Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › WORCESTER › UMASS MEMORIAL MEDICAL CENTER, INC.

UMASS MEMORIAL MEDICAL CENTER, INC.

NPI: 1831151455 · WORCESTER, MA 01655 · General Acute Care Hospital · NPI assigned 04/06/2006

$491.01M
Total Medicaid Paid
9,725,181
Total Claims
8,157,533
Beneficiaries
1162
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMELGAR, SERGIO (EVP/CFO)
NPI Enumeration Date04/06/2006

Related Entities

Other providers sharing the same authorized official: MELGAR, SERGIO

ProviderCityStateTotal Paid
UMASS MEMORIAL MEDICAL CENTER, INC. WORCESTER MA $56K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,291,823 $66.85M
2019 1,388,831 $65.51M
2020 1,120,175 $54.08M
2021 1,481,001 $70.10M
2022 1,554,531 $81.17M
2023 1,550,955 $81.28M
2024 1,337,865 $72.02M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 459,556 387,479 $61.67M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 206,128 173,700 $29.23M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 139,913 126,219 $25.99M
96361 Intravenous infusion, hydration; each additional hour 62,693 52,867 $22.97M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 145,633 125,633 $18.47M
99283 Emergency department visit for the evaluation and management, moderate severity 93,042 86,497 $14.84M
99284 Emergency department visit for the evaluation and management, high severity 91,168 84,143 $14.71M
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 59,418 49,097 $12.84M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 385,542 279,658 $10.44M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 67,301 61,637 $9.49M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 27,304 17,801 $8.62M
J2350 Injection, ocrelizumab, 1 mg 1,025 956 $8.48M
A0427 Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 34,956 32,428 $7.29M
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 54,300 51,087 $6.54M
J1745 Injection, infliximab, excludes biosimilar, 10 mg 4,374 3,337 $6.10M
96415 10,630 8,782 $5.60M
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 78,308 69,922 $5.13M
96110 Developmental screening, with scoring and documentation, per standardized instrument 29,086 27,977 $4.94M
74177 Computed tomography, abdomen and pelvis; with contrast material 32,691 31,016 $4.59M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 7,013 6,867 $4.56M
G0378 Hospital observation service, per hour 36,263 28,141 $4.29M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 26,056 20,795 $4.28M
99282 Emergency department visit for the evaluation and management, low to moderate severity 25,295 24,196 $3.91M
S9485 Crisis intervention mental health services, per diem 6,871 4,684 $3.59M
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 4,726 4,646 $3.55M
77386 15,645 1,411 $3.55M
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 11,181 8,350 $3.30M
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 26,880 22,441 $3.21M
45380 Colonoscopy, flexible; with biopsy, single or multiple 4,785 4,694 $3.12M
70450 Computed tomography, head or brain; without contrast material 23,396 21,594 $2.96M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 16,962 16,333 $2.81M
20610 17,169 14,701 $2.48M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 18,626 18,041 $2.47M
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 32,644 31,699 $2.47M
J9271 Injection, pembrolizumab, 1 mg 569 455 $2.36M
43235 2,973 2,888 $2.01M
76770 12,251 11,935 $1.94M
J2357 Injection, omalizumab, 5 mg 2,342 1,433 $1.88M
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 14,312 13,840 $1.87M
77412 12,356 1,274 $1.84M
J0585 Injection, onabotulinumtoxina, 1 unit 4,133 3,416 $1.83M
76705 Ultrasound, abdominal, real time with image documentation; limited 18,757 17,735 $1.82M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 15,565 13,655 $1.74M
36430 5,530 3,423 $1.64M
J9312 Injection, rituximab, 10 mg 834 456 $1.60M
76830 Ultrasound, transvaginal 16,023 15,445 $1.58M
77067 Screening mammography, bilateral, including computer-aided detection 32,814 32,504 $1.53M
92587 12,308 12,176 $1.49M
97803 19,349 18,274 $1.45M
52000 2,474 2,396 $1.42M
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 1,500 1,472 $1.40M
85025 Blood count; complete (CBC), automated, and automated differential WBC count 314,861 246,060 $1.38M
71260 Computed tomography, thorax, diagnostic; with contrast material 15,391 14,659 $1.38M
62323 2,830 2,747 $1.32M
76819 Fetal biophysical profile; without non-stress testing 17,817 10,259 $1.30M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 12,530 11,802 $1.29M
31575 7,143 6,868 $1.28M
93971 8,270 7,686 $1.27M
96402 2,091 1,942 $1.27M
J2505 Injection, pegfilgrastim, 6 mg 905 659 $1.25M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 5,663 5,369 $1.22M
20611 3,936 3,294 $1.21M
42820 Tonsillectomy and adenoidectomy; younger than age 12 654 640 $1.20M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 8,479 8,237 $1.19M
59025 Fetal non-stress test 4,208 2,693 $1.17M
64493 2,026 1,915 $1.16M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12,488 12,346 $1.16M
44970 356 349 $1.16M
67028 Intravitreal injection of a pharmacologic agent 7,003 5,501 $1.15M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 34,831 28,788 $1.14M
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 22,740 14,368 $1.12M
