Medicaid Provider Spending

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

CHILDRENS HOSPITAL OF LOS ANGELES

NPI: 1124073366 · LOS ANGELES, CA 90027 · Urgent Care Clinic/Center · NPI assigned 05/24/2006

$136.95M
Total Medicaid Paid
2,945,648
Total Claims
2,499,979
Beneficiaries
602
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLIEBERENZ, MAX (SR.VP/CFO)
NPI Enumeration Date05/24/2006

Related Entities

Other providers sharing the same authorized official: LIEBERENZ, MAX

ProviderCityStateTotal Paid
CHILDREN'S HOSPITAL LOS ANGELES LOS ANGELES CA $8.17M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 460,880 $17.20M
2019 440,824 $17.91M
2020 346,443 $12.87M
2021 386,369 $14.56M
2022 371,136 $18.19M
2023 497,533 $29.90M
2024 442,463 $26.31M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0123 3,159 3,050 $21.92M
0450 Emergency room services 216,286 200,698 $11.84M
Z7500 256,280 235,390 $8.67M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 8,140 7,563 $6.79M
Z6020 19,924 1,756 $5.16M
0636 7,816 7,249 $3.67M
70551 Magnetic resonance imaging, brain; without contrast material 7,479 7,108 $3.09M
Z4300 29,438 25,786 $3.03M
95782 2,968 2,930 $2.53M
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 25,421 24,113 $1.96M
99281 Emergency department visit for the evaluation and management, self-limited or minor 26,961 22,965 $1.69M
P9016 Red blood cells, leukocytes reduced, each unit 3,013 2,384 $1.60M
0360 9,861 7,093 $1.57M
0515 125,695 115,013 $1.42M
Z4307 37,497 34,254 $1.42M
Z7610 103,200 66,616 $1.25M
99199 Unlisted special service, procedure or report 34,808 32,010 $1.24M
80053 Comprehensive metabolic panel 103,996 83,612 $1.24M
Z4308 17,572 17,333 $1.17M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 5,739 5,638 $1.12M
Z4301 30,596 28,480 $1.11M
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 3,403 3,355 $1.10M
87799 16,428 10,533 $1.10M
Z4303 25,075 19,757 $1.09M
95810 Polysomnography; sleep staging with 4 or more additional parameters 4,453 4,400 $1.08M
J0490 Injection, belimumab, 10 mg 617 439 $1.08M
J0131 Injection, acetaminophen, not otherwise specified,10 mg 3,910 3,819 $1.03M
Z4304 13,337 13,179 $1.03M
93975 5,654 5,451 $962K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1,893 1,762 $942K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 5,449 5,399 $929K
Z7502 24,659 24,520 $911K
72141 1,684 1,549 $884K
93325 6,910 6,821 $874K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 12,984 9,833 $835K
J3490 Unclassified drugs 57,117 42,410 $813K
72146 1,521 1,391 $807K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 9,166 6,974 $785K
0270 74,206 64,376 $784K
Z4311 52,562 46,382 $748K
87497 15,050 9,663 $718K
76770 9,217 9,153 $694K
71046 Radiologic examination, chest; 2 views 20,823 20,016 $669K
72156 645 540 $634K
Z4310 44,290 37,650 $607K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 74,434 64,178 $599K
97799 17,694 6,777 $597K
0760 26,240 24,177 $570K
Z7506 4,245 3,776 $567K
70450 Computed tomography, head or brain; without contrast material 3,634 3,535 $545K
X4303 7,855 2,822 $502K
72158 506 403 $499K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,845 1,703 $494K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 22,169 21,870 $483K
J1439 Injection, ferric carboxymaltose, 1 mg 237 201 $477K
