Medicaid Provider Spending

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

AURORA MEDICAL GROUP, INC.

NPI: 1427271378 · MILWAUKEE, WI 53215 · Internal Medicine Physician · NPI assigned 04/10/2007

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

Authorized official RICHARDSON, KARA controls 20+ related entities in our dataset. Read more

$139.24M
Total Medicaid Paid
5,067,639
Total Claims
4,355,913
Beneficiaries
573
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRICHARDSON, KARA (ASSISTANT TREASURER)
NPI Enumeration Date04/10/2007

Related Entities

Other providers sharing the same authorized official: RICHARDSON, KARA

ProviderCityStateTotal Paid
AURORA HEALTH CARE METRO, INC. MILWAUKEE WI $182.03M
A2CL SERVICES, LLC WEST ALLIS WI $98.74M
AURORA PSYCHIATRIC HOSPITAL, INC. WAUWATOSA WI $28.09M
BAYCARE AURORA, LLC GREEN BAY WI $25.37M
WEST ALLIS MEMORIAL HOSPITAL, INC. WEST ALLIS WI $23.29M
AURORA MEDICAL CENTER OF OSHKOSH, INC OSHKOSH WI $16.47M
VISITING NURSE ASSOCIATION OF WISCONSIN, INC. WEST ALLIS WI $15.36M
AURORA HEALTH CARE CENTRAL, INC. SHEBOYGAN WI $12.39M
AURORA MEDICAL CENTER BAY AREA, INC MARINETTE WI $9.68M
LAKESHORE MEDICAL CLINIC, LLC SAINT FRANCIS WI $8.38M
EHS HOME HEALTH CARE SERVICE INC OAK BROOK IL $7.28M
AURORA HEALTH CARE NORTH, INC. TWO RIVERS WI $6.80M
ADVOCATE HOME CARE PRODUCTS INC DOWNERS GROVE IL $5.39M
AURORA HEALTH CARE SOUTHERN LAKES, INC. BURLINGTON WI $5.25M
ADVOCATE HEALTH AND HOSPITALS CORPORATION PARK RIDGE IL $3.89M
AURORA MEDICAL CENTER OF WASHINGTON COUNTY, INC. HARTFORD WI $3.25M
ADVOCATE HOME CARE PRODUCTS, INC BRIDGEVIEW IL $2.37M
ADVOCATE HEALTH AND HOSPITALS CORPORATION OAK LAWN IL $2.31M
AURORA MEDICAL CENTER BAY AREA, INC MARINETTE WI $1.55M
ADVOCATE NORTH SIDE HEALTH NETWORK CHICAGO IL $1.19M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 585,078 $15.99M
2019 614,975 $16.03M
2020 568,259 $15.03M
2021 846,954 $22.04M
2022 869,042 $22.75M
2023 959,126 $25.28M
2024 624,205 $22.13M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 839,809 763,289 $30.77M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 589,155 540,318 $16.24M
99284 Emergency department visit for the evaluation and management, high severity 204,247 191,762 $7.95M
76819 Fetal biophysical profile; without non-stress testing 49,626 26,524 $4.31M
90834 Psychotherapy, 45 minutes with patient 111,669 75,058 $3.97M
90792 Psychiatric diagnostic evaluation with medical services 33,747 28,182 $3.20M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 52,694 48,838 $3.06M
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 15,112 14,121 $2.96M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 37,306 31,984 $2.93M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 66,186 61,725 $2.74M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 46,467 45,059 $2.71M
74177 Computed tomography, abdomen and pelvis; with contrast material 51,514 48,172 $2.43M
99233 Prolong inpt eval add15 m 99,678 41,530 $2.33M
70450 Computed tomography, head or brain; without contrast material 75,670 69,920 $2.22M
99215 Prolong outpt/office vis 41,367 37,194 $1.87M
99232 Subsequent hospital care, per day, moderate complexity 132,186 51,393 $1.85M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 41,841 38,899 $1.76M
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 10,643 10,033 $1.48M
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 16,827 14,502 $1.42M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 27,432 25,625 $1.32M
99239 Hospital discharge day management, more than 30 minutes 22,579 20,427 $1.27M
