Medicaid Provider Spending

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

NEW YORK CITY HEALTH AND HOSPITALS CORPORATION

NPI: 1467469023 · BROOKLYN, NY 11206 · Internal Medicine Physician · NPI assigned 08/03/2006

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

Authorized official KARLIN, MARJI controls 19+ related entities in our dataset. Read more

$119.27M
Total Medicaid Paid
2,827,758
Total Claims
2,514,187
Beneficiaries
624
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKARLIN, MARJI (CHIEF REVENUE OFFICER)
NPI Enumeration Date08/03/2006

Related Entities

Other providers sharing the same authorized official: KARLIN, MARJI

ProviderCityStateTotal Paid
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BRONX NY $217.68M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $178.84M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION NEW YORK NY $176.33M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BRONX NY $160.32M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION ELMHURST NY $146.57M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION JAMAICA NY $125.54M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION NEW YORK NY $108.18M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $107.34M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION NEW YORK NY $100.78M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION NEW YORK NY $57.46M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $48.88M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BRONX NY $34.62M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $30.93M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BRONX NY $19.59M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BRONX NY $16.91M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $5.55M
NEW YORK CITY HEALTH & HOSPITALS CORPORATION BROOKLYN NY $896K
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $335K
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION NEW YORK NY $410.07

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 73,077 $568K
2019 213,644 $7.31M
2020 421,094 $19.24M
2021 636,499 $26.80M
2022 620,143 $27.59M
2023 454,295 $19.89M
2024 409,006 $17.87M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 97,080 90,734 $14.05M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 158,992 135,529 $11.47M
99284 Emergency department visit for the evaluation and management, high severity 69,774 64,122 $11.22M
90791 Psychiatric diagnostic evaluation 11,189 9,546 $7.77M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 71,281 62,936 $5.81M
90832 Psychotherapy, 30 minutes with patient 37,086 27,368 $4.29M
99282 Emergency department visit for the evaluation and management, low to moderate severity 18,781 17,664 $2.92M
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 44,485 39,220 $2.49M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 13,419 12,722 $2.21M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 32,956 29,275 $2.17M
90834 Psychotherapy, 45 minutes with patient 11,335 7,601 $1.82M
D0999 Unspecified diagnostic procedure, by report 10,854 10,610 $1.73M
70450 Computed tomography, head or brain; without contrast material 10,757 10,460 $1.69M
36415 Collection of venous blood by venipuncture 186,584 120,149 $1.49M
96361 Intravenous infusion, hydration; each additional hour 15,778 12,772 $1.34M
S9485 Crisis intervention mental health services, per diem 1,059 875 $1.19M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 16,422 15,733 $1.17M
D9999 Unspecified adjunctive procedure, by report 8,387 7,809 $1.16M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 10,404 10,133 $1.11M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 7,320 7,140 $1.09M
