Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › NEW YORK › NYU LANGONE HOSPITALS

NYU LANGONE HOSPITALS

NPI: 1801992631 · NEW YORK, NY 10016 · Oncology Clinic/Center · NPI assigned 09/16/2006

$238.69M
Total Medicaid Paid
4,685,853
Total Claims
4,181,960
Beneficiaries
848
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMITH, WESLEY (VP REVENUE CYCLE)
NPI Enumeration Date09/16/2006

Related Entities

Other providers sharing the same authorized official: SMITH, WESLEY

ProviderCityStateTotal Paid
NYU LANGONE HOSPITALS BROOKLYN NY $303.18M
NYU LANGONE HOSPITALS NEW YORK NY $117.59M
NYU LANGONE HOSPITALS MINEOLA NY $69.77M
NYU LANGONE HOSPITALS NEW YORK NY $32.22M
NYU LANGONE HOSPITALS NEW YORK NY $3.50M
NYU LANGONE HOSPITALS BROOKLYN NY $453K
NYU LANGONE HOSPITALS BROOKLYN NY $99K
NYU LANGONE HOSPITALS BROOKLYN NY $9K
NYU HOSPITALS CENTER NEW YORK NY $55.44

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 130,056 $2.08M
2019 349,297 $13.03M
2020 848,976 $32.27M
2021 1,124,411 $44.98M
2022 725,160 $44.44M
2023 753,712 $54.22M
2024 754,241 $47.67M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0378 Hospital observation service, per hour 8,593 8,111 $10.32M
J3380 Injection, vedolizumab, intravenous, 1 mg 1,662 1,528 $10.11M
99283 Emergency department visit for the evaluation and management, moderate severity 34,803 32,405 $8.70M
99284 Emergency department visit for the evaluation and management, high severity 37,456 35,389 $8.09M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 40,426 38,296 $7.23M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 10,274 10,165 $7.09M
Q5104 Injection, infliximab-abda, biosimilar, (renflexis), 10 mg 1,529 1,216 $6.03M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 37,833 33,573 $5.88M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 69,961 26,879 $5.85M
45380 Colonoscopy, flexible; with biopsy, single or multiple 7,209 7,131 $5.75M
C1889 Implantable/insertable device, not otherwise classified 17,347 15,384 $5.67M
99282 Emergency department visit for the evaluation and management, low to moderate severity 19,763 16,647 $4.96M
96361 Intravenous infusion, hydration; each additional hour 21,914 18,748 $4.61M
93458 2,403 2,378 $4.40M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 19,245 18,601 $3.76M
J9271 Injection, pembrolizumab, 1 mg 405 296 $3.32M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 12,653 8,902 $2.99M
C1874 Stent, coated/covered, with delivery system 1,230 1,207 $2.76M
J2323 Injection, natalizumab, 1 mg 355 345 $2.55M
J1745 Injection, infliximab, excludes biosimilar, 10 mg 1,676 980 $2.53M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 13,677 10,105 $2.51M
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 3,107 3,084 $2.47M
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 32,898 30,968 $2.36M
93454 1,300 1,282 $2.22M
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 3,484 2,940 $2.13M
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) 1,305 1,290 $2.11M
J2350 Injection, ocrelizumab, 1 mg 67 63 $2.06M
C9600 Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch 1,112 1,022 $2.03M
74177 Computed tomography, abdomen and pelvis; with contrast material 8,111 7,930 $1.93M
80053 Comprehensive metabolic panel 184,723 166,433 $1.86M
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 3,495 3,447 $1.86M
70450 Computed tomography, head or brain; without contrast material 7,965 7,726 $1.80M
93320 5,638 5,340 $1.78M
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 84,686 84,004 $1.70M
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 9,140 8,330 $1.63M
67311 748 600 $1.49M
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 18,593 2,368 $1.46M
97161 12,407 12,264 $1.45M
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 1,002 997 $1.42M
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 10,364 10,094 $1.39M
97530 Therapeutic activities, direct patient contact, each 15 minutes 9,916 3,681 $1.36M
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 56,385 54,713 $1.34M
