Medicaid Provider Spending

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

SAINT FRANCIS HOSPITAL AND MEDICAL CENTER

NPI: 1871713495 · HARTFORD, CT 06105 · Emergency Medicine Physician · NPI assigned 04/26/2007

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

Authorized official HARRIS, JAMES controls 20+ related entities in our dataset. Read more

$266.39M
Total Medicaid Paid
7,411,868
Total Claims
5,770,297
Beneficiaries
727
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHARRIS, JAMES (REGIONAL DIRECTOR OF REIMBURSEMENT)
Parent OrganizationTRINITY HEALTH OF NEW ENGLAND CORPORATION INC
NPI Enumeration Date04/26/2007

Related Entities

Other providers sharing the same authorized official: HARRIS, JAMES

ProviderCityStateTotal Paid
SAINT MARY'S HOSPITAL, INC. WATERBURY CT $163.27M
THE MERCY HOSPITAL INC SPRINGFIELD MA $98.92M
TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC HARTFORD CT $41.97M
RIVERBEND MEDICAL GROUP, INC. SPRINGFIELD MA $38.70M
SYSTEM COORDINATED SERVICES, INC SPRINGFIELD MA $18.54M
BRIGHTSIDE INC SPRINGFIELD MA $11.41M
THE MERCY HOSPITAL INC HOLYOKE MA $10.93M
MERCY INPATIENT MEDICAL ASSOCIATES INC. SPRINGFIELD MA $6.96M
STATE OF NEW YORK COMPTROLLERS OFFICE BUFFALO NY $6.05M
SAINT FRANCIS CARE MEDICAL GROUP, PC HARTFORD CT $2.00M
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER HARTFORD CT $1.42M
PIONEER VALLEY CARDIOLOGY ASSOCIATES, INC SPRINGFIELD MA $1.31M
MERCY MEDICAL GROUP, INC. SPRINGFIELD MA $1.08M
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER HARTFORD CT $382K
PRATER VOLUNTEER RESCUE SQUAD INC GRUNDY VA $331K
DIABETES AND LIFESTYLE MANAGEMENT, LLC DERRY NH $273K
MERCY SPECIALIST PHYSICIANS INC SPRINGFIELD MA $101K
HEALTH ACCESS, INC. CLARKSBURG WV $85K
GIBSON COUNTY PODIATRY LLC MILAN TN $83K
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER HARTFORD CT $45K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,067,261 $38.18M
2019 1,185,699 $40.55M
2020 1,002,945 $35.66M
2021 1,178,028 $42.28M
2022 1,109,115 $41.46M
2023 1,013,265 $37.27M
2024 855,555 $30.99M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 97,958 82,745 $50.26M
J2350 Injection, ocrelizumab, 1 mg 1,930 1,645 $31.39M
99284 Emergency department visit for the evaluation and management, high severity 80,575 70,824 $24.72M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 196,031 142,510 $18.23M
J2323 Injection, natalizumab, 1 mg 4,105 3,489 $15.67M
99283 Emergency department visit for the evaluation and management, moderate severity 74,404 65,407 $15.32M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 70,021 56,701 $9.82M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 6,029 5,357 $4.38M
J9271 Injection, pembrolizumab, 1 mg 711 500 $4.16M
93458 2,364 2,224 $3.67M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 15,990 9,873 $3.44M
74177 Computed tomography, abdomen and pelvis; with contrast material 20,541 18,458 $3.00M
70450 Computed tomography, head or brain; without contrast material 23,781 21,055 $2.99M
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 42,011 36,197 $2.80M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 22,600 17,363 $2.65M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 5,256 4,932 $2.54M
96361 Intravenous infusion, hydration; each additional hour 47,697 38,831 $2.20M
27447 606 506 $2.18M
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 16,007 13,868 $2.17M
99282 Emergency department visit for the evaluation and management, low to moderate severity 15,945 13,733 $1.98M
71046 Radiologic examination, chest; 2 views 38,419 34,302 $1.96M