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 1,758 1,722 $1.09M
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 990 974 $1.08M
70496 5,374 5,113 $1.05M
77063 Screening digital breast tomosynthesis, bilateral 17,902 17,725 $1.04M
11102 2,756 2,608 $1.04M
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 58,713 51,649 $1.03M
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 2,759 2,643 $1.03M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 16,734 8,782 $1.02M
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 38,633 37,241 $1.01M
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 38,624 37,233 $1.01M
76642 11,238 9,819 $1.00M
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 877 865 $997K
71046 Radiologic examination, chest; 2 views 75,597 70,587 $984K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 11,228 11,016 $981K
93975 10,812 10,327 $978K
95886 4,882 4,652 $951K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 11,292 11,047 $913K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 3,923 2,686 $903K
A0425 Ground mileage, per statute mile 95,320 79,078 $894K
99215 Prolong outpt/office vis 6,294 5,899 $882K
96367 4,895 3,707 $859K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 1,207 1,061 $846K
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 16,059 14,160 $843K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 6,300 6,240 $839K
93308 4,326 4,090 $818K
64483 1,638 1,601 $808K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 8,929 8,771 $793K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk 1,522 1,492 $790K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 9,938 8,095 $781K
Q5119 Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg 619 222 $769K
81420 Fetal chromosomal aneuploidy genomic sequence analysis panel 1,549 1,498 $759K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 9,845 9,653 $753K
76536 7,381 7,219 $748K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 44,891 40,576 $748K
V5261 Hearing aid, digital, binaural, bte 795 777 $731K
29075 3,293 2,799 $723K
97802 9,523 9,301 $721K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 5,191 5,083 $705K
J1459 Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg 1,405 454 $702K
52356 264 249 $702K
J3380 Injection, vedolizumab, intravenous, 1 mg 175 168 $702K
76700 Ultrasound, abdominal, real time with image documentation; complete 4,089 4,006 $660K
ATP14 73,415 58,164 $635K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 5,871 5,383 $626K
92557 10,684 10,525 $614K
84443 Thyroid stimulating hormone (TSH) 64,613 62,167 $606K
93325 6,843 6,539 $597K
J2506 Injection, pegfilgrastim, excludes biosimilar, 0.5 mg 592 422 $592K
92567 19,984 19,605 $586K
97165 7,824 7,453 $568K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 8,403 7,668 $559K
76801 5,826 5,509 $556K
71250 7,735 7,505 $555K
J0185 Injection, aprepitant, 1 mg 2,985 1,931 $553K
31231 2,960 2,836 $550K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 33,625 32,787 $545K
93017 6,509 6,321 $541K
ATP08 76,734 60,181 $540K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 11,669 10,770 $540K
77336 8,332 3,575 $537K
74176 Computed tomography, abdomen and pelvis; without contrast material 3,989 3,794 $526K
J0248 Injection, remdesivir, 1 mg 1,649 466 $506K
J2469 Injection, palonosetron hcl, 25 mcg 7,160 4,184 $500K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 48,470 38,559 $498K
17110 3,094 2,871 $496K
95816 2,200 2,067 $487K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 3,186 3,154 $487K
83036 Hemoglobin; glycosylated (A1C) 97,886 94,561 $480K
V5160 Dispensing fee, binaural 980 957 $461K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 66,048 56,185 $460K
12001 2,110 2,037 $453K
84484 67,838 44,087 $445K
76882 4,795 4,387 $441K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 1,005 997 $433K
99281 Emergency department visit for the evaluation and management, self-limited or minor 3,134 2,860 $413K
J1756 Injection, iron sucrose, 1 mg 7,345 2,898 $404K
J0178 Injection, aflibercept, 1 mg 462 360 $402K
58300 2,016 1,966 $400K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 21,441 20,934 $399K
76813 3,531 3,492 $392K
80053 Comprehensive metabolic panel 190,235 153,839 $388K
90686 35,913 34,810 $384K
J3490 Unclassified drugs 5,489 3,809 $382K
11104 863 827 $365K
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose 1,924 932 $359K
87086 Culture, bacterial; quantitative colony count, urine 68,062 62,516 $356K
47562 131 122 $355K
12011 1,594 1,556 $350K
96411 1,759 1,144 $346K
19083 431 401 $344K
58100 1,612 1,563 $343K
10060 1,955 1,843 $343K
93970 1,873 1,779 $339K
86480 8,441 8,185 $337K
70491 2,473 2,379 $337K
D1208 Topical application of fluoride, excluding varnish 15,286 14,610 $336K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 140,859 123,432 $334K
A0433 Advanced life support, level 2 (als 2) 794 776 $331K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 76,285 73,269 $330K
88185 1,769 1,597 $330K
93271 4,707 4,603 $321K
93321 2,710 2,654 $319K
95819 1,168 1,115 $311K
29700 1,470 1,443 $310K
73564 21,123 16,561 $307K
11900 1,626 1,559 $306K
J1050 Injection, medroxyprogesterone acetate, 1 mg 6,795 6,697 $306K
80048 Basic metabolic panel (calcium, ionized) 196,136 156,381 $303K
