Medicaid Provider Spending

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

ASHLAND HOSPITAL CORPORATION

NPI: 1851346720 · ASHLAND, KY 41101 · Rural Health Clinic/Center · NPI assigned 05/22/2006

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

Authorized official MARKS, SARA controls 20+ related entities in our dataset. Read more

$222.76M
Total Medicaid Paid
6,507,603
Total Claims
4,992,972
Beneficiaries
794
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMARKS, SARA (CEO)
NPI Enumeration Date05/22/2006

Related Entities

Other providers sharing the same authorized official: MARKS, SARA

ProviderCityStateTotal Paid
KINGS DAUGHTERS MEDICAL SPECIALTIES INC. ASHLAND KY $6.34M
ASHLAND HOSPITAL CORPORATION ASHLAND KY $1.59M
KINGS DAUGHTERS MEDICAL SPECIALTIES INC ASHLAND KY $1.46M
ASHLAND HOSPITAL CORPORATION JACKSON OH $722K
KING'S DAUGHTERS MEDICAL SPECIALTIES, INC. ASHLAND KY $509K
KINGS DAUGHTERS MEDCIAL SPECIALTIES INC ASHLAND KY $383K
KING'S DAUGHTERS MEDICAL SPECIALTIES, INC. ASHLAND KY $297K
ASHLAND HOSPITAL CORPORATION ASHLAND KY $296K
KINGS DAUGHTERS MEDICAL SPECIALTIES INC., PORTSMOUTH OH $169K
KINGS DAUGHTERS MEDICAL SPECIALTIES INC PRESTONSBURG KY $127K
KINGS DAUGHTERS MEDICAL SPECIALTIES INC., ASHLAND KY $108K
KINGS DAUGHTERS MEDICAL SPECIALTIES INC ASHLAND KY $101K
ASHLAND HOSPITAL CORPORATION IRONTON OH $69K
ASHLAND HOSPITAL CORPORATION ASHLAND KY $53K
KINGS DAUGHTERS MEDICAL SPECIALTIES INC ASHLAND KY $41K
ASHLAND HOSPITAL CORPORATION PAINTSVILLE KY $11K
KING'S DAUGHTERS MEDICAL SPECIALTIES, INC. PORTSMOUTH OH $9K
ASHLAND HOSPITAL COPORATION ASHLAND KY $7K
ASHALND HOSPITAL CORPORATION ASHLAND KY $5K
ASHLAND HOSPITAL COPORATION ASHLAND KY $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 643,069 $23.96M
2019 659,562 $22.51M
2020 687,447 $23.78M
2021 1,000,133 $34.33M
2022 1,100,101 $37.51M
2023 1,274,562 $42.60M
2024 1,142,729 $38.09M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 800,710 679,877 $24.50M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 499,500 411,957 $17.81M
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 152,837 126,724 $10.52M
99284 Emergency department visit for the evaluation and management, high severity 49,198 33,119 $9.52M
99283 Emergency department visit for the evaluation and management, moderate severity 61,569 45,006 $7.51M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 35,592 20,042 $6.21M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 358,800 267,474 $5.80M
74177 Computed tomography, abdomen and pelvis; with contrast material 9,927 8,389 $4.10M
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 9,764 4,913 $3.95M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 10,383 6,478 $3.83M
74176 Computed tomography, abdomen and pelvis; without contrast material 11,537 9,223 $3.44M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 11,961 10,666 $3.23M
47562 1,849 1,139 $2.67M
93458 3,961 1,627 $2.66M
G0378 Hospital observation service, per hour 14,483 10,228 $2.23M
99282 Emergency department visit for the evaluation and management, low to moderate severity 17,905 14,357 $2.18M
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 118,693 99,448 $2.16M
J2357 Injection, omalizumab, 5 mg 4,767 1,569 $2.14M
80053 Comprehensive metabolic panel 290,153 155,825 $2.07M
71046 Radiologic examination, chest; 2 views 46,765 36,969 $2.01M
70450 Computed tomography, head or brain; without contrast material 10,963 9,315 $1.82M
72148 Magnetic resonance imaging, lumbar spine; without contrast material 4,752 3,946 $1.75M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 29,024 12,412 $1.73M
45380 Colonoscopy, flexible; with biopsy, single or multiple 3,700 2,571 $1.72M
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 2,213 1,898 $1.52M
80050 General health panel 25,622 20,523 $1.43M
