Medicaid Provider Spending

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

SENTARA HOSPITALS

NPI: 1811957681 · NORFOLK, VA 23502 · General Acute Care Hospital · NPI assigned 03/24/2006

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

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

$79.69M
Total Medicaid Paid
2,277,166
Total Claims
1,522,517
Beneficiaries
388
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHANCOCK, MELINDA (CFO)
Parent OrganizationSENTARA HEALTHCARE
NPI Enumeration Date03/24/2006

Related Entities

Other providers sharing the same authorized official: HANCOCK, MELINDA

ProviderCityStateTotal Paid
SENTARA HOSPITALS NORFOLK VA $88.20M
SENTARA HOSPITALS HAMPTON VA $78.52M
POTOMAC HOSPITAL CORPORATION OF PRINCE WILLIAM WOODBRIDGE VA $59.17M
SENTARA HOSPITALS SUFFOLK VA $57.85M
SENTARA RMH MEDICAL CENTER HARRISONBURG VA $52.95M
SENTARA HOSPITALS VIRGINIA BEACH VA $52.40M
SENTARA PRINCESS ANNE HOSPITAL VIRGINIA BEACH VA $37.50M
MARTHA JEFFERSON HOSPITAL CHARLOTTESVILLE VA $26.95M
HALIFAX REGIONAL HOSPITAL, INC. SOUTH BOSTON VA $23.28M
SENTARA HOSPITALS WILLIAMSBURG VA $21.89M
SENTARA ALBEMARLE REGIONAL MEDICAL CENTER ELIZABETH CITY NC $13.82M
SENTARA REFERENCE LAB SOLUTIONS, LLC NORFOLK VA $4.74M
HALIFAX REGIONAL HOSPITAL, INC SOUTH BOSTON VA $1.61M
HALIFAX REGIONAL HOSPITAL, INC NATHALIE VA $348K
HALIFAX REGIONAL HOSPITAL, INC SOUTH BOSTON VA $336K
HALIFAX REGIONAL HOSPITAL, INC CHASE CITY VA $298K
HALIFAX REGIONAL HOSPITAL, INC CLARKSVILLE VA $265K
SENTARA HOSPITALS NORFOLK VA $171K
HALIFAX REGIONAL HOSPITAL, INC SOUTH BOSTON VA $170K
SENTARA HOSPITALS NORFOLK VA $128K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 167,804 $3.22M
2019 271,247 $6.30M
2020 266,700 $10.55M
2021 357,921 $12.64M
2022 416,689 $14.94M
2023 501,822 $20.15M
2024 294,983 $11.88M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 79,000 65,472 $12.60M
99284 Emergency department visit for the evaluation and management, high severity 66,289 53,245 $10.57M
96361 Intravenous infusion, hydration; each additional hour 33,002 23,795 $9.17M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 40,086 32,608 $6.71M
99282 Emergency department visit for the evaluation and management, low to moderate severity 22,482 18,924 $3.26M
74177 Computed tomography, abdomen and pelvis; with contrast material 16,983 14,620 $3.04M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 57,835 14,601 $2.79M
70450 Computed tomography, head or brain; without contrast material 16,534 13,888 $2.65M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 18,172 4,843 $2.31M
G0378 Hospital observation service, per hour 7,587 5,757 $1.80M
78815 Positron emission tomography (PET) for limited area imaging 1,763 1,604 $1.49M
71275 Computed tomographic angiography, chest, with contrast material 6,055 5,289 $1.42M
59025 Fetal non-stress test 6,057 4,644 $1.16M
97530 Therapeutic activities, direct patient contact, each 15 minutes 24,858 7,850 $1.12M
74176 Computed tomography, abdomen and pelvis; without contrast material 5,691 4,888 $904K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 8,220 7,115 $858K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,341 2,959 $811K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1,330 1,154 $766K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 3,375 2,203 $711K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 13,404 8,252 $670K
97161 6,608 5,844 $566K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 10,948 9,237 $511K
J3490 Unclassified drugs 330,919 79,232 $501K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 5,996 5,190 $435K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1,388 1,254 $392K
58661 123 91 $379K
76642 3,782 2,949 $364K
76705 Ultrasound, abdominal, real time with image documentation; limited 4,211 3,710 $336K
