Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › NEW YORK › MOUNT SINAI HOSPITAL

MOUNT SINAI HOSPITAL

NPI: 1932103413 · NEW YORK, NY 10029 · Ambulance · NPI assigned 06/13/2005

$278.96M
Total Medicaid Paid
5,011,660
Total Claims
4,010,555
Beneficiaries
933
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSCANLON, DON (CEO MEDICAL CENTER)
NPI Enumeration Date06/13/2005

Related Entities

Other providers sharing the same authorized official: SCANLON, DON

ProviderCityStateTotal Paid
MOUNT SINAI HOSPITAL NEW YORK NY $4.35M
MOUNT SINAI HOSPITAL NEW YORK NY $8K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 48,581 $2.06M
2019 369,807 $16.99M
2020 799,944 $44.79M
2021 1,060,420 $58.85M
2022 1,050,782 $58.79M
2023 970,967 $56.66M
2024 711,159 $40.82M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 224,175 189,406 $24.19M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 221,364 192,009 $23.73M
J2350 Injection, ocrelizumab, 1 mg 483 458 $13.88M
J9271 Injection, pembrolizumab, 1 mg 1,391 1,126 $12.31M
J1745 Injection, infliximab, excludes biosimilar, 10 mg 3,608 3,253 $11.72M
99283 Emergency department visit for the evaluation and management, moderate severity 50,569 47,716 $8.21M
99215 Prolong outpt/office vis 53,588 46,984 $7.45M
J9144 Injection, daratumumab, 10 mg and hyaluronidase-fihj 1,512 1,016 $6.27M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 38,827 36,161 $6.03M
J9299 Injection, nivolumab, 1 mg 678 504 $6.02M
36415 Collection of venous blood by venipuncture 495,218 234,324 $5.66M
99284 Emergency department visit for the evaluation and management, high severity 32,899 31,347 $5.31M
G0378 Hospital observation service, per hour 4,707 4,540 $5.23M
J3380 Injection, vedolizumab, intravenous, 1 mg 1,020 983 $4.93M
90834 Psychotherapy, 45 minutes with patient 32,537 15,089 $4.61M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 49,769 42,789 $4.28M
J1561 Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg 2,431 1,466 $4.02M
J2323 Injection, natalizumab, 1 mg 710 667 $3.61M
93458 2,363 2,336 $3.57M
96415 9,952 8,322 $3.56M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 22,649 15,559 $3.33M
J2505 Injection, pegfilgrastim, 6 mg 815 593 $2.99M
90832 Psychotherapy, 30 minutes with patient 23,669 12,641 $2.86M
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 49,089 45,755 $2.57M
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 11,356 5,640 $2.04M
80053 Comprehensive metabolic panel 132,109 109,640 $1.82M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 18,409 12,810 $1.72M
96361 Intravenous infusion, hydration; each additional hour 15,521 13,068 $1.72M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 11,735 11,614 $1.72M
J1930 Injection, lanreotide, 1 mg 331 309 $1.53M
87536 18,465 18,290 $1.48M
J0485 Injection, belatacept, 1 mg 1,877 1,097 $1.46M
C9600 Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch 852 813 $1.43M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 8,342 8,242 $1.39M
90460 Immunization administration through 18 years of age via any route, first or only component 38,517 31,355 $1.36M
36475 1,732 1,342 $1.35M
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 54,144 45,615 $1.35M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 10,427 10,352 $1.28M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 13,735 13,371 $1.26M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 14,066 13,982 $1.20M
90945 21,946 1,031 $1.16M
J2506 Injection, pegfilgrastim, excludes biosimilar, 0.5 mg 564 414 $1.16M
90836 10,380 4,685 $1.09M
J3357 Ustekinumab, for subcutaneous injection, 1 mg 77 73 $1.08M
J0882 Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) 21,759 3,150 $1.08M
J2501 Injection, paricalcitol, 1 mcg 34,218 2,400 $1.02M
99282 Emergency department visit for the evaluation and management, low to moderate severity 5,762 5,560 $947K
99205 Prolong outpt/office vis 5,663 5,522 $937K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,683 1,671 $912K
93975 4,221 4,026 $901K
J9217 Leuprolide acetate (for depot suspension), 7.5 mg 1,454 1,368 $889K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 53,207 45,257 $876K
J9145 Injection, daratumumab, 10 mg 332 206 $872K
77067 Screening mammography, bilateral, including computer-aided detection 11,088 11,070 $861K
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) 2,390 1,620 $845K
86900 40,181 31,636 $831K
