Medicaid Provider Spending

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

SPECTRUM HEALTH PRIMARY CARE PARTNERS

NPI: 1235188673 · GRAND RAPIDS, MI 49506 · Clinical Child & Adolescent Psychologist · NPI assigned 05/10/2006

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

Authorized official CATIGNANI, RYAN controls 15+ related entities in our dataset. Read more

$219.58M
Total Medicaid Paid
4,161,479
Total Claims
3,537,961
Beneficiaries
692
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCATIGNANI, RYAN (VP FINANCE)
NPI Enumeration Date05/10/2006

Related Entities

Other providers sharing the same authorized official: CATIGNANI, RYAN

ProviderCityStateTotal Paid
NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION FREMONT MI $26.99M
SPECTRUM HEALTH PRIMARY CARE PARTNERS GRAND RAPIDS MI $14.49M
SPECTRUM HEALTH PRIMARY CARE PARTNERS GRAND RAPIDS MI $2.34M
MECOSTA COUNTY MEDICAL CENTER BIG RAPIDS MI $1.55M
LAKELAND COMMUNITY HOSPITAL WATERVLIET WATERVLIET MI $910K
NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION FREMONT MI $841K
PENNOCK HOSPITAL HASTINGS MI $719K
SPECTRUM HEALTH PRIMARY CARE PARTNERS MUSKEGON MI $710K
SPECTRUM HEALTH PRIMARY CARE PARTNERS HOLLAND MI $319K
MEMORIAL MEDICAL CENTER OF WEST MICHIGAN LUDINGTON MI $268K
SPECTRUM HEALTH PRIMARY CARE PARTNERS HUDSONVILLE MI $152K
REED CITY HOSPITAL CORPORATION REED CITY MI $115K
SPECTRUM HEALTH PRIMARY CARE PARTNERS WYOMING MI $106K
SPECTRUM HEALTH PRIMARY CARE PARTNERS GRAND RAPIDS MI $73K
ZEELAND COMMUNITY HOSPITAL ZEELAND MI $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 543,713 $25.12M
2019 530,860 $25.14M
2020 501,968 $23.33M
2021 625,317 $32.00M
2022 675,926 $37.04M
2023 695,444 $41.50M
2024 588,251 $35.45M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 503,378 455,380 $33.12M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 394,386 364,362 $19.13M
99215 Prolong outpt/office vis 95,181 90,216 $8.22M
99232 Subsequent hospital care, per day, moderate complexity 194,894 53,674 $7.17M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 58,936 13,964 $6.62M
J0585 Injection, onabotulinumtoxina, 1 unit 7,918 6,566 $6.33M
99233 Prolong inpt eval add15 m 115,236 35,062 $6.24M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 73,169 71,680 $6.20M
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 2,165 2,134 $4.43M
99244 Office or other outpatient consultation, moderate to high complexity 41,159 40,261 $3.95M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 67,877 66,741 $3.86M
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 11,927 2,298 $3.81M
99223 Prolong inpt eval add15 m 36,420 32,257 $3.37M
Q9991 Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg 1,989 1,779 $3.10M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 34,788 34,585 $2.71M
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 31,908 31,566 $2.63M
99254 29,080 22,696 $2.50M
99205 Prolong outpt/office vis 23,085 22,702 $2.49M
90837 Psychotherapy, 53 minutes with patient 31,978 19,986 $2.43M
Q9992 Injection, buprenorphine extended-release (sublocade), greater than 100 mg 1,532 1,358 $2.38M
99239 Hospital discharge day management, more than 30 minutes 39,809 37,309 $2.22M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 33,512 32,115 $2.21M
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 3,023 2,963 $2.19M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 34,016 28,901 $2.01M
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 22,371 22,096 $1.99M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 24,450 24,330 $1.91M
99222 Initial hospital care, per day, moderate complexity 30,086 26,158 $1.86M
