 999 978 $53K
36593 431 318 $52K
93295 3,265 3,222 $52K
59025 Fetal non-stress test 421 344 $52K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 6,396 6,079 $51K
93312 482 462 $51K
52310 73 66 $51K
77080 1,218 1,189 $50K
72158 422 402 $49K
73564 4,966 4,111 $49K
96110 Developmental screening, with scoring and documentation, per standardized instrument 6,064 5,729 $49K
77065 Tomosynthesis, mammo 1,070 1,027 $48K
86900 4,773 4,041 $48K
93320 7,886 7,607 $48K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 105,873 78,969 $47K
74018 2,760 2,566 $46K
Q5122 Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg 14 12 $46K
92134 10,734 10,261 $46K
C8930 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; including performance of continuous electrocardiographic monitoring, with physician supervision 152 144 $45K
36430 275 160 $45K
80061 Lipid panel 6,453 6,244 $45K
96118 337 333 $44K
80055 1,814 1,770 $44K
97802 1,476 1,447 $43K
90732 730 712 $41K
J2778 Injection, ranibizumab, 0.1 mg 210 166 $40K
94060 299 294 $38K
99238 Hospital discharge day management, 30 minutes or less 940 917 $37K
99406 2,598 2,500 $37K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 454 444 $37K
D1120 Prophylaxis - child 1,001 978 $37K
Q5108 Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg 38 28 $36K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 1,511 1,473 $34K
97167 1,242 1,192 $34K
90853 Group psychotherapy (other than of a multiple-family group) 705 449 $34K
73630 5,393 4,686 $32K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,863 1,304 $32K
51702 1,483 1,329 $32K
31231 363 352 $32K
97166 765 748 $31K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 4,973 4,804 $31K
00731 949 893 $30K
72050 927 900 $30K
D3240 103 103 $30K
96137 2,903 2,865 $30K
36415 Collection of venous blood by venipuncture 69,566 57,354 $30K
19083 53 50 $29K
70486 696 673 $29K
88184 728 668 $29K
76000 2,582 2,446 $29K
62323 123 120 $28K
64721 41 36 $28K
97035 5,281 2,084 $27K
73030 5,771 5,135 $27K
93294 3,132 3,072 $27K
87086 Culture, bacterial; quantitative colony count, urine 16,917 15,639 $26K
72125 Computed tomography, cervical spine; without contrast material 2,203 2,082 $25K
73130 3,241 2,621 $25K
90670 3,507 3,457 $24K
84702 4,197 3,523 $23K
93226 1,905 1,848 $23K
87081 13,401 12,885 $23K
73610 4,704 4,292 $23K
95806 532 507 $23K
76820 3,463 1,364 $22K
99281 Emergency department visit for the evaluation and management, self-limited or minor 471 452 $22K
01922 554 542 $22K
96136 3,245 3,204 $22K
95251 1,081 1,049 $22K
77470 114 104 $21K
57454 107 103 $21K
99226 333 199 $20K
73502 3,505 3,344 $20K
92060 1,649 1,626 $20K
82728 9,977 9,187 $20K
99490 Ccm add 20min 657 643 $20K
83036 Hemoglobin; glycosylated (A1C) 18,493 17,897 $19K
D1206 Topical application of fluoride varnish 1,929 1,846 $19K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 83 82 $19K
73110 2,271 2,098 $19K
49083 67 25 $19K
74174 227 224 $19K
96150 177 169 $19K
58300 310 278 $19K
70544 149 142 $18K
64643 1,041 1,009 $18K
96138 1,241 1,218 $18K
D1351 Sealant - per tooth 183 167 $18K
95908 162 158 $18K
96409 242 137 $18K
93975 161 154 $18K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 53 44 $17K
51700 190 119 $17K
93271 328 320 $17K
93280 1,881 1,832 $17K
10060 132 125 $16K
98927 3,054 2,801 $16K
78306 115 112 $16K
87390 2,231 2,176 $16K
64483 52 50 $16K
58301 85 77 $16K
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 4,423 4,041 $16K
73560 5,217 4,280 $16K
87631 6,287 6,037 $16K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 900 851 $16K
76870 395 380 $16K
95816 283 260 $15K
