Medicaid Provider Spending

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

NEW YORK NETWORK IPA INC

NPI: 1275665457 · BROOKLYN, NY 11232 · Exclusive Provider Organization · NPI assigned 03/12/2007

$529.97M
Total Medicaid Paid
11,162,404
Total Claims
5,333,687
Beneficiaries
786
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGARCIA, ANDRES (TREASURER)
NPI Enumeration Date03/12/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 338,312 $16.62M
2019 549,516 $25.70M
2020 697,445 $36.03M
2021 1,447,741 $76.57M
2022 3,772,729 $174.81M
2023 3,274,737 $145.78M
2024 1,081,924 $54.46M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
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 1,406,305 412,026 $99.14M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 552,614 485,889 $46.05M
97530 Therapeutic activities, direct patient contact, each 15 minutes 531,363 159,366 $35.37M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,427,961 397,225 $34.73M
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 1,403,917 411,667 $33.01M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 670,554 193,646 $20.37M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 161,940 145,677 $18.79M
77067 Screening mammography, bilateral, including computer-aided detection 122,330 122,243 $15.81M
90837 Psychotherapy, 53 minutes with patient 113,778 34,682 $14.94M
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 481,751 139,801 $13.55M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 179,456 44,836 $13.06M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 218,150 124,965 $12.74M
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 574,708 167,094 $12.14M
76700 Ultrasound, abdominal, real time with image documentation; complete 86,598 86,437 $9.14M
76641 78,392 50,102 $8.47M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 81,384 81,260 $8.24M
90834 Psychotherapy, 45 minutes with patient 65,131 23,957 $5.72M
77063 Screening digital breast tomosynthesis, bilateral 101,726 101,677 $5.15M
76830 Ultrasound, transvaginal 34,755 34,357 $3.99M
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 119,606 25,565 $3.78M
76536 33,737 33,490 $3.60M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 23,501 23,473 $3.47M
93975 17,193 16,872 $3.36M
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 29,426 29,299 $2.57M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 14,783 14,728 $2.51M
97533 43,001 8,464 $2.34M
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 54,417 34,713 $2.26M
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 28,913 28,782 $2.13M
93880 13,173 13,148 $2.13M
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 16,813 16,798 $2.02M
71046 Radiologic examination, chest; 2 views 64,369 64,108 $1.99M
90791 Psychiatric diagnostic evaluation 13,332 12,773 $1.90M
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 212,362 62,093 $1.77M
76825 6,074 6,005 $1.66M
77065 Tomosynthesis, mammo 12,202 11,566 $1.55M
70551 Magnetic resonance imaging, brain; without contrast material 7,642 7,613 $1.53M
72148 Magnetic resonance imaging, lumbar spine; without contrast material 7,763 7,757 $1.52M
93970 8,645 8,581 $1.46M
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 7,015 6,487 $1.40M
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 22,713 17,094 $1.33M
19083 2,353 2,347 $1.28M
97161 20,837 20,754 $1.28M
77066 Tomosynthesis, mammo 7,838 7,788 $1.27M
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 36,975 33,601 $1.26M
97162 20,114 20,014 $1.26M
90853 Group psychotherapy (other than of a multiple-family group) 47,843 15,884 $1.23M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 3,726 3,713 $1.16M
