Medicaid Provider Spending

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

NEW YORK CITY HEALTH AND HOSPITALS CORPORATION

NPI: 1073535027 · NEW YORK, NY 10016 · Internal Medicine Physician · NPI assigned 07/25/2006

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

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

$176.33M
Total Medicaid Paid
3,438,615
Total Claims
2,902,405
Beneficiaries
713
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKARLIN, MARJI (CHIEF REVENUE OFFICER)
NPI Enumeration Date07/25/2006

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 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 NEW YORK NY $108.18M
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 62,526 $306K
2019 205,514 $8.78M
2020 504,609 $26.06M
2021 810,623 $38.25M
2022 771,825 $41.81M
2023 573,143 $32.74M
2024 510,375 $28.38M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90791 Psychiatric diagnostic evaluation 15,531 13,883 $15.81M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 174,819 154,116 $15.81M
99283 Emergency department visit for the evaluation and management, moderate severity 77,834 67,355 $12.96M
99284 Emergency department visit for the evaluation and management, high severity 62,824 55,552 $11.43M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 90,473 82,123 $9.60M
J9271 Injection, pembrolizumab, 1 mg 737 589 $7.12M
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 91,030 11,739 $3.59M
36415 Collection of venous blood by venipuncture 246,272 139,049 $3.59M
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 57,708 50,666 $3.58M
90832 Psychotherapy, 30 minutes with patient 26,403 15,587 $3.42M
90834 Psychotherapy, 45 minutes with patient 19,371 9,278 $3.35M
99282 Emergency department visit for the evaluation and management, low to moderate severity 16,234 14,610 $3.17M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 17,927 17,607 $2.77M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 22,269 21,731 $2.69M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 36,311 32,848 $2.30M
99215 Prolong outpt/office vis 15,675 14,903 $2.26M
99442 35,734 33,230 $2.17M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 27,891 23,049 $1.92M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 38,214 16,308 $1.87M
99443 22,121 20,063 $1.80M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 13,551 3,614 $1.78M
70450 Computed tomography, head or brain; without contrast material 8,975 8,589 $1.69M
D0999 Unspecified diagnostic procedure, by report 9,960 9,831 $1.59M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 8,543 8,198 $1.58M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 70,971 58,178 $1.49M
D9999 Unspecified adjunctive procedure, by report 8,444 8,067 $1.20M
74177 Computed tomography, abdomen and pelvis; with contrast material 5,525 5,414 $1.05M
J2426 Injection, paliperidone palmitate extended release (invega sustenna), 1 mg 844 778 $980K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 9,607 6,567 $969K
96361 Intravenous infusion, hydration; each additional hour 9,927 6,473 $963K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 8,850 7,721 $937K
81408 667 664 $932K
99205 Prolong outpt/office vis 4,654 4,593 $879K
90460 Immunization administration through 18 years of age via any route, first or only component 37,231 36,938 $811K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 17,502 17,196 $777K
97802 9,466 9,355 $772K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 9,530 8,154 $759K
J9035 Injection, bevacizumab, 10 mg 728 590 $756K
90792 Psychiatric diagnostic evaluation with medical services 4,259 4,167 $724K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 20,246 19,049 $705K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 7,506 7,372 $690K