99188 1,050 1,031 $15K
99460 279 273 $15K
90651 1,359 1,323 $15K
93456 13 12 $14K
95874 2,834 2,732 $14K
92579 433 426 $14K
99496 247 242 $14K
72070 633 608 $14K
81025 15,398 14,380 $13K
99479 Subsequent intensive care, per day, very low birth weight infant 196 37 $13K
D2391 Resin-based composite - one surface, posterior, primary or permanent 26 24 $13K
99308 Subsequent nursing facility care, per day, straightforward 855 733 $13K
78431 28 25 $13K
99443 425 421 $13K
P9047 Infusion, albumin (human), 25%, 50 ml 159 71 $13K
96402 2,274 1,992 $13K
72082 440 430 $13K
G0433 Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening 1,364 1,340 $13K
90734 990 933 $12K
99231 Subsequent hospital care, per day, straightforward or low complexity 705 427 $12K
93016 1,248 1,216 $12K
76825 24 24 $12K
88307 2,385 2,213 $12K
83550 9,130 8,412 $11K
J1750 Injection, iron dextran, 50 mg 82 78 $11K
29075 65 56 $11K
80305 17,372 13,874 $11K
70496 131 120 $11K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 385 376 $11K
93325 8,565 8,213 $11K
64644 63 60 $11K
83970 910 881 $11K
85027 12,072 9,759 $11K
72156 73 68 $11K
82950 2,435 2,385 $11K
0124A 836 797 $10K
73140 985 920 $10K
50435 27 25 $10K
82105 1,594 1,542 $10K
88342 4,346 4,093 $10K
86702 2,242 2,187 $10K
87205 12,448 11,861 $9K
83540 9,805 9,044 $9K
0004A 598 569 $9K
72146 115 111 $9K
86747 1,029 726 $9K
58100 87 87 $9K
72170 1,322 1,269 $9K
91010 32 31 $9K
90480 555 547 $9K
78264 44 42 $9K
82607 4,446 4,240 $9K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 325 302 $9K
67210 34 27 $8K
20553 58 54 $8K
0054A 536 516 $8K
99385 120 117 $8K
86701 2,245 2,186 $8K
20611 115 110 $8K
98926 1,519 1,425 $8K
86803 3,493 3,411 $8K
98928 1,672 1,592 $8K
27096 151 147 $8K
73521 408 397 $8K
73080 964 883 $8K
93018 1,249 1,217 $8K
74178 54 53 $8K
C9257 Injection, bevacizumab, 0.25 mg 2,561 2,216 $7K
83655 1,520 1,453 $7K
74230 112 107 $7K
87522 Neg quan hep c or qual rna 1,019 1,004 $7K
99221 293 274 $7K
73590 1,828 1,636 $7K
80502 288 274 $7K
73562 2,088 1,780 $7K
93000 504 477 $7K
95822 160 144 $7K
93926 148 144 $7K
80048 Basic metabolic panel (calcium, ionized) 15,742 9,812 $7K
87077 8,852 8,407 $6K
86850 5,176 4,422 $6K
84439 3,985 3,648 $6K
95913 40 39 $6K
92250 1,695 1,654 $6K
95951 51 24 $6K
99217 173 167 $6K
95938 62 56 $6K
90656 893 886 $6K
95941 40 39 $6K
G0009 Administration of pneumococcal vaccine 1,151 1,127 $6K
81003 28,288 25,581 $6K
88360 739 691 $6K
82677 319 314 $6K
G0378 Hospital observation service, per hour 17,710 12,227 $6K
72110 468 459 $5K
92610 181 176 $5K
97165 169 159 $5K
96156 109 108 $5K
93978 109 102 $5K
86592 1,672 1,635 $5K
93308 132 118 $5K
87536 1,212 1,183 $5K
73600 990 872 $5K
73090 1,341 1,135 $5K
99480 Subsequent intensive care, per day, low birth weight infant 66 26 $5K
86580 655 587 $5K
88305 Level IV - Surgical pathology, gross and microscopic examination 12,635 12,027 $5K
86140 11,306 10,525 $5K
0071A 232 158 $5K
83735 30,231 21,586 $5K
74019 430 414 $5K
0072A 233 139 $5K
91320 230 227 $5K
J3010 Injection, fentanyl citrate, 0.1 mg 14,302 13,118 $5K
92511 66 64 $5K
93283 433 420 $5K
86480 289 285 $5K
75635 63 62 $5K
76885 82 79 $5K
99152 6,869 6,449 $4K
81001 14,880 13,025 $4K
94729 3,044 2,929 $4K
96133 1,229 1,192 $4K
93351 29 27 $4K
69209 978 932 $4K
93298 152 144 $4K
82948 28,377 15,815 $4K
96127 486 485 $4K
76827 355 347 $4K
99454 191 190 $4K
97116 403 218 $4K
86336 322 317 $4K
90662 1,810 1,735 $4K
90678 14 14 $4K
87186 5,084 4,852 $4K
76775 89 84 $4K
74221 37 37 $4K
90716 1,355 1,341 $4K
82746 1,965 1,878 $4K
96146 823 801 $3K
91322 106 105 $3K
P9040 Red blood cells, leukocytes reduced, irradiated, each unit 17 12 $3K