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 2,585 1,910 $1.43M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 2,992 2,387 $1.29M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 31,695 24,131 $1.28M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 42,431 37,571 $1.28M
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 143,662 80,419 $1.22M
85025 Blood count; complete (CBC), automated, and automated differential WBC count 227,370 173,286 $1.20M
88305 Level IV - Surgical pathology, gross and microscopic examination 19,869 13,961 $1.18M
70551 Magnetic resonance imaging, brain; without contrast material 3,298 2,605 $1.15M
71250 6,861 5,102 $1.15M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 35,307 8,856 $1.12M
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 31,991 22,507 $1.12M
77067 Screening mammography, bilateral, including computer-aided detection 11,559 10,745 $1.09M
76705 Ultrasound, abdominal, real time with image documentation; limited 7,256 6,690 $1.07M
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 49,422 42,609 $1.07M
42820 Tonsillectomy and adenoidectomy; younger than age 12 918 828 $1.05M
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 50,607 47,514 $1.03M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 11,002 4,561 $1.02M
90460 Immunization administration through 18 years of age via any route, first or only component 29,340 28,342 $1.02M
72141 2,356 1,936 $989K
96361 Intravenous infusion, hydration; each additional hour 28,092 19,320 $965K
62323 2,095 1,237 $960K
95811 1,459 1,316 $956K
58571 423 177 $953K
93017 6,003 5,538 $938K
58661 524 388 $926K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 31,653 22,530 $879K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 1,757 1,319 $879K
76536 4,460 4,084 $866K
95911 1,451 1,336 $858K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 100,465 82,717 $847K
99281 Emergency department visit for the evaluation and management, self-limited or minor 14,945 12,547 $842K
74018 9,543 8,344 $834K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 1,964 1,731 $814K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 51,853 42,399 $788K
72100 8,646 7,321 $781K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,191 1,077 $778K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 11,214 9,441 $760K
36415 Collection of venous blood by venipuncture 244,515 145,825 $734K
96375 Therapeutic injection; each additional sequential IV push 26,432 18,776 $718K
71045 Radiologic examination, chest; single view 31,401 23,427 $715K
80061 Lipid panel 71,258 59,465 $698K
71260 Computed tomography, thorax, diagnostic; with contrast material 2,920 2,004 $687K
73630 11,488 9,583 $681K
S9128 Speech therapy, in the home, per diem 9,415 3,257 $659K
71275 Computed tomographic angiography, chest, with contrast material 2,555 2,196 $656K
84443 Thyroid stimulating hormone (TSH) 54,607 50,886 $652K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 11,807 10,976 $645K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 31,840 28,511 $634K
73610 9,808 8,233 $620K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 10,125 9,844 $611K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 4,081 3,668 $609K
J9271 Injection, pembrolizumab, 1 mg 140 87 $608K
73030 10,140 8,220 $584K
93226 4,185 3,897 $577K
73130 9,401 7,889 $570K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 83,570 79,372 $563K
73562 8,127 6,856 $547K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 12,306 7,127 $530K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 40,826 31,485 $502K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 14,375 4,692 $487K
73110 7,899 6,214 $486K
95886 3,034 2,650 $484K
0223U 2,246 2,078 $484K
90461 14,655 14,169 $480K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 18,068 15,738 $460K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 8,230 4,239 $454K
J1569 Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg 403 228 $448K
