Medicaid Provider Spending

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

COUNTY OF VENTURA

NPI: 1629167457 · VENTURA, CA 93003 · Emergency Care Clinic/Center · NPI assigned 10/12/2006

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

Authorized official CHO, THERESA controls 18+ related entities in our dataset. Read more

$136.15M
Total Medicaid Paid
3,011,483
Total Claims
2,578,495
Beneficiaries
654
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCHO, THERESA (DIRECTOR)
NPI Enumeration Date10/12/2006

Related Entities

Other providers sharing the same authorized official: CHO, THERESA

ProviderCityStateTotal Paid
COUNTY OF VENTURA SIMI VALLEY CA $47.73M
COUNTY OF VENTURA VENTURA CA $32.44M
COUNTY OF VENTURA OXNARD CA $21.57M
COUNTY OF VENTURA THOUSAND OAKS CA $17.77M
COUNTY OF VENTURA OXNARD CA $17.55M
COUNTY OF VENTURA OXNARD CA $15.99M
COUNTY OF VENTURA VENTURA CA $14.53M
COUNTY OF VENTURA SANTA PAULA CA $12.56M
COUNTY OF VENTURA OXNARD CA $12.44M
COUNTY OF VENTURA OXNARD CA $9.75M
COUNTY OF VENTURA MOORPARK CA $7.20M
COUNTY OF VENTURA CAMARILLO CA $5.53M
COUNTY OF VENTURA FILLMORE CA $5.01M
COUNTY OF VENTURA SANTA PAULA CA $3.83M
COUNTY OF VENTURA OXNARD CA $618K
COUNTY OF VENTURA VENTURA CA $380K
COUNTY OF VENTURA OXNARD CA $24K
COUNTY OF VENTURA OXNARD CA $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 670,372 $20.71M
2019 615,743 $19.47M
2020 329,816 $14.75M
2021 347,976 $17.63M
2022 380,788 $20.25M
2023 417,349 $27.12M
2024 249,439 $16.20M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 176,176 155,316 $20.26M
0450 Emergency room services 66,251 58,956 $9.08M
99281 Emergency department visit for the evaluation and management, self-limited or minor 5,071 3,318 $8.01M
G0390 Trauma response team associated with hospital critical care service 951 938 $6.93M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 115,163 93,471 $4.54M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 67,785 63,163 $3.57M
0761 120,524 94,221 $3.55M
0160 8,166 4,786 $3.55M
J9271 Injection, pembrolizumab, 1 mg 593 450 $3.31M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 13,872 12,351 $2.40M
A4649 Surgical supply; miscellaneous 103,714 53,320 $2.38M
0360 16,124 13,240 $2.14M
85027 142,139 123,999 $1.98M
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 42,818 41,750 $1.74M
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 42,820 41,750 $1.73M
97139 60,426 14,453 $1.67M
J3490 Unclassified drugs 33,203 17,786 $1.58M
J9035 Injection, bevacizumab, 10 mg 655 282 $1.54M
J0897 Injection, denosumab, 1 mg 1,576 1,524 $1.46M
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 4,572 3,247 $1.28M
99215 Prolong outpt/office vis 13,559 11,372 $1.25M
80053 Comprehensive metabolic panel 128,431 114,271 $1.19M
88305 Level IV - Surgical pathology, gross and microscopic examination 24,436 23,341 $1.17M
J1439 Injection, ferric carboxymaltose, 1 mg 2,042 1,430 $1.05M
J7120 Ringers lactate infusion, up to 1000 cc 12,085 10,987 $1.03M
74177 Computed tomography, abdomen and pelvis; with contrast material 7,054 6,890 $933K
J2505 Injection, pegfilgrastim, 6 mg 441 311 $896K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 9,369 9,285 $877K
90378 510 456 $827K
77067 Screening mammography, bilateral, including computer-aided detection 6,463 6,425 $799K
J9299 Injection, nivolumab, 1 mg 120 91 $785K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 3,906 2,870 $775K
J7030 Infusion, normal saline solution , 1000 cc 13,394 12,040 $767K
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 8,509 7,903 $744K
