Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › DC › WASHINGTON › CHILDREN'S HOSPITAL

CHILDREN'S HOSPITAL

NPI: 1912939703 · WASHINGTON, DC 20010 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI assigned 07/06/2006

$242.96M
Total Medicaid Paid
2,196,636
Total Claims
1,923,577
Beneficiaries
566
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialNELSON, PHILLICIA (EXECUTIVE DIRECTOR, PAYOR RELATIONS)
NPI Enumeration Date07/06/2006

Related Entities

Other providers sharing the same authorized official: NELSON, PHILLICIA

ProviderCityStateTotal Paid
CHILDREN'S HOSPITAL WASHINGTON DC $115.27M
HOSPITAL FOR SICK CHILDREN WASHINGTON DC $4.66M
CHILDREN'S HOSPITAL WASHINGTON DC $2.75M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 341,643 $34.23M
2019 379,753 $31.65M
2020 271,684 $18.28M
2021 371,515 $32.86M
2022 323,052 $41.74M
2023 252,281 $38.23M
2024 256,708 $45.98M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 264,410 222,193 $58.07M
99283 Emergency department visit for the evaluation and management, moderate severity 155,024 141,958 $41.09M
99284 Emergency department visit for the evaluation and management, high severity 61,743 56,961 $16.19M
99281 Emergency department visit for the evaluation and management, self-limited or minor 35,329 31,917 $8.39M
99282 Emergency department visit for the evaluation and management, low to moderate severity 34,135 32,647 $6.54M
42820 Tonsillectomy and adenoidectomy; younger than age 12 2,399 2,251 $6.47M
96361 Intravenous infusion, hydration; each additional hour 8,234 6,761 $6.02M
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 15,238 13,364 $5.03M
G0378 Hospital observation service, per hour 19,758 11,677 $4.92M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,475 11,874 $4.34M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 14,134 12,540 $3.49M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 17,601 16,491 $3.39M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 17,238 16,174 $3.39M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 5,535 5,084 $3.38M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 14,184 12,856 $2.77M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 4,205 3,990 $2.76M
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 1,276 1,216 $2.65M
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 4,103 2,884 $2.35M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 10,116 9,523 $2.10M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 9,176 8,815 $1.87M
41899 Unlisted procedure, dentoalveolar structures 932 840 $1.82M
92550 8,419 8,058 $1.76M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 8,746 3,500 $1.76M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 8,355 3,711 $1.62M
97530 Therapeutic activities, direct patient contact, each 15 minutes 11,324 5,277 $1.51M
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,206 1,161 $1.49M
94644 9,360 8,182 $1.30M
70450 Computed tomography, head or brain; without contrast material 2,855 2,689 $1.29M
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 4,903 4,402 $1.26M
70551 Magnetic resonance imaging, brain; without contrast material 3,002 2,827 $1.22M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,448 3,352 $1.18M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 7,956 6,017 $1.16M
54161 416 403 $1.11M
42830 347 338 $1.03M
36430 1,677 1,225 $1.03M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1,918 1,761 $998K
0225U 4,268 3,990 $964K
94010 7,343 7,024 $939K