72157 479 410 $455K
Q3014 Telehealth originating site facility fee 20,403 19,877 $449K
93320 5,497 5,448 $443K
97139 14,213 4,751 $439K
99283 Emergency department visit for the evaluation and management, moderate severity 2,627 2,502 $414K
99231 Subsequent hospital care, per day, straightforward or low complexity 12,073 11,214 $412K
X4500 4,327 4,029 $406K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 16,264 15,809 $382K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 5,193 5,032 $369K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 9,354 8,955 $358K
Z5406 18,184 12,085 $345K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 6,633 6,156 $343K
76705 Ultrasound, abdominal, real time with image documentation; limited 6,131 5,904 $327K
70543 1,105 834 $320K
83036 Hemoglobin; glycosylated (A1C) 25,614 25,033 $314K
J1745 Injection, infliximab, excludes biosimilar, 10 mg 201 173 $311K
94729 6,313 6,221 $304K
72142 431 402 $300K
X3908 8,901 3,534 $294K
0761 11,653 11,113 $289K
92587 6,637 6,551 $283K
94726 6,370 6,267 $279K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 10,596 10,096 $272K
84443 Thyroid stimulating hormone (TSH) 15,864 15,630 $272K
74183 840 737 $263K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 814 768 $260K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 7,411 7,169 $254K
76700 Ultrasound, abdominal, real time with image documentation; complete 3,246 3,193 $249K
80197 16,382 10,081 $249K
J2704 Injection, propofol, 10 mg 13,072 11,838 $246K
J2997 Injection, alteplase recombinant, 1 mg 2,848 344 $244K
96450 873 792 $236K
96375 Therapeutic injection; each additional sequential IV push 7,162 4,375 $231K
72149 340 311 $230K
72147 339 310 $230K
72197 758 643 $229K
0710 9,054 8,819 $227K
95812 5,203 5,139 $220K
X4530 4,606 4,588 $217K
94642 1,240 1,214 $217K
J1569 Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg 157 80 $204K
Z4312 15,854 15,446 $202K
74019 6,673 6,413 $200K
85027 29,212 24,192 $198K
99234 2,746 2,504 $192K
T1014 Telehealth transmission, per minute, professional services bill separately 29,513 27,075 $183K
J1459 Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg 153 78 $180K
X4110 5,967 2,912 $179K
74177 Computed tomography, abdomen and pelvis; with contrast material 700 692 $178K
X3920 3,463 3,398 $172K
83735 23,319 15,728 $172K
92582 4,362 4,318 $168K
86945 3,049 2,412 $160K
97802 3,266 3,156 $160K
87086 Culture, bacterial; quantitative colony count, urine 19,368 18,048 $158K
84439 16,152 15,853 $150K
X3910 7,884 3,197 $149K
J2405 Injection, ondansetron hydrochloride, per 1 mg 12,793 11,424 $145K
84100 26,696 17,920 $142K
0127 14 13 $142K
83970 3,070 2,919 $139K
92567 5,184 5,161 $136K
X4301 1,335 1,334 $125K
76536 1,947 1,903 $125K
86140 21,318 20,481 $123K
Q4081 Injection, epoetin alfa, 100 units (for esrd on dialysis) 18,062 1,369 $123K
86480 2,459 2,442 $123K
82728 9,522 8,512 $122K
Z7512 4,604 4,300 $120K
97750 2,920 2,164 $118K
X4100 2,391 2,377 $118K
96409 4,515 3,344 $117K
87505 868 844 $112K
X3922 2,319 2,285 $107K
J1644 Injection, heparin sodium, per 1000 units 19,897 1,695 $106K
92579 4,232 4,193 $106K
72080 3,950 3,881 $105K
85007 27,390 22,527 $101K
99000 25,041 23,544 $100K
71250 402 378 $98K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 15,683 7,444 $98K