96375 Therapeutic injection; each additional sequential IV push 13,537 6,259 $637K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,884 3,770 $615K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 19,116 18,159 $606K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 1,251 1,241 $581K
80048 Basic metabolic panel (calcium, ionized) 61,407 57,116 $568K
77067 Screening mammography, bilateral, including computer-aided detection 4,644 4,610 $565K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 3,801 3,584 $564K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 7,565 2,412 $552K
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 25,560 22,644 $521K
90836 4,734 2,493 $504K
99441 12,152 11,483 $500K
80053 Comprehensive metabolic panel 38,377 34,661 $495K
H0037 Community psychiatric supportive treatment program, per diem 397 321 $487K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 17,839 17,454 $485K
GZ3ZZZZ 222 30 $476K
H0035 Mental health partial hospitalization, treatment, less than 24 hours 2,591 358 $465K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 830 814 $458K
90378 226 209 $455K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 16,370 15,489 $455K
81420 Fetal chromosomal aneuploidy genomic sequence analysis panel 637 631 $453K
80061 Lipid panel 41,303 40,360 $441K
74220 6,544 6,426 $434K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 27,574 21,724 $434K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 994 987 $426K
85027 102,525 93,825 $420K
90461 17,485 17,422 $412K
59025 Fetal non-stress test 3,067 1,685 $411K
86480 7,413 7,209 $408K
88305 Level IV - Surgical pathology, gross and microscopic examination 5,461 4,816 $390K
H0005 Alcohol and/or drug services; group counseling by a clinician 5,561 1,173 $388K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 2,172 2,120 $376K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 3,753 3,461 $367K
H0004 Behavioral health counseling and therapy, per 15 minutes 5,817 4,405 $364K
72125 Computed tomography, cervical spine; without contrast material 3,398 3,290 $357K
87536 3,800 3,693 $357K
D0210 Intraoral - complete series of radiographic images 484 450 $348K
71046 Radiologic examination, chest; 2 views 22,684 21,719 $347K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,802 1,782 $333K
84443 Thyroid stimulating hormone (TSH) 30,631 29,481 $332K
86850 17,637 16,587 $320K
97803 6,673 6,200 $315K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 34,056 33,357 $312K
83036 Hemoglobin; glycosylated (A1C) 48,446 46,988 $312K
70486 2,502 2,453 $307K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 4,397 3,503 $297K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 25,343 23,581 $286K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12,267 12,146 $284K
80076 41,872 40,104 $281K
D2930 Prefabricated stainless steel crown - primary tooth 984 875 $279K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 8,297 5,981 $271K
96415 1,214 854 $269K
45380 Colonoscopy, flexible; with biopsy, single or multiple 397 390 $266K
90750 2,868 2,831 $264K
84207 10,074 9,988 $261K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 413 407 $261K
71250 1,189 1,175 $252K
90651 1,946 1,933 $248K
70551 Magnetic resonance imaging, brain; without contrast material 620 614 $241K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 2,397 2,078 $240K
86901 18,130 17,051 $236K
90677 1,951 1,947 $231K
86703 16,391 16,041 $224K
H0050 Alcohol and/or drug services, brief intervention, per 15 minutes 3,839 3,331 $222K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 2,654 2,420 $220K
76770 1,388 1,363 $218K
D7140 Extraction, erupted tooth or exposed root 1,990 1,347 $216K
77063 Screening digital breast tomosynthesis, bilateral 4,163 4,118 $213K
97804 7,596 7,563 $209K
J1745 Injection, infliximab, excludes biosimilar, 10 mg 115 79 $208K
86360 4,422 4,317 $206K
T1013 Sign language or oral interpretive services, per 15 minutes 13,599 11,615 $202K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,720 2,638 $200K