72197 3,315 3,312 $1.12M
95923 10,757 10,740 $1.11M
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 7,235 7,234 $1.04M
90785 75,273 25,932 $1.04M
97535 Self-care/home management training, each 15 minutes 41,712 14,066 $1.01M
90460 Immunization administration through 18 years of age via any route, first or only component 31,519 30,659 $997K
93925 4,513 4,507 $956K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 4,126 3,781 $923K
76642 11,020 9,421 $910K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 5,042 5,040 $889K
93886 4,467 4,457 $850K
95886 6,951 6,464 $804K
73562 19,870 14,082 $802K
76770 10,079 10,052 $799K
92526 23,783 5,247 $750K
93979 6,626 6,624 $747K
93890 3,866 3,853 $740K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6,414 6,389 $719K
74178 2,045 2,041 $717K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6,361 6,333 $700K
73630 20,369 16,059 $698K
97032 62,721 19,032 $677K
93976 8,256 7,756 $671K
72100 16,733 16,711 $649K
74183 1,857 1,857 $636K
93922 8,076 8,002 $634K
73221 3,133 2,965 $617K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,734 2,676 $610K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 4,644 4,634 $601K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5,548 5,405 $593K
36466 467 302 $581K
78815 Positron emission tomography (PET) for limited area imaging 384 384 $580K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 9,773 5,822 $580K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 5,450 2,963 $564K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,717 1,712 $563K
72141 3,173 3,167 $553K
90846 Family psychotherapy without the patient present, 50 minutes 6,000 4,125 $539K
97124 22,640 6,194 $536K
95921 7,024 7,023 $516K
93892 3,124 3,120 $516K
L3001 Foot, insert, removable, molded to patient model, spenco, each 4,594 2,297 $515K
95912 3,056 2,866 $510K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,927 2,907 $503K
97165 5,358 5,351 $498K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 33,690 21,999 $497K
67210 1,179 1,057 $496K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 6,196 5,885 $495K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 141,892 137,132 $493K
31231 2,822 2,735 $485K
19081 898 894 $475K
99443 4,319 3,971 $473K
71250 3,715 3,708 $471K
77080 15,856 15,843 $461K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,912 3,893 $456K
88305 Level IV - Surgical pathology, gross and microscopic examination 6,003 5,410 $442K
77062 7,050 7,043 $441K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 4,094 3,039 $435K
J0585 Injection, onabotulinumtoxina, 1 unit 749 391 $425K
93923 3,706 3,637 $424K
92523 2,807 2,782 $406K
99401 23,285 20,772 $395K
73030 11,008 9,435 $375K
70486 2,793 2,791 $368K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 19,042 17,448 $357K
92250 9,928 9,889 $353K
99051 75,268 43,378 $347K
76705 Ultrasound, abdominal, real time with image documentation; limited 4,133 4,120 $332K
97035 33,152 9,285 $326K
77061 6,993 6,967 $325K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 3,482 2,967 $312K
99442 4,169 3,901 $308K
97164 8,181 7,207 $303K
95913 1,432 1,395 $290K
93000 19,735 19,370 $268K
73610 7,372 6,196 $266K
97116 14,477 4,224 $266K
73130 7,315 5,589 $264K
A9575 Injection, gadoterate meglumine, 0.1 ml 12,251 12,030 $254K
90832 Psychotherapy, 30 minutes with patient 3,678 1,219 $253K
76775 5,700 5,673 $253K
99490 Ccm add 20min 7,770 7,751 $248K
72050 4,624 4,615 $245K
11730 3,007 2,933 $240K
73718 1,072 1,022 $237K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 7,516 7,482 $231K
90836 3,005 2,836 $224K
93971 2,007 1,966 $223K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1,740 1,709 $221K
