Medicaid Provider Spending

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

SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP

NPI: 1396287082 · CHINO HILLS, CA 91709 · Clinical Medical Laboratory · NPI assigned 11/10/2016

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

Authorized official DAVIDOFF, RAMIN controls 20+ related entities in our dataset. Read more

$50.89M
Total Medicaid Paid
10,212,563
Total Claims
9,881,709
Beneficiaries
492
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDAVIDOFF, RAMIN (EXECUTIVE MEDICAL DIRECTOR)
NPI Enumeration Date11/10/2016

Related Entities

Other providers sharing the same authorized official: DAVIDOFF, RAMIN

ProviderCityStateTotal Paid
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP N HOLLYWOOD CA $63.44M
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BELLFLOWER CA $52.84M
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP LOS ANGELES CA $48.19M
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP SAN DIEGO CA $42.84M
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP PANORAMA CITY CA $35.56M
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP FONTANA CA $30.65M
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP LOS ANGELES CA $29.70M
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BALDWIN PARK CA $27.51M
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP LANCASTER CA $25.36M
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP HARBOR CITY CA $20.06M
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP ANAHEIM CA $17.76M
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP RIVERSIDE CA $15.66M
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP WOODLAND HILLS CA $11.55M
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP BAKERSFIELD CA $6.92M
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP LOS ANGELES CA $1.56M
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP SAN DIEGO CA $196K
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP OXNARD CA $194K
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP HAWTHORNE CA $113K
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP HEMET CA $101K
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP FONTANA CA $77K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,077,435 $65K
2019 977,555 $277K
2020 929,821 $3.63M
2021 1,511,116 $7.31M
2022 1,646,832 $8.13M
2023 1,850,353 $9.28M
2024 2,219,451 $22.20M