90853 Group psychotherapy (other than of a multiple-family group) 2,564 1,075 $192K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 8,049 7,974 $186K
82607 15,347 14,901 $183K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 1,618 1,604 $168K
86359 4,412 4,307 $167K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,245 1,155 $166K
90715 6,772 6,710 $163K
76642 1,756 1,667 $160K
71275 Computed tomographic angiography, chest, with contrast material 640 632 $160K
0002A 5,607 5,595 $159K
82728 16,703 16,166 $159K
H0001 Alcohol and/or drug assessment 879 646 $154K
84425 9,725 9,613 $153K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,580 1,521 $153K
86769 5,352 5,110 $152K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 5,838 4,812 $151K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,089 1,079 $150K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 8,223 7,792 $149K
93970 1,144 1,103 $149K
0001A 5,835 5,810 $148K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 2,231 2,184 $146K
G0397 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes 857 556 $144K
86900 17,662 16,589 $144K
D1120 Prophylaxis - child 10,872 10,750 $143K
86780 13,736 13,150 $142K
83655 13,074 12,911 $141K
D1351 Sealant - per tooth 2,612 844 $140K
81161 650 648 $139K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 3,975 3,837 $138K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 22,218 18,896 $137K
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 2,793 2,425 $132K
0004A 3,456 3,442 $131K
90746 2,255 2,215 $128K
77066 Tomosynthesis, mammo 863 854 $128K
88307 1,517 1,493 $126K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 10,502 8,761 $125K
J2794 Injection, risperidone (risperdal consta), 0.5 mg 205 105 $124K
76818 1,077 606 $121K
86803 10,867 10,631 $120K
12011 430 425 $119K
81329 943 932 $117K
12001 429 418 $117K
J1050 Injection, medroxyprogesterone acetate, 1 mg 1,454 1,445 $116K
84439 16,555 15,936 $113K
77062 699 695 $113K
D0120 Periodic oral evaluation - established patient 12,762 12,468 $111K
81405 526 522 $111K
92134 2,493 2,290 $111K
99281 Emergency department visit for the evaluation and management, self-limited or minor 486 481 $106K
67028 Intravitreal injection of a pharmacologic agent 1,076 711 $106K
84134 11,067 10,715 $104K
41899 Unlisted procedure, dentoalveolar structures 106 106 $104K
96417 1,362 883 $102K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,396 2,205 $99K
84590 9,337 9,175 $96K
94060 1,834 1,460 $94K
92083 1,543 1,412 $92K
96156 1,126 1,074 $92K
74176 Computed tomography, abdomen and pelvis; without contrast material 574 566 $92K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 4,996 4,592 $92K
76536 840 830 $91K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,038 1,989 $89K
83550 15,834 15,330 $87K
96367 1,851 845 $86K
77065 Tomosynthesis, mammo 749 725 $86K
A9585 Injection, gadobutrol, 0.1 ml 2,938 2,884 $85K
73130 3,853 3,233 $85K
99381 988 974 $83K
73564 2,746 2,487 $83K
0124A 1,862 1,860 $82K
90674 3,904 3,856 $82K
71045 Radiologic examination, chest; single view 9,725 8,394 $81K
90686 9,037 8,962 $80K
92557 1,880 1,843 $79K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 338 318 $78K
87535 2,216 2,178 $76K
76700 Ultrasound, abdominal, real time with image documentation; complete 447 441 $76K
96900 2,599 440 $75K
74183 201 194 $75K
86706 8,564 8,294 $75K
83735 20,420 19,441 $73K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 131 131 $73K
83540 16,109 15,540 $70K
81361 583 582 $69K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,604 2,440 $68K
87800 2,003 1,970 $68K
90480 1,868 1,863 $67K
87340 8,526 8,252 $67K
73630 2,894 2,612 $67K
76801 538 517 $67K
72131 590 586 $66K
87086 Culture, bacterial; quantitative colony count, urine 14,864 13,916 $66K
83970 1,827 1,744 $65K
81243 1,392 1,358 $63K
84702 8,880 7,727 $63K
91320 975 973 $61K
