Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › BRONX › MONTEFIORE MEDICAL CENTER

MONTEFIORE MEDICAL CENTER

NPI: 1063525152 · BRONX, NY 10467 · Orthopaedic Surgery Physician · NPI assigned 08/16/2006

$398.40M
Total Medicaid Paid
6,356,829
Total Claims
5,789,939
Beneficiaries
710
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPREOLO, JOHN (SR DIRECTOR PROVIDER CREDENTIALING)
Parent OrganizationMONTEFIORE MEDICAL CENTER
NPI Enumeration Date08/16/2006

Related Entities

Other providers sharing the same authorized official: PREOLO, JOHN

ProviderCityStateTotal Paid
MONTEFIORE NEW ROCHELLE HOSPITAL YONKERS NY $3.05M
MONTEFIORE MOUNT VERNON HOSPITAL MOUNT VERNON NY $560K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 684,262 $44.01M
2019 796,563 $50.21M
2020 679,938 $43.79M
2021 1,069,585 $62.90M
2022 1,081,408 $71.70M
2023 1,160,693 $70.74M
2024 884,380 $55.05M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 586,031 560,498 $61.54M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 788,434 748,014 $60.25M
99284 Emergency department visit for the evaluation and management, high severity 197,487 194,164 $24.74M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 104,761 104,012 $15.83M
99283 Emergency department visit for the evaluation and management, moderate severity 154,298 151,876 $11.10M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 63,567 62,050 $10.96M
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 6,402 6,375 $10.43M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 99,234 98,681 $10.37M
99215 Prolong outpt/office vis 64,570 60,356 $8.49M
99233 Prolong inpt eval add15 m 72,136 26,878 $7.08M
88305 Level IV - Surgical pathology, gross and microscopic examination 74,656 73,463 $6.07M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 71,704 71,314 $5.82M
99232 Subsequent hospital care, per day, moderate complexity 78,722 36,827 $5.38M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 62,169 61,725 $5.37M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 61,906 61,293 $5.02M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 19,071 10,056 $4.35M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 32,766 30,223 $4.10M
77067 Screening mammography, bilateral, including computer-aided detection 57,612 57,369 $3.90M
74177 Computed tomography, abdomen and pelvis; with contrast material 41,858 41,357 $3.87M
99223 Prolong inpt eval add15 m 21,896 20,041 $3.51M
90460 Immunization administration through 18 years of age via any route, first or only component 119,854 115,417 $3.49M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 55,086 53,599 $3.49M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 31,511 31,382 $3.31M
96127 332,139 326,401 $3.29M
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 14,799 14,743 $3.22M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 83,724 34,226 $2.65M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 50,334 47,187 $2.61M
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 29,548 28,575 $2.53M
20610 43,134 35,294 $2.50M
76830 Ultrasound, transvaginal 23,359 23,249 $2.33M
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 15,303 15,166 $2.21M
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 65,193 26,673 $2.17M
99222 Initial hospital care, per day, moderate complexity 17,279 15,101 $2.10M
70450 Computed tomography, head or brain; without contrast material 48,188 45,952 $1.97M
71046 Radiologic examination, chest; 2 views 153,290 151,076 $1.92M
99205 Prolong outpt/office vis 10,372 10,242 $1.85M
97530 Therapeutic activities, direct patient contact, each 15 minutes 43,800 18,387 $1.69M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 8,455 8,360 $1.68M
