Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › SACRAMENTO › RIVER CITY MEDICAL GROUP, INC.

RIVER CITY MEDICAL GROUP, INC.

NPI: 1538300686 · SACRAMENTO, CA 95831 · 251X00000X

$196K
Total Medicaid Paid
1,528,920
Total Claims
1,349,395
Beneficiaries
861
Codes Billed
2018-01
First Month
2024-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,528,201 $186K
2019 45 $0.00
2022 239 $221.81
2023 78 $374.24
2024 357 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
J1438 Etanercept injection 273 257 $26K
78815 52 27 $16K
G9012 Other specified case mgmt 674 203 $11K
59425 22,178 16,115 $10K
99214 56,296 52,784 $9K
J3490 Drugs unclassified injection 4,275 3,530 $9K
78452 987 977 $9K
99393 12,559 9,822 $7K
99392 16,193 13,770 $6K
99213 159,667 144,490 $4K
99394 6,533 5,212 $4K
99283 27,662 25,754 $3K
J1650 Inj enoxaparin sodium 61 52 $3K
77067 2,506 2,503 $3K
99215 Prolong outpt/office vis 6,093 5,850 $3K
A4351 Straight tip urine catheter 308 269 $3K
90670 9,646 8,742 $2K
99285 13,128 11,937 $2K
66984 175 173 $2K
01967 873 861 $2K
99383 1,579 1,255 $2K
T4541 Large disposable underpad 3,108 2,949 $2K
99284 17,512 16,436 $2K
T4527 Adult size pull-on lg 784 745 $2K
99000 5,149 4,577 $2K
99391 7,872 7,044 $2K
95874 114 114 $2K
64616 59 59 $2K
93306 1,916 1,743 $2K
S5110 Family homecare training 15m 482 187 $2K
90710 2,299 1,964 $2K
A4267 Male condom 1,245 1,131 $2K
T4523 Adult size brief/diaper lg 591 560 $1K
T4522 Adult size brief/diaper med 605 588 $1K
99245 2,164 2,159 $1K
01961 306 305 $1K
S0199 Med abortion inc all ex drug 276 248 $1K
99212 21,798 20,089 $1K
45378 186 185 $1K
T4528 Adult size pull-on xl 384 361 $1K
99204 5,427 5,400 $996.44
99203 6,166 6,087 $946.79
99381 359 281 $945.86
T4534 Youth size pull-on 607 584 $940.92
99244 1,165 1,163 $925.55
A6197 Alginate drsg >16 <=48 sq in 16 15 $905.90
T4526 Adult size pull-on med 808 779 $891.17
43239 340 320 $878.19
90651 3,959 3,167 $815.58
T4524 Adult size brief/diaper xl 284 268 $766.89
T4530 Ped size brief/diaper lg 377 368 $754.52
T4521 Adult size brief/diaper sm 145 138 $669.34
T4535 Disposable liner/shield/pad 1,340 1,227 $663.99
99384 535 418 $661.56
H1003 Prenatal at risk education 14,807 9,181 $651.47
93303 519 441 $622.73
99401 42,285 32,525 $615.18
92134 530 489 $574.31
99382 823 668 $510.98
88305 2,928 2,615 $508.56
76811 1,221 1,215 $503.71
99211 6,996 6,373 $500.10
99205 Prolong outpt/office vis 725 721 $475.82
64483 139 137 $442.15
74177 738 719 $433.20
92551 22,526 17,482 $426.21
00170 141 140 $396.00
77065 Tomosynthesis, mammo 174 170 $394.81
S4993 Contraceptive pills for bc 142 137 $387.48
90734 2,618 2,138 $383.38
01480 46 43 $363.00
93010 17,265 15,158 $362.88
70553 222 156 $361.36
99291 1,526 1,148 $350.00
00840 174 170 $330.00
A6402 Sterile gauze <= 16 sq in 418 367 $328.54
76830 923 921 $323.14
71046 6,808 6,687 $314.40
87491 14,614 13,896 $311.20
67028 231 192 $302.13
