Medicaid Provider Spending

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

NPI: 1992910152 · BRIDGEPORT, CT 06610 · General Acute Care Hospital · NPI assigned 05/11/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official WRINN, JACQUELINE controls 12+ related entities in our dataset. Read more

$287.34M
Total Medicaid Paid
7,011,413
Total Claims
5,503,645
Beneficiaries
702
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWRINN, JACQUELINE (DIRECTOR)
NPI Enumeration Date05/11/2007

Related Entities

Other providers sharing the same authorized official: WRINN, JACQUELINE

ProviderCityStateTotal Paid
YALE NEW HAVEN HOSPITAL NEW HAVEN CT $1.08B
LAWRENCE AND MEMORIAL HOSPITAL, INC. NEW LONDON CT $136.19M
GREENWICH HOSPITAL GREENWICH CT $46.42M
BRIDGEPORT HOSPITAL MILFORD CT $15.60M
LMW HEALTHCARE INC. WESTERLY RI $13.10M
LAWRENCE AND MEMORIAL HOSPITAL, INC. NEW LONDON CT $1.55M
YALE NEW HAVEN HOSPITAL NEW HAVEN CT $629K
LMW HEALTHCARE INC. WESTERLY RI $492K
BRIDGEPORT HOSPITAL BRIDGEPORT CT $398K
LAWRENCE AND MEMORIAL HOSPITAL, INC. NEW LONDON CT $365K
SHORELINE ENDOSCOPY CENTER, LLC GUILFORD CT $19K
YALE NEW HAVEN HOSPITAL NEW HAVEN CT $860.83

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 845,107 $39.43M
2019 856,388 $40.47M
2020 839,040 $33.41M
2021 1,173,348 $46.27M
2022 1,082,070 $44.00M
2023 1,161,694 $42.84M
2024 1,053,766 $40.92M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 211,494 190,221 $53.55M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 82,315 73,073 $45.26M
99283 Emergency department visit for the evaluation and management, moderate severity 223,006 205,412 $31.53M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 217,964 159,578 $23.15M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 163,580 44,723 $10.35M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 52,056 44,049 $7.44M
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 108,493 92,678 $7.35M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 7,982 7,120 $5.71M
99282 Emergency department visit for the evaluation and management, low to moderate severity 48,728 42,941 $4.60M
71046 Radiologic examination, chest; 2 views 61,080 55,074 $3.49M
G0381 Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 35,710 30,977 $3.29M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 14,930 13,922 $3.11M
74177 Computed tomography, abdomen and pelvis; with contrast material 18,754 17,073 $3.05M
59025 Fetal non-stress test 18,030 9,365 $2.94M
45380 Colonoscopy, flexible; with biopsy, single or multiple 3,551 3,356 $2.85M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 24,356 21,968 $2.70M
S9480 Intensive outpatient psychiatric services, per diem 22,288 2,577 $2.47M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 25,560 8,136 $2.37M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 4,917 4,592 $2.16M
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 13,620 12,207 $1.97M
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 3,312 3,136 $1.96M
77067 Screening mammography, bilateral, including computer-aided detection 17,917 17,304 $1.94M
96361 Intravenous infusion, hydration; each additional hour 36,480 30,464 $1.88M
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 85,797 73,368 $1.83M
97530 Therapeutic activities, direct patient contact, each 15 minutes 29,428 11,625 $1.54M
41899 Unlisted procedure, dentoalveolar structures 2,466 2,253 $1.41M
71260 Computed tomography, thorax, diagnostic; with contrast material 6,240 5,744 $1.34M
