Medicaid Provider Spending

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

KENTUCKY HOSPITAL, LLC

NPI: 1811213994 · WINCHESTER, KY 40391 · General Acute Care Hospital · NPI assigned 04/14/2010

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

Authorized official LAWRENCE, CHARLOTTE controls 20+ related entities in our dataset. Read more

$83.74M
Total Medicaid Paid
1,466,518
Total Claims
1,084,307
Beneficiaries
391
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAWRENCE, CHARLOTTE (SECRETARY)
NPI Enumeration Date04/14/2010

Related Entities

Other providers sharing the same authorized official: LAWRENCE, CHARLOTTE

ProviderCityStateTotal Paid
LAKE CUMBERLAND REGIONAL HOSPITAL LLC SOMERSET KY $77.77M
DANVILLE REGIONAL MEDICAL CENTER, LLC DANVILLE VA $65.11M
PHC-LAS CRUCES INC LAS CRUCES NM $64.77M
GEORGETOWN COMMUNITY HOSPITAL LLC GEORGETOWN KY $44.03M
PINELAKE REGIONAL HOSPITAL LLC MAYFIELD KY $43.34M
RALEIGH GENERAL HOSPITAL LLC BECKLEY WV $36.44M
LOURDES HOSPITAL LLC PASCO WA $33.94M
RCHP-SIERRA VISTA INC SIERRA VISTA AZ $29.77M
CLINCH VALLEY MEDICAL CENTER INC. RICHLANDS VA $26.28M
SPRING VIEW HOSPITAL LLC LEBANON KY $23.35M
HAVASU REGIONAL MEDICAL CENTER LLC LAKE HAVASU CITY AZ $23.19M
LAS CRUCES PHYSICIAN PRACTICES, LLC LAS CRUCES NM $22.78M
MEADOWVIEW REGIONAL MEDICAL CENTER LLC MAYSVILLE KY $22.57M
LOURDES HOSPITAL LLC RICHLAND WA $22.38M
DANVILLE REGIONAL MEDICAL CENTER LLC MARTINSVILLE VA $21.09M
PHC-FORT MOHAVE INC FORT MOHAVE AZ $19.95M
WYTHE COUNTY COMMUNITY HOSPITAL LLC WYTHEVILLE VA $18.30M
DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC JOHNSTOWN PA $18.22M
BOURBON COMMUNITY HOSPITAL LLC PARIS KY $18.14M
WILLAMETTE VALLEY MEDICAL CENTER LLC MCMINNVILLE OR $17.29M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 220,538 $17.06M
2019 197,852 $12.83M
2020 195,603 $8.67M
2021 230,522 $10.57M
2022 225,240 $11.24M
2023 220,821 $12.79M
2024 175,942 $10.59M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 50,142 41,586 $11.85M
74177 Computed tomography, abdomen and pelvis; with contrast material 12,209 9,560 $7.69M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 22,433 15,559 $7.23M
0202U Oncology (prostate), multianalyte, gene expression profiling 18,900 17,019 $6.85M
99283 Emergency department visit for the evaluation and management, moderate severity 37,092 32,321 $5.16M
70450 Computed tomography, head or brain; without contrast material 11,194 8,159 $2.51M
74176 Computed tomography, abdomen and pelvis; without contrast material 4,021 3,060 $2.24M
G0378 Hospital observation service, per hour 4,575 2,852 $1.81M
71275 Computed tomographic angiography, chest, with contrast material 4,280 3,306 $1.75M
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 3,886 3,428 $1.48M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,728 2,270 $1.42M
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 24,761 20,125 $1.21M
71046 Radiologic examination, chest; 2 views 15,726 12,246 $1.12M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 21,165 16,833 $961K
80053 Comprehensive metabolic panel 115,183 65,747 $910K
96361 Intravenous infusion, hydration; each additional hour 40,969 15,763 $909K
71045 Radiologic examination, chest; single view 22,442 15,478 $907K
76705 Ultrasound, abdominal, real time with image documentation; limited 4,728 4,201 $850K
96375 Therapeutic injection; each additional sequential IV push 14,863 9,986 $764K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 10,551 6,293 $712K
72131 2,323 1,817 $688K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,978 2,364 $659K
72125 Computed tomography, cervical spine; without contrast material 2,565 2,158 $644K
99282 Emergency department visit for the evaluation and management, low to moderate severity 7,069 6,449 $628K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 903 824 $607K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 15,409 12,899 $586K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12,793 9,504 $586K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 77,971 63,129 $529K
71250 2,207 1,515 $438K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1,218 890 $437K
97530 Therapeutic activities, direct patient contact, each 15 minutes 7,142 2,598 $431K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 8,477 5,689 $417K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 549 379 $398K
