Medicaid Provider Spending

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

WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION

NPI: 1275504508 · MORGANTOWN, WV 26506 · Anesthesiology Physician · NPI assigned 01/26/2006

$162.04M
Total Medicaid Paid
3,232,843
Total Claims
2,525,655
Beneficiaries
666
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGIBSON, JUSTIN (VP FINANCE-NORTHERN REGION)
NPI Enumeration Date01/26/2006

Related Entities

Other providers sharing the same authorized official: GIBSON, JUSTIN

ProviderCityStateTotal Paid
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION HARPERS FERRY WV $390.02

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 230,216 $11.87M
2019 128,001 $6.93M
2020 317,678 $17.94M
2021 426,417 $18.33M
2022 642,070 $32.08M
2023 807,975 $39.93M
2024 680,486 $34.96M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 382,565 334,446 $26.54M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 414,436 333,633 $22.70M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 91,946 82,703 $8.44M
99284 Emergency department visit for the evaluation and management, high severity 70,843 62,601 $6.09M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 50,049 45,430 $6.06M
99232 Subsequent hospital care, per day, moderate complexity 112,443 32,608 $5.57M
99233 Prolong inpt eval add15 m 56,776 14,684 $4.06M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 61,657 56,160 $3.85M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 26,205 9,828 $3.49M
99215 Prolong outpt/office vis 31,881 27,228 $3.06M
99283 Emergency department visit for the evaluation and management, moderate severity 54,149 49,858 $2.91M
90837 Psychotherapy, 53 minutes with patient 28,460 16,296 $2.78M
99222 Initial hospital care, per day, moderate complexity 27,036 18,479 $2.22M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 12,533 11,305 $2.06M
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 2,437 2,254 $1.85M
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 14,031 12,502 $1.77M
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 6,417 732 $1.66M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 36,457 34,354 $1.64M
99205 Prolong outpt/office vis 13,384 12,104 $1.58M
88305 Level IV - Surgical pathology, gross and microscopic examination 36,452 29,570 $1.54M
99223 Prolong inpt eval add15 m 12,393 9,571 $1.41M
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 219,308 170,413 $1.34M
99238 Hospital discharge day management, 30 minutes or less 26,285 23,091 $1.33M
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 5,475 1,017 $1.26M
S9088 Services provided in an urgent care center (list in addition to code for service) 56,338 50,126 $1.18M
74177 Computed tomography, abdomen and pelvis; with contrast material 19,535 17,993 $1.14M
59514 1,374 1,109 $1.03M
99479 Subsequent intensive care, per day, very low birth weight infant 10,518 2,228 $936K
78815 Positron emission tomography (PET) for limited area imaging 2,506 2,312 $915K
90853 Group psychotherapy (other than of a multiple-family group) 40,936 20,316 $891K
71045 Radiologic examination, chest; single view 154,409 91,951 $857K
95720 6,282 3,227 $794K
90834 Psychotherapy, 45 minutes with patient 11,706 8,429 $781K
01922 5,422 2,939 $746K
70450 Computed tomography, head or brain; without contrast material 28,684 24,423 $738K
90791 Psychiatric diagnostic evaluation 6,577 5,989 $700K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 14,161 11,810 $696K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 9,459 8,752 $625K
99480 Subsequent intensive care, per day, low birth weight infant 6,867 1,385 $575K
99231 Subsequent hospital care, per day, straightforward or low complexity 18,186 9,333 $528K
00170 Anesthesia for intraoral procedures, including biopsy 3,871 2,126 $526K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 16,199 14,212 $497K