82977 12,900 10,016 $96K
0250 11,765 10,649 $96K
86352 1,104 1,093 $95K
94010 6,118 6,033 $95K
Q5103 Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg 165 160 $95K
J3010 Injection, fentanyl citrate, 0.1 mg 5,428 5,199 $91K
96361 Intravenous infusion, hydration; each additional hour 3,948 3,677 $90K
84703 12,722 11,125 $87K
69210 6,460 6,227 $87K
X4112 4,568 2,331 $87K
Z5999 93 84 $86K
J9370 Vincristine sulfate, 1 mg 6,979 4,288 $85K
97165 2,134 1,361 $85K
0259 16,370 13,894 $84K
80061 Lipid panel 6,653 6,544 $83K
73610 3,162 3,002 $83K
87650 5,249 5,120 $81K
73080 2,558 2,277 $80K
X4102 1,666 1,649 $80K
74455 1,190 1,181 $79K
41899 Unlisted procedure, dentoalveolar structures 131 128 $77K
72170 3,673 3,613 $77K
J2270 Injection, morphine sulfate, up to 10 mg 3,475 3,069 $77K
Z4302 5,347 5,314 $76K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,999 3,678 $76K
85045 18,298 15,899 $76K
81003 30,233 28,814 $76K
99284 Emergency department visit for the evaluation and management, high severity 5,108 4,874 $75K
G0390 Trauma response team associated with hospital critical care service 70 67 $75K
99221 1,786 1,696 $75K
X3926 2,455 1,060 $74K
83550 10,207 9,249 $74K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,577 1,406 $73K
86360 1,369 1,069 $72K
J2501 Injection, paricalcitol, 1 mcg 16,367 1,345 $71K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,597 1,559 $71K
73090 3,382 2,800 $69K
75561 237 198 $68K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,503 1,461 $68K
87077 7,976 7,580 $68K
86353 181 168 $67K
87040 3,099 2,885 $64K
83519 3,485 3,417 $64K
70486 422 422 $63K
86923 1,742 1,433 $63K
84305 3,749 3,733 $63K
J0696 Injection, ceftriaxone sodium, per 250 mg 2,483 2,223 $63K
88185 215 203 $63K
86356 2,022 1,500 $62K
87631 932 895 $61K
97803 1,399 1,310 $61K
82784 6,560 4,116 $60K
J0690 Injection, cefazolin sodium, 500 mg 2,340 2,163 $59K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,710 684 $59K
92557 1,168 1,028 $59K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,683 1,638 $59K
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg 3,982 662 $57K
73590 2,639 2,297 $57K
92555 4,359 4,318 $55K
J3380 Injection, vedolizumab, intravenous, 1 mg 47 12 $55K
92250 760 736 $54K
74018 2,724 2,586 $54K
86359 1,267 1,046 $54K
73630 2,133 2,048 $54K
85652 18,433 17,777 $53K
86922 1,130 910 $53K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 4,240 3,880 $53K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,778 5,542 $52K
0203 12 12 $52K
Z5918 2,354 2,352 $51K
73130 1,583 1,532 $51K
J1885 Injection, ketorolac tromethamine, per 15 mg 3,851 3,608 $50K
86850 5,548 4,358 $50K
86160 2,212 2,102 $49K
83020 3,197 2,921 $48K
86355 1,752 1,363 $47K
82803 3,157 3,044 $47K
73562 1,724 1,683 $47K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 1,103 1,061 $47K
82330 3,351 3,202 $46K
J2250 Injection, midazolam hydrochloride, per 1 mg 3,069 2,959 $45K
A4649 Surgical supply; miscellaneous 1,652 1,318 $44K
J3262 Injection, tocilizumab, 1 mg 173 56 $44K
T1024 Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter 1,752 1,582 $44K
86905 2,003 1,646 $43K
96040 837 834 $43K
94060 1,558 1,535 $42K
G0378 Hospital observation service, per hour 2,013 1,928 $42K
81001 11,980 9,324 $41K
