NPI: 1407888928 · PANORAMA CITY, CA 91402 · Health Maintenance Organization · NPI assigned 07/07/2006
Authorized official DAVIDOFF, RAMIN controls 20+ related entities in our dataset. Read more
| Authorized Official | DAVIDOFF, RAMIN (EXECUTIVE MEDICAL DIRECTOR) |
| NPI Enumeration Date | 07/07/2006 |
Other providers sharing the same authorized official: DAVIDOFF, RAMIN
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 261,182 | $171K |
| 2019 | 176,895 | $469K |
| 2020 | 109,073 | $2.42M |
| 2021 | 153,084 | $4.84M |
| 2022 | 163,937 | $5.75M |
| 2023 | 219,137 | $8.95M |
| 2024 | 271,889 | $12.96M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 116,685 | 114,392 | $8.61M |
| 99284 | Emergency department visit for the evaluation and management, high severity | 44,573 | 44,210 | $4.70M |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 144,979 | 140,591 | $2.29M |
| 91320 | 7,612 | 7,610 | $1.28M | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 24,005 | 23,621 | $1.14M |
| 99285 | Emergency department visit for the evaluation and management, high severity with immediate threat to life | 7,071 | 7,015 | $1.11M |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 21,652 | 19,087 | $935K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 29,624 | 18,946 | $743K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 4,481 | 3,356 | $713K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 96,249 | 95,945 | $608K |
| 90662 | 4,665 | 4,665 | $520K | |
| 90480 | 9,344 | 9,330 | $487K | |
| 67028 | Intravitreal injection of a pharmacologic agent | 2,158 | 2,101 | $453K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 32,190 | 31,260 | $408K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 15,019 | 12,399 | $381K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 1,378 | 1,239 | $378K |
| 92015 | Determination of refractive state | 43,591 | 43,467 | $366K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 3,497 | 3,459 | $361K |
| 71046 | Radiologic examination, chest; 2 views | 39,950 | 33,799 | $341K |
| 77080 | 11,172 | 11,078 | $313K | |
| 70450 | Computed tomography, head or brain; without contrast material | 4,933 | 4,820 | $304K |
| 11721 | 3,129 | 3,126 | $291K | |
| 92002 | 8,680 | 8,663 | $272K | |
| 20610 | 2,660 | 2,646 | $249K | |
| 99441 | 11,075 | 10,508 | $243K | |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 2,767 | 2,249 | $231K |
| 93971 | 2,408 | 2,052 | $227K | |
| 93970 | 1,043 | 877 | $216K | |
| 0002A | 4,996 | 4,990 | $197K | |
| 99283 | Emergency department visit for the evaluation and management, moderate severity | 5,596 | 5,541 | $196K |
| 0001A | 5,022 | 5,020 | $195K | |
| 73562 | 10,077 | 9,661 | $177K | |
| 71045 | Radiologic examination, chest; single view | 25,598 | 22,673 | $174K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 21,079 | 20,764 | $162K |
| 90674 | 9,824 | 9,819 | $156K | |
| 73564 | 4,385 | 3,136 | $142K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 1,417 | 1,416 | $140K |
| 73030 | 8,204 | 7,783 | $139K | |
| 0064A | 3,097 | 3,094 | $127K | |
| 99223 | Prolong inpt eval add15 m | 1,111 | 1,107 | $127K |
| 73630 | 13,281 | 12,673 | $119K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 1,981 | 1,950 | $111K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2,815 | 2,787 | $109K |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 946 | 945 | $108K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | 5,051 | 4,859 | $104K |
| 0012A | 2,646 | 2,645 | $102K | |
| 90686 | 31,466 | 31,412 | $97K | |