95911 1,380 1,307 $216K
83970 5,086 5,066 $216K
29200 8,827 2,667 $212K
72110 4,277 4,273 $211K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 18,678 17,387 $211K
93978 1,425 1,421 $210K
73110 5,194 4,391 $209K
70450 Computed tomography, head or brain; without contrast material 2,735 2,677 $208K
17110 1,916 1,672 $200K
98928 3,573 2,449 $198K
94010 7,926 7,215 $194K
76870 1,991 1,990 $192K
58340 805 801 $191K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,631 1,624 $190K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 4,618 4,614 $180K
77049 516 516 $176K
92134 5,147 4,874 $174K
92540 2,239 2,234 $172K
71271 1,327 1,326 $168K
92546 2,221 2,216 $159K
36478 147 95 $158K
93325 6,116 6,032 $152K
92587 4,166 4,153 $149K
72040 4,079 4,067 $147K
90847 Family psychotherapy with the patient present, 50 minutes 1,405 594 $147K
95924 1,271 1,270 $147K
99215 Prolong outpt/office vis 972 803 $144K
92060 2,306 2,299 $141K
93931 1,502 1,501 $141K
95910 1,185 1,145 $141K
76819 Fetal biophysical profile; without non-stress testing 1,818 1,320 $139K
10061 875 764 $137K
L3219 Orthopedic footwear, mens shoe, oxford, each 1,535 767 $135K
20611 1,454 1,253 $135K
29515 1,821 1,816 $134K
L3215 Orthopedic footwear, ladies shoe, oxford, each 1,638 859 $129K
72082 1,884 1,879 $128K
72070 4,089 4,071 $124K
75574 511 508 $124K
L3060 Foot, arch support, removable, premolded, longitudinal/ metatarsal, each 2,297 1,219 $123K
99050 23,125 14,855 $123K
73502 2,638 2,628 $123K
99308 Subsequent nursing facility care, per day, straightforward 2,201 997 $122K
10040 1,061 926 $122K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 413 413 $122K
29520 5,025 1,434 $122K
90838 1,088 958 $117K
76801 1,034 1,025 $115K
95117 9,503 4,314 $112K
95816 381 381 $111K
88312 2,280 2,275 $110K
82308 4,031 4,008 $110K
29125 1,585 1,579 $109K
82670 3,421 3,397 $101K
84146 5,008 4,973 $101K
12001 1,010 1,005 $99K
92235 891 890 $99K
93888 1,004 1,003 $98K
67028 Intravitreal injection of a pharmacologic agent 966 875 $97K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,452 1,088 $93K
64615 635 631 $93K
92552 5,178 5,145 $92K
36475 108 92 $92K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 217 215 $89K
29530 4,185 1,094 $88K
77072 3,364 3,364 $88K
72195 390 387 $87K
88313 2,993 2,974 $87K
72146 527 523 $86K
73140 2,379 2,338 $85K
84403 3,079 3,052 $85K
84681 4,078 3,955 $83K
99232 Subsequent hospital care, per day, moderate complexity 1,388 788 $82K
70544 694 686 $81K
84439 9,190 9,149 $80K
84443 Thyroid stimulating hormone (TSH) 9,284 9,236 $80K
20610 1,250 850 $80K
73560 2,270 1,662 $78K
73522 1,417 1,417 $75K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 9,382 9,315 $74K
92002 939 939 $74K
90792 Psychiatric diagnostic evaluation with medical services 505 495 $74K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 3,394 3,381 $72K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 3,392 3,379 $72K
83001 3,694 3,668 $71K
74018 2,386 2,338 $71K
73080 2,120 1,866 $70K
76882 1,574 1,292 $70K
29240 3,137 825 $70K
77085 1,355 1,355 $69K
L3202 Orthopedic shoe, oxford with supinator or pronator, child 1,941 972 $68K
83036 Hemoglobin; glycosylated (A1C) 7,032 7,015 $68K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 9,060 8,487 $67K
86376 4,768 4,735 $67K
83002 3,508 3,482 $67K
69210 1,211 1,207 $65K
L3010 Foot, insert, removable, molded to patient model, longitudinal arch support, each 570 290 $65K
A5500 For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe 514 513 $64K
99385 541 540 $63K
99284 Emergency department visit for the evaluation and management, high severity 835 825 $63K
10060 533 498 $63K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 1,227 1,224 $63K