84443 Thyroid stimulating hormone (TSH) 45,565 44,341 $737K
90837 Psychotherapy, 53 minutes with patient 7,204 3,698 $707K
Z7502 18,508 18,267 $696K
S3620 Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) 4,493 4,311 $668K
97799 21,621 5,030 $657K
99232 Subsequent hospital care, per day, moderate complexity 13,726 5,620 $654K
0760 12,933 11,188 $638K
J2506 Injection, pegfilgrastim, excludes biosimilar, 0.5 mg 690 512 $603K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 11,543 11,195 $575K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 1,333 1,220 $574K
99223 Prolong inpt eval add15 m 5,288 4,642 $574K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 14,294 12,751 $528K
96375 Therapeutic injection; each additional sequential IV push 16,844 12,145 $512K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1,422 1,393 $492K
0762 405 266 $479K
71046 Radiologic examination, chest; 2 views 12,569 12,242 $464K
83036 Hemoglobin; glycosylated (A1C) 42,969 42,645 $460K
86003 2,636 1,462 $457K
99233 Prolong inpt eval add15 m 6,508 2,759 $449K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 5,498 5,443 $398K
99222 Initial hospital care, per day, moderate complexity 4,430 4,055 $389K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 11,388 6,954 $386K
0710 14,260 13,944 $385K
97750 6,567 4,737 $373K
93975 3,919 3,807 $368K
87086 Culture, bacterial; quantitative colony count, urine 23,856 22,446 $367K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,711 1,578 $360K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 6,215 4,554 $353K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 46,241 36,574 $351K
70551 Magnetic resonance imaging, brain; without contrast material 1,696 1,661 $339K
Z7500 9,775 7,125 $333K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 14,232 13,322 $323K
J9355 Injection, trastuzumab, excludes biosimilar, 10 mg 193 133 $311K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 15,429 14,649 $299K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 800 712 $296K
83721 29,263 29,143 $289K
76641 2,795 2,650 $288K
86703 45,175 43,537 $273K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 662 575 $272K
99244 Office or other outpatient consultation, moderate to high complexity 2,617 2,605 $268K
86780 18,951 18,210 $257K
86140 33,683 31,255 $256K
59425 3,428 2,289 $256K
81511 1,133 1,111 $255K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1,151 1,125 $254K
70450 Computed tomography, head or brain; without contrast material 7,128 6,878 $253K
83718 29,699 29,563 $249K
0510 8,414 7,087 $248K
76700 Ultrasound, abdominal, real time with image documentation; complete 3,598 3,539 $242K
71250 1,677 1,664 $237K
76770 3,284 3,228 $235K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 9,431 9,399 $230K
99238 Hospital discharge day management, 30 minutes or less 4,865 4,506 $229K
88312 2,183 2,088 $223K
88307 2,758 2,665 $223K
81025 30,828 28,507 $215K
71275 Computed tomographic angiography, chest, with contrast material 2,757 2,712 $214K
99283 Emergency department visit for the evaluation and management, moderate severity 4,438 4,043 $211K
86480 3,326 3,278 $210K
77066 Tomosynthesis, mammo 1,209 1,199 $208K
17110 1,510 1,415 $208K
88304 8,551 8,250 $208K
84478 31,569 31,412 $197K
99239 Hospital discharge day management, more than 30 minutes 2,546 2,319 $190K
74183 251 246 $184K
45380 Colonoscopy, flexible; with biopsy, single or multiple 668 610 $183K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 8,829 2,805 $182K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,175 2,114 $176K