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 2,522 2,351 $1.33M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 19,974 15,294 $1.23M
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 1,943 1,861 $1.22M
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 5,751 5,201 $1.18M
96375 Therapeutic injection; each additional sequential IV push 29,826 24,611 $1.16M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 9,693 7,261 $1.16M
76705 Ultrasound, abdominal, real time with image documentation; limited 9,874 9,014 $1.13M
76830 Ultrasound, transvaginal 11,136 10,368 $1.11M
70450 Computed tomography, head or brain; without contrast material 21,105 18,770 $1.10M
78815 Positron emission tomography (PET) for limited area imaging 1,606 1,494 $1.07M
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 978 749 $952K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 92,592 29,853 $946K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 7,461 6,877 $906K
74176 Computed tomography, abdomen and pelvis; without contrast material 6,266 5,713 $893K
72125 Computed tomography, cervical spine; without contrast material 10,293 9,169 $884K
76801 8,113 7,087 $841K
76641 8,194 7,769 $758K
47562 178 162 $757K
29581 7,964 2,220 $723K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 31,547 27,880 $716K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 3,430 2,066 $688K
97161 11,191 10,369 $685K
97162 12,752 11,839 $668K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,314 6,296 $657K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 3,025 2,787 $648K
G0390 Trauma response team associated with hospital critical care service 1,008 905 $640K
58558 317 291 $633K
76770 7,038 6,694 $605K
15275 637 254 $594K
93976 6,132 5,613 $556K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16,610 15,442 $507K
71275 Computed tomographic angiography, chest, with contrast material 4,210 3,842 $504K
71045 Radiologic examination, chest; single view 13,084 11,454 $502K
G0330 Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room 1,053 907 $501K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 2,002 1,499 $491K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 11,386 3,800 $486K
76857 5,260 4,908 $482K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 5,399 4,965 $451K
76700 Ultrasound, abdominal, real time with image documentation; complete 4,609 4,361 $448K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 1,700 1,373 $446K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 1,885 1,466 $442K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 3,978 3,712 $434K
94060 2,107 1,989 $434K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 2,566 2,412 $413K
82947 148,141 119,593 $384K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 2,010 1,807 $382K
95810 Polysomnography; sleep staging with 4 or more additional parameters 486 463 $376K
93971 5,296 4,817 $364K
77066 Tomosynthesis, mammo 3,008 2,862 $357K
G0380 Level 1 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 5,810 5,221 $357K
70498 2,148 1,974 $356K
58661 84 78 $349K
76536 4,385 4,147 $344K
86900 19,680 17,162 $341K
71250 5,388 5,115 $333K
77065 Tomosynthesis, mammo 2,862 2,681 $325K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 7,794 7,102 $316K
93351 857 814 $316K
10060 2,019 1,761 $310K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 3,227 3,070 $309K
76819 Fetal biophysical profile; without non-stress testing 3,162 2,017 $300K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 31,581 28,713 $298K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 31,369 28,715 $297K