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 17,533 17,334 $1.64M
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 1,078 1,074 $1.56M
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 68,599 27,631 $1.54M
99238 Hospital discharge day management, 30 minutes or less 21,518 21,133 $1.47M
92551 101,956 100,938 $1.47M
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 197,555 172,685 $1.46M
78815 Positron emission tomography (PET) for limited area imaging 1,068 1,063 $1.43M
90832 Psychotherapy, 30 minutes with patient 19,751 16,027 $1.38M
71045 Radiologic examination, chest; single view 147,278 105,311 $1.34M
76801 9,958 9,698 $1.32M
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 10,336 10,309 $1.28M
70551 Magnetic resonance imaging, brain; without contrast material 11,522 11,403 $1.20M
99282 Emergency department visit for the evaluation and management, low to moderate severity 25,223 24,832 $1.20M
90792 Psychiatric diagnostic evaluation with medical services 7,507 7,167 $1.19M
99442 17,274 15,930 $1.19M
76818 17,573 14,092 $1.14M
90472 Immunization administration, each additional vaccine (list separately) 46,776 46,442 $1.14M
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 7,443 7,381 $1.14M
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 54,564 54,061 $1.12M
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 7,589 7,362 $1.10M
93970 24,796 23,238 $1.09M
99443 10,403 9,830 $1.07M
G8510 Screening for depression is documented as negative, a follow-up plan is not required 101,731 99,907 $1.07M
76857 21,577 21,425 $1.01M
31231 7,793 7,671 $995K
00731 4,303 3,578 $922K
90791 Psychiatric diagnostic evaluation 6,439 6,329 $912K
99239 Hospital discharge day management, more than 30 minutes 9,926 9,618 $909K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 1,906 589 $867K
76770 21,752 21,513 $860K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 6,110 6,029 $857K
76813 5,995 5,977 $845K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 4,633 4,608 $835K
93000 46,178 45,609 $789K
73562 26,344 20,623 $782K
88141 28,660 28,621 $780K
99460 8,352 8,316 $776K
00170 Anesthesia for intraoral procedures, including biopsy 1,979 1,924 $776K
88307 6,605 6,504 $769K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 11,128 10,743 $755K
99221 8,087 7,194 $748K
76705 Ultrasound, abdominal, real time with image documentation; limited 23,891 23,119 $738K
76700 Ultrasound, abdominal, real time with image documentation; complete 14,632 14,447 $734K
71275 Computed tomographic angiography, chest, with contrast material 7,735 7,670 $672K
74176 Computed tomography, abdomen and pelvis; without contrast material 7,657 7,555 $665K
43775 492 488 $656K
88342 11,018 10,717 $641K
77063 Screening digital breast tomosynthesis, bilateral 18,962 18,910 $631K
76825 2,227 2,113 $608K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 9,701 9,328 $603K
73630 27,134 23,527 $545K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 4,401 4,385 $544K
87536 5,476 5,417 $529K
67028 Intravitreal injection of a pharmacologic agent 5,386 4,791 $506K
99231 Subsequent hospital care, per day, straightforward or low complexity 11,451 6,720 $493K
71250 9,241 9,122 $465K
76642 10,870 10,585 $464K
77014 10,684 4,299 $456K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 7,386 7,340 $454K
74183 2,147 2,139 $451K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 1,850 1,847 $418K
J1439 Injection, ferric carboxymaltose, 1 mg 581 480 $379K
90686 82,530 82,391 $377K
77062 2,430 2,428 $373K
46607 1,304 1,202 $343K
