Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › STONY BROOK › UNIVERSITY HOSPITAL AT STONY BROOK

UNIVERSITY HOSPITAL AT STONY BROOK

NPI: 1972523348 · STONY BROOK, NY 11794 · General Acute Care Hospital · NPI assigned 07/20/2006

$105.33M
Total Medicaid Paid
1,713,835
Total Claims
1,502,735
Beneficiaries
535
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBIE, GARY (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date07/20/2006

Related Entities

Other providers sharing the same authorized official: BIE, GARY

ProviderCityStateTotal Paid
UNIVERSITY HOSPITAL AT STONY BROOK SOUTHAMPTON NY $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 27,594 $641K
2019 106,039 $6.06M
2020 256,944 $14.42M
2021 320,210 $18.05M
2022 338,958 $22.29M
2023 380,154 $25.22M
2024 283,936 $18.65M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90791 Psychiatric diagnostic evaluation 13,009 11,740 $13.13M
99283 Emergency department visit for the evaluation and management, moderate severity 56,088 53,442 $9.77M
G0378 Hospital observation service, per hour 12,354 11,105 $7.40M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 52,323 48,476 $6.75M
99284 Emergency department visit for the evaluation and management, high severity 36,146 33,649 $5.74M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 34,669 33,022 $4.94M
99282 Emergency department visit for the evaluation and management, low to moderate severity 18,610 18,110 $3.18M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 18,629 17,250 $2.22M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 17,699 17,673 $1.83M
96110 Developmental screening, with scoring and documentation, per standardized instrument 14,437 13,706 $1.65M
74177 Computed tomography, abdomen and pelvis; with contrast material 8,863 8,598 $1.51M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 9,598 8,504 $1.46M
93975 4,784 4,623 $1.46M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 8,708 8,454 $1.41M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12,574 12,545 $1.40M
70450 Computed tomography, head or brain; without contrast material 7,491 7,252 $1.32M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,476 2,468 $1.29M
80048 Basic metabolic panel (calcium, ionized) 91,522 68,105 $1.23M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 8,805 6,307 $1.13M
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 3,284 3,214 $1.11M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 11,142 3,547 $1.10M
96415 2,127 1,731 $983K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 7,844 7,828 $936K
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 13,156 12,153 $911K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 8,723 8,001 $881K
S9485 Crisis intervention mental health services, per diem 635 625 $792K
99244 Office or other outpatient consultation, moderate to high complexity 4,707 4,681 $785K
96361 Intravenous infusion, hydration; each additional hour 4,288 3,779 $772K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 5,206 3,353 $734K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,137 1,136 $731K
J1745 Injection, infliximab, excludes biosimilar, 10 mg 308 291 $688K
99215 Prolong outpt/office vis 4,015 3,875 $679K
92552 9,007 8,945 $654K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1,572 1,535 $636K
95810 Polysomnography; sleep staging with 4 or more additional parameters 864 783 $577K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 754 751 $552K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 2,028 1,965 $548K
80076 56,103 47,057 $532K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 13,882 11,537 $530K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 5,037 4,949 $507K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,194 2,091 $492K
J9271 Injection, pembrolizumab, 1 mg 73 56 $479K
99281 Emergency department visit for the evaluation and management, self-limited or minor 2,732 2,665 $466K
86850 19,930 16,981 $460K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 6,181 5,338 $439K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,669 2,658 $424K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 519 519 $401K
71275 Computed tomographic angiography, chest, with contrast material 2,087 2,060 $380K
70551 Magnetic resonance imaging, brain; without contrast material 1,443 1,412 $361K
