Medicaid Provider Spending

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

AKRON GENERAL MEDICAL CENTER

NPI: 1821035940 · AKRON, OH 44307 · General Acute Care Hospital · NPI assigned 05/31/2006

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

Authorized official LARAWAY, DENNIS controls 20+ related entities in our dataset. Read more

$98.99M
Total Medicaid Paid
2,090,000
Total Claims
1,555,801
Beneficiaries
666
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLARAWAY, DENNIS (EXECUTIVE VP CHIEF FINANCE OFFICER)
NPI Enumeration Date05/31/2006

Related Entities

Other providers sharing the same authorized official: LARAWAY, DENNIS

ProviderCityStateTotal Paid
THE CLEVELAND CLINIC FOUNDATION CLEVELAND OH $863.55M
CLEVELAND CLINIC MERCY HOSPITAL CANTON OH $86.97M
MEMORIAL HERMANN HEALTH SYSTEM HOUSTON TX $84.45M
FAIRVIEW HOSPITAL CLEVELAND OH $62.42M
LUTHERAN HOSPITAL CLEVELAND OH $41.49M
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION EUCLID OH $40.67M
MEMORIAL HERMANN HEALTH SYSTEM HOUSTON TX $39.46M
CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION CLEVELAND OH $36.43M
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION MAYFIELD HTS OH $32.76M
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION WARRENSVILLE HEIGHTS OH $31.44M
PARTNERS PHYSICIAN GROUP AKRON OH $28.37M
MARYMOUNT HOSPITAL INC GARFIELD HEIGHTS OH $28.02M
MEMORIAL HERMANN HEALTH SYSTEM HUMBLE TX $26.79M
MARTIN MEMORIAL MEDICAL CENTER INC STUART FL $26.03M
THE UNION HOSPITAL ASSOCIATION DOVER OH $20.23M
LODI COMMUNITY HOSPITAL LODI OH $17.53M
CLINIC MEDICAL SERVICES COMPANY LLC CLEVELAND OH $10.82M
CLEVELAND CLINIC HOME CARE SERVICES INDEPENDENCE OH $10.76M
INDIAN RIVER MEMORIAL HOSPITAL INC VERO BEACH FL $9.27M
MEMORIAL HERMANN HEALTH SYSTEM SUGAR LAND TX $9.14M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 116,158 $4.46M
2019 120,864 $5.14M
2020 105,346 $5.79M
2021 153,455 $7.18M
2022 197,225 $9.14M
2023 817,119 $41.09M
2024 579,833 $26.20M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 180,297 149,738 $16.63M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 65,690 55,088 $9.31M
99283 Emergency department visit for the evaluation and management, moderate severity 65,598 59,755 $7.71M
99284 Emergency department visit for the evaluation and management, high severity 59,870 51,885 $7.70M
96361 Intravenous infusion, hydration; each additional hour 21,651 13,842 $7.21M
J9271 Injection, pembrolizumab, 1 mg 449 247 $3.38M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 36,465 14,824 $2.86M
70450 Computed tomography, head or brain; without contrast material 8,547 6,641 $2.28M
74177 Computed tomography, abdomen and pelvis; with contrast material 8,990 6,772 $2.19M
J1569 Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg 987 253 $1.63M
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 5,533 2,549 $1.31M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 9,583 5,635 $1.30M
90853 Group psychotherapy (other than of a multiple-family group) 12,182 1,987 $1.26M
G0378 Hospital observation service, per hour 14,891 6,232 $1.21M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 8,252 6,485 $925K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 7,037 3,812 $923K
80053 Comprehensive metabolic panel 82,220 65,078 $831K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,873 2,180 $819K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 4,271 2,995 $806K
71260 Computed tomography, thorax, diagnostic; with contrast material 3,738 2,847 $765K
20610 4,360 2,453 $709K