00731 6,053 3,121 $495K
99221 8,449 6,467 $481K
95951 1,673 899 $476K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 8,079 7,268 $476K
92060 15,907 14,772 $452K
59430 2,162 2,032 $435K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 1,251 1,148 $430K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6,267 5,875 $419K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 5,718 5,330 $406K
77067 Screening mammography, bilateral, including computer-aided detection 10,140 9,770 $393K
88307 5,341 4,707 $389K
00790 1,712 866 $374K
71046 Radiologic examination, chest; 2 views 36,301 31,525 $341K
90792 Psychiatric diagnostic evaluation with medical services 2,650 2,468 $341K
80305 17,861 13,163 $340K
99239 Hospital discharge day management, more than 30 minutes 4,923 4,331 $338K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 4,547 3,966 $337K
00840 1,819 989 $336K
76830 Ultrasound, transvaginal 7,290 6,613 $332K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 10,957 9,904 $332K
76705 Ultrasound, abdominal, real time with image documentation; limited 13,941 12,492 $320K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 6,757 5,781 $318K
74176 Computed tomography, abdomen and pelvis; without contrast material 5,610 5,094 $313K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 3,197 2,831 $304K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,981 3,711 $302K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 3,026 2,680 $291K
90832 Psychotherapy, 30 minutes with patient 5,876 4,630 $289K
99282 Emergency department visit for the evaluation and management, low to moderate severity 8,872 8,081 $284K
71260 Computed tomography, thorax, diagnostic; with contrast material 6,696 6,255 $282K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 3,614 3,381 $281K
77063 Screening digital breast tomosynthesis, bilateral 9,942 9,579 $268K
71275 Computed tomographic angiography, chest, with contrast material 4,516 4,122 $257K
00670 709 345 $253K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,811 2,629 $236K
20610 6,045 4,625 $235K
99468 422 365 $232K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 232 193 $231K
A9585 Injection, gadobutrol, 0.1 ml 5,346 4,679 $227K
99460 3,546 3,299 $223K
00320 1,033 558 $212K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 5,568 1,945 $207K
99292 2,495 1,395 $204K
67028 Intravitreal injection of a pharmacologic agent 2,916 2,448 $202K
Q3014 Telehealth originating site facility fee 7,776 6,517 $201K
42820 Tonsillectomy and adenoidectomy; younger than age 12 997 880 $197K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 2,548 2,362 $194K
93458 1,016 816 $187K
76819 Fetal biophysical profile; without non-stress testing 5,496 3,014 $187K
00140 1,519 812 $183K
88341 3,548 2,191 $181K
74018 24,063 16,273 $180K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 1,309 1,103 $180K
71250 5,156 4,715 $177K
70551 Magnetic resonance imaging, brain; without contrast material 2,294 2,103 $175K
64615 2,044 1,850 $173K
73630 15,902 11,304 $168K
59025 Fetal non-stress test 7,822 3,805 $167K
A9577 Injection, gadobenate dimeglumine (multihance), per ml 737 670 $165K
72125 Computed tomography, cervical spine; without contrast material 4,992 4,586 $164K
99385 2,270 2,086 $162K
99495 1,396 1,285 $159K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,813 1,640 $154K
00400 1,398 651 $151K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,217 1,144 $151K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 15,045 13,404 $149K
01961 578 534 $147K
J7297 Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg 201 171 $146K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 1,055 980 $146K
70496 2,670 2,277 $146K
58661 463 355 $145K
70498 2,630 2,315 $145K
00300 1,033 560 $142K
88342 5,523 4,800 $141K