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 551,168 503,862 $5.52M
83036 Hemoglobin; glycosylated (A1C) 773,458 765,131 $3.95M
84443 Thyroid stimulating hormone (TSH) 478,667 473,273 $3.38M
80061 Lipid panel 484,731 481,687 $3.02M
82565 657,703 639,015 $2.13M
80051 433,202 421,654 $1.67M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 59,300 47,245 $1.58M
85027 559,970 555,340 $1.50M
81513 64,229 61,996 $1.43M
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 227,963 214,774 $1.36M
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 227,629 214,481 $1.35M
84460 507,318 499,463 $1.32M
85025 Blood count; complete (CBC), automated, and automated differential WBC count 229,780 222,851 $1.11M
83970 33,482 32,894 $970K
87088 284,948 269,136 $955K
82274 95,503 95,215 $887K
82043 194,552 192,545 $867K
88305 Level IV - Surgical pathology, gross and microscopic examination 71,429 48,571 $845K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 31,640 31,497 $796K
82728 123,290 121,872 $763K
82607 88,943 88,604 $761K
87481 63,936 61,708 $716K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 63,719 61,498 $710K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 136,724 135,701 $694K
84153 45,861 45,213 $646K
86803 120,899 120,045 $559K
84439 127,423 122,913 $516K
83550 116,479 115,096 $465K
86780 149,004 144,166 $434K
82310 104,341 101,988 $421K
82746 42,730 42,606 $397K
86141 53,848 52,579 $388K
87505 8,362 8,334 $378K
87186 78,611 76,276 $375K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 15,196 14,666 $356K
84075 139,756 136,371 $353K
82247 142,237 138,355 $344K
83540 118,761 117,298 $335K
84403 32,688 31,980 $299K
84132 90,944 88,790 $296K
84520 127,518 121,431 $276K
84450 112,813 110,050 $267K
87340 113,249 112,359 $251K
83721 51,072 50,907 $248K
82947 158,008 155,076 $228K
84295 66,005 65,279 $223K
82040 70,081 68,067 $214K
87536 6,359 6,269 $205K
88342 5,589 5,156 $157K
87522 Neg quan hep c or qual rna 7,675 7,511 $146K
83735 42,065 40,657 $139K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 2,685 2,657 $131K
84100 44,726 42,789 $130K
85014 62,376 60,591 $124K
87529 9,854 4,902 $124K
85018 52,517 50,972 $119K
85652 74,582 73,471 $118K
88341 2,931 2,030 $116K
82105 9,553 9,398 $108K
82378 6,574 6,138 $106K
83718 30,106 29,986 $105K
87081 125,985 124,531 $97K
87517 3,377 3,323 $91K
82670 17,859 17,706 $91K
87070 28,904 27,643 $90K
83520 12,363 12,296 $84K
86317 20,982 20,855 $84K
83001 24,862 24,516 $83K
87497 1,766 1,543 $82K
86704 16,322 16,220 $76K
82024 4,241 4,041 $69K
84550 30,698 30,258 $64K
86304 4,803 4,613 $61K
84480 15,114 14,803 $58K
82627 11,948 11,787 $56K
82465 34,322 34,212 $55K
84270 9,393 9,216 $55K
84134 8,053 7,758 $53K
86762 29,959 29,880 $51K
86787 30,953 30,826 $49K
88312 2,473 2,252 $48K
82533 7,891 7,494 $46K
83002 13,961 13,893 $46K
86376 10,275 10,182 $44K
86300 3,159 2,941 $42K
86301 2,106 1,962 $39K
82550 13,338 13,099 $39K
82248 15,838 15,391 $39K
86360 891 890 $38K
88304 4,995 4,581 $37K
86431 16,906 16,869 $37K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 9,575 9,508 $35K
87902 142 138 $35K
85046 7,803 7,761 $33K
87040 8,362 5,766 $31K
86359 893 892 $30K
86765 16,904 16,852 $30K
86769 5,941 5,925 $24K
82977 7,424 7,255 $24K
86696 7,338 7,303 $22K
88185 50 48 $22K
86708 5,246 5,230 $22K
88313 157 147 $20K
83090 2,110 2,101 $18K
83880 239 228 $18K
86705 1,709 1,682 $18K
86735 9,519 9,491 $16K
88307 668 434 $16K
87493 712 708 $15K
86695 7,340 7,304 $15K
86635 2,829 1,403 $14K
84681 2,255 2,228 $13K
86709 4,615 4,602 $13K
87185 10,395 10,324 $13K
84478 5,282 4,953 $12K
84144 3,071 3,035 $12K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 1,561 1,377 $12K
84702 4,138 3,827 $11K
85045 3,034 3,006 $11K
86665 5,309 2,655 $11K
86592 9,471 9,268 $10K
84155 5,403 5,281 $10K
87147 8,323 8,280 $10K
82150 4,824 4,733 $9K
87075 1,553 1,427 $8K
82164 1,079 1,072 $8K
83525 3,669 3,644 $8K
82340 1,905 1,857 $7K
82570 2,170 2,022 $6K
87046 1,923 1,896 $6K
84146 5,382 5,290 $6K
86677 4,884 4,874 $6K
82232 256 246 $6K
82530 863 859 $6K
85049 1,805 1,788 $6K
82985 1,068 1,059 $6K
87184 438 422 $5K
86664 2,647 2,630 $5K
88184 52 50 $5K
86593 3,479 3,420 $4K
84466 372 370 $3K
84999 26 24 $3K
82435 1,443 1,422 $3K
84540 451 425 $2K
86355 62 62 $2K
86357 62 62 $2K
82374 729 718 $2K
86702 205 202 $977.23