95886 2,534 2,377 $691K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 15,457 13,206 $599K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,558 1,241 $591K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 10,253 5,970 $564K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 655 472 $562K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,203 1,805 $562K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4,290 3,740 $509K
20553 3,266 2,937 $456K
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 3,349 2,406 $436K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 825 610 $385K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 15,462 13,218 $343K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1,269 1,075 $333K
62323 788 641 $328K
90837 Psychotherapy, 53 minutes with patient 2,233 1,628 $323K
59025 Fetal non-stress test 1,933 1,092 $318K
64493 438 313 $312K
84443 Thyroid stimulating hormone (TSH) 21,777 18,434 $304K
70498 1,001 757 $303K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2,462 2,014 $300K
97810 8,680 5,142 $294K
76705 Ultrasound, abdominal, real time with image documentation; limited 3,000 2,471 $279K
52000 474 387 $276K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 114,566 90,990 $273K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 6,761 2,806 $273K
97113 3,468 1,164 $261K
36415 Collection of venous blood by venipuncture 169,906 125,358 $253K
71046 Radiologic examination, chest; 2 views 19,916 16,422 $252K
96415 930 510 $249K
78815 Positron emission tomography (PET) for limited area imaging 388 345 $245K
80048 Basic metabolic panel (calcium, ionized) 35,029 24,865 $240K
70491 745 561 $237K
97161 5,190 4,570 $231K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 7,758 3,758 $229K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,858 1,309 $223K
96127 3,941 3,037 $222K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 10,782 9,228 $210K
99232 Subsequent hospital care, per day, moderate complexity 12,130 7,210 $197K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 9,670 6,496 $187K
76642 1,478 1,244 $187K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,415 3,851 $181K
97535 Self-care/home management training, each 15 minutes 5,083 3,631 $178K
90791 Psychiatric diagnostic evaluation 886 746 $177K
80061 Lipid panel 14,247 12,127 $176K
76770 1,087 961 $172K
90870 401 110 $163K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 723 633 $162K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 951 853 $158K
97597 2,711 1,689 $158K
86850 6,071 4,750 $153K
C1776 Joint device (implantable) 96 69 $152K
71250 1,556 1,405 $148K
87086 Culture, bacterial; quantitative colony count, urine 16,136 13,155 $147K
85027 24,742 18,103 $146K
97811 8,569 5,073 $146K
93975 1,520 1,128 $143K
76536 1,336 1,178 $142K
86780 5,543 4,731 $139K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 3,471 2,915 $137K
64483 280 236 $135K
88142 6,422 5,750 $134K
97530 Therapeutic activities, direct patient contact, each 15 minutes 4,253 1,969 $132K
93971 1,757 1,443 $132K
84702 5,788 4,240 $130K
J0897 Injection, denosumab, 1 mg 156 116 $127K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,030 906 $126K
70551 Magnetic resonance imaging, brain; without contrast material 820 678 $126K
Q5104 Injection, infliximab-abda, biosimilar, (renflexis), 10 mg 91 63 $125K
77067 Screening mammography, bilateral, including computer-aided detection 3,619 3,147 $123K
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 539 453 $121K
83036 Hemoglobin; glycosylated (A1C) 16,275 13,992 $121K
49083 261 112 $120K
90677 753 603 $117K
76819 Fetal biophysical profile; without non-stress testing 1,355 594 $115K
72141 661 580 $114K
93970 796 665 $114K
