Medicaid Provider Spending

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

NOR-LEA HOSPITAL DISTRICT

NPI: 1881630036 · LOVINGTON, NM 88260 · General Acute Care Hospital · NPI assigned 06/22/2006

$53.24M
Total Medicaid Paid
856,996
Total Claims
717,782
Beneficiaries
389
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSHAW, DAVID (CEO ADMINISTRATOR)
Parent OrganizationNOR-LEA HOSPITAL DISTRICT
NPI Enumeration Date06/22/2006

Related Entities

Other providers sharing the same authorized official: SHAW, DAVID

ProviderCityStateTotal Paid
NOR-LEA HOSPITAL DISTRICT LOVINGTON NM $18.25M
NOR-LEA HOSPITAL DISTRICT HOBBS NM $6.83M
NOR-LEA HOSPITAL DISTRICT HOBBS NM $2.02M
NOR-LEA HOSPITAL DISTRICT TATUM NM $254K
NOR-LEA HOSPITAL DISTRICT LOVINGTON NM $251K
NOR-LEA HOSPITAL DISTRICT LOVINGTON NM $98K
NOR-LEA HOSPITAL DISTRICT HOBBS NM $12K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 119,325 $6.61M
2019 94,824 $6.13M
2020 80,372 $4.40M
2021 115,173 $6.91M
2022 131,975 $7.99M
2023 160,994 $10.44M
2024 154,333 $10.75M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0202U Oncology (prostate), multianalyte, gene expression profiling 13,877 13,281 $5.10M
99283 Emergency department visit for the evaluation and management, moderate severity 31,475 27,984 $4.34M
99284 Emergency department visit for the evaluation and management, high severity 15,422 13,968 $4.18M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 7,362 6,531 $3.06M
J0585 Injection, onabotulinumtoxina, 1 unit 3,157 1,754 $2.70M
74177 Computed tomography, abdomen and pelvis; with contrast material 3,227 2,925 $1.65M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 15,230 4,015 $1.54M
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 3,028 2,930 $1.49M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 26,265 21,232 $1.28M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 15,990 4,846 $1.18M
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 21,080 19,979 $1.10M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 3,104 2,459 $1.09M
97530 Therapeutic activities, direct patient contact, each 15 minutes 14,883 5,398 $1.00M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 25,168 20,987 $991K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,039 2,277 $879K
80053 Comprehensive metabolic panel 48,451 41,982 $874K
70450 Computed tomography, head or brain; without contrast material 2,978 2,527 $816K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 9,238 8,207 $704K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 5,133 4,101 $650K
42820 Tonsillectomy and adenoidectomy; younger than age 12 425 391 $605K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 2,580 1,779 $560K
96375 Therapeutic injection; each additional sequential IV push 6,827 5,466 $528K
90837 Psychotherapy, 53 minutes with patient 4,768 3,113 $511K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 51,762 44,238 $502K
99282 Emergency department visit for the evaluation and management, low to moderate severity 10,226 9,512 $475K
71046 Radiologic examination, chest; 2 views 7,305 6,480 $461K
45380 Colonoscopy, flexible; with biopsy, single or multiple 944 743 $430K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 6,133 5,365 $429K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,058 910 $396K
71045 Radiologic examination, chest; single view 7,135 6,041 $393K
96361 Intravenous infusion, hydration; each additional hour 4,496 3,802 $377K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 6,752 6,160 $373K
84443 Thyroid stimulating hormone (TSH) 19,738 19,034 $341K
99215 Prolong outpt/office vis 5,819 4,690 $310K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 7,845 6,383 $304K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,630 2,432 $282K
77067 Screening mammography, bilateral, including computer-aided detection 1,806 1,780 $281K
73562 2,723 2,288 $270K
G0378 Hospital observation service, per hour 1,215 744 $268K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 10,469 10,293 $268K
72100 2,263 2,016 $216K
71260 Computed tomography, thorax, diagnostic; with contrast material 513 485 $212K
20610 1,601 1,311 $212K
73030 2,340 1,887 $211K
73630 2,605 2,242 $201K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 3,573 2,999 $197K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,703 1,095 $192K
