NPI: 1275583205 · LOMA LINDA, CA 92354 · Audiologist · NPI assigned 05/11/2006
Authorized official PEVERINI, RICARDO controls 20+ related entities in our dataset. Read more
| Authorized Official | PEVERINI, RICARDO (PRESIDENT) |
| NPI Enumeration Date | 05/11/2006 |
Other providers sharing the same authorized official: PEVERINI, RICARDO
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 29,851 | $1.59M |
| 2019 | 139,003 | $7.22M |
| 2020 | 136,106 | $7.61M |
| 2021 | 181,126 | $10.99M |
| 2022 | 214,142 | $13.39M |
| 2023 | 221,553 | $13.93M |
| 2024 | 2,231 | $183K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 79,235 | 76,921 | $6.34M |
| 99285 | Emergency department visit for the evaluation and management, high severity with immediate threat to life | 29,940 | 29,724 | $4.46M |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 68,641 | 66,335 | $4.37M |
| 99233 | Prolong inpt eval add15 m | 33,839 | 15,660 | $2.43M |
| 99284 | Emergency department visit for the evaluation and management, high severity | 18,679 | 18,562 | $2.23M |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 36,309 | 35,995 | $2.09M |
| 99232 | Subsequent hospital care, per day, moderate complexity | 35,581 | 17,242 | $1.90M |
| 99223 | Prolong inpt eval add15 m | 12,380 | 12,195 | $1.80M |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 12,380 | 12,271 | $1.72M |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 16,627 | 16,456 | $1.57M |
| 99215 | Prolong outpt/office vis | 13,096 | 12,065 | $1.43M |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 19,743 | 19,487 | $1.39M |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 16,362 | 15,992 | $1.26M |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 7,429 | 3,520 | $1.24M |
| 99283 | Emergency department visit for the evaluation and management, moderate severity | 12,797 | 12,734 | $911K |
| 70450 | Computed tomography, head or brain; without contrast material | 21,208 | 20,024 | $718K |
| 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | 838 | 838 | $674K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 7,183 | 7,003 | $643K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 8,722 | 8,716 | $639K |
| 88307 | 6,066 | 6,014 | $570K | |
| 71045 | Radiologic examination, chest; single view | 71,340 | 57,930 | $555K |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | 5,089 | 5,024 | $546K |
| 99222 | Initial hospital care, per day, moderate complexity | 5,151 | 5,091 | $522K |
| 99238 | Hospital discharge day management, 30 minutes or less | 8,636 | 8,524 | $452K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 57,548 | 51,682 | $445K |
| 31231 | 2,739 | 2,633 | $444K | |
| 99239 | Hospital discharge day management, more than 30 minutes | 4,746 | 4,711 | $386K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 827 | 430 | $353K |
| 71046 | Radiologic examination, chest; 2 views | 30,803 | 30,353 | $344K |
| 92134 | 12,229 | 11,814 | $333K | |
| 67113 | 327 | 320 | $327K | |
| 99460 | 5,013 | 4,971 | $323K | |
| 67028 | Intravitreal injection of a pharmacologic agent | 3,498 | 3,240 | $306K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 1,893 | 1,351 | $285K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 4,594 | 4,564 | $281K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 1,203 | 1,201 | $279K |
| 78815 | Positron emission tomography (PET) for limited area imaging | 1,366 | 1,365 | $266K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7,239 | 6,942 | $264K |
| 31579 | 1,667 | 1,626 | $246K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 4,255 | 4,228 | $245K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 1,696 | 1,692 | $226K |
| 92557 | 6,764 | 6,718 | $219K | |
| 76830 | Ultrasound, transvaginal | 3,229 | 3,210 | $215K |
| 44970 | 382 | 382 | $215K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 6,224 | 3,508 | $210K |