86800 4,761 4,728 $62K
71260 Computed tomography, thorax, diagnostic; with contrast material 560 560 $61K
84144 2,874 2,861 $60K
92567 4,376 4,124 $60K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,596 2,899 $59K
95938 394 390 $59K
10005 449 448 $59K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,080 4,001 $59K
93229 161 160 $58K
87070 7,422 6,791 $58K
92537 2,187 2,182 $58K
11721 2,351 2,338 $56K
82024 1,362 1,356 $56K
G0444 Annual depression screening, 5 to 15 minutes 4,913 4,887 $54K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 10,329 5,036 $53K
76377 1,324 1,263 $52K
J1756 Injection, iron sucrose, 1 mg 2,414 897 $52K
92083 871 869 $51K
88342 1,412 1,209 $51K
82607 4,069 4,051 $51K
92522 683 682 $50K
83525 4,199 3,898 $50K
31575 433 432 $49K
92588 906 897 $48K
74740 547 546 $47K
92524 631 631 $46K
94060 1,028 997 $46K
11056 1,160 1,149 $45K
99222 Initial hospital care, per day, moderate complexity 381 378 $45K
97113 660 204 $44K
73218 168 164 $44K
73590 1,362 1,151 $44K
80053 Comprehensive metabolic panel 4,408 4,403 $43K
76000 1,007 908 $43K
82626 1,810 1,801 $43K
81002 21,720 18,362 $43K
L3332 Lift, elevation, inside shoe, tapered, up to one-half inch 898 441 $42K
94729 1,114 1,095 $42K
82728 3,058 3,055 $42K
92286 1,164 1,156 $41K
84481 4,637 4,604 $41K
99350 Prolong home eval add 15m 239 131 $40K
A9581 Injection, gadoxetate disodium, 1 ml 341 340 $39K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 118 118 $39K
92025 1,269 1,248 $39K
99497 797 796 $39K
82746 3,067 3,064 $38K
76881 931 585 $37K
70491 194 194 $37K
97166 389 389 $36K
92133 1,087 1,086 $35K
72220 1,130 1,103 $35K
88112 1,975 1,956 $35K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 2,375 2,221 $35K
99205 Prolong outpt/office vis 158 158 $34K
92610 521 518 $34K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 271 267 $34K
84442 3,951 3,928 $34K
19084 84 70 $34K
L3000 Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each 156 85 $34K
A5512 For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each 514 512 $33K
76827 469 453 $33K
95943 400 399 $33K
11732 1,296 1,290 $32K
82533 1,905 1,898 $32K
94727 1,111 1,092 $31K
93015 512 509 $31K
70480 194 194 $31K
92557 967 962 $31K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 3,751 3,424 $30K
99439 657 656 $30K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 1,063 1,062 $29K
71045 Radiologic examination, chest; single view 2,399 2,037 $29K
92551 4,557 4,556 $27K
80061 Lipid panel 4,406 4,396 $26K
87184 4,204 3,953 $26K
45380 Colonoscopy, flexible; with biopsy, single or multiple 92 91 $26K
93702 258 255 $26K
11421 260 135 $25K
99441 607 570 $25K
84480 4,421 4,413 $25K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 198 78 $25K
92081 802 800 $25K
12011 198 198 $24K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 203 203 $24K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 7,682 6,877 $24K
73564 532 353 $24K
76820 520 370 $23K
76818 207 62 $23K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 104 104 $23K
73700 176 164 $22K
68761 138 108 $22K
87428 690 685 $22K
83735 4,358 4,354 $22K
11901 358 290 $22K
90686 6,235 6,222 $21K
76885 193 192 $21K
L4396 Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 161 106 $21K
82977 4,215 4,202 $21K
90849 620 197 $21K
84100 4,347 4,343 $21K
70543 62 61 $21K
73090 700 680 $21K
96367 309 157 $20K
86769 599 373 $20K
99386 148 148 $20K
11755 206 206 $19K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 1,100 984 $19K
76857 503 498 $19K
10120 111 111 $19K
92579 681 664 $18K
81000 4,955 4,836 $18K
97163 295 294 $18K
29131 301 294 $18K
99349 150 85 $18K
99406 1,557 1,222 $18K
72114 270 270 $17K
83615 3,312 3,307 $17K