| 92557 | 1,747 | 1,745 | $97K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 7,203 | 6,913 | $95K |
| 76830 | Ultrasound, transvaginal | 6,765 | 6,487 | $94K |
| 0011A | 2,541 | 2,541 | $94K | |
| 0124A | 2,645 | 2,642 | $91K | |
| J0178 | Injection, aflibercept, 1 mg | 16 | 12 | $88K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7,690 | 7,688 | $87K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 5,553 | 5,457 | $81K |
| 73610 | 8,238 | 7,661 | $73K | |
| 11056 | 434 | 431 | $73K | |
| 72100 | 3,940 | 3,860 | $72K | |
| 0004A | 1,725 | 1,725 | $70K | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 1,656 | 1,325 | $67K |
| 93268 | 183 | 183 | $67K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4,758 | 4,700 | $67K |
| 99442 | 1,296 | 1,241 | $65K | |
| 92134 | 2,662 | 1,746 | $65K | |
| 99443 | 627 | 564 | $61K | |
| 0134A | 1,674 | 1,671 | $61K | |
| 73130 | 5,330 | 4,809 | $60K | |
| 99215 | Prolong outpt/office vis | 1,459 | 1,295 | $60K |
| 76770 | 2,126 | 2,022 | $58K | |
| 0054A | 1,372 | 1,372 | $58K | |
| 73110 | 4,823 | 4,259 | $57K | |
| 90834 | Psychotherapy, 45 minutes with patient | 2,733 | 2,351 | $56K |
| 92083 | 1,297 | 931 | $55K | |
| 90734 | 2,794 | 2,788 | $55K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8,218 | 8,211 | $55K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 472 | 469 | $55K |
| 97597 | 392 | 378 | $52K | |
| 92567 | 2,918 | 2,912 | $51K | |
| 97161 | 862 | 856 | $51K | |
| J7999 | Compounded drug, not otherwise classified | 760 | 483 | $51K |
| 86360 | 1,081 | 1,070 | $50K | |
| 90651 | 3,980 | 3,979 | $50K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 13,653 | 11,991 | $48K |
| 93880 | 176 | 133 | $48K | |
| 97162 | 497 | 496 | $47K | |
| 93296 | 682 | 682 | $46K | |
| J0177 | Injection, aflibercept hd, 1 mg | 18 | 18 | $45K |
| 94726 | 421 | 419 | $45K | |
| Q5103 | Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg | 53 | 53 | $44K |
| 90750 | 458 | 458 | $43K | |
| 73560 | 1,976 | 1,356 | $42K | |
| 78815 | Positron emission tomography (PET) for limited area imaging | 125 | 125 | $42K |
| 92133 | 1,446 | 890 | $42K | |
| 86359 | 1,081 | 1,070 | $41K | |
| 0071A | 1,010 | 1,008 | $41K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4,334 | 4,334 | $41K |
| 92551 | 24,155 | 24,145 | $40K | |
| 70551 | Magnetic resonance imaging, brain; without contrast material | 327 | 323 | $40K |
| 96366 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour | 764 | 592 | $39K |
| 93294 | 445 | 445 | $38K | |
| 73502 | 1,181 | 1,119 | $36K | |
| 83880 | 741 | 713 | $36K | |
| 81220 | CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants | 425 | 425 | $36K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 760 | 758 | $34K |
| 72170 | 1,592 | 1,496 | $33K | |
| 82565 | 9,450 | 8,503 | $33K | |
| 99222 | Initial hospital care, per day, moderate complexity | 380 | 378 | $33K |
| 80051 | 8,009 | 7,341 | $32K | |
| 0072A | 781 | 781 | $31K | |
| 90837 | Psychotherapy, 53 minutes with patient | 1,229 | 1,003 | $29K |
| 99233 | Prolong inpt eval add15 m | 1,284 | 607 | $27K |
| 76642 | 950 | 917 | $27K | |
| 99220 | 144 | 144 | $27K | |
| 90670 | 4,072 | 4,065 | $26K | |
| 77065 | Tomosynthesis, mammo | 612 | 565 | $25K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 18,586 | 18,558 | $24K |
| J1756 | Injection, iron sucrose, 1 mg | 915 | 418 | $24K |
| J7030 | Infusion, normal saline solution , 1000 cc | 9,965 | 6,198 | $24K |
| 84460 | 6,942 | 6,225 | $21K | |
| 73140 | 3,255 | 2,964 | $21K | |