99471 2,833 2,591 $1.83M
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 1,902 1,888 $1.80M
59426 2,005 1,995 $1.67M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 36,266 35,720 $1.62M
90460 Immunization administration through 18 years of age via any route, first or only component 64,745 64,215 $1.51M
99243 23,166 22,765 $1.51M
90791 Psychiatric diagnostic evaluation 14,821 14,509 $1.47M
95720 12,938 6,895 $1.44M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 15,713 15,573 $1.32M
59514 1,741 1,659 $1.31M
99255 9,837 8,636 $1.06M
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 1,081 1,064 $1.03M
90834 Psychotherapy, 45 minutes with patient 19,856 15,765 $975K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 9,737 9,723 $965K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 16,440 15,967 $964K
59510 443 427 $961K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 14,259 13,891 $928K
95951 5,628 2,841 $895K
99245 7,021 6,873 $824K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 28,867 27,457 $812K
90671 9,525 9,513 $793K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 6,281 5,983 $757K
99238 Hospital discharge day management, 30 minutes or less 18,141 17,556 $727K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 9,243 9,210 $704K
99253 11,818 10,476 $704K
59425 1,525 1,515 $704K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 70,985 69,560 $698K
90651 11,542 11,470 $669K
47562 1,985 1,820 $654K
90750 4,425 4,371 $641K
99292 7,958 4,128 $637K
45380 Colonoscopy, flexible; with biopsy, single or multiple 6,943 6,686 $618K
J7297 Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg 796 791 $608K
59430 3,013 2,998 $603K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 15,763 15,150 $580K
99476 2,155 477 $578K
99231 Subsequent hospital care, per day, straightforward or low complexity 26,078 13,974 $573K
99381 6,710 6,584 $561K
99475 1,129 1,054 $525K
90792 Psychiatric diagnostic evaluation with medical services 4,408 4,361 $501K
95810 Polysomnography; sleep staging with 4 or more additional parameters 7,634 7,550 $496K
59025 Fetal non-stress test 19,379 8,125 $489K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 7,940 6,840 $489K
J1050 Injection, medroxyprogesterone acetate, 1 mg 6,386 6,314 $471K
64635 2,320 1,912 $463K
90686 55,542 55,094 $453K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 6,318 5,684 $451K
01922 4,105 3,716 $437K
76818 6,296 3,094 $416K
95718 5,738 5,390 $411K
90732 4,360 4,239 $407K
99385 4,233 4,173 $404K
J2315 Injection, naltrexone, depot form, 1 mg 351 324 $401K
64615 5,964 5,897 $391K
99220 4,386 4,276 $391K
90715 16,316 16,173 $388K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 7,993 6,326 $374K
42820 Tonsillectomy and adenoidectomy; younger than age 12 2,245 2,212 $372K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 2,978 2,777 $364K
90739 2,376 2,369 $362K
90832 Psychotherapy, 30 minutes with patient 9,647 8,302 $362K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 7,790 7,483 $351K
99219 5,116 4,988 $350K
80305 37,142 28,656 $334K
76825 3,374 2,491 $329K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 75,645 60,464 $322K
G9002 Coordinated care fee, maintenance rate 10,292 8,805 $319K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 4,960 4,908 $310K
64636 2,781 1,839 $309K
76830 Ultrasound, transvaginal 5,482 5,066 $309K
99217 8,195 7,928 $298K
J2350 Injection, ocrelizumab, 1 mg 17 15 $295K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 3,064 2,956 $291K
99221 6,665 6,134 $283K
17110 4,682 4,308 $279K