| 92567 | 14,465 | 14,368 | $209K | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 2,781 | 2,732 | $199K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 1,696 | 1,694 | $198K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 809 | 808 | $197K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 4,107 | 4,027 | $192K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 1,752 | 1,743 | $173K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | 5,538 | 5,478 | $171K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1,696 | 1,694 | $169K |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | 1,819 | 1,668 | $164K |
| 76770 | 4,124 | 4,101 | $159K | |
| 76642 | 2,931 | 2,516 | $154K | |
| 92579 | 3,265 | 3,249 | $149K | |
| 42999 | 225 | 225 | $147K | |
| 99221 | 2,000 | 1,915 | $140K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1,473 | 1,471 | $136K |
| 59025 | Fetal non-stress test | 4,354 | 3,593 | $130K |
| 92587 | 5,819 | 5,776 | $128K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 2,846 | 2,836 | $125K |
| 76641 | 1,182 | 922 | $125K | |
| 64615 | 1,081 | 1,078 | $124K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 2,153 | 2,078 | $120K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 131 | 131 | $110K |
| 99205 | Prolong outpt/office vis | 540 | 539 | $108K |
| 74018 | 12,731 | 11,014 | $105K | |
| 77066 | Tomosynthesis, mammo | 1,223 | 1,222 | $102K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 1,224 | 1,213 | $93K |
| Z5924 | 2,030 | 2,029 | $89K | |
| 77065 | Tomosynthesis, mammo | 889 | 879 | $82K |
| J0475 | Injection, baclofen, 10 mg | 76 | 73 | $81K |
| 42299 | 171 | 171 | $81K | |
| 76818 | 1,497 | 1,208 | $78K | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | 918 | 915 | $78K |
| 01922 | 522 | 512 | $70K | |
| 93970 | 2,422 | 2,317 | $69K | |
| 92250 | 2,123 | 2,022 | $68K | |
| 71250 | 1,433 | 1,424 | $68K | |
| 92551 | 6,070 | 6,046 | $67K | |
| 76536 | 1,088 | 1,081 | $67K | |
| 95811 | 581 | 578 | $66K | |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | 1,547 | 1,530 | $66K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 408 | 407 | $65K |
| 69210 | 1,594 | 1,552 | $65K | |
| 70551 | Magnetic resonance imaging, brain; without contrast material | 930 | 925 | $65K |
| 54161 | 399 | 399 | $63K | |
| J9035 | Injection, bevacizumab, 10 mg | 850 | 654 | $62K |
| 92083 | 1,237 | 1,231 | $62K | |
| 92235 | 758 | 757 | $61K | |
| 95720 | 318 | 122 | $60K | |
| J0178 | Injection, aflibercept, 1 mg | 41 | 40 | $60K |
| 73630 | 6,743 | 5,859 | $60K | |
| 73221 | 717 | 666 | $57K | |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 952 | 770 | $57K |
| 71275 | Computed tomographic angiography, chest, with contrast material | 816 | 808 | $56K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 920 | 918 | $56K |
| 92582 | 682 | 671 | $55K | |
| 92060 | 795 | 781 | $52K | |
| 73610 | 5,440 | 4,909 | $51K | |
| 88304 | 4,122 | 4,101 | $50K | |
| 72125 | Computed tomography, cervical spine; without contrast material | 1,178 | 1,174 | $50K |
| 92133 | 1,794 | 1,781 | $48K | |
| 92504 | 2,147 | 2,100 | $48K | |
| 70498 | 738 | 711 | $47K | |
| 54360 | 61 | 61 | $45K | |
| 77427 | 282 | 129 | $44K | |
| 73562 | 4,072 | 3,435 | $40K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 1,201 | 1,125 | $39K |
| 67228 | 138 | 134 | $38K | |
| 73130 | 4,374 | 3,737 | $38K | |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 97 | 96 | $38K |
| 73560 | 4,797 | 2,855 | $37K | |
| 93320 | 1,998 | 1,969 | $37K | |
| 00920 | 376 | 374 | $37K | |
| 93000 | 3,200 | 3,114 | $37K | |
| 93351 | 473 | 465 | $35K | |
| 73030 | 3,779 | 3,382 | $35K | |
| 90961 | 246 | 246 | $34K | |
| 96158 | 728 | 566 | $34K | |
| Z5936 | 636 | 636 | $34K | |
| X4500 | 564 | 562 | $33K | |
| 49083 | 478 | 322 | $31K | |
| 95806 | 733 | 733 | $31K | |
| 73110 | 3,464 | 3,023 | $30K | |
| 93880 | 1,003 | 1,001 | $28K | |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 621 | 384 | $27K |
| 76813 | 438 | 433 | $27K | |
| 01961 | 87 | 86 | $26K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 294 | 293 | $26K |