92235 42 42 $3K
87150 254 250 $3K
69210 1,635 1,563 $3K
82784 3,812 3,417 $3K
C8924 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, follow-up or limited study 30 28 $3K
36591 382 278 $3K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 14 14 $3K
51798 4,787 4,539 $3K
85610 21,441 13,408 $3K
92611 96 92 $3K
82570 2,504 2,264 $3K
82947 1,174 1,132 $3K
11982 12 12 $3K
84153 2,082 1,887 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg 9,904 8,575 $3K
73552 1,079 977 $3K
99381 43 43 $3K
87340 2,878 2,798 $3K
86706 2,531 2,466 $3K
85652 10,725 10,073 $3K
84156 2,546 2,254 $3K
72157 35 32 $3K
29065 14 13 $3K
96119 302 298 $2K
93284 247 244 $2K
93299 147 146 $2K
80076 1,338 1,171 $2K
84100 4,189 2,528 $2K
82977 2,280 2,112 $2K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 6,119 5,555 $2K
0052A 90 75 $2K
70498 159 150 $2K
86481 455 440 $2K
72040 859 824 $2K
76882 41 40 $2K
95115 227 86 $2K
76981 139 134 $2K
73700 40 37 $2K
98929 376 353 $2K
83516 1,373 1,201 $2K
0031A 112 108 $2K
86704 1,932 1,887 $2K
83690 10,250 9,372 $2K
73100 1,270 1,080 $2K
95117 133 62 $2K
70355 567 528 $2K
74220 25 25 $2K
11981 28 25 $2K
86038 1,220 1,188 $2K
96401 698 405 $2K
94070 12 12 $2K
96160 103 103 $2K
92002 44 43 $2K
92015 Determination of refractive state 2,560 2,512 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,865 4,725 $2K
96161 70 70 $2K
83993 178 172 $2K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 2,106 1,958 $2K
85730 2,166 1,974 $2K
71271 237 236 $2K
00811 42 42 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 4,552 4,353 $2K
90746 32 32 $2K
85018 3,883 3,090 $2K
95937 30 29 $2K
84403 138 134 $1K
84600 253 246 $1K
84163 611 600 $1K
0051A 59 54 $1K
17110 38 37 $1K
62370 16 13 $1K
74160 12 12 $1K
82803 2,053 1,741 $1K
99397 122 111 $1K
83880 2,810 2,595 $1K
82565 3,602 3,409 $1K
95955 13 12 $1K
92083 220 212 $1K
86618 838 818 $1K
87070 2,781 2,666 $1K
92133 254 247 $1K
76821 202 117 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 4,892 3,349 $1K
J2785 Injection, regadenoson, 0.1 mg 2,458 2,368 $1K
86360 847 832 $1K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 393 383 $1K
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 788 646 $1K
85046 2,442 1,909 $1K
J2250 Injection, midazolam hydrochloride, per 1 mg 10,625 9,910 $1K
82951 84 84 $1K
0081A 39 28 $1K
82043 1,706 1,639 $986.98
86359 935 917 $981.47
88304 1,541 1,486 $978.59
90710 693 676 $973.08
0011A 208 199 $968.88
92567 3,233 3,125 $957.18
84550 2,088 1,853 $945.86
77072 26 25 $917.35
83615 4,530 3,716 $915.28
82550 2,055 1,855 $914.65
0012A 110 103 $893.38
90620 313 305 $884.22
90681 649 637 $869.20
86160 322 297 $831.40
83001 141 133 $831.11
97597 21 12 $788.69
84460 809 790 $785.40
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 13 13 $783.55
J8501 Aprepitant, oral, 5 mg 2,330 2,123 $779.52
84165 1,522 1,365 $778.06
77280 15 13 $765.78
74420 393 365 $755.65
92285 426 405 $754.48
0053A 51 44 $731.41
87040 2,090 1,882 $693.66
84450 747 729 $692.23
72131 14 13 $680.82
82378 2,785 2,096 $668.01
0003A 49 49 $665.76
84484 11,813 9,869 $653.28
92526 15 13 $643.61
73070 650 547 $642.39
71101 94 91 $632.80
84146 63 62 $631.27
83520 339 305 $625.06
99497 29 28 $613.87
0082A 32 16 $612.32
81002 763 649 $590.97
01400 12 12 $578.44
99462 29 25 $568.75
83883 678 617 $563.84
80164 257 227 $556.56
93270 345 337 $553.41
86708 524 516 $548.84
88377 379 345 $539.11
81015 820 755 $531.21
82140 435 391 $513.90
G0010 Administration of hepatitis b vaccine 30 30 $507.50
C2617 Stent, non-coronary, temporary, without delivery system 508 483 $505.20
