Medicaid Provider Spending

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

KAWEAH DELTA HEALTH CARE DISTRICT

NPI: 1588663769 · VISALIA, CA 93291 · Case Manager/Care Coordinator · NPI assigned 07/19/2005

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

Authorized official TUPPER, MALINDA controls 20+ related entities in our dataset. Read more

$83.04M
Total Medicaid Paid
3,007,605
Total Claims
2,608,819
Beneficiaries
546
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTUPPER, MALINDA (SRVP/CHIEF FINANCIAL OFFICER)
NPI Enumeration Date07/19/2005

Related Entities

Other providers sharing the same authorized official: TUPPER, MALINDA

ProviderCityStateTotal Paid
KAWEAH DELTA HEALTH CARE DISTRICT EXETER CA $68.84M
KAWEAH DELTA HEALTH CARE DISTRICT VISALIA CA $15.37M
KAWEAH DELTA HEALTH CARE DISTRICT LINDSAY CA $12.83M
KAWEAH DELTA HEALTH CARE DISTRICT DINUBA CA $10.04M
KAWEAH DELTA HEALTH CARE DISTRICT WOODLAKE CA $8.03M
KAWEAH DELTA HEALTH CARE DISTRICT VISALIA CA $5.60M
KAWEAH DELTA HEALTH CARE DISTRICT TULARE CA $4.95M
KAWEAH DELTA HEALTH CARE DISTRICT VISALIA CA $2.71M
KAWEAH DELTA HEALTH CARE DISTRICT VISALIA CA $2.30M
KAWEAH DELTA HEALTH CARE DISTRICT VISALIA CA $1.01M
KAWEAH DELTA HEALTH CARE DISTRICT VISALIA CA $809K
KAWEAH DELTA HEALTH CARE DISTRICT VISALIA CA $587K
KAWEAH DELTA HEALTH CARE DISTRICT VISALIA CA $388K
KAWEAH DELTA HEALTH CARE INC VISALIA CA $353K
KAWEAH DELTA HEALTH CARE DISTRICT VISALIA CA $70K
KAWEAH DELTA HEALTH CARE DISTRICT TULARE CA $54K
KAWEAH DELTA HEALTH CARE DISTRICT VISALIA CA $10K
KAWEAH DELTA HEALTH CARE DISTRICT VISALIA CA $3K
KAWEAH DELTA HEALTH CARE DISTRICT VISALIA CA $3K
KAWEAH DELTA HEALTH CARE DISTRICT VISALIA CA $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 358,040 $8.95M
2019 345,492 $8.37M
2020 360,550 $9.49M
2021 445,771 $11.92M
2022 493,925 $13.61M
2023 559,223 $17.11M
2024 444,604 $13.59M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0450 Emergency room services 165,352 143,334 $20.60M
80053 Comprehensive metabolic panel 131,381 118,318 $4.28M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 94,215 87,382 $4.11M
99199 Unlisted special service, procedure or report 58,929 48,307 $3.00M
G9012 Other specified case management service not elsewhere classified 24,667 9,288 $2.71M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 67,862 61,957 $2.10M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 71,793 16,707 $1.72M
74177 Computed tomography, abdomen and pelvis; with contrast material 17,280 16,784 $1.63M
87428 33,482 31,779 $1.45M
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 29,545 28,425 $1.41M
80048 Basic metabolic panel (calcium, ionized) 26,970 22,504 $1.26M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 9,627 9,328 $984K
70450 Computed tomography, head or brain; without contrast material 14,459 14,019 $895K
0160 14,289 11,268 $850K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 68,099 60,384 $778K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 156,354 134,825 $773K
71046 Radiologic examination, chest; 2 views 48,351 45,907 $767K
97139 42,519 6,893 $738K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 24,962 23,513 $732K
H0043 Supported housing, per diem 5,355 1,657 $649K
97750 14,068 9,381 $642K
76700 Ultrasound, abdominal, real time with image documentation; complete 14,862 14,482 $625K
97010 13,987 3,898 $594K
0760 18,017 15,379 $593K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 47,881 43,442 $559K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 17,939 15,757 $558K
78815 Positron emission tomography (PET) for limited area imaging 724 695 $509K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 3,889 3,863 $501K
95811 2,585 2,560 $492K