81412 617 616 $963K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 29,216 28,206 $867K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,137 1,110 $820K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 8,464 7,408 $817K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 14,029 13,867 $813K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 15,383 4,591 $787K
99215 Prolong outpt/office vis 5,186 4,789 $739K
90460 Immunization administration through 18 years of age via any route, first or only component 27,424 27,330 $692K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 25,669 24,723 $674K
77067 Screening mammography, bilateral, including computer-aided detection 6,636 6,568 $655K
80053 Comprehensive metabolic panel 67,458 62,898 $641K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 18,307 15,570 $577K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 32,031 27,741 $564K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 4,161 4,015 $557K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 4,559 4,343 $555K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 7,162 6,700 $554K
99442 10,514 9,889 $548K
81420 Fetal chromosomal aneuploidy genomic sequence analysis panel 792 787 $542K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 30,149 25,314 $514K
74177 Computed tomography, abdomen and pelvis; with contrast material 3,293 3,235 $483K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 3,301 3,216 $459K
86480 7,842 7,647 $459K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 3,667 3,269 $447K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 1,052 1,044 $442K
87536 5,024 4,920 $431K
76641 4,158 3,532 $406K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 479 463 $393K
80061 Lipid panel 37,208 36,539 $380K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 5,988 5,550 $367K
41899 Unlisted procedure, dentoalveolar structures 466 464 $365K
90461 12,013 11,994 $351K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 4,068 3,982 $344K
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 17,126 15,073 $344K
85027 101,496 94,083 $339K
59025 Fetal non-stress test 3,664 2,752 $338K
97530 Therapeutic activities, direct patient contact, each 15 minutes 7,084 2,554 $329K
86360 6,981 6,855 $322K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 4,976 4,854 $310K
71046 Radiologic examination, chest; 2 views 19,795 19,222 $306K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 4,185 3,641 $300K
83036 Hemoglobin; glycosylated (A1C) 43,987 42,918 $300K
99443 3,897 3,287 $284K
G0397 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes 1,651 722 $282K
76818 3,415 2,057 $279K
H0037 Community psychiatric supportive treatment program, per diem 270 239 $278K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 31,630 30,967 $276K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 5,801 5,652 $272K
84443 Thyroid stimulating hormone (TSH) 23,573 22,871 $261K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 12,856 12,330 $261K
90792 Psychiatric diagnostic evaluation with medical services 1,300 1,275 $261K
99441 9,758 8,795 $256K
86703 20,385 20,019 $255K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 2,676 2,650 $252K
86359 7,073 6,945 $251K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 26,435 24,638 $250K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 6,567 6,153 $248K
D7140 Extraction, erupted tooth or exposed root 9,111 6,399 $247K
70486 1,798 1,764 $245K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,008 1,989 $236K
76830 Ultrasound, transvaginal 2,683 2,580 $235K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 8,910 8,640 $233K
72125 Computed tomography, cervical spine; without contrast material 2,209 2,143 $225K
0002A 7,419 7,389 $223K
80048 Basic metabolic panel (calcium, ionized) 27,119 25,900 $220K