95886 5,215 5,040 $277K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 7,132 7,041 $275K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 6,372 5,210 $262K
83036 Hemoglobin; glycosylated (A1C) 38,326 37,993 $258K
20610 9,151 8,342 $250K
91322 2,247 2,243 $249K
96127 86,097 57,960 $248K
76801 4,195 3,796 $246K
J2357 Injection, omalizumab, 5 mg 241 138 $243K
76820 9,711 4,233 $238K
43775 748 383 $237K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 30,374 26,439 $236K
96133 2,020 1,999 $236K
90472 Immunization administration, each additional vaccine (list separately) 16,595 16,315 $235K
95782 3,237 3,187 $232K
95713 702 702 $230K
96139 2,354 2,303 $228K
93458 1,732 1,693 $222K
64483 1,707 1,674 $210K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 5,624 5,579 $206K
64493 1,780 1,535 $201K
99242 4,251 4,166 $196K
43249 2,404 2,275 $187K
43235 3,289 3,136 $182K
90746 3,074 3,012 $180K
96116 4,043 3,698 $179K
31575 3,600 3,478 $178K
54150 3,235 3,205 $176K
92060 4,917 4,803 $175K
00731 2,628 2,599 $173K
94060 9,872 9,737 $169K
25600 951 925 $168K
58300 3,354 3,310 $166K
95816 4,597 4,547 $165K
99386 1,479 1,446 $164K
95811 2,596 2,556 $161K
93320 11,509 10,639 $158K
99383 1,766 1,750 $157K
62323 1,470 1,440 $157K
95909 2,203 2,190 $156K
93971 2,529 2,415 $153K
20611 3,448 3,302 $152K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 11,922 11,697 $152K
31624 2,927 2,503 $152K
90632 2,718 2,655 $152K
31231 1,650 1,608 $151K
95251 8,481 8,385 $151K
96132 2,339 2,321 $142K
99235 1,574 1,544 $140K
99384 1,437 1,405 $137K
81025 21,200 20,308 $137K
99309 Subsequent nursing facility care, per day, low to moderate complexity 2,571 1,891 $137K
73630 9,401 7,950 $134K
36556 3,190 2,528 $133K
95910 1,416 1,410 $131K
94729 7,786 7,696 $131K
99252 3,212 3,047 $126K
94010 10,440 9,981 $125K
27096 1,371 1,356 $124K
99495 1,325 1,315 $123K
93000 15,728 15,534 $123K
96130 1,945 1,930 $120K
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) 4,353 4,073 $119K
93970 1,310 1,303 $119K
11750 1,574 1,188 $118K
99382 1,287 1,277 $118K
99418 Prolong nursin fac eval 15m 2,944 1,905 $118K
92015 Determination of refractive state 11,946 11,889 $117K
95908 1,980 1,964 $116K
20680 699 525 $115K
30999 1,153 970 $111K
58301 1,992 1,956 $108K
99493 943 942 $108K
98967 9,353 7,360 $108K
99460 1,994 1,952 $106K
90621 2,649 2,562 $105K
87428 2,959 2,927 $105K
31500 1,519 1,336 $104K
93922 3,430 3,395 $104K
92370 5,688 5,542 $99K
99497 3,025 2,298 $99K
93308 7,166 5,589 $99K
75561 1,505 1,502 $99K
95700 746 746 $98K
90670 19,605 19,395 $98K
64721 513 481 $97K
93325 21,209 17,699 $96K
99356 2,167 1,358 $93K
99350 Prolong home eval add 15m 1,083 1,025 $93K
43281 347 159 $93K
64494 1,591 1,356 $92K
99152 11,873 11,186 $91K
76819 Fetal biophysical profile; without non-stress testing 2,335 1,463 $91K
95885 2,418 2,331 $90K
11981 1,578 1,558 $90K
58571 205 175 $89K
36620 4,002 3,167 $88K
93312 1,692 1,544 $87K
73564 4,641 3,745 $86K
76827 3,365 2,485 $86K
90480 3,659 3,650 $86K
92567 9,795 9,552 $85K
0124A 2,614 2,609 $85K
98968 5,226 3,953 $85K
58661 198 177 $85K
94726 4,848 4,801 $81K
93295 4,573 4,559 $81K
57454 863 856 $80K
96110 Developmental screening, with scoring and documentation, per standardized instrument 7,771 7,684 $80K
95806 2,971 2,960 $79K
93750 3,700 1,101 $78K
98966 12,602 9,571 $78K
00635 1,293 1,065 $77K
93016 7,386 7,291 $77K
52000 843 812 $77K
44970 219 217 $75K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 5,304 3,168 $75K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk 716 714 $75K
95076 1,227 1,197 $75K
99284 Emergency department visit for the evaluation and management, high severity 1,148 1,113 $74K