71260 Computed tomography, thorax, diagnostic; with contrast material 3,689 3,239 $320K
80048 Basic metabolic panel (calcium, ionized) 93,595 67,108 $317K
97162 3,135 2,812 $302K
70551 Magnetic resonance imaging, brain; without contrast material 1,679 1,470 $295K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 531 466 $284K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 21,490 6,693 $265K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 10,767 3,388 $244K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 17,421 11,507 $243K
77063 Screening digital breast tomosynthesis, bilateral 6,251 5,894 $242K
70491 1,277 1,163 $226K
71046 Radiologic examination, chest; 2 views 37,745 32,036 $220K
97597 4,386 1,914 $216K
93971 2,972 2,505 $216K
76830 Ultrasound, transvaginal 3,155 2,794 $215K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1,420 1,267 $215K
45380 Colonoscopy, flexible; with biopsy, single or multiple 227 209 $197K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,335 1,196 $194K
77067 Screening mammography, bilateral, including computer-aided detection 7,312 6,838 $190K
0240U 3,475 3,208 $188K
10060 1,651 1,427 $182K
76801 4,126 3,391 $174K
71250 3,011 2,610 $169K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 3,220 2,851 $166K
90935 Hemodialysis procedure with single evaluation by a physician 648 334 $162K
97598 357 114 $158K
76770 1,495 1,331 $150K
93970 1,501 1,255 $145K
P9016 Red blood cells, leukocytes reduced, each unit 572 428 $140K
97116 4,444 1,721 $139K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,520 2,150 $135K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 57,227 46,321 $127K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,339 1,016 $120K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 14,237 12,558 $120K
97165 1,972 1,688 $117K
93017 1,793 1,545 $116K
72125 Computed tomography, cervical spine; without contrast material 3,863 3,294 $114K
93976 2,575 2,265 $113K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 855 482 $111K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 468 416 $109K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 115 108 $107K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 591 514 $103K
70496 537 476 $102K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 4,129 1,236 $101K
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 5,469 4,761 $99K
59050 668 505 $98K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1,312 1,182 $89K
83880 11,707 9,551 $86K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 3,957 3,247 $82K
97535 Self-care/home management training, each 15 minutes 3,155 2,198 $81K
76536 859 776 $81K
97016 2,983 828 $80K
72141 420 386 $78K
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 281 259 $75K
12001 349 331 $74K
80047 21,502 18,416 $72K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 1,392 1,182 $68K
77065 Tomosynthesis, mammo 2,069 1,688 $68K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 789 672 $66K
77066 Tomosynthesis, mammo 2,178 1,943 $65K
70486 1,376 1,233 $65K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 98,426 73,233 $63K
36430 467 333 $61K
82962 32,891 12,002 $54K
70498 521 460 $52K
74178 234 220 $52K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 86 82 $51K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 50,285 40,302 $48K
85379 11,232 9,866 $48K
97760 1,188 1,029 $47K
71045 Radiologic examination, chest; single view 15,670 12,819 $45K
80076 29,613 24,309 $44K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 5,744 5,274 $42K
80053 Comprehensive metabolic panel 8,713 7,089 $39K
76942 920 754 $39K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 4,542 4,293 $38K
84484 38,580 22,583 $37K
64415 203 180 $36K