99223 Prolong inpt eval add15 m 25,503 23,131 $1.24M
71045 Radiologic examination, chest; single view 270,039 241,592 $1.22M
99283 Emergency department visit for the evaluation and management, moderate severity 39,965 37,753 $1.11M
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 184,926 150,879 $1.04M
99000 285,157 252,236 $1.04M
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 33,087 31,067 $1.01M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 17,325 16,931 $1.01M
77067 Screening mammography, bilateral, including computer-aided detection 24,633 23,675 $1000K
76801 7,883 7,311 $974K
71046 Radiologic examination, chest; 2 views 93,693 88,694 $930K
J2357 Injection, omalizumab, 5 mg 720 434 $896K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 35,498 25,446 $762K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 11,979 11,230 $749K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 16,756 12,297 $683K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 39,342 17,840 $662K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 6,797 6,234 $629K
76821 7,228 4,689 $537K
90686 65,273 63,249 $534K
74176 Computed tomography, abdomen and pelvis; without contrast material 13,048 12,234 $525K
71275 Computed tomographic angiography, chest, with contrast material 11,116 10,308 $498K
99282 Emergency department visit for the evaluation and management, low to moderate severity 20,481 19,085 $488K
59025 Fetal non-stress test 10,428 7,767 $472K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 67,912 62,559 $457K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,694 2,504 $413K
0240U 12,945 12,091 $411K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 13,688 12,350 $406K
76813 4,532 4,233 $399K
90837 Psychotherapy, 53 minutes with patient 6,299 4,322 $391K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 9,016 3,706 $389K
80053 Comprehensive metabolic panel 43,163 40,109 $388K
76820 9,981 5,432 $378K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 7,185 3,907 $369K
99183 4,159 1,548 $367K
99244 Office or other outpatient consultation, moderate to high complexity 4,764 4,512 $340K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 5,049 4,608 $334K
99243 5,764 5,483 $328K
93356 19,405 18,037 $313K
95886 5,712 5,316 $293K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 4,040 3,801 $287K
99443 17,335 13,838 $275K
72125 Computed tomography, cervical spine; without contrast material 6,525 6,129 $271K
76830 Ultrasound, transvaginal 6,633 6,286 $267K
70551 Magnetic resonance imaging, brain; without contrast material 5,077 4,595 $264K
95720 2,422 1,054 $261K
76705 Ultrasound, abdominal, real time with image documentation; limited 9,310 8,782 $260K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 18,310 17,166 $259K
3008F 29,239 27,630 $245K
77063 Screening digital breast tomosynthesis, bilateral 20,400 19,592 $243K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4,079 3,979 $239K
97530 Therapeutic activities, direct patient contact, each 15 minutes 5,823 2,692 $224K
91322 2,203 1,823 $224K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 10,306 8,910 $219K
99220 4,589 4,289 $215K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 5,476 5,179 $210K
96110 Developmental screening, with scoring and documentation, per standardized instrument 8,529 8,189 $195K
99460 1,984 1,864 $191K
76642 8,252 6,556 $187K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 3,470 3,211 $185K
0001A 5,744 5,601 $185K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 5,589 5,273 $183K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,922 3,743 $179K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 10,494 4,939 $177K
