Medicaid Provider Spending

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

NEW YORK CITY HEALTH AND HOSPITALS CORPORATION

NPI: 1033124961 · NEW YORK, NY 10037 · Internal Medicine Physician · NPI assigned 07/29/2006

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

Authorized official KARLIN, MARJI controls 19+ related entities in our dataset. Read more

$108.18M
Total Medicaid Paid
2,390,009
Total Claims
2,114,665
Beneficiaries
574
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKARLIN, MARJI (CHIEF REVENUE OFFICER)
NPI Enumeration Date07/29/2006

Related Entities

Other providers sharing the same authorized official: KARLIN, MARJI

ProviderCityStateTotal Paid
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BRONX NY $217.68M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $178.84M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION NEW YORK NY $176.33M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BRONX NY $160.32M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION ELMHURST NY $146.57M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION JAMAICA NY $125.54M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $119.27M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $107.34M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION NEW YORK NY $100.78M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION NEW YORK NY $57.46M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $48.88M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BRONX NY $34.62M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $30.93M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BRONX NY $19.59M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BRONX NY $16.91M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $5.55M
NEW YORK CITY HEALTH & HOSPITALS CORPORATION BROOKLYN NY $896K
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $335K
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION NEW YORK NY $410.07

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 34,188 $215K
2019 146,733 $6.09M
2020 366,036 $17.37M
2021 563,610 $23.83M
2022 540,536 $25.12M
2023 392,179 $18.76M
2024 346,727 $16.78M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 79,676 72,784 $14.93M
99284 Emergency department visit for the evaluation and management, high severity 62,750 56,846 $11.32M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 87,720 76,633 $8.11M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 59,682 53,341 $6.88M
90791 Psychiatric diagnostic evaluation 5,867 5,195 $5.33M
99282 Emergency department visit for the evaluation and management, low to moderate severity 16,953 15,597 $3.45M
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 40,715 35,876 $2.23M
H2012 Behavioral health day treatment, per hour 19,483 2,298 $2.17M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 11,465 10,870 $1.93M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 28,528 25,705 $1.78M
99215 Prolong outpt/office vis 10,990 10,107 $1.74M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 10,348 10,031 $1.68M
70450 Computed tomography, head or brain; without contrast material 7,376 7,184 $1.52M
36415 Collection of venous blood by venipuncture 157,623 95,737 $1.49M
90832 Psychotherapy, 30 minutes with patient 7,745 4,335 $1.43M
96361 Intravenous infusion, hydration; each additional hour 14,380 13,358 $1.33M
90834 Psychotherapy, 45 minutes with patient 5,714 3,068 $1.30M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 10,372 10,033 $1.23M
99205 Prolong outpt/office vis 4,561 4,443 $894K
81408 613 607 $836K
99443 6,096 5,686 $827K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 13,375 13,036 $761K
90935 Hemodialysis procedure with single evaluation by a physician 4,162 387 $754K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 26,005 24,720 $749K
D9999 Unspecified adjunctive procedure, by report 5,340 4,986 $731K
D0999 Unspecified diagnostic procedure, by report 4,488 4,383 $717K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,149 1,147 $700K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 10,243 9,947 $663K
99442 8,221 7,804 $656K