99284 Emergency department visit for the evaluation and management, high severity 5,258 4,834 $175K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 6,575 6,557 $163K
J7050 Infusion, normal saline solution, 250 cc 7,650 4,389 $162K
97161 2,869 2,029 $160K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 5,854 5,591 $154K
77065 Tomosynthesis, mammo 1,140 1,118 $154K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 7,085 6,845 $153K
82465 31,393 31,254 $152K
81002 14,895 12,849 $151K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 28,280 26,093 $150K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 2,908 2,859 $147K
80048 Basic metabolic panel (calcium, ionized) 7,325 6,963 $145K
59025 Fetal non-stress test 4,675 3,530 $143K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,420 6,153 $141K
76830 Ultrasound, transvaginal 2,893 2,834 $140K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 3,733 3,417 $139K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 791 774 $139K
A9585 Injection, gadobutrol, 0.1 ml 1,449 1,421 $137K
74174 1,191 1,172 $137K
82746 8,224 8,166 $134K
87536 1,171 1,148 $133K
Z7610 14,734 8,323 $130K
99243 1,736 1,717 $129K
87503 3,964 3,920 $127K
81508 554 533 $125K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 4,587 4,466 $124K
90750 721 713 $123K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 7,199 7,167 $122K
76536 1,960 1,927 $121K
99443 1,074 908 $121K
17000 1,459 1,425 $120K
0121 184 184 $120K
0250 5,125 3,906 $119K
74178 207 200 $118K
96367 3,276 2,116 $118K
73562 4,320 3,890 $118K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 2,735 2,697 $117K
81000 16,513 15,898 $117K
71260 Computed tomography, thorax, diagnostic; with contrast material 717 712 $116K
72125 Computed tomography, cervical spine; without contrast material 2,076 2,047 $114K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 366 363 $114K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1,439 668 $111K
74018 4,127 3,975 $110K
86803 7,158 7,109 $109K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 8,038 7,022 $108K
86901 8,658 8,005 $105K
90686 6,778 6,742 $105K
90715 5,325 5,276 $103K
95819 2,133 2,066 $103K
80069 2,575 2,240 $102K
96417 2,757 1,792 $102K
83013 1,313 1,310 $100K
76705 Ultrasound, abdominal, real time with image documentation; limited 4,592 4,483 $100K
84439 10,339 10,210 $99K
96523 1,853 1,464 $98K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 3,043 2,330 $98K
99406 7,679 7,159 $96K
87088 14,062 13,476 $96K
73610 3,383 3,175 $95K
70498 768 753 $94K
93017 1,241 1,220 $94K
70486 1,186 1,164 $93K
73630 3,392 3,147 $93K
70496 790 780 $92K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 2,545 2,542 $89K
72131 950 934 $88K
82728 5,906 5,652 $87K
73130 2,832 2,531 $87K
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 4,886 4,497 $86K
71045 Radiologic examination, chest; single view 18,155 17,236 $84K
J1453 Injection, fosaprepitant, 1 mg 1,560 1,005 $84K
73030 3,400 3,148 $84K
90651 1,466 1,455 $83K
83735 55,452 48,923 $83K
0720 1,756 1,435 $82K
72197 54 54 $80K
84403 2,942 2,912 $80K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 455 426 $79K
94729 1,219 1,174 $78K
93226 811 793 $77K
71271 429 421 $75K
96415 2,472 1,728 $74K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 6,386 6,128 $74K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 496 494 $72K
93970 1,039 1,014 $71K
73110 2,484 2,313 $70K
J9395 Injection, fulvestrant, 25 mg 191 177 $70K