77066 Tomosynthesis, mammo 5,241 5,222 $335K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,149 2,089 $312K
93976 4,673 4,474 $305K
92557 9,024 9,014 $298K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 685 254 $297K
73610 14,802 13,646 $284K
J0585 Injection, onabotulinumtoxina, 1 unit 518 328 $279K
95720 1,359 794 $279K
77065 Tomosynthesis, mammo 5,788 5,654 $275K
42820 Tonsillectomy and adenoidectomy; younger than age 12 825 819 $275K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,450 1,419 $273K
73030 13,678 12,149 $271K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 1,272 1,272 $265K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 550 517 $260K
64615 1,684 1,680 $258K
76641 3,808 3,444 $256K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 5,387 3,854 $256K
54150 2,457 2,456 $256K
84165 17,406 16,935 $253K
00142 2,543 2,490 $251K
92134 9,552 9,207 $249K
99462 5,857 4,980 $246K
74018 23,853 16,435 $238K
H0049 Alcohol and/or drug screening 12,314 12,287 $237K
71260 Computed tomography, thorax, diagnostic; with contrast material 4,010 3,962 $236K
86360 4,720 4,687 $232K
97161 2,959 2,955 $232K
90834 Psychotherapy, 45 minutes with patient 2,420 1,542 $231K
72082 5,059 5,023 $228K
92567 16,103 16,071 $227K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 5,875 5,664 $220K
36415 Collection of venous blood by venipuncture 59,110 57,158 $219K
76536 5,179 5,140 $218K
76821 2,096 1,304 $218K
76820 4,288 3,023 $217K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,636 1,634 $214K
93320 10,843 10,414 $212K
99385 1,765 1,760 $206K
72141 1,646 1,642 $204K
31575 2,225 2,179 $203K
88304 14,601 14,516 $201K
86359 4,727 4,695 $201K
99292 1,494 1,009 $199K
99479 Subsequent intensive care, per day, very low birth weight infant 1,409 520 $197K
97802 3,008 2,996 $189K
99441 3,890 3,541 $188K
73221 1,634 1,599 $186K
85390 6,202 5,971 $186K
58340 616 616 $185K
97803 3,146 2,991 $185K
93297 10,992 10,919 $183K
76819 Fetal biophysical profile; without non-stress testing 1,759 1,283 $182K
J1030 Injection, methylprednisolone acetate, 40 mg 25,718 25,353 $181K
90671 1,073 1,066 $178K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,438 1,434 $177K
95951 504 218 $174K
92083 4,778 4,701 $171K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2,665 2,594 $169K
76827 2,188 2,147 $169K
00812 1,060 848 $168K
72100 9,262 9,178 $165K
76942 5,950 5,911 $164K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 12,966 12,520 $160K
99480 Subsequent intensive care, per day, low birth weight infant 1,216 473 $154K
20550 3,059 2,675 $154K
88341 1,190 1,138 $152K
93325 17,240 16,464 $152K
73130 10,267 8,632 $150K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,198 1,774 $149K
76376 3,136 3,126 $149K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 770 765 $145K
93015 2,086 2,074 $143K
95117 11,249 8,110 $141K
72125 Computed tomography, cervical spine; without contrast material 2,920 2,877 $139K
73110 6,583 5,814 $139K
00790 230 173 $137K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 2,357 2,125 $130K
92015 Determination of refractive state 7,810 7,800 $130K
99072 116,325 111,371 $128K
95816 2,034 2,013 $127K
92133 5,409 5,337 $127K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,829 1,782 $122K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,908 1,605 $120K
88112 2,212 1,874 $117K
54161 526 521 $114K
00811 730 479 $113K
76506 3,064 2,687 $110K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 8,574 8,499 $110K
96156 1,122 966 $110K
95782 829 828 $109K
59514 80 80 $107K
73560 7,770 6,414 $106K
77061 989 989 $106K
70544 1,256 1,243 $103K
99451 2,595 2,581 $97K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 481 480 $95K