90715 2,262 2,019 $36K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 9,881 8,761 $35K
96375 Therapeutic injection; each additional sequential IV push 35,167 26,291 $34K
97750 1,203 727 $34K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 2,709 2,413 $33K
94060 700 629 $33K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 587 500 $32K
72110 2,420 2,119 $32K
76700 Ultrasound, abdominal, real time with image documentation; complete 252 229 $29K
71271 302 291 $29K
84703 20,156 17,537 $28K
58558 15 14 $28K
94726 988 889 $26K
85027 14,288 10,873 $26K
94729 1,198 1,069 $25K
87040 5,737 2,663 $25K
97113 516 188 $24K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 323 294 $24K
73630 5,699 4,432 $24K
73030 3,955 3,246 $23K
J3010 Injection, fentanyl citrate, 0.1 mg 12,705 9,644 $23K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 25,724 15,553 $23K
73564 4,601 3,630 $23K
77080 408 359 $21K
88305 Level IV - Surgical pathology, gross and microscopic examination 5,333 4,499 $21K
96376 17,515 8,859 $21K
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 2,834 1,924 $20K
97166 191 167 $20K
12002 145 123 $19K
88307 1,139 965 $19K
C1729 Catheter, drainage 3,012 2,373 $17K
73130 3,427 2,687 $17K
73502 2,483 2,052 $17K
49083 24 12 $17K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,276 1,117 $16K
29581 119 25 $16K
74183 55 50 $15K
76870 211 186 $15K
85610 9,627 7,246 $15K
72050 701 635 $14K
73562 1,431 1,024 $14K
73610 3,754 3,084 $13K
29125 112 105 $12K
81001 48,100 39,926 $12K
12011 75 66 $12K
72100 952 856 $12K
94799 4,135 1,898 $12K
92610 153 131 $11K
74174 120 104 $11K
J2405 Injection, ondansetron hydrochloride, per 1 mg 35,021 27,111 $11K
74018 1,537 1,206 $11K
73221 63 55 $11K
36415 Collection of venous blood by venipuncture 10,872 8,999 $10K
84702 6,480 5,165 $10K
94660 46 24 $10K
81003 18,929 16,184 $10K
87086 Culture, bacterial; quantitative colony count, urine 18,411 15,495 $9K
86850 4,220 3,661 $9K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 14,113 12,455 $9K
81025 21,116 18,357 $9K
97014 453 126 $9K
83605 10,073 7,884 $9K
86923 411 310 $9K
93880 109 96 $8K
83036 Hemoglobin; glycosylated (A1C) 3,073 2,687 $8K
85014 11,980 9,925 $8K
80061 Lipid panel 2,401 2,055 $7K
97163 165 138 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,660 2,278 $7K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 30,356 24,176 $7K
85018 2,888 2,171 $7K
84443 Thyroid stimulating hormone (TSH) 4,711 4,089 $7K
73110 1,667 1,393 $6K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 605 526 $6K
82565 4,524 3,756 $6K
83735 9,165 6,836 $6K
80320 1,525 1,280 $6K
J1885 Injection, ketorolac tromethamine, per 15 mg 21,790 18,172 $6K
73700 70 63 $6K
70544 17 15 $6K
99234 611 542 $6K
83690 25,629 20,835 $5K
G0151 Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes 140 55 $5K
86900 6,335 5,157 $5K
93350 33 26 $5K
J2270 Injection, morphine sulfate, up to 10 mg 14,284 10,134 $5K
80143 1,021 932 $5K
J1644 Injection, heparin sodium, per 1000 units 11,964 4,341 $5K
87077 7,429 6,209 $5K
82553 1,328 849 $4K
J1170 Injection, hydromorphone, up to 4 mg 11,963 7,128 $4K
87070 1,519 1,291 $4K
84100 2,937 2,129 $4K
G0152 Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes 159 48 $4K
20610 147 94 $4K
36000 53 52 $4K
87186 5,118 4,192 $4K
96367 412 341 $4K
86901 6,333 5,158 $4K
G0257 Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility 180 62 $4K
73080 887 770 $3K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 9,810 8,625 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,487 4,038 $3K
73140 956 859 $3K
93296 544 410 $3K
82077 8,146 6,793 $3K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 16 16 $3K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 2,173 1,736 $3K
43235 16 13 $3K
77062 79 71 $3K
