Medicaid Provider Spending

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

CITY & COUNTY OF SAN FRANCISCO

NPI: 1083648810 · SAN FRANCISCO, CA 94110 · Case Manager/Care Coordinator · NPI assigned 07/10/2006

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

Authorized official ARNOLD, TIMOTHY controls 20+ related entities in our dataset. Read more

$56.42M
Total Medicaid Paid
2,389,041
Total Claims
2,075,876
Beneficiaries
642
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialARNOLD, TIMOTHY (DEPUTY DIRECTOR, PFS)
NPI Enumeration Date07/10/2006

Related Entities

Other providers sharing the same authorized official: ARNOLD, TIMOTHY

ProviderCityStateTotal Paid
CITY & COUNTY OF SAN FRANCISCO SAN FRANCISCO CA $56.23M
CITY & COUNTY OF SAN FRANCISCO SAN FRANCISCO CA $41.61M
CITY & COUNTY OF SAN FRANCISCO SAN FRANCISCO CA $34.89M
CITY & COUNTY OF SAN FRANCISCO SAN FRANCISCO CA $27.82M
CITY & COUNTY OF SAN FRANCISCO SAN FRANCISCO CA $19.08M
CITY & COUNTY OF SAN FRANCISCO SAN FRANCISCO CA $13.11M
CITY & COUNTY OF SAN FRANCISCO SAN FRANCISCO CA $8.87M
CITY & COUNTY OF SAN FRANCISCO SAN FRANCISCO CA $8.33M
CITY & COUNTY OF SAN FRANCISCO SAN FRANCISCO CA $7.99M
CITY & COUNTY OF SAN FRANCISCO SAN FRANCISCO CA $7.85M
CITY & COUNTY OF SAN FRANCISCO SAN FRANCISCO CA $6.57M
CITY & COUNTY OF SAN FRANCISCO SAN FRANCISCO CA $4.96M
CITY & COUNTY OF SAN FRANCISCO SAN FRANCISCO CA $4.91M
CITY & COUNTY OF SAN FRANCISCO SAN FRANCISCO CA $4.17M
CITY & COUNTY OF SAN FRANCISCO SAN FRANCISCO CA $3.85M
CITY & COUNTY OF SAN FRANCISCO SAN FRANCISCO CA $2.55M
CITY & COUNTY OF SAN FRANCISCO SAN FRANCISCO CA $2.08M
CITY & COUNTY OF SAN FRANCISCO SAN FRANCISCO CA $707K
CITY & COUNTY OF SAN FRANCISCO SAN FRANCISCO CA $664K
CITY & COUNTY OF SAN FRANCISCO SAN FRANCISCO CA $562K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 647,428 $2.66M
2019 471,333 $1.90M
2020 239,019 $1.05M
2021 249,394 $2.47M
2022 264,015 $6.28M
2023 266,582 $17.05M
2024 251,270 $25.00M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2033 Residential care, not otherwise specified (nos), waiver; per diem 14,584 964 $10.07M
G9008 Coordinated care fee, physician coordinated care oversight services 12,172 3,713 $6.16M
0760 87,873 77,697 $3.90M
G9012 Other specified case management service not elsewhere classified 7,765 2,624 $3.71M
H0014 Alcohol and/or drug services; ambulatory detoxification 3,570 1,874 $3.27M
H0043 Supported housing, per diem 2,620 2,549 $2.70M
J9271 Injection, pembrolizumab, 1 mg 163 69 $1.18M
99281 Emergency department visit for the evaluation and management, self-limited or minor 68,217 61,698 $1.12M
0450 Emergency room services 13,841 12,569 $889K
87536 11,890 11,664 $865K
Q5103 Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg 456 402 $772K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 155,448 143,769 $595K
90750 1,326 1,326 $576K
90677 2,223 2,220 $563K
Q5115 Injection, rituximab-abbs, biosimilar, (truxima), 10 mg 116 64 $550K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 85,353 79,720 $535K
Z7502 13,488 13,364 $512K
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" 118,578 52,400 $477K
80053 Comprehensive metabolic panel 55,207 53,070 $447K
83036 Hemoglobin; glycosylated (A1C) 53,794 53,515 $414K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 25,825 25,387 $412K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 15,891 14,144 $408K
Q5111 Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg 114 82 $406K
90651 3,524 3,514 $393K