64633 430 361 $74K
95819 1,852 1,829 $72K
99397 1,663 1,624 $72K
58100 1,423 1,410 $72K
99349 1,179 1,140 $68K
99496 510 507 $67K
82947 22,746 21,493 $67K
73610 4,356 4,070 $66K
72082 2,270 2,218 $65K
99417 Prolong home eval add 15m 2,604 2,473 $64K
93018 9,169 9,098 $63K
92557 2,991 2,976 $61K
11982 944 924 $61K
96137 1,548 1,538 $60K
93351 1,439 1,429 $60K
96118 408 373 $59K
99308 Subsequent nursing facility care, per day, straightforward 1,600 1,379 $59K
G9007 Coordinated care fee, scheduled team conference 3,590 2,837 $59K
31622 1,183 1,019 $59K
73110 3,536 3,149 $58K
93350 1,584 1,583 $58K
Q4050 Cast supplies, for unlisted types and materials of casts 3,033 2,853 $58K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,280 1,221 $58K
99494 762 761 $57K
96131 822 816 $57K
93248 4,225 4,219 $57K
64634 528 309 $56K
95813 689 653 $55K
Q3014 Telehealth originating site facility fee 4,381 3,379 $55K
73562 3,247 2,837 $54K
96154 868 795 $54K
93296 5,200 5,178 $54K
76942 1,913 1,827 $53K
93244 4,205 4,194 $53K
73130 3,465 2,995 $52K
69210 2,020 1,808 $51K
96136 2,410 2,399 $51K
93451 826 753 $50K
99236 Prolong inpt eval add15 m 449 438 $50K
87210 11,271 6,414 $49K
36224 224 204 $49K
36415 Collection of venous blood by venipuncture 14,354 13,490 $49K
73140 2,977 2,650 $48K
64405 1,453 1,313 $47K
73030 3,670 3,381 $47K
99421 4,685 4,496 $47K
97802 1,861 1,751 $46K
64642 634 629 $46K
81003 26,674 25,696 $45K
73502 2,293 2,261 $45K
92201 3,321 1,843 $44K
96401 883 742 $44K
0054A 1,455 1,454 $44K
G0426 Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth 756 713 $43K
90656 4,540 4,534 $42K
96138 2,356 2,339 $41K
90620 2,058 2,051 $39K
99442 1,224 1,207 $38K
26055 172 137 $38K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,306 856 $38K
99492 316 316 $37K
0001A 1,039 1,038 $37K
43259 383 381 $37K
20550 1,527 1,437 $37K
G9001 Coordinated care fee, initial rate 543 530 $37K
96156 780 745 $37K
99283 Emergency department visit for the evaluation and management, moderate severity 961 939 $36K
92340 Fitting of spectacles, except for aphakia; monofocal 1,842 1,816 $36K
92551 6,520 6,455 $36K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 9,117 8,065 $35K
93227 2,950 2,939 $35K
96101 404 384 $35K
29075 831 770 $35K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,296 1,295 $34K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 1,622 1,602 $33K
V5261 Hearing aid, digital, binaural, bte 40 40 $33K
93460 195 193 $33K
36416 35,677 34,413 $32K
99406 4,668 4,396 $32K
99443 821 798 $32K
64450 982 750 $32K
0002A 873 868 $31K
90688 3,279 3,146 $31K
73560 2,151 1,846 $30K
46600 590 588 $30K
92579 1,160 1,156 $30K
71046 Radiologic examination, chest; 2 views 2,657 2,591 $30K
92250 1,491 1,431 $30K
51700 948 560 $30K
42830 412 390 $29K
11721 1,650 1,612 $29K
62321 245 244 $29K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 8,772 8,388 $29K
20553 1,244 1,194 $29K
92587 2,325 2,300 $29K
95117 4,784 2,546 $28K
73100 2,077 1,871 $28K
99218 571 562 $28K
72081 1,791 1,670 $28K
96040 732 726 $28K
90678 108 108 $27K
77073 1,688 1,646 $27K
93294 2,065 2,056 $27K
93321 6,031 4,897 $27K
96119 283 272 $26K
67311 66 66 $26K
52356 123 123 $25K
0071A 683 680 $25K
92133 1,227 1,190 $25K
73521 1,554 1,518 $25K
64643 412 411 $25K
76937 3,418 2,563 $25K
90734 7,915 7,864 $24K
99498 746 621 $24K
99444 1,753 1,633 $24K
92226 2,113 549 $23K
0004A 698 698 $23K
95874 935 913 $22K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 767 745 $22K
0072A 606 606 $22K
58558 153 152 $22K
64490 197 182 $22K
77002 473 470 $22K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 946 937 $22K