86480 1,365 1,355 $94K
77427 487 282 $93K
64400 1,074 753 $90K
94010 6,473 6,213 $89K
99281 Emergency department visit for the evaluation and management, self-limited or minor 912 848 $88K
76831 552 552 $88K
80053 Comprehensive metabolic panel 6,560 6,196 $87K
78306 505 504 $86K
31579 576 561 $85K
0071A 2,042 2,042 $85K
01961 117 117 $84K
93880 1,399 1,387 $84K
90847 Family psychotherapy with the patient present, 50 minutes 787 661 $84K
00840 134 98 $82K
93295 2,589 2,578 $81K
11900 1,399 1,347 $81K
97804 3,616 3,563 $80K
93971 3,034 2,962 $79K
93298 3,956 3,943 $78K
97535 Self-care/home management training, each 15 minutes 3,168 2,571 $78K
99464 1,087 1,083 $78K
64450 2,112 1,938 $78K
96167 1,415 1,185 $76K
99254 443 341 $76K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 566 527 $74K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 819 800 $74K
81002 25,797 21,244 $74K
J2785 Injection, regadenoson, 0.1 mg 497 495 $74K
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 824 782 $73K
88291 2,375 2,128 $73K
46600 773 768 $73K
25600 168 167 $71K
90651 2,023 2,016 $71K
93925 1,914 1,852 $71K
99381 851 849 $71K
11901 1,017 958 $70K
88189 909 851 $70K
73502 3,225 3,130 $70K
70486 1,386 1,360 $69K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,149 3,615 $68K
99459 2,924 2,898 $67K
75574 604 604 $66K
83020 3,719 3,599 $66K
20611 775 737 $65K
78582 1,062 1,059 $64K
93923 2,075 2,042 $63K
93886 814 525 $63K
11721 2,508 2,501 $61K
93016 3,248 3,246 $61K
96154 2,082 1,934 $61K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 7,638 7,060 $59K
27447 50 50 $59K
J9035 Injection, bevacizumab, 10 mg 1,114 991 $59K
93308 2,623 2,247 $58K
00797 118 118 $58K
90715 1,598 1,595 $58K
88108 2,624 2,539 $58K
59025 Fetal non-stress test 1,392 1,247 $57K
64415 793 790 $56K
90935 Hemodialysis procedure with single evaluation by a physician 1,094 690 $55K
93227 2,506 2,489 $55K
J1750 Injection, iron dextran, 50 mg 178 174 $53K
99417 Prolong home eval add 15m 1,941 1,911 $53K
99308 Subsequent nursing facility care, per day, straightforward 1,029 443 $52K
86780 2,989 2,945 $52K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,084 1,083 $52K
96110 Developmental screening, with scoring and documentation, per standardized instrument 5,041 5,020 $51K
94726 4,529 4,514 $51K
64405 993 680 $50K
31237 152 111 $50K
96900 2,808 726 $50K
99243 385 383 $49K
88188 856 750 $49K
0012A 1,175 1,172 $49K
78816 39 39 $48K
99383 475 475 $48K
72110 3,321 3,317 $48K
92060 833 820 $48K
74019 3,816 3,551 $48K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 10,510 10,380 $46K
0064A 1,075 1,075 $46K
93351 220 219 $45K
93248 1,885 1,882 $44K
99386 338 337 $44K
57454 216 216 $44K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,664 1,528 $43K
99051 19,680 19,452 $43K
0072A 962 962 $43K
80061 Lipid panel 2,880 2,856 $43K
71271 934 934 $43K
99244 Office or other outpatient consultation, moderate to high complexity 221 218 $42K
93798 1,816 360 $42K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 168 168 $42K
83036 Hemoglobin; glycosylated (A1C) 4,112 4,079 $41K
93018 3,273 3,271 $41K
77334 404 377 $41K
0001A 1,007 1,007 $41K
84166 2,571 2,536 $40K
94729 4,719 4,700 $40K
93458 123 120 $40K
92020 1,710 1,703 $40K
G2067 Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) 329 163 $40K
70491 573 572 $39K
95024 557 522 $38K
90474 2,957 2,948 $36K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk 180 179 $36K
51798 3,280 3,254 $36K
59410 25 25 $36K
72156 236 235 $36K
90750 185 183 $35K
73564 1,429 1,016 $35K
76604 1,385 1,121 $34K
95806 314 314 $32K
99382 332 332 $32K
94060 2,574 2,565 $32K
72157 191 189 $31K