81025 52,455 41,782 $779K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 7,152 5,370 $779K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,194 1,191 $760K
Q5104 Injection, infliximab-abda, biosimilar, (renflexis), 10 mg 612 422 $755K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 15,801 7,007 $717K
46607 916 896 $716K
J0897 Injection, denosumab, 1 mg 485 466 $699K
80061 Lipid panel 51,753 51,085 $687K
P9040 Red blood cells, leukocytes reduced, irradiated, each unit 2,716 2,039 $686K
77336 2,257 1,106 $655K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 8,886 8,853 $631K
96375 Therapeutic injection; each additional sequential IV push 24,606 18,367 $624K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 5,456 5,404 $604K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 30,025 29,445 $602K
86901 40,044 31,594 $590K
C1874 Stent, coated/covered, with delivery system 961 935 $586K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 5,409 5,362 $576K
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 37,684 35,242 $569K
93970 3,804 3,766 $565K
70450 Computed tomography, head or brain; without contrast material 5,256 5,131 $559K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 2,660 2,580 $558K
90792 Psychiatric diagnostic evaluation with medical services 2,708 2,365 $558K
H0035 Mental health partial hospitalization, treatment, less than 24 hours 2,372 278 $551K
86480 10,288 10,217 $540K
J9312 Injection, rituximab, 10 mg 93 65 $527K
36430 3,190 2,110 $520K
Q5103 Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg 870 567 $515K
90677 3,557 3,547 $505K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 18,068 13,675 $498K
88305 Level IV - Surgical pathology, gross and microscopic examination 13,551 10,421 $495K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 6,023 5,976 $495K
80048 Basic metabolic panel (calcium, ionized) 49,051 44,332 $488K
74177 Computed tomography, abdomen and pelvis; with contrast material 4,472 4,397 $487K
90853 Group psychotherapy (other than of a multiple-family group) 8,118 3,891 $486K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 7,159 6,449 $484K
54161 483 483 $466K
J2357 Injection, omalizumab, 5 mg 244 174 $462K
Q5115 Injection, rituximab-abbs, biosimilar, (truxima), 10 mg 319 140 $439K
86850 39,848 31,437 $432K
86361 13,737 13,647 $430K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 35,143 27,298 $426K
88185 2,721 2,268 $408K
77386 1,623 165 $394K
Q5111 Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg 258 177 $390K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 5,880 4,956 $390K
90651 5,128 5,107 $382K
90686 31,606 31,434 $381K
90935 Hemodialysis procedure with single evaluation by a physician 6,258 1,336 $373K
J0791 Injection, crizanlizumab-tmca, 5 mg 100 76 $372K
90846 Family psychotherapy without the patient present, 50 minutes 2,886 2,161 $371K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 52,285 47,288 $367K
93017 4,880 4,852 $363K
96367 5,704 4,022 $363K
99281 Emergency department visit for the evaluation and management, self-limited or minor 2,206 2,087 $362K
59025 Fetal non-stress test 3,373 2,086 $345K
J9999 Not otherwise classified, antineoplastic drugs 40 27 $342K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 3,131 3,117 $321K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 3,590 3,505 $318K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 3,721 3,425 $308K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 26,326 13,541 $307K
J9355 Injection, trastuzumab, excludes biosimilar, 10 mg 86 52 $302K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 9,960 4,624 $300K
80050 General health panel 12,366 12,089 $295K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 4,755 4,373 $294K
90847 Family psychotherapy with the patient present, 50 minutes 1,235 934 $292K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 20,748 17,961 $287K
C9062 Injection, daratumumab 10 mg and hyaluronidase-fihj 63 39 $285K
J9022 Injection, atezolizumab, 10 mg 30 25 $282K
38222 1,010 995 $279K
83880 15,894 13,722 $277K
49082 546 314 $273K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 27,105 26,805 $269K
97162 2,669 2,655 $265K
71275 Computed tomographic angiography, chest, with contrast material 2,157 2,131 $264K
G0008 Administration of influenza virus vaccine 13,195 13,182 $263K
90791 Psychiatric diagnostic evaluation 1,287 1,077 $260K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 3,557 3,535 $260K
82040 44,880 7,111 $259K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 2,375 2,339 $251K