| 76536 | 1,230 | 1,148 | $20K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1,748 | 1,615 | $19K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 852 | 701 | $19K |
| 90656 | 3,678 | 3,677 | $19K | |
| 94729 | 185 | 185 | $19K | |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 21 | 21 | $19K |
| 84075 | 5,719 | 5,172 | $19K | |
| 82247 | 6,170 | 5,489 | $18K | |
| 83921 | 525 | 524 | $17K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1,236 | 1,231 | $17K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 2,397 | 2,294 | $17K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 14 | 12 | $16K |
| 95117 | 2,667 | 1,837 | $16K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 1,366 | 1,362 | $16K |
| 72040 | 1,007 | 990 | $15K | |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 183 | 150 | $15K |
| 17110 | 253 | 248 | $15K | |
| 0031A | 376 | 376 | $15K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 50 | 49 | $15K |
| 84450 | 3,496 | 3,146 | $15K | |
| 82947 | 6,518 | 6,278 | $15K | |
| 86141 | 1,635 | 1,560 | $14K | |
| 73080 | 1,687 | 1,506 | $14K | |
| 90677 | 1,039 | 1,039 | $14K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 28 | 28 | $14K |
| 84520 | 5,894 | 5,450 | $14K | |
| 81003 | 11,324 | 10,661 | $13K | |
| 99232 | Subsequent hospital care, per day, moderate complexity | 1,133 | 546 | $13K |
| 73590 | 1,210 | 1,089 | $13K | |
| 90679 | 69 | 69 | $12K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 1,050 | 964 | $12K |
| 90710 | 560 | 559 | $12K | |
| 85610 | 5,469 | 4,152 | $12K | |
| 71101 | 450 | 435 | $12K | |
| 11102 | 65 | 65 | $11K | |
| 69210 | 134 | 131 | $11K | |
| 74018 | 2,078 | 1,949 | $11K | |
| 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 | 30,112 | 29,234 | $11K |
| 93280 | 43 | 43 | $11K | |
| 71275 | Computed tomographic angiography, chest, with contrast material | 63 | 62 | $10K |
| 83690 | 3,230 | 3,106 | $10K | |
| 99219 | 101 | 101 | $10K | |
| 97150 | Therapeutic procedure(s), group (2 or more individuals) | 371 | 218 | $10K |
| 0154A | 262 | 262 | $10K | |
| 81329 | 463 | 463 | $10K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 174 | 172 | $10K |
| 76641 | 560 | 544 | $10K | |
| 88342 | 255 | 229 | $9K | |
| 99225 | 92 | 68 | $9K | |
| 93922 | 57 | 53 | $8K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1,150 | 1,086 | $8K |
| 85027 | 10,776 | 10,612 | $7K | |
| 83735 | 1,079 | 958 | $7K | |
| 96900 | 212 | 91 | $7K | |
| 73501 | 207 | 198 | $7K | |
| 73100 | 600 | 522 | $7K | |
| 82310 | 1,258 | 1,105 | $7K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 28 | 28 | $7K |
| 84484 | 922 | 894 | $7K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 7,126 | 6,820 | $7K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 2,463 | 1,647 | $7K |
| 84702 | 2,267 | 1,936 | $6K | |
| 99205 | Prolong outpt/office vis | 42 | 41 | $6K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 730 | 286 | $6K |
| 88304 | 981 | 897 | $6K | |
| 97165 | 183 | 183 | $6K | |
| 94010 | 114 | 114 | $6K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1,343 | 797 | $6K |
| 90648 | 5,202 | 5,195 | $6K | |
| 90723 | 2,749 | 2,745 | $6K | |
| 99234 | 83 | 80 | $6K | |
| 0074A | 145 | 144 | $5K | |
| 90633 | 2,530 | 2,529 | $5K | |
| 73120 | 381 | 345 | $5K | |
| J1750 | Injection, iron dextran, 50 mg | 15 | 15 | $5K |
| 92136 | 88 | 84 | $5K | |
| 73522 | 61 | 61 | $5K | |
| 72050 | 220 | 219 | $4K | |
| 11055 | 25 | 25 | $4K | |
| 91319 | 289 | 289 | $4K | |
| 92235 | 74 | 65 | $4K | |
| 90832 | Psychotherapy, 30 minutes with patient | 102 | 90 | $4K |