99422 1,848 1,758 $22K
J2790 Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) 303 301 $21K
G0105 Colorectal cancer screening; colonoscopy on individual at high risk 210 210 $21K
73090 1,834 1,557 $21K
93299 374 369 $21K
90679 78 76 $21K
99225 7,937 3,385 $21K
90716 7,095 7,043 $21K
75574 321 321 $21K
93356 2,180 2,079 $20K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 163 81 $20K
90836 429 418 $20K
99251 775 748 $20K
93298 1,612 1,596 $20K
73080 1,528 1,421 $20K
0052A 575 575 $19K
G0109 Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes 976 818 $19K
90707 7,159 7,110 $19K
52332 283 277 $19K
76377 883 878 $18K
92552 1,009 976 $17K
93280 666 663 $17K
99441 750 731 $17K
92002 403 397 $17K
31600 116 112 $17K
0051A 477 476 $16K
73590 1,367 1,182 $16K
64495 337 275 $16K
20552 824 800 $16K
99462 663 567 $16K
90714 663 657 $15K
93923 270 268 $15K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 13,531 12,888 $15K
99155 325 318 $15K
51798 2,679 2,633 $14K
73620 1,243 871 $14K
99170 167 163 $14K
73070 1,258 1,135 $14K
93880 240 239 $14K
0081A 390 390 $14K
93282 454 451 $14K
72100 953 939 $14K
G0427 Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth 171 162 $14K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,758 1,621 $14K
82044 3,618 3,574 $14K
J1040 Injection, methylprednisolone acetate, 80 mg 1,574 1,532 $14K
44500 1,801 1,502 $14K
74018 1,037 1,016 $13K
95911 122 121 $13K
81002 5,371 5,259 $13K
69209 1,449 1,404 $13K
10060 230 220 $13K
83037 1,588 1,557 $13K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 31 13 $12K
95018 97 95 $12K
00813 140 140 $12K
58662 41 36 $12K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 943 931 $12K
99468 14 13 $12K
82570 3,642 3,598 $12K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 937 932 $12K
72170 1,007 957 $12K
22853 88 49 $11K
43244 82 81 $11K
J2795 Injection, ropivacaine hydrochloride, 1 mg 11,882 7,147 $11K
85018 5,573 5,523 $11K
64400 205 104 $11K
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass 875 800 $11K
0154A 299 298 $11K
93304 368 252 $10K
31645 176 160 $10K
33533 17 12 $10K
81001 4,113 4,048 $10K
0082A 262 262 $10K
95983 407 382 $10K
28470 83 82 $9K
94618 729 720 $9K
V5160 Dispensing fee, binaural 27 27 $9K
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 1,291 1,289 $9K
74340 691 587 $9K
92978 203 196 $9K
36471 79 74 $9K
J1071 Injection, testosterone cypionate, 1 mg 2,689 1,718 $9K
Q4008 Cast supplies, long arm cast, pediatric (0-10 years), fiberglass 918 893 $9K
92928 29 27 $9K
92591 164 164 $9K
73600 655 574 $9K
43264 62 61 $9K
64491 148 138 $8K
J1030 Injection, methylprednisolone acetate, 40 mg 1,364 1,321 $8K
93290 790 752 $8K
36226 58 53 $8K
96380 424 420 $8K
95115 1,625 1,101 $7K
99157 160 154 $7K
G0250 Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequently than once a week; billing units of service include 4 tests 3,476 3,369 $7K
96367 419 266 $7K
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 2,955 2,881 $7K
11102 129 127 $7K
88720 1,935 1,384 $7K
91200 462 462 $7K
72040 411 407 $7K
93283 163 159 $7K
43247 78 67 $6K
24530 39 38 $6K
91010 190 179 $6K
99451 314 279 $6K
41010 70 70 $6K
90694 858 856 $6K
0053A 168 168 $6K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 185 119 $6K
99226 1,740 1,070 $5K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 389 308 $5K
43242 42 42 $5K
94664 1,449 1,364 $5K
11100 104 99 $5K
92558 1,032 1,029 $5K
73552 384 351 $5K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 234 173 $5K
11104 75 75 $5K
96121 110 109 $5K
J3490 Unclassified drugs 1,056 727 $5K
64484 79 79 $4K
99241 182 181 $4K