96375 Therapeutic injection; each additional sequential IV push 48,366 38,080 $1.85M
G0390 Trauma response team associated with hospital critical care service 2,624 2,359 $1.74M
45380 Colonoscopy, flexible; with biopsy, single or multiple 2,566 2,390 $1.72M
59025 Fetal non-stress test 10,131 3,594 $1.49M
77067 Screening mammography, bilateral, including computer-aided detection 14,010 13,312 $1.48M
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 6,852 6,252 $1.38M
78815 Positron emission tomography (PET) for limited area imaging 1,990 1,787 $1.29M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 5,247 4,727 $1.26M
77412 11,988 988 $1.18M
76801 11,154 9,375 $1.13M
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 2,588 2,262 $1.11M
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 44,368 38,333 $1.04M
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 44,334 38,307 $1.04M
74176 Computed tomography, abdomen and pelvis; without contrast material 8,099 7,409 $1.03M
77334 1,371 840 $892K
71045 Radiologic examination, chest; single view 21,621 18,780 $874K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1,580 1,528 $828K
71260 Computed tomography, thorax, diagnostic; with contrast material 7,659 6,793 $826K
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 2,713 2,398 $761K
76830 Ultrasound, transvaginal 7,736 7,083 $749K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 7,852 7,226 $737K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 2,928 2,682 $730K
J0897 Injection, denosumab, 1 mg 928 784 $710K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 10,639 8,259 $704K
0202U Oncology (prostate), multianalyte, gene expression profiling 2,433 2,157 $659K
94060 3,935 3,624 $628K
62323 1,597 1,508 $623K
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 29,753 25,911 $619K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 5,850 5,288 $598K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 282,256 208,106 $568K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 5,484 5,020 $562K
76705 Ultrasound, abdominal, real time with image documentation; limited 7,114 6,547 $559K
86900 34,378 26,872 $519K
70551 Magnetic resonance imaging, brain; without contrast material 4,015 3,537 $518K
95810 Polysomnography; sleep staging with 4 or more additional parameters 674 635 $483K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 13,578 11,617 $479K
58558 300 266 $479K
71275 Computed tomographic angiography, chest, with contrast material 4,591 4,156 $468K
84443 Thyroid stimulating hormone (TSH) 56,385 46,452 $467K
41899 Unlisted procedure, dentoalveolar structures 987 670 $420K
96415 5,238 3,779 $415K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 731 694 $411K
J2505 Injection, pegfilgrastim, 6 mg 160 107 $409K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,971 1,131 $380K
36430 3,167 1,857 $371K
82947 198,135 148,089 $362K
99281 Emergency department visit for the evaluation and management, self-limited or minor 4,923 4,029 $350K
93971 5,401 4,864 $346K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 20,418 16,292 $346K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 47,502 33,791 $336K
93970 2,807 2,550 $330K
36415 Collection of venous blood by venipuncture 375,906 261,044 $327K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 2,341 2,159 $325K
76642 5,777 5,169 $321K
76825 727 603 $318K
70496 2,836 2,531 $307K
10061 1,053 982 $307K
95811 415 388 $299K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 23,469 19,723 $299K
83036 Hemoglobin; glycosylated (A1C) 60,793 51,368 $299K
20610 1,595 1,324 $279K
71250 5,169 4,661 $273K