90834 Psychotherapy, 45 minutes with patient 2,394 1,318 $187K
80061 Lipid panel 12,809 12,532 $186K
36415 Collection of venous blood by venipuncture 43,215 37,774 $173K
84484 10,164 7,069 $170K
64615 1,638 1,350 $160K
84439 13,485 13,028 $159K
76700 Ultrasound, abdominal, real time with image documentation; complete 1,212 1,116 $155K
73610 1,333 1,190 $153K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 3,022 1,320 $146K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 2,241 1,252 $145K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,659 2,457 $145K
96376 2,496 1,732 $136K
99205 Prolong outpt/office vis 1,623 1,490 $136K
20553 927 757 $136K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 198 130 $134K
95811 191 158 $131K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 1,730 1,651 $126K
96367 1,588 1,155 $126K
95810 Polysomnography; sleep staging with 4 or more additional parameters 185 167 $125K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 2,603 865 $121K
76705 Ultrasound, abdominal, real time with image documentation; limited 964 881 $116K
80074 1,883 1,852 $114K
71275 Computed tomographic angiography, chest, with contrast material 262 217 $114K
74018 1,666 1,554 $112K
83036 Hemoglobin; glycosylated (A1C) 10,590 10,359 $109K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 262 197 $102K
73130 1,258 966 $100K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2,409 2,371 $98K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,380 2,989 $98K
81001 15,555 12,635 $98K
99281 Emergency department visit for the evaluation and management, self-limited or minor 2,132 1,956 $96K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 5,019 4,686 $95K
93226 661 630 $89K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 709 222 $88K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 195 192 $84K
83880 2,778 2,547 $82K
87086 Culture, bacterial; quantitative colony count, urine 7,445 6,979 $81K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 615 594 $75K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,850 1,818 $75K
73502 1,127 862 $75K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,852 1,820 $74K
93225 674 640 $74K
83013 1,108 1,094 $74K
74178 133 98 $71K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 762 704 $70K
73110 769 659 $64K
83690 5,623 4,994 $64K
86140 8,773 8,366 $64K
87040 3,449 1,924 $61K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 697 686 $58K
72040 596 503 $56K
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 529 521 $56K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 2,394 2,378 $53K
83735 6,047 5,100 $53K
93017 204 196 $52K
85379 3,333 3,085 $52K
83605 3,302 2,820 $52K
97162 627 616 $50K
80048 Basic metabolic panel (calcium, ionized) 3,516 3,226 $50K
70551 Magnetic resonance imaging, brain; without contrast material 123 94 $50K
77063 Screening digital breast tomosynthesis, bilateral 1,195 1,173 $49K
36591 1,096 732 $48K
82728 3,378 3,282 $47K
87186 4,107 3,687 $47K
74022 428 376 $46K
85652 10,483 10,044 $45K
92508 Group treatment of speech, language, voice, communication, and/or auditory processing disorder 690 352 $45K
86803 2,217 2,203 $44K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 536 402 $43K
82607 2,856 2,803 $42K
84481 2,453 2,394 $41K
85027 4,560 4,264 $36K
71250 188 123 $36K
87077 3,986 3,654 $36K
00170 Anesthesia for intraoral procedures, including biopsy 237 237 $35K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,162 2,091 $35K
83540 4,180 4,084 $33K
83550 3,539 3,489 $33K
82570 4,574 4,353 $32K
72110 276 251 $32K
87493 874 846 $32K
96415 310 247 $31K
82150 3,051 2,746 $31K
73560 405 315 $30K
00731 255 246 $30K
76830 Ultrasound, transvaginal 234 211 $30K
84702 1,244 1,085 $29K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 2,246 1,959 $28K
97161 498 481 $28K
74019 212 189 $28K
64483 50 38 $28K
92567 963 920 $28K
82043 3,289 3,184 $28K
87480 1,312 1,285 $27K
J1439 Injection, ferric carboxymaltose, 1 mg 20 13 $27K
86038 1,845 1,799 $27K
87510 1,312 1,285 $27K
87660 1,313 1,285 $27K
73564 251 184 $27K
80076 2,457 2,371 $26K
76536 211 165 $26K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,252 779 $25K