72052 264 264 $16K
82550 3,253 3,248 $16K
84550 3,499 3,491 $16K
73552 433 381 $16K
92653 280 278 $16K
92555 1,112 1,097 $16K
71100 415 415 $15K
82627 687 687 $15K
92201 715 715 $15K
83540 3,021 3,018 $15K
92550 1,051 1,032 $15K
99305 215 182 $15K
93268 95 95 $15K
94618 604 604 $15K
11720 688 684 $15K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 1,927 1,580 $15K
71275 Computed tomographic angiography, chest, with contrast material 139 136 $14K
90674 638 634 $14K
90756 482 480 $14K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 78 78 $14K
T1013 Sign language or oral interpretive services, per 15 minutes 1,246 1,038 $14K
93351 76 76 $14K
J3415 Injection, pyridoxine hcl, 100 mg 1,286 502 $14K
29540 1,388 766 $14K
80305 1,958 1,826 $13K
76514 1,311 1,294 $13K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 72 72 $13K
72170 441 440 $13K
99402 2,343 2,029 $12K
95930 148 146 $12K
11900 264 237 $12K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 4,276 3,101 $12K
20553 195 183 $12K
93224 152 148 $12K
27096 66 40 $11K
88120 64 62 $11K
76821 130 100 $11K
83550 2,166 2,164 $11K
57150 224 219 $11K
M0244 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency 14 14 $11K
70220 274 274 $11K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 568 550 $10K
73060 319 295 $10K
97026 2,095 725 $10K
87340 958 957 $10K
93298 532 532 $10K
L2820 Addition to lower extremity orthosis, soft interface for molded plastic, below knee section 148 93 $10K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 6,327 3,945 $10K
76813 78 78 $10K
86708 960 959 $10K
86803 963 960 $10K
00731 85 85 $10K
99243 93 91 $9K
99239 Hospital discharge day management, more than 30 minutes 87 86 $9K
98927 156 147 $9K
74181 51 51 $9K
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing 190 188 $9K
92521 90 90 $9K
90694 205 205 $9K
74019 230 229 $9K
99309 Subsequent nursing facility care, per day, low to moderate complexity 202 121 $9K
L1971 Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment 53 38 $9K
95812 27 27 $8K
92145 648 634 $8K
98925 264 187 $8K
93350 52 52 $8K
87110 994 993 $8K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 1,446 1,442 $8K
11102 78 78 $7K
72084 74 74 $7K
92020 301 300 $7K
64483 30 30 $7K
99307 329 306 $7K
86706 960 959 $7K
86704 958 957 $7K
95044 30 30 $7K
86328 249 125 $7K
92548 537 537 $7K
95700 26 26 $7K
99457 874 873 $7K
73620 243 174 $6K
93272 199 197 $6K
99238 Hospital discharge day management, 30 minutes or less 114 114 $6K
72131 54 54 $6K
84305 296 296 $6K
81025 3,165 3,056 $6K
J1030 Injection, methylprednisolone acetate, 40 mg 590 543 $6K
88174 303 302 $6K
99283 Emergency department visit for the evaluation and management, moderate severity 121 121 $6K
96127 1,079 1,022 $5K
J9035 Injection, bevacizumab, 10 mg 68 64 $5K
86580 1,074 1,072 $5K
76981 374 374 $5K
97150 Therapeutic procedure(s), group (2 or more individuals) 408 198 $5K
51741 436 423 $5K
0072A 114 114 $5K
G0483 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; 22 or more drug class(es), including metabolite(s) if performed 1,219 1,009 $5K
L3485 Heel, pad, removable for spur 144 72 $5K
92508 Group treatment of speech, language, voice, communication, and/or auditory processing disorder 209 136 $5K
95819 13 12 $5K
95708 72 27 $5K
99201 94 94 $5K
0071A 105 105 $5K
J2785 Injection, regadenoson, 0.1 mg 24 24 $5K
11100 78 78 $5K
92225 160 82 $4K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 3,511 2,735 $4K
90688 252 252 $4K
99407 309 292 $4K
83003 254 254 $4K
17000 192 190 $4K
51798 456 450 $4K
0012A 99 99 $4K
L3100 Hallus-valgus night dynamic splint, prefabricated, off-the-shelf 106 53 $4K
84702 324 318 $4K
86762 256 256 $4K
93356 292 291 $4K