80048 Basic metabolic panel (calcium, ionized) 4,668 4,358 $41K
82670 2,458 2,418 $40K
82570 6,773 5,902 $40K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,621 1,456 $39K
77074 1,285 1,252 $39K
81229 178 178 $39K
12011 534 515 $38K
V5010 Assessment for hearing aid 501 501 $37K
86357 1,341 1,023 $37K
84403 3,407 3,362 $37K
0370 1,667 1,634 $36K
92588 500 492 $36K
84630 3,530 3,524 $35K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 785 309 $35K
99070 3,561 2,690 $35K
87186 4,363 4,185 $34K
99282 Emergency department visit for the evaluation and management, low to moderate severity 757 722 $34K
80299 1,719 1,605 $33K
84156 11,106 8,812 $32K
80306 1,638 1,585 $31K
83615 5,167 4,914 $31K
J9260 Injection, methotrexate sodium, 50 mg 3,856 2,759 $31K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 57 48 $30K
74160 113 111 $30K
71555 90 64 $30K
83880 1,235 1,153 $30K
87533 629 332 $30K
73110 1,118 1,083 $29K
97010 429 212 $29K
86003 443 439 $29K
P9035 Platelets, pheresis, leukocytes reduced, each unit 40 29 $28K
82947 6,098 5,798 $27K
83690 4,058 3,917 $27K
75565 676 509 $27K
70310 3,455 3,385 $26K
84255 1,520 1,520 $26K
36593 746 209 $26K
73100 1,464 1,254 $26K
86317 506 503 $26K
86900 5,609 4,382 $25K
95811 76 76 $25K
74181 40 40 $25K
85610 5,987 5,631 $25K
86920 663 527 $24K
82610 1,533 1,419 $24K
Z5932 509 508 $24K
73521 669 644 $24K
86225 1,555 1,496 $24K
93296 504 496 $24K
84445 557 554 $24K
82397 1,167 1,134 $24K
J0585 Injection, onabotulinumtoxina, 1 unit 14 14 $23K
82652 1,301 1,291 $23K
73070 1,502 1,228 $23K
85730 3,750 3,513 $23K
86769 557 532 $22K
86901 5,607 4,389 $22K
S0020 Injection, bupivicaine hydrochloride, 30 ml 2,470 2,361 $22K
90686 1,103 1,079 $21K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 2,807 2,720 $21K
82043 3,170 2,922 $20K
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 279 270 $20K
83516 1,505 1,416 $20K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 425 418 $20K
82542 784 764 $20K
80180 1,296 1,179 $20K
73140 1,330 1,243 $19K
87070 2,471 2,405 $19K
71045 Radiologic examination, chest; single view 830 812 $19K
86833 2,242 2,115 $18K
83002 2,511 2,489 $18K
88104 2,345 2,070 $18K
72040 570 551 $17K
72100 581 567 $17K
82157 775 764 $17K
84244 698 685 $17K
86832 2,039 1,920 $17K
84425 567 562 $17K
92060 1,962 1,946 $16K
84446 828 823 $16K
76881 238 235 $16K
81015 5,765 5,553 $16K
Z4314 588 573 $16K
73552 549 508 $16K
72081 698 696 $16K
83001 2,098 1,973 $16K
84590 975 970 $15K
Z5920 694 693 $15K
0002A 403 402 $15K
92570 800 758 $14K
0272 4,226 4,001 $14K
X4540 438 437 $14K
29125 1,139 1,102 $14K
83520 751 723 $14K
J7120 Ringers lactate infusion, up to 1000 cc 1,961 1,623 $14K
0001A 383 382 $13K
83498 939 919 $13K
87590 1,083 1,060 $13K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,130 3,089 $12K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 171 163 $12K
72082 357 357 $12K
93356 253 249 $12K
93225 263 261 $12K
73000 467 442 $11K
86706 946 920 $11K
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 404 261 $11K
0420 409 136 $11K
80195 1,138 788 $11K
84478 1,626 1,492 $10K
12001 162 151 $10K
82105 656 637 $10K
84295 2,695 2,598 $10K
84207 637 630 $10K
84132 2,671 2,581 $10K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 192 94 $9K
88184 215 203 $9K