80048 Basic metabolic panel (calcium, ionized) 64,046 59,178 $583K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 22,681 21,459 $557K
90460 Immunization administration through 18 years of age via any route, first or only component 25,494 25,271 $533K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 30,476 26,898 $531K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 1,156 1,150 $515K
74177 Computed tomography, abdomen and pelvis; with contrast material 3,504 3,450 $511K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 26,621 23,361 $451K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 10,908 10,818 $412K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 13,042 11,552 $411K
81420 Fetal chromosomal aneuploidy genomic sequence analysis panel 616 610 $409K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 545 541 $406K
77067 Screening mammography, bilateral, including computer-aided detection 3,015 2,999 $405K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 11,525 10,969 $399K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 2,350 2,325 $386K
45380 Colonoscopy, flexible; with biopsy, single or multiple 605 605 $383K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 6,757 2,713 $375K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 2,864 2,817 $366K
86480 5,976 5,815 $361K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 5,417 4,925 $352K
90461 11,982 11,915 $351K
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 18,302 16,441 $340K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 4,232 4,170 $336K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 2,171 2,166 $334K
76641 2,681 2,254 $333K
93970 1,318 1,302 $310K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,682 1,662 $305K
72125 Computed tomography, cervical spine; without contrast material 2,803 2,758 $303K
80061 Lipid panel 26,984 26,483 $301K
70486 2,335 2,309 $299K
S9485 Crisis intervention mental health services, per diem 268 241 $285K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 3,154 3,128 $281K
85027 88,287 81,207 $280K
86703 21,081 20,717 $277K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 3,062 2,750 $276K
80076 44,437 42,376 $275K
87536 2,951 2,872 $272K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 10,854 8,878 $272K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,986 2,880 $265K
76700 Ultrasound, abdominal, real time with image documentation; complete 1,408 1,395 $252K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 16,702 15,592 $250K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 7,090 7,015 $247K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 23,533 22,087 $242K
12001 989 977 $237K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 8,722 8,604 $236K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,838 1,736 $232K
83036 Hemoglobin; glycosylated (A1C) 32,005 30,955 $232K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 25,864 25,381 $227K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 3,480 3,435 $208K
99441 4,676 4,534 $206K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 1,365 1,348 $203K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,770 1,674 $194K
84443 Thyroid stimulating hormone (TSH) 16,232 15,843 $192K
86850 10,675 10,110 $184K
12011 865 855 $178K
71046 Radiologic examination, chest; 2 views 13,549 13,133 $177K
0002A 6,057 6,044 $175K
77066 Tomosynthesis, mammo 1,100 1,091 $175K
86360 3,567 3,486 $168K
0001A 6,243 6,239 $162K
J1050 Injection, medroxyprogesterone acetate, 1 mg 1,866 1,845 $153K
J1644 Injection, heparin sodium, per 1000 units 7,457 710 $152K
J0561 Injection, penicillin g benzathine, 100,000 units 1,234 1,137 $148K
90837 Psychotherapy, 53 minutes with patient 802 573 $146K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 3,140 1,302 $143K
90677 1,133 1,130 $143K
86780 14,155 13,593 $141K
71275 Computed tomographic angiography, chest, with contrast material 602 596 $138K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 4,246 3,017 $137K
86359 3,561 3,480 $134K
83655 11,183 11,005 $133K
83970 3,703 3,637 $133K
80053 Comprehensive metabolic panel 10,631 10,408 $132K
