Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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1659581932

1659581932 was paid $3.62M by Medicaid between Jan 2018 and Aug 2021, across 443 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 11% of everything it billed.

33Billing provider info1659581932
33aNPI1659581932
33bProvider type—
28Total paid$3.62M
24GClaims543,750
24DCodes billed443
24AFirst – last monthJan 2018 – Aug 2021
Box 24A · Dates of service

Paid by month

$0$200K$400K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018321,458$2.15M
201912,694$193K
202096,127$720K
2021113,471$553K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11% 50,863 46,576 $406K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 8.6% 4,703 4,305 $311K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 8.6% 7,305 6,950 $311K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7.6% 7,724 7,325 $276K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 7.5% 9,953 9,449 $272K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 3.5% 8,443 8,314 $126K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2.8% 1,704 1,693 $101K
99281 Emergency department visit for the evaluation and management, self-limited or minor 2.5% 3,992 2,671 $92K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.1% 810 762 $75K
80053 Comprehensive metabolic panel 1.9% 23,465 22,289 $70K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.8% 1,830 1,817 $65K
99223 Prolong inpt eval add15 m 1.6% 423 396 $56K
431 more codes
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.4% 7,111 $50K
86003 1.3% 1,330 $47K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.3% 2,089 $47K
77067 Screening mammography, bilateral, including computer-aided detection 1.3% 902 $46K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1.2% 538 $43K
88305 Level IV - Surgical pathology, gross and microscopic examination 1.1% 855 $39K
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate <1% 323 $34K
59425 <1% 1,277 $34K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 1,041 $33K
99232 Hospital visit by a doctor, follow-up day <1% 1,095 $32K
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% 5,752 $32K
70450 Computed tomography, head or brain; without contrast material <1% 886 $30K
J3490 Unclassified drugs <1% 587 $28K
A0427 Emergency ambulance ride, advanced life support <1% 252 $27K
97001 <1% 379 $27K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 599 $27K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 498 $26K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 1,128 $26K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 511 $26K
99199 Unlisted special service, procedure or report <1% 2,333 $25K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 107 $23K
71045 Radiologic examination, chest; single view <1% 4,504 $22K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 8,906 $20K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 1,275 $19K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 484 $18K
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 <1% 419 $17K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 428 $17K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 1,996 $16K
99222 Initial hospital care, per day, moderate complexity <1% 82 $16K
3074F <1% 7,952 $14K
T4541 Incontinence product, disposable underpad, large, each <1% 392 $14K
80048 Basic metabolic panel (calcium, ionized) <1% 4,789 $14K
3008F <1% 16,025 $14K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 1,791 $14K
A0425 Ground mileage, per statute mile <1% 726 $14K
90686 <1% 1,611 $13K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 337 $13K
82785 <1% 746 $13K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 3,477 $12K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 1,034 $12K
V2020 Frames, purchases <1% 552 $11K
71046 Radiologic examination, chest; 2 views <1% 2,472 $11K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 266 $10K
92340 Fitting of spectacles, except for aphakia; monofocal <1% 523 $10K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 687 $10K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 298 $10K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 28,631 $10K
A0429 Emergency ambulance ride, basic life support <1% 85 $9K
3078F <1% 6,601 $9K
76830 Ultrasound, transvaginal <1% 745 $8K
99205 Prolong outpt/office vis <1% 74 $8K
99201 <1% 103 $8K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 414 $8K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 905 $7K
81001 <1% 16,414 $7K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 2,249 $7K
95144 <1% 165 $7K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials <1% 391 $7K