80048 Basic metabolic panel (calcium, ionized) 62,074 58,748 $368K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 24,687 23,352 $363K
80061 Lipid panel 35,312 35,161 $362K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 5,708 5,550 $333K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 70,650 68,207 $331K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 12,253 11,164 $324K
0002A 11,929 11,928 $307K
0001A 12,577 12,576 $300K
88305 Level IV - Surgical pathology, gross and microscopic examination 6,522 6,435 $269K
0270 8,829 3,980 $250K
90739 696 693 $238K
84443 Thyroid stimulating hormone (TSH) 21,501 21,206 $224K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 6,584 4,916 $204K
86780 13,132 12,764 $202K
J9217 Leuprolide acetate (for depot suspension), 7.5 mg 185 183 $200K
90715 6,930 6,875 $190K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 4,514 2,657 $186K
82803 12,501 11,418 $185K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 9,387 8,548 $184K
90832 Psychotherapy, 30 minutes with patient 2,827 2,033 $178K
74177 Computed tomography, abdomen and pelvis; with contrast material 3,442 3,398 $171K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,369 1,976 $166K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 2,811 2,809 $163K
70450 Computed tomography, head or brain; without contrast material 3,704 3,511 $159K
0004A 6,052 6,050 $153K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 65 65 $152K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 10,858 10,815 $146K
Z7610 23,264 4,242 $144K
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 2,238 1,795 $132K
86803 12,715 12,678 $130K
90791 Psychiatric diagnostic evaluation 575 544 $130K
J0561 Injection, penicillin g benzathine, 100,000 units 715 615 $128K
92250 7,732 7,031 $128K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 3,434 3,130 $126K
82105 3,420 3,383 $126K
88142 9,116 9,096 $121K
J3490 Unclassified drugs 13,424 9,148 $120K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 220,488 166,256 $113K
77067 Screening mammography, bilateral, including computer-aided detection 3,794 3,793 $113K
67028 Intravitreal injection of a pharmacologic agent 902 829 $107K
99283 Emergency department visit for the evaluation and management, moderate severity 3,291 2,856 $101K
J1050 Injection, medroxyprogesterone acetate, 1 mg 2,368 2,167 $100K
72125 Computed tomography, cervical spine; without contrast material 1,558 1,490 $99K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 31,959 31,559 $99K
0361 661 454 $95K
71046 Radiologic examination, chest; 2 views 11,023 10,658 $95K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 5,845 5,679 $93K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2,602 2,409 $92K
99199 Unlisted special service, procedure or report 3,785 3,447 $91K
71260 Computed tomography, thorax, diagnostic; with contrast material 2,143 2,096 $91K
96375 Therapeutic injection; each additional sequential IV push 4,557 4,316 $88K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,635 2,399 $88K
80076 21,665 20,694 $86K
85027 24,625 24,105 $83K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 3,931 3,913 $82K
74183 437 435 $81K
99188 3,163 3,146 $79K
99201 1,381 924 $75K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 158 158 $75K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,497 1,278 $71K
92134 7,777 7,404 $70K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,905 1,890 $67K
82728 6,785 6,716 $66K
86361 4,598 4,569 $65K
Z9725 1,504 1,335 $65K
90686 14,231 14,204 $63K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 5,690 5,613 $63K