76801 823 736 $114K
96367 1,961 1,113 $113K
84439 7,672 6,697 $113K
64635 175 128 $109K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,059 915 $105K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,012 875 $105K
88305 Level IV - Surgical pathology, gross and microscopic examination 6,280 5,268 $105K
95811 175 148 $104K
93017 1,171 897 $102K
74183 448 387 $102K
12001 627 529 $99K
76830 Ultrasound, transvaginal 1,409 1,042 $99K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 6,039 4,976 $99K
71275 Computed tomographic angiography, chest, with contrast material 322 253 $98K
82607 5,061 4,112 $94K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 679 609 $93K
97802 1,364 1,082 $93K
20550 589 345 $92K
86140 7,704 6,621 $91K
93321 520 420 $90K
45380 Colonoscopy, flexible; with biopsy, single or multiple 352 318 $89K
72125 Computed tomography, cervical spine; without contrast material 3,491 2,793 $87K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 770 677 $87K
73221 418 377 $86K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,252 1,996 $86K
P9016 Red blood cells, leukocytes reduced, each unit 304 195 $84K
86803 4,513 3,657 $84K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 644 372 $83K
86900 6,128 4,779 $82K
77063 Screening digital breast tomosynthesis, bilateral 1,624 1,461 $81K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 905 604 $78K
82728 5,758 4,664 $78K
72100 2,943 2,398 $78K
10060 487 391 $78K
97165 1,361 1,124 $77K
87808 5,933 4,695 $77K
72131 910 741 $75K
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose 592 192 $74K
81513 626 555 $73K
93325 801 670 $73K
73630 4,331 3,578 $70K
97162 2,030 1,711 $69K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1,192 443 $69K
87905 6,131 4,893 $65K
73030 3,439 2,751 $65K
87340 3,052 2,526 $62K
93798 1,061 155 $62K
73130 3,297 2,647 $61K
88307 575 365 $60K
94060 460 420 $57K
95810 Polysomnography; sleep staging with 4 or more additional parameters 85 80 $57K
86762 1,861 1,642 $56K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,196 884 $56K
70486 1,033 813 $54K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 31,488 25,463 $53K
76700 Ultrasound, abdominal, real time with image documentation; complete 298 258 $53K
93308 188 151 $52K
83970 1,905 1,507 $50K
77336 499 216 $49K
J1756 Injection, iron sucrose, 1 mg 1,862 579 $49K
84484 21,153 11,094 $48K
36430 418 267 $48K
80074 2,005 1,825 $47K
87631 266 217 $47K
19083 48 40 $46K
78264 222 181 $46K
83540 5,132 4,159 $45K
73610 3,077 2,491 $45K
Q3014 Telehealth originating site facility fee 1,892 1,820 $44K
72050 1,286 1,107 $44K
73564 2,035 1,620 $44K
81001 55,183 46,366 $43K
72110 1,178 1,049 $42K
86901 6,129 4,779 $41K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,152 816 $40K
27096 99 80 $40K
62321 79 66 $39K
83992 1,661 991 $39K
0002A 1,034 1,022 $39K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 14,803 8,769 $39K
74018 1,394 1,038 $39K
82570 4,692 3,842 $38K
99231 Subsequent hospital care, per day, straightforward or low complexity 3,755 2,438 $38K
0001A 1,082 1,062 $38K
12002 247 191 $37K
97150 Therapeutic procedure(s), group (2 or more individuals) 1,978 702 $37K
97166 845 707 $37K
80076 4,038 3,032 $37K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,577 1,544 $37K
77080 568 502 $36K
87210 1,698 1,383 $36K
74174 390 294 $36K
76813 434 376 $35K
98940 599 467 $35K
83550 5,076 4,109 $35K
73110 2,205 1,741 $35K
72040 922 748 $34K
94726 521 465 $34K
93296 1,915 1,846 $33K
73502 1,807 1,416 $33K
90715 2,262 1,792 $32K
83735 13,417 8,951 $32K
87653 997 822 $32K
70496 1,079 809 $30K
94729 604 546 $30K
86038 1,491 1,177 $29K
