Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NJ › BELLEVILLE › CLARA MAASS MEDICAL CENTER

CLARA MAASS MEDICAL CENTER

NPI: 1902901333 · BELLEVILLE, NJ 07109 · General Acute Care Hospital · NPI assigned 09/13/2006

$156.84M
Total Medicaid Paid
2,160,558
Total Claims
1,787,510
Beneficiaries
401
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBURKE, THOMAS (PRESIDENT/CEO)
Parent OrganizationRWJ BARNABAS HEALTH INC
NPI Enumeration Date09/13/2006

Related Entities

Other providers sharing the same authorized official: BURKE, THOMAS

ProviderCityStateTotal Paid
OPHTHALMIC CONSULTANTS OF LONG ISLAND ROCKVILLE CENTRE NY $7.83M
BURKE DERMATOLOGY, PA NEWARK DE $2.38M
NEUROTECH, NA INC. MANASSAS VA $1.33M
LEHIGH VALLEY EYE CENTER, P.C. ALLENTOWN PA $957K
OPHTHALMIC CONSULTANTS OF LONG ISLAND STONY BROOK NY $193K
BOSTON ORTHOPAEDIC AND SPINE LLC BRIGHTON MA $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 274,635 $22.31M
2019 295,579 $21.47M
2020 208,303 $15.96M
2021 291,304 $23.49M
2022 370,336 $25.23M
2023 408,323 $25.28M
2024 312,078 $23.11M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0378 Hospital observation service, per hour 39,630 34,423 $27.22M
99283 Emergency department visit for the evaluation and management, moderate severity 80,068 74,756 $27.19M
99284 Emergency department visit for the evaluation and management, high severity 64,131 58,778 $25.73M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 55,773 49,288 $18.54M
OP250 169,627 120,629 $4.71M
S9480 Intensive outpatient psychiatric services, per diem 5,529 5,023 $4.20M
58558 1,981 1,875 $3.36M
99282 Emergency department visit for the evaluation and management, low to moderate severity 14,993 14,018 $3.34M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,591 2,375 $2.91M
T2034 Crisis intervention, waiver; per diem 2,223 2,086 $1.90M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,277 3,072 $1.64M
80053 Comprehensive metabolic panel 91,988 78,800 $1.64M
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 7,305 2,990 $1.64M
95810 Polysomnography; sleep staging with 4 or more additional parameters 586 563 $1.59M
71046 Radiologic examination, chest; 2 views 28,660 27,220 $1.12M
OP710 21,022 18,765 $1.09M
0202U Oncology (prostate), multianalyte, gene expression profiling 12,984 12,288 $984K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 664 655 $844K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,019 932 $778K
88305 Level IV - Surgical pathology, gross and microscopic examination 8,875 8,266 $681K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 2,128 2,095 $663K
76819 Fetal biophysical profile; without non-stress testing 4,478 3,173 $659K
97803 3,760 3,702 $659K
97530 Therapeutic activities, direct patient contact, each 15 minutes 23,708 5,473 $655K
71045 Radiologic examination, chest; single view 17,475 15,676 $654K
74177 Computed tomography, abdomen and pelvis; with contrast material 8,911 8,420 $621K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 4,991 4,736 $604K
59425 8,631 5,169 $601K
S9484 Crisis intervention mental health services, per hour 885 851 $555K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 37,170 8,583 $543K
95811 162 161 $535K
93017 2,876 2,670 $514K
OP258 68,870 55,186 $475K
OP272 21,265 18,965 $474K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 44,137 39,158 $471K
36415 Collection of venous blood by venipuncture 112,434 90,105 $462K
96361 Intravenous infusion, hydration; each additional hour 33,163 29,304 $451K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 2,727 2,548 $432K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 39,996 35,352 $410K