0710 1,816 1,643 $62K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,324 2,275 $61K
90619 890 886 $60K
59840 1,218 1,113 $59K
0360 495 251 $59K
83605 6,719 6,394 $58K
99284 Emergency department visit for the evaluation and management, high severity 2,132 1,902 $58K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 14,480 13,759 $58K
87340 9,299 9,212 $57K
0510 6,632 5,771 $57K
90716 2,266 2,256 $57K
87086 Culture, bacterial; quantitative colony count, urine 13,106 12,573 $56K
J1380 Injection, estradiol valerate, up to 10 mg 1,278 612 $55K
59025 Fetal non-stress test 3,900 2,812 $55K
0124A 2,158 2,158 $55K
0064A 2,180 2,180 $54K
90707 2,134 2,127 $53K
87517 3,328 3,294 $52K
88304 1,964 1,853 $52K
0761 759 649 $52K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1,125 757 $52K
86706 8,230 8,202 $51K
59425 586 373 $49K
71045 Radiologic examination, chest; single view 8,970 8,697 $49K
87088 12,997 12,466 $49K
0516 4,097 3,822 $47K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,143 2,033 $47K
97039 12,213 6,812 $47K
Z7500 1,712 1,325 $46K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,944 1,268 $45K
90834 Psychotherapy, 45 minutes with patient 919 684 $45K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 505 500 $44K
92523 864 661 $44K
81025 16,110 15,418 $43K
82274 5,945 5,931 $43K
82043 11,509 11,427 $42K
86141 7,026 6,873 $41K
90656 2,098 2,097 $40K
H1001 Prenatal care, at-risk enhanced service; antepartum management 970 719 $40K
86704 4,868 4,847 $40K
82570 13,276 13,085 $40K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 3,097 2,944 $39K
76801 395 374 $39K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,013 744 $39K
87522 Neg quan hep c or qual rna 2,876 2,831 $39K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 5,685 3,862 $37K
0071A 1,401 1,400 $36K
0072A 1,373 1,373 $36K
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg 543 257 $35K
73630 3,408 3,228 $35K
83690 9,995 9,416 $35K
92133 2,936 2,385 $34K
97139 1,162 716 $34K
83970 2,135 2,090 $33K
90633 3,906 3,887 $33K
88112 995 975 $33K
11721 1,873 1,535 $32K
84466 4,631 4,572 $32K
86360 1,577 1,570 $31K
90670 4,736 4,716 $31K
76813 585 543 $31K
86708 5,125 5,110 $31K
84439 5,900 5,758 $31K
84484 5,933 5,392 $30K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,983 1,949 $30K
99152 2,761 2,716 $30K
84153 2,560 2,529 $30K
J2400 Injection, chloroprocaine hydrochloride, per 30 ml 1,374 1,054 $29K
96523 1,930 1,340 $28K
96361 Intravenous infusion, hydration; each additional hour 2,176 1,873 $28K
0012A 1,118 1,118 $28K
59841 566 551 $28K
82948 15,323 13,100 $27K
70486 623 615 $27K
0011A 1,340 1,340 $27K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,325 968 $27K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,711 1,155 $27K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 511 507 $26K
86592 17,750 17,472 $26K
81001 15,652 14,928 $26K
99232 Subsequent hospital care, per day, moderate complexity 197 194 $26K
99215 Prolong outpt/office vis 3,781 3,626 $26K
86762 2,237 2,224 $26K
73130 2,237 2,099 $25K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 226 226 $24K
90680 3,170 3,149 $24K
72141 374 371 $24K
81002 14,491 13,525 $24K
90472 Immunization administration, each additional vaccine (list separately) 1,319 1,310 $23K
70551 Magnetic resonance imaging, brain; without contrast material 510 509 $23K
72100 1,901 1,870 $23K
85610 13,364 12,411 $23K
86787 2,130 2,115 $23K
J3010 Injection, fentanyl citrate, 0.1 mg 7,294 6,910 $22K
80074 227 227 $22K
83880 2,954 2,750 $22K
85730 7,351 7,098 $21K