87077 4,449 3,478 $29K
86480 859 714 $29K
73560 1,884 1,503 $29K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 25,897 19,309 $28K
20600 145 78 $28K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 846 808 $28K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 49 41 $28K
86592 1,032 965 $27K
97803 362 330 $26K
77062 745 624 $26K
80345 1,661 991 $26K
90834 Psychotherapy, 45 minutes with patient 161 121 $26K
82962 13,578 4,778 $26K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,522 3,382 $26K
97116 1,251 677 $25K
76857 1,374 1,014 $25K
90688 1,446 1,020 $25K
76882 266 212 $25K
82784 1,899 1,527 $25K
85610 6,395 4,347 $24K
87522 Neg quan hep c or qual rna 789 630 $24K
82805 838 605 $24K
77061 608 517 $24K
85652 7,168 6,177 $23K
99152 663 495 $23K
80197 1,576 845 $23K
64450 117 91 $23K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 2,602 2,143 $21K
55250 14 13 $20K
73700 179 147 $20K
93246 259 225 $20K
74178 79 68 $20K
71045 Radiologic examination, chest; single view 6,300 4,733 $20K
84153 1,421 1,213 $19K
82746 2,413 1,938 $19K
86706 1,183 958 $19K
95813 17 12 $19K
77300 45 29 $18K
73140 1,007 822 $18K
87497 689 343 $18K
74019 460 392 $17K
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 1,320 965 $17K
77065 Tomosynthesis, mammo 900 736 $17K
96523 416 289 $17K
80069 1,167 883 $17K
82043 2,932 2,506 $17K
96368 709 436 $16K
95913 129 116 $16K
97164 256 230 $16K
86364 842 682 $16K
84481 1,727 1,508 $16K
72170 1,455 1,134 $15K
84403 1,007 866 $15K
80346 1,705 1,029 $15K
80348 1,675 1,003 $15K
95819 90 69 $15K
72128 325 267 $15K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 159 136 $15K
80349 1,660 991 $14K
99233 Prolong inpt eval add15 m 602 458 $14K
72070 483 414 $14K
80353 1,661 991 $14K
51705 173 149 $14K
86703 926 895 $14K
72072 593 509 $14K
84146 754 633 $14K
93923 152 133 $13K
82565 1,460 1,156 $13K
80361 1,661 991 $13K
80356 1,661 991 $13K
80358 1,661 991 $13K
80359 1,661 991 $12K
84630 796 610 $12K
86431 1,192 964 $12K
70544 153 110 $12K
83880 2,772 2,116 $12K
82550 4,280 2,895 $12K
82950 830 714 $12K
93270 130 112 $12K
20605 67 44 $12K
81025 20,566 15,337 $11K
72158 71 52 $11K
87102 740 557 $11K
71271 59 58 $11K
83690 15,053 11,065 $11K
72197 44 33 $11K
86147 333 253 $11K
84100 2,930 1,718 $11K
86704 787 642 $11K
86200 984 841 $11K
82670 483 402 $11K
96376 5,686 2,705 $10K
87186 3,156 2,519 $10K
20526 60 40 $10K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 985 606 $10K
73590 997 836 $10K
51798 1,442 1,140 $10K
73562 989 864 $10K
82533 462 361 $10K
87640 487 385 $10K
86235 720 531 $10K
91320 207 159 $10K
88304 771 563 $10K
93880 108 98 $10K
83001 581 499 $10K
12011 62 60 $9K
96116 64 55 $9K
86258 347 278 $9K
84425 920 783 $9K
77334 31 24 $9K
10005 17 14 $9K
J0585 Injection, onabotulinumtoxina, 1 unit 26 13 $9K
J2997 Injection, alteplase recombinant, 1 mg 59 39 $9K
88341 110 70 $9K
71101 650 520 $9K
99153 Mod sedat endo service >5yrs 394 305 $9K
87641 488 385 $8K
99221 442 404 $8K
88342 795 611 $8K
93225 56 40 $8K
73552 611 511 $8K
82627 308 249 $8K
99252 281 257 $8K
96375 Therapeutic injection; each additional sequential IV push 15,363 8,684 $8K
90792 Psychiatric diagnostic evaluation with medical services 40 32 $8K
77066 Tomosynthesis, mammo 827 690 $8K
86225 917 702 $8K
84156 1,922 1,500 $8K
80321 438 299 $8K
87070 1,261 872 $8K
90651 43 33 $8K
74220 118 114 $7K
83516 358 331 $7K
87493 294 228 $7K
86376 461 378 $7K
99406 238 204 $7K
73080 824 691 $7K
87799 414 265 $7K
73070 337 270 $7K
72114 152 135 $6K
82330 3,404 2,319 $6K
82977 754 424 $6K
95816 46 38 $6K
84480 541 460 $6K
95910 96 81 $6K
28470 21 14 $6K
96130 34 26 $6K