86060 388 383 $933.23
80048 Basic metabolic panel (calcium, ionized) 359 356 $931.19
86701 205 202 $596.33
87045 744 734 $520.43
87593 46 22 $468.00
87205 165 143 $448.50
84154 12 12 $315.00
83529 14 14 $180.00
80400 12 12 $170.00
86140 5,233 5,086 $137.40
82945 386 333 $100.00
86800 13 13 $80.00
87631 106 106 $54.96
99283 Emergency department visit for the evaluation and management, moderate severity 3,502 3,342 $44.60
84163 127 127 $13.37
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,424 946 $0.00
3044F 181,091 180,406 $0.00
97165 204 200 $0.00
3052F 12,889 12,795 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 20,567 19,611 $0.00
92567 322 318 $0.00
71101 172 102 $0.00
73560 320 166 $0.00
82784 302 288 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 54,638 46,585 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 426 301 $0.00
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 288 288 $0.00
99205 Prolong outpt/office vis 347 336 $0.00
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision 2,072 2,047 $0.00
11900 170 141 $0.00
73090 379 202 $0.00
J7060 5% dextrose/water (500 ml = 1 unit) 844 184 $0.00
90656 1,277 1,276 $0.00
90834 Psychotherapy, 45 minutes with patient 4,138 3,646 $0.00
82950 41 34 $0.00
92523 360 345 $0.00
45380 Colonoscopy, flexible; with biopsy, single or multiple 309 256 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 30,941 27,824 $0.00
99239 Hospital discharge day management, more than 30 minutes 18 18 $0.00
3074F 5,425 5,329 $0.00
76536 382 213 $0.00
90739 60 60 $0.00
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 239 204 $0.00
85379 55 55 $0.00
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 359 197 $0.00
99232 Subsequent hospital care, per day, moderate complexity 170 60 $0.00
90744 129 126 $0.00
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1,392 902 $0.00
90651 1,996 1,991 $0.00
J2175 Injection, meperidine hydrochloride, per 100 mg 335 210 $0.00
76700 Ultrasound, abdominal, real time with image documentation; complete 371 224 $0.00
90686 7,662 7,488 $0.00
20550 103 73 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 1,143 707 $0.00
73522 24 14 $0.00
20610 474 383 $0.00
17000 121 119 $0.00
73660 306 178 $0.00
71260 Computed tomography, thorax, diagnostic; with contrast material 189 158 $0.00
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 223 177 $0.00
90732 373 373 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 56 29 $0.00
83021 142 138 $0.00
99385 218 216 $0.00
97166 61 59 $0.00
70486 147 120 $0.00
99217 283 275 $0.00
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 1,538 1,511 $0.00
87255 145 145 $0.00
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 298 254 $0.00
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 366 200 $0.00
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 718 718 $0.00
90847 Family psychotherapy with the patient present, 50 minutes 172 163 $0.00
58100 172 170 $0.00
76641 508 267 $0.00
86580 1,335 1,272 $0.00
11055 146 142 $0.00
84484 186 182 $0.00
72148 Magnetic resonance imaging, lumbar spine; without contrast material 230 195 $0.00
90696 689 687 $0.00
72081 373 197 $0.00
92551 7,783 7,758 $0.00
96127 150 143 $0.00
76870 215 139 $0.00
97162 110 106 $0.00
73120 151 85 $0.00
83690 529 517 $0.00
76801 182 145 $0.00
97010 426 266 $0.00
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 65 53 $0.00
83921 44 43 $0.00
58301 161 156 $0.00
83605 178 166 $0.00
76830 Ultrasound, transvaginal 1,305 865 $0.00
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 522 290 $0.00
93971 164 129 $0.00
92227 797 795 $0.00
95806 103 90 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 3,642 3,507 $0.00
99383 14 14 $0.00
90723 2,049 1,833 $0.00
82962 492 425 $0.00
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 540 432 $0.00
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,263 1,219 $0.00
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 129 128 $0.00
73564 935 487 $0.00
73502 470 244 $0.00
94660 45 44 $0.00
D1206 Topical application of fluoride varnish 1,031 946 $0.00
92002 2,121 2,097 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,862 2,339 $0.00
99460 30 30 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 218 130 $0.00
73060 52 24 $0.00
74183 13 13 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 457 276 $0.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,641 1,622 $0.00
