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 · Supports Brokerage Agency · NPI assigned 03/19/2009

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

Provider Details

Authorized OfficialCLOTHIER, AMY (CREDENTIALING MANAGER)
NPI Enumeration Date03/19/2009

Related Entities

Other providers sharing the same authorized official: CLOTHIER, AMY

ProviderCityStateTotal Paid
RIVER CITY MEDICAL GROUP INC SACRAMENTO CA $81K
RIVER CITY MEDICAL GROUP, INC. SACRAMENTO CA $43.40

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 Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) 273 257 $26K
78815 Positron emission tomography (PET) for limited area imaging 52 27 $16K
G9012 Other specified case management service not elsewhere classified 674 203 $11K
59425 22,178 16,115 $10K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 56,296 52,784 $9K
J3490 Unclassified drugs 4,275 3,530 $9K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 987 977 $9K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12,559 9,822 $7K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 16,193 13,770 $6K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 159,667 144,490 $4K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 6,533 5,212 $4K
99283 Emergency department visit for the evaluation and management, moderate severity 27,662 25,754 $3K
J1650 Injection, enoxaparin sodium, 10 mg 61 52 $3K
77067 Screening mammography, bilateral, including computer-aided detection 2,506 2,503 $3K
99215 Prolong outpt/office vis 6,093 5,850 $3K
A4351 Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each 308 269 $3K
90670 9,646 8,742 $2K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 13,128 11,937 $2K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 175 173 $2K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 873 861 $2K
99383 1,579 1,255 $2K
T4541 Incontinence product, disposable underpad, large, each 3,108 2,949 $2K
99284 Emergency department visit for the evaluation and management, high severity 17,512 16,436 $2K
T4527 Adult sized disposable incontinence product, protective underwear/pull-on, large size, each 784 745 $2K
99000 5,149 4,577 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 7,872 7,044 $2K
95874 114 114 $2K
64616 59 59 $2K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,916 1,743 $2K
S5110 Home care training, family; per 15 minutes 482 187 $2K
90710 2,299 1,964 $2K
A4267 Contraceptive supply, condom, male, each 1,245 1,131 $2K
T4523 Adult sized disposable incontinence product, brief/diaper, large, each 591 560 $1K
T4522 Adult sized disposable incontinence product, brief/diaper, medium, each 605 588 $1K
99245 2,164 2,159 $1K
01961 306 305 $1K
S0199 Medically induced abortion by oral ingestion of medication including all associated services and supplies (e.g., patient counseling, office visits, confirmation of pregnancy by hcg, ultrasound to confirm duration of pregnancy, ultrasound to confirm completion of abortion) except drugs 276 248 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 21,798 20,089 $1K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 186 185 $1K
T4528 Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each 384 361 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 5,427 5,400 $996.44
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 6,166 6,087 $946.79
99381 359 281 $945.86
T4534 Youth sized disposable incontinence product, protective underwear/pull-on, each 607 584 $940.92
99244 Office or other outpatient consultation, moderate to high complexity 1,165 1,163 $925.55
A6197 Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing 16 15 $905.90
T4526 Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each 808 779 $891.17
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 340 320 $878.19
90651 3,959 3,167 $815.58
T4524 Adult sized disposable incontinence product, brief/diaper, extra large, each 284 268 $766.89
T4530 Pediatric sized disposable incontinence product, brief/diaper, large size, each 377 368 $754.52
T4521 Adult sized disposable incontinence product, brief/diaper, small, each 145 138 $669.34
T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each 1,340 1,227 $663.99
99384 535 418 $661.56
H1003 Prenatal care, at-risk enhanced service; education 14,807 9,181 $651.47
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 519 441 $622.73
99401 42,285 32,525 $615.18
92134 530 489 $574.31
99382 823 668 $510.98
88305 Level IV - Surgical pathology, gross and microscopic examination 2,928 2,615 $508.56
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1,221 1,215 $503.71
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 6,996 6,373 $500.10
99205 Prolong outpt/office vis 725 721 $475.82
64483 139 137 $442.15
74177 Computed tomography, abdomen and pelvis; with contrast material 738 719 $433.20
92551 22,526 17,482 $426.21
00170 Anesthesia for intraoral procedures, including biopsy 141 140 $396.00
77065 Tomosynthesis, mammo 174 170 $394.81
S4993 Contraceptive pills for birth control 142 137 $387.48
90734 2,618 2,138 $383.38
01480 46 43 $363.00
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 17,265 15,158 $362.88
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 222 156 $361.36
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,526 1,148 $350.00
00840 174 170 $330.00
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 418 367 $328.54
76830 Ultrasound, transvaginal 923 921 $323.14
71046 Radiologic examination, chest; 2 views 6,808 6,687 $314.40
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 14,614 13,896 $311.20
67028 Intravitreal injection of a pharmacologic agent 231 192 $302.13