76770 3,148 3,013 $845K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 31,496 29,572 $840K
96112 848 811 $816K
90791 Psychiatric diagnostic evaluation 1,308 1,268 $774K
95819 2,330 2,245 $770K
12011 1,779 1,723 $716K
93325 7,955 7,257 $699K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 47,883 43,547 $696K
P9016 Red blood cells, leukocytes reduced, each unit 1,522 1,198 $687K
76705 Ultrasound, abdominal, real time with image documentation; limited 4,501 4,169 $679K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 4,080 3,517 $663K
96127 13,257 13,069 $651K
12001 1,510 1,481 $625K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,068 1,963 $585K
96040 3,607 3,443 $570K
92523 2,042 1,927 $547K
95782 461 447 $534K
80053 Comprehensive metabolic panel 39,097 32,437 $527K
95951 559 505 $493K
99381 2,291 2,139 $484K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 2,225 1,383 $477K
76700 Ultrasound, abdominal, real time with image documentation; complete 1,595 1,541 $438K
95816 1,037 1,013 $431K
92579 5,703 5,477 $408K
49452 715 640 $398K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 308 295 $391K
90832 Psychotherapy, 30 minutes with patient 1,266 1,181 $383K
95715 492 445 $376K
J1745 Injection, infliximab, excludes biosimilar, 10 mg 110 100 $375K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,598 1,505 $353K
97161 1,462 1,377 $338K
90651 1,100 1,068 $335K
90847 Family psychotherapy with the patient present, 50 minutes 1,004 792 $334K
16020 1,164 821 $332K
90837 Psychotherapy, 53 minutes with patient 1,106 773 $326K
90834 Psychotherapy, 45 minutes with patient 1,044 786 $321K
76536 1,583 1,516 $313K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 11,757 11,213 $286K
92587 4,991 4,779 $282K
83655 17,566 17,057 $275K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 12,016 11,486 $266K
93976 1,703 1,619 $263K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 31,542 29,613 $258K
94060 1,915 1,815 $240K
10060 554 540 $238K
J0585 Injection, onabotulinumtoxina, 1 unit 201 169 $224K
95700 1,299 1,219 $224K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 47,923 41,283 $223K
99215 Prolong outpt/office vis 680 673 $219K
86922 2,486 1,980 $214K
97802 1,262 1,203 $211K
80061 Lipid panel 21,762 20,893 $197K
29075 500 480 $195K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 756 729 $192K
96415 292 189 $189K
92567 4,739 4,545 $188K
76882 1,043 998 $178K
93320 5,649 5,172 $173K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,945 2,717 $168K
83036 Hemoglobin; glycosylated (A1C) 20,618 19,691 $165K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 14,623 13,865 $165K
71046 Radiologic examination, chest; 2 views 14,009 12,906 $165K
96138 357 333 $160K
29125 532 511 $157K
92557 1,928 1,842 $149K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 576 545 $143K
12051 320 313 $141K
96156 592 544 $138K
80048 Basic metabolic panel (calcium, ionized) 8,552 7,531 $137K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 738 708 $136K
87899 19,206 17,829 $134K
86592 17,385 16,675 $133K
87799 3,567 1,880 $130K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 17,953 16,399 $124K
G0379 Direct admission of patient for hospital observation care 1,118 629 $124K
99383 629 567 $121K
P9040 Red blood cells, leukocytes reduced, irradiated, each unit 398 322 $121K
76775 576 558 $120K
86703 21,878 20,778 $119K
96110 Developmental screening, with scoring and documentation, per standardized instrument 113 112 $117K
J1561 Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg 67 41 $110K