76770 1,340 1,298 $361K
86901 20,663 17,336 $346K
93970 821 807 $345K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,012 1,949 $342K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,686 2,684 $342K
59025 Fetal non-stress test 2,274 1,980 $333K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 7,847 7,475 $328K
Q5103 Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg 320 301 $317K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,796 1,577 $300K
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 12,931 11,947 $298K
92550 4,004 3,981 $252K
86900 20,695 17,363 $252K
99245 1,338 1,331 $250K
41899 Unlisted procedure, dentoalveolar structures 231 228 $243K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,433 1,165 $238K
H0037 Community psychiatric supportive treatment program, per diem 449 417 $236K
96367 2,326 1,818 $227K
P9040 Red blood cells, leukocytes reduced, irradiated, each unit 528 351 $221K
92587 4,564 4,532 $218K
88305 Level IV - Surgical pathology, gross and microscopic examination 7,928 7,701 $216K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,478 1,476 $213K
70496 1,221 1,213 $209K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 1,029 1,005 $189K
12011 612 608 $187K
36430 1,033 619 $186K
97161 1,448 1,439 $183K
76705 Ultrasound, abdominal, real time with image documentation; limited 4,627 4,506 $174K
95813 523 506 $169K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 5,281 1,746 $151K
99381 1,233 1,221 $151K
36415 Collection of venous blood by venipuncture 26,099 20,216 $148K
44970 68 68 $145K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,516 1,484 $141K
77067 Screening mammography, bilateral, including computer-aided detection 1,305 1,284 $131K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 116 115 $125K
99243 813 813 $123K
42820 Tonsillectomy and adenoidectomy; younger than age 12 92 92 $122K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 741 663 $120K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 78,639 63,578 $119K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 20,207 18,626 $116K
93325 2,816 2,672 $116K
95816 483 474 $115K
99205 Prolong outpt/office vis 612 612 $113K
72082 1,486 1,421 $109K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 625 610 $109K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 2,602 2,565 $107K
73564 2,510 1,963 $104K
88185 605 522 $100K
0223U 5,590 5,551 $99K
83880 4,421 4,194 $98K
99383 716 715 $98K
92555 1,704 1,682 $95K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 3,920 3,872 $94K
73610 4,516 4,019 $92K
12001 328 326 $92K
86618 4,964 4,926 $91K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 5,456 5,351 $88K
73630 4,394 3,768 $87K
92557 1,688 1,676 $85K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 23,355 22,151 $85K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 7,207 5,594 $84K
97162 735 727 $84K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 436 434 $83K
94060 378 358 $81K
96375 Therapeutic injection; each additional sequential IV push 17,150 14,709 $77K
76641 1,242 798 $76K
71250 978 963 $75K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 2,845 2,836 $75K
92579 1,581 1,554 $74K
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 2,412 2,310 $73K
86617 4,358 4,331 $72K
85610 19,276 16,858 $71K
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 417 416 $70K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 5,469 5,365 $69K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,513 1,394 $68K
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 294 294 $67K
96132 664 532 $66K
J1569 Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg 67 36 $64K
92567 1,213 1,206 $63K
73110 3,014 2,590 $61K
97010 5,054 1,747 $60K
88342 1,811 1,738 $60K
92556 1,369 1,365 $60K
97535 Self-care/home management training, each 15 minutes 1,791 1,478 $59K
99173 2,491 2,489 $58K
36591 1,292 931 $57K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 384 382 $57K
99384 393 392 $56K
96116 312 282 $55K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 5,486 4,955 $55K
93320 1,970 1,907 $55K
88307 906 889 $54K
96127 10,463 10,231 $53K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2,677 2,660 $51K
82728 5,053 4,753 $50K
H0049 Alcohol and/or drug screening 2,057 2,001 $50K