90750 1,581 1,558 $131K
81161 616 611 $125K
99381 2,138 2,109 $123K
T1013 Sign language or oral interpretive services, per 15 minutes 9,005 8,021 $122K
J0882 Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) 2,144 441 $120K
90651 1,927 1,913 $118K
86901 10,717 10,111 $116K
59025 Fetal non-stress test 1,110 947 $115K
76830 Ultrasound, transvaginal 2,455 2,282 $114K
74176 Computed tomography, abdomen and pelvis; without contrast material 845 835 $112K
76801 1,166 1,100 $109K
86803 9,639 9,483 $108K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 3,078 2,963 $108K
77065 Tomosynthesis, mammo 877 846 $107K
90853 Group psychotherapy (other than of a multiple-family group) 1,060 504 $104K
90686 11,256 11,210 $103K
82948 37,117 30,323 $103K
10060 633 584 $102K
71271 413 409 $100K
81405 502 495 $100K
D0140 Limited oral evaluation - problem focused 8,278 7,548 $100K
72197 221 221 $97K
81329 790 785 $95K
76770 617 609 $94K
82805 10,460 9,767 $91K
90715 3,333 3,306 $91K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 593 572 $91K
81025 22,705 21,317 $91K
H2010 Comprehensive medication services, per 15 minutes 960 927 $90K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,740 1,708 $86K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 2,455 1,958 $86K
77063 Screening digital breast tomosynthesis, bilateral 1,538 1,534 $85K
86900 10,722 10,112 $84K
D0330 Panoramic radiographic image 5,596 5,506 $82K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,507 1,491 $81K
12002 336 329 $80K
0004A 2,216 2,213 $80K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 503 495 $80K
H0005 Alcohol and/or drug services; group counseling by a clinician 1,127 214 $77K
87340 9,974 9,694 $76K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 7,390 5,378 $75K
99243 536 534 $73K
82728 7,248 7,131 $71K
71260 Computed tomography, thorax, diagnostic; with contrast material 481 472 $69K
76819 Fetal biophysical profile; without non-stress testing 794 696 $68K
71250 292 290 $68K
20610 511 480 $68K
81361 549 545 $66K
96375 Therapeutic injection; each additional sequential IV push 11,642 10,812 $65K
73630 3,127 2,893 $65K
82607 4,973 4,893 $63K
97802 1,866 1,802 $63K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 2,101 2,065 $62K
92015 Determination of refractive state 2,592 2,587 $61K
97803 1,958 1,892 $61K
90734 1,611 1,604 $60K
97162 475 474 $60K
86706 6,592 6,434 $58K
90472 Immunization administration, each additional vaccine (list separately) 6,784 6,715 $58K
86769 1,775 1,719 $57K
D7140 Extraction, erupted tooth or exposed root 2,856 2,037 $56K
88312 990 978 $56K
20552 695 636 $56K
G0397 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes 306 169 $55K
92250 1,173 1,121 $53K
96127 15,893 14,914 $52K
73610 2,724 2,517 $51K
87535 1,487 1,473 $51K
87800 1,532 1,514 $49K
73564 2,206 2,088 $48K
90714 3,396 3,385 $48K
92002 534 497 $48K
81401 518 515 $48K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 98 94 $46K
99383 1,367 1,083 $46K
99384 739 688 $46K
77062 298 295 $46K
83880 2,814 2,749 $45K
87086 Culture, bacterial; quantitative colony count, urine 12,314 11,622 $44K
90746 750 740 $43K
90732 443 433 $43K
A9585 Injection, gadobutrol, 0.1 ml 1,222 1,217 $42K
81257 606 602 $42K
99201 535 534 $41K
76536 355 352 $41K
0072A 1,035 1,035 $40K
81243 887 864 $40K
83020 3,135 3,028 $40K
J2426 Injection, paliperidone palmitate extended release (invega sustenna), 1 mg 542 524 $40K
0124A 890 889 $40K
73130 2,451 2,333 $39K
90670 3,049 3,039 $39K
80320 9,657 8,769 $39K
81001 26,183 24,682 $39K
82746 3,423 3,376 $39K
0071A 1,069 1,069 $37K
86762 2,944 2,843 $37K
84702 6,344 5,350 $37K
84439 4,739 4,632 $36K
73560 1,112 967 $36K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,295 692 $35K
99281 Emergency department visit for the evaluation and management, self-limited or minor 177 177 $35K
73030 2,094 1,996 $34K
88142 1,549 1,429 $34K
72100 1,306 1,300 $34K
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 971 903 $34K
76705 Ultrasound, abdominal, real time with image documentation; limited 753 735 $32K
86765 2,884 2,785 $32K
82043 6,385 6,230 $31K