92960 85 80 $4K
95836 82 82 $4K
49083 82 54 $4K
76821 83 27 $4K
94621 112 112 $4K
75563 53 53 $4K
86580 857 805 $4K
93926 72 72 $4K
87807 396 393 $4K
Q4012 Cast supplies, short arm cast, pediatric (0-10 years), fiberglass 619 601 $4K
51797 63 53 $4K
96375 Therapeutic injection; each additional sequential IV push 307 169 $4K
92555 256 256 $4K
93284 85 82 $4K
27447 18 13 $4K
90473 456 455 $4K
G9008 Coordinated care fee, physician coordinated care oversight services 107 104 $3K
99454 125 124 $3K
99201 158 154 $3K
0074A 94 93 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg 3,127 2,540 $3K
61781 47 38 $3K
43274 13 13 $3K
62270 98 90 $3K
96167 74 74 $3K
0031A 90 90 $3K
93272 223 220 $3K
99224 910 388 $3K
0298T 2,161 2,156 $3K
31526 46 40 $3K
0173A 77 77 $3K
90682 55 55 $3K
82962 1,403 1,255 $3K
75565 456 455 $3K
20600 130 121 $3K
29450 27 12 $3K
92083 94 85 $3K
V5011 Fitting/orientation/checking of hearing aid 75 74 $2K
G0316 Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using 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 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes) 904 704 $2K
95724 13 13 $2K
95079 38 38 $2K
64492 37 30 $2K
99348 50 49 $2K
0073A 62 62 $2K
99188 340 335 $2K
11730 40 39 $2K
V5020 Conformity evaluation 63 63 $2K
11900 98 92 $2K
95984 53 49 $2K
0083A 59 59 $2K
29065 45 42 $2K
99464 52 51 $2K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 62 53 $2K
90662 820 807 $2K
38525 13 12 $2K
29405 46 39 $2K
92285 151 150 $2K
74420 177 170 $2K
11200 49 49 $2K
20605 91 90 $2K
73000 163 153 $2K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 18 17 $2K
45330 66 66 $2K
77067 Screening mammography, bilateral, including computer-aided detection 44 36 $2K
30901 28 27 $2K
82043 485 485 $2K
99463 29 28 $2K
99459 134 134 $2K
43273 28 27 $2K
51701 81 79 $2K
0064A 58 58 $2K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 4,001 3,972 $2K
76882 41 40 $2K
31653 12 12 $2K
99342 33 32 $2K
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) 4,987 4,887 $1K
43450 75 65 $1K
92588 81 79 $1K
0003A 38 38 $1K
G0425 Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth 26 26 $1K
0121A 46 46 $1K
76812 14 14 $1K
99336 17 14 $1K
11983 15 15 $1K
43255 13 12 $1K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 3,804 3,531 $1K
96112 15 15 $1K
99307 47 45 $1K
J2791 Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu 16 16 $1K
99305 13 13 $1K
29826 21 12 $1K
69990 13 12 $1K
76813 20 20 $1K
31615 18 16 $1K
92310 26 26 $1K
95805 43 37 $1K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 751 685 $949.00
51702 29 26 $936.02
96168 53 53 $926.45
Q4031 Cast supplies, long leg cast, pediatric (0-10 years), plaster 56 24 $923.14
99177 348 348 $895.72
51784 77 65 $883.06
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 45 36 $851.32
38900 12 12 $846.24
46221 12 12 $844.58
90653 129 129 $843.25
59000 12 12 $831.75
J0696 Injection, ceftriaxone sodium, per 250 mg 757 578 $815.02
17250 17 12 $814.98
88305 Level IV - Surgical pathology, gross and microscopic examination 49 49 $784.72
Q4032 Cast supplies, long leg cast, pediatric (0-10 years), fiberglass 26 26 $765.01
G0008 Administration of influenza virus vaccine 4,188 4,158 $756.69
29425 16 12 $740.86
Q4040 Cast supplies, short leg cast, pediatric (0-10 years), fiberglass 45 29 $736.46
J1010 Injection, methylprednisolone acetate, 1 mg 236 230 $726.61
99282 Emergency department visit for the evaluation and management, low to moderate severity 30 29 $713.43
75710 15 14 $688.37
92225 75 27 $659.91
93224 13 13 $650.48
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 552 551 $619.21
95974 13 13 $590.19