76700 Ultrasound, abdominal, real time with image documentation; complete 5,112 4,934 $393K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 785 671 $384K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 4,314 4,173 $380K
70450 Computed tomography, head or brain; without contrast material 10,270 9,342 $375K
76801 3,832 3,546 $356K
97802 1,360 1,353 $352K
96375 Therapeutic injection; each additional sequential IV push 31,984 27,318 $331K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2,686 2,550 $327K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 10,124 9,207 $325K
77067 Screening mammography, bilateral, including computer-aided detection 2,152 2,152 $319K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 23,556 5,390 $316K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 92,498 78,811 $315K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 19,121 17,204 $307K
OP370 16,573 14,844 $306K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 6,271 5,523 $257K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 2,830 2,528 $234K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,184 1,093 $221K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 3,068 2,693 $215K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 18,502 4,113 $213K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,799 1,767 $212K
97010 10,524 2,565 $199K
81001 38,707 35,454 $193K
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 4,765 4,484 $183K
73562 4,873 4,602 $181K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 4,737 4,344 $178K
OP278 927 858 $177K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,992 1,841 $170K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 29,001 25,392 $166K
73630 4,026 3,866 $155K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 5,468 5,255 $154K
93458 175 128 $154K
73130 3,541 3,374 $141K
88342 3,048 2,797 $139K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 9,936 9,389 $139K
81003 21,117 19,740 $135K
73030 3,499 3,312 $131K
J2785 Injection, regadenoson, 0.1 mg 1,908 1,770 $129K
42820 Tonsillectomy and adenoidectomy; younger than age 12 38 38 $122K
93970 1,673 1,524 $121K
73610 3,911 3,748 $118K
82962 21,279 14,792 $118K
81025 15,180 14,501 $113K
87086 Culture, bacterial; quantitative colony count, urine 18,701 17,601 $110K
97014 3,546 947 $108K
97150 Therapeutic procedure(s), group (2 or more individuals) 4,923 1,201 $105K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 105 100 $105K
71275 Computed tomographic angiography, chest, with contrast material 1,701 1,593 $105K
74150 3,141 2,960 $99K
76813 801 783 $98K
87081 7,844 7,704 $98K
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 6,264 5,413 $97K
59430 1,733 1,644 $96K
59025 Fetal non-stress test 194 143 $91K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 545 451 $90K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,140 1,058 $87K
93975 1,084 1,014 $86K
76770 921 894 $86K
72125 Computed tomography, cervical spine; without contrast material 1,843 1,649 $86K
86900 14,611 13,385 $85K
G0379 Direct admission of patient for hospital observation care 2,568 2,191 $83K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2,844 2,704 $79K
73110 2,058 1,960 $77K
87631 2,617 2,578 $76K
93971 1,995 1,860 $74K
86850 14,635 13,392 $74K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 5,168 3,809 $71K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 5,976 4,116 $70K
58661 98 83 $70K
97162 2,944 2,626 $68K
76705 Ultrasound, abdominal, real time with image documentation; limited 810 750 $67K
72100 2,222 2,077 $67K
80048 Basic metabolic panel (calcium, ionized) 7,075 5,783 $66K