76818 276 170 $31K
86704 3,175 3,122 $31K
54150 42 42 $30K
73110 1,625 1,490 $30K
J1631 Injection, haloperidol decanoate, per 50 mg 1,380 1,341 $30K
83540 6,666 6,537 $30K
29125 246 237 $29K
D1120 Prophylaxis - child 2,968 2,964 $29K
J3010 Injection, fentanyl citrate, 0.1 mg 6,174 5,981 $28K
87486 1,394 1,377 $28K
84425 1,667 1,659 $28K
91320 508 508 $28K
97014 1,935 1,039 $28K
99382 348 346 $27K
94729 541 539 $27K
83001 1,553 1,487 $27K
83550 4,613 4,532 $27K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 484 476 $27K
92550 777 774 $26K
71045 Radiologic examination, chest; single view 4,086 4,006 $26K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,520 1,476 $25K
94010 396 396 $25K
83735 18,437 17,553 $25K
93971 607 601 $25K
J1756 Injection, iron sucrose, 1 mg 1,063 339 $24K
84146 1,355 1,284 $24K
73502 918 858 $24K
85610 9,762 9,002 $23K
84703 11,817 10,901 $23K
97032 1,359 582 $23K
84153 1,595 1,564 $23K
90480 591 591 $22K
87581 1,394 1,377 $22K
81400 511 507 $22K
86787 2,151 2,087 $22K
81255 516 512 $22K
92133 499 495 $21K
90999 Unlisted dialysis procedure, inpatient or outpatient 101 12 $21K
90620 916 911 $21K
J1885 Injection, ketorolac tromethamine, per 15 mg 19,107 17,864 $21K
97010 2,903 1,578 $21K
99385 262 254 $21K
81251 519 515 $20K
D0120 Periodic oral evaluation - established patient 2,232 2,114 $20K
D0150 Comprehensive oral evaluation - new or established patient 1,901 1,787 $20K
81200 518 515 $20K
H0050 Alcohol and/or drug services, brief intervention, per 15 minutes 353 343 $19K
70551 Magnetic resonance imaging, brain; without contrast material 42 42 $19K
84481 1,414 1,380 $19K
82951 1,739 1,636 $18K
90698 3,358 3,357 $18K
97116 603 334 $18K
J2250 Injection, midazolam hydrochloride, per 1 mg 7,666 7,248 $17K
94727 458 457 $17K
85730 7,675 7,411 $17K
81260 517 513 $17K
86735 1,588 1,538 $16K
97166 116 114 $16K
84255 698 688 $16K
77061 120 120 $16K
83002 953 916 $16K
82105 1,244 1,222 $16K
86003 651 593 $16K
H0001 Alcohol and/or drug assessment 87 87 $16K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 50 49 $15K
73590 1,353 1,263 $15K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 238 178 $15K
87521 Neg quan hep c or qual rna 476 461 $15K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 69 69 $15K
90707 986 986 $14K
D0220 Intraoral - periapical first radiographic image 3,516 3,460 $14K
84402 587 565 $14K
H0038 Self-help/peer services, per 15 minutes 424 417 $14K
J7030 Infusion, normal saline solution , 1000 cc 17,310 16,246 $13K
87517 315 305 $13K
97530 Therapeutic activities, direct patient contact, each 15 minutes 342 213 $13K
D0274 Bitewings - four radiographic images 2,188 2,179 $13K
84484 12,216 11,080 $13K
72131 100 99 $13K
99401 243 234 $12K
73090 995 923 $12K
90633 1,941 1,941 $12K
86708 1,092 1,065 $12K
90744 1,880 1,877 $12K
87081 2,920 2,881 $11K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 25 25 $11K
76870 186 180 $11K
D1206 Topical application of fluoride varnish 1,739 1,736 $11K
84403 463 431 $11K
92557 329 329 $11K
90656 903 903 $11K
74178 31 31 $11K
99051 1,263 1,093 $11K
82570 2,618 2,467 $10K
99242 98 98 $10K
74018 498 489 $10K
90716 912 911 $9K
73140 618 595 $9K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,751 1,722 $9K
84590 839 828 $9K
87186 2,045 1,904 $9K
99402 118 117 $9K
83690 12,064 11,445 $9K
82525 762 751 $9K
96161 1,900 1,818 $9K
80323 952 936 $9K
82677 420 416 $9K
69210 115 112 $9K
90681 1,493 1,491 $9K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 114 113 $9K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 333 330 $9K
D1110 Prophylaxis - adult 684 679 $8K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 403 308 $8K
84630 883 871 $8K
84100 4,596 4,450 $8K
82803 3,528 3,274 $8K
12013 32 30 $8K
73120 331 326 $7K
D0230 Intraoral - periapical each additional radiographic image 1,941 1,937 $7K
D0210 Intraoral - complete series of radiographic images 1,199 1,176 $7K
86696 512 470 $7K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 70 70 $7K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,144 1,081 $7K
84156 2,328 2,185 $7K
72141 14 14 $6K
97161 60 60 $6K
86140 1,997 1,918 $6K