94060 1,818 1,800 $70K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3,444 3,120 $69K
87340 6,076 6,029 $65K
J2469 Injection, palonosetron hcl, 25 mcg 2,869 1,781 $64K
72141 309 300 $64K
51798 1,058 1,046 $64K
99245 486 484 $62K
99358 Prolong nursin fac eval 15m 1,031 952 $62K
31575 568 551 $61K
84481 3,184 3,148 $60K
82378 2,605 2,231 $60K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 6,939 6,792 $60K
47562 196 191 $59K
J7060 5% dextrose/water (500 ml = 1 unit) 3,157 1,863 $59K
83690 51,453 47,386 $59K
84153 2,836 2,802 $58K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 12,153 8,647 $57K
J2704 Injection, propofol, 10 mg 10,973 10,317 $57K
93225 1,109 1,077 $56K
J2405 Injection, ondansetron hydrochloride, per 1 mg 22,875 19,493 $56K
73502 1,864 1,682 $56K
86850 7,934 7,368 $55K
76801 1,823 1,620 $54K
73140 1,507 1,417 $54K
83540 7,031 6,865 $54K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,306 1,268 $53K
87522 Neg quan hep c or qual rna 1,073 1,039 $52K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,255 1,251 $52K
86756 439 431 $52K
83550 5,782 5,646 $51K
72100 1,990 1,952 $51K
87081 2,089 2,061 $50K
43235 177 161 $50K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,131 1,127 $50K
11102 469 458 $49K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 8,000 4,540 $49K
90677 347 346 $48K
J1885 Injection, ketorolac tromethamine, per 15 mg 15,914 14,912 $48K
73080 1,422 1,329 $48K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 1,554 1,501 $47K
69210 1,146 968 $46K
82043 7,177 7,137 $46K
96416 917 552 $45K
87186 5,043 4,905 $45K
J9217 Leuprolide acetate (for depot suspension), 7.5 mg 180 178 $45K
90670 1,723 1,701 $45K
52000 340 339 $44K
87070 3,512 3,365 $43K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,529 1,494 $43K
J0690 Injection, cefazolin sodium, 500 mg 6,016 5,328 $42K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 289 288 $42K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 598 376 $42K
86360 693 686 $42K
93971 1,341 1,294 $42K
J3010 Injection, fentanyl citrate, 0.1 mg 8,687 8,368 $41K
73590 1,892 1,723 $41K
85730 10,420 9,814 $40K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 4,183 4,044 $39K
85610 13,785 12,537 $38K
76870 1,112 1,081 $38K
59514 144 142 $38K
72040 1,349 1,304 $36K
84702 2,898 2,377 $36K
J1170 Injection, hydromorphone, up to 4 mg 5,456 4,516 $36K
J2250 Injection, midazolam hydrochloride, per 1 mg 9,362 9,047 $35K
J9202 Goserelin acetate implant, per 3.6 mg 39 36 $35K
G9012 Other specified case management service not elsewhere classified 2,619 1,377 $34K
86706 2,869 2,858 $34K
86705 2,881 2,857 $34K
0270 5,539 4,316 $34K
99152 539 521 $33K
0750 2,177 2,083 $33K
H0033 Oral medication administration, direct observation 1,358 96 $33K
72082 390 385 $33K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 889 535 $32K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 415 405 $32K
0129 108 104 $31K
96411 1,333 882 $31K
83615 4,284 3,613 $31K
83880 3,709 3,538 $30K
86762 1,889 1,880 $30K
0420 1,186 322 $30K
84146 1,347 1,338 $29K
17003 873 841 $29K
92551 2,582 2,576 $29K
83001 1,383 1,376 $29K
90834 Psychotherapy, 45 minutes with patient 391 233 $28K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 152 151 $28K
94727 732 690 $28K
86038 2,063 2,045 $28K
99282 Emergency department visit for the evaluation and management, low to moderate severity 419 392 $28K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,084 957 $28K
82274 1,516 1,264 $27K
84402 1,267 1,237 $27K
85018 6,394 6,386 $26K
J2785 Injection, regadenoson, 0.1 mg 236 234 $26K