59430 1,069 1,050 $267.15
A6250 Skin seal protect moisturizr 397 373 $265.86
A4310 Insert tray w/o bag/cath 37 36 $260.25
76700 1,257 1,248 $249.60
A4409 Ost skn barr convex <=4 sq i 151 135 $248.71
99243 1,596 1,593 $244.38
L4361 Pneuma/vac walk boot pre ots 233 230 $242.73
97803 13,228 10,330 $235.48
90648 3,782 3,334 $233.58
G0108 Diab manage trn per indiv 24 24 $228.70
73130 618 534 $213.47
77066 Tomosynthesis, mammo 186 186 $213.04
A4357 Bedside drainage bag 236 222 $204.78
90620 745 584 $199.60
93880 189 188 $195.80
T4525 Adult size pull-on sm 204 199 $178.00
A4371 Skin barrier powder per oz 33 27 $174.80
A4406 Pectin based ostomy paste 56 47 $174.46
95117 2,309 1,011 $173.92
90716 2,502 2,103 $156.93
A4322 Irrigation syringe 298 267 $150.92
A4335 Incontinence supply 430 400 $150.64
72110 557 554 $149.34
A4927 Non-sterile gloves 453 432 $146.76
76817 799 731 $144.80
88307 508 504 $140.22
92014 846 833 $135.49
92004 200 169 $132.92
96372 1,836 1,572 $130.99
H2000 Comp multidisipln evaluation 2,045 2,034 $130.23
17110 227 199 $129.71
97110 2,211 851 $126.47
G0447 Behavior counsel obesity 15m 30,486 22,219 $125.67
71045 6,331 5,047 $119.69
95812 53 52 $114.55
00142 60 57 $106.33
73110 523 451 $100.56
20610 491 459 $95.71
76805 288 273 $94.32
80305 3,500 3,234 $93.81
92250 677 668 $84.26
92567 128 128 $82.94
99308 163 67 $82.50
85018 28,870 24,303 $80.33
90700 2,822 2,434 $78.12
A4425 Ost pch drain for barrier fl 167 150 $77.49
99222 350 342 $73.20
A4394 Ostomy pouch liq deodorant 84 77 $71.90
99202 1,429 1,363 $71.72
72100 448 446 $70.32
70450 1,227 1,184 $69.66
L3660 So 8 ab rstr can/web pre ots 327 324 $59.45
88175 5,752 5,713 $58.55
A6446 Conform band s w>=3" <5"/yd 112 93 $54.64
99201 442 440 $54.12
76816 514 455 $51.84
00790 113 103 $51.81
L3908 Who cock-up nonmolde pre ots 392 332 $44.26
A9575 Inj gadoterate meglumi 0.1ml 105 99 $44.00
92012 503 463 $42.72
73564 724 626 $33.24
82728 3,492 3,438 $32.77
T4537 Reusable underpad bed size 147 142 $29.58
86580 8,706 6,935 $25.91
73030 705 666 $25.86
74018 503 451 $24.63
99282 908 891 $24.38
76705 220 216 $24.30
A4456 Adhesive remover, wipes 174 164 $23.25
99188 3,485 3,185 $18.00
A5120 Skin barrier, wipe or swab 265 252 $11.98
84460 1,748 1,687 $9.16
90696 1,508 1,248 $9.00
90658 714 648 $9.00
84295 229 215 $8.09
87880 1,902 1,868 $6.99
85025 22,026 20,382 $6.75
95115 661 286 $5.64
99173 28,871 22,912 $2.54
A4402 Lubricant per ounce 135 111 $2.46
96413 552 269 $0.92
96110 23,487 17,438 $0.01
B4161 Ef ped hydrolyzed/amino acid 361 342 $0.00
97802 27,704 21,327 $0.00
1126F 110 110 $0.00
H0049 Alcohol/drug screening 2,072 1,617 $0.00
90732 108 108 $0.00
82962 1,186 1,094 $0.00
87590 168 168 $0.00
90680 3,503 3,123 $0.00
86593 313 295 $0.00
G0480 Drug test def 1-7 classes 2,677 2,491 $0.00
94010 212 211 $0.00
84703 421 418 $0.00
94640 304 291 $0.00
81000 8,639 6,489 $0.00
90647 2,494 2,257 $0.00