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 6,424 5,522 $387K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 14,292 5,358 $382K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 7,559 2,077 $376K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,440 1,034 $356K
74018 5,975 5,111 $347K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,434 1,210 $338K
42820 Tonsillectomy and adenoidectomy; younger than age 12 402 370 $335K
73630 4,343 3,720 $321K
70486 1,054 908 $320K
0240U 5,255 4,537 $307K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 5,976 1,932 $300K
87507 992 897 $297K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 22,815 15,674 $290K
36415 Collection of venous blood by venipuncture 68,645 33,332 $289K
76376 2,388 1,761 $287K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 802 717 $286K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 5,581 2,125 $280K
77067 Screening mammography, bilateral, including computer-aided detection 4,068 3,883 $275K
73610 3,705 3,073 $270K
73130 4,109 3,301 $256K
72128 918 773 $249K
73564 2,992 2,248 $247K
84443 Thyroid stimulating hormone (TSH) 17,707 15,981 $242K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 452 242 $235K
73030 3,234 2,406 $230K
72110 1,985 1,584 $226K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 9,231 7,906 $220K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,185 1,050 $205K
84484 19,056 14,318 $205K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 36,681 23,210 $204K
76536 1,440 1,277 $199K
95810 Polysomnography; sleep staging with 4 or more additional parameters 225 196 $198K
76830 Ultrasound, transvaginal 1,137 999 $198K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1,458 1,140 $188K
94060 2,359 1,772 $186K
73110 2,539 2,117 $185K
87070 24,569 20,395 $182K
93971 1,755 1,518 $175K
J2704 Injection, propofol, 10 mg 11,808 10,362 $174K
J2405 Injection, ondansetron hydrochloride, per 1 mg 14,226 11,649 $170K
76642 1,985 1,758 $170K
93017 858 749 $163K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 366 321 $154K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 2,920 2,038 $151K
87430 11,518 10,584 $150K
80061 Lipid panel 13,158 11,547 $140K
74022 1,318 1,204 $139K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 4,027 3,570 $135K
87581 3,827 3,424 $131K
87486 4,398 3,462 $129K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,407 853 $129K
96376 2,753 1,794 $124K
80048 Basic metabolic panel (calcium, ionized) 15,575 10,082 $124K
80074 3,576 2,806 $113K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 430 342 $110K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 5,164 4,520 $106K
J1885 Injection, ketorolac tromethamine, per 15 mg 21,787 18,438 $101K
73080 1,477 1,149 $101K
83690 18,004 15,253 $101K
87088 14,139 12,053 $98K
84145 4,802 3,815 $94K
36600 5,138 1,752 $92K
70551 Magnetic resonance imaging, brain; without contrast material 380 297 $88K
73590 1,295 995 $85K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2,905 1,491 $85K
94760 2,801 2,425 $84K
83880 3,678 2,757 $84K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2,809 2,589 $83K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,828 2,593 $83K
73502 1,625 1,107 $82K
84703 12,740 11,235 $81K
83036 Hemoglobin; glycosylated (A1C) 10,570 9,466 $80K
76700 Ultrasound, abdominal, real time with image documentation; complete 445 379 $78K
81001 20,814 17,733 $74K
73090 1,178 978 $74K
73562 1,118 789 $71K
J0561 Injection, penicillin g benzathine, 100,000 units 484 411 $71K
47562 73 70 $69K
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 8,458 5,721 $68K
94729 1,787 1,634 $68K
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 3,728 3,407 $68K
59025 Fetal non-stress test 418 252 $68K
82607 5,826 5,092 $66K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 2,067 1,786 $65K
10060 564 478 $62K
87522 Neg quan hep c or qual rna 1,610 1,491 $62K
J0696 Injection, ceftriaxone sodium, per 250 mg 3,803 3,025 $61K
87077 9,127 7,050 $61K
84439 7,781 7,041 $60K
J0690 Injection, cefazolin sodium, 500 mg 3,891 3,017 $59K
87186 7,380 6,428 $58K
87040 4,704 3,542 $58K
85027 9,083 7,707 $57K
81025 5,926 5,232 $56K
85610 13,878 9,003 $56K
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 1,654 1,005 $55K
J3010 Injection, fentanyl citrate, 0.1 mg 10,562 8,941 $53K