| 95951 | 102 | 40 | $26K | |
| 93296 | 1,484 | 1,478 | $26K | |
| 72100 | 2,269 | 2,236 | $25K | |
| 72141 | 369 | 367 | $24K | |
| 99234 | 191 | 186 | $24K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 478 | 139 | $24K |
| 42900 | 73 | 73 | $23K | |
| 76825 | 295 | 280 | $23K | |
| 67040 | 25 | 25 | $22K | |
| 93295 | 779 | 777 | $21K | |
| Z5916 | 644 | 643 | $21K | |
| 96910 | 200 | 93 | $21K | |
| 93325 | 4,951 | 4,812 | $21K | |
| 88342 | 619 | 597 | $21K | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 388 | 352 | $20K |
| 70496 | 292 | 290 | $20K | |
| 14040 | 61 | 61 | $20K | |
| 46600 | 413 | 412 | $20K | |
| 93971 | 1,039 | 1,008 | $19K | |
| 94010 | 516 | 509 | $18K | |
| 77080 | 809 | 807 | $18K | |
| 92556 | 408 | 398 | $17K | |
| 96159 | 576 | 442 | $17K | |
| 74183 | 197 | 197 | $17K | |
| 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) | 3,212 | 3,188 | $17K |
| 92524 | 177 | 155 | $17K | |
| 31615 | 74 | 73 | $16K | |
| 99462 | 407 | 329 | $16K | |
| 17110 | 160 | 158 | $15K | |
| 73590 | 1,525 | 1,321 | $14K | |
| 31575 | 130 | 129 | $14K | |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 120 | 111 | $13K |
| 92555 | 525 | 514 | $13K | |
| 99447 | 394 | 393 | $13K | |
| 99153 | Mod sedat endo service >5yrs | 834 | 831 | $13K |
| 57288 | 24 | 24 | $13K | |
| 93227 | 641 | 636 | $13K | |
| 92015 | Determination of refractive state | 627 | 624 | $12K |
| Z5910 | 406 | 405 | $12K | |
| 67042 | 13 | 13 | $12K | |
| 95718 | 83 | 82 | $12K | |
| 93976 | 301 | 301 | $11K | |
| 43259 | 72 | 72 | $11K | |
| 96152 | 199 | 136 | $11K | |
| 93298 | 461 | 449 | $11K | |
| 71270 | 197 | 195 | $11K | |
| 88312 | 366 | 366 | $10K | |
| 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 | 366 | 357 | $10K |
| 70220 | 247 | 246 | $10K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 285 | 284 | $10K |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 41 | 41 | $10K |
| S0265 | Genetic counseling, under physician supervision, each 15 minutes | 126 | 126 | $9K |
| 95885 | 210 | 209 | $9K | |
| 99310 | Prolong nursin fac eval 15m | 797 | 298 | $9K |
| 77300 | 42 | 39 | $9K | |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 318 | 318 | $9K |
| 99292 | 115 | 52 | $9K | |
| 99443 | 115 | 113 | $8K | |
| 73502 | 500 | 470 | $8K | |
| 99152 | 846 | 826 | $8K | |
| 95886 | 128 | 128 | $8K | |
| 76827 | 283 | 269 | $8K | |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 469 | 53 | $8K |
| 88341 | 97 | 82 | $8K | |
| 00170 | Anesthesia for intraoral procedures, including biopsy | 52 | 52 | $8K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 157 | 157 | $8K |
| 67210 | 19 | 19 | $7K | |
| 94060 | 665 | 662 | $7K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | 264 | 263 | $7K |
| 77334 | 38 | 30 | $7K | |
| 72110 | 132 | 132 | $7K | |
| 76801 | 124 | 124 | $6K | |
| 96156 | 68 | 67 | $6K | |
| 00142 | 129 | 129 | $6K | |
| 76882 | 131 | 125 | $6K | |
| 99442 | 245 | 235 | $6K | |
| Z5918 | 403 | 403 | $5K | |
| 92612 | 38 | 38 | $5K | |
| 93016 | 279 | 279 | $5K | |
| 00840 | 25 | 25 | $5K | |
| 51798 | 627 | 609 | $5K | |
| 77290 | 57 | 43 | $5K | |
| 73090 | 398 | 351 | $5K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 25 | 25 | $5K |
| 76376 | 628 | 610 | $5K | |
| 00145 | 44 | 44 | $5K | |
| 73552 | 363 | 321 | $4K | |
| 93923 | 294 | 263 | $4K | |
| 99253 | 73 | 53 | $4K | |
| 72197 | 41 | 41 | $4K | |
| 51729 | 18 | 18 | $4K | |
| 92526 | 45 | 38 | $4K | |
| 93289 | 127 | 127 | $4K | |
| 72131 | 88 | 88 | $4K | |
| 43235 | 41 | 41 | $4K | |
| 93018 | 278 | 278 | $4K | |
| 72128 | 86 | 86 | $4K | |
| 72170 | 462 | 452 | $4K | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 450 | 445 | $3K |
| 93228 | 142 | 142 | $3K | |
| 20610 | 90 | 79 | $3K | |
| 93283 | 81 | 80 | $3K | |
| 77001 | 211 | 210 | $3K | |
| 93294 | 167 | 167 | $3K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 84 | 79 | $3K |
| 99220 | 42 | 41 | $3K | |