90792 Psychiatric diagnostic evaluation with medical services 2,776 2,573 $289K
76642 4,745 4,423 $284K
84443 Thyroid stimulating hormone (TSH) 43,058 39,804 $284K
99281 Emergency department visit for the evaluation and management, self-limited or minor 3,932 3,534 $283K
97035 3,716 1,477 $281K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 7,001 6,270 $280K
72141 1,220 1,142 $280K
93970 2,157 1,990 $268K
74183 1,375 1,263 $267K
72100 7,474 7,007 $262K
77336 3,220 1,304 $261K
20610 1,064 953 $259K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 50,457 41,712 $253K
93798 3,940 746 $241K
70551 Magnetic resonance imaging, brain; without contrast material 2,275 2,085 $238K
93017 4,019 3,705 $233K
93308 2,019 1,778 $228K
97018 3,283 1,209 $222K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 13,927 12,894 $222K
93458 186 163 $218K
77063 Screening digital breast tomosynthesis, bilateral 15,229 14,671 $217K
77334 619 420 $216K
77080 2,199 2,099 $213K
88305 Level IV - Surgical pathology, gross and microscopic examination 18,620 17,104 $209K
70491 1,334 1,220 $206K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 185,705 147,201 $204K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 76,935 64,730 $194K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 5,289 3,837 $188K
95806 1,541 1,491 $183K
36561 96 91 $183K
73560 11,953 11,091 $173K
J1726 Injection, hydroxyprogesterone caproate, (makena), 10 mg 280 86 $169K
86780 14,172 13,285 $155K
83718 23,798 22,697 $150K
97165 2,188 2,003 $139K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 2,675 2,444 $137K
90677 695 628 $134K
36430 1,048 748 $132K
73630 10,771 9,520 $129K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 18,202 16,951 $129K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 3,730 2,665 $127K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 10,504 6,960 $124K
73221 642 586 $123K
82247 115,718 97,777 $123K
83036 Hemoglobin; glycosylated (A1C) 34,201 31,615 $121K
36415 Collection of venous blood by venipuncture 128,909 110,027 $119K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,849 6,481 $116K
97113 1,895 576 $115K
93880 1,215 1,132 $111K
72110 1,967 1,888 $111K
77386 268 24 $110K
19083 108 95 $108K
77300 525 451 $107K
73030 9,007 8,225 $107K
97166 1,424 1,313 $101K
82040 116,838 98,776 $100K
70486 3,337 3,069 $99K
93225 1,740 1,664 $97K
72197 316 289 $95K
86480 5,032 4,641 $91K
74018 2,720 2,388 $88K
76882 1,823 1,694 $84K
58300 533 481 $84K
97116 5,702 2,585 $83K
58571 13 12 $80K
C9600 Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch 18 12 $79K
77412 699 88 $78K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 19,862 15,956 $78K
72070 2,097 1,982 $77K
G0382 Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 440 410 $76K
71271 761 737 $74K
42820 Tonsillectomy and adenoidectomy; younger than age 12 12 12 $74K
77072 723 680 $74K
82607 10,270 9,511 $73K
86803 15,473 14,381 $72K
83013 1,786 1,683 $70K
10061 260 229 $70K
88342 3,067 2,757 $69K
J1750 Injection, iron dextran, 50 mg 266 252 $68K
82728 11,390 10,441 $66K
72040 2,687 2,541 $66K
92523 275 266 $66K
90686 5,158 4,866 $66K
96415 1,041 865 $65K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 1,307 1,214 $65K
82310 148,871 120,185 $64K
72050 1,449 1,349 $64K
73610 8,256 7,386 $63K
58301 329 301 $63K
70310 881 796 $63K
70496 2,308 2,101 $62K
73502 4,526 4,171 $61K
73130 6,729 6,067 $60K
76870 2,211 2,025 $54K
G0378 Hospital observation service, per hour 75,495 62,254 $52K
87631 10,446 9,725 $52K
72081 698 675 $51K
83970 3,058 2,599 $50K