85730 4,655 3,800 $3K
73590 969 796 $3K
87210 11,646 10,217 $3K
97542 105 69 $2K
72131 54 44 $2K
72158 12 12 $2K
97035 33 12 $2K
84145 386 336 $2K
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 6,982 5,956 $2K
80179 936 872 $2K
J2765 Injection, metoclopramide hcl, up to 10 mg 3,034 2,433 $2K
J2060 Injection, lorazepam, 2 mg 4,339 3,291 $2K
92526 83 36 $2K
94618 28 26 $2K
90686 147 130 $2K
77061 69 50 $2K
76882 19 14 $2K
J1650 Injection, enoxaparin sodium, 10 mg 1,140 535 $2K
82607 467 412 $2K
82550 1,945 1,577 $2K
11721 273 151 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg 9,708 7,491 $1K
J2550 Injection, promethazine hcl, up to 50 mg 4,257 3,176 $1K
J2250 Injection, midazolam hydrochloride, per 1 mg 9,299 8,321 $1K
0225U 18 12 $1K
97032 24 12 $1K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 12 12 $1K
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 4,171 3,237 $1K
72040 56 52 $1K
87081 3,249 3,000 $1K
J1200 Injection, diphenhydramine hcl, up to 50 mg 7,000 5,297 $1K
J8597 Antiemetic drug, oral, not otherwise specified 925 733 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,869 1,076 $1K
85652 1,028 873 $997.35
51798 144 97 $956.07
82803 1,927 1,543 $938.28
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 1,348 1,173 $854.73
C1769 Guide wire 1,198 1,002 $848.52
73560 94 62 $821.37
72072 56 49 $814.98
87631 37 33 $635.33
85384 599 501 $618.86
87205 1,557 1,270 $615.90
90656 32 31 $601.25
73552 136 107 $594.54
96368 41 39 $565.06
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 608 508 $556.25
87634 28 27 $542.68
J2704 Injection, propofol, 10 mg 10,897 9,795 $540.94
84439 154 141 $540.26
J1630 Injection, haloperidol, up to 5 mg 5,551 4,599 $535.64
36600 256 214 $533.67
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 1,552 1,355 $527.99
83615 1,116 922 $504.23
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 1,199 1,131 $490.71
71101 110 93 $480.31
82310 4,119 3,619 $473.12
74022 117 88 $434.77
82570 823 695 $412.52
80069 63 49 $411.28
80164 75 63 $410.55
J3480 Injection, potassium chloride, per 2 meq 698 475 $400.26
J0690 Injection, cefazolin sodium, 500 mg 6,766 4,734 $384.23
86140 247 213 $362.79
0115U 13 12 $361.34
M0222 Intravenous injection, bebtelovimab, includes injection and post administration monitoring 28 24 $350.50
94010 15 15 $346.48
A9575 Injection, gadoterate meglumine, 0.1 ml 3,000 2,266 $281.24
88342 653 554 $278.22
83970 36 26 $275.69
J2785 Injection, regadenoson, 0.1 mg 1,019 889 $257.89
J3370 Injection, vancomycin hcl, 500 mg 1,772 744 $257.02
73660 82 69 $255.90
82746 104 98 $255.90
84520 717 567 $241.40
84550 988 821 $233.49
92611 16 12 $231.59
74230 16 12 $203.92
80329 18 13 $201.92
84156 644 524 $190.30
82140 192 145 $176.20
72170 29 26 $164.44
82728 50 44 $162.75
83550 170 155 $162.72
J0780 Injection, prochlorperazine, up to 10 mg 2,655 2,223 $161.43
83540 207 185 $150.91
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 261 253 $150.54
73090 243 205 $143.62
82272 1,278 1,057 $141.98
82330 400 329 $132.76
70355 17 13 $127.66
J1940 Injection, furosemide, up to 20 mg 1,795 1,057 $112.65
88304 836 761 $109.19
88302 72 61 $93.36
84132 489 367 $79.87
87340 164 143 $61.88
G0008 Administration of influenza virus vaccine 176 143 $46.16
85045 354 225 $45.23
84450 277 223 $44.24
84460 232 195 $29.60
J3535 Drug administered through a metered dose inhaler 15 12 $29.42
J1815 Injection, insulin, per 5 units 211 109 $29.22
J0171 Injection, adrenalin, epinephrine, 0.1 mg 509 429 $25.72
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 1,280 963 $24.68
A6457 Tubular dressing with or without elastic, any width, per linear yard 1,473 574 $19.39
J1953 Injection, levetiracetam, 10 mg 552 382 $17.50
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 133 120 $15.33