71250 4,179 3,908 $177K
90677 4,230 3,850 $176K
99238 Hospital discharge day management, 30 minutes or less 6,630 5,888 $171K
98942 8,985 3,425 $168K
73630 11,299 9,803 $163K
93000 13,777 12,911 $159K
0002A 4,375 4,278 $156K
80050 General health panel 4,749 4,441 $156K
70496 2,630 2,386 $152K
74018 21,656 18,421 $146K
11721 12,813 12,316 $142K
99253 2,745 2,563 $141K
90791 Psychiatric diagnostic evaluation 1,943 1,671 $137K
93793 32,743 17,825 $136K
76825 1,070 952 $136K
70498 2,222 2,025 $129K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 1,205 1,118 $128K
73562 8,322 6,886 $118K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 4,058 3,749 $117K
99222 Initial hospital care, per day, moderate complexity 2,838 2,623 $110K
93295 4,808 4,479 $109K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,253 1,194 $108K
90670 23,765 23,342 $108K
72100 6,651 6,273 $107K
93296 9,170 8,625 $106K
90832 Psychotherapy, 30 minutes with patient 3,598 2,642 $106K
97597 6,451 4,913 $105K
80048 Basic metabolic panel (calcium, ionized) 14,845 13,630 $105K
99309 Subsequent nursing facility care, per day, low to moderate complexity 5,969 4,891 $104K
0124A 3,049 2,959 $100K
90723 17,283 16,819 $99K
90847 Family psychotherapy with the patient present, 50 minutes 2,360 1,818 $98K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 2,804 1,405 $97K
99152 5,336 4,687 $96K
93308 6,450 5,853 $96K
J1726 Injection, hydroxyprogesterone caproate, (makena), 10 mg 161 51 $95K
0012A 2,665 2,596 $94K
93325 8,645 7,697 $94K
90647 14,280 13,867 $93K
0011A 3,110 3,038 $92K
99231 Subsequent hospital care, per day, straightforward or low complexity 7,629 1,885 $87K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 1,639 1,549 $84K
64483 705 663 $83K
91321 1,541 784 $82K
73610 5,070 4,683 $81K
95913 683 635 $81K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,303 1,106 $80K
80305 10,246 7,359 $79K
90480 2,827 2,299 $77K
93971 4,218 3,967 $75K
99226 2,743 1,475 $75K
76376 10,926 9,973 $75K
81001 26,402 24,460 $73K
99442 6,574 4,827 $73K
87210 14,293 13,250 $72K
94010 3,267 3,100 $71K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 215 202 $70K
73221 1,409 1,293 $70K
0071A 2,034 1,926 $70K
85027 12,027 11,271 $68K
90961 1,022 966 $66K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,466 1,364 $65K
90680 10,131 9,829 $64K
99205 Prolong outpt/office vis 884 833 $63K
77066 Tomosynthesis, mammo 2,016 1,864 $63K
78815 Positron emission tomography (PET) for limited area imaging 886 836 $62K
73030 5,276 4,704 $62K
99217 2,458 2,305 $61K
87086 Culture, bacterial; quantitative colony count, urine 10,562 9,624 $61K
81025 7,970 7,444 $61K
92567 4,490 4,248 $60K
76770 1,339 1,276 $60K
98940 4,722 2,385 $58K
20610 1,582 1,311 $56K
J0585 Injection, onabotulinumtoxina, 1 unit 121 77 $54K
0072A 1,538 1,502 $54K
90656 2,991 2,932 $52K
36416 22,548 19,322 $52K
0054A 1,514 1,471 $51K
J1729 Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg 86 27 $51K
72141 604 560 $47K
0064A 1,521 1,334 $47K
45380 Colonoscopy, flexible; with biopsy, single or multiple 223 208 $47K
Q9957 Injection, perflutren lipid microspheres, per ml 916 840 $46K
99242 1,099 1,059 $46K
90853 Group psychotherapy (other than of a multiple-family group) 2,560 1,051 $44K
0051A 1,308 1,233 $43K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,779 739 $43K
99225 2,352 1,177 $42K
49083 325 263 $42K
73110 2,149 1,933 $42K
J1050 Injection, medroxyprogesterone acetate, 1 mg 547 500 $42K
93016 3,287 3,063 $41K