90732 673 641 $49K
94726 1,725 1,629 $49K
73120 1,051 978 $49K
P9016 Red blood cells, leukocytes reduced, each unit 506 377 $48K
J1745 Injection, infliximab, excludes biosimilar, 10 mg 30 26 $46K
76825 102 81 $45K
97163 917 834 $44K
81513 2,867 2,634 $43K
84439 10,832 9,944 $42K
74178 241 218 $42K
87506 1,121 1,008 $42K
83550 10,529 9,711 $40K
73110 5,104 4,439 $39K
97167 592 532 $37K
95816 248 216 $36K
77062 2,703 2,574 $36K
73522 852 806 $35K
70220 674 627 $35K
90746 580 555 $34K
95812 171 153 $34K
73700 479 447 $34K
87536 1,420 1,281 $33K
83540 11,211 10,295 $32K
58100 226 202 $31K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 2,718 2,572 $31K
87340 11,824 11,023 $30K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 162 147 $30K
29515 229 198 $30K
76813 5,735 5,167 $29K
52356 13 12 $29K
0240U 266 238 $29K
90836 407 298 $29K
74019 3,789 3,487 $29K
82746 3,603 3,355 $28K
87086 Culture, bacterial; quantitative colony count, urine 43,990 38,751 $28K
73564 1,367 1,225 $27K
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation 261 250 $27K
84403 1,728 1,590 $25K
77061 2,018 1,881 $25K
84702 14,636 11,269 $24K
82570 13,958 12,254 $24K
73140 3,260 2,916 $24K
73590 3,436 3,049 $24K
87481 3,056 2,798 $23K
95811 29 27 $23K
93975 137 130 $22K
97535 Self-care/home management training, each 15 minutes 475 391 $22K
52332 14 13 $21K
72170 3,102 2,817 $21K
92526 334 132 $21K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 12,224 11,420 $21K
82374 148,339 119,721 $21K
86235 721 666 $21K
73562 618 593 $20K
86003 348 311 $20K
82043 8,543 7,917 $20K
82465 23,932 22,815 $20K
80061 Lipid panel 10,409 9,298 $19K
76818 197 125 $19K
83735 55,045 44,364 $19K
85027 18,988 16,253 $19K
72131 359 330 $18K
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 86 78 $18K
73090 2,885 2,506 $18K
72158 70 69 $18K
87070 12,694 11,370 $18K
70360 356 332 $18K
85610 29,777 23,348 $17K
G0383 Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 81 79 $17K
90832 Psychotherapy, 30 minutes with patient 387 79 $17K
80053 Comprehensive metabolic panel 40,056 31,750 $17K
74174 104 95 $16K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 4,303 3,978 $16K
86140 9,758 8,653 $16K
73070 928 830 $16K
84146 1,920 1,756 $16K
86870 88 74 $16K
29705 68 64 $16K
73080 2,895 2,603 $16K
73552 1,928 1,754 $15K
87077 12,804 11,671 $15K
90853 Group psychotherapy (other than of a multiple-family group) 1,549 400 $15K
74220 97 95 $14K
86038 2,934 2,730 $14K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 321 318 $14K
84480 1,841 1,677 $14K
73620 652 601 $14K
86706 3,811 3,449 $14K
87653 2,491 2,343 $14K
81001 48,114 42,484 $13K
90662 1,188 1,104 $13K
83880 9,051 7,767 $13K
43235 29 28 $13K
86618 2,435 2,251 $13K
86360 1,028 930 $13K
84153 1,450 1,372 $13K
84478 24,056 22,900 $12K
80197 1,490 1,043 $12K
92610 114 102 $12K
90791 Psychiatric diagnostic evaluation 1,411 1,115 $12K
87186 11,741 10,613 $12K
82784 1,711 1,514 $12K
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 495 409 $12K
83001 1,221 1,121 $12K
70544 54 52 $11K
76999 352 328 $11K
71101 1,544 1,395 $11K
90651 39 39 $11K
86160 917 845 $11K
87522 Neg quan hep c or qual rna 715 653 $11K
57454 47 41 $10K
83002 1,100 1,009 $10K
J0585 Injection, onabotulinumtoxina, 1 unit 27 12 $10K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 19,589 13,841 $10K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 9,885 9,243 $10K
82950 2,520 2,399 $10K
83655 981 953 $10K
82670 694 630 $10K
84270 808 723 $10K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 1,165 1,086 $10K
86225 1,662 1,539 $10K