J3490 Unclassified drugs 12,646 10,555 $468K
84443 Thyroid stimulating hormone (TSH) 25,228 24,561 $458K
70551 Magnetic resonance imaging, brain; without contrast material 1,852 1,827 $428K
93325 4,403 4,365 $423K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 31,117 29,201 $415K
77067 Screening mammography, bilateral, including computer-aided detection 5,533 5,485 $407K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 899 879 $405K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1,409 1,396 $381K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13,440 12,369 $377K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 13,820 13,186 $366K
0360 2,684 1,580 $366K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 12,037 10,169 $360K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 14,233 13,434 $332K
71260 Computed tomography, thorax, diagnostic; with contrast material 3,944 3,885 $325K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 25,453 24,537 $324K
71275 Computed tomographic angiography, chest, with contrast material 3,861 3,767 $312K
99215 Prolong outpt/office vis 5,887 5,697 $308K
72125 Computed tomography, cervical spine; without contrast material 4,662 4,579 $302K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 18,139 16,054 $300K
80061 Lipid panel 22,642 22,324 $298K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 8,596 8,334 $297K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 11,137 10,848 $294K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1,634 1,583 $290K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 6,397 6,223 $288K
84484 43,849 37,592 $287K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 16,045 14,775 $287K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 11,132 10,849 $282K
87634 7,868 7,592 $265K
71045 Radiologic examination, chest; single view 22,481 21,395 $263K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 26,621 25,820 $254K
83036 Hemoglobin; glycosylated (A1C) 22,247 21,885 $254K
J2785 Injection, regadenoson, 0.1 mg 1,928 1,832 $254K
96361 Intravenous infusion, hydration; each additional hour 18,791 16,677 $252K
36415 Collection of venous blood by venipuncture 68,083 56,088 $244K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 11,993 11,854 $241K
93320 3,878 3,852 $235K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 5,936 3,961 $217K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,138 1,127 $208K
76705 Ultrasound, abdominal, real time with image documentation; limited 6,244 6,065 $195K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,502 2,315 $195K
81001 63,194 59,041 $194K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 13,431 12,089 $193K
82803 20,903 19,212 $193K
Z7502 5,069 4,970 $192K
0270 3,802 3,406 $189K
76770 4,135 3,998 $183K
76801 6,322 5,531 $183K
J1815 Injection, insulin, per 5 units 2,765 1,790 $172K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2,812 2,739 $172K
0720 3,527 2,587 $167K
76830 Ultrasound, transvaginal 4,858 4,762 $166K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 5,407 5,311 $166K
99284 Emergency department visit for the evaluation and management, high severity 2,184 2,058 $164K
Q9957 Injection, perflutren lipid microspheres, per ml 1,510 1,483 $163K
70496 1,680 1,651 $160K
82330 19,817 18,326 $159K
87481 5,233 4,905 $158K
G9008 Coordinated care fee, physician coordinated care oversight services 1,343 965 $157K
81025 18,338 17,208 $155K
97799 9,621 1,697 $154K
A9577 Injection, gadobenate dimeglumine (multihance), per ml 1,964 1,913 $151K
83605 24,948 22,407 $150K
73130 6,981 6,672 $148K
93971 3,171 3,064 $147K
83880 11,733 10,953 $145K
0761 4,081 3,412 $141K
97165 3,485 2,938 $140K
73630 6,640 6,411 $137K
73610 5,883 5,699 $136K