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 56,460 54,772 $1.30M
96415 3,527 2,758 $1.28M
80050 General health panel 39,135 38,855 $1.28M
C1769 Guide wire 7,173 6,256 $1.28M
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 979 829 $1.26M
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 44,312 18,028 $1.25M
10E0XZZ 1,461 205 $1.22M
93975 2,986 2,926 $1.20M
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 700 607 $1.15M
80061 Lipid panel 123,064 121,978 $1.13M
76700 Ultrasound, abdominal, real time with image documentation; complete 4,037 3,962 $1.12M
42820 Tonsillectomy and adenoidectomy; younger than age 12 724 724 $1.12M
86480 21,166 20,987 $1.06M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12,069 11,464 $1.02M
84443 Thyroid stimulating hormone (TSH) 77,576 76,162 $1.01M
Q5103 Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg 397 291 $997K
88305 Level IV - Surgical pathology, gross and microscopic examination 27,321 24,095 $972K
C1732 Catheter, electrophysiology, diagnostic/ablation, 3d or vector mapping 173 169 $955K
95708 2,442 1,508 $929K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 247,377 217,048 $918K
Q5107 Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg 212 134 $865K
Q5121 Injection, infliximab-axxq, biosimilar, (avsola), 10 mg 812 448 $861K
80048 Basic metabolic panel (calcium, ionized) 94,086 83,450 $852K
99281 Emergency department visit for the evaluation and management, self-limited or minor 3,632 3,135 $829K
J1439 Injection, ferric carboxymaltose, 1 mg 645 432 $811K
C1760 Closure device, vascular (implantable/insertable) 2,195 1,976 $791K
76825 2,598 2,462 $746K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 43,484 43,155 $734K
80076 54,955 50,093 $732K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 10,043 5,097 $728K
J3490 Unclassified drugs 57,192 36,536 $725K
C1887 Catheter, guiding (may include infusion/perfusion capability) 3,304 3,223 $712K
86769 19,035 18,321 $693K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 3,792 1,071 $650K
93017 7,010 6,903 $649K
95816 1,980 1,935 $629K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 4,395 4,283 $625K
83036 Hemoglobin; glycosylated (A1C) 99,717 98,620 $624K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 2,036 1,984 $582K
86900 21,678 19,895 $580K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 20,254 20,178 $569K
82607 46,734 46,370 $568K
93970 2,126 2,069 $563K
93976 1,410 1,381 $528K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 6,179 5,862 $513K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 21,020 20,938 $512K
87497 12,496 6,557 $487K
77067 Screening mammography, bilateral, including computer-aided detection 5,295 5,240 $485K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 6,179 6,080 $484K
71275 Computed tomographic angiography, chest, with contrast material 1,969 1,926 $475K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 25,569 24,318 $457K
J0585 Injection, onabotulinumtoxina, 1 unit 918 795 $444K
J1756 Injection, iron sucrose, 1 mg 4,948 2,317 $440K
96375 Therapeutic injection; each additional sequential IV push 20,609 15,748 $432K
C1766 Introducer/sheath, guiding, intracardiac electrophysiological, steerable, other than peel-away 786 781 $427K
88342 8,901 8,585 $425K
88185 3,442 3,312 $417K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 28,975 27,046 $410K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,637 1,611 $399K
86803 36,404 36,058 $399K
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 21,754 20,511 $391K
84439 54,428 53,432 $390K
42830 251 249 $388K
86850 21,682 19,865 $387K
76641 3,966 3,533 $384K
96450 642 510 $377K
J0485 Injection, belatacept, 1 mg 238 179 $374K
29580 2,157 918 $366K
94060 2,466 2,397 $363K
81507 794 772 $354K
83970 7,675 7,434 $354K
78815 Positron emission tomography (PET) for limited area imaging 259 258 $344K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 22,973 20,885 $336K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 13,086 12,896 $335K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 9,433 8,388 $332K