77412 806 92 $249K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 3,484 3,187 $245K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 12,908 12,519 $243K
92134 4,141 2,866 $240K
C1760 Closure device, vascular (implantable/insertable) 2,423 2,363 $239K
88307 2,133 1,811 $235K
J1050 Injection, medroxyprogesterone acetate, 1 mg 3,986 3,891 $235K
87631 6,576 6,467 $233K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 150,745 120,056 $231K
76641 4,028 3,339 $227K
49083 388 243 $221K
95819 688 683 $220K
77063 Screening digital breast tomosynthesis, bilateral 10,457 10,438 $216K
99385 1,869 1,857 $212K
99381 2,762 2,731 $211K
Q5121 Injection, infliximab-axxq, biosimilar, (avsola), 10 mg 466 238 $207K
J2785 Injection, regadenoson, 0.1 mg 2,412 2,393 $206K
C1888 Catheter, ablation, non-cardiac, endovascular (implantable) 1,926 1,098 $199K
75574 1,284 1,283 $199K
J1453 Injection, fosaprepitant, 1 mg 2,496 1,662 $194K
C1769 Guide wire 5,672 5,266 $192K
90715 8,482 8,457 $190K
76819 Fetal biophysical profile; without non-stress testing 3,970 3,294 $189K
Q5107 Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg 242 85 $188K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2,466 2,383 $185K
90671 1,102 1,102 $184K
76700 Ultrasound, abdominal, real time with image documentation; complete 713 696 $183K
T2022 Case management, per month 1,596 1,589 $181K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 268 261 $180K
99443 2,969 2,723 $178K
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 1,689 1,681 $178K
93976 933 915 $175K
96401 3,698 1,744 $175K
93971 3,496 3,327 $174K
88341 2,114 2,014 $171K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 6,432 6,376 $171K
77300 589 578 $169K
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 8,422 8,330 $168K
76770 1,209 1,199 $168K
88342 5,096 4,437 $166K
94375 2,310 2,119 $165K
19083 154 152 $165K
96417 3,776 2,216 $162K
J0561 Injection, penicillin g benzathine, 100,000 units 1,399 1,192 $161K
76705 Ultrasound, abdominal, real time with image documentation; limited 4,595 4,451 $159K
93356 1,381 1,374 $159K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 1,088 1,086 $158K
97802 3,300 3,265 $158K
87522 Neg quan hep c or qual rna 5,051 4,911 $156K
77334 679 576 $155K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,021 1,001 $154K
77066 Tomosynthesis, mammo 1,628 1,614 $153K
90670 8,519 8,494 $152K
0002A 3,997 3,971 $149K
11900 994 970 $143K
82728 19,065 17,720 $140K
17380 495 470 $139K
96416 432 240 $139K
99386 1,247 1,237 $138K
82784 17,121 8,739 $138K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 227 225 $137K
J9173 Injection, durvalumab, 10 mg 14 12 $137K
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 1,570 1,535 $136K
83036 Hemoglobin; glycosylated (A1C) 52,627 51,579 $136K
C1887 Catheter, guiding (may include infusion/perfusion capability) 3,463 3,116 $134K
J9070 Cyclophosphamide, 100 mg 529 331 $132K
36000 11,250 10,898 $129K
86769 4,354 4,107 $128K
77065 Tomosynthesis, mammo 1,913 1,778 $127K
99442 3,158 3,006 $127K
0001A 3,494 3,463 $125K
88112 2,896 2,814 $124K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 2,485 2,239 $123K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 3,134 1,699 $123K
Q9957 Injection, perflutren lipid microspheres, per ml 2,414 2,290 $122K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 51,052 44,349 $121K
90837 Psychotherapy, 53 minutes with patient 653 347 $120K
90750 1,034 1,029 $120K
80069 9,026 6,476 $118K
83655 9,709 9,672 $117K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,121 1,097 $116K
43235 179 178 $116K
31575 524 521 $116K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 3,340 2,942 $114K
P9047 Infusion, albumin (human), 25%, 50 ml 748 433 $111K
96376 5,458 4,347 $111K
93320 1,074 1,062 $110K
76937 1,371 1,278 $109K
91200 3,054 3,026 $107K
J2469 Injection, palonosetron hcl, 25 mcg 3,849 2,439 $106K
87507 895 887 $105K
76642 2,207 2,123 $105K
94060 928 904 $104K
86803 23,259 23,019 $104K
97530 Therapeutic activities, direct patient contact, each 15 minutes 2,569 1,303 $102K
87799 2,702 1,894 $102K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 19,711 19,204 $102K
17110 512 499 $101K
93880 682 675 $101K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 7,735 6,939 $100K
52000 176 176 $100K
87497 3,471 2,269 $99K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,260 2,250 $98K
92083 2,299 2,246 $98K
90674 3,829 3,824 $98K