83690 38,030 35,141 $133K
96375 Therapeutic injection; each additional sequential IV push 10,099 9,248 $133K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 814 813 $131K
93970 1,404 1,374 $130K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,513 2,479 $129K
83735 25,475 20,666 $129K
76641 2,393 2,329 $128K
93017 3,530 3,394 $123K
80074 2,788 2,762 $123K
73030 5,652 5,355 $122K
87086 Culture, bacterial; quantitative colony count, urine 25,425 24,196 $120K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 10,008 8,652 $120K
80076 5,077 4,706 $118K
99283 Emergency department visit for the evaluation and management, moderate severity 1,748 1,516 $117K
72141 556 552 $115K
70498 1,985 1,947 $114K
82947 31,918 25,780 $113K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,785 1,762 $107K
77063 Screening digital breast tomosynthesis, bilateral 5,517 5,480 $106K
72110 2,449 2,419 $102K
86850 15,023 14,496 $102K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 4,931 3,822 $100K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 6,331 6,271 $99K
84439 13,089 12,762 $94K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 1,169 1,111 $93K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 3,897 1,642 $92K
82375 11,343 10,518 $91K
86480 1,810 1,791 $90K
70486 1,220 1,196 $90K
96379 4,310 3,336 $89K
59025 Fetal non-stress test 8,320 3,259 $84K
73110 4,438 4,266 $83K
G0378 Hospital observation service, per hour 1,246 1,093 $83K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 8,712 2,896 $82K
J1885 Injection, ketorolac tromethamine, per 15 mg 31,647 29,185 $82K
99221 2,325 2,217 $81K
73562 4,522 4,406 $78K
93308 2,031 2,003 $77K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,719 2,430 $75K
84702 11,902 10,504 $75K
84703 24,081 22,814 $74K
86803 3,619 3,586 $73K
J0561 Injection, penicillin g benzathine, 100,000 units 496 408 $71K
73564 2,579 2,490 $70K
0683 473 473 $70K
82607 7,295 7,197 $69K
73502 2,058 1,986 $68K
90715 4,737 4,631 $68K
74018 4,245 4,147 $67K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 397 381 $64K
73080 2,742 2,669 $61K
83789 4,710 4,525 $60K
76819 Fetal biophysical profile; without non-stress testing 2,207 1,397 $60K
93458 107 100 $58K
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 1,668 1,588 $58K
87081 10,283 10,033 $58K
85610 19,893 18,269 $57K
83050 11,299 10,481 $57K
72100 2,065 2,038 $56K
87040 5,867 5,380 $55K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 436 433 $55K
73590 3,347 3,207 $52K
84999 2,535 2,222 $51K
J0696 Injection, ceftriaxone sodium, per 250 mg 12,438 11,185 $51K
83721 14,816 14,630 $51K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,660 2,500 $49K
90999 Unlisted dialysis procedure, inpatient or outpatient 520 52 $48K
87430 2,823 2,774 $47K
97803 1,494 1,200 $47K
97161 1,474 1,138 $46K
J3010 Injection, fentanyl citrate, 0.1 mg 10,672 9,668 $46K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 175 163 $45K
76870 1,441 1,390 $45K
94729 1,393 1,370 $44K
86900 18,762 17,913 $43K
86901 18,766 17,911 $42K
73090 2,758 2,657 $42K
94726 1,423 1,393 $41K
Q3014 Telehealth originating site facility fee 2,282 1,987 $41K
94060 1,562 1,535 $41K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 8,824 8,415 $40K
77066 Tomosynthesis, mammo 448 440 $40K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,342 1,295 $39K
81003 13,677 12,242 $39K
86140 8,774 8,355 $38K
84132 19,010 17,358 $37K
82948 7,607 6,005 $37K
76604 1,450 1,441 $36K
83970 1,126 1,099 $35K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 10,360 9,971 $34K
84100 10,640 9,416 $33K
84295 18,619 17,092 $33K
72170 3,430 3,392 $33K
J2704 Injection, propofol, 10 mg 2,899 2,779 $32K
84550 8,015 7,515 $32K