59430 1,069 1,050 $267.15
A6250 Skin sealants, protectants, moisturizers, ointments, any type, any size 397 373 $265.86
A4310 Insertion tray without drainage bag and without catheter (accessories only) 37 36 $260.25
76700 Ultrasound, abdominal, real time with image documentation; complete 1,257 1,248 $249.60
A4409 Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each 151 135 $248.71
99243 1,596 1,593 $244.38
L4361 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf 233 230 $242.73
97803 13,228 10,330 $235.48
90648 3,782 3,334 $233.58
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 24 24 $228.70
73130 618 534 $213.47
77066 Tomosynthesis, mammo 186 186 $213.04
A4357 Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each 236 222 $204.78
90620 745 584 $199.60
93880 189 188 $195.80
T4525 Adult sized disposable incontinence product, protective underwear/pull-on, small size, each 204 199 $178.00
A4371 Ostomy skin barrier, powder, per oz 33 27 $174.80
A4406 Ostomy skin barrier, pectin-based, paste, per ounce 56 47 $174.46
95117 2,309 1,011 $173.92
90716 2,502 2,103 $156.93
A4322 Irrigation syringe, bulb or piston, each 298 267 $150.92
A4335 Incontinence supply; miscellaneous 430 400 $150.64
72110 557 554 $149.34
A4927 Gloves, non-sterile, per 100 453 432 $146.76
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 799 731 $144.80
88307 508 504 $140.22
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 846 833 $135.49
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 200 169 $132.92
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,836 1,572 $130.99
H2000 Comprehensive multidisciplinary evaluation 2,045 2,034 $130.23
17110 227 199 $129.71
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,211 851 $126.47
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 30,486 22,219 $125.67
71045 Radiologic examination, chest; single view 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 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 288 273 $94.32
80305 3,500 3,234 $93.81
92250 677 668 $84.26
92567 128 128 $82.94
99308 Subsequent nursing facility care, per day, straightforward 163 67 $82.50
85018 28,870 24,303 $80.33
90700 2,822 2,434 $78.12
A4425 Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each 167 150 $77.49
99222 Initial hospital care, per day, moderate complexity 350 342 $73.20
A4394 Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce 84 77 $71.90
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,429 1,363 $71.72
72100 448 446 $70.32
70450 Computed tomography, head or brain; without contrast material 1,227 1,184 $69.66
L3660 Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf 327 324 $59.45
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 5,752 5,713 $58.55
A6446 Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard 112 93 $54.64
99201 442 440 $54.12
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 514 455 $51.84
00790 113 103 $51.81
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 392 332 $44.26
A9575 Injection, gadoterate meglumine, 0.1 ml 105 99 $44.00
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 503 463 $42.72
73564 724 626 $33.24
82728 3,492 3,438 $32.77
T4537 Incontinence product, protective underpad, reusable, bed size, each 147 142 $29.58
86580 8,706 6,935 $25.91
73030 705 666 $25.86
74018 503 451 $24.63
99282 Emergency department visit for the evaluation and management, low to moderate severity 908 891 $24.38
76705 Ultrasound, abdominal, real time with image documentation; limited 220 216 $24.30
A4456 Adhesive remover, wipes, any type, each 174 164 $23.25
99188 3,485 3,185 $18.00
A5120 Skin barrier, wipes or swabs, each 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 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,902 1,868 $6.99
85025 Blood count; complete (CBC), automated, and automated differential WBC count 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 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 552 269 $0.92
96110 Developmental screening, with scoring and documentation, per standardized instrument 23,487 17,438 $0.01
B4161 Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 361 342 $0.00
97802 27,704 21,327 $0.00
1126F 110 110 $0.00
H0049 Alcohol and/or 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(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 2,677 2,491 $0.00
94010 212 211 $0.00
84703 421 418 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 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 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 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 Hemoglobin; glycosylated (A1C) 21,678 21,293 $0.00
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 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 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 8,767 7,759 $0.00
90686 9,263 8,289 $0.00
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 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 High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each 100 99 $0.00
88311 246 233 $0.00
87086 Culture, bacterial; quantitative colony count, urine 5,841 5,609 $0.00
J2785 Injection, regadenoson, 0.1 mg 778 767 $0.00
E0470 Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) 392 390 $0.00
D0120 Periodic oral evaluation - established patient 33,975 24,908 $0.00
B4150 Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 57 51 $0.00
86592 5,785 5,700 $0.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 11,947 11,814 $0.00