83735 87,266 58,831 $302K
77300 2,205 1,984 $300K
81025 54,049 49,485 $299K
86850 46,927 38,596 $296K
87631 2,954 2,817 $290K
77062 3,795 3,749 $288K
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 20,800 17,507 $287K
85027 73,677 62,851 $286K
96900 5,897 1,033 $282K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 3,677 3,490 $282K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 1,206 1,178 $281K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 22,782 9,650 $277K
84702 21,977 17,365 $274K
76870 3,192 3,060 $272K
29405 1,498 1,141 $272K
95070 756 738 $271K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 4,551 4,457 $270K
90651 4,428 4,272 $270K
87536 6,004 5,783 $267K
J1650 Injection, enoxaparin sodium, 10 mg 25,710 10,026 $267K
J0897 Injection, denosumab, 1 mg 567 539 $264K
Q0222 Injection, bebtelovimab, 175 mg 309 268 $263K
J1950 Injection, leuprolide acetate (for depot suspension), per 3.75 mg 215 207 $262K
87088 48,199 44,727 $261K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 12,135 11,878 $259K
49083 735 372 $257K
J1200 Injection, diphenhydramine hcl, up to 50 mg 26,074 20,698 $255K
D1351 Sealant - per tooth 22,475 3,279 $255K
82728 31,197 29,696 $254K
96416 1,713 969 $254K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 44,785 35,988 $253K
90715 13,194 12,862 $252K
Q5108 Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg 115 86 $251K
77065 Tomosynthesis, mammo 5,872 5,474 $251K
64615 1,001 978 $251K
77080 4,649 4,533 $249K
58558 216 212 $248K
73630 27,160 22,097 $247K
93880 3,056 2,944 $245K
J1453 Injection, fosaprepitant, 1 mg 624 397 $241K
96127 4,872 4,858 $240K
97161 4,815 4,395 $237K
86003 3,158 3,023 $229K
83690 49,317 44,171 $225K
J9310 Injection, rituximab, 100 mg 346 214 $224K
73610 21,187 18,028 $223K
95813 478 468 $222K
94060 3,146 3,041 $216K
77061 2,690 2,641 $215K
96409 1,434 854 $212K
58661 102 92 $210K
83880 12,969 11,916 $208K
86803 22,966 22,320 $207K
87480 13,320 12,815 $204K
87510 13,321 12,818 $204K
87660 13,299 12,796 $203K
G0105 Colorectal cancer screening; colonoscopy on individual at high risk 421 409 $202K
73030 19,158 16,753 $202K
ATP15 27,171 20,518 $202K
77072 1,797 1,754 $202K
94010 5,501 5,233 $201K
74178 1,350 1,321 $201K
10005 779 742 $199K
73130 21,968 16,027 $194K
70498 5,071 4,827 $193K
81513 1,847 1,794 $188K
58301 1,032 1,006 $184K
80050 General health panel 11,960 11,399 $184K
72100 14,364 13,933 $183K
92579 3,964 3,928 $183K
83605 25,507 17,689 $181K
84466 24,438 23,079 $179K
76820 4,160 1,879 $178K
11981 559 545 $176K
93296 6,214 5,961 $174K
82607 22,418 21,703 $173K
12002 840 819 $173K
71275 Computed tomographic angiography, chest, with contrast material 1,173 1,131 $172K
J3010 Injection, fentanyl citrate, 0.1 mg 69,722 57,007 $171K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 13,853 13,397 $167K
77334 1,423 1,171 $166K
93922 3,469 3,359 $166K
87522 Neg quan hep c or qual rna 5,980 5,628 $166K
29705 800 771 $164K
J2405 Injection, ondansetron hydrochloride, per 1 mg 76,872 61,134 $164K
77066 Tomosynthesis, mammo 5,514 5,409 $160K
81001 79,062 72,335 $160K
73110 17,315 13,410 $160K
85610 84,844 52,169 $158K
V5266 Battery for use in hearing device 1,860 1,755 $156K
69210 3,433 3,250 $156K
96368 2,730 1,866 $155K
70486 2,292 2,199 $154K
64721 195 193 $153K
17000 1,532 1,442 $150K
77295 347 321 $147K
76604 1,974 1,883 $147K
78451 456 444 $146K
82803 9,660 8,305 $144K
83970 8,849 8,474 $144K
M0222 Intravenous injection, bebtelovimab, includes injection and post administration monitoring 859 803 $143K
92134 16,738 16,026 $143K
81511 1,572 1,552 $143K
92585 462 451 $143K
88307 3,195 2,995 $142K
94070 826 800 $142K
87040 19,793 10,656 $141K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 7,323 2,888 $140K
52310 251 237 $139K
36224 60 60 $139K
74230 1,096 1,057 $139K
D0120 Periodic oral evaluation - established patient 4,739 4,671 $135K
86317 13,464 12,650 $134K
84439 23,798 22,701 $134K
97804 1,648 1,593 $133K
87340 18,081 17,464 $126K
93458 117 106 $125K
96375 Therapeutic injection; each additional sequential IV push 57,394 45,248 $124K
72125 Computed tomography, cervical spine; without contrast material 9,458 8,845 $123K
J3111 Injection, romosozumab-aqqg, 1 mg 285 266 $123K
92555 3,315 3,275 $122K
99385 1,581 1,537 $122K
86900 46,831 38,687 $121K
J2250 Injection, midazolam hydrochloride, per 1 mg 50,772 45,615 $120K
92015 Determination of refractive state 9,921 9,809 $119K
J9217 Leuprolide acetate (for depot suspension), 7.5 mg 363 349 $119K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 466 440 $118K
76942 2,807 2,641 $117K
90714 5,283 5,087 $115K
73502 11,199 10,527 $115K
88341 6,015 5,407 $114K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 6,200 3,383 $111K
J2704 Injection, propofol, 10 mg 65,540 51,118 $110K
82746 15,074 14,464 $110K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 874 788 $110K
87077 21,314 19,996 $107K
J1815 Injection, insulin, per 5 units 21,454 6,615 $106K
76857 1,381 1,340 $106K
76886 854 826 $106K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 4,098 3,990 $105K
84403 6,418 6,072 $105K
J1885 Injection, ketorolac tromethamine, per 15 mg 49,135 40,197 $105K
86360 4,809 4,644 $104K
74018 5,416 4,904 $104K
88142 7,043 6,954 $103K
88305 Level IV - Surgical pathology, gross and microscopic examination 39,226 36,310 $103K