12001 2,647 2,453 $9K
84445 294 269 $9K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 8,287 6,639 $9K
73060 1,780 1,587 $9K
0124A 388 345 $9K
J0561 Injection, penicillin g benzathine, 100,000 units 60 55 $9K
82105 1,695 1,605 $9K
86705 1,689 1,571 $9K
81003 28,140 25,497 $9K
85055 2,351 1,548 $8K
75574 104 100 $8K
83014 1,758 1,655 $8K
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 7,902 6,978 $8K
86376 1,186 1,103 $8K
86704 2,482 2,275 $8K
74420 640 566 $8K
86762 3,429 3,105 $7K
80048 Basic metabolic panel (calcium, ionized) 17,420 13,112 $7K
Q3014 Telehealth originating site facility fee 1,124 890 $7K
87205 18,663 16,699 $7K
86787 3,290 2,989 $7K
85730 6,616 5,814 $7K
11721 561 541 $7K
11043 34 13 $7K
72156 12 12 $7K
83921 1,554 1,450 $7K
73100 333 292 $7K
73600 320 291 $6K
96367 156 113 $6K
M0222 Intravenous injection, bebtelovimab, includes injection and post administration monitoring 35 34 $6K
82088 377 325 $6K
91322 255 200 $6K
77301 12 12 $6K
72146 54 49 $6K
86200 1,334 1,255 $6K
85652 5,690 5,184 $6K
72082 59 54 $6K
73660 773 710 $6K
82533 750 643 $6K
12011 2,162 2,010 $6K
0054A 306 251 $6K
81025 53,485 47,375 $6K
88304 3,222 2,998 $6K
88307 1,886 1,687 $5K
94010 139 135 $5K
99215 Prolong outpt/office vis 71 54 $5K
83690 32,514 28,248 $5K
90834 Psychotherapy, 45 minutes with patient 123 40 $5K
83721 1,400 1,296 $5K
85007 10,827 9,325 $5K
77280 46 39 $5K
97597 44 36 $5K
74170 34 30 $5K
86709 961 909 $5K
86431 2,117 1,987 $5K
86039 1,002 943 $4K
80164 1,730 1,500 $4K
82627 382 346 $4K
84156 5,235 4,219 $4K
87075 3,298 2,697 $4K
93246 146 138 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 63 63 $4K
83021 2,218 2,043 $4K
86364 654 618 $4K
90480 243 188 $4K
83516 362 314 $4K
84425 311 295 $4K
86359 1,026 929 $4K
86800 476 442 $4K
84402 303 278 $4K
82951 357 336 $4K
86850 17,747 15,606 $4K
86923 696 534 $4K
85651 3,555 3,159 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 983 893 $4K
84450 115,473 98,167 $3K
82248 10,692 9,289 $3K
J7300 Intrauterine copper contraceptive (paragard) 17 13 $3K
90670 40 39 $3K
95886 224 221 $3K
84244 354 327 $3K
83525 391 364 $3K
88184 70 65 $3K
86765 393 318 $3K
88112 111 105 $3K
87808 15,776 14,634 $3K
29065 12 12 $3K
29125 954 873 $3K
17250 280 160 $3K
80177 1,232 1,081 $3K
87088 3,773 3,430 $3K
0001A 78 72 $3K
84165 599 555 $3K
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 670 637 $2K
85046 1,955 1,649 $2K
86696 227 218 $2K
G0397 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes 37 33 $2K
73000 154 136 $2K
76820 3,549 1,499 $2K
93271 26 26 $2K
85379 6,547 5,833 $2K
87081 2,575 2,432 $2K
86735 296 227 $2K
87632 614 567 $2K
0004A 124 70 $2K
88360 341 301 $2K
0031A 70 62 $2K
90847 Family psychotherapy with the patient present, 50 minutes 24 12 $2K
86769 56 52 $2K
82024 91 82 $2K
86695 227 218 $2K
J3490 Unclassified drugs 389,679 138,415 $2K
77338 12 12 $2K
82785 249 219 $2K
93242 95 94 $2K
82140 705 569 $2K
88344 61 52 $2K
83993 136 126 $2K
87449 921 806 $2K
77332 31 26 $1K
82550 5,042 4,242 $1K
86901 19,619 17,125 $1K
91200 13 13 $1K
86147 43 36 $1K
0002A 34 34 $1K
87040 7,372 4,051 $1K
83519 179 167 $1K
84484 44,252 25,781 $1K
84703 346 286 $1K
12002 1,131 1,013 $1K
97760 34 24 $1K
86256 211 195 $1K
31500 17 12 $1K
70480 14 14 $1K
82962 38,906 25,759 $1K
81596 29 29 $1K
84520 150,956 121,896 $1K
84145 3,685 3,106 $1K
87324 488 435 $1K
83520 131 121 $1K
83521 75 70 $951.72
84460 116,747 99,058 $918.56
84681 98 89 $895.24
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 1,090 856 $859.71