J9144 Injection, daratumumab, 10 mg and hyaluronidase-fihj 83 55 $261K
82310 199,687 148,952 $256K
83718 38,685 33,824 $250K
77336 3,427 1,218 $241K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 37,915 28,988 $239K
J1950 Injection, leuprolide acetate (for depot suspension), per 3.75 mg 164 142 $237K
76641 2,671 2,514 $229K
97597 2,287 1,325 $226K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 8,961 8,345 $221K
87660 15,836 13,339 $221K
87510 15,846 13,341 $220K
87480 15,847 13,342 $220K
88305 Level IV - Surgical pathology, gross and microscopic examination 20,284 18,021 $217K
72141 2,025 1,833 $215K
82607 29,073 22,985 $211K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 7,641 5,072 $209K
76770 3,128 2,814 $208K
77066 Tomosynthesis, mammo 1,866 1,697 $207K
90791 Psychiatric diagnostic evaluation 3,778 3,274 $201K
82040 81,732 62,905 $201K
82247 126,544 100,523 $197K
Q5108 Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg 104 69 $195K
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 1,714 1,601 $194K
36561 149 118 $193K
77300 468 377 $193K
27130 64 42 $184K
77295 283 228 $176K
77290 859 679 $176K
77080 1,801 1,660 $167K
47562 40 39 $163K
94010 2,118 1,947 $159K
82728 23,859 20,615 $156K
87086 Culture, bacterial; quantitative colony count, urine 50,837 41,124 $152K
P9016 Red blood cells, leukocytes reduced, each unit 2,173 1,456 $150K
86803 19,758 16,238 $146K
77063 Screening digital breast tomosynthesis, bilateral 10,488 9,899 $144K
86480 3,812 3,138 $140K
87536 3,406 2,805 $139K
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) 560 329 $137K
88342 6,787 6,076 $134K
96417 2,839 1,681 $132K
77065 Tomosynthesis, mammo 1,313 1,171 $131K
96367 3,284 2,209 $129K
0002A 3,886 3,402 $128K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 79,941 65,792 $126K
J1569 Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg 110 64 $123K
C8908 Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral 451 389 $120K
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 9,572 9,059 $120K
76536 1,625 1,517 $119K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 5,938 3,513 $118K
93975 675 619 $117K
83550 28,243 22,607 $116K
86235 2,358 1,590 $116K
0001A 4,064 3,412 $114K
64493 118 104 $113K
90677 729 672 $113K
72100 6,331 5,676 $111K
83013 2,402 2,114 $111K
82374 198,856 148,370 $110K
95816 953 845 $110K
J2469 Injection, palonosetron hcl, 25 mcg 4,369 2,379 $108K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 5,153 4,437 $107K
36591 4,918 3,215 $107K
64483 160 152 $105K
96416 630 323 $104K
82746 15,420 12,841 $104K
96411 2,059 1,174 $102K
72158 530 490 $101K
95911 272 250 $100K
73562 8,152 7,261 $99K
73030 7,950 6,936 $98K
97162 3,508 2,895 $97K
86870 715 560 $95K
95912 260 238 $93K
83970 5,168 4,130 $90K
72110 1,758 1,604 $88K
74174 716 643 $88K
83540 28,825 23,087 $88K
92557 1,234 1,155 $87K
70491 542 506 $83K
87070 22,439 18,464 $82K
80048 Basic metabolic panel (calcium, ionized) 86,568 58,043 $77K
75574 790 725 $77K
10060 504 477 $75K
87340 15,675 12,620 $75K
J0881 Injection, darbepoetin alfa, 1 microgram (non-esrd use) 1,173 671 $74K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 686 627 $72K
86592 23,775 19,623 $72K
71271 794 722 $72K
58571 16 12 $71K
86360 3,582 2,705 $71K
81513 813 740 $70K
15830 12 12 $69K
73610 6,766 5,874 $69K
85027 41,831 33,709 $69K
72125 Computed tomography, cervical spine; without contrast material 10,895 9,649 $68K
80053 Comprehensive metabolic panel 38,266 26,802 $68K
80061 Lipid panel 20,334 16,425 $68K
96402 2,188 1,815 $66K
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 4,479 2,845 $66K