17311 319 264 $103K
93351 1,579 1,543 $102K
83655 9,322 9,150 $102K
83540 27,130 25,877 $102K
81329 933 925 $102K
71271 2,622 2,566 $101K
97530 Therapeutic activities, direct patient contact, each 15 minutes 4,599 2,830 $101K
0001A 3,332 3,070 $100K
86140 32,229 30,224 $100K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 2,473 2,128 $100K
88173 2,513 2,148 $99K
11100 414 392 $99K
88112 3,510 3,233 $99K
G0297 Low dose ct scan (ldct) for lung cancer screening 816 794 $99K
84703 17,358 16,438 $98K
87186 17,665 16,534 $98K
82784 11,824 11,159 $97K
82570 34,777 32,644 $95K
71045 Radiologic examination, chest; single view 28,712 26,132 $94K
76775 1,282 1,230 $93K
76937 3,266 3,128 $92K
82105 8,611 8,320 $92K
86901 46,685 38,628 $91K
0002A 2,942 2,726 $91K
72050 3,538 3,452 $90K
51700 455 398 $89K
94727 2,683 2,590 $89K
62321 165 160 $89K
73700 962 880 $88K
74019 6,440 6,097 $86K
92611 1,215 1,175 $86K
86762 6,915 6,802 $85K
81003 55,746 50,401 $84K
74174 1,211 1,152 $84K
36415 Collection of venous blood by venipuncture 483,825 379,844 $84K
86359 4,809 4,644 $84K
C9257 Injection, bevacizumab, 0.25 mg 5,399 3,936 $83K
87081 14,436 14,110 $83K
58340 137 134 $82K
J1644 Injection, heparin sodium, per 1000 units 14,777 7,243 $81K
87497 6,110 2,885 $81K
97162 2,158 1,950 $81K
94729 3,835 3,710 $80K
Q5107 Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg 150 61 $80K
90834 Psychotherapy, 45 minutes with patient 914 541 $80K
75574 498 479 $79K
77002 1,339 1,283 $78K
62270 176 169 $77K
73140 7,989 6,684 $77K
86787 7,177 7,037 $77K
93226 2,010 1,973 $77K
ATP17 10,280 8,799 $76K
90677 1,846 1,817 $76K
80061 Lipid panel 56,929 55,428 $75K
93225 1,435 1,410 $75K
95911 1,222 1,157 $75K
V5264 Ear mold/insert, not disposable, any type 1,018 978 $75K
93926 541 509 $74K
84153 9,883 9,457 $73K
82670 3,859 3,521 $73K
87481 1,865 1,812 $73K
73080 7,135 6,360 $73K
64415 408 396 $73K
95117 3,356 1,937 $71K
87070 13,050 11,468 $71K
73590 8,984 7,639 $71K
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring 301 295 $70K
72082 2,031 1,983 $69K
72110 2,583 2,524 $66K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,065 1,023 $66K
92595 1,204 1,168 $64K
87641 4,553 3,310 $64K
80074 2,156 2,014 $64K
43237 121 120 $64K
95912 910 868 $64K
86235 2,047 1,897 $63K
77387 4,018 429 $63K
84146 4,841 4,671 $63K
83001 5,029 4,796 $63K
43264 58 53 $63K
20550 432 396 $63K
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units 55 12 $62K
86592 18,700 18,217 $61K
92582 1,556 1,542 $61K
ATP03 21,643 18,367 $60K
86780 5,835 5,716 $60K
J1170 Injection, hydromorphone, up to 4 mg 13,290 8,653 $59K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 68,658 62,450 $59K
26055 114 84 $59K
83516 5,126 4,140 $58K
J2997 Injection, alteplase recombinant, 1 mg 732 623 $58K
29125 617 568 $58K
82043 21,962 21,406 $58K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 514 499 $58K
92553 1,069 1,047 $56K
84402 3,169 3,040 $56K
88184 1,800 1,605 $56K
86704 7,750 7,493 $55K
80197 14,010 8,021 $55K
96401 492 351 $55K
77301 183 175 $55K
0124A 2,326 2,270 $54K
85730 14,707 13,485 $53K
90480 1,519 1,513 $53K
86038 7,387 6,576 $52K
74170 232 226 $52K
52332 141 133 $52K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 13,019 11,810 $52K
99386 709 681 $51K
J0574 Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine 2,075 994 $51K
90670 8,921 8,669 $50K
93270 1,103 1,083 $50K
85379 7,315 6,933 $50K
Q3014 Telehealth originating site facility fee 25,690 23,101 $50K
J0690 Injection, cefazolin sodium, 500 mg 19,301 14,821 $50K
J0696 Injection, ceftriaxone sodium, per 250 mg 18,686 13,079 $50K
87902 435 422 $50K
ATP16 5,912 3,799 $48K
J2270 Injection, morphine sulfate, up to 10 mg 21,410 15,782 $48K
ATP10 7,111 6,075 $48K
77290 216 185 $48K
77280 298 261 $47K
83002 3,596 3,331 $47K
73090 7,163 5,992 $47K
85652 29,133 27,563 $47K
99152 11,263 10,616 $46K
73562 6,572 5,167 $45K
29065 186 156 $45K
92133 5,124 5,001 $45K
87799 3,816 1,840 $44K
ATP09 6,150 4,718 $44K
81002 18,241 13,567 $44K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 5,718 4,205 $42K
86618 4,068 3,877 $42K
86160 3,330 3,115 $42K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,716 2,231 $42K
76825 474 448 $41K
92083 4,087 3,983 $41K
97535 Self-care/home management training, each 15 minutes 951 775 $40K
82962 125,147 67,187 $40K
72070 2,936 2,842 $40K
V5014 Repair/modification of a hearing aid 744 705 $40K
47563 13 13 $40K
64635 63 61 $40K
97035 696 433 $40K
93923 702 675 $40K
95812 96 93 $40K
82652 1,666 1,625 $39K
73560 6,784 5,719 $39K
90846 Family psychotherapy without the patient present, 50 minutes 466 461 $39K
11056 446 428 $39K
20553 277 262 $39K
11721 3,647 3,567 $39K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 2,566 2,370 $39K
88342 9,292 8,614 $38K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 3,654 2,060 $38K
92652 676 657 $38K
J1439 Injection, ferric carboxymaltose, 1 mg 95 67 $38K
ATP11 6,228 5,422 $38K
73552 5,745 5,111 $38K
66982 63 59 $37K
87517 1,589 1,515 $37K
72040 3,287 3,139 $36K
83020 3,472 3,305 $36K
90739 1,735 1,693 $36K
86833 1,189 1,070 $36K
A9270 Non-covered item or service 30,154 13,038 $35K
0003A 974 948 $35K
86923 3,162 2,168 $35K
92250 4,299 4,140 $35K
88360 1,488 1,339 $34K
90691 1,770 1,687 $34K
86832 804 732 $33K
36902 12 12 $33K
11982 202 198 $33K