99354 12 12 $581.60
20526 12 12 $581.05
95970 68 67 $577.84
97803 24 24 $548.52
95938 19 17 $514.39
90744 7,370 7,260 $497.87
99153 Mod sedat endo service >5yrs 1,514 1,307 $488.05
96160 408 314 $454.79
0171A 12 12 $440.90
90713 975 950 $435.11
62252 13 12 $426.37
91038 14 14 $417.17
76376 95 95 $408.36
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 14 13 $401.76
94777 14 13 $398.45
93242 62 62 $387.43
90672 322 322 $378.14
51741 102 92 $347.76
92553 12 12 $330.67
G0009 Administration of pneumococcal vaccine 1,005 988 $329.10
V5266 Battery for use in hearing device 13 12 $322.56
96161 321 316 $318.41
J1644 Injection, heparin sodium, per 1000 units 545 319 $312.01
73060 28 26 $306.20
95012 26 25 $294.90
J2250 Injection, midazolam hydrochloride, per 1 mg 5,133 4,168 $277.38
93264 12 12 $275.55
J3010 Injection, fentanyl citrate, 0.1 mg 4,194 3,562 $272.91
92556 12 12 $259.79
76946 12 12 $218.16
99407 16 14 $204.17
96361 Intravenous infusion, hydration; each additional hour 38 25 $197.58
33508 36 24 $197.22
J2704 Injection, propofol, 10 mg 72 72 $188.02
72070 14 14 $177.51
99453 14 14 $175.08
73120 15 12 $173.50
93246 26 26 $169.43
92228 21 12 $166.77
G0179 Physician or allowed practitioner re-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 25 25 $162.36
93319 13 13 $154.77
J1200 Injection, diphenhydramine hcl, up to 50 mg 231 146 $132.34
90660 64 63 $130.00
J7050 Infusion, normal saline solution, 250 cc 290 144 $127.15
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) 78 78 $125.40
J3475 Injection, magnesium sulfate, per 500 mg 61 39 $121.31
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 983 892 $87.06
96415 14 13 $86.52
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) 1,278 1,255 $83.00
90785 14 13 $74.12
J7120 Ringers lactate infusion, up to 1000 cc 28 28 $59.08
92504 99 92 $39.33
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 52 37 $29.05
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 109 107 $17.50
90648 13,747 13,704 $12.90
99173 10,424 10,376 $10.99
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 167 162 $1.19
S0020 Injection, bupivicaine hydrochloride, 30 ml 437 388 $0.12
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 13 12 $0.07
90698 11,456 11,305 $0.00
90723 9,464 9,454 $0.00
90680 17,323 17,180 $0.00
1123F 222 181 $0.00
90696 5,049 5,036 $0.00
0399T 145 142 $0.00
G0010 Administration of hepatitis b vaccine 39 38 $0.00
1101F 289 267 $0.00
90381 195 195 $0.00
3017F 487 437 $0.00
91303 56 55 $0.00
59200 13 13 $0.00
1036F 630 567 $0.00
91301 49 49 $0.00
4086F 35 34 $0.00
A4590 Special casting material (e.g., fiberglass) 17 17 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 55 54 $0.00
90633 13,778 13,674 $0.00
0502F 2,531 1,492 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 3,469 3,368 $0.00
90461 36,699 36,497 $0.00
90700 5,658 5,610 $0.00
90710 5,395 5,374 $0.00
20936 44 41 $0.00
91300 2,425 2,286 $0.00
90685 2,523 2,430 $0.00
93784 127 122 $0.00
1124F 850 722 $0.00
90687 151 148 $0.00
91321 408 407 $0.00
20930 84 76 $0.00
4040F 281 260 $0.00
0649T 44 44 $0.00
90380 84 84 $0.00
G8482 Influenza immunization administered or previously received 352 303 $0.00
G0444 Annual depression screening, 5 to 15 minutes 16 16 $0.00
G8484 Influenza immunization was not administered, reason not given 499 458 $0.00
4004F 262 229 $0.00
G8399 Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed 127 115 $0.00
3046F 98 92 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 812 731 $0.00
G8400 Patient with central dual-energy x-ray absorptiometry (dxa) results not documented, reason not given 58 54 $0.00