80048 Basic metabolic panel (calcium, ionized) 68,808 41,264 $445K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 2,031 1,893 $431K
00731 4,596 4,026 $418K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6,952 6,770 $417K
D2930 Prefabricated stainless steel crown - primary tooth 764 133 $414K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 15,506 13,013 $411K
95909 1,344 1,206 $409K
96367 10,425 3,276 $396K
82607 34,977 31,379 $395K
70486 1,679 1,396 $391K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 11,006 6,369 $390K
72125 Computed tomography, cervical spine; without contrast material 2,350 1,838 $383K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 13,159 12,050 $377K
93971 3,659 3,265 $375K
52000 1,378 1,012 $373K
S9129 Occupational therapy, in the home, per diem 5,577 1,808 $372K
94060 4,468 2,847 $369K
93225 3,218 2,786 $361K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 13,064 12,025 $357K
49083 1,127 305 $351K
78227 752 558 $343K
00813 3,682 3,083 $339K
87902 1,854 1,479 $337K
83036 Hemoglobin; glycosylated (A1C) 48,453 45,132 $333K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 14,684 4,986 $332K
76775 2,417 2,178 $332K
87086 Culture, bacterial; quantitative colony count, urine 52,464 42,550 $331K
84484 33,612 22,125 $306K
73560 7,518 6,095 $305K
30140 360 311 $301K
00840 2,936 2,240 $297K
73221 855 709 $291K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 16,958 15,581 $288K
76830 Ultrasound, transvaginal 2,867 2,642 $286K
76700 Ultrasound, abdominal, real time with image documentation; complete 1,307 1,189 $280K
95885 1,763 1,509 $276K
88342 4,097 3,333 $270K
84439 33,164 30,809 $266K
99173 10,219 9,953 $260K
80074 8,160 7,004 $255K
J7120 Ringers lactate infusion, up to 1000 cc 31,968 26,510 $254K
72040 4,281 3,583 $252K
82947 35,170 17,967 $246K
96415 3,073 1,647 $243K
88341 1,842 1,529 $242K
00170 Anesthesia for intraoral procedures, including biopsy 2,500 2,214 $240K
96376 12,388 6,022 $236K
70496 831 635 $233K
76642 2,407 2,168 $233K
73080 3,895 3,193 $231K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 9,871 9,467 $227K
86003 3,069 2,407 $227K
78816 293 216 $226K
97162 6,875 4,166 $224K
93975 1,462 1,342 $221K
70498 782 691 $215K
77066 Tomosynthesis, mammo 1,794 1,679 $213K
72070 3,034 2,528 $209K
S9131 Physical therapy; in the home, per diem 3,422 1,057 $209K
99215 Prolong outpt/office vis 6,640 5,715 $209K
97530 Therapeutic activities, direct patient contact, each 15 minutes 7,554 2,655 $205K
00126 1,568 1,498 $201K
95816 1,063 982 $198K
94010 2,331 1,704 $197K
94729 3,291 3,154 $196K
74183 430 355 $196K
J2785 Injection, regadenoson, 0.1 mg 3,305 3,012 $194K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,768 2,700 $192K
00811 1,902 1,709 $190K
71101 2,987 2,355 $190K
93880 1,064 951 $187K
84145 12,519 10,143 $187K
87522 Neg quan hep c or qual rna 4,995 4,607 $186K
88307 2,279 1,642 $183K
90791 Psychiatric diagnostic evaluation 3,551 3,058 $180K
94726 2,850 2,622 $178K
43235 524 357 $177K
00790 1,655 1,477 $174K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 6,294 5,182 $174K
29580 3,234 1,231 $174K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 825 784 $173K
36591 9,901 3,743 $166K
77065 Tomosynthesis, mammo 2,048 1,790 $159K
30520 228 190 $157K
97597 5,011 3,550 $153K
85610 41,579 28,305 $153K
82728 15,414 13,005 $151K
J0897 Injection, denosumab, 1 mg 585 337 $149K
83880 9,063 7,691 $149K
77063 Screening digital breast tomosynthesis, bilateral 13,068 11,049 $147K
73502 5,390 4,349 $147K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 8,326 5,660 $146K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 672 471 $143K
73620 1,903 1,654 $143K
83735 34,844 25,734 $143K
93970 563 523 $142K
J2469 Injection, palonosetron hcl, 25 mcg 2,418 1,337 $140K
52310 211 164 $139K
J7030 Infusion, normal saline solution , 1000 cc 33,332 23,639 $139K
73590 2,700 2,204 $136K