0074A 17 14 $498.34
93227 45 41 $496.41
99307 42 36 $494.59
77075 17 13 $491.67
90723 904 893 $489.92
84703 2,087 2,012 $482.49
90619 333 325 $472.35
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 500 460 $470.88
73060 141 127 $461.16
87075 2,534 2,365 $450.61
84466 122 118 $425.97
94690 26 26 $421.62
90744 808 795 $419.69
82248 363 333 $415.42
99356 12 12 $409.56
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 1,921 1,844 $401.19
83521 610 526 $398.57
83605 3,741 3,395 $395.73
G0316 Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes) 25 22 $394.99
99336 18 15 $390.98
88344 284 271 $390.47
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 204 199 $379.93
87427 65 65 $367.96
85049 1,253 1,146 $362.12
85014 1,987 1,612 $354.95
87329 67 66 $345.05
87328 67 66 $343.01
94664 1,455 1,164 $338.64
80178 277 234 $336.73
72081 70 68 $336.44
87902 28 25 $336.32
93282 12 12 $318.53
86364 248 243 $318.28
86901 4,989 4,237 $318.28
84112 107 94 $317.25
87493 42 38 $313.44
86300 653 529 $310.50
84520 830 785 $310.44
87046 70 68 $306.68
12001 146 143 $296.69
J1756 Injection, iron sucrose, 1 mg 2,427 1,046 $290.81
46600 79 77 $290.06
87045 69 68 $287.80
82670 31 27 $285.43
86430 456 441 $276.54
87641 49 41 $268.70
L8000 Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type 28 24 $268.26
90674 12 12 $264.55
86923 95 68 $252.48
93882 13 12 $249.59
C1769 Guide wire 6,084 5,110 $245.47
86225 179 170 $242.14
90653 387 367 $242.05
86200 319 308 $242.03
96159 727 535 $231.56
86304 174 143 $230.60
93293 13 13 $226.33
85379 2,209 2,045 $213.40
86235 140 132 $205.65
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 16 16 $200.70
86334 375 340 $198.45
99100 156 141 $186.78
29125 109 104 $184.46
82952 72 72 $175.48
86762 181 177 $173.47
87640 43 40 $169.38
80504 127 121 $167.98
96381 12 12 $159.36
J9196 Injection, gemcitabine hydrochloride (accord), not therapeutically equivalent to j9201, 200 mg 25 12 $159.13
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 18 14 $158.95
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 2,602 2,538 $157.29
87468 103 102 $154.52
87484 103 102 $154.52
87469 103 102 $154.52
84132 2,140 1,720 $153.78
99457 45 39 $151.70
J1040 Injection, methylprednisolone acetate, 80 mg 315 297 $135.14
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 859 765 $134.56
87517 39 38 $129.46
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 3,646 3,369 $124.10
J0736 Injection, clindamycin phosphate, 300 mg 65 55 $122.68
73565 770 757 $120.06
93228 12 12 $116.76
96120 113 113 $115.42
51741 87 84 $115.42
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 666 550 $110.86
90715 5,718 5,452 $103.67
87478 55 55 $98.24
86255 25 25 $96.94
80197 20 12 $96.58
80069 35 30 $95.31
88302 85 75 $94.71
87430 485 470 $93.48
A6212 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing 26 26 $90.00
88173 319 303 $85.09
76376 1,188 1,146 $82.02
90680 1,659 1,642 $79.18
92504 13 13 $77.93
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,058 836 $76.65
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 14 12 $76.00
Q9957 Injection, perflutren lipid microspheres, per ml 4,763 4,493 $75.84
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 100 98 $74.46
84155 346 323 $71.51
72080 42 42 $69.75
73000 30 29 $67.34
98925 17 16 $62.72
88142 134 132 $62.13
99173 32 32 $62.06
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 17 16 $61.13
82150 125 118 $56.04
G0297 Low dose ct scan (ldct) for lung cancer screening 285 285 $52.60
J1200 Injection, diphenhydramine hcl, up to 50 mg 3,315 2,737 $51.51
99442 14 14 $50.05
77387 6,147 603 $48.68