77062 939 876 $40K
0134A 1,223 1,185 $40K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2,824 2,703 $39K
99245 425 404 $39K
76818 283 232 $38K
84443 Thyroid stimulating hormone (TSH) 4,379 4,132 $37K
73130 2,910 2,417 $37K
94060 1,255 1,200 $36K
95951 480 185 $36K
0004A 1,039 980 $36K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 496 470 $35K
83036 Hemoglobin; glycosylated (A1C) 6,057 5,709 $34K
80061 Lipid panel 4,376 4,109 $33K
36415 Collection of venous blood by venipuncture 61,465 54,295 $32K
77065 Tomosynthesis, mammo 1,322 1,213 $32K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1,727 1,613 $32K
77080 1,426 1,371 $31K
J2786 Injection, reslizumab, 1 mg 14 12 $31K
93975 466 425 $31K
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation 1,141 943 $30K
85610 10,125 6,966 $29K
0052A 849 811 $29K
90633 5,114 4,982 $28K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 505 474 $28K
93970 773 725 $27K
76536 919 866 $27K
A9555 Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries 96 82 $27K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 303 280 $27K
95910 418 393 $26K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,337 1,252 $26K
81003 14,788 13,785 $26K
0111A 860 751 $26K
93018 2,956 2,751 $26K
64493 270 241 $24K
80076 3,488 3,262 $24K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3,001 2,304 $24K
93015 567 521 $24K
99254 407 391 $24K
92557 954 908 $24K
95117 5,744 3,343 $23K
93321 5,648 5,137 $23K
99188 1,878 1,804 $22K
95012 1,934 1,812 $22K
31231 525 472 $22K
99221 614 563 $22K
31575 308 283 $22K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,287 1,204 $22K
82247 4,365 2,756 $21K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,084 1,018 $21K
76827 308 274 $21K
73140 1,251 1,152 $20K
71271 453 415 $19K
93351 250 231 $19K
78492 98 85 $19K
62323 248 230 $18K
92015 Determination of refractive state 3,397 2,681 $18K
84702 2,195 1,516 $18K
0112A 525 496 $18K
96127 4,351 4,091 $17K
93922 542 499 $17K
64635 92 76 $17K
99219 419 387 $17K
82248 3,553 2,461 $17K
82950 3,555 3,332 $16K
85018 6,935 6,619 $16K
0154A 436 426 $16K
0031A 453 444 $16K
73502 1,246 1,163 $15K
81513 359 339 $15K
77061 298 275 $14K
97535 Self-care/home management training, each 15 minutes 691 323 $14K
95718 173 151 $14K
92201 818 369 $13K
27096 129 117 $13K
84703 1,832 1,736 $13K
90688 1,006 983 $13K
85652 5,661 5,280 $13K
69799 14 12 $13K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,403 2,654 $13K
81002 6,010 5,446 $13K
51798 2,165 1,976 $12K
54150 233 215 $12K
92133 899 758 $12K
11056 748 699 $12K
11057 561 499 $11K
69210 1,169 1,109 $11K
87081 2,569 2,424 $11K
82565 2,827 2,448 $11K
93880 244 229 $11K
99310 Prolong nursin fac eval 15m 593 473 $11K
87338 854 818 $11K
83690 1,905 1,755 $11K
87563 615 572 $10K
82947 2,680 2,142 $10K
84484 1,008 939 $10K
87481 473 340 $10K
84460 2,389 2,063 $10K
82728 1,507 1,441 $10K
90651 904 883 $10K
92083 804 671 $10K
64615 168 160 $9K
93040 1,239 1,149 $9K
84439 1,929 1,840 $9K
93294 903 851 $9K
70486 190 180 $9K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 2,438 2,105 $9K
99441 1,242 938 $8K
V5266 Battery for use in hearing device 731 695 $8K
64494 191 166 $8K
96156 149 118 $8K
91200 1,092 1,031 $8K
0121A 235 214 $8K
76506 283 193 $8K
94726 1,167 1,106 $8K
83655 810 773 $8K
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) 226 193 $7K
84450 1,901 1,610 $7K
99307 498 470 $7K
83735 1,707 1,533 $7K
17110 412 382 $7K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 266 244 $7K
80081 171 157 $7K