A9577 Injection, gadobenate dimeglumine (multihance), per ml 7,413 5,063 $136K
86235 3,427 1,786 $132K
96110 Developmental screening, with scoring and documentation, per standardized instrument 4,462 4,375 $131K
64721 140 108 $131K
81001 53,263 46,514 $129K
74178 194 167 $128K
58558 119 86 $128K
97803 4,234 4,078 $126K
99152 2,310 1,970 $126K
86703 10,045 9,199 $126K
90792 Psychiatric diagnostic evaluation with medical services 2,003 1,768 $124K
87081 18,452 17,248 $123K
J2704 Injection, propofol, 10 mg 46,125 24,769 $123K
76870 1,022 923 $123K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 4,678 1,647 $122K
83550 17,480 16,365 $121K
83605 16,367 13,786 $119K
74022 1,273 1,176 $118K
88304 3,308 2,857 $116K
74450 710 641 $112K
92557 3,091 2,561 $111K
73140 2,186 1,872 $109K
0225U 569 534 $107K
86803 9,558 8,840 $106K
72131 926 664 $106K
92551 10,179 9,911 $105K
87150 3,535 3,325 $102K
83690 19,179 16,784 $101K
84703 21,564 18,899 $100K
73090 2,050 1,659 $99K
77080 2,019 1,426 $99K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 8,120 7,403 $99K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 189 56 $98K
D7140 Extraction, erupted tooth or exposed root 464 112 $98K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 3,483 2,909 $97K
71271 1,944 1,751 $97K
78264 439 284 $96K
86850 10,182 8,571 $96K
93016 7,197 6,786 $94K
87505 1,103 1,045 $93K
93308 561 483 $93K
87186 14,508 12,608 $93K
81025 11,627 10,043 $92K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 65,027 51,014 $92K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,639 1,566 $92K
86140 19,484 16,966 $92K
97802 2,162 2,066 $91K
82746 7,858 7,352 $90K
75574 358 282 $87K
86780 8,515 7,703 $86K
96417 1,794 1,008 $85K
84702 7,029 5,185 $82K
86480 1,869 1,717 $81K
00910 721 607 $80K
D2391 Resin-based composite - one surface, posterior, primary or permanent 161 26 $79K
J0585 Injection, onabotulinumtoxina, 1 unit 260 136 $77K
91200 1,344 1,288 $77K
86900 12,402 8,820 $77K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 9,490 7,256 $75K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 2,891 2,608 $75K
00160 611 543 $72K
84153 5,439 5,084 $70K
84403 3,514 3,235 $69K
83970 2,587 2,330 $69K
87807 10,980 10,407 $68K
85730 16,892 14,628 $68K
87631 590 558 $68K
99442 2,533 2,353 $67K
70491 314 237 $67K
J3010 Injection, fentanyl citrate, 0.1 mg 32,180 22,422 $67K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,112 1,915 $67K
87040 7,990 5,107 $67K
64493 443 247 $66K
76819 Fetal biophysical profile; without non-stress testing 397 229 $66K
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 244 201 $65K
95806 676 622 $63K
87340 7,076 6,445 $62K
52281 141 75 $62K
99441 3,674 3,374 $62K
87070 8,535 5,952 $62K
93018 6,456 6,130 $61K
J3490 Unclassified drugs 6,553 4,908 $61K
00812 550 508 $61K
J1756 Injection, iron sucrose, 1 mg 2,577 696 $60K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 384 356 $60K
99238 Hospital discharge day management, 30 minutes or less 1,283 1,204 $60K
99460 1,293 1,240 $60K
86762 5,053 4,582 $59K
85379 9,807 8,758 $59K
95913 71 65 $58K
93922 682 633 $58K
81003 46,453 35,965 $58K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 2,612 1,884 $58K
74246 818 742 $57K
96368 2,497 1,283 $57K
J1453 Injection, fosaprepitant, 1 mg 1,872 1,073 $56K
73521 773 681 $56K
J1885 Injection, ketorolac tromethamine, per 15 mg 36,195 29,166 $56K
82077 6,566 5,541 $55K
86376 4,553 4,303 $55K
27096 100 86 $55K
86901 9,968 8,586 $53K
88300 2,174 2,002 $52K
J0690 Injection, cefazolin sodium, 500 mg 10,711 7,929 $52K
82043 11,166 10,087 $51K
J1644 Injection, heparin sodium, per 1000 units 11,404 4,910 $51K
62321 96 70 $51K
99308 Subsequent nursing facility care, per day, straightforward 10,284 7,491 $51K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 819 707 $51K
J1439 Injection, ferric carboxymaltose, 1 mg 151 84 $48K
J7050 Infusion, normal saline solution, 250 cc 10,615 5,877 $47K
86038 4,647 4,204 $47K