| 93016 | 93 | 93 | $4K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 14 | 14 | $4K |
| 99173 | 16,943 | 16,942 | $4K | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 223 | 185 | $4K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 337 | 313 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1,632 | 1,621 | $3K |
| 99239 | Hospital discharge day management, more than 30 minutes | 65 | 65 | $3K |
| 90791 | Psychiatric diagnostic evaluation | 394 | 394 | $3K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 587 | 579 | $3K |
| 91200 | 90 | 45 | $3K | |
| 73660 | 528 | 507 | $3K | |
| 85652 | 2,967 | 2,838 | $3K | |
| 90715 | 779 | 778 | $3K | |
| 82105 | 654 | 651 | $3K | |
| 99217 | 28 | 27 | $3K | |
| 97535 | Self-care/home management training, each 15 minutes | 130 | 123 | $3K |
| 90672 | 875 | 875 | $3K | |
| 81002 | 4,154 | 3,701 | $3K | |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | 13 | 12 | $3K |
| 0052A | 67 | 67 | $3K | |
| 77066 | Tomosynthesis, mammo | 90 | 90 | $3K |
| 93018 | 93 | 93 | $3K | |
| 99177 | 2,809 | 2,807 | $3K | |
| 73552 | 55 | 52 | $2K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 72 | 72 | $2K |
| 94060 | 26 | 26 | $2K | |
| 74019 | 101 | 101 | $2K | |
| 0112A | 55 | 55 | $2K | |
| 72070 | 126 | 126 | $2K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 43 | 30 | $2K |
| 90696 | 547 | 546 | $2K | |
| 73090 | 411 | 347 | $2K | |
| 0081A | 50 | 50 | $2K | |
| 98968 | 98 | 89 | $2K | |
| 90716 | 291 | 291 | $2K | |
| 0111A | 43 | 42 | $2K | |
| 0082A | 42 | 42 | $2K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 49 | 49 | $2K |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | 136 | 75 | $2K |
| 87338 | 807 | 807 | $1K | |
| 93288 | 12 | 12 | $1K | |
| 97116 | 38 | 26 | $1K | |
| 90681 | 631 | 630 | $1K | |
| 91318 | 202 | 199 | $1K | |
| 0013A | 27 | 27 | $1K | |
| 99310 | Prolong nursin fac eval 15m | 86 | 80 | $1K |
| 90660 | 188 | 188 | $1K | |
| 90707 | 347 | 347 | $1K | |
| 93295 | 13 | 13 | $822.75 | |
| 51798 | 39 | 39 | $816.00 | |
| 90700 | 467 | 467 | $795.00 | |
| 99307 | 368 | 319 | $781.08 | |
| 76881 | 24 | 24 | $770.00 | |
| 81206 | 12 | 12 | $740.00 | |
| 0003A | 17 | 17 | $722.28 | |
| 0083A | 38 | 37 | $695.06 | |
| 90381 | 47 | 47 | $653.00 | |
| 87799 | 26 | 26 | $611.52 | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | 120 | 119 | $605.21 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 465 | 465 | $599.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 960 | 957 | $525.00 |
| 0051A | 12 | 12 | $483.78 | |
| 0053A | 13 | 13 | $480.00 | |
| G0124 | Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician | 78 | 78 | $468.00 |
| 96361 | Intravenous infusion, hydration; each additional hour | 14 | 13 | $450.00 |
| 92504 | 39 | 39 | $435.98 | |
| 99051 | 34,695 | 34,521 | $430.00 | |
| 64450 | 14 | 14 | $424.00 | |
| 73060 | 56 | 53 | $392.31 | |
| 82950 | 522 | 522 | $382.56 | |
| 73000 | 29 | 26 | $350.00 | |
| 90655 | 262 | 262 | $345.00 | |
| 99201 | 510 | 506 | $296.35 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 163 | 159 | $289.26 |
| 82962 | 54 | 52 | $273.28 | |
| 99417 | Prolong home eval add 15m | 13 | 12 | $238.38 |
| 99188 | 105 | 105 | $176.00 | |
| 72081 | 39 | 36 | $162.55 | |
| 90756 | 2,050 | 2,031 | $156.96 | |
| 82248 | 52 | 51 | $139.92 | |
| 88141 | 18 | 18 | $130.00 | |
| J3475 | Injection, magnesium sulfate, per 500 mg | 102 | 92 | $115.01 |
| 85014 | 634 | 630 | $102.00 | |
| 76813 | 60 | 60 | $98.05 | |
| 87210 | 1,609 | 1,562 | $95.82 | |