90750 2,673 2,645 $214K
82962 42,867 31,603 $213K
0001A 7,620 7,610 $211K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 3,383 2,545 $209K
90677 1,792 1,788 $202K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 2,902 2,802 $201K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 9,676 9,549 $193K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,753 2,436 $187K
93970 1,106 1,085 $181K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 5,910 4,549 $177K
11721 5,614 4,831 $176K
76801 1,782 1,759 $171K
H0005 Alcohol and/or drug services; group counseling by a clinician 2,516 480 $170K
12001 813 785 $169K
99205 Prolong outpt/office vis 922 896 $164K
86769 4,391 4,255 $158K
86850 9,653 9,025 $157K
H0050 Alcohol and/or drug services, brief intervention, per 15 minutes 2,412 2,274 $154K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 6,375 5,916 $149K
90697 1,780 1,779 $149K
90715 6,449 6,407 $148K
12011 735 723 $148K
76770 1,155 1,117 $148K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 317 314 $147K
99201 2,227 2,094 $144K
97162 1,483 1,474 $143K
J1050 Injection, medroxyprogesterone acetate, 1 mg 1,727 1,721 $140K
92015 Determination of refractive state 6,076 6,048 $139K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 21,941 20,110 $137K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,633 2,577 $130K
99381 1,373 1,366 $128K
71045 Radiologic examination, chest; single view 16,020 15,230 $128K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 5,926 5,743 $127K
77066 Tomosynthesis, mammo 816 812 $122K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 184 182 $121K
86803 11,448 11,306 $119K
83655 9,941 9,767 $119K
76700 Ultrasound, abdominal, real time with image documentation; complete 790 784 $117K
D0120 Periodic oral evaluation - established patient 11,439 10,942 $117K
96127 28,681 24,483 $116K
T1013 Sign language or oral interpretive services, per 15 minutes 9,177 8,529 $112K
D0140 Limited oral evaluation - problem focused 11,689 10,222 $111K
86780 10,167 9,890 $110K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,675 1,635 $109K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,105 1,082 $109K
90686 11,632 11,557 $108K
90651 1,634 1,620 $103K
92250 2,992 2,609 $102K
80076 16,385 15,985 $102K
90746 1,842 1,829 $101K
77065 Tomosynthesis, mammo 843 817 $101K
86901 9,700 9,044 $97K
73630 4,625 4,201 $95K
71271 387 382 $95K
H0014 Alcohol and/or drug services; ambulatory detoxification 502 223 $83K
76819 Fetal biophysical profile; without non-stress testing 2,395 2,207 $83K
90734 1,358 1,340 $82K
D1120 Prophylaxis - child 8,024 8,024 $82K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 4,481 4,432 $78K
87535 2,284 2,263 $78K
77063 Screening digital breast tomosynthesis, bilateral 1,735 1,698 $75K
H0038 Self-help/peer services, per 15 minutes 3,109 2,851 $74K
97010 9,401 2,668 $74K
86900 9,684 9,025 $73K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 4,806 4,745 $73K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 3,663 3,515 $71K
71250 353 353 $70K
96375 Therapeutic injection; each additional sequential IV push 9,081 8,575 $68K
73564 2,489 2,372 $67K
99385 862 848 $67K
81001 33,740 31,307 $67K
D1110 Prophylaxis - adult 4,198 4,148 $67K
86706 7,801 7,588 $65K
97802 2,649 2,610 $65K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2,216 2,155 $63K
10060 367 321 $61K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,596 1,550 $61K
76705 Ultrasound, abdominal, real time with image documentation; limited 916 907 $61K
0004A 1,591 1,588 $58K
72100 2,360 2,321 $58K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 326 322 $57K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 1,730 1,690 $57K
87340 7,764 7,549 $56K