36415 Collection of venous blood by venipuncture 61,515 57,806 $4K
97168 64 64 $4K
71101 90 90 $4K
81003 2,020 1,981 $4K
J1040 Injection, methylprednisolone acetate, 80 mg 370 341 $4K
92226 134 68 $4K
80414 70 70 $4K
86765 244 244 $3K
84270 539 531 $3K
72158 12 12 $3K
92202 316 315 $3K
92586 648 626 $3K
99233 Prolong inpt eval add15 m 33 13 $3K
74170 13 13 $3K
0011A 79 79 $3K
62323 14 14 $3K
77081 852 852 $3K
97760 97 97 $3K
78306 12 12 $3K
0031A 103 103 $3K
97039 421 131 $3K
64484 30 30 $3K
98926 76 71 $3K
31237 18 13 $3K
87081 561 555 $3K
J0610 Injection, calcium gluconate (fresenius kabi), per 10 ml 715 274 $3K
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) 420 332 $3K
99231 Subsequent hospital care, per day, straightforward or low complexity 69 42 $3K
95027 109 109 $3K
72202 68 68 $3K
99454 361 359 $3K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 24 24 $3K
95723 12 12 $3K
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 14 14 $3K
73660 94 91 $3K
J3411 Injection, thiamine hcl, 100 mg 1,131 435 $3K
87807 219 212 $2K
93320 39 39 $2K
G0297 Low dose ct scan (ldct) for lung cancer screening 12 12 $2K
92570 88 86 $2K
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 1,307 1,307 $2K
94621 15 15 $2K
86141 234 234 $2K
90656 1,269 1,264 $2K
87210 639 639 $2K
82784 72 72 $2K
A9585 Injection, gadobutrol, 0.1 ml 96 96 $2K
90658 640 632 $2K
99188 161 161 $2K
57454 12 12 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 41 41 $2K
72125 Computed tomography, cervical spine; without contrast material 48 47 $2K
73200 14 14 $2K
93882 19 19 $2K
86735 244 244 $2K
86787 244 244 $2K
88341 36 36 $2K
72275 28 25 $2K
86592 584 584 $2K
86003 15 15 $2K
0399T 44 43 $2K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 249 234 $2K
93040 215 214 $2K
76942 41 38 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 11,097 10,976 $2K
93228 161 160 $2K
29580 42 40 $2K
99383 12 12 $2K
A9576 Injection, gadoteridol, (prohance multipack), per ml 80 77 $2K
90715 349 349 $2K
L3260 Surgical boot/shoe, each 68 68 $2K
97010 31,107 11,988 $2K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 37 35 $1K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 69 53 $1K
99381 12 12 $1K
82565 329 329 $1K
87631 35 35 $1K
J3475 Injection, magnesium sulfate, per 500 mg 1,555 621 $1K
82950 231 203 $1K
60300 12 12 $1K
J7050 Infusion, normal saline solution, 250 cc 2,033 874 $1K
70360 36 36 $1K
L3216 Orthopedic footwear, ladies shoe, depth inlay, each 13 13 $1K
99342 14 14 $1K
72081 26 26 $1K
86677 466 457 $1K
0004A 23 23 $1K
92585 12 12 $978.12
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 154 144 $956.92
29550 78 69 $956.30
36406 70 68 $886.56
92652 12 12 $883.92
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 214 187 $864.84
99304 13 13 $854.75
92553 41 41 $814.20
95012 94 83 $789.94
87077 77 75 $737.20
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 363 316 $731.85
84153 40 40 $710.09
86160 72 72 $693.66
70547 17 17 $675.09
G0008 Administration of influenza virus vaccine 161 161 $661.14
0013A 26 26 $650.00
J0613 Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg 374 146 $629.89
94375 90 90 $624.04
E0116 Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each 51 51 $584.50
92511 13 13 $582.42
0134A 17 17 $581.25
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 13 13 $570.00
90655 42 42 $568.48
71110 12 12 $564.58
0064A 12 12 $541.32
99422 30 25 $529.92
11420 26 26 $492.80
0003A 16 16 $480.00
73600 14 12 $427.64
0124A 12 12 $426.25
94762 245 235 $423.36
97014 8,531 2,971 $412.78
G2012 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; 5-10 minutes of medical discussion 29 28 $404.57
90472 Immunization administration, each additional vaccine (list separately) 25 25 $375.00