72040 1,817 1,803 $31K
73140 1,577 1,468 $31K
76882 732 713 $31K
0011A 887 887 $30K
73590 2,205 2,001 $30K
72146 269 269 $30K
A9585 Injection, gadobutrol, 0.1 ml 2,069 1,350 $30K
90461 39,184 36,428 $29K
93244 1,299 1,295 $28K
69210 1,181 1,171 $28K
87490 1,307 1,285 $27K
96361 Intravenous infusion, hydration; each additional hour 98 93 $27K
95028 143 141 $27K
90961 113 113 $27K
76870 765 756 $27K
92082 780 757 $27K
90670 17,015 16,965 $26K
88313 1,898 1,867 $25K
88173 283 268 $25K
93975 376 367 $25K
77080 3,367 3,359 $24K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 202 173 $24K
95913 124 124 $24K
77072 1,957 1,954 $23K
93294 1,302 1,298 $23K
95811 61 60 $23K
0742T 533 532 $23K
0002A 524 524 $23K
99471 25 25 $23K
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 1,528 266 $23K
99173 5,560 5,532 $23K
99201 473 469 $22K
99384 182 182 $22K
73080 1,366 1,241 $22K
96112 233 228 $21K
94664 1,566 1,504 $21K
81025 1,933 1,912 $21K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 613 606 $20K
99236 Prolong inpt eval add15 m 95 55 $20K
93228 1,046 1,042 $20K
72158 138 135 $20K
88312 543 538 $20K
92285 1,390 1,377 $20K
70496 263 260 $20K
77300 175 158 $19K
77073 739 737 $19K
64413 178 155 $19K
96151 704 673 $18K
81003 6,599 5,741 $18K
64999 140 118 $18K
92002 271 271 $18K
52000 105 104 $18K
95251 593 586 $17K
J1010 Injection, methylprednisolone acetate, 1 mg 3,276 3,146 $17K
92136 513 501 $17K
80048 Basic metabolic panel (calcium, ionized) 1,407 1,349 $16K
99421 1,254 1,177 $16K
86803 1,056 1,045 $16K
99152 1,130 1,076 $15K
77263 99 99 $15K
84443 Thyroid stimulating hormone (TSH) 842 829 $15K
64447 331 329 $15K
74178 163 163 $15K
90656 1,839 1,838 $14K
91200 1,176 1,175 $14K
97014 1,323 475 $14K
90837 Psychotherapy, 53 minutes with patient 99 92 $14K
29876 28 24 $13K
00920 52 52 $13K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 1,414 467 $13K
70498 187 185 $12K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 15 15 $12K
99447 455 338 $12K
82330 871 803 $12K
72081 323 318 $12K
19083 83 83 $12K
97165 158 158 $12K
M0239 Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring 41 41 $12K
90732 77 77 $11K
87522 Neg quan hep c or qual rna 224 218 $11K
99476 29 12 $11K
73090 766 660 $11K
82375 869 801 $11K
85610 2,518 2,131 $11K
82948 2,334 2,232 $10K
93990 628 586 $10K
84484 820 735 $10K
94618 624 593 $10K
83605 866 798 $10K
95714 50 33 $10K
01810 98 97 $10K
99253 90 73 $10K
99188 681 680 $10K
99255 45 38 $10K
01480 43 43 $10K
73522 463 463 $10K
95700 43 41 $9K
99454 226 225 $9K
74240 227 226 $9K
11056 211 211 $9K
36620 202 192 $9K
70547 190 190 $9K
17110 83 79 $9K
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) 653 652 $9K
90691 70 70 $8K
86850 652 601 $8K
78832 13 13 $8K
74230 323 314 $8K
90937 116 59 $8K
92587 399 381 $8K
74328 264 253 $8K
95018 232 231 $8K
72195 55 55 $8K
62323 76 75 $8K
93229 29 29 $8K
G6002 Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy 416 199 $7K
72070 528 527 $7K
88300 1,521 1,505 $7K
73521 490 489 $7K
76775 231 230 $7K
17000 96 90 $7K
83050 868 800 $7K
92235 105 105 $7K
72197 27 27 $7K
00145 24 24 $7K
82010 1,102 1,080 $7K
83735 1,038 950 $7K
86592 1,630 1,599 $7K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 228 213 $7K
82800 660 613 $7K
01402 28 27 $7K
92579 150 149 $7K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 269 269 $7K
58301 51 51 $7K
90962 38 38 $6K
81001 1,637 1,582 $6K
85018 2,106 2,099 $6K
99100 96 86 $6K
98968 156 142 $6K
90662 326 326 $6K
85730 993 940 $6K
72050 379 379 $6K
95180 43 41 $6K
82550 841 764 $6K
72131 130 130 $6K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 211 199 $6K
01400 20 12 $6K
00400 22 12 $5K
77301 13 12 $5K