0124A 230 164 $6K
80323 319 236 $6K
84402 374 321 $6K
76825 90 83 $6K
73090 577 479 $6K
83020 300 233 $6K
81596 34 25 $5K
83525 242 203 $5K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,483 1,112 $5K
76870 415 332 $5K
J1750 Injection, iron dextran, 50 mg 35 14 $5K
72200 191 168 $5K
81003 7,245 6,362 $5K
82105 345 295 $5K
J2469 Injection, palonosetron hcl, 25 mcg 1,013 455 $5K
93299 272 259 $5K
84550 886 706 $5K
97014 137 62 $5K
74246 35 29 $5K
86160 629 459 $5K
83002 377 323 $5K
99215 Prolong outpt/office vis 92 88 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 340 331 $5K
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 3,035 2,090 $5K
82077 4,387 3,215 $5K
77002 330 246 $5K
84460 531 466 $5K
83993 281 229 $4K
86800 423 354 $4K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 3,005 2,385 $4K
84590 429 331 $4K
00104 395 110 $4K
85730 2,841 1,994 $4K
90480 207 159 $4K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 20,234 15,383 $4K
72156 40 37 $4K
76821 93 40 $4K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 248 248 $4K
84703 3,556 3,197 $4K
90658 417 403 $4K
86039 328 230 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 122 119 $4K
87400 166 142 $4K
20552 25 24 $4K
90460 Immunization administration through 18 years of age via any route, first or only component 409 360 $4K
78227 16 12 $4K
80164 566 459 $4K
94010 70 66 $3K
51784 13 12 $3K
86923 156 102 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 44 43 $3K
83615 746 513 $3K
36593 17 12 $3K
93298 331 308 $3K
86787 171 143 $3K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 17 12 $3K
00731 1,272 946 $3K
11721 192 168 $3K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 43 39 $3K
83521 416 318 $3K
85379 2,655 1,986 $3K
76820 78 37 $3K
83605 5,320 3,369 $3K
76827 89 82 $3K
J3490 Unclassified drugs 898 651 $3K
87205 1,163 785 $3K
82947 3,176 2,280 $3K
73060 347 267 $3K
80143 2,619 1,907 $3K
82653 121 96 $3K
73523 97 92 $3K
J2270 Injection, morphine sulfate, up to 10 mg 6,462 3,586 $3K
87481 296 245 $3K
73565 204 164 $2K
90832 Psychotherapy, 30 minutes with patient 20 12 $2K
G0297 Low dose ct scan (ldct) for lung cancer screening 12 12 $2K
36591 405 257 $2K
96132 31 27 $2K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 71 58 $2K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 777 356 $2K
86308 500 388 $2K
84132 3,419 2,467 $2K
84155 601 467 $2K
J1650 Injection, enoxaparin sodium, 10 mg 2,413 913 $2K
96416 62 24 $2K
J1815 Injection, insulin, per 5 units 246 156 $2K
64636 173 126 $2K
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 12 12 $2K
96136 32 24 $2K
84165 463 363 $2K
82040 250 218 $2K
83520 59 38 $2K
85045 684 491 $2K
86146 172 138 $2K
J1170 Injection, hydromorphone, up to 4 mg 3,777 1,871 $2K
82103 160 124 $2K
87338 100 85 $2K
96146 14 14 $2K
90746 116 94 $2K
86705 43 43 $2K
J3489 Injection, zoledronic acid, 1 mg 104 76 $2K
87040 1,657 744 $2K
85018 1,235 848 $2K
86334 115 95 $2K
J9263 Injection, oxaliplatin, 0.5 mg 90 37 $2K
90739 138 116 $2K
97012 34 12 $2K
96402 171 119 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 16,239 10,270 $1K
76942 361 275 $1K
90472 Immunization administration, each additional vaccine (list separately) 535 381 $1K
82951 55 53 $1K
85014 255 183 $1K
97032 24 12 $1K
80179 2,570 1,879 $1K
93922 14 12 $1K
72146 12 12 $1K
82378 187 137 $1K
82150 233 181 $1K
87536 42 39 $1K
86317 50 50 $1K
80178 180 131 $1K
82375 2,773 2,005 $1K
99401 16 16 $1K
82310 149 120 $1K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 839 622 $1K
84134 112 81 $1K
C9113 Injection, pantoprazole sodium, per vial 697 340 $1K
80177 208 173 $1K
86256 63 45 $1K