82728 32,321 31,636 $329K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 4,259 2,987 $320K
70551 Magnetic resonance imaging, brain; without contrast material 1,803 1,784 $318K
J0185 Injection, aprepitant, 1 mg 1,047 656 $314K
96900 5,925 1,176 $314K
76770 1,307 1,293 $313K
97162 2,182 2,170 $312K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 2,713 1,942 $298K
95700 1,812 1,789 $295K
93325 8,834 8,103 $288K
C1753 Catheter, intravascular ultrasound 283 279 $280K
87481 4,181 3,860 $278K
88307 3,099 2,966 $275K
87536 3,616 3,549 $268K
82746 23,381 23,191 $264K
86235 6,053 5,816 $263K
36430 909 577 $262K
97165 2,907 2,870 $261K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 1,193 1,166 $259K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 826 816 $249K
86003 4,724 3,644 $247K
86901 21,605 19,809 $243K
P9016 Red blood cells, leukocytes reduced, each unit 715 527 $235K
97116 2,649 1,289 $234K
J2785 Injection, regadenoson, 0.1 mg 1,674 1,656 $230K
87799 4,243 2,686 $228K
87507 1,206 1,187 $228K
36415 Collection of venous blood by venipuncture 78,742 71,005 $223K
90834 Psychotherapy, 45 minutes with patient 1,670 834 $222K
Q5111 Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg 65 49 $218K
93880 1,399 1,381 $213K
J7030 Infusion, normal saline solution , 1000 cc 38,496 26,966 $213K
31624 301 294 $211K
J2469 Injection, palonosetron hcl, 25 mcg 3,015 1,729 $211K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 12,676 4,169 $210K
77336 523 226 $210K
J0583 Injection, bivalirudin, 1 mg 1,326 1,256 $209K
81001 78,401 74,015 $209K
83516 12,096 9,692 $207K
62323 316 310 $207K
83880 9,379 8,994 $205K
84403 8,624 8,501 $205K
88184 3,246 3,120 $204K
11102 378 370 $204K
94726 2,485 2,406 $202K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 3,324 3,125 $199K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 15,412 12,493 $197K
86780 20,813 20,635 $196K
86706 22,961 22,655 $195K
87340 25,865 25,455 $193K
97535 Self-care/home management training, each 15 minutes 1,884 1,078 $193K
82803 14,596 13,511 $193K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,810 1,560 $189K
76830 Ultrasound, transvaginal 3,912 3,790 $188K
10005 320 318 $186K
84153 13,044 12,918 $183K
J7120 Ringers lactate infusion, up to 1000 cc 39,213 35,059 $181K
76536 1,977 1,968 $180K
87086 Culture, bacterial; quantitative colony count, urine 33,721 32,219 $180K
85027 38,361 37,414 $179K
J0897 Injection, denosumab, 1 mg 83 77 $178K
83655 13,623 13,512 $177K
92526 1,047 660 $175K
94010 2,946 2,583 $172K
88341 3,505 3,280 $168K
82784 14,164 12,751 $168K
77300 497 419 $166K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 16,625 16,149 $164K
82670 6,445 6,389 $163K
59025 Fetal non-stress test 1,868 1,582 $163K
87517 4,052 3,667 $162K
C1781 Mesh (implantable) 216 216 $160K
71250 1,496 1,482 $160K
11900 463 452 $157K
87522 Neg quan hep c or qual rna 4,274 3,631 $156K
83540 33,849 33,323 $154K
83550 27,411 26,982 $153K
J7050 Infusion, normal saline solution, 250 cc 31,107 24,445 $151K
99201 1,796 1,748 $149K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,293 1,210 $147K
93971 2,033 1,992 $145K
80197 15,456 8,664 $145K
83001 8,679 8,590 $143K
84146 8,140 7,978 $142K
A9585 Injection, gadobutrol, 0.1 ml 4,932 3,419 $140K
83735 42,171 30,407 $139K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1,047 1,029 $138K
93451 86 67 $138K
93304 543 479 $137K
77334 443 402 $135K
77066 Tomosynthesis, mammo 1,153 1,141 $133K
86762 10,597 10,520 $132K
77063 Screening digital breast tomosynthesis, bilateral 5,290 5,232 $130K
31575 453 441 $130K
86765 11,482 11,395 $129K
83520 5,718 5,635 $128K
84270 5,609 5,477 $128K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 1,649 1,475 $127K
12001 324 320 $127K
10060 378 366 $124K
83002 7,663 7,583 $124K
C1776 Joint device (implantable) 12 12 $124K
76000 2,007 1,961 $123K
0002A 3,368 3,358 $123K
95800 600 595 $121K