73030 2,874 2,585 $50K
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 3,091 3,087 $50K
75574 245 245 $50K
0202U Oncology (prostate), multianalyte, gene expression profiling 8,683 8,559 $50K
70491 230 221 $49K
99385 351 351 $48K
87086 Culture, bacterial; quantitative colony count, urine 20,660 19,423 $47K
77336 220 88 $46K
93017 365 365 $45K
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 1,918 1,421 $44K
87536 501 493 $44K
76000 373 368 $43K
86480 857 855 $43K
93971 1,082 1,046 $42K
92582 598 592 $41K
86923 1,354 878 $41K
73130 2,622 2,292 $41K
96409 456 264 $40K
70486 1,042 1,027 $39K
92610 319 319 $38K
88304 2,321 2,300 $38K
10060 160 159 $38K
76825 235 224 $38K
83735 32,227 23,195 $37K
41800 649 639 $37K
95700 434 424 $37K
84702 20,834 19,346 $37K
88108 1,596 1,414 $37K
72170 1,503 1,438 $36K
80061 Lipid panel 5,252 5,113 $36K
72100 762 742 $36K
81513 812 808 $36K
86360 800 790 $36K
73590 2,563 2,260 $36K
70544 132 132 $35K
97530 Therapeutic activities, direct patient contact, each 15 minutes 269 108 $35K
96136 349 313 $35K
73080 2,264 2,063 $35K
D7111 248 245 $35K
82784 2,223 2,040 $34K
84443 Thyroid stimulating hormone (TSH) 13,919 13,391 $34K
73502 1,565 1,492 $33K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 661 655 $32K
76700 Ultrasound, abdominal, real time with image documentation; complete 127 126 $32K
81001 33,256 31,188 $31K
70498 1,124 1,114 $31K
71046 Radiologic examination, chest; 2 views 7,572 7,387 $31K
80053 Comprehensive metabolic panel 3,022 2,939 $31K
73090 2,306 1,957 $31K
84466 3,103 3,030 $31K
85730 17,885 16,057 $31K
J1439 Injection, ferric carboxymaltose, 1 mg 58 37 $30K
87481 850 845 $30K
96137 349 313 $29K
83970 725 639 $28K
77063 Screening digital breast tomosynthesis, bilateral 1,174 1,153 $27K
82378 2,198 1,666 $27K
73140 914 811 $27K
85027 14,962 12,916 $26K
82607 2,727 2,686 $26K
97802 394 394 $26K
72125 Computed tomography, cervical spine; without contrast material 2,533 2,485 $25K
87799 552 379 $25K
76830 Ultrasound, transvaginal 2,171 2,123 $24K
P9016 Red blood cells, leukocytes reduced, each unit 46 38 $23K
90715 1,351 1,350 $23K
88341 832 804 $23K
96417 503 314 $23K
73562 2,638 2,349 $22K
80069 2,448 1,575 $22K
87631 605 604 $21K
87497 810 535 $21K
83615 6,475 5,008 $21K
94727 394 374 $20K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 990 985 $20K
72081 375 355 $20K
71045 Radiologic examination, chest; single view 12,757 12,108 $19K
83036 Hemoglobin; glycosylated (A1C) 5,558 5,535 $19K
93458 12 12 $19K
82746 2,241 2,212 $18K
84100 29,398 21,528 $18K
86359 814 804 $18K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 28 28 $18K
77073 412 393 $18K
95811 26 26 $17K
74174 137 135 $17K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,809 2,789 $17K
83020 1,377 1,142 $16K
76818 418 391 $16K
94729 415 395 $16K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 556 539 $16K
88184 525 446 $16K
83540 3,476 3,397 $15K
92551 483 483 $15K
J1756 Injection, iron sucrose, 1 mg 370 132 $15K
54161 13 13 $15K
87507 248 246 $14K
86300 892 654 $14K
73552 1,086 982 $14K
29125 94 93 $14K
73560 634 548 $14K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 82 81 $14K
J3010 Injection, fentanyl citrate, 0.1 mg 4,462 4,331 $14K
91065 164 157 $14K
52356 12 12 $14K
64400 44 44 $13K
85045 4,794 4,141 $13K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 932 819 $13K
58558 12 12 $13K
84460 3,283 1,685 $13K
95782 13 13 $13K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 215 207 $13K
76827 235 224 $12K
87077 3,961 3,860 $12K
A0425 Ground mileage, per statute mile 1,464 1,432 $12K
84439 2,575 2,501 $12K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 152 146 $11K
73000 413 387 $11K
84450 3,263 1,676 $11K
86140 8,122 7,494 $11K
99382 103 102 $11K
99386 77 77 $11K
82248 3,619 1,945 $11K
36416 544 544 $11K
82247 3,512 1,849 $10K
94010 213 201 $10K
A0428 Ambulance service, basic life support, non-emergency transport, (bls) 347 343 $10K
87070 2,958 2,836 $10K
20553 38 38 $10K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 2,849 2,824 $10K
73060 1,042 979 $10K
43235 17 17 $9K
84484 14,787 12,816 $9K
Q9957 Injection, perflutren lipid microspheres, per ml 171 171 $9K
12002 27 27 $9K
87081 2,518 2,467 $9K
86769 227 226 $9K
C1769 Guide wire 1,145 1,062 $9K
86803 1,669 1,636 $9K