90472 Immunization administration, each additional vaccine (list separately) 27,081 26,322 $33K
82785 2,966 2,813 $33K
P9016 Red blood cells, leukocytes reduced, each unit 2,606 2,115 $33K
90656 1,756 1,743 $33K
86800 3,447 3,330 $33K
57454 108 105 $32K
87205 11,505 9,742 $32K
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 365 364 $32K
0071A 706 704 $32K
85018 17,957 16,165 $31K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 2,161 2,055 $31K
82951 2,608 2,332 $31K
J9263 Injection, oxaliplatin, 0.5 mg 151 74 $30K
72170 4,189 3,991 $30K
87075 5,734 4,692 $30K
85045 9,803 8,159 $30K
92591 950 948 $29K
90717 669 634 $29K
84480 3,063 2,944 $29K
ATP07 4,399 3,921 $29K
74221 265 257 $29K
99153 Mod sedat endo service >5yrs 8,950 8,464 $29K
86376 2,994 2,907 $29K
42830 15 15 $29K
90732 2,405 2,326 $28K
82627 1,728 1,687 $28K
76519 622 599 $28K
57455 102 96 $27K
92594 1,216 865 $27K
64450 146 140 $27K
0053A 868 859 $27K
84156 11,662 10,453 $27K
C1769 Guide wire 8,353 7,638 $27K
J3475 Injection, magnesium sulfate, per 500 mg 10,351 7,183 $26K
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg 4,755 3,778 $26K
84165 5,760 5,523 $26K
83520 2,151 1,981 $26K
76827 516 488 $26K
0072A 564 561 $26K
90746 1,211 1,137 $25K
10061 164 150 $25K
20552 148 144 $25K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 1,725 1,697 $25K
82378 2,743 2,326 $25K
81508 961 951 $25K
86708 3,409 3,316 $25K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 4,897 4,097 $25K
36600 1,835 1,650 $25K
90847 Family psychotherapy with the patient present, 50 minutes 290 256 $25K
80076 39,033 35,435 $24K
99201 268 264 $24K
95913 504 471 $24K
72081 1,296 1,268 $24K
99383 398 368 $24K
72131 734 698 $24K
76885 101 94 $24K
69200 313 300 $23K
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg 3,485 2,944 $23K
J1071 Injection, testosterone cypionate, 1 mg 1,511 713 $23K
90832 Psychotherapy, 30 minutes with patient 541 397 $23K
86304 2,349 2,057 $23K
41899 Unlisted procedure, dentoalveolar structures 26 26 $23K
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 18,697 16,671 $23K
99381 288 270 $23K
96910 598 106 $22K
71101 1,198 1,172 $22K
84134 3,593 3,432 $22K
74246 135 134 $22K
86200 3,028 2,974 $22K
86147 545 521 $22K
86665 1,649 872 $22K
92285 1,412 1,316 $21K
73523 1,234 1,204 $21K
J3489 Injection, zoledronic acid, 1 mg 1,328 1,255 $21K
82677 1,071 1,061 $21K
83498 937 910 $21K
V5267 Hearing aid or assistive listening device/supplies/accessories, not otherwise specified 840 757 $21K
93304 55 53 $20K
77338 194 186 $20K
73060 3,759 3,323 $20K
83721 4,183 4,096 $20K
90632 1,190 1,124 $20K
90662 2,382 2,328 $20K
77001 358 342 $19K
64494 1,951 1,759 $19K
84681 1,595 1,509 $19K
99397 604 593 $19K
70360 1,059 1,028 $19K
86225 2,912 2,478 $19K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 958 811 $19K
G0008 Administration of influenza virus vaccine 9,027 8,781 $19K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 8,143 4,497 $19K
73000 1,724 1,518 $19K
ATP02 4,625 4,086 $18K
ATP18 2,724 2,382 $18K
ATP04 3,214 2,762 $18K
J2790 Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) 121 116 $18K
95910 242 229 $18K
64490 25 25 $18K
43762 98 89 $18K
10022 127 111 $18K
73070 2,812 2,340 $18K
12032 269 258 $17K
D1110 Prophylaxis - adult 824 552 $17K
80177 2,251 2,106 $17K
82533 1,916 1,760 $17K
97166 293 257 $17K
84163 1,234 1,213 $17K
91200 200 196 $17K
72072 1,129 1,096 $17K
99406 1,464 1,399 $17K
93280 850 828 $17K
90734 4,018 3,884 $17K
93298 766 728 $17K
85014 9,376 8,198 $16K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 306 282 $16K
93299 412 380 $16K
J7050 Infusion, normal saline solution, 250 cc 35,454 20,490 $16K
86336 1,093 1,081 $16K
51798 10,411 10,084 $16K
51728 78 76 $16K
80164 2,650 2,388 $16K
86077 576 500 $16K
0012A 1,033 783 $16K
87449 2,220 1,937 $16K
84450 12,840 12,054 $16K
87338 1,566 1,527 $15K
84481 1,325 1,257 $15K
82274 1,553 1,532 $15K
80069 12,952 11,436 $15K
20605 89 84 $15K
91322 442 436 $15K
86870 807 655 $15K
97760 321 246 $15K
86920 1,362 1,089 $14K
0011A 1,056 800 $14K
82950 3,491 3,463 $14K
0111A 327 327 $14K
86334 1,723 1,636 $14K
83883 1,312 1,219 $14K
86431 3,981 3,886 $14K
86146 422 405 $13K
84305 937 901 $13K
82150 3,259 3,013 $13K
82330 1,931 1,713 $13K
73521 694 681 $13K
38222 45 40 $13K
74220 203 197 $13K
92504 1,340 1,235 $12K
25605 25 25 $12K
64644 146 142 $12K
V5275 Ear impression, each 954 948 $12K
83013 236 231 $12K
93978 150 146 $12K
95250 386 361 $12K
84100 35,959 24,689 $12K
0052A 305 303 $12K
87147 2,632 2,499 $12K
99218 1,662 785 $12K
97116 480 263 $11K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 2,166 1,743 $11K
88304 9,279 8,879 $11K
78264 44 43 $11K
J9355 Injection, trastuzumab, excludes biosimilar, 10 mg 45 24 $11K
70480 199 194 $11K
M0220 Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), includes injection and post administration monitoring 199 183 $11K
82565 18,594 17,390 $11K
82088 489 449 $11K
0112A 233 233 $11K
64405 37 36 $11K
67840 14 12 $11K
19081 13 12 $11K
92626 147 133 $11K
87427 1,415 1,327 $11K
89051 3,099 2,483 $10K
0031A 379 353 $10K
J0461 Injection, atropine sulfate, 0.01 mg 571 379 $10K
64495 763 729 $10K
J2785 Injection, regadenoson, 0.1 mg 3,391 3,268 $10K
86301 1,066 929 $10K
J3370 Injection, vancomycin hcl, 500 mg 4,473 2,544 $10K
36901 12 12 $10K
82550 10,216 9,010 $10K
11730 148 145 $10K