97165 1,065 1,061 $97K
99384 666 630 $97K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1,253 1,244 $97K
90732 1,633 1,624 $96K
90746 2,167 2,128 $95K
83615 32,725 21,914 $95K
87517 2,728 2,618 $93K
80076 9,000 8,750 $93K
76801 1,525 1,440 $93K
76813 1,495 1,469 $92K
83021 5,505 5,129 $92K
88275 685 661 $91K
88271 735 708 $91K
97803 2,169 2,029 $90K
96402 2,311 1,927 $90K
76536 1,196 1,183 $90K
87428 4,722 4,610 $89K
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 5,739 5,130 $89K
83883 10,960 4,780 $86K
91320 1,159 1,159 $86K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 2,439 2,163 $85K
92060 1,796 1,774 $84K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 1,316 1,304 $82K
85610 38,158 33,395 $82K
83735 32,000 21,854 $81K
C1889 Implantable/insertable device, not otherwise classified 1,919 1,856 $81K
96411 1,568 1,096 $80K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 2,073 1,991 $79K
83970 2,521 2,431 $79K
82248 45,362 36,752 $78K
11721 2,415 2,081 $78K
93225 1,191 980 $78K
82607 10,609 10,236 $77K
58100 341 339 $75K
J0583 Injection, bivalirudin, 1 mg 832 812 $75K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 6,418 6,048 $75K
90734 3,868 3,855 $74K
84443 Thyroid stimulating hormone (TSH) 22,562 21,859 $73K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 3,795 3,732 $73K
G0009 Administration of pneumococcal vaccine 3,388 3,385 $72K
36591 1,996 1,375 $72K
J3490 Unclassified drugs 2,637 2,362 $72K
99402 1,495 1,457 $72K
86706 15,009 14,221 $71K
92250 1,818 1,797 $69K
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 2,165 2,145 $67K
90739 816 812 $65K
57454 220 219 $65K
82670 3,702 3,649 $64K
84403 4,711 4,599 $64K
86923 4,165 2,415 $61K
97116 1,854 1,041 $61K
71046 Radiologic examination, chest; 2 views 17,545 16,986 $61K
94729 1,586 1,565 $61K
99051 6,445 6,276 $60K
J0585 Injection, onabotulinumtoxina, 1 unit 653 434 $60K
92133 1,818 1,714 $59K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 4,011 3,704 $59K
86780 24,579 24,341 $58K
82977 35,186 27,931 $57K
88184 2,171 1,939 $57K
41899 Unlisted procedure, dentoalveolar structures 46 46 $56K
70496 629 623 $56K
84100 22,786 16,164 $55K
99441 3,180 3,029 $55K
J2796 Injection, romiplostim, 10 micrograms 26 13 $55K
93925 380 367 $55K
J9263 Injection, oxaliplatin, 0.5 mg 404 238 $55K
59430 292 291 $54K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 137 137 $53K
86334 4,743 3,903 $52K
0124A 1,470 1,469 $51K
10060 298 295 $51K
81002 46,154 35,059 $51K
90716 2,815 2,808 $51K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 84 82 $50K
87340 18,690 18,418 $50K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 66 65 $50K
82570 17,237 15,246 $50K
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) 4,039 3,882 $50K
84550 19,715 11,897 $48K
88237 593 585 $48K
90620 1,088 1,080 $48K
83540 17,751 16,823 $48K
77301 90 89 $48K
92567 1,361 1,358 $47K
94726 742 735 $47K
83550 17,224 16,328 $47K
11102 119 118 $46K
86003 2,648 1,448 $46K
0224U 1,201 1,197 $46K
76830 Ultrasound, transvaginal 2,073 2,025 $45K
92557 1,112 1,103 $45K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 221 215 $45K
95700 285 282 $44K
92015 Determination of refractive state 1,637 1,633 $44K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 1,910 1,902 $43K
G0010 Administration of hepatitis b vaccine 2,398 2,364 $43K
84439 9,785 9,274 $43K
90461 2,246 2,240 $43K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,651 1,614 $43K
90707 2,974 2,967 $42K
J7304 Contraceptive supply, hormone containing patch, each 321 318 $42K
85027 27,246 24,944 $42K
83520 4,437 4,127 $42K
85730 26,109 23,256 $41K
58300 404 400 $40K
88304 2,822 2,608 $40K
90694 1,827 1,629 $40K
87086 Culture, bacterial; quantitative colony count, urine 19,089 18,138 $40K
0004A 1,070 1,069 $40K
12001 190 190 $39K
95810 Polysomnography; sleep staging with 4 or more additional parameters 58 58 $38K
82378 3,715 3,046 $37K
83001 2,730 2,704 $37K
93308 294 287 $37K
90472 Immunization administration, each additional vaccine (list separately) 3,069 3,013 $37K
99401 915 900 $37K
76942 368 361 $37K
S4993 Contraceptive pills for birth control 4,690 4,358 $37K
86360 1,259 1,206 $37K
86704 8,455 8,266 $36K
93226 626 625 $36K
82107 856 852 $35K
90680 6,855 6,838 $35K
90480 1,186 1,184 $35K
99417 Prolong home eval add 15m 1,331 1,299 $35K
88313 2,667 1,990 $35K
83002 2,565 2,539 $35K
92579 615 612 $34K
82043 11,880 11,627 $34K
84270 2,909 2,876 $34K
84460 14,653 12,090 $33K
82150 8,879 6,315 $33K