73620 148 106 $0.00
87900 88 85 $0.00
3080F 361 355 $0.00
86695 898 880 $0.00
G0467 Fqhc visit, estab pt 296 255 $0.00
96111 12,148 9,331 $0.00
80358 328 302 $0.00
84075 311 286 $0.00
3079F 658 647 $0.00
83036 21,678 21,293 $0.00
98941 2,082 1,339 $0.00
87521 Neg quan hep c or qual rna 54 54 $0.00
3008F 2,940 2,755 $0.00
90471 8,767 7,759 $0.00
90686 9,263 8,289 $0.00
87389 6,146 6,073 $0.00
90723 4,023 3,633 $0.00
88341 209 184 $0.00
01922 117 111 $0.00
92235 50 50 $0.00
85730 1,182 1,114 $0.00
90744 1,783 1,638 $0.00
90698 2,125 1,961 $0.00
51798 234 223 $0.00
82950 1,564 1,553 $0.00
E0483 Hi freq chest wall oscil sys 100 99 $0.00
88311 246 233 $0.00
87086 5,841 5,609 $0.00
J2785 Regadenoson injection 778 767 $0.00
E0470 Rad w/o backup non-inv intfc 392 390 $0.00
D0120 33,975 24,908 $0.00
B4150 Ef complet w/intact nutrient 57 51 $0.00
86592 5,785 5,700 $0.00
82306 11,947 11,814 $0.00
93320 525 444 $0.00
J7613 Albuterol non-comp unit 79 79 $0.00
87591 14,614 13,911 $0.00
72072 229 228 $0.00
83883 236 155 $0.00
83921 188 184 $0.00
88342 489 389 $0.00
36415 62,955 58,257 $0.00
93000 2,705 2,686 $0.00
99070 252 156 $0.00
4037F 36 36 $0.00
80178 331 306 $0.00
86141 347 343 $0.00
99239 390 370 $0.00
86140 1,745 1,635 $0.00
E0156 Walker seat attachment 157 151 $0.00
84480 553 547 $0.00
96151 5,089 3,975 $0.00
83615 547 480 $0.00
80324 298 277 $0.00
76815 378 357 $0.00
96127 1,800 1,592 $0.00
J1726 Makena, 10 mg 176 164 $0.00
87340 3,504 3,479 $0.00
87624 3,762 3,724 $0.00
87661 4,653 4,501 $0.00
36620 14 12 $0.00
81001 10,531 10,248 $0.00
71260 163 163 $0.00
87070 1,446 1,406 $0.00
84154 341 341 $0.00
83986 502 490 $0.00
76641 99 88 $0.00
J1642 Inj heparin sodium per 10 u 393 218 $0.00
E0676 Inter limb compress dev nos 71 67 $0.00
90674 707 693 $0.00
J3590 Unclassified biologics 48 38 $0.00
2010F 2,220 2,079 $0.00
86160 391 364 $0.00
93971 135 131 $0.00
96150 10,156 8,332 $0.00
80050 7,748 7,683 $0.00
S9445 Pt education noc individ 795 778 $0.00
86901 516 507 $0.00
90961 362 358 $0.00
72040 241 239 $0.00
82533 180 173 $0.00
80053 24,801 23,682 $0.00
64493 26 26 $0.00
82746 2,818 2,792 $0.00
E0271 Mattress innerspring 51 51 $0.00
81005 975 798 $0.00
82043 5,447 5,381 $0.00
84132 297 256 $0.00
84144 296 286 $0.00
12001 371 371 $0.00
90733 325 249 $0.00
73650 148 106 $0.00
97112 445 185 $0.00
87081 2,628 2,601 $0.00
20553 41 40 $0.00
E0630 Patient lift hydraulic 106 104 $0.00
D1206 516 348 $0.00
80048 3,336 3,223 $0.00
A6252 Absorpt drg >16 <=48 w/o bdr 15 14 $0.00
2000F 811 785 $0.00
86403 92 82 $0.00
Q0111 Wet mounts/ w preparations 422 415 $0.00
92587 254 249 $0.00
99232 2,145 835 $0.00
80069 1,331 1,283 $0.00
77063 285 211 $0.00
99153 Mod sedat endo service >5yrs 142 139 $0.00
87088 4,265 4,128 $0.00
87510 115 112 $0.00
64484 139 137 $0.00
86704 2,061 2,048 $0.00
L3809 Whfo w/o joints pre ots 148 140 $0.00
E0562 Humidifier heated used w pap 1,674 1,635 $0.00