90647 3,390 3,367 $21K
97750 3,675 3,392 $20K
73030 2,133 2,069 $20K
92002 886 882 $20K
J2250 Injection, midazolam hydrochloride, per 1 mg 8,589 6,596 $20K
88141 1,894 1,893 $19K
83735 7,931 6,690 $19K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 277 259 $19K
73110 1,719 1,555 $18K
84403 1,448 1,414 $18K
59430 1,416 1,300 $18K
80069 3,787 3,553 $18K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,694 1,267 $18K
0134A 716 716 $18K
83655 4,875 4,854 $18K
83540 5,431 5,360 $18K
0031A 664 664 $17K
99070 726 417 $17K
90837 Psychotherapy, 53 minutes with patient 364 315 $17K
87081 3,874 3,832 $17K
90723 3,171 3,145 $17K
97597 380 306 $17K
83020 1,198 1,171 $16K
0003A 622 622 $16K
96110 Developmental screening, with scoring and documentation, per standardized instrument 267 259 $16K
86901 6,422 6,040 $16K
87529 160 158 $16K
59426 9,998 6,645 $16K
86850 3,728 3,510 $15K
20610 574 551 $15K
87077 2,704 2,621 $15K
70355 2,005 1,950 $15K
76830 Ultrasound, transvaginal 1,125 1,090 $15K
82607 3,362 3,353 $15K
97802 3,488 2,995 $15K
71250 804 785 $15K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,131 1,100 $15K
93976 416 413 $14K
86900 6,485 6,102 $14K
87430 2,337 2,321 $13K
29581 2,378 761 $13K
90700 1,461 1,452 $13K
99401 4,184 3,351 $13K
97165 141 115 $12K
90697 498 495 $12K
90746 976 973 $12K
92015 Determination of refractive state 2,418 2,411 $12K
82248 4,045 3,952 $12K
87210 3,471 3,398 $12K
70498 168 166 $11K
90710 1,263 1,260 $11K
73610 1,578 1,502 $11K
73562 1,121 1,111 $11K
96900 566 111 $11K
76700 Ultrasound, abdominal, real time with image documentation; complete 1,688 1,670 $11K
84460 4,644 4,345 $11K
J1885 Injection, ketorolac tromethamine, per 15 mg 2,802 2,682 $10K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,655 3,622 $10K
73564 1,245 1,218 $10K
92558 1,390 1,150 $9K
96415 2,048 1,562 $9K
90696 1,191 1,188 $9K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 263 263 $9K
90713 327 291 $9K
92083 1,009 867 $9K
85018 4,599 4,289 $8K
84132 7,251 6,608 $8K
J0696 Injection, ceftriaxone sodium, per 250 mg 3,013 2,751 $8K
A4268 Contraceptive supply, condom, female, each 755 748 $8K
82947 3,929 3,815 $8K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 834 819 $8K
84295 6,488 6,071 $8K
85014 7,807 7,388 $8K
J8540 Dexamethasone, oral, 0.25 mg 2,337 1,342 $8K
J0881 Injection, darbepoetin alfa, 1 microgram (non-esrd use) 23 13 $8K
85652 5,901 5,779 $8K
87186 2,274 2,210 $8K
52000 80 80 $8K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 18,119 14,739 $8K
84450 3,259 2,962 $8K
93971 514 500 $7K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 2,301 1,440 $7K
73080 818 789 $7K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,507 1,450 $7K
90714 255 255 $7K
82610 261 259 $7K
76998 52 52 $7K
86580 2,034 1,937 $7K
83516 1,170 1,151 $7K
90732 510 500 $6K
P9057 Red blood cells, frozen/deglycerolized/washed, leukocytes reduced, irradiated, each unit 56 26 $6K
86160 776 679 $6K
86593 2,146 2,051 $6K
82950 1,531 1,525 $6K
77066 Tomosynthesis, mammo 447 447 $6K
84702 2,013 1,781 $6K
88342 558 525 $6K
86038 1,340 1,333 $6K
76770 669 662 $6K
88312 1,033 695 $6K
76642 885 874 $6K
H1011 Family assessment by licensed behavioral health professional for state defined purposes 66 66 $6K
73502 836 823 $6K
J2405 Injection, ondansetron hydrochloride, per 1 mg 4,158 3,821 $5K
99241 814 785 $5K
45380 Colonoscopy, flexible; with biopsy, single or multiple 509 505 $5K
36415 Collection of venous blood by venipuncture 12,799 11,062 $5K
73120 948 931 $5K
84481 1,314 1,285 $5K
J2560 Injection, phenobarbital sodium, up to 120 mg 175 148 $5K