93320 525 444 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 79 79 $0.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 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 Collection of venous blood by venipuncture 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 Hospital discharge day management, more than 30 minutes 390 370 $0.00
86140 1,745 1,635 $0.00
E0156 Seat attachment, walker 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 Ultrasound, pregnant uterus, real time with image documentation, limited 378 357 $0.00
96127 1,800 1,592 $0.00
J1726 Injection, hydroxyprogesterone caproate, (makena), 10 mg 176 164 $0.00
87340 3,504 3,479 $0.00
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 3,762 3,724 $0.00
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 4,653 4,501 $0.00
36620 14 12 $0.00
81001 10,531 10,248 $0.00
71260 Computed tomography, thorax, diagnostic; with contrast material 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 Injection, heparin sodium, (heparin lock flush), per 10 units 393 218 $0.00
E0676 Intermittent limb compression device (includes all accessories), not otherwise specified 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 General health panel 7,748 7,683 $0.00
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 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 Comprehensive metabolic panel 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 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 445 185 $0.00
87081 2,628 2,601 $0.00
20553 41 40 $0.00
E0630 Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) 106 104 $0.00
D1206 Topical application of fluoride varnish 516 348 $0.00
80048 Basic metabolic panel (calcium, ionized) 3,336 3,223 $0.00
A6252 Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing 15 14 $0.00
2000F 811 785 $0.00
86403 92 82 $0.00
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 422 415 $0.00
92587 254 249 $0.00
99232 Subsequent hospital care, per day, moderate complexity 2,145 835 $0.00
80069 1,331 1,283 $0.00
77063 Screening digital breast tomosynthesis, bilateral 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 Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type 148 140 $0.00
E0562 Humidifier, heated, used with positive airway pressure device 1,674 1,635 $0.00
86300 203 180 $0.00
L2275 Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined 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 Therapeutic injection; each additional sequential IV push 113 59 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 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 Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 1,103 984 $0.00
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 3,094 3,036 $0.00
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing 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 test or reagent strips for home blood glucose monitor, per 50 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 Addition to lower extremity orthosis, soft interface for molded plastic, below knee section 142 125 $0.00
97014 333 136 $0.00
S9088 Services provided in an urgent care center (list in addition to code for service) 2,362 2,177 $0.00
87110 284 243 $0.00
3074F 1,452 1,405 $0.00
83704 71 71 $0.00
72148 Magnetic resonance imaging, lumbar spine; without contrast material 310 246 $0.00
87350 86 86 $0.00
99292 35 30 $0.00
86255 705 367 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 103 95 $0.00
A7037 Tubing used with positive airway pressure device 269 261 $0.00
93979 124 124 $0.00
83498 105 104 $0.00
J2357 Injection, omalizumab, 5 mg 128 113 $0.00
1220F 167 165 $0.00
84153 2,215 2,180 $0.00
G0471 Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) 31 12 $0.00
88141 610 604 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 170 156 $0.00
85027 8,556 8,418 $0.00
K0738 Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing 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 classes, non-physician provider, per session 709 697 $0.00
82803 24 12 $0.00
88304 455 454 $0.00
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 137 83 $0.00
99606 38 38 $0.00
3075F 249 239 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 112 103 $0.00
76519 52 52 $0.00
76819 Fetal biophysical profile; without non-stress testing 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 Manual wheelchair accessory, anti-tipping device, each 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 Injection, ketorolac tromethamine, per 15 mg 423 411 $0.00
86317 996 899 $0.00
82952 279 276 $0.00
84443 Thyroid stimulating hormone (TSH) 15,966 15,688 $0.00
94760 647 640 $0.00
86706 2,171 2,152 $0.00
T4536 Incontinence product, protective underwear/pull-on, reusable, any size, each 64 63 $0.00
80177 91 89 $0.00
73502 288 283 $0.00
E0603 Breast pump, electric (ac and/or dc), any type 327 325 $0.00
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed 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 Noc for enteral supplies 211 193 $0.00
82672 112 110 $0.00
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,015 387 $0.00
82435 54 53 $0.00
90657 161 140 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 143 140 $0.00
90834 Psychotherapy, 45 minutes with patient 102 77 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 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 Gastrostomy/jejunostomy tube, low-profile, any material, any type, each 54 51 $0.00
86803 5,722 5,666 $0.00
83021 1,554 1,526 $0.00
A7030 Full face mask used with positive airway pressure device, each 258 256 $0.00
82607 4,284 4,241 $0.00
84479 937 928 $0.00
71275 Computed tomographic angiography, chest, with contrast material 61 60 $0.00
83690 641 627 $0.00
80051 44 44 $0.00
52000 43 42 $0.00