00813 1,367 716 $139K
36415 Collection of venous blood by venipuncture 26,716 23,714 $136K
93970 5,418 4,462 $135K
T1015 Clinic visit/encounter, all-inclusive 9,566 8,499 $133K
76770 5,020 4,679 $130K
31575 2,405 1,941 $128K
96133 1,339 1,023 $127K
31231 1,854 1,478 $127K
90847 Family psychotherapy with the patient present, 50 minutes 1,837 1,261 $127K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 1,598 1,450 $126K
72156 1,092 990 $126K
93320 7,812 6,552 $125K
76801 2,592 2,100 $125K
00811 1,588 807 $123K
92134 8,570 7,724 $122K
95813 1,894 1,795 $120K
90472 Immunization administration, each additional vaccine (list separately) 6,549 5,808 $120K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 700 643 $119K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 7,252 6,600 $116K
72141 1,698 1,569 $116K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 3,789 2,521 $114K
99386 1,294 1,199 $114K
72158 1,016 915 $113K
99471 223 185 $110K
76775 4,356 4,159 $110K
93325 14,429 11,470 $109K
36620 2,683 2,242 $108K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1,567 1,470 $107K
77427 808 371 $105K
73610 11,130 8,290 $104K
96110 Developmental screening, with scoring and documentation, per standardized instrument 9,834 8,884 $102K
93000 8,554 8,054 $101K
80050 General health panel 2,405 2,200 $100K
90671 2,001 1,728 $97K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 892 650 $90K
93971 5,788 5,218 $89K
96112 1,074 944 $88K
99219 987 889 $86K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 2,889 2,718 $85K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,848 1,742 $84K
99217 1,766 1,621 $84K
74183 750 690 $84K
99220 649 597 $80K
76642 3,231 2,594 $80K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,087 1,936 $80K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 1,197 1,086 $79K
76536 2,973 2,748 $79K
47562 196 173 $78K
71271 2,170 1,932 $78K
25600 341 306 $78K
54150 1,198 1,101 $76K
90715 2,807 2,471 $75K
96132 1,192 964 $74K
01480 579 301 $74K
64493 928 693 $73K
92083 3,868 3,460 $72K
95886 1,713 1,464 $72K
96130 1,174 1,024 $72K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 7,490 6,259 $71K
99383 1,011 909 $71K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,698 1,112 $69K
90686 4,772 4,334 $69K
99140 1,562 1,340 $67K
99384 836 731 $67K
73030 8,115 6,274 $66K
72157 714 650 $66K
58300 1,349 1,174 $66K
73110 6,891 4,913 $65K
36556 1,169 871 $64K
90651 1,284 1,119 $64K
73130 7,444 5,417 $63K
17110 1,364 1,047 $63K
10060 897 794 $63K
31500 633 527 $61K
74174 867 750 $61K
73564 5,505 4,035 $60K
88304 6,378 5,831 $59K
92557 2,231 2,105 $58K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,352 1,120 $58K
95782 670 596 $58K
80061 Lipid panel 5,377 4,946 $58K
70491 1,233 1,117 $57K
92015 Determination of refractive state 3,480 3,228 $57K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,219 1,887 $57K
93312 796 677 $56K
00920 560 300 $55K
88112 2,645 2,289 $55K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 2,271 1,771 $55K
00210 157 81 $55K
00126 674 380 $54K
70486 1,908 1,725 $54K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2,881 2,606 $53K
67311 139 117 $52K
95718 651 524 $52K
88141 3,022 2,841 $52K
92567 4,336 4,057 $51K
99462 1,831 1,426 $51K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 424 413 $51K
77014 1,710 153 $51K
88188 1,266 1,173 $51K
99336 360 113 $51K
73562 4,800 3,351 $50K
64494 1,079 665 $50K
93308 2,959 2,540 $50K
92551 5,346 4,872 $49K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,819 717 $49K
76825 978 760 $48K
74019 4,755 4,029 $47K
72110 3,865 3,466 $45K
88331 574 490 $45K
11981 848 742 $45K
77334 478 354 $44K
99225 939 552 $44K
12001 1,073 988 $43K
96156 1,145 980 $42K
27096 658 579 $42K
20553 1,238 1,106 $42K
72131 1,295 1,180 $42K
80053 Comprehensive metabolic panel 5,324 4,907 $42K
00732 366 177 $42K