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 3,297 2,723 $120K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 1,756 1,710 $120K
77065 Tomosynthesis, mammo 1,237 1,197 $117K
83013 1,854 1,842 $117K
86787 11,941 11,831 $116K
86360 2,846 2,809 $116K
86160 7,842 6,215 $116K
J2327 Injection, risankizumab-rzaa, intravenous, 1 mg 13 13 $114K
0001A 3,748 3,740 $113K
84702 18,904 17,403 $113K
86140 32,811 31,713 $112K
86704 12,815 12,702 $112K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 42,876 39,043 $111K
J2704 Injection, propofol, 10 mg 50,955 36,963 $108K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 2,132 2,104 $107K
84481 8,778 8,608 $104K
87070 19,254 18,014 $104K
70496 482 471 $100K
71260 Computed tomography, thorax, diagnostic; with contrast material 511 504 $98K
96417 2,365 1,409 $96K
93350 986 960 $95K
86376 7,628 7,534 $94K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,255 1,164 $94K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 11,175 10,838 $94K
76642 1,217 1,182 $93K
86735 8,446 8,381 $92K
82248 17,240 14,698 $92K
86200 5,899 5,877 $92K
V2632 Posterior chamber intraocular lens 548 478 $90K
92978 344 337 $90K
82627 4,639 4,597 $89K
84445 1,685 1,668 $89K
76827 2,591 2,460 $89K
92610 618 613 $89K
77080 1,667 1,631 $88K
96367 1,480 1,224 $86K
86147 2,378 2,083 $84K
82570 18,547 18,006 $82K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2,893 2,864 $79K
J1437 Injection, ferric derisomaltose, 10 mg 25 25 $78K
93613 51 51 $78K
83021 4,972 4,929 $78K
84100 21,085 15,374 $77K
86800 6,123 5,941 $77K
C1726 Catheter, balloon dilatation, non-vascular 173 171 $76K
84480 8,441 8,275 $76K
85610 32,771 29,340 $75K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 414 412 $75K
49083 125 67 $75K
86334 3,672 3,594 $74K
49650 29 29 $73K
97166 502 495 $73K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 5,202 4,040 $72K
82105 6,929 6,449 $72K
86225 8,586 8,220 $72K
86695 4,918 4,888 $71K
71046 Radiologic examination, chest; 2 views 18,869 18,035 $71K
17110 133 130 $71K
58558 49 49 $70K
87511 1,993 1,965 $70K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 1,069 1,034 $69K
86696 4,944 4,887 $69K
97802 1,141 1,123 $68K
J1561 Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg 15 12 $68K
97803 1,697 1,521 $68K
86359 2,508 2,474 $67K
82043 14,618 14,494 $67K
93798 857 151 $67K
82024 1,821 1,770 $66K
88112 1,731 1,678 $66K
81401 640 624 $66K
C1731 Catheter, electrophysiology, diagnostic, other than 3d mapping (20 or more electrodes) 28 28 $65K
76942 490 468 $65K
93925 762 754 $65K
0004A 1,758 1,755 $65K
45381 130 128 $64K
87186 10,458 9,739 $63K
74230 477 475 $63K
85730 22,427 20,996 $62K
70486 894 878 $61K
86708 5,995 5,955 $60K
83615 16,697 13,038 $59K
85652 32,087 31,228 $59K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,886 1,832 $59K
86146 1,953 1,781 $59K
97035 2,966 1,257 $59K
12011 153 149 $58K
86038 7,271 7,202 $58K
J3535 Drug administered through a metered dose inhaler 2,367 2,088 $58K
96416 177 95 $58K
84154 3,443 3,415 $55K
81514 522 382 $55K
86790 3,208 3,150 $55K
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision 2,266 2,266 $55K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 5,425 2,837 $54K
80081 700 700 $54K
C1759 Catheter, intracardiac echocardiography 14 14 $54K
82550 9,108 8,843 $53K
83883 2,662 2,491 $52K
72125 Computed tomography, cervical spine; without contrast material 1,443 1,410 $52K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 329 319 $51K
86592 17,630 17,498 $51K
95886 863 843 $51K
88360 800 776 $50K
74183 186 184 $50K
94729 1,785 1,741 $50K
82378 3,932 3,499 $47K
84425 2,841 2,822 $47K
84550 12,628 12,194 $47K
87077 6,406 5,692 $47K
88304 2,031 2,011 $46K
82533 3,128 2,891 $46K
96402 663 603 $45K
86618 2,994 2,925 $44K
67312 27 26 $44K
70491 171 167 $43K
95911 244 239 $43K
86617 2,615 1,745 $42K
84402 1,632 1,607 $41K
90715 1,908 1,884 $40K
84432 2,306 2,218 $40K
86665 2,142 1,875 $40K
84305 2,474 2,439 $39K