86769 185 185 $5K
64483 48 48 $5K
00402 12 12 $5K
99401 413 409 $5K
87631 34 34 $5K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 131 128 $5K
J0561 Injection, penicillin g benzathine, 100,000 units 42 40 $5K
86900 678 627 $5K
99448 112 98 $5K
90620 41 40 $5K
83690 720 668 $5K
95873 111 111 $5K
84295 959 880 $5K
87086 Culture, bacterial; quantitative colony count, urine 579 551 $5K
31500 31 28 $5K
58300 27 26 $5K
95885 160 160 $4K
20526 55 53 $4K
73720 13 12 $4K
90836 47 43 $4K
01922 12 12 $4K
43235 29 29 $4K
97010 3,095 1,331 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 89 87 $4K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 475 436 $4K
90846 Family psychotherapy without the patient present, 50 minutes 40 32 $4K
76937 384 338 $4K
88365 108 99 $4K
82947 970 890 $4K
90734 1,370 1,370 $4K
78264 59 59 $4K
86901 677 626 $4K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 12 12 $4K
00140 24 24 $4K
77049 13 13 $4K
84132 754 700 $4K
28470 13 13 $4K
43264 13 13 $4K
92588 120 119 $4K
77085 368 368 $4K
86593 780 761 $3K
J1756 Injection, iron sucrose, 1 mg 87 54 $3K
73552 213 191 $3K
99406 181 150 $3K
82803 109 99 $3K
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 163 110 $3K
87563 84 83 $3K
S9470 Nutritional counseling, dietitian visit 526 520 $3K
S9441 Asthma education, non-physician provider, per session 390 390 $3K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 93 93 $3K
99457 155 155 $3K
88360 19 12 $3K
96150 87 87 $3K
95886 31 28 $3K
76886 88 87 $3K
0124A 130 130 $3K
62328 24 24 $3K
36556 19 15 $3K
67840 12 12 $3K
73718 28 25 $3K
36569 26 25 $3K
51728 12 12 $3K
98967 138 137 $3K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 13 13 $3K
00813 21 12 $3K
86580 94 90 $3K
87340 241 233 $2K
86706 228 226 $2K
73700 53 51 $2K
90853 Group psychotherapy (other than of a multiple-family group) 119 37 $2K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 56 55 $2K
64445 37 37 $2K
19281 12 12 $2K
0298T 173 173 $2K
00300 12 12 $2K
83880 53 52 $2K
76514 470 466 $2K
20553 100 66 $2K
93304 52 51 $2K
57456 13 13 $2K
70360 206 206 $2K
96375 Therapeutic injection; each additional sequential IV push 108 94 $2K
G0397 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes 32 29 $2K
90716 210 210 $2K
64644 13 13 $2K
84403 68 68 $2K
92555 90 90 $2K
84100 381 349 $2K
0004A 72 72 $2K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 115 111 $2K
88302 166 164 $2K
96401 28 25 $2K
74221 58 58 $2K
11982 12 12 $2K
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 54 54 $2K
72170 115 113 $2K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 231 212 $1K
29580 23 12 $1K
93985 43 42 $1K
95800 37 37 $1K
97116 52 25 $1K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 898 835 $1K
51797 12 12 $1K
92025 65 64 $1K
91322 62 62 $1K
90680 8,458 8,430 $1K
29075 13 12 $1K
76981 32 32 $1K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 778 710 $1K
78708 14 14 $1K
0134A 48 48 $1K
97162 12 12 $1K
96168 33 30 $1K
11104 14 13 $1K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 14 14 $1K
93321 151 141 $1K
92201 44 44 $1K
97032 106 60 $1K
98960 917 853 $1K
90633 4,493 4,487 $980.82
J1040 Injection, methylprednisolone acetate, 80 mg 75 73 $953.03
99497 37 29 $866.78
S0190 Mifepristone, oral, 200 mg 12 12 $864.50
0003A 18 18 $824.94
95807 12 12 $823.96
93978 27 27 $821.06
J7050 Infusion, normal saline solution, 250 cc 1,375 1,179 $805.29
58100 12 12 $804.93
71101 39 39 $796.94
85097 15 15 $755.35
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 18 18 $744.81
3078F 9,554 9,363 $743.23
93272 38 38 $702.56
84402 25 25 $700.50
11730 13 13 $695.20
99140 77 68 $640.00
86708 56 53 $633.91