J2405 Injection, ondansetron hydrochloride, per 1 mg 9,609 7,508 $46.79
51701 62 58 $45.98
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 1,047 982 $43.05
J1030 Injection, methylprednisolone acetate, 40 mg 1,343 1,266 $40.42
80051 26 25 $35.85
85384 95 69 $34.72
J1644 Injection, heparin sodium, per 1000 units 8,083 4,261 $31.82
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 423 415 $30.10
J2765 Injection, metoclopramide hcl, up to 10 mg 2,465 2,102 $29.90
87184 14 14 $29.73
89051 609 492 $29.00
J1170 Injection, hydromorphone, up to 4 mg 4,621 3,394 $27.42
86765 13 13 $26.19
94760 3,621 3,360 $19.98
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg 119 85 $19.76
82657 55 53 $18.46
J2270 Injection, morphine sulfate, up to 10 mg 2,539 1,999 $18.32
86308 53 50 $17.57
83921 13 13 $16.83
82330 107 95 $16.42
87529 12 12 $15.91
J2060 Injection, lorazepam, 2 mg 2,526 1,977 $15.72
88185 709 651 $14.63
J0696 Injection, ceftriaxone sodium, per 250 mg 3,527 2,511 $13.62
86039 30 27 $11.16
87280 34 32 $10.94
77002 983 906 $8.85
86015 13 13 $8.07
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 451 435 $7.60
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 489 457 $7.60
84157 346 296 $7.53
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 2,148 1,704 $6.45
96368 2,362 1,479 $5.67
J1650 Injection, enoxaparin sodium, 10 mg 2,839 787 $5.67
J0640 Injection, leucovorin calcium, per 50 mg 1,097 570 $5.67
J9190 Injection, fluorouracil, 500 mg 1,498 795 $5.67
J1630 Injection, haloperidol, up to 5 mg 3,115 2,744 $5.24
96121 1,169 1,156 $5.00
85347 454 421 $4.28
82945 219 191 $3.93
84295 246 223 $3.00
88112 43 39 $2.39
96376 4,934 3,227 $1.67
99153 Mod sedat endo service >5yrs 2,411 2,253 $0.00
J8540 Dexamethasone, oral, 0.25 mg 3,160 1,655 $0.00
C1726 Catheter, balloon dilatation, non-vascular 852 787 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 5,415 4,274 $0.00
G0269 Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug) 219 214 $0.00
77001 606 577 $0.00
96377 766 528 $0.00
J2704 Injection, propofol, 10 mg 2,857 2,642 $0.00
90474 378 374 $0.00
36416 199 195 $0.00
J1940 Injection, furosemide, up to 20 mg 178 95 $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 5,452 2,348 $0.00
J1790 Injection, droperidol, up to 5 mg 262 250 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 1,989 1,428 $0.00
J9045 Injection, carboplatin, 50 mg 1,761 1,039 $0.00
J9267 Injection, paclitaxel, 1 mg 1,149 484 $0.00
90697 634 630 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 637 629 $0.00
99439 494 372 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 171 160 $0.00
90696 887 871 $0.00
91301 428 260 $0.00
96139 1,250 1,216 $0.00
J0690 Injection, cefazolin sodium, 500 mg 2,021 1,530 $0.00
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 120 78 $0.00
88341 1,907 1,738 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 144 102 $0.00
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 609 538 $0.00
J1815 Injection, insulin, per 5 units 883 589 $0.00
90698 1,508 1,488 $0.00
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 117 115 $0.00
88300 252 238 $0.00
91315 30 30 $0.00
91305 637 573 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 274 262 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 31 29 $0.00
C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, other than peel-away 127 124 $0.00
A9555 Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries 28 25 $0.00
V2632 Posterior chamber intraocular lens 78 65 $0.00
82553 16 14 $0.00
64494 101 93 $0.00
82077 302 284 $0.00
95012 77 77 $0.00
J2790 Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) 165 161 $0.00