87070 3,663 3,388 $65K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,704 1,421 $65K
97161 2,218 2,030 $64K
84484 22,082 18,075 $60K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,089 1,085 $60K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 4,855 4,559 $59K
76830 Ultrasound, transvaginal 497 489 $56K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,038 1,014 $56K
74246 402 394 $55K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 5,471 5,257 $51K
74018 1,692 1,586 $50K
70486 1,129 1,065 $49K
87430 11,490 11,113 $48K
70551 Magnetic resonance imaging, brain; without contrast material 630 533 $47K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 13,172 11,320 $45K
84703 27,693 25,808 $43K
J2405 Injection, ondansetron hydrochloride, per 1 mg 31,958 27,339 $43K
47562 28 24 $41K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 128 61 $41K
96376 6,827 5,257 $40K
76642 374 372 $38K
43775 12 12 $38K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,257 900 $38K
85610 19,791 17,642 $38K
87040 4,064 3,775 $37K
77080 488 487 $37K
80305 6,545 5,773 $37K
73080 1,070 1,024 $37K
83880 5,385 4,796 $36K
86901 14,639 13,395 $36K
A9270 Non-covered item or service 20,273 12,594 $34K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 3,085 2,970 $33K
72110 513 511 $32K
83690 29,702 26,958 $32K
72131 619 529 $32K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 1,779 1,747 $32K
85730 18,276 16,515 $31K
84702 7,705 6,578 $31K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 12,641 11,277 $31K
29515 1,373 1,291 $31K
87400 4,839 4,807 $30K
71101 684 635 $29K
73590 949 890 $29K
C1781 Mesh (implantable) 54 54 $29K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 940 696 $28K
76641 191 191 $26K
29581 477 144 $26K
76870 341 308 $26K
C9290 Injection, bupivacaine liposome, 1 mg 439 382 $25K
82542 1,819 1,796 $25K
29125 966 917 $25K
88142 772 770 $25K
84443 Thyroid stimulating hormone (TSH) 4,622 4,287 $24K
67113 30 25 $24K
93798 124 25 $24K
J1756 Injection, iron sucrose, 1 mg 1,245 533 $24K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 531 429 $23K
88304 3,407 3,088 $23K
J0500 Injection, dicyclomine hcl, up to 20 mg 2,175 2,037 $23K
12001 1,003 943 $23K
10060 491 441 $23K
J2704 Injection, propofol, 10 mg 13,355 12,160 $22K
77065 Tomosynthesis, mammo 161 161 $22K
80061 Lipid panel 2,785 2,623 $21K
12011 825 766 $21K
85027 8,537 7,548 $21K
73502 1,369 1,243 $21K
77336 202 76 $20K
J3010 Injection, fentanyl citrate, 0.1 mg 11,878 10,815 $20K
86592 2,564 2,512 $20K
71250 253 207 $19K
95806 31 29 $19K
95800 25 25 $19K
J0690 Injection, cefazolin sodium, 500 mg 5,038 4,185 $18K
72040 467 430 $17K
J0561 Injection, penicillin g benzathine, 100,000 units 214 207 $17K
90715 3,174 3,043 $16K
87186 1,956 1,744 $15K
96367 478 391 $15K
70496 149 126 $15K
11045 125 51 $15K
73140 484 471 $15K
87147 1,683 1,608 $14K
87340 1,963 1,874 $14K
88307 1,546 1,388 $13K
V2632 Posterior chamber intraocular lens 341 278 $13K
87205 1,384 1,248 $13K
83036 Hemoglobin; glycosylated (A1C) 2,742 2,578 $13K
73090 333 322 $13K
C1769 Guide wire 1,395 1,151 $12K
83735 6,202 5,317 $12K
J1885 Injection, ketorolac tromethamine, per 15 mg 25,318 22,773 $12K
M0222 Intravenous injection, bebtelovimab, includes injection and post administration monitoring 270 219 $12K
95816 43 43 $12K
J2060 Injection, lorazepam, 2 mg 3,136 2,443 $12K
70498 127 106 $12K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 142 137 $11K
87077 1,651 1,584 $11K
J2270 Injection, morphine sulfate, up to 10 mg 11,272 8,823 $11K
82950 557 498 $10K
88341 446 427 $10K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,697 3,302 $9K