86762 3,978 3,946 $33K
86765 4,081 4,058 $33K
90678 167 167 $33K
T1013 Sign language or oral interpretive services, per 15 minutes 2,147 2,096 $33K
84702 11,901 10,474 $32K
92550 631 625 $31K
86870 1,307 1,082 $29K
86922 1,625 827 $29K
86140 14,755 14,072 $28K
95708 105 105 $28K
70551 Magnetic resonance imaging, brain; without contrast material 212 211 $28K
93242 470 467 $27K
93325 927 912 $27K
95800 307 306 $27K
84146 1,976 1,941 $27K
64615 37 37 $27K
J0741 Injection, cabotegravir and rilpivirine, 2mg/3mg 29 28 $26K
84165 6,631 5,213 $26K
82803 4,132 3,434 $26K
86141 4,096 3,820 $26K
97542 434 420 $26K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 7,090 6,962 $26K
C9399 Unclassified drugs or biologicals 16 12 $25K
81001 25,492 24,128 $25K
90648 4,795 4,791 $24K
73562 2,350 2,263 $24K
90698 4,908 4,897 $24K
90633 4,683 4,679 $24K
81206 194 163 $24K
80197 4,191 2,513 $23K
J0640 Injection, leucovorin calcium, per 50 mg 783 315 $23K
73630 3,142 2,930 $23K
87070 5,959 5,218 $23K
96409 288 180 $23K
87480 2,257 2,231 $23K
92551 538 477 $23K
99383 245 243 $23K
87510 2,246 2,223 $22K
85045 11,357 8,759 $22K
72125 Computed tomography, cervical spine; without contrast material 1,160 1,146 $22K
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg 1,931 1,424 $22K
87660 2,207 2,186 $22K
82533 2,599 2,213 $22K
45190 13 13 $22K
80051 2,179 2,026 $22K
96377 980 720 $22K
90656 2,359 2,359 $21K
86355 938 916 $21K
81003 21,228 20,128 $21K
84075 10,623 8,218 $21K
73610 2,496 2,208 $20K
86787 3,916 3,735 $20K
86300 1,627 1,191 $19K
59841 25 25 $19K
0072A 465 465 $19K
J9045 Injection, carboplatin, 50 mg 615 380 $19K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,430 1,401 $19K
J1439 Injection, ferric carboxymaltose, 1 mg 28 24 $18K
54640 12 12 $18K
J1750 Injection, iron dextran, 50 mg 101 72 $18K
92202 607 344 $18K
77338 90 89 $18K
88173 480 409 $18K
73130 2,644 2,405 $18K
Q9950 Injection, sulfur hexafluoride lipid microspheres, per ml 342 340 $18K
73110 1,996 1,692 $17K
85651 14,808 14,056 $17K
84402 1,066 1,061 $17K
0003A 470 470 $17K
82105 4,762 4,472 $17K
84156 7,257 6,272 $16K
84484 24,696 18,001 $16K
0071A 423 422 $16K
99245 87 84 $16K
12011 118 118 $16K
86160 2,334 1,239 $16K
86357 956 932 $15K
86359 864 829 $15K
96127 2,622 2,590 $15K
87077 5,041 4,144 $15K
J9190 Injection, fluorouracil, 500 mg 705 384 $15K
J1756 Injection, iron sucrose, 1 mg 446 187 $15K
0358T 505 505 $15K
96368 1,173 861 $15K
73030 2,147 2,029 $15K
88360 335 244 $15K
84153 2,882 2,757 $14K
87902 54 48 $14K
36465 47 38 $14K
74174 194 189 $14K
72100 1,022 1,019 $14K
85384 2,943 2,415 $14K
J2250 Injection, midazolam hydrochloride, per 1 mg 9,505 9,194 $14K
11982 66 66 $14K
86592 13,805 13,611 $13K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 10,522 9,943 $13K
46601 38 37 $13K
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 1,728 1,688 $13K
84450 8,820 6,467 $13K
90744 2,894 2,889 $13K
90723 2,918 2,914 $13K
82962 18,512 12,843 $12K
70486 312 308 $12K
76870 334 328 $12K
73560 1,438 1,353 $12K
D0140 Limited oral evaluation - problem focused 300 229 $12K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,695 1,420 $12K
87186 5,351 4,739 $12K
82565 9,440 8,625 $12K
73502 1,036 1,001 $12K
86376 1,259 1,251 $12K
95012 955 945 $11K
82746 2,050 1,961 $11K
97166 134 132 $11K
0064A 274 274 $11K
82950 2,914 2,758 $11K
82232 1,335 1,203 $11K
86708 2,478 2,460 $11K
83010 1,672 1,287 $11K
93798 665 141 $11K
83690 19,801 18,157 $11K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 6,778 5,940 $11K
90662 714 626 $11K
92555 193 191 $10K
85018 6,831 6,642 $10K
J2704 Injection, propofol, 10 mg 17,845 11,697 $10K
20610 78 78 $10K
87640 553 535 $10K
82627 582 580 $10K
90710 1,815 1,815 $9K
88142 450 447 $9K
85378 3,945 3,684 $9K
90661 288 288 $9K
86200 1,107 1,103 $9K
86039 2,686 2,188 $9K
86880 606 410 $9K
86301 1,177 1,059 $9K
82550 4,020 3,675 $9K
86735 1,683 1,670 $9K
82785 1,043 1,010 $8K
87081 2,254 2,237 $8K
90378 28 27 $8K
82247 11,688 8,934 $8K
95249 146 145 $8K
0081A 183 183 $8K
71045 Radiologic examination, chest; single view 3,853 3,697 $8K
73590 1,526 1,410 $8K
99201 93 93 $8K
J8540 Dexamethasone, oral, 0.25 mg 6,062 4,195 $8K
11720 269 269 $8K
86800 884 816 $7K
0082A 162 161 $7K
86235 1,457 838 $7K
87641 424 412 $7K
0054A 182 182 $7K
90700 1,849 1,849 $7K
90632 154 154 $7K
90696 1,792 1,792 $7K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 6,105 3,308 $7K
87653 291 287 $7K
88311 910 854 $7K
87210 3,046 2,910 $7K
0154A 152 152 $7K