G0297 Low dose ct scan (ldct) for lung cancer screening 13 12 $835.55
82803 3,110 2,577 $823.26
94618 98 93 $793.44
82565 151,021 122,005 $793.35
72080 13 13 $769.44
81002 30,833 23,121 $731.27
86255 122 105 $690.60
J2310 Injection, naloxone hydrochloride, per 1 mg 178 138 $688.99
90715 5,753 5,212 $681.43
87529 549 502 $677.80
82652 29 25 $661.86
86334 59 56 $661.54
11056 13 13 $614.64
82435 148,569 119,860 $607.38
16020 40 37 $601.23
84550 3,746 3,217 $585.70
71100 55 54 $585.16
0051A 19 16 $560.00
87102 139 128 $553.38
88302 465 438 $549.53
99442 20 15 $540.96
82952 197 187 $538.56
72202 13 13 $501.72
83615 2,818 2,316 $483.81
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 39,879 31,753 $479.59
87468 90 87 $474.30
83037 3,862 3,690 $462.64
87484 90 87 $454.97
86015 88 82 $451.82
83605 6,952 5,078 $444.04
96376 11,057 7,435 $444.00
87493 140 129 $435.63
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 12 12 $418.69
84100 9,071 7,125 $414.47
84134 77 68 $389.76
80178 274 222 $356.67
83835 25 24 $355.96
84630 54 50 $326.10
84075 115,008 97,359 $325.64
0053A 16 15 $320.00
86258 30 29 $319.58
86592 99 95 $317.46
84132 147,258 118,927 $304.80
88300 647 586 $293.53
82075 3,291 2,411 $276.24
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 8,743 6,432 $265.46
86308 765 705 $256.88
82010 1,531 1,294 $244.77
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,001 3,723 $236.87
86708 66 63 $224.77
J0500 Injection, dicyclomine hcl, up to 20 mg 781 726 $205.90
86381 14 13 $193.23
93000 143 116 $191.87
J7120 Ringers lactate infusion, up to 1000 cc 45,861 37,844 $191.56
82977 892 713 $189.74
84436 91 68 $184.43
83498 13 12 $181.65
87015 445 365 $165.88
85018 297 211 $163.61
81000 2,461 2,108 $161.67
83883 14 12 $155.76
86880 126 107 $127.58
85014 239 173 $126.30
36591 15 14 $122.96
84295 148,385 119,764 $122.31
89051 261 174 $101.69
86580 13 13 $100.10
95012 205 196 $80.14
82150 55 52 $74.28
J1885 Injection, ketorolac tromethamine, per 15 mg 48,966 40,728 $71.17
84155 114,362 96,829 $69.61
72220 25 24 $69.46
86036 13 13 $69.06
84479 35 21 $67.98
87184 93 75 $65.90
88142 362 330 $57.56
93325 2,051 1,844 $56.00
J2270 Injection, morphine sulfate, up to 10 mg 23,956 17,731 $55.71
87207 106 95 $55.02
87147 73 70 $54.34
J1836 Injection, metronidazole, 10 mg 445 297 $50.84
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,758 1,526 $50.64
93321 214 197 $49.20
82330 363 267 $48.91
84300 72 65 $46.50
J1100 Injection, dexamethasone sodium phosphate, 1 mg 29,429 23,907 $43.26
J0696 Injection, ceftriaxone sodium, per 250 mg 11,364 7,960 $42.48
J3360 Injection, diazepam, up to 5 mg 315 251 $41.46
J0131 Injection, acetaminophen, not otherwise specified,10 mg 7,498 6,708 $41.35
90460 Immunization administration through 18 years of age via any route, first or only component 21 19 $38.76
80076 33 27 $36.62
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 26 26 $33.51
J1650 Injection, enoxaparin sodium, 10 mg 7,759 3,927 $32.79
93226 1,710 1,638 $32.38
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 119 108 $30.98
J3480 Injection, potassium chloride, per 2 meq 660 499 $23.30
85048 14 14 $21.78
J2405 Injection, ondansetron hydrochloride, per 1 mg 43,691 35,651 $19.24
82945 588 380 $18.75
J1790 Injection, droperidol, up to 5 mg 1,899 1,599 $16.32
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 1,994 1,308 $15.11
82948 2,205 1,009 $13.44
J2765 Injection, metoclopramide hcl, up to 10 mg 10,145 8,751 $12.52
84133 13 12 $12.33
82375 36 25 $11.77
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 403 370 $11.45
87430 626 570 $11.45