71045 Radiologic examination, chest; single view 1,204 1,054 $0.00
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 73 71 $0.00
86225 127 125 $0.00
94010 105 104 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 386 211 $0.00
L1810 Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 57 56 $0.00
12001 54 54 $0.00
82677 295 294 $0.00
94761 261 243 $0.00
90716 935 865 $0.00
52000 76 72 $0.00
57454 55 52 $0.00
85730 59 53 $0.00
86885 119 119 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 18 18 $0.00
99441 4,966 4,639 $0.00
74022 71 46 $0.00
72040 348 197 $0.00
90792 Psychiatric diagnostic evaluation with medical services 189 189 $0.00
58300 180 177 $0.00
73650 23 12 $0.00
29075 12 12 $0.00
51798 109 103 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 106 54 $0.00
96415 113 60 $0.00
93227 45 44 $0.00
J8540 Dexamethasone, oral, 0.25 mg 57 29 $0.00
73221 130 91 $0.00
90632 43 43 $0.00
92587 61 60 $0.00
11200 27 26 $0.00
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 129 69 $0.00
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 25 24 $0.00
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,233 1,164 $0.00
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 28 26 $0.00
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 14 14 $0.00
95910 12 12 $0.00
99386 44 44 $0.00
20553 15 15 $0.00
64615 14 13 $0.00
80197 34 25 $0.00
70491 13 12 $0.00
31231 91 90 $0.00
86160 53 50 $0.00
97597 15 13 $0.00
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 23 15 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 16 14 $0.00
99220 12 12 $0.00
94760 21 21 $0.00
86901 136 130 $0.00
95819 12 12 $0.00
96150 13 13 $0.00
11730 13 12 $0.00
73552 23 13 $0.00
86336 296 295 $0.00
3051F 21,389 21,186 $0.00
J0585 Injection, onabotulinumtoxina, 1 unit 115 101 $0.00
99281 Emergency department visit for the evaluation and management, self-limited or minor 419 409 $0.00
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 333 283 $0.00
90472 Immunization administration, each additional vaccine (list separately) 6,271 5,879 $0.00
99442 533 512 $0.00
77080 462 269 $0.00
73610 1,647 926 $0.00
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 238 198 $0.00
90710 707 705 $0.00
86003 875 772 $0.00
85610 732 593 $0.00
J7030 Infusion, normal saline solution , 1000 cc 3,426 986 $0.00
71250 96 78 $0.00
G0124 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician 295 293 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,808 4,614 $0.00
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,107 643 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,431 3,322 $0.00
73562 1,303 768 $0.00
73130 994 559 $0.00
99219 348 332 $0.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 160 158 $0.00
73110 1,030 546 $0.00
73140 1,059 576 $0.00
99173 9,336 9,282 $0.00
90791 Psychiatric diagnostic evaluation 1,288 1,282 $0.00
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 893 893 $0.00
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 139 137 $0.00
78815 Positron emission tomography (PET) for limited area imaging 15 15 $0.00
90715 1,779 1,769 $0.00
11100 218 215 $0.00
90713 143 139 $0.00
3046F 17,763 17,569 $0.00
90707 955 886 $0.00
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 4,992 3,191 $0.00
83655 1,478 1,440 $0.00
3078F 5,205 5,111 $0.00
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 322 240 $0.00
99231 Subsequent hospital care, per day, straightforward or low complexity 55 31 $0.00
76770 605 349 $0.00
73030 1,237 708 $0.00
97150 Therapeutic procedure(s), group (2 or more individuals) 850 318 $0.00
90633 1,709 1,595 $0.00
92579 112 107 $0.00
90681 946 837 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,476 3,877 $0.00
71046 Radiologic examination, chest; 2 views 4,625 2,737 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 571 557 $0.00
90661 1,655 1,620 $0.00
87102 56 54 $0.00
90734 1,544 1,536 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,360 1,326 $0.00
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 174 174 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 330 195 $0.00
90832 Psychotherapy, 30 minutes with patient 281 268 $0.00
76813 144 143 $0.00
90853 Group psychotherapy (other than of a multiple-family group) 1,688 781 $0.00
74018 1,127 648 $0.00