J2405 Injection, ondansetron hydrochloride, per 1 mg 45,031 30,720 $47K
97166 1,373 1,166 $47K
97161 1,453 1,050 $47K
36430 336 204 $46K
86160 4,267 2,227 $45K
10060 676 553 $45K
96411 767 413 $44K
85652 17,680 15,686 $44K
82803 3,870 3,274 $44K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 4,076 2,574 $43K
P9047 Infusion, albumin (human), 25%, 50 ml 388 154 $43K
73120 661 544 $43K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 839 815 $42K
92567 2,294 2,211 $42K
72158 99 74 $42K
58662 25 24 $41K
83655 3,484 3,388 $41K
P9016 Red blood cells, leukocytes reduced, each unit 898 326 $40K
83525 4,121 3,889 $40K
36561 51 26 $40K
87077 6,317 4,718 $39K
82140 3,736 2,787 $39K
82785 2,352 2,031 $38K
20610 825 408 $38K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 9,599 7,599 $38K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 82 76 $37K
86800 2,908 2,743 $37K
95910 92 85 $37K
C1769 Guide wire 710 573 $37K
00952 316 284 $36K
87493 1,493 1,330 $36K
80076 5,182 3,889 $36K
96523 1,272 1,070 $36K
74019 684 643 $35K
88313 249 220 $35K
83516 2,591 1,506 $34K
A9537 Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries 562 518 $34K
80069 6,507 4,042 $33K
00300 379 330 $32K
74174 90 68 $31K
90688 3,203 3,063 $31K
64494 193 154 $31K
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 6,098 2,612 $31K
Q5111 Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg 24 13 $30K
83001 1,945 1,808 $30K
J2370 Injection, phenylephrine hcl, up to 1 ml 4,055 2,059 $30K
84481 2,151 2,026 $30K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 172 167 $29K
72146 66 58 $29K
72156 42 37 $29K
J1437 Injection, ferric derisomaltose, 10 mg 29 28 $28K
C1781 Mesh (implantable) 302 228 $28K
87427 2,648 1,283 $28K
54150 402 383 $27K
84270 1,653 1,514 $27K
90756 1,997 1,921 $27K
84146 1,603 1,515 $26K
58563 13 13 $26K
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) 135 87 $25K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 712 609 $25K
10005 85 66 $25K
82550 4,178 3,214 $24K
82784 3,954 3,081 $24K
J3370 Injection, vancomycin hcl, 500 mg 2,905 1,381 $24K
97804 708 695 $24K
87430 4,137 3,787 $23K
77062 1,798 1,537 $23K
84436 3,884 3,638 $23K
93660 202 170 $22K
87205 5,582 5,077 $22K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 234 146 $22K
43249 83 39 $22K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 4,501 3,767 $21K
82570 5,239 4,470 $21K
76882 273 249 $21K
84550 5,315 4,357 $21K
73060 496 404 $21K
96416 372 213 $21K
82274 1,879 1,456 $21K
00400 272 223 $21K
84100 5,570 4,267 $21K
86706 2,292 2,108 $21K
99309 Subsequent nursing facility care, per day, low to moderate complexity 2,715 2,011 $20K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 120 110 $20K
70470 143 129 $20K
84132 2,391 1,901 $20K
86200 2,019 1,863 $20K
84681 1,209 1,125 $20K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 84 81 $20K
86430 4,021 3,752 $20K
72170 707 539 $20K
C1887 Catheter, guiding (may include infusion/perfusion capability) 343 286 $20K
86225 1,853 1,718 $19K
87899 1,466 1,312 $19K
86696 1,242 1,142 $19K
90832 Psychotherapy, 30 minutes with patient 575 455 $19K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk 28 27 $19K
86665 1,102 606 $18K
87328 1,562 1,425 $18K
80143 2,264 2,030 $18K
C1729 Catheter, drainage 1,201 464 $18K
84144 1,054 914 $18K
92523 343 299 $18K
93312 70 55 $18K
J3475 Injection, magnesium sulfate, per 500 mg 3,375 1,972 $18K
77061 1,712 1,378 $17K
82150 2,990 2,759 $17K
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation 221 207 $17K
80047 1,679 877 $17K
99205 Prolong outpt/office vis 1,195 1,070 $17K
12001 356 303 $17K
84156 5,338 4,649 $17K
82950 3,936 3,661 $17K
80179 2,167 1,954 $17K
90686 7,105 6,906 $16K
76937 94 78 $16K
J2250 Injection, midazolam hydrochloride, per 1 mg 26,625 20,014 $16K
86695 1,426 1,171 $16K
88185 65 58 $16K
86364 1,548 1,261 $16K
86258 1,423 1,091 $16K
74230 152 111 $16K
99443 346 321 $16K