86300 203 180 $0.00
L2275 Plastic mod low ext pad/line 86 69 $0.00
81229 15 15 $0.00
86376 696 667 $0.00
80081 1,816 1,803 $0.00
87147 753 731 $0.00
86225 368 349 $0.00
96375 113 59 $0.00
J1100 Dexamethasone sodium phos 787 669 $0.00
93016 101 101 $0.00
86762 555 536 $0.00
85652 2,513 2,424 $0.00
90656 373 257 $0.00
83002 796 793 $0.00
90688 613 611 $0.00
99058 12 12 $0.00
82105 857 845 $0.00
B4160 Ef ped caloric dense>/=0.7kc 1,103 984 $0.00
87801 3,094 3,036 $0.00
E0431 Portable gaseous 02 1,149 1,115 $0.00
88300 182 179 $0.00
88142 1,659 1,652 $0.00
87015 204 152 $0.00
87205 365 342 $0.00
82150 519 510 $0.00
87625 89 89 $0.00
83001 1,004 993 $0.00
82670 415 390 $0.00
82040 383 373 $0.00
0346T 46 46 $0.00
A4253 Blood glucose/reagent strips 77 75 $0.00
87046 395 388 $0.00
82951 852 845 $0.00
99406 152 137 $0.00
87529 142 135 $0.00
96415 58 38 $0.00
86021 118 117 $0.00
87449 106 101 $0.00
73090 291 232 $0.00
82784 553 533 $0.00
L2820 Soft interface below knee se 142 125 $0.00
97014 333 136 $0.00
S9088 Services provided in urgent 2,362 2,177 $0.00
87110 284 243 $0.00
3074F 1,452 1,405 $0.00
83704 71 71 $0.00
72148 310 246 $0.00
87350 86 86 $0.00
99292 35 30 $0.00
86255 705 367 $0.00
J3420 Vitamin b12 injection 103 95 $0.00
A7037 Pos airway pressure tubing 269 261 $0.00
93979 124 124 $0.00
83498 105 104 $0.00
J2357 Omalizumab injection 128 113 $0.00
1220F 167 165 $0.00
84153 2,215 2,180 $0.00
G0471 Ven blood coll snf/hha 31 12 $0.00
88141 610 604 $0.00
J0696 Ceftriaxone sodium injection 170 156 $0.00
85027 8,556 8,418 $0.00
K0738 Portable gas oxygen system 944 936 $0.00
96040 13 12 $0.00
73600 148 106 $0.00
76801 324 296 $0.00
99386 78 62 $0.00
84402 520 496 $0.00
S9452 Nutrition class 709 697 $0.00
82803 24 12 $0.00
88304 455 454 $0.00
S0302 Completed epsdt 137 83 $0.00
99606 38 38 $0.00
3075F 249 239 $0.00
J1030 Methylprednisolone 40 mg inj 112 103 $0.00
76519 52 52 $0.00
76819 462 457 $0.00
29540 142 141 $0.00
76870 72 66 $0.00
87255 112 111 $0.00
82378 351 318 $0.00
E0971 Wheelchair anti-tipping devi 159 149 $0.00
83880 352 336 $0.00
12002 198 197 $0.00
87490 195 194 $0.00
K0001 Standard wheelchair 1,160 1,145 $0.00
87517 498 494 $0.00
J1885 Ketorolac tromethamine inj 423 411 $0.00
86317 996 899 $0.00
82952 279 276 $0.00
84443 15,966 15,688 $0.00
94760 647 640 $0.00
86706 2,171 2,152 $0.00
T4536 Reusable pull-on any size 64 63 $0.00
80177 91 89 $0.00
73502 288 283 $0.00
E0603 Electric breast pump 327 325 $0.00
G0481 Drug test def 8-14 classes 271 223 $0.00
70486 76 76 $0.00
87536 1,083 1,061 $0.00
80055 111 110 $0.00
2001F 875 847 $0.00
87077 1,406 1,359 $0.00
86308 44 43 $0.00
80345 69 68 $0.00
82390 94 91 $0.00
84311 109 105 $0.00
B9998 Enteral supp not otherwise c 211 193 $0.00
82672 112 110 $0.00
97140 1,015 387 $0.00
82435 54 53 $0.00
90657 161 140 $0.00
J2250 Inj midazolam hydrochloride 143 140 $0.00
90834 102 77 $0.00