81003 6,796 6,621 $26K
0430 691 215 $26K
90716 1,115 1,100 $26K
99255 276 258 $26K
83655 3,589 3,579 $25K
G0378 Hospital observation service, per hour 1,352 815 $25K
86900 8,883 8,168 $24K
87205 3,993 3,822 $24K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 26 26 $24K
J2270 Injection, morphine sulfate, up to 10 mg 9,742 8,299 $23K
77063 Screening digital breast tomosynthesis, bilateral 608 607 $23K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 497 497 $23K
0721 766 668 $23K
0636 1,066 419 $23K
82670 810 794 $23K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 2,064 1,012 $21K
86235 656 648 $21K
Q9957 Injection, perflutren lipid microspheres, per ml 187 187 $21K
99201 719 718 $21K
82784 1,502 1,476 $20K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,013 1,010 $20K
85651 8,286 7,966 $20K
73090 818 761 $20K
86580 1,156 1,131 $20K
83002 943 938 $19K
92511 370 366 $19K
96402 1,933 1,828 $19K
90707 875 864 $19K
96110 Developmental screening, with scoring and documentation, per standardized instrument 208 208 $19K
80076 2,134 2,061 $18K
83516 1,438 1,392 $18K
90734 719 717 $18K
82570 1,337 1,277 $18K
J9264 Injection, paclitaxel protein-bound particles, 1 mg 37 13 $18K
87902 130 128 $17K
99231 Subsequent hospital care, per day, straightforward or low complexity 520 225 $17K
90682 327 327 $17K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 307 306 $17K
0258 2,280 1,880 $16K
82105 1,057 1,031 $16K
86708 1,121 1,120 $16K
97165 123 123 $15K
84156 674 638 $15K
86709 1,385 1,381 $15K
86787 1,152 1,127 $15K
S9470 Nutritional counseling, dietitian visit 325 324 $15K
84480 943 936 $15K
73560 1,046 893 $15K
83525 1,100 1,094 $15K
84425 607 603 $14K
20550 247 230 $14K
96361 Intravenous infusion, hydration; each additional hour 4,701 4,301 $14K
0969 205 138 $14K
Z9725 326 316 $14K
87338 852 846 $14K
82550 11,022 10,121 $14K
J1200 Injection, diphenhydramine hcl, up to 50 mg 3,660 2,601 $14K
82652 606 606 $13K
99254 204 200 $13K
90744 1,092 1,006 $13K
84484 13,043 11,686 $13K
99205 Prolong outpt/office vis 119 119 $13K
82785 1,084 780 $13K
84550 2,270 2,198 $13K
91322 123 123 $13K
90698 1,171 1,152 $13K
72128 188 187 $13K
73620 619 534 $13K
72120 373 370 $13K
20610 368 351 $13K
94664 972 929 $12K
87045 868 848 $12K
82247 509 367 $12K
90633 1,116 1,100 $12K
90832 Psychotherapy, 30 minutes with patient 203 182 $12K
99460 206 206 $12K
82950 1,384 1,262 $11K
86592 2,194 2,181 $11K
85014 4,120 4,112 $11K
J9190 Injection, fluorouracil, 500 mg 492 281 $11K
77077 311 299 $11K
76942 317 243 $11K
83883 631 603 $11K
86635 842 823 $11K
11100 225 225 $11K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 3,638 3,134 $11K
87507 108 108 $11K
86593 1,709 1,666 $11K
90732 177 177 $11K
90791 Psychiatric diagnostic evaluation 80 69 $11K
81001 7,646 7,248 $10K
84100 10,579 9,123 $10K
86376 801 796 $10K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 187 187 $10K
87154 424 417 $10K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 16 15 $10K
99451 249 248 $10K
90739 98 98 $10K
99442 103 101 $9K
70491 55 54 $9K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 153 91 $9K
86696 426 423 $9K
J2765 Injection, metoclopramide hcl, up to 10 mg 4,528 4,249 $9K
17004 38 37 $9K
J1815 Injection, insulin, per 5 units 1,013 690 $9K
82985 451 448 $8K
86430 1,329 1,326 $8K
82533 429 415 $8K
86334 392 389 $8K
86255 593 586 $8K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 982 954 $8K
86765 557 531 $8K
86039 631 627 $8K
94726 106 101 $8K
0424 183 137 $8K
86200 890 885 $8K
85007 2,766 2,217 $8K