G0481 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; 8-14 drug class(es), including metabolite(s) if performed 1,058 1,014 $39K
82785 3,312 3,265 $39K
84436 9,591 9,470 $39K
84165 4,877 4,759 $39K
C1714 Catheter, transluminal atherectomy, directional 287 67 $38K
83498 1,512 1,505 $38K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 17,987 16,328 $37K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 709 669 $37K
86923 1,166 976 $37K
87631 922 910 $36K
86747 2,322 1,361 $36K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,273 3,137 $36K
86357 1,262 1,242 $36K
82088 939 877 $35K
81003 27,713 26,002 $35K
J0690 Injection, cefazolin sodium, 500 mg 11,608 10,627 $35K
82948 28,613 19,507 $34K
88313 1,159 1,114 $34K
93623 41 38 $34K
86039 4,515 4,489 $33K
95953 101 54 $33K
86355 1,143 1,127 $33K
87493 1,305 1,106 $32K
86812 1,108 1,104 $32K
88141 3,039 3,022 $32K
82652 942 933 $31K
76098 126 114 $31K
87081 6,287 6,191 $31K
86255 3,174 3,108 $31K
86021 2,032 1,573 $30K
J3010 Injection, fentanyl citrate, 0.1 mg 31,753 28,522 $30K
77295 86 85 $30K
36591 596 444 $30K
86694 1,977 1,961 $30K
0124A 707 707 $30K
87660 1,842 1,802 $29K
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 4,964 4,848 $28K
86256 1,118 1,077 $28K
95812 100 99 $28K
84144 1,405 1,334 $27K
30140 13 12 $27K
83690 22,301 21,039 $27K
67314 48 40 $27K
86300 1,663 1,504 $26K
C1729 Catheter, drainage 407 272 $26K
84703 24,749 23,266 $26K
86430 5,222 5,205 $26K
86707 2,642 2,616 $25K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 24,647 19,822 $25K
82977 5,181 4,636 $25K
77386 141 12 $25K
85613 1,930 1,894 $24K
72141 128 127 $24K
88108 679 522 $24K
87510 1,578 1,549 $24K
82274 2,655 2,633 $24K
87480 1,541 1,513 $23K
87350 2,451 2,433 $23K
72131 203 202 $23K
84207 879 875 $23K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 185 184 $22K
84484 19,639 15,996 $22K
81513 460 459 $22K
82164 1,474 1,466 $22K
82951 2,581 2,370 $22K
84156 7,587 6,820 $22K
86664 1,896 1,865 $22K
83695 1,652 1,642 $22K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 564 550 $22K
J7060 5% dextrose/water (500 ml = 1 unit) 3,711 2,324 $22K
J0640 Injection, leucovorin calcium, per 50 mg 164 89 $21K
81243 657 635 $21K
J1885 Injection, ketorolac tromethamine, per 15 mg 24,139 21,503 $21K
82085 1,546 1,511 $21K
64644 49 49 $21K
84681 1,138 1,130 $20K
87512 502 490 $20K
87329 2,046 1,743 $20K
73562 1,573 1,380 $19K
86663 1,943 1,912 $19K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 1,384 1,345 $19K
85240 1,499 1,487 $19K
82985 1,565 1,545 $19K
83921 1,020 1,010 $19K
88312 901 869 $19K
86141 1,794 1,775 $19K
95913 100 100 $19K
84244 835 817 $19K
83993 1,317 1,305 $18K
96401 269 114 $18K
86777 1,412 1,400 $18K
J2250 Injection, midazolam hydrochloride, per 1 mg 19,376 18,696 $18K
86778 1,411 1,399 $18K
64642 26 26 $18K
73564 1,610 1,442 $17K
87177 2,137 1,825 $17K
87338 1,813 1,795 $17K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,275 1,089 $17K
73630 2,461 2,287 $17K
0054A 440 432 $17K
86304 1,464 1,346 $17K
77002 72 68 $17K
82397 1,536 1,517 $16K
83010 1,769 1,719 $16K
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 75 66 $16K
82157 615 612 $16K
87147 3,546 3,454 $16K
86335 496 484 $16K
J1815 Injection, insulin, per 5 units 3,341 1,957 $16K
81329 172 162 $16K
93656 14 14 $16K
87205 6,412 5,972 $16K
90677 78 75 $15K
80069 1,986 1,718 $15K
85379 5,868 5,669 $15K
86431 3,161 3,143 $15K
86644 1,267 1,248 $15K
87045 2,068 1,406 $15K
96411 283 163 $14K
80074 386 382 $14K
C1730 Catheter, electrophysiology, diagnostic, other than 3d mapping (19 or fewer electrodes) 24 24 $14K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 902 786 $14K
83525 1,387 1,355 $14K
86645 1,399 1,353 $14K
J3370 Injection, vancomycin hcl, 500 mg 2,195 1,824 $14K
88142 768 766 $14K
73030 1,845 1,735 $14K
73130 1,995 1,825 $14K
J0330 Injection, succinylcholine chloride, up to 20 mg 2,362 2,271 $14K
82150 3,002 2,787 $13K
0003A 365 365 $13K
80177 1,516 1,476 $13K
86709 1,599 1,583 $13K
93308 69 65 $13K
82610 899 874 $13K
J1170 Injection, hydromorphone, up to 4 mg 4,264 3,259 $13K