83883 1,015 770 $16K
86255 1,688 1,515 $15K
82131 862 607 $15K
84480 1,323 1,264 $15K
80305 1,301 855 $15K
92587 340 319 $15K
87641 710 602 $15K
51701 784 423 $15K
72220 265 232 $14K
73700 100 81 $14K
87338 1,248 1,031 $14K
86708 1,488 1,384 $14K
80339 620 361 $14K
77002 69 65 $14K
Q9957 Injection, perflutren lipid microspheres, per ml 622 436 $14K
99406 2,114 2,002 $13K
87045 1,708 1,392 $13K
84207 698 641 $13K
87329 1,464 1,399 $13K
J0696 Injection, ceftriaxone sodium, per 250 mg 10,207 6,415 $13K
70360 181 165 $13K
J1040 Injection, methylprednisolone acetate, 80 mg 2,123 1,839 $13K
72050 162 139 $13K
86141 1,252 1,043 $13K
01810 138 126 $12K
86618 888 782 $12K
83002 878 833 $12K
J0640 Injection, leucovorin calcium, per 50 mg 857 233 $12K
90670 5,713 5,547 $12K
86757 706 386 $12K
88112 309 253 $12K
82565 1,464 992 $12K
J3480 Injection, potassium chloride, per 2 meq 2,172 1,223 $12K
90715 2,143 1,978 $12K
96127 3,854 3,633 $12K
C1760 Closure device, vascular (implantable/insertable) 293 259 $11K
99305 599 486 $11K
80164 1,208 1,038 $11K
12002 233 199 $11K
Q9950 Injection, sulfur hexafluoride lipid microspheres, per ml 1,484 784 $11K
84425 597 560 $11K
86704 1,135 1,016 $11K
76010 780 721 $11K
73551 596 502 $10K
83615 2,385 2,039 $10K
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 245 155 $10K
85027 1,563 1,472 $10K
83993 606 525 $10K
80334 322 313 $10K
80337 321 312 $10K
88302 443 323 $10K
72128 52 50 $9K
42830 26 13 $9K
73000 175 145 $9K
72202 156 140 $9K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 929 643 $9K
J1170 Injection, hydromorphone, up to 4 mg 3,812 2,474 $9K
77001 62 52 $9K
86664 666 619 $9K
82533 633 542 $9K
82977 1,432 1,233 $8K
J2795 Injection, ropivacaine hydrochloride, 1 mg 2,831 2,151 $8K
C9046 Cocaine hydrochloride nasal solution (goprelto), 1 mg 109 94 $8K
76942 40 38 $8K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 6,063 4,361 $8K
82103 662 498 $8K
87640 722 591 $8K
82172 473 428 $8K
72110 70 63 $8K
82248 1,850 1,525 $8K
97032 394 126 $8K
J2805 Injection, sincalide, 5 micrograms 202 186 $8K
J7060 5% dextrose/water (500 ml = 1 unit) 2,868 899 $7K
83520 762 463 $7K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 9,050 5,325 $7K
J2790 Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) 225 207 $7K
97116 369 160 $7K
84165 988 907 $7K
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring 32 31 $7K
A9585 Injection, gadobutrol, 0.1 ml 229 192 $7K
86812 330 307 $7K
83010 686 616 $7K
72082 35 32 $7K
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 130 128 $7K
84112 222 194 $7K
97012 548 179 $7K
64495 52 44 $7K
C1776 Joint device (implantable) 13 13 $6K
86769 212 187 $6K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,575 1,386 $6K
93798 258 25 $6K
82105 554 513 $6K
92526 246 78 $6K
J1815 Injection, insulin, per 5 units 2,816 1,352 $6K
J0692 Injection, cefepime hydrochloride, 500 mg 2,981 910 $6K
Q9958 High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml 40 37 $6K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 400 346 $6K
J2270 Injection, morphine sulfate, up to 10 mg 8,789 6,619 $6K
82247 1,155 893 $6K
88173 85 64 $6K
97035 186 82 $6K
87210 996 926 $5K
98960 181 166 $5K
86147 210 104 $5K
41899 Unlisted procedure, dentoalveolar structures 15 12 $5K
99307 1,539 836 $5K
72072 62 59 $5K
J1200 Injection, diphenhydramine hcl, up to 50 mg 6,529 4,873 $5K
94727 154 148 $5K
86039 482 465 $5K
82525 546 469 $5K
82378 374 329 $5K
73718 14 12 $5K
J0248 Injection, remdesivir, 1 mg 32 12 $5K
82670 218 201 $5K
64615 52 52 $4K
96160 2,393 2,324 $4K
82024 176 146 $4K
J0780 Injection, prochlorperazine, up to 10 mg 1,406 1,107 $4K
J9190 Injection, fluorouracil, 500 mg 858 291 $4K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 1,787 589 $4K
80370 112 98 $4K
84432 359 308 $4K
72120 93 78 $4K
82010 902 691 $4K
C2617 Stent, non-coronary, temporary, without delivery system 134 115 $4K