A9270 Non-covered item or service 504 459 $0.00
C1889 Implantable/insertable device, not otherwise classified 13 12 $0.00
00813 12 12 $0.00
82435 17 16 $0.00
91319 34 33 $0.00
82533 49 38 $0.00
A4648 Tissue marker, implantable, any type, each 192 185 $0.00
99417 Prolong home eval add 15m 28 27 $0.00
88311 53 52 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 30 29 $0.00
A9585 Injection, gadobutrol, 0.1 ml 54 53 $0.00
99459 67 67 $0.00
91317 24 24 $0.00
12002 12 12 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 31 29 $0.00
86301 34 28 $0.00
82103 13 13 $0.00
C1778 Lead, neurostimulator (implantable) 13 12 $0.00
77417 54 25 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 240 219 $0.00
J3480 Injection, potassium chloride, per 2 meq 70 41 $0.00
90381 16 15 $0.00
0154A 15 15 $0.00
82360 37 37 $0.00
17250 16 12 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 13 12 $0.00
91307 55 36 $0.00
90636 12 12 $0.00
C1781 Mesh (implantable) 12 12 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 3,026 2,950 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 4,809 2,749 $0.00
A6196 Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing 764 529 $0.00
J3370 Injection, vancomycin hcl, 500 mg 1,157 871 $0.00
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 3,673 3,544 $0.00
90707 1,394 1,378 $0.00
90472 Immunization administration, each additional vaccine (list separately) 13,368 13,146 $0.00
90648 1,894 1,868 $0.00
90633 2,233 2,201 $0.00
90700 1,145 1,123 $0.00
76942 1,297 1,115 $0.00
J7030 Infusion, normal saline solution , 1000 cc 5,517 2,350 $0.00
J3489 Injection, zoledronic acid, 1 mg 565 529 $0.00
91300 8,280 7,196 $0.00
C1760 Closure device, vascular (implantable/insertable) 467 451 $0.00
J1956 Injection, levofloxacin, 250 mg 245 212 $0.00
88312 30 28 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 371 350 $0.00
J1071 Injection, testosterone cypionate, 1 mg 844 442 $0.00
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 222 198 $0.00
88313 295 274 $0.00
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 181 134 $0.00
91312 522 498 $0.00
76937 13 12 $0.00
91308 175 117 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 30 30 $0.00
C1788 Port, indwelling (implantable) 195 188 $0.00
J1171 Injection, hydromorphone, 0.1 mg 97 71 $0.00
C9113 Injection, pantoprazole sodium, per vial 766 485 $0.00
78434 28 25 $0.00
Q0245 Injection, bamlanivimab and etesevimab, 2100 mg 53 53 $0.00
93356 128 125 $0.00
90671 46 46 $0.00
C1729 Catheter, drainage 263 232 $0.00
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg 47 38 $0.00
94727 84 77 $0.00
A9575 Injection, gadoterate meglumine, 0.1 ml 1,216 1,174 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 171 130 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 108 105 $0.00
J9263 Injection, oxaliplatin, 0.5 mg 204 111 $0.00
91311 59 56 $0.00
C1874 Stent, coated/covered, with delivery system 43 39 $0.00
69220 12 12 $0.00
J9060 Injection, cisplatin, powder or solution, 10 mg 48 24 $0.00
85613 13 12 $0.00
J9206 Injection, irinotecan, 20 mg 110 50 $0.00
J9370 Vincristine sulfate, 1 mg 32 24 $0.00
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 44 42 $0.00
93321 13 13 $0.00
G8989 Self care functional limitation, discharge status, at discharge from therapy or to end reporting 29 28 $0.00
91321 68 68 $0.00
80179 29 28 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 35 25 $0.00
80143 18 17 $0.00
86146 27 26 $0.00
G8985 Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 13 13 $0.00
86147 26 25 $0.00
89050 36 30 $0.00
76813 12 12 $0.00