J2794 Injection, risperidone (risperdal consta), 0.5 mg 77 54 $56K
92083 1,149 998 $56K
92550 1,679 1,598 $56K
87086 Culture, bacterial; quantitative colony count, urine 11,956 11,100 $56K
81025 18,601 17,766 $56K
87800 1,809 1,785 $55K
H0001 Alcohol and/or drug assessment 280 160 $52K
90472 Immunization administration, each additional vaccine (list separately) 6,520 6,445 $52K
86762 4,013 3,876 $51K
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 1,372 1,284 $51K
99401 2,022 1,929 $49K
86765 4,389 4,231 $48K
84439 6,581 6,393 $48K
90847 Family psychotherapy with the patient present, 50 minutes 205 194 $48K
84702 8,967 7,857 $48K
59425 733 674 $47K
D2930 Prefabricated stainless steel crown - primary tooth 1,295 824 $46K
73610 2,412 2,289 $45K
D0220 Intraoral - periapical first radiographic image 11,578 11,443 $45K
90670 3,775 3,766 $45K
J2426 Injection, paliperidone palmitate extended release (invega sustenna), 1 mg 67 63 $45K
87486 2,695 2,669 $44K
99386 459 450 $44K
93247 252 251 $44K
73030 2,291 2,196 $42K
83880 3,184 3,078 $41K
92133 1,406 1,235 $41K
73130 2,384 2,260 $41K
82728 3,876 3,803 $40K
93017 778 766 $40K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 1,444 1,441 $40K
0003A 1,004 1,004 $40K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 84 83 $39K
90732 420 410 $39K
85610 12,024 10,384 $38K
84153 2,765 2,718 $38K
74019 1,182 1,163 $38K
92134 1,172 1,079 $37K
86787 3,777 3,653 $37K
82951 3,509 3,250 $37K
92579 662 660 $36K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 4,051 3,545 $36K
86593 10,153 9,813 $35K
99051 4,327 4,290 $35K
97165 353 353 $35K
D0150 Comprehensive oral evaluation - new or established patient 3,382 3,184 $35K
D1208 Topical application of fluoride, excluding varnish 9,000 8,986 $35K
91320 465 462 $34K
96161 4,518 4,334 $34K
83020 2,561 2,455 $33K
D0274 Bitewings - four radiographic images 4,712 4,693 $33K
82607 3,161 3,105 $33K
87581 2,693 2,667 $33K
82677 1,509 1,488 $32K
82043 6,549 5,769 $32K
86735 3,224 3,110 $32K
J0561 Injection, penicillin g benzathine, 100,000 units 205 175 $32K
87522 Neg quan hep c or qual rna 787 759 $31K
83970 972 951 $30K
12002 143 139 $30K
73110 1,598 1,499 $28K
73502 1,117 1,033 $28K
94060 416 384 $27K
86704 3,151 3,091 $27K
82105 2,235 2,202 $27K
D0272 Bitewings - two radiographic images 5,668 5,667 $27K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,079 903 $25K
90480 655 652 $24K
82805 3,823 3,601 $24K
81003 11,605 10,209 $24K
90853 Group psychotherapy (other than of a multiple-family group) 327 91 $23K
80320 9,762 9,059 $23K
82274 1,757 1,748 $22K
D0330 Panoramic radiographic image 2,171 2,150 $22K
99281 Emergency department visit for the evaluation and management, self-limited or minor 121 113 $22K
94729 387 386 $21K
83550 3,336 3,274 $21K
0072A 506 506 $21K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 3,362 3,177 $21K
H0049 Alcohol and/or drug screening 310 284 $21K
97803 666 654 $20K
71275 Computed tomographic angiography, chest, with contrast material 107 106 $20K
99383 263 262 $20K
90674 1,727 1,710 $20K
73562 902 827 $19K
90707 1,144 1,141 $19K
88142 867 857 $19K
94726 284 283 $19K
77080 607 586 $19K
0071A 485 483 $19K
D1351 Sealant - per tooth 2,167 751 $19K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 611 264 $18K
83540 3,480 3,413 $17K
90656 1,341 1,341 $17K
86336 1,508 1,487 $17K
90620 616 606 $17K
D8670 Periodic orthodontic treatment visit 1,092 1,043 $17K
3074F 50,351 40,188 $17K
92202 1,017 1,001 $16K
D0210 Intraoral - complete series of radiographic images 1,393 1,367 $16K
73590 1,151 1,117 $16K
84207 577 574 $16K
92557 504 502 $16K
J1885 Injection, ketorolac tromethamine, per 15 mg 14,801 13,966 $15K
96367 402 362 $15K
99423 230 222 $15K
90846 Family psychotherapy without the patient present, 50 minutes 122 107 $15K