87902 72 52 $25K
00813 195 192 $25K
81025 2,038 1,951 $24K
80306 993 939 $24K
85610 4,268 3,630 $24K
76770 184 149 $24K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 445 439 $22K
84703 1,438 1,376 $21K
11043 216 71 $20K
76642 135 119 $20K
90832 Psychotherapy, 30 minutes with patient 260 166 $20K
97016 928 401 $20K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 3,444 3,205 $20K
72125 Computed tomography, cervical spine; without contrast material 43 40 $17K
82803 612 490 $17K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 13 13 $17K
36600 634 514 $17K
94760 831 586 $17K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 95 95 $16K
80305 1,501 1,446 $15K
84145 581 539 $15K
J7050 Infusion, normal saline solution, 250 cc 8,537 3,931 $15K
99309 Subsequent nursing facility care, per day, low to moderate complexity 561 478 $15K
86480 291 288 $15K
87522 Neg quan hep c or qual rna 219 210 $14K
86200 951 940 $14K
87070 1,131 1,066 $14K
83970 417 394 $14K
85730 1,489 1,402 $14K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 268 238 $13K
86703 600 587 $12K
99220 173 161 $12K
86431 1,835 1,794 $12K
0352U 424 420 $12K
88142 585 581 $12K
84153 684 644 $12K
J0248 Injection, remdesivir, 1 mg 25 13 $12K
82550 1,364 1,260 $12K
J3490 Unclassified drugs 566 375 $12K
82565 2,300 2,249 $12K
84550 2,180 2,064 $12K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 21 20 $11K
90847 Family psychotherapy with the patient present, 50 minutes 111 101 $11K
86780 776 764 $11K
87507 685 668 $11K
76981 86 71 $10K
99223 Prolong inpt eval add15 m 97 79 $10K
83001 500 495 $10K
82962 2,356 1,469 $10K
J2405 Injection, ondansetron hydrochloride, per 1 mg 6,858 5,273 $10K
J7030 Infusion, normal saline solution , 1000 cc 5,665 4,680 $10K
97165 156 152 $10K
J0561 Injection, penicillin g benzathine, 100,000 units 50 38 $9K
83655 602 577 $9K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 23 14 $9K
93227 434 409 $9K
J1030 Injection, methylprednisolone acetate, 40 mg 1,659 1,594 $9K
72072 81 81 $9K
J0696 Injection, ceftriaxone sodium, per 250 mg 2,497 1,997 $9K
97116 219 132 $8K
86706 522 515 $8K
64493 16 12 $8K
82746 562 556 $8K
J2704 Injection, propofol, 10 mg 3,464 3,245 $8K
00812 77 74 $8K
84402 303 301 $8K
J1885 Injection, ketorolac tromethamine, per 15 mg 5,364 4,840 $8K
84156 1,164 1,105 $8K
99239 Hospital discharge day management, more than 30 minutes 72 70 $7K
82805 151 125 $7K
83014 593 587 $7K
0353U 743 732 $7K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 209 186 $7K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 2,777 2,385 $7K
90791 Psychiatric diagnostic evaluation 41 39 $7K
73140 78 67 $7K
93880 50 29 $7K
J3010 Injection, fentanyl citrate, 0.1 mg 3,958 3,486 $7K
92553 54 52 $6K
82947 1,501 805 $6K
86696 334 278 $6K
99233 Prolong inpt eval add15 m 56 26 $6K
84270 309 301 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 175 172 $6K
77066 Tomosynthesis, mammo 32 28 $6K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 3,441 2,824 $6K
86376 358 351 $6K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 62 62 $6K
00811 67 67 $6K
82670 180 159 $5K
86704 296 290 $5K
97163 53 51 $5K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 18 12 $5K
81003 1,271 1,231 $5K
92523 24 24 $5K
J1170 Injection, hydromorphone, up to 4 mg 2,142 1,315 $5K
85007 963 775 $5K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 50 48 $5K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 68 37 $5K
80377 202 195 $5K
87338 291 289 $5K
20611 18 16 $5K
86708 256 254 $4K
86850 366 343 $4K
87340 325 322 $4K
H0049 Alcohol and/or drug screening 80 80 $4K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 494 456 $4K
86695 292 236 $4K
A9270 Non-covered item or service 1,847 763 $4K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 209 195 $4K
87430 254 248 $4K
83615 540 455 $4K
87254 160 155 $4K
83002 168 168 $4K
97113 31 13 $3K
77080 44 40 $3K
82140 234 199 $3K
95806 13 12 $3K
86900 467 437 $3K
87205 518 474 $3K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 115 108 $3K
90756 88 87 $3K
90792 Psychiatric diagnostic evaluation with medical services 24 24 $3K
86160 189 97 $3K
86901 468 437 $3K
36430 13 12 $3K
73590 30 26 $3K
J2250 Injection, midazolam hydrochloride, per 1 mg 2,076 1,935 $3K