91010 13 13 $10K
86765 1,003 977 $10K
87206 2,486 1,853 $10K
86735 981 955 $9K
83615 16,126 10,721 $9K
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 4,543 4,266 $9K
93320 1,396 1,366 $9K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 305 294 $9K
84445 307 301 $9K
83521 1,737 1,650 $9K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 1,661 1,576 $9K
96376 11,076 9,177 $9K
74328 287 270 $9K
0051A 224 222 $9K
99384 241 227 $9K
87045 1,441 1,353 $9K
87102 1,715 1,467 $9K
94664 4,537 3,538 $9K
80179 2,268 2,145 $9K
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 2,150 722 $9K
92002 104 103 $8K
51705 38 36 $8K
ATP13 1,197 1,030 $8K
74160 101 100 $8K
99205 Prolong outpt/office vis 72 71 $8K
86258 1,348 1,169 $8K
90716 2,164 2,116 $8K
88302 1,662 1,442 $8K
55700 16 16 $8K
90633 4,929 4,824 $8K
76831 59 58 $8K
82140 959 838 $8K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 203 193 $8K
84270 571 558 $8K
92610 66 65 $8K
90999 Unlisted dialysis procedure, inpatient or outpatient 156 73 $7K
86021 1,151 777 $7K
J2060 Injection, lorazepam, 2 mg 8,046 6,327 $7K
83993 617 585 $7K
83921 774 755 $7K
51600 26 24 $7K
84244 559 526 $7K
J1030 Injection, methylprednisolone acetate, 40 mg 9,524 9,196 $7K
82610 666 635 $7K
36593 105 91 $7K
82365 899 857 $7K
82390 934 903 $7K
96523 449 347 $7K
87521 Neg quan hep c or qual rna 335 320 $7K
86580 1,218 1,001 $7K
36561 13 13 $7K
36589 25 25 $7K
27096 13 13 $7K
85041 2,627 2,587 $6K
94726 137 134 $6K
86664 551 536 $6K
11103 210 197 $6K
J1726 Injection, hydroxyprogesterone caproate, (makena), 10 mg 80 24 $6K
51702 2,743 2,502 $6K
95909 92 82 $6K
94761 6,367 6,036 $6K
ATP05 988 893 $6K
99402 681 611 $6K
81229 221 180 $6K
J7030 Infusion, normal saline solution , 1000 cc 19,314 11,746 $6K
J7120 Ringers lactate infusion, up to 1000 cc 15,808 12,908 $6K
83021 408 376 $6K
86039 860 827 $6K
0054A 307 306 $6K
84432 783 745 $6K
86255 901 797 $6K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 10,558 9,732 $6K
88300 2,060 1,991 $6K
96112 252 196 $6K
74022 805 779 $6K
86341 655 349 $5K
80175 910 854 $5K
84300 1,665 1,519 $5K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 281 206 $5K
84550 12,490 8,810 $5K
83525 544 480 $5K
84132 4,712 3,951 $5K
77091 816 802 $5K
90707 2,488 2,404 $5K
84460 14,270 13,399 $5K
J0640 Injection, leucovorin calcium, per 50 mg 2,048 788 $5K
0073A 108 108 $5K
99382 126 122 $5K
J1750 Injection, iron dextran, 50 mg 182 94 $5K
51784 24 24 $5K
J0330 Injection, succinylcholine chloride, up to 20 mg 9,802 9,145 $5K
87116 788 560 $5K
86008 36 35 $5K
J1630 Injection, haloperidol, up to 5 mg 2,623 2,244 $5K
92588 27 27 $5K
90685 1,065 1,000 $5K
80183 590 560 $4K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 5,235 4,858 $4K
88720 986 634 $4K
17312 39 25 $4K
87046 616 581 $4K
86705 511 490 $4K
43259 16 16 $4K
88237 88 80 $4K
82103 475 455 $4K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 78 41 $4K
82040 6,600 6,018 $4K
92511 14 12 $4K
85347 1,431 1,093 $4K
29580 28 13 $4K
52005 26 25 $4K
29823 12 12 $4K
0064A 247 239 $4K
90648 1,291 1,247 $4K
82024 191 181 $4K
87324 626 602 $4K
ATP23 377 302 $4K
84425 332 319 $4K
80047 4,015 3,702 $4K
96417 4,519 2,830 $4K
86696 248 233 $4K
87015 997 709 $4K
83010 460 424 $4K
82340 903 866 $4K
51741 151 145 $4K
73660 229 215 $3K
95885 39 36 $3K
J1040 Injection, methylprednisolone acetate, 80 mg 5,196 4,888 $3K
87209 283 263 $3K
J0780 Injection, prochlorperazine, up to 10 mg 1,149 847 $3K
90653 245 242 $3K
80178 881 762 $3K
P9040 Red blood cells, leukocytes reduced, irradiated, each unit 606 304 $3K
82077 3,367 3,143 $3K
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 2,194 1,782 $3K
82397 339 329 $3K
83519 329 288 $3K
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 975 771 $3K
90696 1,612 1,567 $3K
0154A 90 85 $3K
82947 3,798 3,450 $3K
92700 27 27 $3K
82310 5,237 4,640 $3K
84520 7,429 6,835 $3K
90673 115 115 $3K
20600 13 13 $3K
17003 317 305 $3K
72220 222 216 $3K
94760 3,033 2,374 $3K
J0561 Injection, penicillin g benzathine, 100,000 units 18 14 $3K
92604 96 76 $3K
84144 208 132 $3K
80165 434 405 $3K
88264 41 38 $3K
83550 710 679 $2K
86695 244 231 $2K
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 1,889 1,843 $2K
36591 2,577 1,520 $2K
86644 245 229 $2K
86364 2,981 2,779 $2K
84155 5,342 5,110 $2K
87210 569 543 $2K
73565 742 731 $2K
82172 205 201 $2K
90473 4,560 4,535 $2K
86308 527 503 $2K
G0475 Hiv antigen/antibody, combination assay, screening 2,098 2,066 $2K
J0572 Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine 55 26 $2K
90791 Psychiatric diagnostic evaluation 89 87 $2K
H0035 Mental health partial hospitalization, treatment, less than 24 hours 14 14 $2K
J8499 Prescription drug, oral, non chemotherapeutic, nos 2,826 941 $2K
85576 132 93 $2K
88312 2,048 1,932 $2K
84157 907 808 $2K
78306 19 19 $2K
82945 832 746 $2K
82248 4,082 3,625 $2K
70487 26 24 $2K
92540 54 54 $2K
0164A 42 42 $2K
69209 12 12 $2K
A9505 Thallium tl-201 thallous chloride, diagnostic, per millicurie 1,210 1,134 $2K
80143 2,021 1,859 $2K
88313 801 729 $2K
83718 301 301 $2K
J9045 Injection, carboplatin, 50 mg 1,368 864 $2K
80156 339 315 $2K
87177 282 262 $2K
86141 278 263 $2K
J2310 Injection, naloxone hydrochloride, per 1 mg 53 41 $2K
G0009 Administration of pneumococcal vaccine 2,468 2,385 $2K
90620 70 68 $2K
76706 43 39 $2K
87650 155 152 $2K