36415 Collection of venous blood by venipuncture 44,338 37,828 $108K
73590 3,999 3,555 $104K
85018 19,794 19,208 $103K
76825 1,239 1,135 $102K
96130 151 140 $96K
92555 3,686 3,552 $94K
92552 2,305 2,231 $93K
96160 1,935 1,912 $93K
74018 2,905 2,609 $92K
96139 258 246 $90K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 702 366 $89K
97803 601 578 $85K
0002A 1,621 1,547 $85K
84443 Thyroid stimulating hormone (TSH) 11,250 10,601 $84K
J3490 Unclassified drugs 79,787 58,629 $83K
87497 2,558 1,487 $82K
95712 190 183 $82K
69210 1,040 996 $79K
0001A 1,629 1,560 $76K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 334 326 $76K
87040 3,172 2,745 $74K
82728 7,616 6,841 $72K
72170 2,027 1,936 $72K
96450 141 116 $71K
76870 648 616 $70K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,791 1,649 $70K
94645 1,897 1,728 $67K
73630 4,746 4,431 $64K
86480 2,542 2,444 $61K
72081 1,610 1,558 $61K
84439 6,368 5,999 $57K
85007 12,771 9,598 $56K
80197 3,318 1,842 $54K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,129 1,984 $52K
73610 5,427 4,991 $52K
72082 923 889 $52K
92582 1,677 1,615 $52K
70486 335 316 $50K
73140 3,437 3,042 $49K
82784 6,235 4,974 $49K
83735 13,459 9,422 $47K
64642 77 66 $47K
76000 1,603 1,478 $47K
77072 1,257 1,211 $46K
93304 85 78 $44K
85027 13,335 10,094 $44K
92586 182 152 $43K
73130 4,304 3,877 $42K
83020 4,269 3,736 $42K
73090 4,334 3,591 $42K
80069 2,949 2,479 $42K
76827 1,221 1,120 $42K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 11,149 10,734 $41K
74177 Computed tomography, abdomen and pelvis; with contrast material 106 101 $41K
81001 19,857 17,893 $41K
93225 1,368 1,295 $41K
86850 4,951 3,826 $40K
83970 1,378 1,277 $40K
87536 1,154 1,110 $40K
73100 1,660 1,420 $38K
92553 563 542 $38K
99384 205 190 $38K
82664 1,043 881 $37K
96367 824 656 $37K
99382 167 153 $36K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 842 784 $34K
81479 Unlisted molecular pathology procedure 570 526 $34K
92626 282 247 $34K
87070 4,356 3,986 $34K
73552 1,506 1,333 $33K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,624 1,496 $32K
73080 2,591 2,151 $32K
J8499 Prescription drug, oral, non chemotherapeutic, nos 7,402 4,960 $32K
74021 3,189 2,992 $32K
0072A 393 392 $32K
0071A 420 412 $31K
73560 925 857 $31K
92593 388 370 $30K
86359 2,019 1,850 $30K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 586 501 $30K
86900 5,019 3,883 $29K
69200 331 315 $29K
86945 1,772 1,288 $28K
86140 7,226 6,643 $28K
87086 Culture, bacterial; quantitative colony count, urine 10,232 9,567 $28K
73562 2,603 2,437 $27K
11900 66 66 $27K
96131 150 139 $27K
86360 1,991 1,831 $27K
90792 Psychiatric diagnostic evaluation with medical services 52 46 $27K
J7799 Noc drugs, other than inhalation drugs, administered through dme 3,197 2,712 $26K
84100 12,827 9,128 $26K
84460 9,761 9,384 $25K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 41 40 $25K
95012 566 533 $25K
93226 1,366 1,294 $25K
92585 78 65 $25K
85045 10,662 8,038 $25K
90686 621 593 $24K
J3010 Injection, fentanyl citrate, 0.1 mg 12,772 11,722 $23K
87507 86 83 $23K
97750 339 277 $23K
73564 1,056 1,022 $23K
D1120 Prophylaxis - child 502 500 $23K
90620 395 383 $22K
76885 95 89 $22K
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 22,142 15,532 $22K
83615 4,602 3,451 $21K
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 659 614 $21K
86834 199 191 $21K
31575 184 178 $21K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 5,982 5,146 $20K
82652 656 631 $20K
92551 1,908 1,890 $19K
82330 2,773 2,370 $19K
87486 659 560 $19K