84100 3,646 3,383 $5K
86682 259 255 $5K
86765 581 573 $5K
36000 3,465 2,454 $5K
74176 Computed tomography, abdomen and pelvis; without contrast material 223 220 $5K
73100 632 618 $5K
73560 1,145 1,116 $5K
93247 24 23 $5K
87631 424 422 $5K
81003 4,116 4,002 $5K
86480 809 804 $4K
87070 1,353 1,309 $4K
70496 108 106 $4K
J2704 Injection, propofol, 10 mg 1,216 568 $4K
82565 4,945 4,396 $4K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 1,423 1,257 $4K
84156 2,306 2,222 $4K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,111 1,746 $4K
72052 112 112 $4K
Z1034 57 55 $4K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 472 438 $4K
96417 1,013 707 $4K
0082A 146 146 $4K
J1756 Injection, iron sucrose, 1 mg 99 13 $4K
99153 Mod sedat endo service >5yrs 601 597 $4K
29125 500 351 $4K
J2401 Injection, chloroprocaine hydrochloride, per 1 mg 342 109 $4K
73620 608 596 $4K
86735 456 450 $4K
94729 843 843 $4K
87177 1,131 723 $3K
82550 1,378 1,293 $3K
73600 534 521 $3K
J9190 Injection, fluorouracil, 500 mg 85 37 $3K
87209 219 147 $3K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 3,351 3,097 $3K
90744 226 226 $3K
90480 121 121 $3K
58300 430 426 $3K
82784 770 741 $3K
84165 1,169 1,058 $3K
88173 284 276 $3K
73590 667 643 $3K
76536 463 461 $3K
86920 138 124 $3K
83001 441 439 $3K
0034A 108 108 $3K
87205 1,833 1,768 $3K
94010 1,093 1,091 $3K
94726 657 657 $3K
77063 Screening digital breast tomosynthesis, bilateral 1,210 1,210 $3K
83883 766 581 $3K
70491 71 70 $3K
0154A 99 99 $3K
84999 710 650 $3K
73090 499 470 $2K
77065 Tomosynthesis, mammo 251 251 $2K
84146 721 716 $2K
12011 248 246 $2K
0074A 90 90 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 963 931 $2K
92551 3,063 3,063 $2K
83021 632 628 $2K
72170 452 439 $2K
86677 886 880 $2K
99173 3,864 3,857 $2K
84550 1,630 1,564 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 882 880 $2K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 352 348 $2K
J1170 Injection, hydromorphone, up to 4 mg 877 764 $2K
82247 1,792 1,328 $2K
93000 551 525 $2K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,238 1,153 $2K
90381 86 86 $2K
H1003 Prenatal care, at-risk enhanced service; education 1,870 1,074 $2K
84154 152 152 $2K
74178 118 118 $2K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 227 225 $2K
87040 636 591 $2K
72070 267 267 $2K
0013A 75 75 $2K
85045 871 844 $2K
J2919 Injection, methylprednisolone sodium succinate, 5 mg 80 76 $2K
76870 285 281 $2K
86225 447 441 $2K
87902 207 204 $2K
99205 Prolong outpt/office vis 712 689 $2K
88313 242 235 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 204 204 $2K
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,948 1,883 $2K
J0461 Injection, atropine sulfate, 0.01 mg 1,301 1,241 $2K
90660 70 70 $2K
83615 852 794 $2K
J0780 Injection, prochlorperazine, up to 10 mg 562 541 $2K
97803 241 234 $2K
94060 405 403 $2K
73552 195 187 $2K
99381 315 308 $2K
0112A 62 62 $2K
10060 310 308 $2K
73221 57 57 $2K
88143 865 863 $2K
H1002 Prenatal care, at risk enhanced service; care coordination 1,547 1,480 $2K
36400 1,338 1,278 $2K
72040 401 398 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 413 409 $2K
J1610 Injection, glucagon hydrochloride, per 1 mg 98 98 $1K
91320 15 15 $1K
99218 63 63 $1K
86705 107 107 $1K
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 203 200 $1K
12001 243 237 $1K
J2060 Injection, lorazepam, 2 mg 828 772 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 781 741 $1K
93229 460 458 $1K
0081A 48 48 $1K
72156 14 14 $1K
93970 26 26 $1K
82977 509 504 $1K
29705 331 313 $1K