82010 784 781 $9K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 440 412 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 626 590 $9K
82657 117 117 $9K
92556 680 678 $9K
70360 559 546 $9K
84484 822 756 $9K
84402 689 686 $9K
J1170 Injection, hydromorphone, up to 4 mg 350 253 $8K
96411 280 164 $8K
82024 682 666 $8K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 422 271 $8K
92700 250 248 $8K
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,183 1,000 $8K
82550 1,341 1,245 $8K
85014 3,611 3,502 $8K
90658 851 827 $8K
82785 635 631 $8K
95974 29 27 $7K
97116 277 173 $7K
0301 2,272 2,184 $7K
70355 867 850 $7K
76776 83 82 $7K
90656 417 416 $7K
84146 722 707 $7K
92550 550 535 $7K
73060 290 260 $7K
87340 570 551 $7K
88304 749 731 $7K
82533 310 303 $7K
92134 613 606 $6K
86341 318 315 $6K
77080 222 172 $6K
82525 579 576 $6K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 12 12 $6K
73560 224 209 $6K
Z7510 92 87 $5K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 74 73 $5K
73620 277 265 $5K
82379 281 280 $5K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 330 322 $5K
80201 301 301 $5K
95012 187 187 $5K
92133 420 420 $5K
92522 92 89 $5K
87205 1,251 1,209 $5K
74230 198 197 $5K
84520 911 797 $5K
77072 437 437 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 267 265 $4K
Z7504 92 81 $4K
0251 1,342 1,269 $4K
82139 213 203 $4K
73030 138 134 $4K
87081 658 647 $4K
85347 605 508 $4K
X4522 13 13 $4K
81479 Unlisted molecular pathology procedure 12 12 $4K
J0780 Injection, prochlorperazine, up to 10 mg 254 247 $4K
86803 225 221 $4K
93016 87 87 $4K
72070 116 116 $3K
86704 249 242 $3K
77334 18 12 $3K
83051 381 378 $3K
81243 61 61 $3K
70491 13 13 $3K
96415 79 37 $3K
0700 153 124 $3K
89051 1,816 1,602 $3K
Z4309 123 120 $3K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 167 116 $3K
93886 12 12 $3K
76825 41 39 $3K
76010 126 119 $3K
84550 784 729 $3K
82248 550 473 $3K
43760 68 59 $3K
86765 143 129 $3K
76827 54 50 $3K
93976 14 14 $3K
84681 137 136 $3K
70480 12 12 $3K
96112 16 16 $3K
84702 163 120 $3K
85379 265 236 $2K
54640 39 37 $2K
86592 172 171 $2K
76885 29 29 $2K
77336 47 24 $2K
97161 58 40 $2K
J9070 Cyclophosphamide, 100 mg 36 12 $2K
51701 45 41 $2K
84432 91 83 $2K
76512 56 56 $2K
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 643 632 $2K
92504 175 173 $2K
87252 27 27 $2K
54161 52 52 $2K
99499 35 31 $2K
31575 52 50 $2K
82746 300 299 $2K
85246 111 110 $2K
83789 75 73 $2K
J2185 Injection, meropenem, 100 mg 29 26 $2K
71020 67 39 $2K
80164 112 112 $2K
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 1,368 1,227 $2K
85384 193 176 $2K
84480 106 106 $2K
00000 66 64 $2K
31231 108 108 $2K
86787 117 116 $2K
86645 116 112 $2K
85240 107 106 $2K
80354 269 265 $2K
0324 1,106 1,069 $2K
86999 118 93 $2K
86615 41 41 $2K
82634 52 52 $1K
0471 65 39 $1K
Z5930 39 39 $1K
84143 45 45 $1K
94761 76 66 $1K
82633 27 27 $1K
85245 74 74 $1K
80158 57 27 $1K
95970 28 28 $1K
82390 94 94 $1K
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 125 114 $1K
94760 340 333 $1K
83993 76 76 $1K
49452 25 25 $1K
86644 99 97 $990.00
30300 12 12 $946.68
94681 12 12 $924.03
86376 93 93 $923.72
82607 166 166 $910.15
87529 14 13 $907.36
29105 24 24 $888.46
0424 49 39 $884.46
0306 3,292 3,181 $877.27
84436 112 111 $873.31
83655 109 109 $872.00
91200 55 55 $855.62