86835 199 191 $19K
88300 2,418 2,246 $18K
83001 1,482 1,407 $18K
D0120 Periodic oral evaluation - established patient 543 540 $18K
82947 3,648 3,300 $18K
D1206 Topical application of fluoride varnish 643 641 $18K
36592 354 148 $18K
83498 1,251 1,182 $18K
85610 4,679 4,007 $18K
96409 861 442 $18K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,902 3,575 $17K
82785 1,699 1,635 $17K
85014 4,890 4,580 $17K
86003 2,067 1,908 $17K
83525 1,081 1,035 $16K
82610 1,473 1,263 $16K
87631 421 385 $16K
80076 2,145 1,812 $16K
A0427 Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 2,292 2,139 $16K
83516 1,865 1,739 $16K
86901 5,011 3,879 $16K
92060 706 686 $16K
92592 175 167 $15K
85651 6,702 6,161 $15K
82570 3,544 3,234 $15K
J0690 Injection, cefazolin sodium, 500 mg 3,087 2,490 $15K
92588 243 231 $15K
82607 1,379 1,313 $15K
86902 1,182 962 $15K
84403 1,592 1,510 $14K
87077 5,600 4,805 $14K
81002 15,467 14,296 $14K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 566 560 $14K
J2405 Injection, ondansetron hydrochloride, per 1 mg 12,065 10,324 $14K
90670 85 84 $14K
81025 16,874 15,549 $13K
93308 26 25 $13K
73110 1,124 1,043 $13K
97165 58 51 $13K
84436 1,586 1,493 $13K
94664 6,142 5,698 $13K
73030 1,210 1,095 $13K
70360 615 588 $12K
83880 873 770 $12K
J1050 Injection, medroxyprogesterone acetate, 1 mg 4,240 4,059 $12K
95117 291 204 $12K
87205 12,037 11,180 $12K
83540 3,645 3,454 $12K
82465 2,745 2,444 $12K
93321 448 406 $11K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 1,185 1,086 $11K
80050 General health panel 750 743 $11K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 5,982 5,337 $11K
83002 1,419 1,353 $11K
99070 1,047 857 $11K
97162 66 61 $11K
83550 3,191 3,028 $10K
51728 28 25 $10K
92504 196 189 $10K
29065 35 33 $10K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 4,402 4,066 $10K
86828 207 193 $10K
97763 143 72 $10K
96375 Therapeutic injection; each additional sequential IV push 5,081 3,714 $10K
73521 345 332 $10K
70544 26 25 $9K
71045 Radiologic examination, chest; single view 1,135 1,020 $9K
73070 470 398 $9K
24640 14 14 $9K
84702 1,355 1,241 $8K
82248 3,316 2,430 $8K
77080 96 95 $8K
87101 923 896 $8K
89050 831 658 $8K
84450 3,505 3,348 $8K
88185 122 97 $8K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 266 234 $8K
73000 389 364 $8K
87581 628 533 $8K
86355 570 506 $8K
A0434 Specialty care transport (sct) 467 399 $8K
82150 1,966 1,778 $8K
83605 2,479 2,193 $7K
85730 4,078 3,654 $7K
84402 914 878 $7K
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen 6,689 5,940 $7K
99000 3,290 3,059 $7K
97760 54 49 $7K
A0425 Ground mileage, per statute mile 3,935 3,600 $7K
82948 3,986 3,402 $7K
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 7,232 6,657 $7K
J0696 Injection, ceftriaxone sodium, per 250 mg 6,885 5,904 $7K
82977 2,314 2,000 $7K
73060 709 604 $7K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 7,455 6,590 $6K
87535 162 150 $6K
86803 637 601 $6K
84305 623 603 $6K
92652 74 65 $6K
82139 473 399 $6K
31526 13 12 $6K
87186 4,906 4,592 $6K
J2250 Injection, midazolam hydrochloride, per 1 mg 4,527 4,139 $6K
J7642 Glycopyrrolate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram 336 307 $5K
J2270 Injection, morphine sulfate, up to 10 mg 3,475 2,806 $5K
12002 13 12 $5K
73660 472 440 $5K
87529 335 323 $5K
93886 17 16 $5K
86357 556 497 $5K
83690 4,045 3,686 $5K
J1885 Injection, ketorolac tromethamine, per 15 mg 6,618 5,714 $5K
92610 12 12 $5K
90619 22 22 $5K
88304 468 430 $5K
86364 926 900 $5K
17250 13 13 $5K
82525 288 267 $5K