J3010 Fentanyl citrate injection 141 138 $0.00
81599 72 56 $0.00
97035 495 214 $0.00
95886 53 53 $0.00
86361 890 872 $0.00
83090 117 115 $0.00
99385 145 141 $0.00
86780 300 291 $0.00
73521 41 41 $0.00
36556 71 67 $0.00
83014 1,047 1,043 $0.00
B4088 Gastro/jejuno tube, low-pro 54 51 $0.00
86803 5,722 5,666 $0.00
83021 1,554 1,526 $0.00
A7030 Cpap full face mask 258 256 $0.00
82607 4,284 4,241 $0.00
84479 937 928 $0.00
71275 61 60 $0.00
83690 641 627 $0.00
80051 44 44 $0.00
52000 43 42 $0.00
E0600 Suction pump portab hom modl 15 14 $0.00
36416 204 159 $0.00
87480 116 116 $0.00
86664 128 125 $0.00
86800 441 423 $0.00
76536 291 291 $0.00
A7032 Replacement nasal cushion 108 99 $0.00
87040 13 13 $0.00
86850 286 282 $0.00
99484 12 12 $0.00
73560 344 257 $0.00
82550 470 427 $0.00
84478 195 145 $0.00
73221 79 61 $0.00
L4350 Ankle control ortho pre ots 59 58 $0.00
1036F 208 190 $0.00
86304 253 239 $0.00
84270 356 346 $0.00
73060 209 164 $0.00
A4230 Infus insulin pump non needl 28 28 $0.00
90960 159 159 $0.00
86812 12 12 $0.00
93922 91 91 $0.00
1125F 103 102 $0.00
94761 41 41 $0.00
96368 23 13 $0.00
A7015 Aerosol mask used w nebulize 39 35 $0.00
83520 447 272 $0.00
81327 371 371 $0.00
73552 297 230 $0.00
83550 2,335 2,294 $0.00
E0143 Walker folding wheeled w/o s 499 492 $0.00
59514 77 77 $0.00
E0305 Rails bed side half length 174 174 $0.00
80363 12 12 $0.00
84436 1,381 1,367 $0.00
A4349 Disposable male external cat 45 41 $0.00
59840 118 60 $0.00
93297 630 555 $0.00
92226 220 183 $0.00
97162 41 40 $0.00
81015 57 56 $0.00
87522 Neg quan hep c or qual rna 1,267 1,212 $0.00
E0978 W/c acc,saf belt pelv strap 114 109 $0.00
80359 245 227 $0.00
80349 310 288 $0.00
80353 243 225 $0.00
58300 136 68 $0.00
A6448 Lt compres band <3"/yd 13 13 $0.00
83735 1,095 817 $0.00
93294 14 14 $0.00
L3000 Ft insert ucb berkeley shell 14 14 $0.00
82270 12 12 $0.00
E0245 Tub stool or bench 30 30 $0.00
E0570 Nebulizer with compression 905 893 $0.00
A7013 Disposable compressor filter 15 15 $0.00
85379 26 25 $0.00
64494 26 26 $0.00
80368 42 42 $0.00
V5014 Hearing aid repair/modifying 15 12 $0.00
83010 67 63 $0.00
80197 233 176 $0.00
86707 84 84 $0.00
3044F 15 15 $0.00
80185 13 13 $0.00
01996 15 15 $0.00
46600 89 86 $0.00
97032 26 12 $0.00
29130 43 43 $0.00
A4338 Indwelling catheter latex 13 13 $0.00
88185 36 30 $0.00
H1001 Antepartum management 44 36 $0.00
76825 13 12 $0.00
G8420 Calc bmi norm parameters 301 149 $0.00
92136 27 27 $0.00
45380 12 12 $0.00
11730 12 12 $0.00
L1833 Ko adj jnt pos r sup pre ots 12 12 $0.00
99462 16 12 $0.00
A4580 Cast supplies (plaster) 14 14 $0.00
74022 12 12 $0.00
88184 33 30 $0.00
81225 12 12 $0.00
82330 13 13 $0.00
V5298 Hearing aid noc 12 12 $0.00
81226 12 12 $0.00
80156 14 14 $0.00
86738 12 12 $0.00
J7620 Albuterol ipratrop non-comp 13 12 $0.00
J1626 Granisetron hcl injection 37 16 $0.00
A6449 Lt compres band >=3" <5"/yd 12 12 $0.00