L8699 Prosthetic implant, not otherwise specified 12 12 $13K
88262 151 149 $12K
71045 Radiologic examination, chest; single view 5,854 5,538 $12K
P9047 Infusion, albumin (human), 25%, 50 ml 34 12 $12K
83721 3,288 3,252 $12K
86885 124 124 $12K
72156 72 68 $12K
90686 972 953 $12K
86317 219 212 $12K
83521 97 96 $12K
J9263 Injection, oxaliplatin, 0.5 mg 115 70 $12K
87102 2,054 1,957 $12K
87209 1,075 914 $12K
76870 609 593 $12K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 2,276 2,234 $12K
72100 669 655 $11K
87328 1,060 901 $11K
J1644 Injection, heparin sodium, per 1000 units 9,134 6,271 $11K
84460 2,873 2,676 $11K
J2405 Injection, ondansetron hydrochloride, per 1 mg 27,452 24,595 $11K
86364 430 417 $11K
84479 2,817 2,792 $11K
82950 2,495 2,487 $11K
93505 24 14 $10K
82668 708 700 $10K
81376 216 209 $10K
85045 4,641 4,322 $10K
54161 12 12 $10K
87116 1,626 1,388 $10K
80164 955 905 $10K
64493 15 12 $10K
78306 47 41 $10K
81383 176 174 $10K
82103 849 830 $10K
82390 1,154 1,144 $10K
83835 600 573 $10K
86301 816 733 $9K
74174 111 109 $9K
J1030 Injection, methylprednisolone acetate, 40 mg 1,058 1,028 $9K
73110 1,395 1,258 $9K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 382 380 $9K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 48 44 $9K
J9190 Injection, fluorouracil, 500 mg 212 116 $9K
64643 85 39 $9K
87272 827 706 $9K
70498 301 300 $9K
73610 1,979 1,869 $8K
83951 148 125 $8K
73502 1,030 964 $8K
93312 169 156 $8K
86671 438 435 $8K
90460 Immunization administration through 18 years of age via any route, first or only component 435 422 $8K
87106 840 835 $8K
87075 1,449 1,317 $8K
90662 191 191 $8K
93321 816 726 $8K
80175 776 761 $8K
84075 1,998 1,817 $8K
J1200 Injection, diphenhydramine hcl, up to 50 mg 6,023 4,588 $8K
84466 790 780 $7K
84630 847 842 $7K
J2795 Injection, ropivacaine hydrochloride, 1 mg 1,515 1,241 $7K
G0008 Administration of influenza virus vaccine 399 393 $7K
87632 160 156 $7K
86705 802 797 $7K
84446 617 615 $7K
83090 459 459 $7K
90472 Immunization administration, each additional vaccine (list separately) 670 647 $7K
85670 1,734 1,701 $7K
86682 680 672 $7K
J0561 Injection, penicillin g benzathine, 100,000 units 54 53 $7K
86341 382 362 $7K
J0696 Injection, ceftriaxone sodium, per 250 mg 3,725 3,251 $7K
80305 2,622 2,258 $7K
87653 263 262 $7K
82310 1,948 1,778 $7K
95076 14 12 $7K
75574 53 53 $7K
88237 77 75 $7K
84590 702 699 $7K
94760 1,983 1,810 $7K
82172 402 400 $7K
84450 2,408 2,228 $7K
J9045 Injection, carboplatin, 50 mg 124 67 $6K
85306 500 493 $6K
J3475 Injection, magnesium sulfate, per 500 mg 3,712 2,614 $6K
86870 70 69 $6K
82247 2,412 2,177 $6K
J2270 Injection, morphine sulfate, up to 10 mg 4,514 3,742 $6K
J3250 Injection, trimethobenzamide hcl, up to 200 mg 361 340 $6K
84155 2,863 2,682 $6K
82565 1,976 1,896 $6K
85732 1,135 1,119 $6K
76826 43 37 $6K
88172 309 282 $6K
78451 14 14 $6K
80299 389 381 $6K
J2370 Injection, phenylephrine hcl, up to 1 ml 2,774 2,716 $6K
38222 13 13 $5K
87899 758 728 $5K
82955 569 568 $5K
20553 26 25 $5K
S0028 Injection, famotidine, 20 mg 6,025 4,706 $5K
87040 4,792 3,109 $5K
82140 303 275 $5K
85384 1,218 1,081 $5K
87634 183 180 $5K
82232 382 372 $5K
96376 3,041 2,693 $5K
86666 408 405 $5K
82787 209 208 $5K
78264 24 24 $5K
81450 113 111 $5K
82040 1,853 1,741 $5K
C1758 Catheter, ureteral 415 405 $5K
82947 1,781 1,710 $4K
C1773 Retrieval device, insertable (used to retrieve fractured medical devices) 207 199 $4K
87150 163 158 $4K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 2,396 2,218 $4K
82465 1,701 1,670 $4K
J9267 Injection, paclitaxel, 1 mg 89 36 $4K
73700 17 17 $4K
82107 79 77 $4K
93225 48 48 $4K
88173 425 394 $4K
87625 263 263 $4K
88189 131 129 $4K
87206 1,469 1,199 $4K
82525 371 369 $4K
88280 254 249 $4K
J2720 Injection, protamine sulfate, per 10 mg 595 592 $4K
95819 12 12 $4K
89051 2,055 1,831 $4K
80195 550 375 $4K
85303 340 336 $4K
87563 141 140 $4K
J2765 Injection, metoclopramide hcl, up to 10 mg 4,599 4,321 $4K
73080 937 901 $4K
72170 764 748 $4K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 413 391 $4K