82247 1,616 1,223 $2K
D1120 Prophylaxis - child 30 29 $1K
92593 67 67 $1K
V5020 Conformity evaluation 24 24 $1K
92551 12 12 $1K
J1790 Injection, droperidol, up to 5 mg 2,222 1,943 $1K
80203 205 190 $1K
92556 26 25 $1K
85613 231 215 $1K
72190 224 215 $1K
J0694 Injection, cefoxitin sodium, 1 gm 128 76 $1K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 15,862 14,411 $1K
82104 153 152 $1K
83935 369 320 $1K
95874 541 523 $1K
86381 357 334 $1K
87640 661 373 $1K
36592 2,086 1,270 $1K
90678 47 47 $1K
89060 348 329 $1K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 6,640 6,152 $1K
J2765 Injection, metoclopramide hcl, up to 10 mg 10,379 8,785 $1K
J3360 Injection, diazepam, up to 5 mg 680 535 $1K
88262 12 12 $1K
83835 117 97 $1K
82977 2,259 2,101 $1K
87625 153 149 $1K
93976 12 12 $1K
77073 45 41 $1K
72080 43 41 $1K
84166 158 143 $1K
J0456 Injection, azithromycin, 500 mg 228 155 $1K
88230 12 12 $1K
73200 25 24 $1K
C1887 Catheter, guiding (may include infusion/perfusion capability) 1,577 1,486 $1K
88311 1,386 1,258 $992.05
76098 13 12 $973.30
88172 54 51 $950.16
76872 16 16 $936.46
84590 120 119 $935.06
51701 1,905 1,835 $907.62
64643 14 12 $900.62
82952 281 279 $896.82
86593 303 290 $895.94
72202 93 93 $847.04
82731 14 14 $822.50
86617 182 84 $816.00
92537 14 14 $815.68
82465 906 870 $779.34
J1580 Injection, garamycin, gentamicin, up to 80 mg 241 192 $771.17
12051 13 13 $765.21
98926 15 13 $757.35
75625 12 12 $750.57
81206 13 12 $747.80
86812 40 40 $746.26
86015 529 472 $668.41
90744 3,151 3,041 $649.10
71100 26 26 $630.64
96111 467 294 $629.87
86922 54 36 $624.96
80185 128 112 $624.78
93312 12 12 $612.60
87255 27 24 $583.11
84446 65 64 $582.61
J3411 Injection, thiamine hcl, 100 mg 164 94 $564.28
V5011 Fitting/orientation/checking of hearing aid 25 25 $562.16
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 2,593 2,489 $557.57
77081 12 12 $540.77
73100 104 86 $531.85
93229 12 12 $522.00
82507 26 25 $507.40
90636 74 73 $504.53
95249 12 12 $487.85
87329 53 49 $474.33
70250 41 37 $472.98
J9267 Injection, paclitaxel, 1 mg 1,317 647 $471.35
C1760 Closure device, vascular (implantable/insertable) 692 657 $455.54
86355 43 40 $451.50
82010 75 64 $428.14
64484 158 157 $411.30
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 941 917 $411.01
C2617 Stent, non-coronary, temporary, without delivery system 1,758 1,620 $407.34
82375 52 49 $406.98
86357 27 26 $404.26
82553 53 50 $377.57
90661 28 28 $362.00
A4648 Tissue marker, implantable, any type, each 1,072 972 $347.94
83930 75 68 $347.74
C1726 Catheter, balloon dilatation, non-vascular 372 356 $345.56
80202 71 27 $340.88
82166 14 14 $340.60
87220 121 117 $338.83
90682 219 216 $337.79
J0692 Injection, cefepime hydrochloride, 500 mg 246 48 $336.96
98927 14 12 $328.01
75710 12 12 $321.67
80195 53 14 $313.25
82272 185 176 $312.99
82157 12 12 $309.84
92517 12 12 $298.21
J2795 Injection, ropivacaine hydrochloride, 1 mg 1,820 1,457 $297.28
76376 3,282 3,108 $296.61
V2632 Posterior chamber intraocular lens 1,664 1,449 $286.97
96377 803 614 $274.97
P9047 Infusion, albumin (human), 25%, 50 ml 53 27 $267.98
76514 14 14 $262.36
82787 15 14 $254.52
82085 41 41 $254.18
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 919 874 $254.02
86769 14 13 $252.78
ATP06 44 39 $250.48
87593 13 12 $247.60
83945 27 26 $246.54
92136 14 14 $241.20
82164 26 26 $234.92
80299 27 24 $222.77
93282 14 13 $208.25
80158 23 12 $204.82
A4217 Sterile water/saline, 500 ml 829 709 $201.51
82232 28 27 $199.97
36416 4,935 4,572 $196.80
84295 1,597 1,378 $185.41
J7510 Prednisolone oral, per 5 mg 193 176 $182.40
84206 12 12 $177.48
J1010 Injection, methylprednisolone acetate, 1 mg 1,073 981 $172.46
80184 41 38 $165.34
85384 24 24 $163.20
73650 27 25 $157.66
86777 13 12 $157.56
84133 53 51 $157.20
J2919 Injection, methylprednisolone sodium succinate, 5 mg 542 327 $155.11
J2471 Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg 125 70 $155.11
83090 12 12 $153.90
85660 48 36 $140.94
84630 13 13 $130.65
73010 15 14 $128.71
J0670 Injection, mepivacaine hydrochloride, per 10 ml 269 157 $128.36
J1956 Injection, levofloxacin, 250 mg 226 193 $128.36
90713 87 80 $125.08
83986 57 52 $120.00
87807 13 12 $118.10
86709 14 13 $116.20
J2370 Injection, phenylephrine hcl, up to 1 ml 1,654 1,524 $116.01
J9190 Injection, fluorouracil, 500 mg 2,746 1,024 $109.08
84105 27 26 $99.12
84075 753 670 $97.80
99195 29 25 $86.80
84392 26 25 $86.60
84560 26 25 $86.60
90474 689 663 $82.39
90688 40 40 $79.40
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 6,374 4,431 $78.96
92025 46 44 $78.58
86880 27 26 $76.00
77417 47 29 $75.61
90619 112 104 $68.89
J2550 Injection, promethazine hcl, up to 50 mg 41 34 $54.04
84436 16 16 $49.56
91305 1,294 1,251 $47.76
C8930 Transthoracic echocardiography, with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with physician supervision 146 143 $39.20
89055 13 12 $35.20
J2359 Injection, olanzapine, 0.5 mg 194 112 $27.94
90710 1,747 1,700 $23.88
81596 567 552 $20.00
84478 178 142 $15.54
73600 33 28 $15.11
C9399 Unclassified drugs or biologicals 820 312 $13.65
J3480 Injection, potassium chloride, per 2 meq 2,893 1,826 $6.26
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 128 126 $5.76
90700 165 154 $3.37
P9612 Catheterization for collection of specimen, single patient, all places of service 467 450 $3.15