E1392 Portable oxygen concentrator 40 39 $0.00
81227 12 12 $0.00
99402 12 12 $0.00
99460 12 12 $0.00
E0601 Cont airway pressure device 1,611 1,596 $0.00
80360 30 30 $0.00
3078F 1,191 1,149 $0.00
82465 221 215 $0.00
82248 1,149 1,088 $0.00
73610 559 524 $0.00
81025 7,078 6,907 $0.00
90649 552 490 $0.00
96160 1,022 725 $0.00
87806 946 940 $0.00
86705 143 143 $0.00
90715 2,679 2,290 $0.00
G0483 Drug test def 22+ classes 2,921 2,842 $0.00
1159F 1,733 1,665 $0.00
81002 12,699 11,017 $0.00
99396 275 244 $0.00
82652 451 448 $0.00
87902 361 342 $0.00
84702 1,119 899 $0.00
S5199 Personal care item nos each 29 29 $0.00
92550 416 408 $0.00
90633 5,864 5,200 $0.00
93925 126 126 $0.00
92552 7,092 6,252 $0.00
29530 54 54 $0.00
86787 562 556 $0.00
95811 379 301 $0.00
80356 306 287 $0.00
90685 1,345 1,226 $0.00
87338 618 615 $0.00
87324 69 69 $0.00
81003 2,970 2,771 $0.00
83970 698 669 $0.00
90713 784 662 $0.00
84156 550 497 $0.00
59409 319 319 $0.00
Q0091 Obtaining screen pap smear 432 430 $0.00
93299 511 507 $0.00
72070 105 103 $0.00
90681 155 155 $0.00
82948 1,347 1,246 $0.00
S0119 Ondansetron 4 mg 27 27 $0.00
90621 323 261 $0.00
A4385 Ost skn barrier sld ext wear 134 116 $0.00
92504 113 106 $0.00
T1015 Clinic service 2,798 2,429 $0.00
3077F 667 656 $0.00
1160F 341 329 $0.00
82947 1,629 1,592 $0.00
85045 279 267 $0.00
85041 296 296 $0.00
90707 2,387 1,999 $0.00
93296 231 229 $0.00
A7005 Nondisposable nebulizer set 138 133 $0.00
87798 472 257 $0.00
86008 199 196 $0.00
81479 87 64 $0.00
73562 413 348 $0.00
85014 2,849 2,523 $0.00
82747 171 170 $0.00
82570 6,055 5,913 $0.00
Q9967 Locm 300-399mg/ml iodine,1ml 710 692 $0.00
97813 60 40 $0.00
80074 1,485 1,466 $0.00
82274 2,439 2,427 $0.00
99233 Prolong inpt eval add15 m 692 366 $0.00
80348 236 220 $0.00
82627 327 325 $0.00
86235 479 458 $0.00
76856 1,036 1,031 $0.00
86900 326 319 $0.00
84439 6,103 5,970 $0.00
84100 819 702 $0.00
80061 31,716 30,053 $0.00
88147 220 219 $0.00
72125 124 123 $0.00
A7038 Pos airway pressure filter 720 652 $0.00
87150 250 245 $0.00
73140 161 158 $0.00
E0781 External ambulatory infus pu 88 47 $0.00
1040F 12 12 $0.00
93976 411 398 $0.00
82595 39 38 $0.00
86360 167 160 $0.00
92025 196 160 $0.00
82977 640 590 $0.00
93295 140 140 $0.00
82247 610 509 $0.00
88302 109 109 $0.00
99395 130 112 $0.00
Q0144 Azithromycin dihydrate, oral 227 216 $0.00
86708 1,861 1,852 $0.00
80307 5,614 5,094 $0.00
86765 424 422 $0.00
E0466 Home vent non-invasive inter 426 407 $0.00
90791 395 391 $0.00
86480 1,431 1,420 $0.00
83721 132 132 $0.00
98940 3,046 2,115 $0.00
E1390 Oxygen concentrator 3,319 3,237 $0.00
K0739 Repair/svc dme non-oxygen eq 83 75 $0.00
87660 124 124 $0.00
99051 1,790 1,714 $0.00
82172 188 180 $0.00
85610 3,317 2,458 $0.00
73630 889 805 $0.00
84425 181 178 $0.00
G8417 Calc bmi abv up param f/u 112 70 $0.00
74176 403 391 $0.00
87075 292 281 $0.00
90461 486 460 $0.00
T4532 Ped size pull-on lg 97 95 $0.00