95810 Polysomnography; sleep staging with 4 or more additional parameters 105 100 $7K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 12 12 $7K
82607 854 828 $7K
20553 372 342 $6K
94729 1,268 1,201 $6K
82962 2,378 1,891 $6K
0074A 161 161 $6K
0164A 180 169 $6K
99308 Subsequent nursing facility care, per day, straightforward 436 403 $6K
0003A 167 164 $6K
86140 1,753 1,655 $6K
83550 1,384 1,324 $6K
99462 191 158 $6K
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 134 106 $6K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 74 65 $5K
78264 182 168 $5K
72040 328 311 $5K
64636 79 63 $5K
0053A 165 157 $5K
20552 515 462 $5K
96133 29 24 $5K
99070 499 427 $5K
92134 363 337 $5K
87186 1,026 955 $5K
J2785 Injection, regadenoson, 0.1 mg 55 49 $5K
84550 1,504 1,372 $5K
86762 558 523 $5K
76942 81 75 $5K
99381 87 86 $5K
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) 3,083 2,909 $5K
86308 1,024 957 $5K
83540 1,463 1,397 $5K
93282 234 216 $5K
82150 887 801 $5K
90648 1,368 1,354 $4K
36558 12 12 $4K
52000 65 63 $4K
82951 392 372 $4K
87077 854 797 $4K
96116 80 66 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 175 171 $4K
82570 1,518 1,337 $4K
59430 35 29 $4K
90681 1,225 1,201 $4K
84481 412 390 $4K
96139 17 12 $4K
90685 1,161 1,122 $4K
99422 327 160 $4K
92579 129 122 $4K
86780 552 520 $4K
73080 179 170 $4K
92587 80 75 $4K
82746 451 437 $4K
22853 14 12 $4K
92504 233 200 $4K
95874 383 369 $4K
87088 758 711 $4K
90962 59 56 $3K
J1040 Injection, methylprednisolone acetate, 80 mg 469 408 $3K
95251 241 228 $3K
93264 178 165 $3K
51741 92 89 $3K
87807 257 236 $3K
70491 45 40 $3K
0013A 84 78 $3K
92523 34 24 $3K
0141A 85 72 $3K
90746 43 43 $3K
90715 198 190 $3K
85014 1,318 1,196 $3K
95811 39 38 $3K
20611 70 61 $3K
92060 183 165 $3K
59514 14 12 $3K
99236 Prolong inpt eval add15 m 32 24 $3K
86787 518 487 $3K
95912 28 26 $3K
99234 42 39 $2K
J3535 Drug administered through a metered dose inhaler 847 811 $2K
75574 14 13 $2K
11720 366 357 $2K
99385 43 37 $2K
76857 120 118 $2K
99241 70 67 $2K
A9526 Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries 14 12 $2K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 75 69 $2K
90672 88 83 $2K
94664 211 200 $2K
82043 699 670 $2K
97161 55 53 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 245 230 $2K
93320 60 51 $2K
96158 52 36 $2K
74230 161 148 $2K
90707 286 272 $2K
93304 30 24 $2K
0151A 60 58 $2K
90732 29 28 $2K
76937 263 238 $2K
99421 281 212 $2K
0073A 52 52 $2K
99252 46 43 $2K
86803 230 217 $2K
99464 33 29 $2K
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 169 132 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 317 268 $2K
0081A 53 52 $2K
93926 42 39 $2K
99201 93 89 $2K
90734 294 288 $2K
0399T 5,276 4,836 $2K
G0297 Low dose ct scan (ldct) for lung cancer screening 95 77 $2K
82784 227 218 $2K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 107 100 $2K
87480 157 145 $2K
87209 153 141 $2K
92226 92 44 $2K
11100 48 44 $2K
96132 16 12 $2K
76700 Ultrasound, abdominal, real time with image documentation; complete 40 39 $2K
93925 41 40 $2K
0082A 46 46 $2K
86850 509 478 $2K
99235 13 13 $2K
77001 228 204 $2K
90716 261 252 $2K
98927 49 42 $2K
73564 69 52 $2K
98968 133 64 $1K
93750 59 25 $1K
92551 93 87 $1K
99255 16 16 $1K
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 80 73 $1K
99218 31 28 $1K
87428 40 40 $1K
84156 712 586 $1K
87660 117 112 $1K
85379 163 152 $1K
99173 67 64 $1K
78582 50 48 $1K
0142A 33 30 $1K
90710 194 190 $1K
90700 186 184 $1K
90674 319 317 $1K
93272 53 47 $1K
43249 16 15 $1K
94618 80 80 $1K
74022 69 67 $1K
82952 310 295 $1K
81015 297 277 $998.92
74019 68 64 $994.88
93042 228 216 $986.41
86900 539 512 $975.44