J3535 Drug administered through a metered dose inhaler 8,020 7,020 $5K
82803 1,978 1,737 $5K
51784 43 40 $4K
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 10,660 9,382 $4K
82247 1,253 930 $4K
C1889 Implantable/insertable device, not otherwise classified 920 870 $4K
84146 480 452 $4K
87340 988 925 $4K
84550 2,009 1,720 $4K
11981 13 12 $4K
S0020 Injection, bupivicaine hydrochloride, 30 ml 983 901 $4K
82550 1,694 1,507 $4K
J9370 Vincristine sulfate, 1 mg 435 177 $4K
83520 687 639 $4K
92595 133 127 $4K
82657 657 587 $4K
86160 692 544 $3K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,522 1,394 $3K
85660 1,145 967 $3K
72156 13 13 $3K
82670 355 342 $3K
90715 579 551 $3K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 37 37 $3K
84480 857 811 $3K
82043 1,182 1,129 $3K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 380 345 $3K
86706 697 654 $3K
87088 5,473 5,127 $3K
88184 111 98 $3K
82565 795 750 $3K
92133 124 122 $3K
84630 336 318 $3K
83789 545 500 $3K
87045 248 234 $3K
90685 99 85 $2K
89051 926 739 $2K
82627 236 228 $2K
82747 323 313 $2K
C1769 Guide wire 900 841 $2K
0352U 229 225 $2K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 727 553 $2K
80329 93 85 $2K
74240 14 12 $2K
36591 89 63 $2K
84155 954 834 $2K
84478 1,453 1,182 $2K
92650 44 39 $2K
86038 402 378 $2K
80047 129 103 $2K
D7140 Extraction, erupted tooth or exposed root 21 14 $2K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 895 864 $2K
84156 1,234 1,113 $2K
90688 42 41 $2K
A4649 Surgical supply; miscellaneous 310 298 $2K
84134 200 190 $2K
94729 65 63 $2K
81229 19 18 $2K
92556 123 118 $1K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 1,839 1,626 $1K
73600 66 58 $1K
80320 104 94 $1K
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,072 734 $1K
80164 63 56 $1K
72100 95 94 $1K
85379 186 166 $1K
83993 126 116 $1K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 522 203 $1K
A0426 Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) 101 90 $1K
A9575 Injection, gadoterate meglumine, 0.1 ml 2,254 2,080 $1K
84295 1,843 1,613 $1K
82261 209 194 $1K
86701 181 170 $1K
V5011 Fitting/orientation/checking of hearing aid 26 26 $1K
86769 246 232 $1K
74230 12 12 $1K
82533 84 75 $1K
92511 14 13 $999.78
G0109 Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes 14 14 $996.35
94726 12 12 $944.88
G9019 Oseltamivir phosphate, oral, per 75 mg (for use in a medicare-approved demonstration project) 491 409 $941.38
74019 143 126 $937.54
84484 656 586 $912.46
82726 292 271 $897.73
82552 178 155 $888.48
J0780 Injection, prochlorperazine, up to 10 mg 609 566 $841.41
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 3,354 3,143 $841.31
85240 130 126 $834.28
82960 304 282 $826.34
J3475 Injection, magnesium sulfate, per 500 mg 1,300 1,127 $825.77
J8540 Dexamethasone, oral, 0.25 mg 14,619 11,485 $808.49
84446 203 199 $805.56
83721 55 54 $788.22
97164 16 12 $780.54
90656 89 89 $742.72
D0140 Limited oral evaluation - problem focused 18 18 $722.65
84255 141 139 $706.36
92604 25 24 $680.09
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 67 64 $635.04
84590 172 170 $618.38
81003 5,350 5,082 $600.07
J1644 Injection, heparin sodium, per 1000 units 474 142 $592.07
84520 605 578 $588.93
99292 183 180 $572.95
J2704 Injection, propofol, 10 mg 7,295 6,723 $562.14
86376 25 24 $559.98
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 12 12 $552.00
86702 181 170 $537.28
84132 1,937 1,729 $516.54
84300 418 354 $506.09
S0077 Injection, clindamycin phosphate, 300 mg 56 37 $505.09
73502 27 26 $496.72
D0272 Bitewings - two radiographic images 16 16 $495.80