72082 3,160 2,876 $41K
93880 1,455 1,376 $41K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 2,010 1,875 $41K
92133 2,906 2,665 $40K
90846 Family psychotherapy without the patient present, 50 minutes 668 485 $40K
96131 388 320 $40K
43264 139 122 $39K
93248 2,407 2,190 $39K
93016 2,286 2,156 $39K
76506 1,729 1,263 $39K
64483 473 392 $38K
88173 657 588 $38K
99417 Prolong home eval add 15m 1,577 1,287 $38K
93244 2,536 2,335 $38K
76820 2,092 927 $38K
69210 1,236 1,000 $38K
64721 166 131 $37K
90935 Hemodialysis procedure with single evaluation by a physician 1,078 508 $36K
77065 Tomosynthesis, mammo 1,402 1,171 $36K
74328 246 219 $36K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 6,185 5,633 $36K
93298 1,984 1,873 $36K
95911 366 334 $35K
99382 536 472 $35K
81025 4,771 4,068 $35K
58301 663 576 $35K
83036 Hemoglobin; glycosylated (A1C) 4,230 3,823 $34K
76604 1,682 1,554 $34K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 675 600 $34K
93018 2,543 2,391 $34K
70543 372 333 $34K
72197 345 320 $33K
93295 1,449 1,350 $33K
00160 203 112 $33K
88309 323 281 $33K
76813 718 653 $32K
99152 3,820 3,344 $32K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 97 80 $32K
95812 862 789 $32K
73502 3,157 2,789 $31K
99309 Subsequent nursing facility care, per day, low to moderate complexity 4,297 3,590 $31K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,190 1,112 $31K
92504 2,456 2,207 $31K
72146 514 482 $31K
76882 1,556 1,323 $31K
20550 1,366 586 $30K
90677 292 273 $30K
73590 4,641 3,398 $30K
77066 Tomosynthesis, mammo 909 848 $30K
77263 239 210 $29K
88321 528 486 $29K
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 612 560 $29K
73080 3,762 2,854 $29K
77300 298 261 $29K
85060 1,772 1,550 $28K
52000 574 444 $28K
74178 401 388 $28K
95910 378 342 $27K
96137 735 555 $27K
J1050 Injection, medroxyprogesterone acetate, 1 mg 997 891 $27K
76700 Ultrasound, abdominal, real time with image documentation; complete 850 782 $27K
57454 284 257 $27K
73560 4,024 2,964 $27K
31624 359 253 $27K
73700 816 678 $26K
00142 314 145 $26K
73140 3,012 2,050 $26K
90870 433 150 $26K
11102 971 737 $25K
99476 115 13 $25K
84443 Thyroid stimulating hormone (TSH) 2,471 2,294 $25K
99381 388 358 $25K
93294 1,670 1,531 $25K
95806 1,024 911 $25K
88360 569 443 $24K
90961 667 614 $24K
99218 376 350 $24K
00562 47 25 $24K
92250 2,279 1,929 $23K
73090 3,697 2,690 $23K
20680 127 79 $23K
43235 340 293 $23K
72040 2,626 2,289 $22K
12011 462 419 $21K
95909 332 302 $21K
73522 1,857 1,670 $21K
73221 430 386 $21K
90746 355 314 $21K
76870 938 826 $21K
88312 779 603 $20K
73552 3,194 2,504 $20K
99226 310 193 $20K
H0036 Community psychiatric supportive treatment, face-to-face, per 15 minutes 41 12 $20K
99307 721 343 $20K
72170 3,352 2,828 $19K
99235 195 169 $19K
98940 987 523 $19K
99496 134 122 $19K
96127 4,608 4,060 $18K
72050 1,527 1,382 $18K
00145 135 68 $18K
44970 44 41 $18K
88291 918 649 $18K
95811 224 207 $18K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 373 331 $17K
88313 1,187 876 $17K
84439 2,512 2,321 $17K
76827 979 758 $17K
76937 1,395 1,098 $17K
99305 151 130 $17K
76942 730 615 $17K
92928 51 36 $16K
58558 117 107 $16K
93304 610 406 $16K
95819 402 360 $16K
90750 134 114 $16K
00910 189 101 $16K
94060 2,013 1,862 $16K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 3,500 2,345 $15K
58571 40 28 $15K
72100 1,929 1,695 $15K
96101 177 165 $15K
92579 498 470 $15K
93321 2,827 2,119 $15K
93923 892 835 $15K
93925 501 463 $15K
74230 766 719 $14K
96136 953 755 $14K
99315 254 225 $14K
81002 5,371 4,108 $14K
94726 1,612 1,490 $14K
90732 111 94 $14K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 266 239 $14K
12002 289 253 $13K
94729 1,921 1,786 $13K
88311 1,314 1,135 $13K
97161 208 197 $13K
75574 174 162 $13K
91320 115 103 $13K
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) 16,494 14,551 $13K
62323 212 191 $13K