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 14 13 $850.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 204 195 $832.09
86774 49 48 $821.73
0410 1,238 1,194 $809.89
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 70 45 $807.50
86665 26 26 $800.16
J3475 Injection, magnesium sulfate, per 500 mg 48 45 $783.83
87075 174 156 $776.58
93041 95 90 $770.65
91065 116 69 $765.76
86308 140 138 $760.14
82626 42 41 $756.00
97810 176 104 $729.42
89050 527 469 $703.86
99366 65 51 $696.31
99215 Prolong outpt/office vis 23 22 $693.71
86039 88 88 $686.13
94645 37 37 $682.16
86762 57 51 $678.23
86255 24 24 $671.31
86337 66 66 $660.00
86735 52 51 $640.83
A0422 Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation 45 39 $631.39
87449 46 34 $631.20
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 15 15 $628.20
96900 61 14 $620.70
99244 Office or other outpatient consultation, moderate to high complexity 34 28 $620.01
64642 41 41 $615.00
87305 68 53 $585.12
76140 34 34 $583.18
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 14 14 $577.75
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 67 64 $574.03
87116 40 40 $563.76
36415 Collection of venous blood by venipuncture 499 457 $554.91
29280 46 44 $549.70
82310 75 71 $547.50
76000 30 30 $547.39
85247 29 29 $543.63
82725 27 27 $509.22
J1626 Injection, granisetron hydrochloride, 100 mcg 145 77 $501.23
J2003 Injection, lidocaine hydrochloride, 1 mg 63 62 $494.67
92626 21 21 $464.24
99072 1,901 1,359 $445.50
93280 15 15 $436.95
10060 26 25 $436.81
80230 14 14 $432.04
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg 16 16 $431.20
64643 25 25 $375.00
80177 28 28 $366.24
86708 25 25 $351.00
86800 24 24 $350.26
82523 13 12 $333.96
82085 29 28 $333.00
83919 14 14 $326.34
95874 40 40 $319.20
82140 19 15 $313.69
84144 26 26 $312.00
T1001 Nursing assessment / evaluation 28 26 $304.62
84479 40 40 $295.43
0434 28 24 $288.79
86364 27 27 $276.84
0310 516 512 $258.30
97164 12 12 $254.45
0300 2,346 2,260 $251.84
73120 16 14 $246.73
J1071 Injection, testosterone cypionate, 1 mg 102 47 $239.90
0320 831 795 $237.47
92083 27 27 $231.29
92132 15 14 $219.57
29130 26 25 $215.93
84585 12 12 $210.84
J9000 Injection, doxorubicin hydrochloride, 10 mg 18 12 $204.18
11900 29 28 $184.02
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 20 20 $179.33
0305 1,978 1,909 $178.80
73600 12 12 $169.06
82747 28 28 $168.00
80329 81 80 $167.60
86709 13 13 $165.88
80076 28 26 $162.04
J7050 Infusion, normal saline solution, 250 cc 33 25 $159.98
0637 43 40 $159.41
51798 16 12 $158.18
83150 12 12 $156.96
29515 29 29 $135.66
51741 16 12 $131.27
92583 208 208 $116.74
87045 12 12 $104.74
87184 15 15 $104.39
83525 12 12 $91.20
J9100 Injection, cytarabine, 100 mg 31 26 $88.11
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 27 26 $87.74
84481 12 12 $81.60
J0171 Injection, adrenalin, epinephrine, 0.1 mg 14 12 $72.66
0271 856 844 $48.12
84460 12 12 $46.78
87046 12 12 $43.65
70300 26 26 $43.57
82565 13 13 $40.05
99001 52 47 $36.63
87181 12 12 $35.89
97014 364 200 $27.86
85018 63 54 $23.56
0307 830 798 $9.16
0302 1,307 1,265 $5.97
0730 191 187 $0.00
0402 638 621 $0.00
0483 15 15 $0.00
0351 43 42 $0.00
0412 27 27 $0.00
0309 42 37 $0.00
0352 71 67 $0.00
0740 15 15 $0.00
0440 13 12 $0.00
Q4051 Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies) 48 28 $0.00
0771 22 21 $0.00