87102 125 119 $465.50
J2795 Injection, ropivacaine hydrochloride, 1 mg 622 583 $465.25
87181 119 111 $432.13
72070 13 12 $413.86
86808 12 12 $411.93
85520 15 12 $399.96
96376 738 568 $396.71
72148 Magnetic resonance imaging, lumbar spine; without contrast material 14 13 $393.50
82776 195 181 $373.00
82760 195 181 $373.00
90734 71 71 $366.88
85246 74 73 $358.26
82272 112 103 $349.14
86704 96 89 $328.94
86747 14 13 $326.10
87046 161 149 $324.91
J7626 Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg 39 24 $314.81
73120 28 27 $304.78
86008 78 77 $304.76
85384 192 175 $302.41
82379 61 57 $297.72
81005 318 276 $271.38
80183 12 12 $248.94
J1170 Injection, hydromorphone, up to 4 mg 118 100 $243.09
92594 13 13 $239.45
J0561 Injection, penicillin g benzathine, 100,000 units 61 60 $234.66
J7699 Noc drugs, inhalation solution administered through dme 687 615 $234.40
86225 75 66 $228.82
D0220 Intraoral - periapical first radiographic image 13 13 $210.44
J0330 Injection, succinylcholine chloride, up to 20 mg 155 141 $210.04
81015 3,769 3,573 $188.20
82805 189 176 $175.70
82105 14 14 $173.26
82542 25 25 $170.97
J7510 Prednisolone oral, per 5 mg 299 267 $153.33
86665 16 16 $141.33
51797 28 25 $90.81
87808 684 641 $90.23
77075 12 12 $87.08
84481 15 14 $77.78
85245 27 25 $69.94
86308 51 50 $68.03
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 7,160 6,665 $65.89
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg 29 24 $65.62
86317 27 26 $64.67
J0200 Injection, alatrofloxacin mesylate, 100 mg 545 535 $37.62
86141 127 113 $32.57
92015 Determination of refractive state 2,611 2,533 $30.00
L8699 Prosthetic implant, not otherwise specified 631 616 $29.10
80143 143 132 $27.15
90713 45 44 $22.00
80179 127 117 $15.95
86756 12 12 $14.51
88720 28 25 $14.00
82077 169 161 $13.91
87147 13 13 $12.66
87177 13 13 $12.01
76010 189 176 $10.00
A6210 Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing 65 59 $9.28
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 354 305 $3.53
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 65 36 $1.44
J2780 Injection, ranitidine hydrochloride, 25 mg 26 12 $1.08
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 61 42 $0.27
0250 2,604 2,482 $0.00
96368 48 48 $0.00
0710 157 155 $0.00
90680 32 32 $0.00
90744 114 114 $0.00
29130 15 12 $0.00
0270 38 38 $0.00
0370 110 109 $0.00
72157 12 12 $0.00
90716 23 23 $0.00
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 25 25 $0.00
V5264 Ear mold/insert, not disposable, any type 29 26 $0.00
A6257 Transparent film, sterile, 16 sq. in. or less, each dressing 26 25 $0.00
96168 15 14 $0.00
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 15 14 $0.00
90698 37 34 $0.00
V5275 Ear impression, each 12 12 $0.00
80358 13 13 $0.00
94200 12 12 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 620 594 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 143 138 $0.00
84145 29 27 $0.00
Q9958 High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml 84 79 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 45 33 $0.00
0272 83 81 $0.00
69209 40 39 $0.00
90710 37 36 $0.00
0451 809 717 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 39 37 $0.00
82375 23 13 $0.00
71048 26 26 $0.00
93356 16 12 $0.00
A6211 Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing 13 12 $0.00
96167 66 62 $0.00
J0735 Injection, clonidine hydrochloride, 1 mg 14 14 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 14 14 $0.00
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 29 13 $0.00
90707 22 22 $0.00