01810 116 64 $12K
90474 1,581 1,381 $12K
76641 551 383 $12K
11721 625 590 $12K
72072 1,271 1,136 $12K
64635 102 67 $12K
00812 156 80 $12K
11982 202 179 $12K
81003 5,972 5,115 $12K
11104 358 299 $12K
42830 106 80 $11K
58100 226 184 $11K
95885 575 526 $11K
73060 1,834 1,437 $11K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 403 193 $11K
99308 Subsequent nursing facility care, per day, straightforward 360 242 $11K
82607 932 836 $11K
92201 699 391 $11K
90670 1,098 863 $11K
69209 929 754 $10K
82728 1,088 1,017 $10K
99475 28 25 $10K
87400 407 399 $10K
99356 188 118 $10K
90656 904 858 $10K
82248 2,352 2,228 $10K
94010 1,780 1,621 $10K
83655 846 755 $10K
73120 1,292 644 $10K
20605 368 270 $10K
00797 47 25 $10K
77002 558 501 $10K
71101 737 625 $10K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 145 141 $9K
74022 734 682 $9K
93975 222 213 $9K
92587 707 618 $9K
96113 116 103 $9K
88302 1,462 1,307 $9K
90966 166 158 $8K
81001 2,809 2,556 $8K
93227 452 418 $8K
73100 1,167 810 $8K
99406 973 837 $8K
96118 20 15 $8K
99418 Prolong nursin fac eval 15m 193 122 $7K
80048 Basic metabolic panel (calcium, ionized) 1,207 1,104 $7K
00104 59 25 $7K
77080 1,025 1,002 $7K
93296 1,020 948 $7K
11750 96 42 $7K
92226 272 83 $7K
85018 2,405 2,269 $7K
93272 352 342 $7K
99281 Emergency department visit for the evaluation and management, self-limited or minor 442 385 $6K
99327 23 23 $6K
96116 117 96 $6K
77001 285 253 $6K
83735 1,429 1,276 $6K
19083 66 50 $6K
73070 956 749 $6K
99236 Prolong inpt eval add15 m 44 40 $6K
93922 537 491 $6K
73620 876 593 $6K
11043 65 37 $6K
99153 Mod sedat endo service >5yrs 671 592 $5K
99224 210 158 $5K
99477 27 24 $5K
J1030 Injection, methylprednisolone acetate, 40 mg 868 616 $5K
99464 103 95 $5K
83540 1,062 974 $5K
99100 330 287 $5K
26600 31 26 $5K
00918 38 24 $5K
82570 1,266 1,193 $5K
29881 16 12 $5K
82043 999 943 $5K
90734 1,052 946 $4K
95117 511 209 $4K
70480 108 102 $4K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 118 114 $4K
92136 239 123 $4K
70546 63 53 $4K
77072 618 567 $4K
99173 1,947 1,802 $4K
20600 166 93 $4K
70544 77 65 $4K
29125 127 105 $4K
93976 150 139 $4K
75635 49 44 $4K
54640 19 13 $4K
01996 54 26 $4K
72128 115 104 $4K
G1010 Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program 1,270 797 $4K
97162 59 51 $4K
92020 272 247 $4K
D0140 Limited oral evaluation - problem focused 135 114 $3K
90480 150 137 $3K
73000 404 308 $3K
92202 269 129 $3K
10005 85 61 $3K
0004A 114 110 $3K
96040 46 41 $3K
74420 185 159 $3K
49083 53 12 $3K
64636 86 55 $3K
96119 12 12 $3K
74220 146 136 $3K
11730 52 42 $3K
73600 460 335 $3K
00520 21 12 $3K
01830 22 13 $3K
87807 248 224 $3K
36558 22 14 $3K
70487 72 67 $3K
99234 41 38 $3K
70250 405 262 $3K
85651 675 603 $3K
20611 47 39 $3K
69990 28 14 $3K
31622 35 24 $3K
77295 14 12 $2K
76885 92 79 $2K
77073 237 206 $2K
T1001 Nursing assessment / evaluation 163 152 $2K
82962 770 666 $2K
85610 317 280 $2K
73501 258 240 $2K
30901 28 27 $2K
95874 62 61 $2K
0124A 93 75 $2K
64450 145 100 $2K
20526 48 28 $2K
82565 356 306 $2K
86580 272 226 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,528 1,237 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg 1,288 1,019 $2K
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) 89 82 $2K
54161 13 12 $2K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 57 43 $2K
78264 65 65 $2K
83518 222 196 $2K
88300 649 538 $2K
96139 165 136 $2K
72202 178 146 $1K
64488 31 28 $1K
76857 83 75 $1K
J3490 Unclassified drugs 960 717 $1K
J1010 Injection, methylprednisolone acetate, 1 mg 303 201 $1K
83970 90 87 $1K
74455 104 95 $1K
75561 14 14 $1K
73650 184 79 $1K
73660 159 118 $1K
76800 27 25 $1K
76512 65 52 $1K
90716 572 487 $1K
73718 29 25 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 111 101 $1K
70355 113 107 $1K
90707 544 469 $1K
62270 30 24 $1K
73521 130 118 $1K
52332 13 12 $1K
93289 43 39 $1K
88187 51 43 $1K