87430 1,321 1,310 $4K
72158 27 25 $4K
87046 643 614 $4K
Q3014 Telehealth originating site facility fee 140 134 $3K
85300 371 369 $3K
87640 166 162 $3K
86015 33 22 $3K
29125 12 12 $3K
J7042 5% dextrose/normal saline (500 ml = 1 unit) 1,486 1,246 $3K
0134A 76 76 $3K
73590 1,177 1,104 $3K
85097 51 50 $3K
36416 222 218 $3K
J1650 Injection, enoxaparin sodium, 10 mg 1,886 1,314 $3K
86361 848 844 $3K
84166 216 214 $3K
J2800 Injection, methocarbamol, up to 10 ml 624 561 $3K
81241 234 233 $3K
84145 1,021 983 $3K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 579 470 $3K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 2,322 1,720 $3K
86945 242 116 $3K
96116 13 12 $3K
86757 93 93 $3K
73140 387 372 $3K
84134 288 281 $3K
86738 114 111 $3K
J3360 Injection, diazepam, up to 5 mg 517 480 $3K
85246 140 137 $3K
73090 765 729 $3K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 69 68 $3K
83718 644 642 $3K
87341 286 279 $3K
90670 13 12 $3K
70544 24 24 $3K
J0280 Injection, aminophyllin, up to 250 mg 355 339 $3K
76377 93 93 $2K
84132 1,083 1,012 $2K
85347 3,027 2,099 $2K
85576 56 51 $2K
82374 1,048 979 $2K
93226 48 48 $2K
84295 1,021 952 $2K
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 3,014 2,548 $2K
81240 209 207 $2K
0031A 74 74 $2K
87581 219 211 $2K
86352 31 26 $2K
82435 1,022 953 $2K
74018 648 619 $2K
72157 15 13 $2K
84255 76 76 $2K
87486 198 193 $2K
J2919 Injection, methylprednisolone sodium succinate, 5 mg 283 243 $2K
J2305 Injection, nitroglycerin, 5 mg 600 594 $2K
84520 1,038 969 $2K
96368 294 181 $2K
95714 34 26 $2K
86593 663 654 $2K
87210 964 908 $2K
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 408 316 $2K
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring 13 13 $2K
J8540 Dexamethasone, oral, 0.25 mg 1,166 859 $2K
82657 96 94 $2K
87529 39 38 $2K
86258 29 16 $2K
90656 147 146 $2K
0072A 50 50 $2K
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 577 394 $2K
84478 609 606 $2K
J3480 Injection, potassium chloride, per 2 meq 1,048 581 $2K
85307 125 125 $2K
88271 40 40 $2K
95874 160 159 $2K
0071A 69 69 $2K
81206 24 24 $2K
93923 12 12 $1K
88275 28 28 $1K
81002 544 539 $1K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 86 86 $1K
84238 31 30 $1K
87449 182 178 $1K
J1580 Injection, garamycin, gentamicin, up to 80 mg 293 288 $1K
84080 115 110 $1K
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 12 12 $1K
86215 97 93 $1K
0051A 28 28 $1K
J1626 Injection, granisetron hydrochloride, 100 mcg 93 38 $1K
88331 53 52 $1K
88387 181 162 $1K
J9250 Methotrexate sodium, 5 mg 635 436 $1K
76885 12 12 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 221 217 $1K
95887 26 25 $1K
G0476 Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test 891 890 $1K
J3411 Injection, thiamine hcl, 100 mg 804 680 $1K
82552 745 667 $980.61
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 289 184 $940.26
87255 38 38 $887.04
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg 77 65 $873.87
76828 43 37 $869.66
J3489 Injection, zoledronic acid, 1 mg 12 12 $840.16
86692 54 54 $833.91
83014 107 106 $831.10
83519 43 41 $800.69
83605 577 545 $800.10
96132 13 12 $797.52
88365 12 12 $796.36
86231 26 26 $758.76
97014 12 12 $734.95
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg 129 121 $732.37
88311 159 158 $720.48
87185 166 157 $715.79
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 80 79 $713.13
82009 296 271 $702.33
73552 218 208 $675.70
85245 38 38 $666.66
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 2,995 2,343 $657.63
80183 62 62 $635.03
86063 121 116 $623.20
94618 24 24 $614.64
82945 151 140 $611.83
80178 115 110 $603.21
86880 41 41 $581.52
86325 26 26 $575.21
81270 27 26 $569.70
97010 57 16 $550.19
88177 12 12 $548.97
80320 1,115 1,005 $542.90
J0360 Injection, hydralazine hcl, up to 20 mg 89 86 $533.73
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 29 29 $528.67
82330 68 68 $527.74
91300 7,909 7,040 $523.33
88285 26 25 $516.92
80321 17 13 $509.29
84157 188 175 $480.84
82595 86 84 $475.79
0053A 12 12 $471.87