83540 3,053 3,003 $0.00
83013 1,423 1,416 $0.00
80361 391 367 $0.00
93015 1,043 1,029 $0.00
90756 32 32 $0.00
87329 84 82 $0.00
0403T 140 97 $0.00
86703 85 85 $0.00
A6216 Non-sterile gauze<=16 sq in 43 37 $0.00
80354 348 324 $0.00
86431 1,312 1,289 $0.00
90460 937 914 $0.00
84450 1,284 1,247 $0.00
99221 274 260 $0.00
74178 103 102 $0.00
A7035 Pos airway press headgear 405 397 $0.00
84155 150 144 $0.00
S0191 Misoprostol, oral, 200 mcg 296 283 $0.00
88313 217 151 $0.00
99238 694 688 $0.00
86696 929 911 $0.00
76642 548 387 $0.00
12011 292 291 $0.00
82565 555 535 $0.00
84305 56 54 $0.00
L0650 Lso sc r ant/pos pnl pre ots 62 62 $0.00
L0626 Lo sag rig pnl stays pre cst 47 47 $0.00
99231 1,053 707 $0.00
90832 622 535 $0.00
00400 57 56 $0.00
J3301 Triamcinolone acet inj nos 545 510 $0.00
87901 88 85 $0.00
87186 1,586 1,534 $0.00
E0471 Rad w/backup non inv intrfc 249 243 $0.00
A9502 Tc99m tetrofosmin 947 938 $0.00
99001 658 573 $0.00
86334 88 87 $0.00
87177 609 591 $0.00
80373 337 314 $0.00
82310 317 300 $0.00
87210 15 14 $0.00
0001M 117 116 $0.00
86162 133 130 $0.00
99152 263 260 $0.00
93325 809 614 $0.00
S0190 Mifepristone, oral, 200 mg 248 237 $0.00
82140 126 123 $0.00
59025 84 46 $0.00
95810 271 238 $0.00
84403 1,402 1,372 $0.00
80164 410 398 $0.00
J0585 Injection,onabotulinumtoxina 143 143 $0.00
80346 355 331 $0.00
90472 1,785 1,569 $0.00
G0101 Ca screen;pelvic/breast exam 100 99 $0.00
92582 85 84 $0.00
97161 79 79 $0.00
45385 163 163 $0.00
80076 1,155 1,119 $0.00
E0114 Crutch underarm pair no wood 478 476 $0.00
K0195 Elevating whlchair leg rests 181 180 $0.00
86618 156 149 $0.00
E0295 Hosp bed semi-elect w/o matt 274 272 $0.00
86038 1,673 1,630 $0.00
0521F 273 273 $0.00
87045 439 434 $0.00
86039 283 275 $0.00
70551 241 163 $0.00
29505 135 135 $0.00
96152 708 699 $0.00
80372 291 269 $0.00
80321 293 272 $0.00
83655 3,726 3,555 $0.00
A9552 F18 fdg 29 29 $0.00
87209 611 591 $0.00
73080 252 237 $0.00
80369 74 74 $0.00
84481 965 952 $0.00
84550 1,743 1,702 $0.00
A7039 Filter, non disposable w pap 277 277 $0.00
72050 336 336 $0.00
76770 206 203 $0.00
86003 1,691 1,580 $0.00
69210 13 12 $0.00
87512 3,003 2,962 $0.00
87427 390 385 $0.00
10060 258 254 $0.00
83516 915 610 $0.00
84146 904 896 $0.00
86615 13 12 $0.00
29125 545 519 $0.00
A4232 Syringe w/needle insulin 3cc 69 69 $0.00
A7034 Nasal application device 203 198 $0.00
82785 1,294 1,231 $0.00
99053 115 113 $0.00
10061 267 262 $0.00
73590 399 291 $0.00
L1830 Ko immob canvas long pre ots 93 92 $0.00
76775 75 74 $0.00
83992 218 202 $0.00
80362 161 152 $0.00
86147 64 57 $0.00
95004 277 264 $0.00
92015 351 350 $0.00
87799 9,101 3,023 $0.00
73070 132 91 $0.00
J2405 Ondansetron hcl injection 253 120 $0.00
86709 368 365 $0.00
A5500 Diab shoe for density insert 194 107 $0.00
88173 80 79 $0.00
28890 175 81 $0.00
81220 800 781 $0.00
86735 419 417 $0.00
J0135 Adalimumab injection 426 385 $0.00
81381 58 58 $0.00
86200 694 682 $0.00