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 2,592 2,119 $10.20
J1920 Injection, labetalol hydrochloride, 5 mg 293 257 $9.52
C9113 Injection, pantoprazole sodium, per vial 1,729 899 $8.65
85384 43 29 $8.11
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 799 711 $6.60
J1200 Injection, diphenhydramine hcl, up to 50 mg 9,771 8,298 $6.52
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 760 678 $6.24
J8597 Antiemetic drug, oral, not otherwise specified 4,629 4,129 $5.49
J3010 Injection, fentanyl citrate, 0.1 mg 34,358 27,304 $5.00
J3475 Injection, magnesium sulfate, per 500 mg 3,273 2,792 $4.71
J3370 Injection, vancomycin hcl, 500 mg 1,595 833 $4.48
J1805 Injection, esmolol hydrochloride, 10 mg 40 25 $4.40
85347 110 80 $4.07
J8540 Dexamethasone, oral, 0.25 mg 2,673 1,594 $2.87
J1644 Injection, heparin sodium, per 1000 units 10,584 4,688 $2.82
J1815 Injection, insulin, per 5 units 6,574 2,754 $2.63
J2060 Injection, lorazepam, 2 mg 4,639 3,878 $2.25
J0690 Injection, cefazolin sodium, 500 mg 14,496 11,607 $2.14
G0008 Administration of influenza virus vaccine 426 421 $2.04
J1953 Injection, levetiracetam, 10 mg 263 215 $1.84
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 99 55 $1.50
J2250 Injection, midazolam hydrochloride, per 1 mg 23,278 19,860 $1.44
J1170 Injection, hydromorphone, up to 4 mg 4,135 3,014 $1.37
A9575 Injection, gadoterate meglumine, 0.1 ml 6,931 6,278 $1.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 56 50 $0.40
G8985 Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 49 44 $0.35
G8984 Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals 45 40 $0.31
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 52 42 $0.23
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 48 40 $0.21
Q9954 Oral magnetic resonance contrast agent, per 100 ml 1,478 1,341 $0.00
88313 28 26 $0.00
94729 1,890 1,787 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 4,024 3,917 $0.00
88312 356 313 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 9,418 5,614 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 386 354 $0.00
76376 904 833 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 627 565 $0.00
93356 1,169 1,101 $0.00
64447 25 25 $0.00
C1729 Catheter, drainage 349 283 $0.00
99152 2,701 2,390 $0.00
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 1,959 1,818 $0.00
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 1,777 1,651 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,224 1,126 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 419 368 $0.00
J7030 Infusion, normal saline solution , 1000 cc 15,482 13,242 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 956 850 $0.00
76827 102 81 $0.00
J7510 Prednisolone oral, per 5 mg 727 690 $0.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 1,216 1,149 $0.00
76937 361 327 $0.00
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 606 239 $0.00
69209 20 12 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 2,782 2,261 $0.00
T1017 Targeted case management, each 15 minutes 79 33 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 2,132 1,766 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 392 294 $0.00
76942 56 50 $0.00
81401 131 122 $0.00
C1788 Port, indwelling (implantable) 80 76 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 145 138 $0.00
J1756 Injection, iron sucrose, 1 mg 324 145 $0.00
J1171 Injection, hydromorphone, 0.1 mg 176 137 $0.00
91312 366 324 $0.00
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg 33 27 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 135 119 $0.00