87088 3,758 3,549 $9K
J1644 Injection, heparin sodium, per 1000 units 1,041 771 $9K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 125 98 $9K
90791 Psychiatric diagnostic evaluation 1,011 719 $9K
97124 570 148 $8K
OP270 4,414 4,181 $8K
C2617 Stent, non-coronary, temporary, without delivery system 135 110 $8K
J0696 Injection, ceftriaxone sodium, per 250 mg 7,335 6,255 $8K
Q0247 Injection, sotrovimab, 500 mg 59 41 $8K
71260 Computed tomography, thorax, diagnostic; with contrast material 43 40 $7K
J2250 Injection, midazolam hydrochloride, per 1 mg 9,595 8,327 $7K
J1200 Injection, diphenhydramine hcl, up to 50 mg 5,105 4,356 $7K
74241 43 43 $7K
J1170 Injection, hydromorphone, up to 4 mg 5,633 4,599 $7K
58662 12 12 $7K
83605 1,770 1,615 $7K
86787 538 532 $7K
72082 85 85 $7K
J1650 Injection, enoxaparin sodium, 10 mg 1,523 849 $7K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 888 739 $7K
85007 4,999 4,569 $6K
M0244 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency 48 47 $6K
83021 329 329 $6K
87807 427 424 $6K
97166 159 145 $6K
86765 619 611 $6K
87486 357 345 $5K
86703 424 396 $5K
S9451 Exercise classes, non-physician provider, per session 57 57 $5K
15853 347 301 $5K
88312 546 546 $5K
87075 254 205 $4K
77066 Tomosynthesis, mammo 26 26 $4K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 359 347 $4K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 492 478 $4K
36430 140 106 $4K
93226 12 12 $4K
J2765 Injection, metoclopramide hcl, up to 10 mg 8,022 7,379 $4K
72050 52 52 $4K
Q9957 Injection, perflutren lipid microspheres, per ml 151 135 $4K
82248 113 102 $4K
72070 165 160 $3K
J1815 Injection, insulin, per 5 units 1,721 1,275 $3K
86480 94 88 $3K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 5,443 4,816 $3K
84100 1,738 1,403 $3K
87641 250 221 $3K
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 530 506 $3K
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 513 495 $3K
43235 12 12 $3K
30520 12 12 $3K
84550 1,297 1,179 $3K
74420 175 143 $3K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 122 121 $3K
76536 30 28 $3K
93225 12 12 $3K
81002 1,104 606 $3K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 845 802 $3K
87581 357 345 $3K
85378 3,244 3,086 $3K
83615 879 787 $3K
84439 433 393 $2K
29505 49 46 $2K
97535 Self-care/home management training, each 15 minutes 250 213 $2K
86308 347 329 $2K
M0239 Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring 82 81 $2K
12002 108 102 $2K
29130 96 88 $2K
P9016 Red blood cells, leukocytes reduced, each unit 137 106 $2K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 401 340 $2K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 423 422 $2K
97116 358 117 $2K
G0008 Administration of influenza virus vaccine 89 89 $2K
82805 88 86 $2K
82728 157 144 $2K
86780 207 195 $2K
OP637 2,124 1,271 $2K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,547 1,386 $1K
C1887 Catheter, guiding (may include infusion/perfusion capability) 200 153 $1K
85379 536 496 $1K
C1765 Adhesion barrier 20 14 $1K
0001A 51 51 $1K
82010 644 545 $1K
82607 95 89 $1K
82803 99 84 $1K
J1335 Injection, ertapenem sodium, 500 mg 134 108 $1K
0002A 29 29 $1K
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 23 16 $1K
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring 63 45 $1K
88302 271 228 $1K
83540 284 259 $1K
90792 Psychiatric diagnostic evaluation with medical services 214 166 $988.91
86140 969 907 $987.97
82746 70 66 $880.88
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 1,893 1,638 $879.51
86762 418 417 $745.39
80179 354 323 $732.43
85651 938 872 $731.28
97164 15 15 $727.00
J7510 Prednisolone oral, per 5 mg 1,872 1,808 $649.35
82951 109 84 $630.03