90682 87 87 $0.00
89055 13 13 $0.00
94060 12 12 $0.00
G0482 Drug test def 15-21 classes 323 304 $0.00
80365 356 330 $0.00
85060 159 158 $0.00
87653 25 25 $0.00
00812 27 27 $0.00
96367 376 192 $0.00
76813 37 37 $0.00
99223 Prolong inpt eval add15 m 497 476 $0.00
A7031 Replacement facemask interfa 141 132 $0.00
87804 284 148 $0.00
83525 973 971 $0.00
71250 165 161 $0.00
84165 141 138 $0.00
29105 100 93 $0.00
A4358 Urinary leg or abdomen bag 123 119 $0.00
81291 13 13 $0.00
J9035 Bevacizumab injection 139 106 $0.00
P9604 One-way allow prorated trip 284 175 $0.00
J0702 Betamethasone acet&sod phosp 32 29 $0.00
31500 159 153 $0.00
73721 279 177 $0.00
84520 300 276 $0.00
51741 14 12 $0.00
85048 76 76 $0.00
88112 137 126 $0.00
K0606 Aed garment w elec analysis 75 74 $0.00
99281 238 234 $0.00
G8427 Docrev cur meds by elig clin 133 116 $0.00
97012 295 241 $0.00
E2201 Man w/ch acc seat w>=20"<24" 41 41 $0.00
86665 153 149 $0.00
85007 391 381 $0.00
76881 90 74 $0.00
83026 142 86 $0.00
80355 124 116 $0.00
92555 68 68 $0.00
A7000 Disposable canister for pump 92 75 $0.00
93970 47 43 $0.00
90655 14 12 $0.00
92225 44 40 $0.00
B4035 Enteral feed supp pump per d 164 145 $0.00
20611 39 30 $0.00
K0007 Extra heavy duty wheelchair 116 112 $0.00
A9279 Monitoring feature/devicenoc 14 14 $0.00
99199 573 499 $0.00
92579 47 47 $0.00
92557 455 425 $0.00
E2402 Neg press wound therapy pump 49 39 $0.00
L1820 Ko elas w/ condyle pads & jo 118 112 $0.00
A5513 Multi den insert custom mold 64 34 $0.00
L3260 Ambulatory surgical boot eac 122 120 $0.00
95912 12 12 $0.00
72141 118 95 $0.00
L4387 Non-pneum walk boot pre ots 12 12 $0.00
29515 293 283 $0.00
82107 26 25 $0.00
99254 12 12 $0.00
4004F 32 30 $0.00
85004 13 13 $0.00
83037 53 52 $0.00
A7046 Repl water chamber, pap dev 239 235 $0.00
86256 21 14 $0.00
97530 108 40 $0.00
E0163 Commode chair with fixed arm 55 53 $0.00
31575 16 14 $0.00
J1830 Interferon beta-1b / .25 mg 29 26 $0.00
E0272 Mattress foam rubber 126 123 $0.00
G8730 Pain doc pos and plan 69 67 $0.00
81243 12 12 $0.00
11043 151 50 $0.00
87400 13 13 $0.00
85049 15 15 $0.00
01968 40 40 $0.00
86644 25 25 $0.00
81406 18 13 $0.00
87481 131 58 $0.00
2014F 13 13 $0.00
A4604 Tubing with heating element 262 261 $0.00
93321 23 12 $0.00
11721 20 15 $0.00
62270 13 13 $0.00
95144 33 13 $0.00
97810 58 37 $0.00
83695 88 88 $0.00
88312 183 160 $0.00
87076 13 12 $0.00
11100 48 47 $0.00
82397 43 42 $0.00
85613 58 55 $0.00
93975 42 42 $0.00
86146 12 12 $0.00
84482 35 20 $0.00
95887 14 14 $0.00
84445 45 44 $0.00
84466 28 28 $0.00
81420 17 16 $0.00
77080 26 26 $0.00
80338 25 25 $0.00
K0003 Lightweight wheelchair 29 29 $0.00
82542 15 13 $0.00
92340 14 14 $0.00
76882 15 14 $0.00
62321 12 12 $0.00
81257 13 12 $0.00
88360 14 13 $0.00
H0050 Alcohol/drug service 15 min 15 15 $0.00
90662 14 14 $0.00
90746 15 15 $0.00
G0279 Tomosynthesis, mammo 26 13 $0.00
80332 12 12 $0.00
86645 12 12 $0.00