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg 2,993 1,427 $60K
G0378 Hospital observation service, per hour 58 57 $60K
83880 3,151 3,030 $60K
D1206 Topical application of fluoride varnish 10,103 10,086 $60K
73110 2,708 2,251 $60K
72197 142 135 $59K
31575 473 464 $59K
85610 22,298 16,564 $59K
90837 Psychotherapy, 53 minutes with patient 520 396 $58K
12002 194 192 $57K
D9310 2,054 1,995 $57K
J3010 Injection, fentanyl citrate, 0.1 mg 11,235 10,796 $57K
92133 1,424 1,295 $56K
77061 420 420 $56K
73610 2,707 2,426 $55K
88142 2,351 2,292 $55K
92567 2,186 2,140 $54K
82805 6,002 5,381 $53K
81401 569 568 $52K
90732 568 551 $52K
87653 1,735 1,718 $51K
90472 Immunization administration, each additional vaccine (list separately) 6,935 6,860 $50K
99051 4,355 2,621 $49K
90734 958 946 $49K
87631 1,207 1,196 $49K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 350 327 $49K
87517 1,102 1,081 $49K
84100 14,826 14,304 $48K
92015 Determination of refractive state 2,018 2,012 $47K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2,619 2,571 $47K
73030 2,348 2,140 $47K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,931 703 $46K
36000 97 80 $46K
81001 24,545 22,860 $45K
90670 3,085 3,075 $44K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 1,557 1,557 $44K
88341 360 325 $44K
92579 772 764 $43K
72128 439 436 $43K
96127 16,663 15,818 $42K
73562 1,197 1,059 $42K
74178 117 115 $42K
81257 581 580 $40K
87522 Neg quan hep c or qual rna 905 880 $39K
20610 270 248 $39K
93017 585 583 $38K
J0561 Injection, penicillin g benzathine, 100,000 units 192 153 $37K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 103 102 $37K
83001 2,034 1,940 $37K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 28 28 $37K
81025 9,612 9,262 $36K
86762 2,779 2,666 $36K
92250 865 821 $35K
85730 11,363 10,919 $35K
92582 371 365 $35K
84146 1,785 1,678 $35K
99493 805 370 $34K
S9485 Crisis intervention mental health services, per diem 31 26 $34K
H2011 Crisis intervention service, per 15 minutes 373 282 $34K
82951 2,843 2,578 $34K
73502 1,212 1,115 $34K
86765 2,848 2,722 $33K
77080 951 936 $33K
84403 1,270 1,211 $32K
84703 6,069 5,859 $32K
0072A 766 764 $31K
73590 1,957 1,779 $31K
0071A 859 858 $31K
11721 832 776 $31K
84402 1,206 1,163 $30K
86787 2,881 2,760 $30K
82948 21,566 18,205 $30K
92550 903 893 $30K
88313 408 380 $30K
86160 1,688 1,380 $30K
84153 2,137 2,075 $30K
97530 Therapeutic activities, direct patient contact, each 15 minutes 792 465 $29K
71271 135 135 $29K
85240 1,447 1,383 $29K
83002 1,610 1,529 $29K
86704 3,068 2,975 $28K
82043 6,213 6,064 $28K
82670 1,029 989 $28K
88312 1,230 1,229 $28K
88342 571 567 $28K
93247 199 191 $27K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 382 225 $27K
90648 3,463 3,459 $26K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 12,529 8,511 $26K
J2506 Injection, pegfilgrastim, excludes biosimilar, 0.5 mg 28 24 $26K
88304 583 576 $26K
87338 2,476 2,446 $26K
11900 231 227 $26K
85007 9,400 8,815 $26K
T2022 Case management, per month 544 293 $25K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 53 52 $25K
81400 566 565 $25K
87486 1,633 1,619 $25K
29580 254 124 $25K
H0038 Self-help/peer services, per 15 minutes 767 726 $25K
94726 445 439 $25K
Q5111 Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg 15 12 $25K
94729 638 630 $24K
86140 7,665 7,241 $24K
17110 123 122 $24K
D0330 Panoramic radiographic image 1,598 1,555 $24K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 282 256 $24K
82274 2,155 2,129 $24K
J1885 Injection, ketorolac tromethamine, per 15 mg 12,313 11,549 $24K
81003 9,299 7,295 $24K
81255 571 571 $24K
51798 313 309 $24K
76830 Ultrasound, transvaginal 305 300 $24K
90723 3,041 3,038 $23K
96167 532 509 $23K
81200 571 571 $22K
81251 570 570 $22K
83516 1,804 1,663 $22K
99201 339 335 $21K
90716 1,274 1,268 $20K
92002 422 411 $20K
73090 1,344 1,194 $20K
86235 418 361 $20K
58300 144 141 $20K
99244 Office or other outpatient consultation, moderate to high complexity 116 116 $20K