86364 80 76 $974.87
98928 32 25 $957.42
78306 27 25 $931.22
43248 13 12 $922.67
83880 29 27 $920.54
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 42 37 $903.50
84100 276 251 $895.17
87177 159 143 $888.12
19083 12 12 $867.90
83615 196 176 $863.49
93290 85 77 $858.96
99349 12 12 $840.27
73560 102 83 $837.99
92651 12 12 $828.60
99384 14 14 $806.00
74170 13 13 $803.96
11055 58 50 $794.59
73090 52 49 $761.52
64450 14 12 $718.15
84403 44 39 $700.00
0083A 22 19 $690.30
96380 37 32 $679.34
87070 137 127 $669.42
97166 17 13 $637.30
95909 12 12 $628.14
G0127 Trimming of dystrophic nails, any number 129 124 $624.30
84144 46 38 $623.03
93352 31 24 $613.48
82040 178 163 $607.32
64644 25 25 $599.76
87205 311 273 $599.40
96136 16 12 $590.77
93227 30 27 $567.47
97165 15 12 $563.94
90713 13 13 $562.32
87510 64 60 $554.62
84132 180 139 $544.67
51701 16 12 $538.09
73700 13 13 $536.32
11102 12 12 $529.57
99251 14 13 $524.88
64643 25 24 $497.93
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 36 31 $493.87
95819 26 24 $490.57
93280 38 37 $488.33
73590 25 25 $479.54
90696 51 51 $476.13
11900 29 24 $474.27
84512 52 45 $455.75
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 26 25 $453.52
83516 64 57 $428.66
86038 68 65 $422.67
J1100 Injection, dexamethasone sodium phosphate, 1 mg 465 424 $416.35
96161 99 91 $408.86
82670 32 25 $370.07
72082 15 15 $355.30
73100 13 12 $339.29
93451 12 12 $335.34
99281 Emergency department visit for the evaluation and management, self-limited or minor 17 14 $331.66
92552 28 27 $312.40
J1885 Injection, ketorolac tromethamine, per 15 mg 396 360 $305.15
84146 26 26 $299.76
29540 13 12 $297.76
86376 27 26 $294.94
93297 39 39 $290.60
93244 30 27 $267.93
96138 16 12 $255.48
83001 25 25 $248.38
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 86 79 $244.50
76882 14 12 $202.02
72120 14 13 $200.36
83037 39 38 $191.48
93298 19 18 $188.02
86800 15 14 $177.23
J0153 Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) 22 12 $177.09
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 12 12 $176.96
90662 42 38 $172.48
74420 16 13 $167.35
J1010 Injection, methylprednisolone acetate, 1 mg 32 25 $158.24
J1030 Injection, methylprednisolone acetate, 40 mg 44 37 $124.84
83525 24 24 $114.53
90785 52 34 $104.86
95970 15 12 $95.67
87075 15 14 $92.98
99306 Prolong nursin fac eval 15m 16 13 $91.08
86706 14 12 $90.63
90687 27 27 $89.89
82550 26 25 $89.43
97810 20 12 $81.07
99091 14 14 $78.25
97811 20 12 $60.83
20939 29 25 $49.37
90744 14 14 $46.34
99406 39 26 $33.14
81000 32 27 $31.98
J0696 Injection, ceftriaxone sodium, per 250 mg 29 24 $26.16
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 28 $18.32
E0114 Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips 53 45 $17.10
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 72 65 $6.79
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 29 27 $2.45
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 22,010 17,727 $0.00
99177 509 498 $0.00
91313 366 353 $0.00
91300 1,590 1,402 $0.00
91311 242 236 $0.00
91312 902 881 $0.00
90630 17 16 $0.00
91308 40 34 $0.00
G0444 Annual depression screening, 5 to 15 minutes 14 13 $0.00
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 155 145 $0.00
G0008 Administration of influenza virus vaccine 217 213 $0.00
91307 371 360 $0.00
98943 73 34 $0.00
91305 633 616 $0.00
91301 877 828 $0.00
A6449 Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard 43 41 $0.00
91306 181 178 $0.00
91303 34 33 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 211 192 $0.00
91315 89 88 $0.00
99417 Prolong home eval add 15m 27 24 $0.00
91314 16 16 $0.00