J3475 Injection, magnesium sulfate, per 500 mg 335 224 $1K
72146 14 13 $1K
11056 130 116 $1K
94664 89 88 $1K
90734 1,362 1,355 $1K
88307 84 79 $1K
87252 289 281 $1K
73700 26 25 $1K
73522 214 214 $1K
85651 705 701 $1K
85379 482 476 $1K
83718 666 666 $1K
93975 13 12 $983.45
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose 211 191 $969.16
87045 525 520 $965.69
97166 12 12 $906.56
0250 488 355 $905.13
J2310 Injection, naloxone hydrochloride, per 1 mg 788 763 $887.57
74018 205 188 $875.49
99282 Emergency department visit for the evaluation and management, low to moderate severity 446 393 $874.78
J3489 Injection, zoledronic acid, 1 mg 103 98 $856.41
Z7512 69 69 $848.65
93246 25 24 $827.69
A9578 Injection, gadobenate dimeglumine (multihance multipack), per ml 47 45 $792.93
85008 3,261 3,130 $775.91
82330 268 251 $773.58
73140 267 260 $752.20
99244 Office or other outpatient consultation, moderate to high complexity 112 112 $747.28
96368 22 14 $721.90
91318 27 27 $702.00
J2270 Injection, morphine sulfate, up to 10 mg 131 123 $691.52
74175 95 95 $681.87
J0131 Injection, acetaminophen, not otherwise specified,10 mg 553 540 $681.18
J1815 Injection, insulin, per 5 units 371 309 $642.58
73060 148 138 $641.93
87147 1,113 1,084 $638.53
29126 207 183 $599.34
99417 Prolong home eval add 15m 150 109 $596.28
86769 145 145 $589.82
86431 510 510 $588.62
87046 1,045 520 $555.18
17250 13 12 $524.17
J7030 Infusion, normal saline solution , 1000 cc 3,348 2,001 $521.21
16020 99 97 $498.31
82670 175 173 $496.48
96402 396 382 $488.22
92553 13 13 $481.77
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 790 610 $467.61
82810 244 224 $459.95
93930 14 14 $446.65
90672 170 169 $446.40
87220 450 444 $440.86
87493 135 131 $412.42
86709 26 26 $406.49
80320 290 268 $404.94
87102 302 294 $403.92
17110 30 28 $399.12
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 49 49 $398.59
70544 25 25 $396.80
29515 59 51 $395.08
86364 18 18 $394.59
71020 16 16 $394.12
S0020 Injection, bupivicaine hydrochloride, 30 ml 371 368 $391.08
83520 26 26 $390.10
82040 802 776 $381.98
90853 Group psychotherapy (other than of a multiple-family group) 51 29 $381.89
V5010 Assessment for hearing aid 50 50 $377.95
99403 21 12 $373.86
87427 512 506 $368.69
11055 110 102 $362.13
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 28 26 $358.16
58301 83 52 $356.02
84075 115 112 $355.08
83002 181 180 $348.80
82378 165 155 $347.66
84155 677 661 $345.19
0173A 13 13 $338.00
96156 159 155 $337.72
96150 249 208 $337.18
87350 398 395 $336.38
86256 53 51 $328.98
86359 61 61 $325.00
96401 461 220 $320.86
J7050 Infusion, normal saline solution, 250 cc 2,763 1,786 $318.62
94662 135 127 $306.74
86039 193 188 $300.20
51798 123 123 $296.00
92557 79 79 $293.05
93270 48 48 $291.03
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 267 251 $284.11
87075 169 160 $283.60
96151 290 250 $277.38
82310 287 277 $271.11
69210 94 88 $268.74
90658 53 51 $249.70
11100 61 61 $246.96
J2765 Injection, metoclopramide hcl, up to 10 mg 216 207 $236.31
82103 118 118 $235.06
J0690 Injection, cefazolin sodium, 500 mg 80 39 $233.26
J2210 Injection, methylergonovine maleate, up to 0.2 mg 12 12 $232.69
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 57 55 $223.84
57452 34 18 $223.26
82390 171 171 $216.15
73000 32 27 $199.22
92567 46 46 $197.46
36416 516 444 $193.97
89051 116 110 $185.31
72131 12 12 $181.19
51741 42 42 $181.05
76857 47 45 $180.78
86200 156 156 $177.50
J1644 Injection, heparin sodium, per 1000 units 333 232 $176.55
93225 90 90 $171.08
J1630 Injection, haloperidol, up to 5 mg 109 102 $169.91