96450 19 12 $1K
93288 58 55 $1K
88142 49 49 $1K
99288 164 136 $1K
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) 997 805 $986.91
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 27 12 $965.48
90460 Immunization administration through 18 years of age via any route, first or only component 51 47 $935.90
99306 Prolong nursin fac eval 15m 12 12 $928.88
86308 215 196 $928.84
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 177 133 $928.78
72052 82 72 $926.51
J2405 Injection, ondansetron hydrochloride, per 1 mg 574 475 $915.65
G0008 Administration of influenza virus vaccine 25 25 $862.23
83690 144 125 $842.89
85730 106 104 $835.40
77470 13 12 $826.83
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 152 136 $808.32
11100 14 13 $800.45
73701 16 12 $785.63
87210 185 126 $775.31
72081 80 70 $764.62
69200 16 14 $743.06
51798 116 105 $703.68
93926 47 40 $701.36
78830 16 12 $673.22
76514 129 117 $672.16
11056 26 25 $654.73
99407 28 26 $648.08
92025 53 48 $642.95
0072A 40 23 $642.80
70490 18 12 $638.84
84550 165 163 $631.24
70481 15 15 $596.09
74170 12 12 $595.24
70470 13 13 $589.36
99499 140 105 $588.33
93280 17 16 $565.02
90710 816 701 $552.46
D1120 Prophylaxis - child 31 16 $528.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 97 87 $504.63
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 328 245 $502.23
72220 49 43 $472.65
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 111 105 $453.95
42975 72 56 $453.59
72190 45 38 $442.62
D1208 Topical application of fluoride, excluding varnish 52 35 $440.00
88108 26 24 $412.32
70360 57 40 $409.94
93784 29 29 $396.17
20552 20 14 $377.05
90674 26 21 $364.59
90723 1,927 1,619 $364.24
74240 12 12 $361.40
93356 331 304 $357.23
99487 Ccm add 20min 57 57 $341.49
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) 478 364 $337.50
96138 186 153 $330.70
99244 Office or other outpatient consultation, moderate to high complexity 12 12 $322.68
90633 1,593 1,391 $321.84
92552 14 12 $312.82
11900 22 14 $310.81
80076 40 37 $307.41
84156 77 75 $304.60
11720 24 24 $303.02
93790 14 14 $298.26
J2704 Injection, propofol, 10 mg 419 346 $281.84
99000 1,597 1,436 $243.26
64642 15 12 $241.18
90620 77 72 $226.82
51784 19 12 $224.21
99188 14 14 $222.50
73523 17 13 $200.46
72114 15 15 $169.70
90700 670 564 $160.96
76140 68 41 $154.57
74021 15 12 $139.48
84100 44 25 $130.70
90962 13 13 $129.54
90680 1,984 1,653 $124.35
99441 44 44 $119.46
J0696 Injection, ceftriaxone sodium, per 250 mg 130 105 $108.58
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 76 64 $103.90
80069 12 12 $103.68
76376 194 178 $101.76
81005 53 50 $96.90
77081 13 13 $84.66
82550 13 13 $83.01
90648 2,587 2,191 $74.78
J8540 Dexamethasone, oral, 0.25 mg 444 364 $64.75
36416 209 188 $50.72
3072F 56 44 $48.42
88363 16 12 $47.37
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 13 12 $44.96
95251 276 267 $38.19
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 429 258 $22.41
J2250 Injection, midazolam hydrochloride, per 1 mg 16 12 $5.33
J2003 Injection, lidocaine hydrochloride, 1 mg 138 101 $0.42
90696 695 594 $0.00
3044F 227 201 $0.00
3074F 151 137 $0.00
91307 20 13 $0.00
3079F 64 60 $0.00
90698 19 13 $0.00
2023F 29 26 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 75 75 $0.00
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 45 43 $0.00
3052F 160 118 $0.00
3075F 12 12 $0.00
99451 13 12 $0.00
3046F 81 73 $0.00
91300 193 171 $0.00
3078F 128 115 $0.00
2022F 55 47 $0.00
J8499 Prescription drug, oral, non chemotherapeutic, nos 80 56 $0.00
99490 Ccm add 20min 134 133 $0.00
91312 47 38 $0.00
0042T 47 25 $0.00
G0427 Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth 12 12 $0.00
3051F 132 115 $0.00
3077F 16 14 $0.00
3725F 15 14 $0.00
99421 24 23 $0.00
99442 12 12 $0.00
G2252 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; 11-20 minutes of medical discussion 16 15 $0.00