J2405 Injection, ondansetron hydrochloride, per 1 mg 10,607 9,570 $32K
85379 6,118 5,891 $32K
93880 345 331 $32K
85730 8,117 7,807 $31K
70491 401 390 $31K
87653 1,285 1,264 $31K
97802 408 398 $31K
76536 630 624 $31K
72050 895 888 $31K
77065 Tomosynthesis, mammo 450 447 $30K
72040 1,096 1,073 $30K
82728 3,162 3,052 $29K
0710 1,030 959 $29K
47562 182 181 $29K
87186 8,152 7,852 $29K
82435 17,684 16,348 $29K
97530 Therapeutic activities, direct patient contact, each 15 minutes 3,107 1,497 $29K
84480 2,289 2,253 $29K
86003 316 294 $29K
74019 1,751 1,723 $29K
J1650 Injection, enoxaparin sodium, 10 mg 4,110 2,166 $28K
82550 5,218 4,655 $27K
12001 1,641 1,598 $26K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 1,314 1,297 $25K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 2,026 1,926 $25K
73140 1,811 1,773 $25K
82746 1,916 1,867 $25K
83540 4,725 4,621 $24K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 401 361 $24K
87340 1,807 1,778 $23K
86592 6,651 6,568 $23K
77336 895 369 $22K
84145 1,784 1,727 $22K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 10,420 9,995 $22K
J1644 Injection, heparin sodium, per 1000 units 3,301 1,814 $22K
82043 3,119 3,063 $21K
0300 420 367 $21K
83520 1,821 1,781 $20K
G9793 Patient is currently on a daily aspirin or other antiplatelet 2,054 1,907 $20K
J2250 Injection, midazolam hydrochloride, per 1 mg 5,176 4,960 $20K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 1,092 1,064 $19K
73552 1,312 1,206 $19K
85576 415 384 $19K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 334 317 $19K
85014 18,787 17,264 $18K
83550 3,486 3,431 $18K
96367 1,132 1,086 $18K
J3475 Injection, magnesium sulfate, per 500 mg 2,584 2,165 $18K
93296 639 631 $18K
70360 1,025 1,008 $18K
85651 7,640 7,273 $18K
77412 558 52 $17K
81002 9,458 8,851 $17K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 2,580 953 $17K
J1790 Injection, droperidol, up to 5 mg 2,111 1,935 $17K
12011 843 817 $16K
86376 1,315 1,278 $15K
12002 850 822 $15K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,411 1,235 $15K
73060 1,226 1,142 $15K
J1756 Injection, iron sucrose, 1 mg 177 67 $15K
86762 1,083 1,048 $15K
J1200 Injection, diphenhydramine hcl, up to 50 mg 6,802 6,165 $14K
97018 299 91 $14K
82010 2,987 2,812 $14K
87070 2,467 2,377 $14K
J2765 Injection, metoclopramide hcl, up to 10 mg 6,380 5,883 $14K
29125 1,121 1,053 $14K
82140 2,143 1,988 $14K
84153 820 810 $14K
71250 158 158 $14K
87088 4,799 4,654 $14K
86635 888 846 $14K
80069 1,556 1,520 $13K
J2270 Injection, morphine sulfate, up to 10 mg 4,075 3,439 $13K
S0020 Injection, bupivicaine hydrochloride, 30 ml 1,204 1,137 $13K
P9016 Red blood cells, leukocytes reduced, each unit 411 366 $13K
90686 2,277 2,214 $13K
86038 1,171 1,152 $12K
84466 1,219 1,180 $12K
97116 1,589 844 $12K
73221 45 43 $11K
85027 1,988 1,595 $11K
99401 862 611 $11K
J0690 Injection, cefazolin sodium, 500 mg 1,882 1,717 $11K
80164 872 762 $11K
93225 423 416 $11K
85018 10,880 10,006 $11K
96376 2,582 2,383 $11K
82248 2,609 2,464 $11K
82274 708 702 $10K
95816 330 316 $10K
96368 715 706 $10K
T2041 Supports brokerage, self-directed, waiver; per 15 minutes 53 24 $10K
93000 443 440 $10K
80050 General health panel 752 730 $10K
71101 370 366 $10K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,770 1,606 $9K
84403 455 414 $9K
82950 1,653 1,643 $9K
93226 236 230 $9K
82570 1,915 1,761 $9K
99205 Prolong outpt/office vis 152 147 $9K
Z9725 197 196 $8K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,210 1,152 $8K
29515 679 645 $8K
10060 465 437 $8K
87205 2,837 2,736 $8K
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" 484 426 $8K
J2060 Injection, lorazepam, 2 mg 3,661 3,207 $7K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 99 98 $7K
72070 364 359 $7K
J3370 Injection, vancomycin hcl, 500 mg 958 802 $7K