90662 192 169 $1K
99253 32 29 $1K
86695 50 41 $1K
82803 2,036 1,448 $1K
J1644 Injection, heparin sodium, per 1000 units 3,707 1,329 $1K
94618 14 13 $1K
00840 413 229 $1K
86709 59 59 $995.60
51729 13 12 $979.78
86708 37 25 $969.64
J1453 Injection, fosaprepitant, 1 mg 79 43 $958.85
J9045 Injection, carboplatin, 50 mg 109 52 $958.58
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 110 83 $954.49
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 4,185 2,049 $953.87
73600 83 56 $925.76
82785 82 72 $922.13
87045 52 41 $896.26
85041 251 170 $894.50
J1030 Injection, methylprednisolone acetate, 40 mg 4,475 3,752 $879.57
99222 Initial hospital care, per day, moderate complexity 25 24 $857.12
77091 39 39 $838.80
86359 18 16 $817.49
J1790 Injection, droperidol, up to 5 mg 1,663 1,105 $808.89
83050 2,408 1,751 $803.60
86696 50 41 $795.73
80354 825 479 $786.59
99254 13 13 $712.83
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 399 353 $711.76
84295 2,951 2,110 $709.46
76818 17 12 $700.05
64494 420 307 $699.85
76937 74 64 $694.66
J2704 Injection, propofol, 10 mg 9,494 6,547 $693.06
84270 43 40 $678.02
J1100 Injection, dexamethasone sodium phosphate, 1 mg 7,706 4,689 $674.84
82435 2,005 1,497 $666.87
73000 28 26 $655.53
J7030 Infusion, normal saline solution , 1000 cc 4,896 3,692 $623.38
82248 65 51 $621.07
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg 258 142 $620.81
85613 39 37 $610.07
90686 48 39 $605.02
87529 17 13 $598.50
86765 30 25 $598.46
51700 24 13 $572.76
J3370 Injection, vancomycin hcl, 500 mg 890 476 $571.50
J0780 Injection, prochlorperazine, up to 10 mg 2,443 1,516 $568.68
84445 14 12 $517.13
72220 30 26 $494.80
82525 47 41 $475.03
86735 22 13 $468.84
87449 56 44 $465.57
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 31 27 $465.45
J3010 Injection, fentanyl citrate, 0.1 mg 9,381 5,247 $464.81
87046 52 41 $448.88
77001 64 54 $446.48
95909 25 25 $437.91
82140 91 75 $435.21
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 1,321 853 $434.38
90461 47 36 $423.73
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 18 18 $412.85
84144 12 12 $377.65
J2405 Injection, ondansetron hydrochloride, per 1 mg 16,994 9,677 $376.93
82952 25 24 $362.79
00811 148 101 $362.46
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 137 108 $356.42
86361 13 12 $349.78
J0696 Injection, ceftriaxone sodium, per 250 mg 3,961 2,183 $346.72
73501 40 38 $336.60
99225 28 25 $331.27
84145 88 68 $326.09
51701 17 12 $323.02
92610 13 13 $309.91
J0330 Injection, succinylcholine chloride, up to 20 mg 1,611 855 $309.33
82390 17 13 $303.99
J3475 Injection, magnesium sulfate, per 500 mg 1,452 868 $290.06
85384 73 47 $289.43
J1200 Injection, diphenhydramine hcl, up to 50 mg 4,869 2,851 $285.86
87328 17 13 $276.22
51797 13 12 $267.33
88311 73 56 $257.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 973 546 $247.05
J2785 Injection, regadenoson, 0.1 mg 756 553 $244.60
J0690 Injection, cefazolin sodium, 500 mg 3,465 1,922 $230.70
84681 14 12 $218.54
73660 13 13 $216.75
84207 18 18 $215.39
84450 46 42 $213.46
82010 387 292 $210.81
83090 20 13 $204.51
80175 16 13 $190.97
96417 808 387 $184.55
J0694 Injection, cefoxitin sodium, 1 gm 77 33 $179.94
95912 40 40 $168.32
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 242 145 $156.49
J2060 Injection, lorazepam, 2 mg 1,293 786 $154.89
82274 22 13 $151.63
83721 48 44 $149.60
95911 40 38 $148.63
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 3,715 1,897 $146.73
Q9957 Injection, perflutren lipid microspheres, per ml 720 609 $137.36
J1940 Injection, furosemide, up to 20 mg 628 297 $134.79
87075 73 62 $132.76