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 1,586 832 $66K
88184 565 498 $65K
49083 112 77 $62K
73502 4,917 4,286 $61K
90686 8,293 7,612 $61K
73564 1,252 1,054 $60K
84153 6,778 5,894 $59K
70486 3,249 3,001 $56K
90732 921 832 $56K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 328 306 $56K
83735 55,464 38,223 $55K
87186 15,060 12,688 $55K
73130 6,550 5,883 $54K
72050 763 704 $53K
74183 252 237 $53K
93017 3,202 2,831 $52K
82784 6,244 4,709 $52K
86706 11,005 8,889 $51K
73700 868 744 $51K
J1453 Injection, fosaprepitant, 1 mg 1,207 687 $49K
84425 4,349 2,873 $49K
83880 15,645 13,293 $49K
84439 10,689 9,095 $49K
73630 8,281 7,173 $48K
82570 18,738 16,149 $48K
82652 2,463 1,599 $47K
90746 956 862 $46K
92587 186 179 $45K
73110 3,970 3,477 $44K
85610 54,991 40,350 $43K
G0330 Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room 71 52 $43K
72156 201 188 $42K
86618 3,332 2,453 $42K
86140 19,267 14,652 $41K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 916 550 $41K
84207 3,480 2,041 $40K
82043 12,273 10,948 $39K
86334 4,985 3,842 $39K
73590 3,623 3,229 $39K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,297 1,140 $39K
83655 4,187 3,812 $39K
87522 Neg quan hep c or qual rna 1,700 1,417 $37K
80074 1,518 1,215 $37K
83883 4,840 3,681 $37K
82465 38,877 33,992 $37K
90670 1,803 1,709 $36K
88112 2,554 2,245 $35K
84403 2,578 2,094 $35K
86038 5,330 4,096 $35K
73560 4,233 3,678 $34K
84134 6,933 5,354 $34K
G0257 Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility 473 323 $34K
72131 746 668 $34K
86160 2,717 1,876 $34K
86704 5,749 4,702 $33K
72070 1,373 1,247 $32K
J9395 Injection, fulvestrant, 25 mg 133 105 $32K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 138 116 $32K
J1745 Injection, infliximab, excludes biosimilar, 10 mg 21 13 $31K
86920 4,027 2,583 $31K
74018 4,150 3,605 $31K
73551 2,334 2,101 $30K
G0379 Direct admission of patient for hospital observation care 34 27 $30K
74241 248 239 $30K
J0185 Injection, aprepitant, 1 mg 170 102 $30K
95909 144 130 $30K
87077 8,537 7,242 $29K
72040 2,502 2,251 $29K
78306 138 122 $28K
84702 10,826 8,270 $27K
93798 303 52 $27K
87147 10,813 9,620 $26K
19083 35 29 $26K
G0378 Hospital observation service, per hour 21,285 17,545 $26K
73080 2,511 2,208 $26K
52332 13 13 $26K
80164 3,910 3,159 $26K
85652 21,837 16,836 $26K
88304 2,669 2,425 $25K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 19,510 16,801 $25K
87088 6,602 5,831 $24K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 10,874 9,035 $23K
J2997 Injection, alteplase recombinant, 1 mg 344 264 $23K
82140 3,398 2,403 $23K
97166 569 466 $23K
96401 1,113 569 $22K
84146 2,206 1,776 $22K
84165 5,751 4,452 $22K
81001 33,055 27,525 $22K
Q5118 Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg 33 14 $20K
76700 Ultrasound, abdominal, real time with image documentation; complete 242 231 $20K
84630 4,055 2,193 $20K
73060 1,844 1,622 $20K
86787 2,145 1,571 $20K
74220 206 186 $20K
84590 3,526 2,147 $19K
70498 3,161 2,798 $19K
72170 3,441 3,075 $19K
84446 2,583 1,445 $18K
86762 5,692 4,212 $18K
90651 1,021 954 $18K
96523 877 701 $17K
87625 704 659 $17K
83001 1,567 1,182 $17K
J9217 Leuprolide acetate (for depot suspension), 7.5 mg 88 76 $17K
90734 876 821 $17K
0031A 867 453 $17K
88173 1,250 986 $17K
36593 95 79 $16K
80202 1,398 479 $16K
86200 2,333 1,721 $16K
85730 22,427 18,734 $15K
86147 463 300 $15K
73140 1,490 1,349 $15K
73090 2,076 1,827 $15K
95910 62 60 $15K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 18,377 16,839 $15K
95913 38 36 $15K
77062 1,182 1,063 $15K
84252 1,892 1,278 $13K
87081 4,576 3,773 $13K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 1,290 1,197 $13K