| V2510 | Contact lens, gas permeable, spherical, per lens | 13 | 13 | $3K |
| 77263 | 18 | 18 | $3K | |
| 46221 | 16 | 14 | $3K | |
| 93454 | 13 | 13 | $3K | |
| 93282 | 71 | 70 | $3K | |
| 73564 | 134 | 106 | $3K | |
| 76937 | 220 | 211 | $3K | |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 16 | 16 | $3K |
| 73080 | 229 | 211 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 179 | 174 | $3K |
| 72082 | 40 | 40 | $3K | |
| 94729 | 231 | 230 | $3K | |
| 73565 | 322 | 321 | $3K | |
| 70486 | 48 | 48 | $3K | |
| 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) | 36 | 36 | $3K |
| 88321 | 39 | 39 | $3K | |
| 36561 | 13 | 13 | $3K | |
| 62369 | 30 | 28 | $2K | |
| 94664 | 136 | 134 | $2K | |
| 88112 | 102 | 94 | $2K | |
| 51797 | 18 | 18 | $2K | |
| 77075 | 82 | 82 | $2K | |
| 88108 | 101 | 98 | $2K | |
| 92136 | 68 | 65 | $2K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 12 | 12 | $2K |
| 52000 | 24 | 24 | $2K | |
| 99441 | 90 | 89 | $2K | |
| 74178 | 19 | 19 | $2K | |
| 11102 | 49 | 49 | $2K | |
| 31622 | 14 | 14 | $2K | |
| 95819 | 41 | 39 | $2K | |
| 99451 | 52 | 52 | $1K | |
| 00731 | 12 | 12 | $1K | |
| A9576 | Injection, gadoteridol, (prohance multipack), per ml | 111 | 71 | $1K |
| 72040 | 130 | 129 | $1K | |
| 95117 | 114 | 51 | $1K | |
| Z5928 | 40 | 40 | $1K | |
| 72050 | 90 | 90 | $1K | |
| 95813 | 14 | 14 | $1K | |
| 88173 | 13 | 13 | $1K | |
| 90670 | 260 | 257 | $1K | |
| 73501 | 135 | 135 | $1K | |
| 93922 | 140 | 135 | $1K | |
| 88331 | 13 | 13 | $1K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 17 | 16 | $1K |
| 96415 | 14 | 12 | $1K | |
| 95816 | 25 | 24 | $1K | |
| 93280 | 43 | 43 | $1K | |
| 74328 | 58 | 53 | $997.98 | |
| 32555 | 14 | 12 | $976.08 | |
| 76377 | 29 | 29 | $904.69 | |
| 64405 | 15 | 15 | $860.79 | |
| 81002 | 402 | 386 | $854.70 | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 46 | 13 | $845.45 |
| 93248 | 41 | 41 | $841.77 | |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 107 | 25 | $748.18 |
| 92613 | 26 | 26 | $748.01 | |
| 20553 | 17 | 12 | $735.79 | |
| 69801 | 12 | 12 | $726.72 | |
| 76776 | 42 | 41 | $690.62 | |
| 51784 | 18 | 18 | $652.14 | |
| 92020 | 36 | 36 | $642.09 | |
| 93297 | 26 | 24 | $632.90 | |
| 76942 | 27 | 27 | $618.62 | |
| 0298T | 26 | 26 | $588.99 | |
| 93284 | 12 | 12 | $570.64 | |
| 93356 | 46 | 46 | $488.62 | |
| 73100 | 15 | 12 | $463.47 | |
| 90686 | 28 | 28 | $405.91 | |
| G9920 | Screening performed and negative | 178 | 178 | $387.54 |
| 88300 | 92 | 89 | $375.13 | |
| 94726 | 38 | 38 | $374.27 | |
| 90715 | 27 | 27 | $372.42 | |
| 99201 | 12 | 12 | $332.76 | |
| 94618 | 13 | 13 | $331.69 | |
| 11900 | 13 | 13 | $326.23 | |
| 99446 | 19 | 19 | $305.03 | |
| 72072 | 29 | 29 | $301.80 | |
| 73070 | 21 | 15 | $296.50 | |
| X4540 | 13 | 13 | $268.45 | |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 13 | 12 | $262.98 |
| 73020 | 37 | 35 | $260.26 | |
| 73620 | 34 | 31 | $242.70 | |
| 72120 | 24 | 24 | $236.36 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 80 | 80 | $155.26 |
| 93288 | 12 | 12 | $154.32 | |
| 88311 | 12 | 12 | $152.89 | |
| 99497 | 12 | 12 | $140.49 | |
| 51741 | 18 | 18 | $110.44 | |
| 73140 | 14 | 13 | $98.00 | |
| 73000 | 12 | 12 | $96.29 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 40 | 40 | $95.52 |
| 0500F | 24 | 24 | $84.00 | |
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 20 | 15 | $38.07 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 43 | 13 | $37.68 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | 26 | 25 | $0.57 |
| 1036F | 302 | 295 | $0.00 | |
| 96127 | 23 | 23 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 232 | 221 | $0.00 |
| 85018 | 12 | 12 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 149 | 146 | $0.00 |
| 90734 | 54 | 54 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 110 | 110 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 110 | 110 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 15 | 15 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 33 | 31 | $0.00 |