86340 41 40 $466.97
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 1,193 1,182 $459.84
80349 188 178 $439.20
72128 12 12 $426.23
80348 185 156 $424.20
J2003 Injection, lidocaine hydrochloride, 1 mg 648 627 $387.62
87521 Neg quan hep c or qual rna 12 12 $378.96
81015 1,216 1,151 $354.52
87275 98 98 $350.47
81291 13 13 $334.54
J0780 Injection, prochlorperazine, up to 10 mg 114 104 $331.75
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 111 88 $329.22
0107U 60 59 $323.20
76376 104 104 $319.38
86308 95 95 $309.45
87324 31 29 $304.65
J2060 Injection, lorazepam, 2 mg 615 512 $300.79
A4351 Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each 50 50 $296.52
85018 140 140 $295.63
J1940 Injection, furosemide, up to 20 mg 253 195 $289.37
73560 16 16 $282.60
82010 460 429 $280.04
82340 57 56 $274.45
G0475 Hiv antigen/antibody, combination assay, screening 13 13 $260.04
J1010 Injection, methylprednisolone acetate, 1 mg 108 107 $251.72
J1630 Injection, haloperidol, up to 5 mg 360 296 $249.65
82530 15 13 $249.63
80230 14 14 $241.07
85014 139 139 $239.07
77062 18 15 $232.48
85247 12 12 $230.60
J1836 Injection, metronidazole, 10 mg 284 213 $216.39
73010 38 37 $212.00
73060 152 148 $203.86
82542 12 12 $195.76
J1040 Injection, methylprednisolone acetate, 80 mg 44 44 $192.10
G0009 Administration of pneumococcal vaccine 14 14 $187.69
J1921 Injection, labetalol hydrochloride (hikma), not therapeutically equivalent to j1920, 5 mg 15 13 $187.62
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 4,038 3,300 $173.51
81050 53 53 $162.00
80329 66 65 $158.66
91312 512 512 $157.50
S0020 Injection, bupivicaine hydrochloride, 30 ml 14 13 $152.31
82270 75 75 $139.78
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml 1,443 1,294 $139.40
82365 13 13 $133.00
82104 13 13 $122.09
90749 13 12 $116.55
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 120 120 $114.11
85660 33 33 $106.32
J9260 Injection, methotrexate sodium, 50 mg 33 29 $105.16
J7507 Tacrolimus, immediate release, oral, 1 mg 179 91 $103.57
96523 48 40 $102.82
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen 3,333 2,329 $95.74
J1596 Injection, glycopyrrolate, 0.1 mg 306 278 $88.51
J1805 Injection, esmolol hydrochloride, 10 mg 150 150 $76.43
91305 262 255 $74.41
94728 20 13 $68.42
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 27 27 $53.49
J7999 Compounded drug, not otherwise classified 1,228 1,186 $46.88
80346 27 25 $44.60
87184 13 13 $43.27
88300 38 38 $38.41
87541 116 112 $35.09
J1953 Injection, levetiracetam, 10 mg 12 12 $33.87
91307 114 111 $33.64
S0077 Injection, clindamycin phosphate, 300 mg 16 14 $32.70
J1597 Injection, glycopyrrolate (glyrx-pf), 0.1 mg 159 134 $27.73
J7614 Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg 64 52 $26.02
J1171 Injection, hydromorphone, 0.1 mg 112 75 $9.88
91313 32 32 $9.61
J0173 Injection, epinephrine (belcher), not therapeutically equivalent to j0171, 0.1 mg 23 19 $8.54
Q9954 Oral magnetic resonance contrast agent, per 100 ml 15 15 $2.70
91303 72 72 $2.00
J7517 Mycophenolate mofetil, oral, 250 mg 31 14 $1.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 24 24 $1.00
G0124 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician 429 429 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 150 149 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 143 143 $0.00
76857 24 24 $0.00
99080 550 94 $0.00
0202U Oncology (prostate), multianalyte, gene expression profiling 17 17 $0.00
C8937 Computer-aided detection, including computer algorithm analysis of breast mri image data for lesion detection/characterization, pharmacokinetic analysis, with further physician review for interpretation (list separately in addition to code for primary procedure) 12 12 $0.00
C2617 Stent, non-coronary, temporary, without delivery system 12 12 $0.00
64494 15 12 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 12 12 $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 30 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 28 27 $0.00
67320 12 12 $0.00