87581 1,632 1,618 $20K
93320 381 354 $19K
82627 884 830 $19K
96161 3,520 3,331 $19K
93325 590 543 $19K
Q3014 Telehealth originating site facility fee 2,857 2,015 $19K
31231 104 103 $19K
90707 1,328 1,320 $19K
85307 1,425 1,366 $19K
81260 571 571 $18K
85306 1,385 1,321 $18K
93971 247 236 $18K
97167 139 139 $18K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 99 92 $17K
85303 1,391 1,326 $17K
73080 925 831 $17K
97010 2,404 724 $16K
85300 1,755 1,683 $16K
D1208 Topical application of fluoride, excluding varnish 3,972 3,966 $16K
93798 751 166 $16K
J2704 Injection, propofol, 10 mg 8,544 7,712 $16K
86003 580 514 $16K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 12 12 $16K
97760 166 135 $16K
J2250 Injection, midazolam hydrochloride, per 1 mg 9,894 9,176 $16K
80320 5,247 4,670 $15K
73140 767 670 $15K
0081A 335 334 $15K
82570 3,596 3,195 $15K
83020 1,029 958 $15K
85305 1,353 1,291 $15K
90681 2,030 2,028 $15K
96040 163 163 $15K
76870 158 155 $15K
86225 1,421 1,303 $14K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 2,276 2,205 $14K
J2315 Injection, naltrexone, depot form, 1 mg 15 12 $14K
82784 1,116 832 $14K
72100 486 476 $14K
84484 11,052 9,505 $14K
D1110 Prophylaxis - adult 1,753 1,719 $14K
93226 192 192 $13K
72070 420 410 $13K
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 4,235 3,794 $13K
86038 1,422 1,383 $12K
G0390 Trauma response team associated with hospital critical care service 514 513 $12K
90662 691 595 $12K
87186 2,562 2,461 $12K
70496 79 66 $12K
82746 1,052 1,024 $12K
84156 3,627 3,259 $11K
85651 4,616 4,381 $11K
82248 2,571 2,072 $11K
83883 567 447 $11K
86334 669 593 $11K
90846 Family psychotherapy without the patient present, 50 minutes 80 59 $11K
93246 239 231 $10K
70498 40 40 $10K
82247 2,230 1,466 $10K
90656 851 851 $10K
0082A 228 228 $10K
D9995 627 613 $10K
90633 1,454 1,451 $10K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 48 46 $10K
86708 1,012 991 $10K
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 940 733 $10K
D0272 Bitewings - two radiographic images 3,085 3,081 $10K
86255 922 884 $10K
73070 564 515 $10K
0154A 237 237 $9K
86376 705 688 $9K
83690 9,436 9,013 $9K
83615 2,324 2,102 $9K
73700 40 39 $9K
80348 712 597 $9K
J1631 Injection, haloperidol decanoate, per 50 mg 581 542 $9K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 25 25 $9K
73552 573 536 $9K
99232 Subsequent hospital care, per day, moderate complexity 887 256 $9K
J1170 Injection, hydromorphone, up to 4 mg 3,800 1,876 $9K
59200 20 13 $9K
J7120 Ringers lactate infusion, up to 1000 cc 12,208 11,585 $9K
70491 40 39 $9K
86592 2,081 1,773 $8K
92650 275 262 $8K
59841 13 13 $8K
81002 2,448 1,831 $8K
84305 391 378 $8K
87521 Neg quan hep c or qual rna 216 211 $8K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 541 511 $8K
D2391 Resin-based composite - one surface, posterior, primary or permanent 84 68 $8K
73060 554 517 $8K
52000 17 17 $8K
D9990 1,830 1,804 $8K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 7,953 7,071 $7K
J7030 Infusion, normal saline solution , 1000 cc 7,362 6,855 $7K
J1756 Injection, iron sucrose, 1 mg 174 89 $7K
D0150 Comprehensive oral evaluation - new or established patient 869 832 $7K
92504 172 164 $7K
83498 249 242 $7K
86735 694 680 $7K
82550 3,151 3,008 $7K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 845 773 $6K
90661 320 320 $6K
95886 59 57 $6K
82977 1,080 1,036 $6K
J2405 Injection, ondansetron hydrochloride, per 1 mg 12,036 10,609 $6K
59425 100 93 $6K
99188 639 639 $6K
97810 316 224 $6K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 12 12 $6K
92555 176 171 $6K
72141 13 13 $6K
82533 375 344 $6K
99384 84 83 $6K
84550 1,714 1,517 $6K
90678 134 134 $6K
J2370 Injection, phenylephrine hcl, up to 1 ml 551 539 $6K
99383 86 86 $5K
25605 15 14 $5K
92587 225 218 $5K
88141 304 302 $5K
84481 394 363 $5K
84165 707 662 $5K
43235 12 12 $5K
96523 86 51 $5K
J8501 Aprepitant, oral, 5 mg 63 50 $5K