E0600 Respiratory suction pump, home model, portable or stationary, electric 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 Cushion for use on nasal mask interface, replacement only, each 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 orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf 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 Infusion set for external insulin pump, non needle cannula type 28 28 $0.00
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 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 with dme nebulizer 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, adjustable or fixed height 499 492 $0.00
59514 77 77 $0.00
E0305 Bed side rails, half length 174 174 $0.00
80363 12 12 $0.00
84436 1,381 1,367 $0.00
A4349 Male external catheter, with or without adhesive, disposable, each 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 Wheelchair accessory, positioning belt/safety belt/pelvic strap, each 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 Light compression bandage, elastic, knitted/woven, width less than three inches, per yard 13 13 $0.00
83735 1,095 817 $0.00
93294 14 14 $0.00
L3000 Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each 14 14 $0.00
82270 12 12 $0.00
E0245 Tub stool or bench 30 30 $0.00
E0570 Nebulizer, with compressor 905 893 $0.00
A7013 Filter, disposable, used with aerosol compressor or ultrasonic generator 15 15 $0.00
85379 26 25 $0.00
64494 26 26 $0.00
80368 42 42 $0.00
V5014 Repair/modification of a hearing aid 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; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each 13 13 $0.00
88185 36 30 $0.00
H1001 Prenatal care, at-risk enhanced service; antepartum management 44 36 $0.00
76825 13 12 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 301 149 $0.00
92136 27 27 $0.00
45380 Colonoscopy, flexible; with biopsy, single or multiple 12 12 $0.00
11730 12 12 $0.00
L1833 Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf 12 12 $0.00
99462 16 12 $0.00
A4580 Cast supplies (e.g., 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, not otherwise classified 12 12 $0.00
81226 12 12 $0.00
80156 14 14 $0.00
86738 12 12 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 13 12 $0.00
J1626 Injection, granisetron hydrochloride, 100 mcg 37 16 $0.00
A6449 Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard 12 12 $0.00
E1392 Portable oxygen concentrator, rental 40 39 $0.00
81227 12 12 $0.00
99402 12 12 $0.00
99460 12 12 $0.00
E0601 Continuous positive airway pressure (cpap) 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(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed 2,921 2,842 $0.00
1159F 1,733 1,665 $0.00
81002 12,699 11,017 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 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 Vaginal delivery only (with or without episiotomy and/or forceps) 319 319 $0.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 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, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 27 27 $0.00
90621 323 261 $0.00
A4385 Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each 134 116 $0.00
92504 113 106 $0.00
T1015 Clinic visit/encounter, all-inclusive 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 Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable 138 133 $0.00
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 472 257 $0.00
86008 199 196 $0.00
81479 Unlisted molecular pathology procedure 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 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 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 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,036 1,031 $0.00
86900 326 319 $0.00
84439 6,103 5,970 $0.00
84100 819 702 $0.00
80061 Lipid panel 31,716 30,053 $0.00
88147 220 219 $0.00
72125 Computed tomography, cervical spine; without contrast material 124 123 $0.00
A7038 Filter, disposable, used with positive airway pressure device 720 652 $0.00
87150 250 245 $0.00
73140 161 158 $0.00
E0781 Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient 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 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 130 112 $0.00
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 227 216 $0.00
86708 1,861 1,852 $0.00
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 5,614 5,094 $0.00
86765 424 422 $0.00
E0466 Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) 426 407 $0.00
90791 Psychiatric diagnostic evaluation 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, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 3,319 3,237 $0.00
K0739 Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes 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 Bmi is documented above normal parameters and a follow-up plan is documented 112 70 $0.00
74176 Computed tomography, abdomen and pelvis; without contrast material 403 391 $0.00
87075 292 281 $0.00
90461 486 460 $0.00
T4532 Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each 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 Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 43 37 $0.00
80354 348 324 $0.00
86431 1,312 1,289 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 937 914 $0.00
84450 1,284 1,247 $0.00
99221 274 260 $0.00
74178 103 102 $0.00
A7035 Headgear used with positive airway pressure device 405 397 $0.00
84155 150 144 $0.00
S0191 Misoprostol, oral, 200 mcg 296 283 $0.00
88313 217 151 $0.00
99238 Hospital discharge day management, 30 minutes or less 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 Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf 62 62 $0.00