74018 753 746 $15K
87081 3,144 3,102 $15K
84703 2,636 2,574 $15K
J1631 Injection, haloperidol decanoate, per 50 mg 1,124 1,056 $14K
85730 7,745 7,498 $14K
84704 1,114 1,095 $14K
86003 470 420 $14K
82570 5,261 4,099 $14K
J0401 Injection, aripiprazole (abilify maintena), 1 mg 25 24 $14K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 384 373 $13K
90680 2,473 2,471 $13K
88304 295 278 $13K
11900 104 102 $13K
99384 239 234 $13K
73140 691 668 $12K
84146 621 587 $12K
81002 3,645 2,764 $12K
88307 138 138 $11K
90716 922 921 $11K
99402 173 160 $11K
73090 866 849 $11K
84154 718 701 $11K
87186 2,184 2,024 $11K
J0515 Injection, benztropine mesylate, per 1 mg 776 681 $11K
84484 10,577 9,554 $11K
0124A 291 288 $11K
90744 1,943 1,939 $10K
90633 1,897 1,896 $10K
67028 Intravitreal injection of a pharmacologic agent 65 53 $10K
83735 7,438 7,083 $10K
87338 895 889 $10K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 418 146 $10K
J2785 Injection, regadenoson, 0.1 mg 56 54 $10K
J7030 Infusion, normal saline solution , 1000 cc 14,661 13,748 $9K
99422 184 183 $9K
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter 146 129 $9K
86592 2,920 2,648 $9K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 190 188 $9K
93246 279 278 $9K
29125 86 82 $9K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,036 838 $9K
84402 354 337 $9K
73560 263 240 $8K
82977 1,395 1,344 $8K
84425 462 460 $8K
J7120 Ringers lactate infusion, up to 1000 cc 5,484 5,170 $8K
A9585 Injection, gadobutrol, 0.1 ml 236 236 $8K
59426 131 68 $8K
86696 540 498 $7K
D1206 Topical application of fluoride varnish 1,342 1,334 $7K
96040 90 87 $7K
83001 407 382 $7K
86038 815 794 $7K
D0603 6,824 6,656 $7K
84156 2,850 2,694 $7K
90662 424 423 $7K
99451 248 245 $7K
83690 9,967 9,521 $7K
J2704 Injection, propofol, 10 mg 3,240 3,148 $6K
29130 54 52 $6K
92551 965 965 $6K
96380 392 392 $6K
84100 2,614 2,526 $6K
58300 62 61 $6K
99406 739 711 $6K
82785 458 450 $6K
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 2,819 2,774 $6K
90698 1,342 1,341 $6K
86695 531 490 $6K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 12 12 $6K
84403 209 193 $5K
80165 1,010 967 $5K
D3330 Endodontic therapy, molar tooth (excluding final restoration) 44 41 $5K
83002 293 274 $5K
71260 Computed tomography, thorax, diagnostic; with contrast material 28 28 $5K
76000 26 26 $5K
92201 385 363 $5K
J0690 Injection, cefazolin sodium, 500 mg 1,333 1,301 $5K
90648 1,121 1,120 $5K
D9430 306 281 $5K
3075F 13,290 12,112 $5K
86140 1,591 1,570 $5K
C1763 Connective tissue, non-human (includes synthetic) 60 60 $5K
73120 231 227 $5K
84134 432 430 $5K
D0270 970 959 $5K
D1330 5,356 5,282 $5K
86708 406 399 $5K
J3010 Injection, fentanyl citrate, 0.1 mg 4,653 4,585 $4K
99382 59 59 $4K
11981 24 24 $4K
88141 266 258 $4K
82746 436 427 $4K
99232 Subsequent hospital care, per day, moderate complexity 233 100 $4K
72070 184 182 $4K
D9440 204 196 $4K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 4,322 3,582 $4K
73620 168 164 $4K
84590 386 384 $4K
90653 240 240 $4K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 80 76 $4K
82652 102 100 $4K
70551 Magnetic resonance imaging, brain; without contrast material 13 13 $4K
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen 3,285 3,098 $4K
T2022 Case management, per month 96 81 $4K
3077F 6,148 5,468 $4K
J3486 Injection, ziprasidone mesylate, 10 mg 236 202 $4K
92020 150 124 $4K
94727 81 81 $3K
85651 1,534 1,506 $3K
71100 265 249 $3K
90723 748 747 $3K
83516 293 273 $3K
82550 2,640 2,526 $3K
H2010 Comprehensive medication services, per 15 minutes 48 46 $3K
76642 42 41 $3K
84481 266 256 $3K
Q3014 Telehealth originating site facility fee 1,047 885 $3K
73080 277 266 $3K
D9310 152 152 $3K
82952 486 480 $3K
D0230 Intraoral - periapical each additional radiographic image 1,076 1,068 $3K