Q0164 Prochlorperazine maleate, 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 2,050 1,124 $2.58
81005 15 15 $2.24
G0010 Administration of hepatitis b vaccine 454 433 $1.61
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 820 719 $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 824 728 $0.01
Q9950 Injection, sulfur hexafluoride lipid microspheres, per ml 892 705 $0.00
C1776 Joint device (implantable) 57 56 $0.00
93356 750 729 $0.00
L3913 Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment 329 312 $0.00
J7070 Infusion, d5w, 1000 cc 1,784 854 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 168 166 $0.00
81479 Unlisted molecular pathology procedure 316 288 $0.00
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 235 226 $0.00
S0164 Injection, pantoprazole sodium, 40 mg 3,034 1,436 $0.00
C1758 Catheter, ureteral 90 87 $0.00
81336 28 27 $0.00
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 1,075 1,063 $0.00
J3473 Injection, hyaluronidase, recombinant, 1 usp unit 131 119 $0.00
G8989 Self care functional limitation, discharge status, at discharge from therapy or to end reporting 125 123 $0.00
G0390 Trauma response team associated with hospital critical care service 28 28 $0.00
G8985 Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 84 79 $0.00
Q9956 Injection, octafluoropropane microspheres, per ml 182 129 $0.00
99188 97 97 $0.00
64491 25 25 $0.00
91300 5,371 4,664 $0.00
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 57 51 $0.00
91312 2,116 2,058 $0.00
J1953 Injection, levetiracetam, 10 mg 501 358 $0.00
J0736 Injection, clindamycin phosphate, 300 mg 82 66 $0.00
G8997 Swallowing functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 26 26 $0.00
Q9958 High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml 55 53 $0.00
80361 99 84 $0.00
G8996 Swallowing functional limitation, current status at therapy episode outset and at reporting intervals 26 26 $0.00
11101 31 26 $0.00
J1245 Injection, dipyridamole, per 10 mg 100 59 $0.00
J2720 Injection, protamine sulfate, per 10 mg 15 13 $0.00
80356 32 25 $0.00
G8984 Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals 47 45 $0.00
90687 19 19 $0.00
C9113 Injection, pantoprazole sodium, per vial 252 117 $0.00
74300 13 13 $0.00
J1171 Injection, hydromorphone, 0.1 mg 156 97 $0.00
87469 156 146 $0.00
99157 28 28 $0.00
91321 18 18 $0.00
C1729 Catheter, drainage 181 159 $0.00
91311 580 572 $0.00
64636 38 37 $0.00
86036 23 21 $0.00
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 70 65 $0.00
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg 16 14 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 23 23 $0.00
81450 16 12 $0.00
L8613 Ossicula implant 26 26 $0.00
C1874 Stent, coated/covered, with delivery system 42 40 $0.00
99411 28 27 $0.00
J9201 Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg 37 12 $0.00
0042T 15 15 $0.00
90698 5,605 5,455 $0.00
90680 5,122 5,002 $0.00
87493 341 310 $0.00
90723 593 575 $0.00
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 100 96 $0.00
J1940 Injection, furosemide, up to 20 mg 2,796 1,615 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 3,753 2,955 $0.00
C9290 Injection, bupivacaine liposome, 1 mg 583 549 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 303 286 $0.00
91303 228 206 $0.00
96040 1,290 1,255 $0.00
C2627 Catheter, suprapubic/cystoscopic 290 265 $0.00
J1250 Injection, dobutamine hydrochloride, per 250 mg 290 286 $0.00
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous 405 403 $0.00
C1781 Mesh (implantable) 476 453 $0.00
L3906 Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment 325 309 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 480 428 $0.00
87468 132 125 $0.00
J8540 Dexamethasone, oral, 0.25 mg 1,081 685 $0.00
91307 1,426 1,327 $0.00
89322 109 104 $0.00
91306 68 68 $0.00
87478 114 107 $0.00
91301 1,231 737 $0.00
99156 41 41 $0.00
90697 645 645 $0.00
J3535 Drug administered through a metered dose inhaler 18 13 $0.00
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing 114 108 $0.00
C1889 Implantable/insertable device, not otherwise classified 578 566 $0.00
L3933 Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment 67 64 $0.00
J8501 Aprepitant, oral, 5 mg 27 26 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 113 86 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 346 316 $0.00
80051 18 14 $0.00
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml 13 12 $0.00
88309 13 12 $0.00
51797 43 42 $0.00
82435 61 51 $0.00
94644 119 114 $0.00
87484 131 124 $0.00
L3808 Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment 32 29 $0.00
J7060 5% dextrose/water (500 ml = 1 unit) 35 16 $0.00
91315 45 40 $0.00
94660 18 14 $0.00
J0280 Injection, aminophyllin, up to 250 mg 41 41 $0.00
L3927 Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), without joint/spring, extension/flexion (e.g., static or ring type), may include soft interface material, prefabricated, off-the-shelf 24 24 $0.00
95012 14 12 $0.00
49465 17 13 $0.00
0361U 26 26 $0.00
72052 15 12 $0.00
64492 12 12 $0.00
G8998 Swallowing functional limitation, discharge status, at discharge from therapy or to end reporting 26 26 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 20 15 $0.00
C1730 Catheter, electrophysiology, diagnostic, other than 3d mapping (19 or fewer electrodes) 26 26 $0.00
99292 16 15 $0.00