94726 690 660 $52K
77063 Screening digital breast tomosynthesis, bilateral 4,970 4,301 $51K
83605 5,422 4,282 $50K
81003 17,445 15,114 $48K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 13,756 11,735 $47K
82962 11,669 5,435 $45K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 405 195 $45K
94750 869 778 $40K
70496 138 113 $40K
84702 2,985 2,470 $39K
82746 3,394 3,119 $39K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 1,089 828 $39K
84403 1,694 1,538 $38K
58661 72 51 $37K
82728 3,518 3,045 $37K
12001 450 379 $37K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,722 1,515 $35K
41899 Unlisted procedure, dentoalveolar structures 28 28 $35K
84402 1,570 1,401 $34K
J1815 Injection, insulin, per 5 units 1,939 1,310 $34K
72050 314 225 $33K
95886 568 479 $33K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 926 774 $32K
99281 Emergency department visit for the evaluation and management, self-limited or minor 543 504 $32K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 233 224 $32K
87902 141 112 $32K
J3370 Injection, vancomycin hcl, 500 mg 1,169 859 $32K
82803 1,934 1,467 $30K
80358 1,436 1,382 $29K
83516 1,081 969 $29K
90715 1,662 1,486 $28K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 223 202 $28K
70498 148 122 $28K
84112 332 284 $28K
84153 2,163 1,887 $27K
83992 1,449 1,397 $27K
72141 83 68 $26K
85730 4,749 4,069 $25K
70491 77 62 $25K
J2270 Injection, morphine sulfate, up to 10 mg 5,958 4,713 $25K
83550 3,587 3,290 $24K
76000 296 257 $24K
95816 143 111 $23K
77080 496 352 $23K
97162 849 417 $23K
J7030 Infusion, normal saline solution , 1000 cc 3,025 1,209 $23K
29125 370 344 $22K
83540 3,944 3,543 $22K
88304 250 242 $22K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 2,001 577 $21K
83735 4,105 3,191 $21K
J2250 Injection, midazolam hydrochloride, per 1 mg 8,440 7,140 $21K
86850 2,903 2,204 $21K
86140 4,955 4,097 $21K
97535 Self-care/home management training, each 15 minutes 810 328 $20K
80348 445 413 $20K
85378 2,688 2,425 $20K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 2,814 1,982 $20K
77066 Tomosynthesis, mammo 386 332 $20K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 14,339 12,467 $20K
86038 1,912 1,724 $19K
80143 1,335 1,177 $18K
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 2,951 1,578 $17K
87205 4,046 3,288 $17K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 1,793 1,238 $17K
80179 1,236 1,104 $17K
87807 1,420 1,320 $17K
71101 227 175 $16K
82565 3,061 2,171 $16K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 98 87 $15K
71271 639 574 $14K
J2765 Injection, metoclopramide hcl, up to 10 mg 3,275 2,848 $14K
11045 203 24 $14K
76775 199 178 $13K
96367 666 259 $13K
85651 4,016 3,402 $13K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 1,759 1,470 $13K
93976 122 110 $13K
77065 Tomosynthesis, mammo 269 223 $13K
86703 1,042 935 $13K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 31 26 $13K
C9113 Injection, pantoprazole sodium, per vial 1,484 944 $12K
J1644 Injection, heparin sodium, per 1000 units 2,026 1,056 $11K
J7120 Ringers lactate infusion, up to 1000 cc 1,302 770 $11K
76870 60 56 $11K
80076 1,337 1,079 $11K
J7050 Infusion, normal saline solution, 250 cc 1,242 525 $11K
J1040 Injection, methylprednisolone acetate, 80 mg 588 516 $11K
J1650 Injection, enoxaparin sodium, 10 mg 532 330 $11K
84270 575 465 $10K
83883 822 716 $10K
99406 875 703 $10K
82550 1,666 1,365 $10K
97166 353 236 $10K
84436 1,775 1,481 $9K
P9612 Catheterization for collection of specimen, single patient, all places of service 1,916 559 $9K
86901 3,221 2,684 $9K
81596 138 128 $9K
72170 228 135 $9K
84550 1,940 1,612 $9K
84479 1,608 1,382 $9K
72100 156 126 $8K
D1351 Sealant - per tooth 48 25 $8K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 321 162 $8K
11043 142 40 $8K
72072 59 54 $8K
83013 140 132 $8K
82172 562 460 $8K
86900 3,344 2,697 $8K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 35 34 $8K
86318 541 488 $7K
C1769 Guide wire 116 87 $7K
83010 693 631 $7K
74019 111 105 $7K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 300 279 $7K
J1170 Injection, hydromorphone, up to 4 mg 2,082 1,557 $7K
86708 689 657 $7K
86706 826 784 $7K
83721 1,126 1,038 $7K
12002 73 70 $7K
J1200 Injection, diphenhydramine hcl, up to 50 mg 3,422 2,602 $7K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 333 134 $6K
62323 78 53 $6K