J0360 Injection, hydralazine hcl, up to 20 mg 641 453 $14.83
Q0177 Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 969 646 $14.52
Q0169 Promethazine hydrochloride, 12.5 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 99 73 $12.91
85046 480 298 $12.78
A6197 Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing 459 323 $11.89
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 1,801 1,642 $7.25
82009 450 412 $5.36
P9603 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled 109 84 $4.25
J3360 Injection, diazepam, up to 5 mg 198 149 $4.12
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 957 644 $3.07
90756 23 16 $2.47
J2919 Injection, methylprednisolone sodium succinate, 5 mg 402 219 $2.39
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 17 12 $1.75
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 439 296 $1.63
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 481 412 $1.06
A9585 Injection, gadobutrol, 0.1 ml 714 455 $1.00
J1171 Injection, hydromorphone, 0.1 mg 599 320 $0.99
A6252 Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing 922 378 $0.97
J7030 Infusion, normal saline solution , 1000 cc 20 12 $0.66
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 299 281 $0.66
J1817 Insulin for administration through dme (i.e., insulin pump) per 50 units 418 171 $0.06
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 376 231 $0.01
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 431 263 $0.01
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 692 570 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 213 201 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 287 238 $0.00
51702 29 25 $0.00
C1760 Closure device, vascular (implantable/insertable) 210 162 $0.00
C1782 Morcellator 17 13 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 361 306 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 351 323 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 14 12 $0.00
J0692 Injection, cefepime hydrochloride, 500 mg 122 45 $0.00
A6198 Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 48 sq. in., each dressing 117 75 $0.00
76376 15 12 $0.00
87075 84 70 $0.00
A6212 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing 86 52 $0.00
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg 25 16 $0.00
A6253 Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing 34 15 $0.00
J0736 Injection, clindamycin phosphate, 300 mg 56 40 $0.00
Q0243 Injection, casirivimab and imdevimab, 2400 mg 12 12 $0.00
J2310 Injection, naloxone hydrochloride, per 1 mg 17 13 $0.00
80202 25 15 $0.00
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 14 12 $0.00
87899 16 14 $0.00
87076 15 12 $0.00
A6213 Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing 707 412 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 3,081 829 $0.00
87493 19 14 $0.00
A4648 Tissue marker, implantable, any type, each 63 56 $0.00
A6022 Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq. in., each 66 48 $0.00
J0456 Injection, azithromycin, 500 mg 95 53 $0.00
A6214 Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing 57 39 $0.00
A6449 Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard 761 234 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 60 52 $0.00
88341 145 109 $0.00
J0280 Injection, aminophyllin, up to 250 mg 173 163 $0.00
36416 92 40 $0.00
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 16 12 $0.00
87449 66 53 $0.00
A6222 Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 41 29 $0.00
73060 28 25 $0.00
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 31 15 $0.00
A6441 Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to three inches and less than five inches, per yard 25 12 $0.00
A6454 Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard 26 13 $0.00
C1781 Mesh (implantable) 13 12 $0.00