87517 65 63 $3K
76536 25 25 $3K
87521 Neg quan hep c or qual rna 71 71 $3K
G0109 Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes 201 197 $3K
86160 170 140 $3K
J2250 Injection, midazolam hydrochloride, per 1 mg 7,499 7,126 $3K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 14 13 $3K
90694 188 188 $3K
86255 275 259 $3K
83883 135 122 $2K
85045 844 802 $2K
J1953 Injection, levetiracetam, 10 mg 627 564 $2K
90836 25 24 $2K
73070 208 206 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg 3,688 3,593 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 4,923 4,720 $2K
87070 608 575 $2K
84550 881 802 $2K
93971 38 36 $2K
82248 679 666 $2K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 57 41 $2K
86235 44 37 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg 8,032 7,515 $2K
85379 1,654 1,629 $2K
J1630 Injection, haloperidol, up to 5 mg 4,226 3,760 $2K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 220 191 $2K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 21 12 $2K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 325 294 $2K
77062 13 13 $2K
90736 13 13 $2K
D1354 936 370 $2K
88313 31 29 $2K
0012A 97 97 $2K
D4341 65 36 $2K
88112 24 24 $2K
73600 103 100 $2K
96160 171 161 $2K
92227 105 105 $2K
73552 147 143 $2K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 902 893 $2K
73060 151 146 $2K
90710 297 297 $2K
J2270 Injection, morphine sulfate, up to 10 mg 1,666 1,544 $2K
J2765 Injection, metoclopramide hcl, up to 10 mg 3,524 3,390 $2K
90681 190 190 $1K
82948 525 487 $1K
0011A 100 95 $1K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 863 828 $1K
J3475 Injection, magnesium sulfate, per 500 mg 1,060 997 $1K
11056 13 13 $1K
72190 74 73 $1K
83605 1,413 1,351 $1K
92002 14 13 $1K
97014 65 24 $1K
0081A 33 33 $1K
86376 86 81 $1K
90700 216 216 $1K
93226 26 26 $1K
80178 375 358 $1K
96376 1,118 1,089 $1K
86705 147 145 $1K
82784 60 50 $997.67
82010 1,321 1,222 $974.49
86141 134 134 $962.24
86225 98 97 $954.14
J1756 Injection, iron sucrose, 1 mg 40 26 $925.10
83615 314 302 $921.37
11055 12 12 $917.84
88300 74 71 $915.80
74022 67 64 $901.18
99173 573 573 $874.48
97168 13 13 $833.29
82803 495 461 $821.16
99397 25 25 $809.72
90696 205 205 $772.21
83525 57 43 $766.86
82670 28 25 $760.82
D0191 712 706 $757.48
D9990 74 65 $755.50
J0171 Injection, adrenalin, epinephrine, 0.1 mg 222 213 $739.36
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 17 12 $735.85
86430 157 155 $729.03
82172 39 39 $708.83
J7510 Prednisolone oral, per 5 mg 882 864 $703.61
90672 191 191 $701.59
J2060 Injection, lorazepam, 2 mg 2,928 2,566 $699.87
90714 52 52 $675.25
83010 57 57 $670.55
82947 163 153 $664.85
J1815 Injection, insulin, per 5 units 1,657 1,304 $651.47
0031A 18 18 $646.67
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 7,529 6,572 $637.59
92226 29 27 $636.25
93325 28 26 $604.47
81243 12 12 $587.17
80346 165 159 $570.44
0502F 313 240 $557.99
94010 12 12 $557.06
97164 12 12 $549.31
86580 85 83 $534.25
90685 232 231 $525.20
90660 64 64 $510.43
96368 65 65 $505.68
90474 235 235 $493.42
J7050 Infusion, normal saline solution, 250 cc 1,050 818 $483.22
D1320 72 72 $472.00
99429 157 127 $467.50
93307 69 68 $464.22
82247 107 97 $456.09
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 473 467 $456.08
82239 30 26 $441.23
82731 27 27 $439.59
0082A 14 14 $437.35
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,585 1,417 $432.19
0074A 12 12 $426.30
76820 19 17 $420.30
83718 195 195 $418.85
J0131 Injection, acetaminophen, not otherwise specified,10 mg 85 85 $402.77
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 5,874 5,205 $402.13
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 3,046 2,788 $394.04
D8660 16 16 $391.50
85018 191 188 $382.39
J7060 5% dextrose/water (500 ml = 1 unit) 323 285 $368.03