G0297 Low dose ct scan (ldct) for lung cancer screening 143 119 $4K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 14 13 $4K
90837 Psychotherapy, 53 minutes with patient 95 25 $4K
86923 523 249 $4K
29515 243 210 $4K
87581 209 196 $4K
90733 51 49 $4K
99201 84 67 $4K
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 1,036 824 $4K
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 539 513 $4K
86308 961 907 $4K
00902 46 40 $4K
90853 Group psychotherapy (other than of a multiple-family group) 184 156 $4K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 266 184 $4K
90651 726 712 $4K
82627 170 158 $3K
01400 42 28 $3K
85018 1,639 1,164 $3K
J1940 Injection, furosemide, up to 20 mg 1,998 1,164 $3K
83521 304 201 $3K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 125 112 $3K
73552 107 91 $3K
84630 409 365 $3K
83540 542 513 $3K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 188 150 $3K
86787 352 308 $3K
84520 782 723 $3K
99177 834 819 $3K
51702 57 52 $3K
90632 84 80 $3K
J0360 Injection, hydralazine hcl, up to 20 mg 906 681 $3K
72052 32 27 $3K
81511 29 27 $3K
84460 881 780 $3K
86617 256 128 $3K
82330 475 314 $3K
97163 38 36 $3K
80177 261 223 $3K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 403 332 $3K
94664 236 217 $3K
A9270 Non-covered item or service 5,083 1,877 $2K
86334 172 169 $2K
98966 1,035 470 $2K
J9263 Injection, oxaliplatin, 0.5 mg 150 41 $2K
86381 156 149 $2K
87486 161 129 $2K
J0330 Injection, succinylcholine chloride, up to 20 mg 1,121 871 $2K
74220 13 12 $2K
77012 13 12 $2K
80202 185 113 $2K
86682 205 190 $2K
J2550 Injection, promethazine hcl, up to 50 mg 2,856 2,308 $2K
90633 2,537 2,480 $2K
92611 28 28 $2K
82652 58 58 $2K
85520 138 66 $2K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 12 12 $2K
86666 207 130 $2K
80171 92 81 $2K
80346 180 176 $2K
91322 42 38 $2K
C9113 Injection, pantoprazole sodium, per vial 1,132 597 $2K
80361 187 180 $2K
Q3014 Telehealth originating site facility fee 3,485 2,613 $2K
80349 112 106 $2K
73100 28 15 $2K
J1953 Injection, levetiracetam, 10 mg 372 273 $2K
88184 90 59 $2K
87517 61 61 $2K
90480 68 66 $2K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 126 42 $2K
90723 3,013 2,927 $2K
92610 46 38 $2K
73600 32 25 $2K
85384 376 340 $2K
J2919 Injection, methylprednisolone sodium succinate, 5 mg 756 445 $2K
M0222 Intravenous injection, bebtelovimab, includes injection and post administration monitoring 19 17 $2K
99381 41 37 $2K
87536 31 26 $1K
90697 1,533 1,502 $1K
88142 90 89 $1K
99195 46 39 $1K
88312 26 24 $1K
90658 293 286 $1K
81241 57 50 $1K
85014 510 290 $1K
89051 323 213 $1K
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 637 215 $1K
97164 52 51 $1K
86015 140 132 $1K
90734 700 681 $1K
87449 84 67 $1K
90648 3,049 2,957 $1K
96161 702 657 $1K
99336 37 32 $1K
86359 48 39 $1K
96401 82 27 $1K
90677 1,417 1,397 $1K
90681 834 807 $1K
82390 138 124 $1K
J1643 Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units 1,422 506 $1K
99462 43 37 $1K
70150 13 12 $1K
73660 32 26 $1K
92579 15 15 $1K
82951 108 99 $1K
97165 39 38 $1K
82365 123 110 $1K
80197 125 88 $999.52
C1788 Port, indwelling (implantable) 18 12 $992.72
82653 13 13 $955.10
86694 75 58 $946.49
82672 71 60 $946.00
90674 90 85 $925.05
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 105 98 $907.09
M0239 Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring 38 35 $904.86
82671 37 37 $890.27
98940 92 33 $881.59
85613 139 115 $838.48
86318 53 51 $828.37
J1650 Injection, enoxaparin sodium, 10 mg 134 65 $827.94
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 12 12 $824.23
97010 169 55 $815.29
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 116 106 $799.88
90710 423 418 $788.20
12011 28 27 $729.43
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 218 208 $710.40
80051 213 99 $699.08
99407 42 41 $690.86
85390 88 77 $675.86
80364 17 17 $672.40
J1030 Injection, methylprednisolone acetate, 40 mg 138 127 $664.06