L0626 Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 47 47 $0.00
99231 Subsequent hospital care, per day, straightforward or low complexity 1,053 707 $0.00
90832 Psychotherapy, 30 minutes with patient 622 535 $0.00
00400 57 56 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 545 510 $0.00
87901 88 85 $0.00
87186 1,586 1,534 $0.00
E0471 Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) 249 243 $0.00
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 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 Fetal non-stress test 84 46 $0.00
95810 Polysomnography; sleep staging with 4 or more additional parameters 271 238 $0.00
84403 1,402 1,372 $0.00
80164 410 398 $0.00
J0585 Injection, onabotulinumtoxina, 1 unit 143 143 $0.00
80346 355 331 $0.00
90472 Immunization administration, each additional vaccine (list separately) 1,785 1,569 $0.00
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 100 99 $0.00
92582 85 84 $0.00
97161 79 79 $0.00
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 163 163 $0.00
80076 1,155 1,119 $0.00
E0114 Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips 478 476 $0.00
K0195 Elevating leg rests, pair (for use with capped rental wheelchair base) 181 180 $0.00
86618 156 149 $0.00
E0295 Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress 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 Magnetic resonance imaging, brain; without contrast material 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 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 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, used with positive airway pressure device 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 with needle for external insulin pump, sterile, 3 cc 69 69 $0.00
A7034 Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap 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 Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf 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 Percutaneous tests with allergenic extracts, immediate type reaction 277 264 $0.00
92015 Determination of refractive state 351 350 $0.00
87799 9,101 3,023 $0.00
73070 132 91 $0.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 253 120 $0.00
86709 368 365 $0.00
A5500 For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe 194 107 $0.00
88173 80 79 $0.00
28890 175 81 $0.00
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 800 781 $0.00
86735 419 417 $0.00
J0135 Injection, adalimumab, 20 mg 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(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed 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 Face mask interface, replacement for full face mask, each 141 132 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 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 drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each 123 119 $0.00
81291 13 13 $0.00
J9035 Injection, bevacizumab, 10 mg 139 106 $0.00
P9604 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge 284 175 $0.00
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 32 29 $0.00
31500 159 153 $0.00
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 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 Automatic external defibrillator, with integrated electrocardiogram analysis, garment type 75 74 $0.00
99281 Emergency department visit for the evaluation and management, self-limited or minor 238 234 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 133 116 $0.00
97012 295 241 $0.00
E2201 Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches 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 Canister, disposable, used with suction pump, each 92 75 $0.00
93970 47 43 $0.00
90655 14 12 $0.00
92225 44 40 $0.00
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 164 145 $0.00
20611 39 30 $0.00
K0007 Extra heavy duty wheelchair 116 112 $0.00
A9279 Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified 14 14 $0.00
99199 Unlisted special service, procedure or report 573 499 $0.00
92579 47 47 $0.00
92557 455 425 $0.00
E2402 Negative pressure wound therapy electrical pump, stationary or portable 49 39 $0.00
L1820 Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 118 112 $0.00
A5513 For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each 64 34 $0.00
L3260 Surgical boot/shoe, each 122 120 $0.00
95912 12 12 $0.00
72141 118 95 $0.00
L4387 Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf 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 Water chamber for humidifier, used with positive airway pressure device, replacement, each 239 235 $0.00
86256 21 14 $0.00
97530 Therapeutic activities, direct patient contact, each 15 minutes 108 40 $0.00
E0163 Commode chair, mobile or stationary, with fixed arms 55 53 $0.00
31575 16 14 $0.00
J1830 Injection, interferon beta-1b, 0.25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) 29 26 $0.00
E0272 Mattress, foam rubber 126 123 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 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 integrated heating element for use with positive airway pressure device 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 Fetal chromosomal aneuploidy genomic sequence analysis panel 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 Fitting of spectacles, except for aphakia; monofocal 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 and/or drug services, brief intervention, per 15 minutes 15 15 $0.00
90662 14 14 $0.00
90746 15 15 $0.00
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 26 13 $0.00
80332 12 12 $0.00
86645 12 12 $0.00