J2550 Injection, promethazine hcl, up to 50 mg 2,416 1,938 $6K
J2785 Injection, regadenoson, 0.1 mg 83 79 $6K
92523 58 53 $6K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 481 233 $6K
99499 71 54 $6K
83520 406 359 $5K
J1580 Injection, garamycin, gentamicin, up to 80 mg 483 395 $5K
73060 99 78 $5K
83921 329 301 $5K
82150 783 712 $5K
J1596 Injection, glycopyrrolate, 0.1 mg 313 278 $5K
86702 451 420 $5K
86701 674 622 $4K
82570 944 835 $4K
43233 14 14 $4K
82103 435 363 $4K
J2795 Injection, ropivacaine hydrochloride, 1 mg 326 262 $4K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 363 242 $4K
85007 1,305 1,217 $4K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 86 78 $4K
84520 749 649 $4K
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg 132 37 $4K
82043 952 793 $4K
82785 330 276 $4K
82542 228 192 $4K
99152 129 93 $4K
J0360 Injection, hydralazine hcl, up to 20 mg 473 364 $4K
J0330 Injection, succinylcholine chloride, up to 20 mg 562 472 $3K
93970 29 25 $3K
86317 135 119 $3K
83615 649 533 $3K
82784 478 439 $3K
82977 519 473 $3K
87081 442 409 $3K
82104 242 227 $3K
74220 27 27 $3K
86431 640 585 $3K
86665 94 80 $3K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 1,396 1,244 $3K
93225 27 25 $3K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 41 13 $3K
J2060 Injection, lorazepam, 2 mg 796 659 $3K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 265 141 $3K
95913 29 24 $2K
82009 665 554 $2K
77061 33 27 $2K
82272 802 685 $2K
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 96 83 $2K
86666 66 59 $2K
82247 429 291 $2K
82140 170 132 $2K
86308 474 445 $2K
J2919 Injection, methylprednisolone sodium succinate, 5 mg 207 155 $2K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 288 218 $2K
76770 19 12 $2K
87220 461 434 $2K
87210 428 404 $2K
87641 77 66 $2K
82670 98 63 $2K
D2332 19 12 $2K
C9399 Unclassified drugs or biologicals 36 12 $2K
97161 30 26 $2K
86617 62 57 $2K
86255 184 170 $2K
82390 190 173 $2K
D2930 Prefabricated stainless steel crown - primary tooth 38 12 $1K
72040 29 27 $1K
88307 13 13 $1K
84460 277 239 $1K
43249 15 12 $1K
J3411 Injection, thiamine hcl, 100 mg 326 271 $1K
96368 52 42 $1K
J2370 Injection, phenylephrine hcl, up to 1 ml 837 684 $1K
87449 113 100 $1K
83970 41 36 $1K
J3475 Injection, magnesium sulfate, per 500 mg 109 74 $1K
95806 18 17 $1K
G0297 Low dose ct scan (ldct) for lung cancer screening 57 41 $1K
J1171 Injection, hydromorphone, 0.1 mg 41 32 $1K
82947 499 466 $1K
86920 34 25 $1K
86664 76 67 $1K
29515 13 12 $985.25
J0500 Injection, dicyclomine hcl, up to 20 mg 12 12 $942.29
86663 76 67 $859.48
77062 14 13 $820.86
86592 244 206 $814.98
83021 18 17 $811.46
81374 12 12 $770.28
93922 14 12 $766.88
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 22 13 $762.12
J2310 Injection, naloxone hydrochloride, per 1 mg 33 25 $753.81
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16 12 $728.82
84146 40 38 $725.33
51702 17 13 $712.46
J1010 Injection, methylprednisolone acetate, 1 mg 67 66 $698.67
87529 12 12 $697.59
83001 38 36 $638.91
76857 13 12 $637.24
85014 305 234 $627.89
80055 15 15 $620.56
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 45 43 $551.10
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 39 25 $520.61
84100 192 148 $518.33
87340 45 41 $508.32
83655 41 39 $485.58
86803 47 45 $476.34
86747 18 17 $427.64
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 12 12 $417.40
84165 58 52 $410.07
86677 12 12 $398.76
86376 34 27 $327.31
82951 28 24 $308.03
J0592 Injection, buprenorphine hydrochloride, 0.1 mg 33 26 $296.08
86696 19 18 $277.11
84425 39 12 $266.07
81256 14 13 $263.33
G0432 Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening 24 19 $260.26
86800 21 17 $242.81
86645 18 17 $239.70
76981 43 40 $227.76
86618 12 12 $206.56
86644 17 16 $204.72
86787 18 17 $183.24
86762 17 15 $180.49
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 99 49 $160.83
82800 14 13 $143.70
Q3014 Telehealth originating site facility fee 13 12 $124.51
89051 17 12 $108.60
J1790 Injection, droperidol, up to 5 mg 17 13 $81.97
J3480 Injection, potassium chloride, per 2 meq 14 12 $70.87
J7510 Prednisolone oral, per 5 mg 54 52 $65.30
84156 38 25 $64.03
84155 45 39 $55.13
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 27 18 $45.56
85018 16 12 $22.88
Q0244 Injection, casirivimab and imdevimab, 1200 mg 98 92 $0.01
A9270 Non-covered item or service 16 12 $0.00