74230 74 73 $8K
80197 955 555 $8K
96376 5,573 5,197 $8K
87184 3,054 3,001 $8K
86304 720 577 $8K
95715 42 36 $8K
96133 129 109 $8K
83690 18,598 17,322 $8K
76937 55 54 $7K
62321 12 12 $7K
72020 326 322 $7K
82570 2,180 1,992 $7K
92585 57 56 $7K
0042T 170 170 $7K
76870 428 419 $7K
72131 78 77 $7K
88312 273 273 $7K
87186 2,937 2,848 $6K
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 8,917 7,993 $6K
77065 Tomosynthesis, mammo 84 78 $6K
96523 173 124 $6K
85652 7,986 7,395 $6K
84550 1,841 1,548 $6K
70547 37 37 $6K
83010 641 610 $6K
17250 32 29 $6K
72141 26 25 $6K
69210 81 68 $6K
J1200 Injection, diphenhydramine hcl, up to 50 mg 3,462 2,810 $5K
59430 112 108 $5K
81025 2,111 2,062 $5K
87040 6,257 5,774 $5K
16020 13 13 $5K
91010 12 12 $5K
83605 9,426 8,395 $5K
84703 6,268 6,071 $5K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,823 1,539 $5K
73070 119 99 $5K
80074 310 308 $5K
J7030 Infusion, normal saline solution , 1000 cc 9,934 7,310 $5K
93308 13 13 $4K
77066 Tomosynthesis, mammo 39 38 $4K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 272 256 $4K
82805 645 592 $4K
87468 149 148 $4K
92653 51 51 $4K
72040 159 155 $4K
82150 2,265 2,146 $4K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 30 28 $4K
99152 576 567 $4K
84156 1,696 1,502 $4K
86160 211 203 $4K
82550 2,914 2,670 $4K
J7120 Ringers lactate infusion, up to 1000 cc 20,598 17,831 $4K
85379 2,950 2,831 $4K
90686 231 231 $4K
86038 775 772 $3K
A0426 Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) 260 258 $3K
89051 607 491 $3K
96368 156 106 $3K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 730 652 $3K
96411 92 53 $3K
87205 2,714 2,609 $3K
92526 26 14 $3K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 16 16 $3K
76604 45 45 $3K
J7060 5% dextrose/water (500 ml = 1 unit) 1,766 1,268 $3K
91037 12 12 $3K
87340 696 680 $3K
74220 24 24 $3K
87484 149 148 $2K
74019 586 574 $2K
J8540 Dexamethasone, oral, 0.25 mg 2,229 1,611 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg 10,576 8,355 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg 7,918 7,204 $2K
92002 37 36 $2K
86592 1,665 1,646 $2K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 2,010 1,835 $2K
82310 3,022 2,883 $2K
82565 3,059 2,977 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg 3,198 2,495 $2K
87088 863 844 $2K
D9210 267 262 $2K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 16 16 $2K
84436 674 663 $2K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 833 832 $2K
J3535 Drug administered through a metered dose inhaler 1,099 1,010 $2K
83516 181 142 $2K
86880 182 165 $2K
M0222 Intravenous injection, bebtelovimab, includes injection and post administration monitoring 13 13 $2K
86870 100 78 $2K
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg 3,551 3,271 $2K
74018 846 794 $2K
84165 270 250 $2K
72110 90 86 $2K
97803 39 37 $2K
D9211 358 349 $2K
77003 14 13 $1K
96121 12 12 $1K
86364 214 193 $1K
86706 221 211 $1K
97165 12 12 $1K
J2469 Injection, palonosetron hcl, 25 mcg 183 101 $1K
84520 3,037 2,950 $1K
D2930 Prefabricated stainless steel crown - primary tooth 12 12 $1K
92134 13 13 $1K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 57 57 $1K
J2704 Injection, propofol, 10 mg 775 679 $1K
76642 29 27 $1K
82374 2,745 2,669 $1K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 1,131 669 $1K
99151 85 85 $1K
92060 14 14 $999.68
J3490 Unclassified drugs 3,466 2,787 $998.39
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 2,143 1,886 $992.98
84403 72 72 $988.16
86235 66 63 $974.49
73700 16 12 $937.13
J1630 Injection, haloperidol, up to 5 mg 1,278 1,071 $926.36
92553 14 14 $916.59
83521 76 68 $915.08
J8501 Aprepitant, oral, 5 mg 55 54 $858.55
J7050 Infusion, normal saline solution, 250 cc 4,512 3,330 $849.29
87147 435 430 $825.46
96402 12 12 $816.85
82465 524 503 $816.41
86431 166 165 $766.60
99499 55 51 $763.79
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 2,668 2,035 $744.43
86665 124 122 $742.10
92083 14 13 $734.40
83001 43 41 $728.07
84153 53 51 $687.09
82077 2,889 2,722 $685.91
86334 38 38 $668.13
99417 Prolong home eval add 15m 26 26 $661.40
82043 144 142 $660.41
82947 2,726 2,654 $653.26
93321 26 24 $608.67
83655 88 88 $604.42
87522 Neg quan hep c or qual rna 12 12 $601.45
82435 2,744 2,668 $589.68
84295 2,758 2,681 $587.96
86225 135 132 $582.79