J2919 Injection, methylprednisolone sodium succinate, 5 mg 465 310 $130.46
88112 98 66 $126.43
86301 21 16 $126.16
J2250 Injection, midazolam hydrochloride, per 1 mg 5,696 3,666 $126.01
86790 31 28 $124.56
87329 17 13 $119.32
82747 13 12 $112.56
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 152 57 $110.57
84075 14 13 $103.00
J2765 Injection, metoclopramide hcl, up to 10 mg 1,677 1,050 $97.60
J1010 Injection, methylprednisolone acetate, 1 mg 696 577 $97.13
96139 13 12 $85.06
80047 28 25 $84.40
88173 28 26 $81.99
J7120 Ringers lactate infusion, up to 1000 cc 1,196 1,050 $80.56
J3411 Injection, thiamine hcl, 100 mg 70 38 $79.80
A9575 Injection, gadoterate meglumine, 0.1 ml 2,828 2,357 $69.01
81002 61 48 $68.73
86381 14 13 $67.06
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 2,873 1,915 $66.50
J1596 Injection, glycopyrrolate, 0.1 mg 477 310 $65.67
J3480 Injection, potassium chloride, per 2 meq 1,016 598 $63.36
86304 20 12 $58.43
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 13 12 $53.88
82365 40 24 $50.70
88302 15 12 $45.62
J1171 Injection, hydromorphone, 0.1 mg 221 144 $37.48
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 222 181 $36.48
J2470 Injection, pantoprazole sodium, 40 mg 111 65 $35.08
A9270 Non-covered item or service 2,422 1,388 $33.50
86255 25 24 $29.61
J0360 Injection, hydralazine hcl, up to 20 mg 131 72 $25.15
C9290 Injection, bupivacaine liposome, 1 mg 27 17 $23.52
91300 2,122 1,923 $20.80
J7050 Infusion, normal saline solution, 250 cc 4,905 2,423 $19.45
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg 162 77 $17.98
J2370 Injection, phenylephrine hcl, up to 1 ml 506 292 $17.37
J2795 Injection, ropivacaine hydrochloride, 1 mg 211 157 $13.20
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 847 453 $11.97
J1630 Injection, haloperidol, up to 5 mg 77 45 $11.94
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg 103 89 $10.37
85007 14 12 $9.45
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 27 14 $8.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 254 193 $5.97
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 62 59 $5.09
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 245 115 $3.72
J0171 Injection, adrenalin, epinephrine, 0.1 mg 233 154 $3.60
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 1,784 1,372 $2.94
J0456 Injection, azithromycin, 500 mg 46 24 $2.72
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 72 34 $2.68
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 1,055 987 $1.18
91312 104 61 $0.73
C1769 Guide wire 996 684 $0.00
76377 130 116 $0.00
3074F 459 444 $0.00
01480 16 12 $0.00
94760 1,212 529 $0.00
00813 63 52 $0.00
3079F 57 55 $0.00
G0008 Administration of influenza virus vaccine 252 219 $0.00
64484 45 42 $0.00
A4648 Tissue marker, implantable, any type, each 270 206 $0.00
36416 99 92 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 83 83 $0.00
87081 32 26 $0.00
J7060 5% dextrose/water (500 ml = 1 unit) 190 69 $0.00
00790 147 96 $0.00
96411 93 38 $0.00
J1920 Injection, labetalol hydrochloride, 5 mg 33 32 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 38 27 $0.00
A9537 Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries 16 12 $0.00
3078F 359 348 $0.00
0598T 18 14 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 520 475 $0.00
00910 43 39 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 60 57 $0.00
00918 20 12 $0.00
00400 54 41 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 33 26 $0.00
51741 13 12 $0.00
96133 15 13 $0.00
C2625 Stent, non-coronary, temporary, with delivery system 33 24 $0.00
J9190 Injection, fluorouracil, 500 mg 128 37 $0.00
C1788 Port, indwelling (implantable) 12 12 $0.00