G9012 Other specified case management service not elsewhere classified 76 73 $7K
81420 Fetal chromosomal aneuploidy genomic sequence analysis panel 38 38 $7K
J9075 Injection, cyclophosphamide, not otherwise specified, 5 mg 42 26 $7K
36246 14 13 $6K
93750 168 155 $6K
Q5101 Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram 69 44 $6K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 72 27 $6K
67028 Intravitreal injection of a pharmacologic agent 97 90 $6K
72082 117 116 $6K
76775 133 132 $6K
80074 434 429 $6K
J1170 Injection, hydromorphone, up to 4 mg 3,323 2,358 $6K
84305 360 355 $6K
82542 400 385 $6K
87040 7,224 4,487 $6K
70498 451 447 $6K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 2,389 2,324 $6K
86905 262 157 $6K
76882 202 198 $6K
81267 47 37 $6K
C1781 Mesh (implantable) 98 97 $5K
C1876 Stent, non-coated/non-covered, with delivery system 12 12 $5K
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 1,168 949 $5K
76857 263 258 $5K
88108 153 133 $5K
86701 803 790 $5K
82677 408 408 $5K
93922 129 128 $5K
99153 Mod sedat endo service >5yrs 2,679 2,623 $5K
81207 61 38 $5K
85245 356 284 $5K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 29 29 $5K
84425 579 567 $5K
92020 124 124 $5K
73090 1,191 1,042 $5K
92201 116 88 $5K
75716 78 76 $5K
84480 1,303 1,263 $5K
81374 91 91 $5K
86665 384 304 $5K
82397 659 632 $5K
88160 237 226 $5K
92002 51 51 $5K
11981 27 27 $5K
86644 530 497 $5K
72170 513 507 $5K
86431 1,516 1,508 $4K
73070 764 681 $4K
S0028 Injection, famotidine, 20 mg 7,346 6,284 $4K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 11,366 9,576 $4K
D9222 29 29 $4K
88300 561 541 $4K
85240 411 328 $4K
82310 3,221 3,132 $4K
D0330 Panoramic radiographic image 134 134 $4K
58301 40 40 $4K
95816 14 14 $4K
95886 53 53 $4K
86696 522 505 $4K
A4648 Tissue marker, implantable, any type, each 432 416 $4K
85246 358 286 $4K
72131 106 106 $4K
J9370 Vincristine sulfate, 1 mg 402 272 $4K
83605 6,963 5,742 $4K
J0696 Injection, ceftriaxone sodium, per 250 mg 4,959 4,465 $4K
10005 16 15 $3K
D0150 Comprehensive oral evaluation - new or established patient 119 93 $3K
82024 105 104 $3K
92587 154 154 $3K
87338 600 593 $3K
J1644 Injection, heparin sodium, per 1000 units 5,704 3,933 $3K
J1200 Injection, diphenhydramine hcl, up to 50 mg 5,949 4,768 $3K
J0690 Injection, cefazolin sodium, 500 mg 6,501 6,027 $3K
J9171 Injection, docetaxel, 1 mg 35 24 $3K
87205 4,088 2,625 $3K
99152 3,056 2,993 $3K
83519 343 326 $3K
88262 36 36 $3K
96523 71 58 $3K
86225 919 905 $3K
J0610 Injection, calcium gluconate (fresenius kabi), per 10 ml 589 329 $3K
88720 1,383 987 $3K
76514 98 97 $3K
84166 581 516 $3K
86580 347 336 $3K
C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, other than peel-away 70 69 $3K
84163 277 271 $3K
73700 27 26 $3K
84520 8,707 7,887 $3K
J3010 Injection, fentanyl citrate, 0.1 mg 13,683 13,277 $3K
J1380 Injection, estradiol valerate, up to 10 mg 709 443 $3K
J2405 Injection, ondansetron hydrochloride, per 1 mg 17,803 15,530 $3K
76820 131 59 $3K
J2370 Injection, phenylephrine hcl, up to 1 ml 2,967 2,533 $3K
M0239 Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring 15 15 $3K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 106 68 $3K
82947 5,781 5,209 $3K
84132 4,753 4,116 $3K
86147 271 141 $3K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 2,791 2,739 $3K
86255 900 873 $3K
86593 6,787 6,539 $3K
84295 6,432 5,708 $3K
76604 148 144 $2K
86777 339 327 $2K
88172 62 59 $2K
D1110 Prophylaxis - adult 58 58 $2K
88312 124 97 $2K
96380 111 111 $2K
92582 25 25 $2K
J2919 Injection, methylprednisolone sodium succinate, 5 mg 360 279 $2K
62270 14 12 $2K
82108 65 15 $2K
83695 247 247 $2K
74018 477 457 $2K
82985 438 435 $2K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 15 15 $2K
91318 39 39 $2K
97167 25 25 $2K
C1753 Catheter, intravascular ultrasound 26 25 $2K
A9585 Injection, gadobutrol, 0.1 ml 545 531 $2K
82103 282 280 $2K
82610 208 201 $2K
82553 1,708 1,179 $2K
99244 Office or other outpatient consultation, moderate to high complexity 13 13 $2K
99173 449 448 $2K
J0330 Injection, succinylcholine chloride, up to 20 mg 2,515 2,454 $2K
Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units 24 13 $2K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 286 285 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg 14,695 13,046 $2K
86336 423 423 $2K
J1815 Injection, insulin, per 5 units 1,558 1,141 $2K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 1,724 1,468 $2K
90381 75 75 $2K
86304 182 155 $2K