86707 191 191 $168.85
92020 24 24 $162.66
99242 12 12 $162.48
99383 83 83 $157.08
76604 13 13 $156.36
87116 147 92 $145.92
76000 88 69 $129.96
S0191 Misoprostol, oral, 200 mcg 172 171 $124.23
29075 14 14 $118.55
94750 73 73 $113.75
31575 16 16 $110.55
80164 58 54 $110.23
99243 14 14 $108.98
76514 121 116 $103.18
81381 13 12 $102.97
86235 27 26 $102.90
84270 87 87 $101.04
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,053 608 $99.35
59200 13 12 $93.60
90688 929 924 $92.68
97168 337 335 $87.32
99078 20 16 $86.59
94760 67 66 $80.20
97810 15 12 $80.00
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 27 26 $79.07
77062 14 14 $78.07
84202 39 39 $76.80
99245 14 14 $76.27
86003 15 14 $75.00
87206 131 79 $74.69
87329 83 81 $74.52
84402 77 77 $71.00
17000 13 13 $69.80
17340 14 13 $53.40
80185 34 30 $53.07
J3360 Injection, diazepam, up to 5 mg 47 46 $52.60
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 54 43 $51.52
93922 14 14 $50.82
J9000 Injection, doxorubicin hydrochloride, 10 mg 19 14 $50.64
82652 14 14 $49.40
88172 25 25 $48.32
96416 60 37 $46.19
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 42 41 $45.02
86304 24 24 $37.42
58100 12 12 $25.00
J1071 Injection, testosterone cypionate, 1 mg 90 53 $22.40
88311 17 17 $22.39
J1940 Injection, furosemide, up to 20 mg 39 38 $21.42
82435 30 29 $20.17
10061 12 12 $20.00
96411 105 73 $17.96
82374 28 28 $17.86
83986 14 13 $12.96
87338 269 269 $12.92
86800 24 24 $11.55
94150 568 568 $11.02
J7060 5% dextrose/water (500 ml = 1 unit) 199 93 $8.39
82143 41 25 $8.36
J3370 Injection, vancomycin hcl, 500 mg 14 14 $7.22
84520 30 30 $4.82
59050 147 139 $3.00
95004 Percutaneous tests with allergenic extracts, immediate type reaction 38 38 $2.97
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 181 174 $2.56
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 100 100 $2.38
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen 14 12 $0.16
99451 2,885 2,865 $0.00
0250R 2,070 1,695 $0.00
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 117 87 $0.00
D0120 Periodic oral evaluation - established patient 24 24 $0.00
99402 34 34 $0.00
94200 139 139 $0.00
96376 94 89 $0.00
99384 27 27 $0.00
D0230 Intraoral - periapical each additional radiographic image 17 16 $0.00
97162 79 79 $0.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 635 236 $0.00
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 143 139 $0.00
00000 75 66 $0.00
92522 19 13 $0.00
86702 16 13 $0.00
G0008 Administration of influenza virus vaccine 34 34 $0.00
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 42 40 $0.00
96409 56 37 $0.00
92700 155 133 $0.00
V2632 Posterior chamber intraocular lens 12 12 $0.00
31231 12 12 $0.00
86701 16 13 $0.00
D1310 16 16 $0.00
D0272 Bitewings - two radiographic images 16 16 $0.00
87015 22 13 $0.00
D1206 Topical application of fluoride varnish 21 21 $0.00
J2505 Injection, pegfilgrastim, 6 mg 15 14 $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 207 206 $0.00
97530 Therapeutic activities, direct patient contact, each 15 minutes 529 425 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 182 181 $0.00
11720 12 12 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 154 145 $0.00
90685 12 12 $0.00
0272R 2,036 1,051 $0.00
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 323 236 $0.00
99382 77 77 $0.00
D0220 Intraoral - periapical first radiographic image 17 16 $0.00
90662 34 34 $0.00
99404 165 142 $0.00
D1120 Prophylaxis - child 18 18 $0.00
0296T 42 42 $0.00
93024 18 18 $0.00
97116 30 26 $0.00
85999 13 13 $0.00
97161 26 26 $0.00