80179 24 17 $0.00
87634 12 12 $0.00
91300 264 194 $0.00
92978 15 12 $0.00
94799 46 31 $0.00
A4221 Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) 122 84 $0.00
96523 14 13 $0.00
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 14 14 $0.00
51702 13 13 $0.00
J1580 Injection, garamycin, gentamicin, up to 80 mg 17 15 $0.00
80143 25 18 $0.00
C1782 Morcellator 33 28 $0.00
C1776 Joint device (implantable) 13 13 $0.00
C1874 Stent, coated/covered, with delivery system 15 12 $0.00
00170 Anesthesia for intraoral procedures, including biopsy 16 15 $0.00
J3473 Injection, hyaluronidase, recombinant, 1 usp unit 45 40 $0.00
90653 89 89 $0.00
C1758 Catheter, ureteral 12 12 $0.00
70320 32 26 $0.00
93320 1,234 1,153 $0.00
V2632 Posterior chamber intraocular lens 1,586 1,194 $0.00
Q4196 Puraply am, per square centimeter (add-on, list separately in addition to primary procedure) 295 109 $0.00
J7999 Compounded drug, not otherwise classified 4,422 3,553 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 499 465 $0.00
88341 1,165 1,032 $0.00
77001 174 154 $0.00
J1940 Injection, furosemide, up to 20 mg 882 603 $0.00
J7050 Infusion, normal saline solution, 250 cc 1,263 1,016 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 1,593 1,443 $0.00
91305 424 349 $0.00
64488 55 50 $0.00
51798 88 81 $0.00
C9290 Injection, bupivacaine liposome, 1 mg 142 131 $0.00
36416 7,136 2,438 $0.00
99153 Mod sedat endo service >5yrs 2,276 2,014 $0.00
J1630 Injection, haloperidol, up to 5 mg 2,541 2,083 $0.00
S5553 Insulin, long acting; 5 units 538 294 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 2,380 1,131 $0.00
C1781 Mesh (implantable) 316 293 $0.00
J0697 Injection, sterile cefuroxime sodium, per 750 mg 49 38 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 13,847 11,907 $0.00
J2785 Injection, regadenoson, 0.1 mg 1,703 1,582 $0.00
A4648 Tissue marker, implantable, any type, each 904 790 $0.00
80349 68 34 $0.00
C2617 Stent, non-coronary, temporary, without delivery system 491 441 $0.00
C1753 Catheter, intravascular ultrasound 15 12 $0.00
J3411 Injection, thiamine hcl, 100 mg 967 567 $0.00
C1769 Guide wire 1,081 956 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 508 427 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 2,719 2,199 $0.00
J2704 Injection, propofol, 10 mg 425 295 $0.00
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 102 66 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 104 95 $0.00
J3535 Drug administered through a metered dose inhaler 422 401 $0.00
H2019 Therapeutic behavioral services, per 15 minutes 78 35 $0.00
C1889 Implantable/insertable device, not otherwise classified 1,364 1,267 $0.00
J7042 5% dextrose/normal saline (500 ml = 1 unit) 77 55 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 65 41 $0.00
80050 General health panel 101 80 $0.00
83930 16 12 $0.00
J2790 Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) 15 13 $0.00
90656 57 53 $0.00
12013 13 12 $0.00
C1819 Surgical tissue localization and excision device (implantable) 138 127 $0.00
74175 13 13 $0.00
A9698 Non-radioactive contrast imaging material, not otherwise classified, per study 41 41 $0.00
J0280 Injection, aminophyllin, up to 250 mg 29 24 $0.00
94660 54 26 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 103 93 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 1,074 962 $0.00
91303 66 56 $0.00
88185 70 65 $0.00
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 15 12 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 44 42 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 19 14 $0.00