J7120 Ringers lactate infusion, up to 1000 cc 907 739 $3K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 111 108 $3K
J1650 Injection, enoxaparin sodium, 10 mg 226 153 $3K
11721 48 47 $3K
80069 255 232 $3K
72114 21 15 $2K
94010 14 13 $2K
86592 336 317 $2K
82105 130 123 $2K
82553 167 164 $2K
90836 33 31 $2K
92551 138 110 $2K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 75 75 $2K
73090 31 30 $2K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 199 198 $2K
95886 38 36 $2K
85018 532 486 $2K
76641 16 12 $2K
93971 16 12 $2K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 1,660 1,026 $2K
97602 20 13 $2K
84403 54 50 $2K
97597 23 12 $2K
82274 109 106 $2K
83525 104 103 $2K
82390 130 129 $2K
73080 13 13 $2K
81002 633 609 $1K
97150 Therapeutic procedure(s), group (2 or more individuals) 53 24 $1K
97802 14 14 $1K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 314 259 $1K
84146 63 63 $1K
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg 408 387 $1K
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml 380 342 $1K
95909 12 12 $1K
82248 218 205 $1K
92552 42 41 $1K
J2795 Injection, ropivacaine hydrochloride, 1 mg 473 351 $1K
86255 64 37 $1K
80329 118 56 $1K
80320 146 131 $1K
86920 21 12 $1K
84100 223 196 $1K
69210 26 12 $979.14
97803 13 12 $930.02
J2270 Injection, morphine sulfate, up to 10 mg 688 539 $928.15
J2765 Injection, metoclopramide hcl, up to 10 mg 701 635 $868.07
90853 Group psychotherapy (other than of a multiple-family group) 29 16 $837.52
86812 40 39 $827.66
85014 162 150 $815.03
95908 13 12 $799.77
82310 162 155 $797.29
84425 41 40 $781.30
97166 13 13 $765.20
86381 28 28 $755.30
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 367 333 $695.90
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,076 876 $683.56
99232 Subsequent hospital care, per day, moderate complexity 38 14 $659.12
86015 43 43 $627.76
J0171 Injection, adrenalin, epinephrine, 0.1 mg 87 67 $627.29
J0330 Injection, succinylcholine chloride, up to 20 mg 101 91 $593.18
83520 27 27 $590.64
J1815 Injection, insulin, per 5 units 657 309 $563.50
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12 12 $537.20
90460 Immunization administration through 18 years of age via any route, first or only component 17 17 $491.60
J1010 Injection, methylprednisolone acetate, 1 mg 186 181 $425.10
82977 47 44 $424.92
82077 16 15 $420.95
C9113 Injection, pantoprazole sodium, per vial 93 75 $420.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 29 28 $416.89
90839 17 15 $412.45
99217 28 25 $359.03
84165 28 28 $350.05
90658 29 29 $346.76
80143 13 12 $339.00
90715 13 13 $325.92
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 90 64 $319.29
J0780 Injection, prochlorperazine, up to 10 mg 63 57 $313.03
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 438 196 $294.37
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 168 138 $286.43
86308 30 29 $279.89
82040 52 50 $264.92
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 24 23 $256.66
J2919 Injection, methylprednisolone sodium succinate, 5 mg 52 44 $247.40
80349 27 27 $239.58
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 16 16 $224.00
86334 14 13 $222.09
80324 36 36 $218.28
84590 13 12 $189.34
J2550 Injection, promethazine hcl, up to 50 mg 237 169 $185.36
J2060 Injection, lorazepam, 2 mg 247 185 $180.72
83516 13 12 $171.71
J2360 Injection, orphenadrine citrate, up to 60 mg 27 27 $165.57
84630 13 13 $145.39
84478 15 13 $139.18
84144 12 12 $137.48
80361 14 13 $112.69
J0690 Injection, cefazolin sodium, 500 mg 98 93 $109.34
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 687 597 $100.81
84520 13 13 $77.31
V2632 Posterior chamber intraocular lens 14 14 $75.60
J3480 Injection, potassium chloride, per 2 meq 21 15 $50.90
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 15 15 $32.87
J8540 Dexamethasone, oral, 0.25 mg 15 13 $31.47
J1940 Injection, furosemide, up to 20 mg 14 13 $29.21
J7060 5% dextrose/water (500 ml = 1 unit) 17 12 $28.80
J1596 Injection, glycopyrrolate, 0.1 mg 16 16 $25.41
J1580 Injection, garamycin, gentamicin, up to 80 mg 32 26 $19.47
J1171 Injection, hydromorphone, 0.1 mg 15 13 $17.50
J3475 Injection, magnesium sulfate, per 500 mg 17 17 $12.25
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 28 25 $0.44
80050 General health panel 63 63 $0.00