97161 28 28 $2K
75625 52 51 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,303 1,287 $2K
0012A 44 44 $2K
99421 24 24 $2K
89051 1,890 1,378 $2K
92611 12 12 $2K
90653 158 158 $2K
95957 14 12 $2K
82330 1,668 1,437 $2K
J2270 Injection, morphine sulfate, up to 10 mg 4,729 3,446 $2K
70491 14 14 $2K
1036F 39,793 35,407 $2K
84481 293 265 $2K
86707 319 319 $1K
82435 5,982 5,551 $1K
51701 13 13 $1K
J3475 Injection, magnesium sulfate, per 500 mg 1,267 859 $1K
77062 12 12 $1K
77061 12 12 $1K
C1773 Retrieval device, insertable (used to retrieve fractured medical devices) 38 37 $1K
91321 37 37 $1K
84445 30 30 $1K
90474 111 110 $1K
73060 259 243 $1K
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg 153 59 $1K
87350 298 298 $1K
J9000 Injection, doxorubicin hydrochloride, 10 mg 58 39 $1K
97163 13 13 $1K
82374 3,993 3,741 $1K
J3370 Injection, vancomycin hcl, 500 mg 1,592 1,158 $1K
85597 79 79 $1K
71260 Computed tomography, thorax, diagnostic; with contrast material 15 14 $1K
76885 13 13 $1K
71250 16 16 $1K
73140 203 186 $1K
73600 140 133 $1K
90611 201 201 $1K
91319 15 15 $1K
85347 1,852 1,586 $1K
73552 177 168 $1K
10061 12 12 $1K
87652 66 64 $1K
99397 12 12 $1K
93799 490 363 $1K
84681 68 58 $994.72
84155 4,757 4,626 $983.12
D1120 Prophylaxis - child 28 28 $981.08
S0020 Injection, bupivicaine hydrochloride, 30 ml 2,805 2,733 $957.31
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 379 286 $954.27
85670 263 251 $948.81
D0274 Bitewings - four radiographic images 40 40 $940.68
87899 237 211 $930.25
99382 12 12 $928.76
88302 111 108 $924.18
OP250 471 282 $919.54
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 330 328 $900.39
83921 78 77 $897.22
0011A 21 21 $881.80
92025 14 14 $828.35
J3480 Injection, potassium chloride, per 2 meq 799 458 $817.91
83498 40 37 $815.10
J9206 Injection, irinotecan, 20 mg 43 24 $771.92
80177 224 214 $735.95
86038 279 247 $735.89
95885 12 12 $718.26
82960 401 392 $712.28
83051 297 254 $704.62
86356 90 50 $701.33
84466 95 94 $692.33
82390 140 138 $674.52
91308 401 387 $665.67
69210 12 12 $646.99
90380 51 51 $641.48
C1819 Surgical tissue localization and excision device (implantable) 41 40 $635.36
0052A 15 15 $634.46
84145 360 342 $622.97
99188 106 106 $615.77
80145 63 61 $614.05
D0120 Periodic oral evaluation - established patient 18 12 $600.33
86705 150 148 $595.19
76818 15 14 $587.44
76812 13 13 $586.87
J9267 Injection, paclitaxel, 1 mg 34 12 $581.92
D9430 33 29 $557.60
86828 13 12 $554.28
87535 30 30 $552.49
73080 51 45 $545.89
72110 25 25 $544.07
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 3,660 2,870 $539.66
84154 121 120 $520.30
C8930 Transthoracic echocardiography, with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with physician supervision 24 24 $510.89
J2765 Injection, metoclopramide hcl, up to 10 mg 3,890 3,550 $508.12
93351 14 14 $503.45
J9060 Injection, cisplatin, powder or solution, 10 mg 28 13 $501.06
83525 49 37 $491.49
90682 22 22 $478.49
11056 12 12 $474.41
86778 57 55 $471.07
87102 198 175 $464.19
51702 15 14 $458.94
83516 20 12 $458.50
86688 67 64 $454.72
85613 85 78 $451.51
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 7,117 5,975 $438.50
86146 50 26 $438.08
82172 40 40 $427.31
99406 12 12 $399.12
73564 12 12 $397.69
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 12 12 $396.12
86645 78 75 $383.07
87206 357 239 $382.30
86695 56 56 $381.67
76810 33 33 $381.12
J0780 Injection, prochlorperazine, up to 10 mg 268 220 $372.00
82810 293 274 $365.29
D0220 Intraoral - periapical first radiographic image 43 42 $362.24
94010 13 13 $357.28
82955 67 67 $347.05
80164 93 91 $342.70
99415 Prolong outpt/office vis 88 82 $338.24
80321 81 77 $330.75
87324 105 104 $328.97
87075 179 171 $301.92
4004F 11,378 10,271 $290.98
86687 67 64 $286.16
92136 12 12 $271.76
90647 55 55 $268.29
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 904 878 $264.39
84260 14 13 $264.15
91312 1,166 1,163 $256.99
81268 48 37 $250.36
A0425 Ground mileage, per statute mile 31 29 $243.89
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 5,630 4,789 $236.39
80195 39 24 $230.19
84157 140 124 $227.96
86709 54 53 $227.77
J7509 Methylprednisolone oral, per 4 mg 88 55 $221.75
76814 17 16 $209.89
99408 14 14 $209.70
87116 133 119 $209.47
82085 30 29 $203.40
84300 203 196 $199.94
82575 68 55 $195.02
90713 12 12 $194.02
84207 12 12 $191.00
87449 228 222 $185.52
90685 24 24 $177.11
J0153 Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) 15 12 $164.56
86328 24 24 $162.95