88173 57 53 $5K
J7050 Infusion, normal saline solution, 250 cc 3,832 2,844 $5K
0031A 124 124 $5K
85045 1,513 1,410 $5K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 1,331 1,317 $5K
82105 343 324 $4K
72170 287 281 $4K
97811 327 236 $4K
97166 40 40 $4K
86593 1,225 1,201 $4K
87507 37 37 $4K
J1230 Injection, methadone hcl, up to 10 mg 1,307 1,174 $4K
96380 289 289 $4K
76775 108 85 $4K
82652 119 116 $4K
95816 13 13 $4K
92588 132 130 $4K
87070 831 788 $4K
82785 291 286 $4K
80165 485 471 $4K
85379 1,886 1,847 $4K
99494 93 92 $4K
92201 157 144 $4K
73521 129 124 $4K
J1453 Injection, fosaprepitant, 1 mg 92 67 $4K
10060 25 24 $4K
J2785 Injection, regadenoson, 0.1 mg 24 24 $4K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 133 133 $4K
D9222 25 25 $4K
0003A 84 84 $4K
90694 181 166 $4K
69210 91 89 $4K
88108 122 119 $4K
82378 187 168 $3K
74174 12 12 $3K
72190 176 172 $3K
74018 141 122 $3K
84445 67 67 $3K
J0690 Injection, cefazolin sodium, 500 mg 2,831 2,788 $3K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 544 533 $3K
86800 219 211 $3K
87205 1,298 1,163 $3K
11981 17 16 $3K
92586 25 24 $3K
D0274 Bitewings - four radiographic images 820 818 $3K
73120 107 93 $3K
90653 221 205 $3K
97602 17 12 $3K
J8540 Dexamethasone, oral, 0.25 mg 1,321 1,197 $3K
86320 95 85 $3K
82803 1,350 1,186 $3K
90700 406 406 $2K
83525 184 169 $2K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 17 17 $2K
85018 997 988 $2K
88112 32 30 $2K
83519 131 126 $2K
96402 54 52 $2K
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 557 533 $2K
0074A 53 53 $2K
94770 48 47 $2K
99243 15 14 $2K
96411 39 25 $2K
86430 431 418 $2K
J3411 Injection, thiamine hcl, 100 mg 2,129 1,941 $2K
99241 15 13 $2K
J3475 Injection, magnesium sulfate, per 500 mg 1,179 1,028 $2K
83521 110 76 $2K
J0330 Injection, succinylcholine chloride, up to 20 mg 917 895 $2K
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml 955 568 $2K
91318 410 406 $2K
J7060 5% dextrose/water (500 ml = 1 unit) 1,153 768 $2K
D2330 24 24 $2K
17250 12 12 $2K
D1310 255 234 $2K
86709 173 169 $2K
93923 15 12 $2K
88184 27 25 $2K
0083A 34 34 $2K
92020 61 52 $2K
D0140 Limited oral evaluation - problem focused 169 166 $2K
H0049 Alcohol and/or drug screening 26 26 $1K
85014 618 613 $1K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 283 173 $1K
J9045 Injection, carboplatin, 50 mg 35 27 $1K
J2060 Injection, lorazepam, 2 mg 745 695 $1K
86008 17 12 $1K
0012A 63 63 $1K
J1200 Injection, diphenhydramine hcl, up to 50 mg 2,042 1,286 $1K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 27 21 $1K
J1030 Injection, methylprednisolone acetate, 40 mg 62 61 $1K
86146 52 44 $1K
58301 13 13 $1K
D0220 Intraoral - periapical first radiographic image 380 379 $1K
86147 58 55 $1K
83605 1,334 1,172 $1K
J1630 Injection, haloperidol, up to 5 mg 1,635 1,530 $1K
OP250 856 315 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg 1,990 1,929 $1K
86258 61 58 $1K
90474 257 257 $1K
82157 42 37 $1K
92202 99 93 $1K
C1769 Guide wire 73 70 $1K
86304 60 50 $1K
G0271 Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes 89 89 $1K
87593 22 16 $1K
84478 281 278 $1K
82330 1,308 1,151 $1K
94760 1,752 1,676 $1K
93308 12 12 $998.84
96376 994 890 $987.20
90647 193 193 $977.82
81005 745 715 $957.47
90739 12 12 $944.15
83695 80 80 $938.73
99429 256 221 $907.50
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 604 540 $890.66
0011A 69 63 $885.74
85384 411 399 $866.10
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 4,784 3,219 $837.77
73100 26 25 $814.42
0173A 42 42 $779.70
84480 80 80 $779.20
73560 29 25 $767.65
91319 198 198 $740.15
92285 27 26 $733.67
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 849 840 $716.21
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 21 12 $686.80
97022 43 26 $671.56
90672 186 186 $646.72
92570 16 16 $621.67
99421 13 13 $617.36
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3,912 3,882 $615.93
84432 42 42 $602.01