86258 62 61 $571.16
86376 76 76 $543.59
82040 196 194 $542.64
J3475 Injection, magnesium sulfate, per 500 mg 2,990 2,309 $538.39
73100 17 12 $517.79
J0184 Injection, amisulpride, 1 mg 50 50 $510.17
86328 14 14 $483.27
86800 65 63 $476.90
84480 189 179 $476.17
80143 1,614 1,542 $453.05
84145 932 862 $445.40
86039 113 113 $444.09
80179 1,561 1,477 $438.29
87493 16 15 $413.70
80180 56 39 $400.77
97116 31 12 $400.34
94761 218 218 $399.57
J7042 5% dextrose/normal saline (500 ml = 1 unit) 1,793 1,332 $385.61
86580 50 50 $382.29
99408 31 26 $366.36
J1644 Injection, heparin sodium, per 1000 units 4,694 2,326 $357.22
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 14 14 $352.95
82670 14 13 $346.38
J1650 Injection, enoxaparin sodium, 10 mg 1,053 427 $333.22
88189 12 12 $317.18
84132 1,471 1,432 $313.80
86664 127 124 $297.55
84112 12 12 $289.75
87660 25 25 $279.00
87480 25 25 $279.00
87510 25 25 $279.00
85245 25 25 $276.55
C1887 Catheter, guiding (may include infusion/perfusion capability) 51 51 $276.12
86663 128 125 $254.61
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 517 431 $252.00
0097U 42 41 $246.87
85240 18 18 $243.55
85246 25 25 $236.69
82977 61 54 $211.64
86762 12 12 $205.49
J0780 Injection, prochlorperazine, up to 10 mg 304 286 $203.49
82731 12 12 $192.15
J2800 Injection, methocarbamol, up to 10 ml 547 505 $191.11
J3480 Injection, potassium chloride, per 2 meq 552 364 $187.59
99024 153 138 $185.12
J0690 Injection, cefazolin sodium, 500 mg 524 409 $181.91
86147 13 12 $179.86
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 719 506 $169.26
81003 172 162 $162.82
87449 95 75 $162.56
C9153 Injection, amisulpride, 1 mg 30 30 $157.50
J2270 Injection, morphine sulfate, up to 10 mg 4,652 3,706 $151.89
90656 19 19 $142.25
87076 144 139 $136.55
J0571 Buprenorphine, oral, 1 mg 125 74 $134.60
85384 32 30 $128.53
C9113 Injection, pantoprazole sodium, per vial 1,508 874 $123.43
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 401 398 $115.53
82010 650 566 $106.47
85613 12 12 $100.88
86787 13 12 $86.73
J2919 Injection, methylprednisolone sodium succinate, 5 mg 100 69 $81.00
87015 277 270 $64.33
93356 27 27 $54.90
J0736 Injection, clindamycin phosphate, 300 mg 103 70 $52.83
J2765 Injection, metoclopramide hcl, up to 10 mg 2,536 2,209 $49.75
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 82 80 $49.10
J2060 Injection, lorazepam, 2 mg 2,541 2,021 $45.14
J2250 Injection, midazolam hydrochloride, per 1 mg 1,619 1,558 $44.94
80164 57 49 $42.11
J1170 Injection, hydromorphone, up to 4 mg 1,579 1,089 $40.15
87207 211 202 $36.05
J3411 Injection, thiamine hcl, 100 mg 1,145 726 $32.54
83930 30 28 $30.20
86308 170 170 $28.15
S0077 Injection, clindamycin phosphate, 300 mg 135 103 $27.89
J1790 Injection, droperidol, up to 5 mg 987 900 $26.80
84300 14 13 $24.65
J7699 Noc drugs, inhalation solution administered through dme 368 336 $24.63
82365 13 13 $23.54
84479 12 12 $23.10
C1758 Catheter, ureteral 45 37 $21.00
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 28 14 $20.10
80320 1,440 1,325 $20.00
J7510 Prednisolone oral, per 5 mg 221 187 $18.89
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 963 747 $17.95
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 555 442 $17.63
S0028 Injection, famotidine, 20 mg 50 38 $14.44
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 34 31 $14.21
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 910 706 $7.64
J3370 Injection, vancomycin hcl, 500 mg 186 97 $6.67
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg 638 567 $5.36
J1171 Injection, hydromorphone, 0.1 mg 47 44 $4.68
82272 147 142 $3.34
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 79 49 $2.18
Q0177 Hydroxyzine pamoate, 25 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 370 289 $1.51
92015 Determination of refractive state 40 40 $0.00
99080 4,779 1,162 $0.00
J7070 Infusion, d5w, 1000 cc 18 12 $0.00
88302 76 76 $0.00
95712 28 25 $0.00
J7627 Budesonide, inhalation solution, compounded product, administered through dme, unit dose form, up to 0.5 mg 264 224 $0.00
80329 1,502 732 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 49 28 $0.00
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) 12 12 $0.00
J1815 Injection, insulin, per 5 units 127 87 $0.00
J8597 Antiemetic drug, oral, not otherwise specified 136 106 $0.00