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 94 89 $366.17
87625 13 13 $365.69
85651 182 181 $363.78
92015 Determination of refractive state 13,142 13,107 $363.14
84703 168 168 $338.80
88323 14 14 $330.56
69209 19 19 $328.38
94726 39 39 $321.23
90710 135 135 $299.42
81005 167 163 $298.74
96381 13 13 $292.76
83690 49 49 $283.97
90461 3,904 3,866 $274.14
99459 13 13 $270.48
94664 157 157 $263.32
83655 171 166 $259.24
76376 236 235 $257.51
87486 12 12 $257.16
87581 12 12 $257.16
97810 154 89 $254.08
84154 12 12 $249.81
11305 14 14 $245.28
96361 Intravenous infusion, hydration; each additional hour 16 12 $243.84
0001A 31 31 $240.00
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) 14 14 $230.40
96130 138 130 $225.04
94200 220 200 $219.48
94760 11,661 9,956 $212.00
82310 44 44 $203.20
90707 397 396 $200.00
86403 52 50 $195.00
11719 13 13 $194.04
82150 37 37 $187.36
92285 191 187 $182.17
84295 37 37 $177.97
96101 120 118 $167.52
G0442 Annual alcohol misuse screening, 5 to 15 minutes 69 69 $167.33
86703 14 14 $163.10
J1020 Injection, methylprednisolone acetate, 20 mg 35 35 $162.96
90901 688 208 $161.72
90716 856 855 $160.00
36000 951 773 $151.64
86140 36 36 $147.60
85018 87 87 $138.58
84132 37 37 $138.04
84520 41 41 $132.48
83861 346 341 $125.45
90744 1,050 1,049 $122.88
J1885 Injection, ketorolac tromethamine, per 15 mg 188 179 $107.87
G0445 High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes 40 40 $102.58
99173 13,264 13,217 $94.29
90672 198 198 $86.79
82962 1,523 1,086 $78.80
J1100 Injection, dexamethasone sodium phosphate, 1 mg 235 118 $73.42
97802 6,444 6,408 $70.10
36410 1,444 1,328 $64.38
J2704 Injection, propofol, 10 mg 99 92 $58.54
J2405 Injection, ondansetron hydrochloride, per 1 mg 104 36 $52.69
82270 14 14 $47.60
90633 981 980 $44.16
96161 14 13 $40.88
29130 27 27 $35.99
97803 1,090 1,081 $34.35
95831 30 27 $33.20
92547 746 744 $32.81
P3001 Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician 16 16 $32.39
96160 13 13 $31.50
J1200 Injection, diphenhydramine hcl, up to 50 mg 43 24 $28.86
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 15 15 $28.53
84436 887 864 $28.50
J0696 Injection, ceftriaxone sodium, per 250 mg 13 13 $13.47
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 97 90 $10.79
J7610 Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg 67 61 $9.56
99174 625 625 $7.27
99177 142 141 $5.81
82247 186 185 $5.02
94761 54 41 $5.00
J0612 Injection, calcium gluconate, not otherwise specified, 10 mg 59 29 $2.95
H0033 Oral medication administration, direct observation 56 53 $1.12
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 16,838 14,917 $0.92
99001 441 415 $0.58
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 19 19 $0.17
H0001 Alcohol and/or drug assessment 1,976 1,956 $0.16
99000 40,168 34,323 $0.12
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 174 159 $0.03
H0049 Alcohol and/or drug screening 232 227 $0.01
90651 73 72 $0.01
99072 22,448 16,012 $0.00
90713 1,798 1,795 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 1,184 1,073 $0.00
90670 2,338 2,333 $0.00
99080 844 839 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 5,134 4,383 $0.00
90700 2,320 2,318 $0.00
98960 4,243 4,228 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 573 554 $0.00
90648 723 723 $0.00
A4550 Surgical trays 726 664 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 573 554 $0.00
90734 422 422 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 1,036 999 $0.00
99354 60 53 $0.00
G9820 Documentation of a chlamydia screening test with proper follow-up 2,256 2,131 $0.00
G8476 Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg 40 39 $0.00