87493 618 492 $13K
0004A 397 332 $13K
82180 2,831 1,428 $13K
86431 4,286 3,141 $12K
83516 1,160 883 $12K
92551 1,979 1,858 $11K
83690 54,706 47,263 $11K
83021 2,786 2,246 $11K
43235 41 39 $11K
84255 694 465 $11K
80076 7,429 6,069 $10K
82378 3,166 2,302 $10K
82105 1,302 1,037 $10K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 44 42 $10K
82950 2,510 2,307 $10K
83002 905 656 $10K
74019 2,121 1,971 $10K
84156 6,752 5,452 $10K
82565 206,188 153,981 $10K
86765 1,281 894 $9K
80177 1,401 1,196 $9K
20680 12 12 $9K
86003 164 120 $9K
86735 1,154 807 $9K
0012A 679 375 $9K
87205 7,460 5,605 $9K
76000 411 377 $8K
84480 960 811 $8K
83020 2,788 2,247 $8K
86703 1,330 1,094 $8K
86696 614 545 $8K
81003 21,316 18,709 $8K
72190 101 88 $8K
87529 230 188 $7K
84597 1,373 815 $7K
84481 841 701 $7K
86255 937 649 $7K
88307 2,225 1,921 $7K
31629 15 14 $7K
20605 33 28 $7K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 11,860 10,402 $7K
82248 64,887 54,759 $7K
95250 87 80 $6K
87040 8,719 7,330 $6K
86376 786 590 $6K
85045 4,098 3,348 $6K
0064A 181 154 $6K
93880 122 107 $6K
87150 420 370 $6K
93270 406 336 $6K
74240 56 52 $6K
86695 614 545 $5K
84478 38,861 33,939 $5K
77280 96 65 $5K
74178 25 24 $5K
86300 2,028 1,436 $5K
80185 816 561 $5K
86304 863 636 $5K
86708 853 575 $5K
72197 14 12 $5K
83615 58,412 49,447 $5K
86812 277 214 $5K
82525 838 426 $5K
86769 124 116 $5K
85379 8,083 7,253 $5K
82670 274 205 $4K
J1610 Injection, glucagon hydrochloride, per 1 mg 43 37 $4K
31624 55 48 $4K
87184 1,575 1,362 $4K
86880 1,553 1,030 $4K
82550 13,546 10,300 $4K
83010 1,188 948 $4K
0011A 669 313 $4K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 288 129 $4K
36589 15 13 $4K
82164 540 356 $4K
86800 448 337 $4K
86146 133 84 $4K
77470 16 13 $4K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 112 69 $4K
86225 507 371 $4K
82150 41,683 36,468 $4K
84550 9,248 7,399 $4K
77307 17 12 $4K
90832 Psychotherapy, 30 minutes with patient 93 83 $3K
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 368 235 $3K
88360 599 503 $3K
84703 5,736 5,231 $3K
84145 8,296 7,357 $3K
85018 4,058 2,960 $3K
85014 5,177 3,920 $3K
83525 411 303 $3K
86364 237 204 $3K
87486 138 116 $3K
87581 138 116 $3K
73521 87 80 $3K
93308 16 16 $3K
71100 1,010 924 $3K
87046 771 610 $3K
87324 581 450 $3K
84436 740 641 $3K
87045 768 608 $2K
0054A 102 69 $2K
36600 448 391 $2K
95249 56 56 $2K
84100 13,974 10,298 $2K
84466 358 288 $2K
86694 214 188 $2K
87449 489 375 $2K
84132 201,246 149,940 $2K
84484 45,035 35,706 $2K
G0297 Low dose ct scan (ldct) for lung cancer screening 28 26 $2K
86850 34,217 26,766 $2K
73221 12 12 $2K
12001 1,557 1,466 $2K
73552 157 143 $2K
82330 1,308 1,025 $2K
82951 167 161 $2K
21310 14 12 $2K
84450 129,608 103,015 $2K
31623 20 16 $2K
90656 130 126 $2K
20552 13 12 $2K
81025 28,669 25,799 $2K
87075 1,839 1,377 $1K
93923 14 14 $1K
80178 521 403 $1K
82962 73,880 48,994 $1K
73600 141 122 $1K
86617 101 72 $1K
92950 13 12 $1K
85613 295 150 $1K
84075 128,376 101,879 $1K
86901 34,374 26,871 $1K
82533 152 120 $1K
86141 197 164 $1K
81050 515 419 $1K
74230 12 12 $1K
86780 114 90 $1K
87517 35 25 $981.84
73000 32 27 $942.03
83605 19,483 16,526 $915.55
82435 199,037 148,521 $913.81
83721 190 167 $896.43
92611 12 12 $848.64
84460 129,574 103,081 $842.79
87255 51 42 $842.00
94727 4,953 4,572 $821.53
82803 5,581 4,740 $819.69
83993 65 51 $807.42
G0103 Prostate cancer screening; prostate specific antigen test (psa) 151 134 $799.85
86301 210 153 $797.31
97116 45 27 $789.48
73200 13 12 $788.66
31628 23 19 $742.50
87269 131 110 $740.88
87272 131 110 $730.42
84270 56 42 $730.33
80162 163 122 $717.85
93225 13 12 $713.02