87210 2,411 2,337 $7K
95782 14 14 $7K
J1953 Injection, levetiracetam, 10 mg 807 711 $7K
74178 38 38 $7K
0762 988 908 $7K
93356 417 404 $6K
74022 265 264 $6K
36455 334 286 $6K
87505 56 55 $6K
93925 114 113 $6K
86403 583 568 $6K
90837 Psychotherapy, 53 minutes with patient 67 51 $6K
72158 13 12 $6K
93242 509 507 $6K
87807 871 865 $6K
77334 52 38 $6K
77280 163 130 $6K
H1001 Prenatal care, at-risk enhanced service; antepartum management 196 124 $6K
J1170 Injection, hydromorphone, up to 4 mg 1,126 919 $6K
84436 2,993 2,938 $6K
73560 438 422 $5K
87220 1,502 1,458 $5K
73620 209 201 $5K
3074F 303 301 $5K
86431 909 902 $5K
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 869 835 $5K
76775 166 162 $5K
78451 73 72 $5K
97597 182 105 $5K
J0360 Injection, hydralazine hcl, up to 20 mg 634 489 $5K
26145 45 40 $4K
93246 305 305 $4K
84146 257 254 $4K
87631 128 126 $4K
87338 445 438 $4K
83001 189 188 $4K
78227 18 15 $4K
76882 192 190 $4K
73120 122 119 $4K
0301 442 384 $4K
85384 651 600 $4K
29530 546 529 $4K
87045 602 589 $4K
90677 12 12 $4K
84479 755 744 $4K
72131 61 61 $4K
90658 217 217 $3K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 197 185 $3K
99244 Office or other outpatient consultation, moderate to high complexity 79 78 $3K
J0137 Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg 195 186 $3K
83615 720 630 $3K
99243 156 155 $3K
3077F 124 122 $3K
85045 904 870 $3K
92551 199 199 $3K
Z6406 244 173 $3K
83516 268 261 $3K
29240 749 736 $3K
36430 126 120 $3K
Q4081 Injection, epoetin alfa, 100 units (for esrd on dialysis) 123 13 $3K
72072 120 119 $3K
29581 398 74 $3K
84481 381 377 $3K
93297 125 119 $3K
93016 243 243 $3K
84155 921 903 $3K
84520 530 391 $3K
J2550 Injection, promethazine hcl, up to 50 mg 1,165 1,035 $3K
82784 314 286 $3K
77080 92 92 $2K
3079F 239 237 $2K
51798 149 142 $2K
G8420 Bmi is documented within normal parameters and no follow-up plan is required 408 386 $2K
82553 160 112 $2K
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 388 376 $2K
67042 13 12 $2K
87581 129 127 $2K
73000 92 90 $2K
J3105 Injection, terbutaline sulfate, up to 1 mg 247 214 $2K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 239 228 $2K
87046 570 555 $2K
87486 129 127 $2K
0510 1,572 1,505 $2K
82565 441 428 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 384 379 $2K
76000 82 77 $2K
71020 338 200 $2K
29130 401 386 $2K
99223 Prolong inpt eval add15 m 49 49 $2K
97535 Self-care/home management training, each 15 minutes 213 125 $2K
87899 212 211 $2K
82310 385 361 $2K
86677 160 159 $2K
85390 413 383 $2K
86787 154 152 $2K
84156 809 747 $2K
J1630 Injection, haloperidol, up to 5 mg 1,321 1,167 $2K
86308 327 327 $2K
97166 312 309 $2K
90791 Psychiatric diagnostic evaluation 13 13 $2K
69209 246 244 $2K
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 203 190 $2K
86703 117 116 $2K
99282 Emergency department visit for the evaluation and management, low to moderate severity 12 12 $2K
J2919 Injection, methylprednisolone sodium succinate, 5 mg 187 165 $2K
99218 288 239 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 58 58 $1K
84157 690 650 $1K
0324 505 498 $1K
J3372 Injection, vancomycin hcl (xellia), not therapeutically equivalent to j3370, 500 mg 99 92 $1K
J3260 Injection, tobramycin sulfate, up to 80 mg 81 76 $1K
97016 470 116 $1K
74174 12 12 $1K
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 383 382 $1K
73070 124 114 $1K
82272 166 162 $1K
86800 137 134 $1K
92610 29 29 $1K
51702 89 82 $1K
J3360 Injection, diazepam, up to 5 mg 97 93 $1K
85347 430 400 $1K
73600 46 45 $1K
82530 81 80 $1K
71100 57 56 $1K
74220 59 58 $1K
90732 13 13 $1K
84402 95 95 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 29 29 $1K
82610 117 113 $1K
J2560 Injection, phenobarbital sodium, up to 120 mg 15 13 $1K