V2632 Posterior chamber intraocular lens 19 18 $580.18
88104 14 14 $562.12
84630 64 62 $556.23
82465 203 203 $550.66
86231 58 56 $550.07
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 592 586 $543.72
90696 72 72 $527.14
92227 35 35 $524.82
97150 Therapeutic procedure(s), group (2 or more individuals) 17 13 $508.67
J2270 Injection, morphine sulfate, up to 10 mg 1,581 1,451 $477.76
82024 12 12 $468.45
83718 125 125 $467.45
82150 380 374 $463.00
76604 12 12 $461.55
73000 17 16 $455.39
85613 61 56 $443.10
92552 12 12 $431.31
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 52 40 $417.72
J2765 Injection, metoclopramide hcl, up to 10 mg 1,616 1,576 $414.28
92025 13 12 $410.48
82525 39 39 $407.04
92551 2,939 2,937 $397.25
83010 37 32 $389.14
J1815 Injection, insulin, per 5 units 245 183 $374.87
85732 68 56 $374.15
90381 43 43 $353.18
87040 191 154 $322.94
87081 114 114 $310.10
82172 18 14 $296.80
82952 59 52 $295.89
0073A 15 15 $281.33
82947 224 220 $278.33
84270 12 12 $275.77
84681 15 14 $270.52
99406 293 276 $261.04
D0191 1,043 1,039 $260.39
83520 14 14 $258.22
J0131 Injection, acetaminophen, not otherwise specified,10 mg 159 157 $257.24
88280 15 14 $255.32
85301 28 28 $249.87
D0171 77 74 $245.55
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 2,455 2,204 $240.08
83921 13 13 $218.48
90473 96 96 $213.93
J1644 Injection, heparin sodium, per 1000 units 223 211 $211.72
90620 12 12 $195.15
83993 12 12 $185.46
82103 13 13 $184.10
80178 29 24 $180.47
0502F 16 12 $179.48
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 1,945 1,756 $178.03
1159F 7,526 4,731 $176.15
D0603 1,906 1,900 $160.88
99173 3,308 3,306 $159.43
99152 28 28 $148.47
J1171 Injection, hydromorphone, 0.1 mg 113 55 $145.90
84460 30 30 $143.63
86707 12 12 $134.70
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 25 25 $129.71
80069 14 14 $127.26
96368 27 25 $126.21
90380 22 22 $125.58
3075F 13,208 12,093 $117.71
94727 12 12 $115.83
86705 13 13 $114.07
98968 30 30 $101.47
82085 18 15 $101.46
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 385 358 $97.08
J1071 Injection, testosterone cypionate, 1 mg 40 24 $97.05
82010 89 82 $93.25
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 28 28 $90.53
82310 28 25 $88.73
J1010 Injection, methylprednisolone acetate, 1 mg 12 12 $81.70
D0602 546 545 $77.43
80051 12 12 $72.29
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 12 12 $69.36
82397 17 17 $60.71
J2003 Injection, lidocaine hydrochloride, 1 mg 71 69 $52.98
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 1,061 967 $38.23
J7042 5% dextrose/normal saline (500 ml = 1 unit) 26 24 $33.77
J7614 Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg 63 59 $30.87
J0741 Injection, cabotegravir and rilpivirine, 2mg/3mg 30 30 $26.46
82962 256 242 $22.98
86141 53 53 $22.61
86701 63 63 $20.00
90685 22 22 $17.85
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 205 198 $14.23
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 57 57 $10.45
G0008 Administration of influenza virus vaccine 155 154 $8.70
80354 49 40 $5.05
3078F 52,457 41,497 $2.85
99024 58 57 $0.12
1160F 5,672 4,069 $0.01
3079F 11,785 10,752 $0.00
3080F 3,282 3,028 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 232 224 $0.00
3074F 46,191 36,992 $0.00
88720 116 100 $0.00
D1330 771 770 $0.00
D0601 644 644 $0.00
82270 53 51 $0.00
1220F 510 509 $0.00
3072F 33 33 $0.00
3044F 65 65 $0.00
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 40 40 $0.00
71020 12 12 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 17 17 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 7,293 7,265 $0.00
99499 4,942 3,523 $0.00
99080 3,818 675 $0.00
2022F 106 105 $0.00
3077F 9,428 8,313 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 86 85 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 66 66 $0.00
48510 25 25 $0.00
G0445 High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes 27 27 $0.00
99242 12 12 $0.00