87503 514 442 $710.26
89050 1,448 1,104 $706.75
12011 572 530 $681.11
77061 51 50 $672.40
76813 5,922 5,310 $611.87
97161 25 24 $605.46
84520 201,762 150,665 $557.61
82785 53 43 $543.90
84155 79,273 60,967 $526.14
87338 56 51 $524.47
86039 93 76 $521.02
88300 257 227 $518.09
72020 142 127 $484.90
82952 139 133 $474.98
92567 1,521 1,415 $465.91
83921 59 51 $455.00
86705 62 52 $450.00
86611 20 12 $437.40
J2310 Injection, naloxone hydrochloride, per 1 mg 266 227 $413.90
90715 8,300 7,579 $413.56
86308 188 165 $405.08
73620 59 52 $394.04
12002 713 659 $337.58
87427 35 27 $329.03
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 26 26 $326.60
96376 14,847 10,003 $312.91
86665 19 13 $311.76
82553 6,314 4,700 $307.45
87209 32 29 $305.50
Q0114 Fern test 43 42 $273.20
90621 13 13 $265.74
80156 82 64 $256.87
82077 12,137 10,208 $248.39
93041 17,687 15,988 $247.84
76827 738 618 $244.28
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 2,770 2,417 $243.40
86258 12 12 $242.44
82085 46 28 $231.75
86335 16 12 $229.26
84295 200,164 149,349 $223.17
87177 32 29 $222.45
86682 17 12 $211.14
86593 75 54 $189.75
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 41,183 36,556 $181.57
51701 1,613 1,465 $173.00
89060 99 89 $171.99
84402 17 12 $170.24
84300 222 199 $163.63
82731 34 25 $157.64
82375 524 456 $153.01
87420 13 12 $148.85
80051 35 32 $147.40
96368 1,004 641 $144.35
82009 2,899 2,559 $139.59
81002 14,080 12,979 $136.17
36592 177 155 $135.02
87481 148 146 $134.04
86664 19 13 $131.49
83930 353 317 $126.20
83520 20 12 $123.60
83090 28 20 $118.48
86663 19 13 $112.77
84154 13 12 $105.36
87102 22 14 $104.26
90460 Immunization administration through 18 years of age via any route, first or only component 101 101 $100.35
85660 63 49 $84.49
76870 536 491 $79.99
70360 44 43 $69.15
73660 15 15 $69.15
87511 148 146 $67.02
82800 1,523 1,348 $64.90
88313 2,896 2,636 $64.65
C1760 Closure device, vascular (implantable/insertable) 757 710 $62.25
51702 342 293 $58.97
87207 30 15 $55.02
82977 37 25 $54.45
82960 14 12 $53.55
J3010 Injection, fentanyl citrate, 0.1 mg 29,976 26,369 $50.34
87400 959 820 $49.07
J2250 Injection, midazolam hydrochloride, per 1 mg 23,426 20,753 $46.61
81015 2,156 1,938 $43.16
87653 51 49 $33.51
J1650 Injection, enoxaparin sodium, 10 mg 8,542 5,209 $29.61
86777 14 13 $27.50
J0571 Buprenorphine, oral, 1 mg 70 48 $25.81
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,641 1,548 $25.38
99157 589 562 $20.75
99156 589 562 $20.75
J1815 Injection, insulin, per 5 units 8,492 3,965 $19.41
J1885 Injection, ketorolac tromethamine, per 15 mg 39,032 33,664 $18.17
J1836 Injection, metronidazole, 10 mg 569 318 $16.00
J2270 Injection, morphine sulfate, up to 10 mg 9,794 7,691 $15.33
82945 31 25 $15.00
J0736 Injection, clindamycin phosphate, 300 mg 94 77 $13.62
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 2,064 1,851 $13.58
J3490 Unclassified drugs 132,041 61,472 $12.27
J1644 Injection, heparin sodium, per 1000 units 15,329 8,210 $12.14
J1170 Injection, hydromorphone, up to 4 mg 27,439 16,825 $11.85
J2405 Injection, ondansetron hydrochloride, per 1 mg 45,863 38,070 $10.45
J0696 Injection, ceftriaxone sodium, per 250 mg 10,048 8,115 $10.36
C1729 Catheter, drainage 881 664 $9.55
82272 2,171 2,016 $9.45
J2765 Injection, metoclopramide hcl, up to 10 mg 10,182 8,720 $7.96
C9113 Injection, pantoprazole sodium, per vial 3,501 2,215 $7.85
85362 15 12 $6.58
83935 12 12 $6.51
90472 Immunization administration, each additional vaccine (list separately) 282 245 $6.09
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 9,652 7,431 $4.84
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 37 36 $4.21