99153 Mod sedat endo service >5yrs 216 213 $8K
87177 543 508 $8K
82172 462 461 $8K
H1001 Prenatal care, at-risk enhanced service; antepartum management 91 75 $7K
72170 502 501 $7K
84165 621 605 $7K
0439 348 138 $7K
90480 181 181 $7K
J1790 Injection, droperidol, up to 5 mg 733 661 $7K
G9008 Coordinated care fee, physician coordinated care oversight services 1,001 496 $7K
96368 279 187 $7K
0124A 167 167 $7K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 19 15 $7K
45384 15 15 $7K
83090 342 341 $6K
90696 432 431 $6K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 207 185 $6K
95886 129 93 $6K
90688 330 330 $6K
82248 567 523 $6K
J9070 Cyclophosphamide, 100 mg 44 25 $6K
73070 237 213 $6K
83921 340 337 $6K
73552 172 161 $6K
87040 3,713 3,485 $6K
59020 247 221 $6K
86695 392 390 $6K
90710 365 363 $6K
82977 719 706 $6K
0001A 143 143 $6K
82947 1,326 1,301 $6K
86735 532 530 $6K
19301 13 13 $5K
82077 1,612 1,524 $5K
C1781 Mesh (implantable) 12 12 $5K
84134 337 337 $5K
90662 579 577 $5K
84432 311 305 $5K
84445 95 94 $5K
90680 470 460 $5K
90685 412 411 $5K
72110 139 138 $5K
73100 305 274 $5K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 183 183 $5K
J0694 Injection, cefoxitin sodium, 1 gm 456 428 $5K
0002A 117 117 $5K
90746 119 118 $5K
84305 225 225 $5K
J3475 Injection, magnesium sulfate, per 500 mg 1,381 916 $5K
86308 419 416 $4K
82150 814 798 $4K
73564 154 141 $4K
92504 206 187 $4K
J9267 Injection, paclitaxel, 1 mg 186 80 $4K
86812 199 196 $4K
86141 277 276 $4K
0272 3,069 2,917 $4K
87493 198 191 $4K
0004A 91 91 $4K
87529 50 49 $4K
83010 390 383 $4K
73000 85 78 $3K
42820 Tonsillectomy and adenoidectomy; younger than age 12 27 27 $3K
96409 136 60 $3K
86615 195 195 $3K
86304 534 456 $3K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 152 149 $3K
96127 405 394 $3K
85044 1,167 1,074 $3K
86800 410 404 $3K
73660 72 63 $3K
82565 606 601 $3K
10060 302 293 $3K
84145 1,623 1,532 $3K
73060 64 57 $3K
83605 4,052 3,724 $3K
49650 16 13 $3K
76000 87 78 $3K
83993 121 120 $3K
74022 118 117 $3K
82627 319 316 $3K
86147 79 77 $3K
76937 81 80 $3K
0064A 67 67 $3K
J0696 Injection, ceftriaxone sodium, per 250 mg 2,865 2,656 $3K
85378 734 702 $3K
82803 2,402 2,250 $3K
83520 195 195 $3K
73221 12 12 $3K
83498 141 140 $3K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 325 300 $2K
99497 29 24 $2K
86701 133 133 $2K
95885 83 55 $2K
84460 400 399 $2K
0637 6,551 4,475 $2K
L3808 Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment 12 12 $2K
87102 238 231 $2K
93289 50 50 $2K
90713 122 117 $2K
94010 89 89 $2K
S0020 Injection, bupivicaine hydrochloride, 30 ml 235 230 $2K
80164 123 111 $2K
85379 2,145 2,075 $2K
0012A 47 47 $2K
97166 29 29 $2K
82330 2,005 1,901 $2K
85613 165 163 $2K
90619 78 76 $2K
72072 42 41 $2K
76881 13 13 $2K
87427 202 201 $2K
V5008 Hearing screening 45 44 $2K
99441 69 69 $2K
70360 25 25 $2K
J3489 Injection, zoledronic acid, 1 mg 67 64 $2K
99242 26 26 $2K
83021 59 59 $2K
J0561 Injection, penicillin g benzathine, 100,000 units 27 24 $2K
96401 93 39 $2K
J0640 Injection, leucovorin calcium, per 50 mg 180 104 $2K
0054A 38 38 $2K
84630 141 141 $2K
84450 268 267 $1K
J9370 Vincristine sulfate, 1 mg 135 49 $1K
84155 408 402 $1K
95816 28 28 $1K
J9394 Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg 43 37 $1K
J2795 Injection, ropivacaine hydrochloride, 1 mg 327 319 $1K
81015 226 224 $1K
J2175 Injection, meperidine hydrochloride, per 100 mg 156 150 $1K
64721 15 13 $1K
84270 53 52 $1K
J2780 Injection, ranitidine hydrochloride, 25 mg 177 177 $1K
73120 81 72 $1K
73551 40 40 $1K
71020 48 29 $1K
99173 404 403 $1K