G0390 Trauma response team associated with hospital critical care service 133 127 $6K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 523 520 $6K
72170 915 909 $6K
86592 1,671 1,401 $6K
J0690 Injection, cefazolin sodium, 500 mg 1,711 1,668 $6K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 4,877 4,236 $6K
81003 4,072 3,741 $6K
85651 1,940 1,890 $6K
82955 628 628 $6K
90846 Family psychotherapy without the patient present, 50 minutes 34 29 $6K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 5,163 4,999 $5K
76820 115 76 $5K
84704 420 416 $5K
82670 206 200 $5K
76000 52 52 $5K
0031A 141 141 $5K
J1030 Injection, methylprednisolone acetate, 40 mg 903 852 $5K
D1351 Sealant - per tooth 594 218 $5K
J7120 Ringers lactate infusion, up to 1000 cc 5,131 4,887 $5K
86336 420 416 $5K
86695 458 422 $5K
84550 1,676 1,602 $5K
87338 415 411 $5K
90710 791 791 $5K
M0222 Intravenous injection, bebtelovimab, includes injection and post administration monitoring 42 42 $5K
93325 181 170 $5K
82610 342 339 $5K
86038 508 497 $4K
J2405 Injection, ondansetron hydrochloride, per 1 mg 8,873 8,221 $4K
84134 813 800 $4K
97804 148 139 $4K
85045 2,160 1,901 $4K
73080 373 364 $4K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 287 285 $4K
86141 527 516 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,245 1,212 $4K
90674 217 215 $4K
82785 290 289 $4K
92134 90 89 $4K
D1208 Topical application of fluoride, excluding varnish 1,172 1,172 $4K
88304 148 146 $3K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 454 441 $3K
86593 1,218 1,197 $3K
72070 124 123 $3K
31575 27 26 $3K
82550 2,735 2,652 $3K
90696 689 689 $3K
0081A 83 83 $3K
83615 824 755 $3K
J3475 Injection, magnesium sulfate, per 500 mg 2,024 1,945 $3K
73070 244 236 $3K
H0049 Alcohol and/or drug screening 50 49 $3K
90694 157 155 $3K
77080 87 87 $3K
J2704 Injection, propofol, 10 mg 2,849 2,814 $3K
82248 608 544 $3K
84207 102 102 $3K
85379 1,762 1,737 $3K
73552 232 223 $3K
J0696 Injection, ceftriaxone sodium, per 250 mg 3,305 3,193 $2K
92227 158 158 $2K
80165 371 364 $2K
D0270 431 427 $2K
96376 2,072 1,794 $2K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 525 522 $2K
73060 206 203 $2K
92083 37 37 $2K
73562 297 277 $2K
80321 137 136 $2K
S9088 Services provided in an urgent care center (list in addition to code for service) 36 36 $2K
96367 87 85 $2K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 12 12 $2K
99386 13 13 $2K
J0401 Injection, aripiprazole (abilify maintena), 1 mg 25 25 $2K
J2270 Injection, morphine sulfate, up to 10 mg 2,954 2,323 $2K
29130 13 12 $2K
93308 12 12 $2K
83516 182 173 $2K
74240 12 12 $2K
88141 146 110 $2K
99408 306 282 $2K
85007 2,531 2,448 $2K
D2930 Prefabricated stainless steel crown - primary tooth 48 26 $2K
82652 43 42 $1K
31231 12 12 $1K
73620 121 119 $1K
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 3,150 2,915 $1K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 16 16 $1K
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 5,329 4,208 $1K
73600 127 127 $1K
D2391 Resin-based composite - one surface, posterior, primary or permanent 132 103 $1K
90662 49 49 $1K
88104 37 37 $1K
J1200 Injection, diphenhydramine hcl, up to 50 mg 3,161 2,516 $1K
95930 715 715 $1K
99403 14 13 $1K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 883 866 $1K
85220 77 77 $1K
J7510 Prednisolone oral, per 5 mg 962 939 $1K
76775 34 29 $1K
85240 84 84 $1K
29515 15 12 $1K
86580 132 129 $1K
85306 78 78 $1K
82330 235 214 $1K
0003A 26 26 $1K
85303 78 78 $988.23
J2501 Injection, paricalcitol, 1 mcg 108 12 $982.31
Q3014 Telehealth originating site facility fee 401 342 $964.52
82310 453 438 $865.78
J2765 Injection, metoclopramide hcl, up to 10 mg 3,162 3,022 $851.45
71101 67 65 $813.39
85305 75 75 $793.10
D4341 56 27 $779.58
J0171 Injection, adrenalin, epinephrine, 0.1 mg 164 159 $776.08
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 173 169 $774.48
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 988 767 $746.97
67028 Intravitreal injection of a pharmacologic agent 17 17 $743.29
87420 272 269 $729.19
83090 46 46 $726.31
92579 14 14 $710.07
J1630 Injection, haloperidol, up to 5 mg 1,685 1,558 $672.63