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 17 17 $364.22
85014 180 177 $355.08
85307 26 26 $352.91
97018 40 12 $346.21
99238 Hospital discharge day management, 30 minutes or less 12 12 $343.34
81015 126 123 $341.40
91318 16 16 $336.38
73100 12 12 $331.27
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 510 472 $323.72
J7042 5% dextrose/normal saline (500 ml = 1 unit) 787 764 $321.00
84478 194 194 $316.08
82465 217 217 $311.33
J1650 Injection, enoxaparin sodium, 10 mg 499 328 $309.76
D0160 13 13 $302.20
87420 158 155 $302.12
87205 156 145 $301.26
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 12 12 $295.19
90678 14 14 $284.74
87075 63 59 $268.20
G0008 Administration of influenza virus vaccine 596 594 $259.81
85384 93 82 $250.21
1159F 5,332 3,626 $243.29
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 57 56 $229.47
82150 258 250 $226.61
87400 39 38 $224.46
90473 120 120 $220.85
72040 13 13 $210.12
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 199 163 $210.09
73660 12 12 $206.43
80349 19 18 $204.16
1126F 52 28 $203.76
85660 43 43 $197.21
99152 14 14 $192.40
3078F 53,654 42,580 $188.76
84132 65 63 $178.26
85306 12 12 $162.38
85303 13 13 $161.90
94761 52 51 $157.60
82103 12 12 $156.68
90381 48 48 $151.50
3079F 14,284 12,895 $142.64
J0330 Injection, succinylcholine chloride, up to 20 mg 49 48 $139.57
85300 14 14 $138.69
99446 12 12 $131.23
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3,424 3,370 $130.64
86880 20 14 $129.16
85305 12 12 $123.06
84436 116 113 $119.69
90671 23 23 $107.99
J2919 Injection, methylprednisolone sodium succinate, 5 mg 128 125 $100.33
84112 26 24 $94.27
J0290 Injection, ampicillin sodium, 500 mg 69 69 $84.04
91319 12 12 $77.00
J1596 Injection, glycopyrrolate, 0.1 mg 30 30 $74.38
82272 43 42 $68.97
J1644 Injection, heparin sodium, per 1000 units 154 111 $55.74
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 12 12 $51.66
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 35 35 $49.66
J3411 Injection, thiamine hcl, 100 mg 66 65 $49.60
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 13 13 $48.81
87040 59 48 $48.36
87088 231 225 $48.06
84460 16 16 $44.49
82397 18 18 $29.18
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous 25 25 $29.09
94760 513 445 $25.66
92225 266 147 $19.66
J2003 Injection, lidocaine hydrochloride, 1 mg 19 18 $17.82
87071 95 94 $16.64
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 95 79 $15.89
J1170 Injection, hydromorphone, up to 4 mg 42 40 $6.77
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 16 16 $4.31
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 12 12 $0.93
J3480 Injection, potassium chloride, per 2 meq 17 14 $0.20
1160F 3,639 2,789 $0.00
99499 4,665 3,447 $0.00
D0190 781 781 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 31 31 $0.00
2022F 69 64 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 444 434 $0.00
G0444 Annual depression screening, 5 to 15 minutes 45 45 $0.00
99080 1,575 262 $0.00
99195 158 153 $0.00
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 172 168 $0.00
99408 32 32 $0.00
3725F 36 33 $0.00
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 33 33 $0.00
48510 750 735 $0.00
3080F 2,096 1,946 $0.00
4293F 102 102 $0.00
80050 General health panel 590 589 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 12 12 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 439 439 $0.00
3044F 13 13 $0.00
1170F 141 138 $0.00
86707 25 25 $0.00
1220F 288 288 $0.00
D1310 330 330 $0.00
84479 14 14 $0.00
G0009 Administration of pneumococcal vaccine 76 76 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 12 12 $0.00
J1940 Injection, furosemide, up to 20 mg 21 15 $0.00
87350 25 25 $0.00
90647 37 37 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 12 12 $0.00