J3370 Injection, vancomycin hcl, 500 mg 4,216 2,620 $3.38
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 6,095 5,439 $2.45
J7120 Ringers lactate infusion, up to 1000 cc 569 503 $2.42
G0008 Administration of influenza virus vaccine 3,565 3,174 $2.04
J1200 Injection, diphenhydramine hcl, up to 50 mg 9,828 8,012 $1.91
C1769 Guide wire 7,241 6,362 $1.41
J1100 Injection, dexamethasone sodium phosphate, 1 mg 21,788 18,642 $1.40
J1920 Injection, labetalol hydrochloride, 5 mg 207 155 $1.24
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 6,194 5,052 $1.01
J0690 Injection, cefazolin sodium, 500 mg 14,692 11,933 $1.00
J3480 Injection, potassium chloride, per 2 meq 2,741 1,771 $1.00
J1171 Injection, hydromorphone, 0.1 mg 534 366 $0.45
J2060 Injection, lorazepam, 2 mg 8,281 6,742 $0.39
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 101 83 $0.36
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 98 83 $0.34
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 4,509 3,927 $0.10
C1758 Catheter, ureteral 847 740 $0.00
J0640 Injection, leucovorin calcium, per 50 mg 385 186 $0.00
93325 1,509 1,273 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 2,548 2,130 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 811 568 $0.00
J1580 Injection, garamycin, gentamicin, up to 80 mg 462 385 $0.00
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 1,946 1,789 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 2,809 2,481 $0.00
91300 7,762 6,366 $0.00
J1756 Injection, iron sucrose, 1 mg 9,538 3,790 $0.00
90681 271 266 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 1,574 1,369 $0.00
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 5,405 3,987 $0.00
76376 455 403 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 7,042 5,042 $0.00
90714 301 283 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 970 770 $0.00
76937 878 742 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 2,496 2,199 $0.00
99152 3,309 3,037 $0.00
80143 651 584 $0.00
A9575 Injection, gadoterate meglumine, 0.1 ml 4,497 4,067 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,098 955 $0.00
J9190 Injection, fluorouracil, 500 mg 1,351 376 $0.00
94729 5,533 5,095 $0.00
J1953 Injection, levetiracetam, 10 mg 1,147 888 $0.00
J1240 Injection, dimenhydrinate, up to 50 mg 2,777 2,537 $0.00
87210 220 202 $0.00
90633 456 445 $0.00
80179 555 502 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 2,476 2,266 $0.00
90713 272 268 $0.00
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 192 159 $0.00
90648 669 653 $0.00
J0692 Injection, cefepime hydrochloride, 500 mg 611 426 $0.00
C1776 Joint device (implantable) 1,473 1,181 $0.00
S0077 Injection, clindamycin phosphate, 300 mg 78 64 $0.00
J3489 Injection, zoledronic acid, 1 mg 177 155 $0.00
J9263 Injection, oxaliplatin, 0.5 mg 329 91 $0.00
93356 523 467 $0.00
90671 70 70 $0.00
95251 37 30 $0.00
29125 137 130 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 142 118 $0.00
90710 215 211 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 329 302 $0.00
90700 13 13 $0.00
76942 74 63 $0.00
C1788 Port, indwelling (implantable) 134 104 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 90 80 $0.00
90685 272 266 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 333 283 $0.00
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg 110 85 $0.00
J7030 Infusion, normal saline solution , 1000 cc 627 577 $0.00
M1145 Most favored nation (mfn) model drug add-on amount, per dose, (do not bill with line items that have the jw modifier) 16 16 $0.00
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg 24 12 $0.00