J3360 Injection, diazepam, up to 5 mg 187 94 $655.89
J2765 Injection, metoclopramide hcl, up to 10 mg 1,753 1,441 $651.82
97014 77 28 $649.14
J2060 Injection, lorazepam, 2 mg 1,674 1,134 $635.57
90682 12 12 $627.15
99221 32 25 $623.12
86709 48 48 $616.20
J1010 Injection, methylprednisolone acetate, 1 mg 176 165 $601.88
96402 23 13 $570.56
86705 54 54 $566.08
86360 32 27 $555.27
80324 19 18 $508.25
84479 101 99 $506.36
J2003 Injection, lidocaine hydrochloride, 1 mg 1,333 986 $503.70
J1596 Injection, glycopyrrolate, 0.1 mg 385 297 $485.75
90656 596 592 $478.37
86146 25 12 $442.78
84300 148 133 $440.05
86580 99 94 $434.30
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 463 319 $423.19
80359 13 13 $413.52
94667 29 25 $401.27
87625 37 36 $396.14
84450 131 108 $387.22
J2360 Injection, orphenadrine citrate, up to 60 mg 161 143 $378.69
86738 56 55 $374.73
85347 48 41 $367.37
D1206 Topical application of fluoride varnish 29 26 $360.00
84157 92 77 $346.48
84155 172 169 $345.72
99318 89 69 $344.35
90732 12 12 $342.40
82952 107 97 $337.76
J2806 Injection, sincalide (maia), not therapeutically equivalent to j2805, 5 micrograms 12 12 $301.49
72020 15 12 $299.12
82595 49 39 $287.70
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 1,065 719 $275.58
87324 63 56 $273.95
85246 12 12 $271.84
J0735 Injection, clonidine hydrochloride, 1 mg 94 69 $262.67
80368 13 12 $250.44
J2470 Injection, pantoprazole sodium, 40 mg 218 101 $249.79
85240 15 14 $230.02
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) 14 14 $205.75
85045 79 70 $201.56
82787 21 12 $190.28
J7042 5% dextrose/normal saline (500 ml = 1 unit) 29 27 $170.60
83630 21 12 $170.18
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 70 25 $164.43
J2310 Injection, naloxone hydrochloride, per 1 mg 28 25 $162.63
90680 865 847 $160.90
90716 40 39 $154.61
80365 27 27 $144.90
90696 157 156 $144.00
85397 12 12 $142.94
90472 Immunization administration, each additional vaccine (list separately) 12 12 $141.50
J1171 Injection, hydromorphone, 0.1 mg 134 90 $134.51
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 515 348 $132.61
99232 Subsequent hospital care, per day, moderate complexity 32 12 $122.82
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 95 12 $116.92
86431 31 25 $114.97
86316 13 12 $111.44
86735 13 12 $100.48
80178 26 25 $99.36
84311 48 44 $97.69
80175 13 13 $97.59
90647 464 456 $96.89
90707 40 39 $90.94
J0592 Injection, buprenorphine hydrochloride, 0.1 mg 49 26 $90.25
A9284 Spirometer, non-electronic, includes all accessories 28 24 $83.76
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg 20 12 $83.32
29126 15 13 $81.62
J0500 Injection, dicyclomine hcl, up to 20 mg 13 13 $81.20
83721 18 12 $76.69
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 33 28 $75.16
J1630 Injection, haloperidol, up to 5 mg 278 229 $72.53
J0595 Injection, butorphanol tartrate, 1 mg 123 98 $70.91
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) 651 424 $66.79
J2175 Injection, meperidine hydrochloride, per 100 mg 115 112 $65.13
81002 56 52 $57.78
83935 13 13 $57.60
Q0244 Injection, casirivimab and imdevimab, 1200 mg 459 368 $54.65
90687 78 75 $50.36
G0103 Prostate cancer screening; prostate specific antigen test (psa) 129 25 $49.22
94760 25 25 $47.44
99348 15 12 $47.32
94644 17 15 $46.21
36416 60 55 $37.21
Q0245 Injection, bamlanivimab and etesevimab, 2100 mg 189 172 $17.39
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 49 47 $14.90
G0008 Administration of influenza virus vaccine 308 289 $11.93
Q0247 Injection, sotrovimab, 500 mg 41 33 $4.91
90700 62 58 $3.64
Q0222 Injection, bebtelovimab, 175 mg 34 29 $3.07
3078F 4,746 4,528 $0.00
3077F 610 572 $0.00
3725F 26 26 $0.00
90380 12 12 $0.00
3074F 5,386 5,080 $0.00
3079F 4,481 4,264 $0.00
3080F 126 124 $0.00
1126F 54 47 $0.00
3075F 2,094 1,986 $0.00
1111F 32 31 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 14 13 $0.00
90381 28 27 $0.00
99335 53 52 $0.00
95115 53 24 $0.00