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 169 158 $660.77
0012A 33 33 $658.83
82962 889 848 $655.89
82627 28 24 $650.97
82274 57 57 $638.24
90653 21 21 $637.15
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 5,393 4,785 $628.29
82010 716 673 $612.31
87522 Neg quan hep c or qual rna 14 14 $610.50
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 4,493 4,345 $609.78
J0330 Injection, succinylcholine chloride, up to 20 mg 251 250 $598.58
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,351 1,323 $582.25
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 670 667 $577.65
82247 123 98 $577.41
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 18 18 $576.41
J1790 Injection, droperidol, up to 5 mg 1,135 1,071 $576.34
96380 62 62 $558.72
99499 4,078 3,031 $553.42
D0603 229 211 $509.55
92551 1,583 1,581 $500.09
86430 102 100 $484.70
0082A 12 12 $477.35
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 4,299 3,991 $463.84
0011A 34 32 $456.10
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 61 61 $447.24
80069 57 57 $438.01
J1020 Injection, methylprednisolone acetate, 20 mg 125 125 $414.03
J2060 Injection, lorazepam, 2 mg 1,836 1,691 $406.91
92504 12 12 $400.29
D9990 64 63 $385.00
86225 39 39 $356.75
90678 15 15 $353.71
J1170 Injection, hydromorphone, up to 4 mg 1,346 889 $337.46
J1596 Injection, glycopyrrolate, 0.1 mg 112 112 $336.81
83992 57 55 $334.15
73660 12 12 $307.49
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 3,346 3,142 $303.48
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg 28 21 $300.78
74019 15 15 $286.26
T2022 Case management, per month 12 12 $273.29
D0191 474 472 $267.60
92558 17 17 $259.20
88302 25 25 $259.13
B4087 Gastrostomy/jejunostomy tube, standard, any material, any type, each 14 14 $256.51
83525 26 26 $238.34
94761 31 27 $215.13
99000 12 12 $212.81
94799 13 12 $206.13
88300 13 13 $199.27
J1815 Injection, insulin, per 5 units 581 496 $192.03
87070 54 50 $180.10
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 122 120 $174.40
J1010 Injection, methylprednisolone acetate, 1 mg 80 80 $173.26
J7060 5% dextrose/water (500 ml = 1 unit) 189 175 $157.03
83718 28 28 $131.03
99173 1,728 1,725 $126.46
J2310 Injection, naloxone hydrochloride, per 1 mg 26 25 $126.20
J1953 Injection, levetiracetam, 10 mg 100 94 $126.08
D0272 Bitewings - two radiographic images 37 37 $116.80
96160 32 32 $113.83
84478 28 28 $110.66
99152 24 24 $106.64
82465 31 31 $99.02
73100 12 12 $81.28
J7042 5% dextrose/normal saline (500 ml = 1 unit) 192 186 $81.10
J7050 Infusion, normal saline solution, 250 cc 171 155 $78.66
D1354 15 12 $75.00
83605 58 57 $74.80
83021 82 82 $73.11
81015 30 30 $72.89
82565 13 13 $62.30
90685 160 160 $57.53
90723 13 13 $53.55
82150 30 28 $46.13
87110 15 15 $34.67
94760 330 323 $33.29
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 633 631 $32.35
J1580 Injection, garamycin, gentamicin, up to 80 mg 39 38 $30.49
87040 30 28 $26.62
S0028 Injection, famotidine, 20 mg 16 16 $24.06
87071 28 28 $19.53
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 22 19 $19.46
G0008 Administration of influenza virus vaccine 45 45 $18.70
84512 30 30 $17.99
90648 12 12 $17.85
J2919 Injection, methylprednisolone sodium succinate, 5 mg 15 14 $12.73
J1171 Injection, hydromorphone, 0.1 mg 26 15 $3.52
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 27 27 $0.49
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 14 14 $0.17
J2370 Injection, phenylephrine hcl, up to 1 ml 12 12 $0.16
1160F 2,830 2,010 $0.15
1159F 3,729 2,330 $0.15
3078F 46,262 35,652 $0.08
3074F 41,686 32,934 $0.08
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 94 92 $0.00
3077F 11,055 8,311 $0.00
99080 1,623 321 $0.00
3051F 17 17 $0.00
48510 382 367 $0.00
98960 13 12 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 19 18 $0.00
2022F 13 13 $0.00
99429 225 169 $0.00
3079F 15,591 13,344 $0.00
3075F 14,565 12,716 $0.00
D1330 347 347 $0.00
3080F 5,105 4,048 $0.00
1220F 800 658 $0.00
D1310 91 91 $0.00
99406 373 336 $0.00
3044F 69 69 $0.00
4293F 149 149 $0.00
87620 46 25 $0.00
3008F 15 14 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 12 12 $0.00