| J3010 | Injection, fentanyl citrate, 0.1 mg | 146 | 146 | $95.55 |
| 90688 | 1,828 | 1,827 | $89.20 | |
| 72080 | 12 | 12 | $75.00 | |
| 76870 | 31 | 25 | $70.37 | |
| 86580 | 37 | 36 | $60.00 | |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | 147 | 147 | $55.16 |
| 74022 | 31 | 28 | $46.83 | |
| 85018 | 103 | 103 | $42.00 | |
| 82985 | 13 | 13 | $37.80 | |
| 88720 | 14 | 14 | $30.00 | |
| 36415 | Collection of venous blood by venipuncture | 15 | 14 | $21.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 103 | 102 | $19.38 |
| 90685 | 37 | 37 | $12.83 | |
| J7120 | Ringers lactate infusion, up to 1000 cc | 12 | 12 | $9.94 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 24 | 24 | $9.80 |
| 82570 | 490 | 467 | $8.44 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 819 | 447 | $7.01 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 27 | 27 | $2.73 |
| 81025 | 162 | 160 | $2.52 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 45 | 45 | $1.52 |
| G9920 | Screening performed and negative | 4,549 | 4,549 | $0.02 |
| 1036F | 22,769 | 22,016 | $0.00 | |
| 83550 | 25 | 25 | $0.00 | |
| 82040 | 35 | 35 | $0.00 | |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | 28 | 28 | $0.00 |
| 95125 | 61 | 40 | $0.00 | |
| 82550 | 190 | 183 | $0.00 | |
| 96040 | 39 | 37 | $0.00 | |
| 99024 | 700 | 553 | $0.00 | |
| 64566 | 74 | 43 | $0.00 | |
| 85379 | 165 | 165 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 121 | 121 | $0.00 |
| D1206 | Topical application of fluoride varnish | 14 | 14 | $0.00 |
| 3044F | 1,108 | 1,090 | $0.00 | |
| 86140 | 1,205 | 1,155 | $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 | 27 | 27 | $0.00 |
| 87088 | 258 | 257 | $0.00 | |
| 82043 | 315 | 315 | $0.00 | |
| 85730 | 675 | 664 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 403 | 403 | $0.00 |
| 92523 | 82 | 82 | $0.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 41 | 41 | $0.00 |
| 92587 | 27 | 27 | $0.00 | |
| 99460 | 12 | 12 | $0.00 | |
| 82728 | 47 | 47 | $0.00 | |
| 84132 | 82 | 82 | $0.00 | |
| 92227 | 150 | 150 | $0.00 | |
| 87081 | 27 | 27 | $0.00 | |
| 36000 | 14 | 14 | $0.00 | |
| 96111 | 14 | 14 | $0.00 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 18 | 18 | $0.00 |
| 82607 | 55 | 55 | $0.00 | |
| 3052F | 26 | 25 | $0.00 | |
| 86308 | 14 | 14 | $0.00 | |
| J7644 | Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram | 26 | 25 | $0.00 |
| 84153 | 15 | 15 | $0.00 | |
| 95012 | 12 | 12 | $0.00 | |
| 83721 | 14 | 14 | $0.00 | |
| 90661 | 1,030 | 1,030 | $0.00 | |
| 85046 | 74 | 72 | $0.00 | |
| 82274 | 179 | 179 | $0.00 | |
| 84156 | 465 | 445 | $0.00 | |
| 90658 | 116 | 116 | $0.00 | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 139 | 77 | $0.00 |
| 80061 | Lipid panel | 472 | 472 | $0.00 |
| 73070 | 27 | 26 | $0.00 | |
| 83540 | 40 | 40 | $0.00 | |
| 84550 | 16 | 16 | $0.00 | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 40 | 40 | $0.00 |
| 87186 | 115 | 113 | $0.00 | |
| 3046F | 16 | 12 | $0.00 | |
| 84439 | 120 | 120 | $0.00 | |
| 84100 | 32 | 28 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 24 | 24 | $0.00 |
| 3051F | 29 | 28 | $0.00 | |
| 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | 51 | 50 | $0.00 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 18 | 18 | $0.00 |
| G0127 | Trimming of dystrophic nails, any number | 12 | 12 | $0.00 |
| 77072 | 18 | 18 | $0.00 | |
| 84295 | 12 | 12 | $0.00 | |
| 90461 | 12 | 12 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 16 | 16 | $0.00 |
| 92579 | 14 | 14 | $0.00 |