72070 17 17 $158.96
76512 14 13 $156.45
86682 26 26 $156.17
82951 25 25 $150.48
87220 126 113 $147.73
82945 87 77 $137.55
D0230 Intraoral - periapical each additional radiographic image 26 26 $133.72
C1729 Catheter, drainage 28 28 $131.87
J0171 Injection, adrenalin, epinephrine, 0.1 mg 108 104 $131.84
85520 16 13 $129.28
J1940 Injection, furosemide, up to 20 mg 639 472 $127.88
J1245 Injection, dipyridamole, per 10 mg 24 24 $127.86
J1596 Injection, glycopyrrolate, 0.1 mg 309 296 $126.80
J0692 Injection, cefepime hydrochloride, 500 mg 155 142 $120.69
84134 25 25 $118.24
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 6,126 4,687 $118.23
S0030 Injection, metronidazole, 500 mg 389 326 $117.30
71100 98 97 $112.57
85014 651 575 $112.25
84311 195 173 $103.93
J9250 Methotrexate sodium, 5 mg 72 54 $103.57
80143 162 155 $102.89
J0461 Injection, atropine sulfate, 0.01 mg 35 28 $90.42
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 165 124 $90.24
82952 104 100 $88.11
J2060 Injection, lorazepam, 2 mg 606 533 $86.16
J1630 Injection, haloperidol, up to 5 mg 858 766 $84.91
J0360 Injection, hydralazine hcl, up to 20 mg 167 160 $83.78
D9310 13 12 $83.59
74019 12 12 $82.20
80179 134 130 $82.05
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 2,508 2,180 $81.50
J2550 Injection, promethazine hcl, up to 50 mg 195 191 $81.11
H0049 Alcohol and/or drug screening 15 15 $72.72
73620 28 26 $61.99
81257 15 15 $61.36
83993 14 14 $56.40
84133 38 38 $56.19
J0280 Injection, aminophyllin, up to 250 mg 12 12 $53.08
87430 13 12 $52.00
J1650 Injection, enoxaparin sodium, 10 mg 155 95 $51.52
91307 860 793 $51.14
S0077 Injection, clindamycin phosphate, 300 mg 26 24 $51.02
83050 62 52 $50.57
80320 377 364 $47.54
87254 12 12 $47.32
82375 39 38 $42.63
82465 12 12 $35.21
84436 12 12 $34.20
J1030 Injection, methylprednisolone acetate, 40 mg 13 13 $28.70
J1171 Injection, hydromorphone, 0.1 mg 19 14 $28.17
84478 13 13 $25.15
83935 12 12 $21.39
91305 183 180 $20.19
91306 120 119 $19.04
82948 131 125 $19.00
80329 134 68 $17.98
G9902 Patient screened for tobacco use and identified as a tobacco user 5,710 4,939 $16.98
91300 3,593 3,291 $14.01
J1836 Injection, metronidazole, 10 mg 70 65 $9.85
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 17 16 $9.53
82436 12 12 $7.43
87176 21 12 $6.40
J1598 Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to j1596, 0.1 mg 87 83 $6.14
J1580 Injection, garamycin, gentamicin, up to 80 mg 12 12 $3.11
J7510 Prednisolone oral, per 5 mg 63 62 $2.98
J2003 Injection, lidocaine hydrochloride, 1 mg 115 108 $2.59
91317 15 15 $2.00
J1920 Injection, labetalol hydrochloride, 5 mg 38 37 $1.98
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg 103 102 $0.64
C9113 Injection, pantoprazole sodium, per vial 20 16 $0.57
G9740 Hospice services given to patient any time during the measurement period 193 158 $0.46
G9687 Hospice services provided to patient any time during the measurement period 306 281 $0.43
G9903 Patient screened for tobacco use and identified as a tobacco non-user 20 20 $0.17
3078F 4,043 3,862 $0.11
G9691 Patient had hospice services any time during the measurement period 24 20 $0.10
3074F 3,373 3,249 $0.09
3077F 1,047 1,002 $0.08
3080F 244 235 $0.04
3079F 584 563 $0.02
3044F 1,206 1,181 $0.01
3048F 1,507 1,452 $0.01
3049F 436 415 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 1,546 1,360 $0.00
91315 130 130 $0.00
99429 3,433 2,049 $0.00
3075F 467 455 $0.00
1111F 165 139 $0.00
G8756 No documentation of blood pressure measurement, reason not given 279 267 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 129 118 $0.00
D1310 17 17 $0.00
1123F 416 346 $0.00
G9231 Documentation of end stage renal disease (esrd), dialysis, renal transplant before or during the measurement period or pregnancy during the measurement period 153 128 $0.00
0503F 17 17 $0.00
C2617 Stent, non-coronary, temporary, without delivery system 12 12 $0.00
C1726 Catheter, balloon dilatation, non-vascular 12 12 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 16 12 $0.00
81599 15 15 $0.00
91301 12 12 $0.00
3051F 52 52 $0.00
99080 10,720 1,674 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 523 487 $0.00
G8938 Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible 1,790 1,381 $0.00
3050F 484 472 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 1,177 1,055 $0.00
3046F 53 52 $0.00
4040F 82 75 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 13 13 $0.00
93571 24 24 $0.00
3725F 12 12 $0.00
3045F 36 35 $0.00