90480 24 24 $632.63
93246 64 64 $625.35
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 24 24 $609.27
G0008 Administration of influenza virus vaccine 328 328 $598.55
73100 15 15 $597.85
99235 13 13 $576.82
3074F 6,827 6,732 $554.82
76377 15 15 $548.00
93922 26 26 $546.44
92550 27 27 $541.79
76946 12 12 $503.38
G2078 Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure 40 25 $500.88
97035 60 41 $486.70
72083 27 25 $486.68
99446 23 15 $471.29
36410 250 235 $455.06
99309 Subsequent nursing facility care, per day, low to moderate complexity 15 13 $441.47
11055 12 12 $423.11
76776 16 14 $389.86
84703 57 57 $381.60
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 14 14 $374.85
82150 68 66 $370.60
97597 19 12 $369.30
92225 27 27 $367.11
93986 12 12 $366.26
86704 28 26 $364.83
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 293 290 $362.55
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 13 13 $349.92
90698 2,666 2,652 $335.97
90707 206 205 $327.09
51784 12 12 $316.82
90697 995 995 $315.37
73060 27 24 $287.27
72084 12 12 $283.62
Q4032 Cast supplies, long leg cast, pediatric (0-10 years), fiberglass 13 12 $276.82
92558 31 29 $257.76
J1050 Injection, medroxyprogesterone acetate, 1 mg 12 12 $252.00
90723 1,942 1,929 $234.20
20552 12 12 $226.08
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 20 20 $220.93
90863 12 12 $213.80
88311 14 14 $209.13
82657 13 13 $207.87
76098 14 13 $202.78
80361 12 12 $202.75
80076 12 12 $191.24
93793 18 15 $182.48
90785 12 12 $177.82
90744 378 373 $175.22
51741 28 28 $144.74
93280 12 12 $138.17
95012 181 171 $130.04
84439 13 13 $128.96
77081 13 13 $125.68
84702 13 12 $115.92
17003 16 12 $113.36
82570 24 24 $103.17
85027 24 24 $96.58
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 21 12 $90.00
3079F 1,805 1,783 $63.53
82962 24 24 $63.16
J1020 Injection, methylprednisolone acetate, 20 mg 12 12 $56.93
J3490 Unclassified drugs 126 114 $55.99
85007 24 24 $51.26
96160 27 27 $50.70
90688 66 66 $48.24
90648 1,913 1,902 $47.11
80365 13 13 $35.00
90647 1,598 1,592 $32.86
90674 13 13 $29.23
3075F 709 704 $22.80
90685 658 657 $17.85
J0696 Injection, ceftriaxone sodium, per 250 mg 43 40 $16.65
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 14 12 $15.99
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 74 70 $15.92
S0191 Misoprostol, oral, 200 mcg 12 12 $12.46
J1100 Injection, dexamethasone sodium phosphate, 1 mg 80 77 $6.40
J7030 Infusion, normal saline solution , 1000 cc 201 181 $6.13
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 16 12 $5.94
3077F 431 419 $5.54
91312 370 370 $3.93
J1094 Injection, dexamethasone acetate, 1 mg 19 19 $3.02
Q4049 Finger splint, static 13 13 $3.00
J1885 Injection, ketorolac tromethamine, per 15 mg 14 13 $0.90
J3010 Injection, fentanyl citrate, 0.1 mg 121 101 $0.72
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 290 275 $0.68
0503F 68 63 $0.38
91313 93 93 $0.11
99080 13,139 1,594 $0.00
90710 744 743 $0.00
90681 31 30 $0.00
99499 1,891 943 $0.00
90672 29 29 $0.00
90700 140 140 $0.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 119 115 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 71 70 $0.00
G8511 Screening for depression documented as positive, follow-up plan not documented, reason not given 13 13 $0.00
90687 27 27 $0.00
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 14 14 $0.00
J2704 Injection, propofol, 10 mg 167 160 $0.00
90696 257 256 $0.00
J7999 Compounded drug, not otherwise classified 17 17 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 84 81 $0.00
99024 14 14 $0.00
36000 13 13 $0.00
36416 36 28 $0.00
1005F 55 55 $0.00
76883 12 12 $0.00
J2357 Injection, omalizumab, 5 mg 13 12 $0.00