97803 65 65 $0.00
C1874 Stent, coated/covered, with delivery system 63 60 $0.00
77012 40 36 $0.00
82805 56 55 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 32 27 $0.00
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 13 12 $0.00
88312 13 12 $0.00
99153 Mod sedat endo service >5yrs 3,224 2,955 $0.00
J2785 Injection, regadenoson, 0.1 mg 2,070 1,820 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 6,589 4,383 $0.00
A4648 Tissue marker, implantable, any type, each 380 339 $0.00
95885 44 42 $0.00
88341 2,933 2,488 $0.00
J9267 Injection, paclitaxel, 1 mg 639 266 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 423 394 $0.00
J1630 Injection, haloperidol, up to 5 mg 3,967 3,287 $0.00
J1940 Injection, furosemide, up to 20 mg 2,770 1,915 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 5,625 5,012 $0.00
J8540 Dexamethasone, oral, 0.25 mg 9,980 5,135 $0.00
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 1,882 1,170 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 587 476 $0.00
88311 546 353 $0.00
77001 661 566 $0.00
G0009 Administration of pneumococcal vaccine 1,353 1,202 $0.00
76820 2,396 1,022 $0.00
C1781 Mesh (implantable) 230 211 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 482 402 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 278 146 $0.00
Q3014 Telehealth originating site facility fee 920 763 $0.00
95886 2,439 2,243 $0.00
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg 237 166 $0.00
J2704 Injection, propofol, 10 mg 37,985 28,513 $0.00
J3411 Injection, thiamine hcl, 100 mg 263 205 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 1,391 1,155 $0.00
G0010 Administration of hepatitis b vaccine 244 225 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 2,496 2,314 $0.00
94660 528 304 $0.00
88185 568 498 $0.00
J9045 Injection, carboplatin, 50 mg 566 301 $0.00
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 884 776 $0.00
J1790 Injection, droperidol, up to 5 mg 1,716 1,435 $0.00
J0280 Injection, aminophyllin, up to 250 mg 634 561 $0.00
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 259 231 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 723 603 $0.00
91305 198 126 $0.00
J0456 Injection, azithromycin, 500 mg 214 158 $0.00
94761 200 183 $0.00
91301 875 726 $0.00
J2175 Injection, meperidine hydrochloride, per 100 mg 445 397 $0.00
90619 96 86 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 218 202 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 1,508 1,329 $0.00
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 229 188 $0.00
0399T 119 108 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 33 27 $0.00
C2617 Stent, non-coronary, temporary, without delivery system 64 56 $0.00
91303 864 450 $0.00
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 274 252 $0.00
51798 139 120 $0.00
90696 67 65 $0.00
91306 159 134 $0.00
12013 28 27 $0.00
C2627 Catheter, suprapubic/cystoscopic 205 171 $0.00
J7050 Infusion, normal saline solution, 250 cc 135 104 $0.00
64494 72 62 $0.00
G0475 Hiv antigen/antibody, combination assay, screening 175 174 $0.00
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 95 94 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 316 278 $0.00
J1805 Injection, esmolol hydrochloride, 10 mg 17 15 $0.00
86905 19 12 $0.00
C1726 Catheter, balloon dilatation, non-vascular 28 26 $0.00
77417 29 14 $0.00
G0499 Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive hbsag result 14 14 $0.00
J3360 Injection, diazepam, up to 5 mg 67 56 $0.00
76377 27 27 $0.00
11045 18 12 $0.00
96377 17 12 $0.00
95012 12 12 $0.00
99292 13 12 $0.00
97802 21 21 $0.00
31654 15 12 $0.00