A4595 Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) 532 528 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 1,069 979 $0.00
92582 525 519 $0.00
90671 450 449 $0.00
S9470 Nutritional counseling, dietitian visit 629 607 $0.00
G9316 Documentation of patient-specific risk assessment with a risk calculator based on multi-institutional clinical data, the specific risk calculator used, and communication of risk assessment from risk calculator with the patient or family 99 83 $0.00
G9551 Final reports for imaging studies without an incidentally found lesion noted 454 454 $0.00
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 207 195 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 224 203 $0.00
92504 89 88 $0.00
97799 457 108 $0.00
G8984 Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals 199 189 $0.00
97012 115 50 $0.00
4040F 27 26 $0.00
G8598 Aspirin or another antiplatelet therapy used 86 82 $0.00
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 131 120 $0.00
91300 43 43 $0.00
G8985 Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 197 188 $0.00
82042 14 13 $0.00
83721 229 225 $0.00
G8482 Influenza immunization administered or previously received 200 184 $0.00
99408 204 203 $0.00
90687 16 16 $0.00
3078F 12 12 $0.00
99306 Prolong nursin fac eval 15m 12 12 $0.00
A4617 Mouth piece 21 13 $0.00
94070 26 26 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 12 12 $0.00
90685 29 29 $0.00
Q0244 Injection, casirivimab and imdevimab, 1200 mg 14 14 $0.00
99473 30 25 $0.00
75580 14 14 $0.00
95957 12 12 $0.00
G8938 Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible 13 12 $0.00
0690T 94 94 $0.00
78725 14 12 $0.00
G9920 Screening performed and negative 12 12 $0.00
90681 12 12 $0.00
91307 295 277 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 1,090 902 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 3,129 2,982 $0.00
99058 667 632 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 6,880 5,759 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 2,271 1,694 $0.00
91301 114 113 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 1,542 1,409 $0.00
88738 252 252 $0.00
90680 922 921 $0.00
36416 1,616 1,570 $0.00
90677 253 253 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 83 37 $0.00
80329 37 36 $0.00
80050 General health panel 417 417 $0.00
0346T 144 144 $0.00
90697 42 42 $0.00
90619 365 365 $0.00
G9275 Documentation that patient is a current non-tobacco user 762 731 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 94 85 $0.00
G8883 Biopsy results reviewed, communicated, tracked and documented 125 125 $0.00
90647 658 657 $0.00
90698 545 544 $0.00
99070 17 15 $0.00
99172 227 227 $0.00
G8430 Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) 210 175 $0.00
S0020 Injection, bupivicaine hydrochloride, 30 ml 128 103 $0.00
83014 182 182 $0.00
A4556 Electrodes, (e.g., apnea monitor), per pair 379 357 $0.00
99474 47 38 $0.00
90660 13 13 $0.00
90620 26 24 $0.00
90381 13 13 $0.00
84432 63 63 $0.00
90723 49 49 $0.00
99458 12 12 $0.00
G8981 Changing & maintaining body position functional limitation, current status, at therapy episode outset and at reporting intervals 17 17 $0.00
S9451 Exercise classes, non-physician provider, per session 27 27 $0.00
G8982 Changing & maintaining body position functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 18 18 $0.00
1036F 26 26 $0.00
G9637 Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) 44 44 $0.00
97550 47 40 $0.00
97750 16 16 $0.00
87632 37 37 $0.00
91306 16 16 $0.00
91303 28 28 $0.00
J3490 Unclassified drugs 19 16 $0.00
3074F 27 26 $0.00
G8711 Prescribed antibiotic on or within 3 days after the episode date 14 14 $0.00
90696 12 12 $0.00
3008F 21 20 $0.00