Q9959 High osmolar contrast material, 150-199 mg/ml iodine concentration, per ml 12 12 $1K
J0330 Injection, succinylcholine chloride, up to 20 mg 194 194 $1K
G9621 Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling 159 144 $1K
J2060 Injection, lorazepam, 2 mg 3,099 2,740 $1K
86665 28 28 $1K
82024 63 63 $1K
86920 26 24 $1K
86146 27 25 $997.44
72081 25 25 $942.28
J3300 Injection, triamcinolone acetonide, preservative free, 1 mg 27 27 $894.10
84681 69 69 $886.60
77001 12 12 $874.70
83519 54 53 $867.11
83789 35 35 $856.64
86021 40 40 $832.68
99199 Unlisted special service, procedure or report 16 16 $826.83
J9045 Injection, carboplatin, 50 mg 43 28 $820.15
99462 27 13 $811.98
0071A 20 20 $800.00
90681 78 78 $782.15
93018 44 44 $752.50
82140 123 114 $739.79
P9016 Red blood cells, leukocytes reduced, each unit 22 17 $726.57
0300 523 480 $723.19
99422 26 26 $694.85
90697 65 65 $676.06
88342 14 14 $669.38
82310 108 95 $643.69
86603 36 36 $634.24
99423 14 14 $601.07
0072A 15 15 $600.00
93925 13 13 $571.50
11901 15 15 $570.88
72050 13 13 $563.94
82261 33 33 $562.65
J1644 Injection, heparin sodium, per 1000 units 275 205 $560.20
89051 207 179 $559.80
88300 99 96 $540.39
83992 77 76 $530.00
82948 308 299 $521.06
73600 41 38 $518.75
90700 40 38 $512.80
0301 533 489 $511.62
94760 58 58 $499.90
76642 13 13 $498.12
86664 28 28 $453.60
93246 26 26 $452.08
71100 13 13 $448.16
86663 28 28 $430.38
90674 43 43 $426.60
0255 158 156 $425.46
86316 17 15 $424.83
87255 14 13 $402.75
64493 12 12 $397.23
82525 30 30 $382.24
90472 Immunization administration, each additional vaccine (list separately) 43 41 $349.74
97530 Therapeutic activities, direct patient contact, each 15 minutes 55 38 $339.53
82776 33 33 $320.76
J1580 Injection, garamycin, gentamicin, up to 80 mg 26 25 $294.67
11900 12 12 $291.76
97162 25 25 $289.51
77072 12 12 $249.84
90648 25 25 $248.40
83835 12 12 $246.96
0306 267 258 $240.44
J2370 Injection, phenylephrine hcl, up to 1 ml 27 26 $239.54
82390 29 29 $232.00
82668 13 13 $231.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 79 69 $209.93
87075 27 27 $200.82
0370 634 618 $154.92
64483 13 13 $147.60
99000 31 29 $145.28
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 28 28 $131.44
87116 16 16 $123.42
87329 12 12 $122.98
80178 27 24 $122.80
88302 13 12 $112.95
84132 25 24 $110.67
0302 280 270 $100.95
87015 16 16 $78.64
86431 12 12 $74.58
J3370 Injection, vancomycin hcl, 500 mg 17 13 $66.23
87206 16 16 $65.89
J8540 Dexamethasone, oral, 0.25 mg 304 291 $63.75
0307 281 280 $59.89
82553 142 129 $47.61
J1650 Injection, enoxaparin sodium, 10 mg 184 139 $41.42
0324 300 300 $35.52
84157 15 12 $32.31
80051 46 41 $21.52
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 1,453 1,309 $17.95
84300 12 12 $16.17
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 897 823 $16.01
0305 306 305 $15.30
12001 28 28 $12.00
J3360 Injection, diazepam, up to 5 mg 26 25 $9.62
J0360 Injection, hydralazine hcl, up to 20 mg 13 12 $8.66
0260 241 239 $0.00
0730 285 285 $0.00
J7610 Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg 994 890 $0.00
H0043 Supported housing, per diem 217 152 $0.00
J7510 Prednisolone oral, per 5 mg 26 26 $0.00
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen 64 60 $0.00
0351 14 14 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 359 339 $0.00
0352 116 116 $0.00
0434 26 26 $0.00
J3480 Injection, potassium chloride, per 2 meq 44 38 $0.00
0410 31 31 $0.00
J1940 Injection, furosemide, up to 20 mg 14 13 $0.00
12002 13 13 $0.00
80329 24 23 $0.00
J3411 Injection, thiamine hcl, 100 mg 14 13 $0.00