82550 405 364 $604.23
85055 68 59 $604.16
83550 209 192 $564.51
86920 104 81 $562.51
J3480 Injection, potassium chloride, per 2 meq 38 26 $561.44
82247 195 167 $531.44
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 419 237 $526.90
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 748 703 $524.21
83970 41 39 $510.83
73070 12 12 $481.44
93880 13 13 $466.75
J2919 Injection, methylprednisolone sodium succinate, 5 mg 490 414 $462.91
82570 403 372 $454.89
88300 202 181 $448.46
84156 358 320 $408.06
90686 55 55 $381.54
Q9968 Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg 19 13 $367.50
J3475 Injection, magnesium sulfate, per 500 mg 369 329 $360.66
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 607 381 $357.36
80320 69 66 $349.03
A9575 Injection, gadoterate meglumine, 0.1 ml 166 144 $343.81
0031A 24 24 $289.38
83020 56 51 $286.73
J1630 Injection, haloperidol, up to 5 mg 976 683 $259.37
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 216 50 $243.58
74181 12 12 $242.40
80143 42 39 $235.48
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 169 146 $214.69
87493 16 15 $192.46
90674 47 47 $181.40
84075 128 118 $174.33
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 1,159 1,033 $172.70
94760 81 70 $171.20
88311 169 155 $165.72
J2370 Injection, phenylephrine hcl, up to 1 ml 239 211 $156.00
85652 216 204 $151.08
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 126 113 $136.95
J3370 Injection, vancomycin hcl, 500 mg 252 199 $133.90
84450 128 118 $132.72
84145 17 17 $115.96
J0360 Injection, hydralazine hcl, up to 20 mg 412 331 $110.47
J0330 Injection, succinylcholine chloride, up to 20 mg 286 222 $104.53
82040 128 118 $97.95
C1758 Catheter, ureteral 79 54 $93.38
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 190 142 $92.34
84155 127 117 $85.05
80055 14 13 $75.90
J0280 Injection, aminophyllin, up to 250 mg 67 55 $63.37
J3535 Drug administered through a metered dose inhaler 109 85 $59.95
J1596 Injection, glycopyrrolate, 0.1 mg 272 257 $58.93
72148 Magnetic resonance imaging, lumbar spine; without contrast material 13 12 $55.68
82043 13 12 $52.84
Q0222 Injection, bebtelovimab, 175 mg 277 225 $47.21
J2471 Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg 107 98 $37.10
J3360 Injection, diazepam, up to 5 mg 49 39 $35.98
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg 34 30 $35.54
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 140 95 $32.83
J1836 Injection, metronidazole, 10 mg 99 75 $31.06
J1790 Injection, droperidol, up to 5 mg 59 54 $30.80
J2003 Injection, lidocaine hydrochloride, 1 mg 268 242 $26.88
80329 15 15 $25.74
J1171 Injection, hydromorphone, 0.1 mg 120 99 $23.76
Q0245 Injection, bamlanivimab and etesevimab, 2100 mg 123 122 $23.00
J1940 Injection, furosemide, up to 20 mg 85 41 $21.13
J1580 Injection, garamycin, gentamicin, up to 80 mg 48 37 $17.44
OP255 27 26 $16.61
82150 12 12 $14.78
Q0239 Injection, bamlanivimab-xxxx, 700 mg 74 73 $14.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 38 28 $12.25
Q0244 Injection, casirivimab and imdevimab, 1200 mg 48 44 $12.00
85008 220 200 $12.00
84132 74 49 $9.19
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg 12 12 $6.47
J0687 Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg 277 260 $0.77
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 18 18 $0.38
94669 19 13 $0.00
91300 84 70 $0.00
87899 12 12 $0.00
87045 12 12 $0.00
99242 44 36 $0.00
J1956 Injection, levofloxacin, 250 mg 16 12 $0.00
87427 12 12 $0.00
99241 17 15 $0.00
C1726 Catheter, balloon dilatation, non-vascular 15 13 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 28 28 $0.00
87046 12 12 $0.00
81015 14 13 $0.00