90746 13 13 $1K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 23 13 $1K
82810 164 151 $1K
80081 12 12 $1K
0370 357 351 $994.76
87449 104 102 $991.79
95819 38 38 $981.37
76376 303 300 $979.85
82378 122 113 $964.40
84460 218 213 $914.81
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg 131 107 $903.14
49083 15 12 $887.32
73660 91 89 $871.16
84134 84 83 $870.17
93350 18 16 $860.09
84450 206 202 $848.48
29105 84 78 $834.58
86769 26 25 $820.13
85008 997 916 $819.12
83002 36 36 $791.35
64721 12 12 $759.00
87184 227 222 $730.46
76999 25 25 $704.74
86920 21 12 $691.53
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 104 97 $689.00
51701 174 153 $684.14
80178 105 95 $674.69
85007 885 834 $641.79
82785 40 40 $615.97
90688 74 74 $576.38
90472 Immunization administration, each additional vaccine (list separately) 58 58 $536.35
73521 25 25 $534.39
82977 72 72 $531.92
3075F 28 28 $531.45
82105 14 14 $520.69
70487 13 12 $504.28
82040 148 135 $502.04
99231 Subsequent hospital care, per day, straightforward or low complexity 45 45 $492.12
72220 27 27 $477.82
90675 24 13 $477.16
J1940 Injection, furosemide, up to 20 mg 128 99 $472.87
29260 281 274 $451.30
82945 176 171 $446.37
Z7500 13 12 $443.30
82731 14 13 $440.50
80329 93 84 $439.86
92558 15 14 $435.56
84075 119 118 $435.52
84270 27 27 $435.22
82575 52 52 $399.22
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 2,116 1,926 $387.39
82652 40 39 $378.98
83037 287 281 $375.47
86171 30 30 $370.24
A9537 Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries 16 14 $366.94
82247 72 51 $365.44
86331 30 30 $346.25
99232 Subsequent hospital care, per day, moderate complexity 19 12 $340.20
Z7610 26 26 $321.87
73100 12 12 $320.99
Z6404 12 12 $289.56
81050 149 148 $252.26
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 150 144 $241.50
93321 13 12 $233.06
83993 12 12 $228.44
71010 88 36 $224.77
86200 34 29 $219.31
S0164 Injection, pantoprazole sodium, 40 mg 16 14 $194.38
J8540 Dexamethasone, oral, 0.25 mg 189 165 $189.86
86706 12 12 $169.20
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 53 36 $167.54
94760 19 19 $138.30
J0456 Injection, azithromycin, 500 mg 44 43 $133.38
84165 25 24 $131.04
0305 319 289 $129.71
3080F 12 12 $115.48
J3486 Injection, ziprasidone mesylate, 10 mg 16 13 $113.65
86256 13 13 $103.90
29540 131 131 $97.44
0320 32 31 $96.67
0730 12 12 $89.51
87075 16 16 $88.38
82374 68 67 $79.33
99000 143 137 $73.28
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 33 25 $72.68
99173 152 143 $64.64
90651 13 13 $61.65
83930 12 12 $57.92
J2310 Injection, naloxone hydrochloride, per 1 mg 16 16 $54.84
87077 27 26 $53.66
86880 13 13 $47.87
93018 14 14 $45.15
0636 38 27 $39.60
86300 13 12 $35.76
G9724 Patients who had documentation of use of anticoagulant medications overlapping the measurement year 31 29 $24.04
36000 16 12 $21.80
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 47 44 $17.71
S0077 Injection, clindamycin phosphate, 300 mg 13 13 $16.12
G8482 Influenza immunization administered or previously received 309 285 $14.13
A4657 Syringe, with or without needle, each 580 69 $0.03
S9088 Services provided in an urgent care center (list in addition to code for service) 80 76 $0.00
97014 92 28 $0.00
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 18 15 $0.00
G8986 Carrying, moving & handling objects functional limitation, discharge status, at discharge from therapy or to end reporting 13 13 $0.00
G0008 Administration of influenza virus vaccine 15 15 $0.00
A4649 Surgical supply; miscellaneous 206 191 $0.00
G8984 Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals 60 59 $0.00
G8985 Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 142 130 $0.00
0940 40 40 $0.00
0370R 12 12 $0.00