86038 134 130 $0.00
86235 15 14 $0.00
92015 Determination of refractive state 3,570 3,514 $0.00
20552 115 97 $0.00
96101 62 58 $0.00
81002 3,600 3,209 $0.00
31575 125 123 $0.00
80164 43 40 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 611 405 $0.00
92550 160 159 $0.00
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,512 1,036 $0.00
90648 3,001 2,716 $0.00
69209 42 40 $0.00
72141 172 144 $0.00
90670 3,151 2,865 $0.00
73070 258 130 $0.00
11750 130 126 $0.00
74177 Computed tomography, abdomen and pelvis; with contrast material 867 758 $0.00
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1,730 1,688 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,672 3,663 $0.00
90837 Psychotherapy, 53 minutes with patient 1,902 1,689 $0.00
77066 Tomosynthesis, mammo 80 42 $0.00
90691 115 115 $0.00
70551 Magnetic resonance imaging, brain; without contrast material 224 202 $0.00
10060 74 74 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 832 542 $0.00
17110 611 558 $0.00
85060 80 78 $0.00
J1071 Injection, testosterone cypionate, 1 mg 306 135 $0.00
76857 184 111 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 312 150 $0.00
99225 232 173 $0.00
11721 258 251 $0.00
90658 745 742 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,130 3,976 $0.00
81003 2,044 1,960 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12,578 11,668 $0.00
90685 84 78 $0.00
90746 418 411 $0.00
99201 1,246 1,224 $0.00
73630 2,265 1,267 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,142 1,136 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 302 290 $0.00
76881 126 71 $0.00
43235 169 143 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,276 3,268 $0.00
99215 Prolong outpt/office vis 1,914 1,808 $0.00
62323 45 45 $0.00
77067 Screening mammography, bilateral, including computer-aided detection 1,022 635 $0.00
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 3,312 3,253 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 521 358 $0.00
72050 159 83 $0.00
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,852 1,800 $0.00
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 581 225 $0.00
12011 28 28 $0.00
90750 45 45 $0.00
73590 399 214 $0.00
73100 338 181 $0.00
99284 Emergency department visit for the evaluation and management, high severity 4,417 4,065 $0.00
99222 Initial hospital care, per day, moderate complexity 35 32 $0.00
86900 137 131 $0.00
76705 Ultrasound, abdominal, real time with image documentation; limited 914 641 $0.00
L1902 Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf 49 49 $0.00
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 170 137 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 701 700 $0.00
87210 56 48 $0.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 471 260 $0.00
96523 28 12 $0.00
74176 Computed tomography, abdomen and pelvis; without contrast material 327 282 $0.00
97161 1,641 1,619 $0.00
86256 48 48 $0.00
92134 147 107 $0.00
87341 59 58 $0.00
17003 14 14 $0.00
87338 62 62 $0.00
L3260 Surgical boot/shoe, each 26 26 $0.00
Q5102 Injection, infliximab, biosimilar, 10 mg 15 12 $0.00
92557 217 212 $0.00
73080 424 244 $0.00
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 41 41 $0.00
97530 Therapeutic activities, direct patient contact, each 15 minutes 536 433 $0.00
72100 813 472 $0.00
90700 869 802 $0.00
94060 61 59 $0.00
70450 Computed tomography, head or brain; without contrast material 640 572 $0.00
72070 56 31 $0.00
93970 39 28 $0.00
81025 2,487 2,323 $0.00
00170 Anesthesia for intraoral procedures, including biopsy 19 14 $0.00
92504 12 12 $0.00
99051 1,310 1,184 $0.00
77072 24 13 $0.00
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 15 12 $0.00
99354 12 12 $0.00
80076 13 13 $0.00
99233 Prolong inpt eval add15 m 32 18 $0.00
00840 50 27 $0.00
67028 Intravitreal injection of a pharmacologic agent 17 14 $0.00
84305 13 13 $0.00
86147 13 12 $0.00
96417 54 37 $0.00
86480 47 47 $0.00
97760 15 12 $0.00
99238 Hospital discharge day management, 30 minutes or less 63 53 $0.00
99223 Prolong inpt eval add15 m 14 12 $0.00
47562 12 12 $0.00
80361 18 13 $0.00
92133 51 30 $0.00
99221 37 35 $0.00
90785 28 27 $0.00
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 66 66 $0.00
86039 15 14 $0.00
J9035 Injection, bevacizumab, 10 mg 13 12 $0.00
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 23 23 $0.00