80055 <1% 482 $7K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 750 $6K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 224 $6K
92015 Determination of refractive state <1% 784 $6K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 28 $6K
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing <1% 264 $6K
97032 <1% 981 $6K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants <1% 99 $5K
90649 <1% 707 $5K
95117 <1% 388 $5K
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 <1% 13 $5K
T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each <1% 126 $5K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 2,012 $5K
99238 Hospital discharge day management, 30 minutes or less <1% 277 $5K
81025 <1% 1,786 $5K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 311 $5K
90734 <1% 531 $4K
96375 Therapeutic injection; each additional sequential IV push <1% 168 $4K
90658 <1% 506 $4K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 142 $4K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 70 $4K
99401 <1% 1,307 $4K
99239 Hospital discharge day management, more than 30 minutes <1% 56 $4K
00731 <1% 15 $4K
71275 Computed tomographic angiography, chest, with contrast material <1% 47 $4K
80061 Lipid panel <1% 17,852 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 239 $3K
86580 <1% 808 $3K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery <1% 12 $3K
77066 Tomosynthesis, mammo <1% 38 $3K
73630 <1% 761 $3K
87086 Culture, bacterial; quantitative colony count, urine <1% 6,282 $3K
85018 <1% 5,950 $3K
73610 <1% 607 $3K
86592 <1% 5,188 $3K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 474 $3K
80074 <1% 2,542 $3K
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 <1% 2,533 $3K
97802 <1% 1,012 $3K
72125 Computed tomography, cervical spine; without contrast material <1% 88 $3K
52281 <1% 12 $3K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 230 $2K
90621 <1% 192 $2K
90651 <1% 351 $2K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 178 $2K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 247 $2K
92250 <1% 57 $2K
88304 <1% 85 $2K
H1001 Prenatal care, at-risk enhanced service; antepartum management <1% 38 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 170 $2K
L3670 Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf <1% 28 $2K
73130 <1% 411 $2K
70551 Magnetic resonance imaging, brain; without contrast material <1% 29 $2K
76641 <1% 127 $2K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r <1% 272 $2K
87070 <1% 2,129 $2K
76770 <1% 178 $2K
90715 <1% 202 $2K
83690 <1% 1,828 $2K
S9088 Services provided in an urgent care center (list in addition to code for service) <1% 1,276 $2K
T1015 A visit at a community health center or clinic (one all-in rate) <1% 962 $2K
A4267 Contraceptive supply, condom, male, each <1% 543 $2K
73030 <1% 384 $2K
73562 <1% 588 $2K
87480 <1% 113 $2K
97163 <1% 12 $2K
84484 <1% 996 $2K
99460 <1% 33 $2K
84443 Thyroid stimulating hormone (TSH) <1% 15,461 $2K
80076 <1% 2,295 $2K
92551 <1% 5,659 $2K
36415 Collection of venous blood by venipuncture <1% 7,349 $2K
85027 <1% 2,875 $2K
96361 Intravenous infusion, hydration; each additional hour <1% 106 $2K
87522 Neg quan hep c or qual rna <1% 58 $2K
84702 <1% 1,397 $1K
97014 <1% 271 $1K
93970 <1% 32 $1K
73110 <1% 296 $1K
74018 <1% 336 $1K
81003 <1% 3,892 $1K
85610 <1% 2,845 $1K
93976 <1% 170 $1K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 137 $1K
76642 <1% 279 $1K
93325 <1% 98 $1K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 93 $1K
72100 <1% 449 $1K
00811 <1% 16 $1K
81002 <1% 3,205 $1K
J7030 Infusion, normal saline solution , 1000 cc <1% 276 $1K
92226 <1% 13 $1K
76870 <1% 46 $989.00
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 687 $975.66
83880 <1% 299 $970.96
97010 <1% 948 $936.40
73090 <1% 140 $896.04
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 6,326 $895.46
93971 <1% 91 $895.06
76819 Fetal biophysical profile; without non-stress testing <1% 83 $876.05
73140 <1% 175 $871.13
86803 <1% 916 $791.05
85730 <1% 2,201 $779.74
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 188 $765.11
84703 <1% 790 $758.29
73221 <1% 15 $750.00
93000 <1% 216 $748.96
71250 <1% 13 $745.05
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram <1% 28 $687.03
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 13 $667.28
74022 <1% 56 $644.92
A4927 Gloves, non-sterile, per 100 <1% 1,374 $642.84
73080 <1% 132 $618.24
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 57 $618.19
99000 <1% 1,252 $611.24
90670 <1% 205 $585.00
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 215 $580.55
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 811 $567.90
77065 Tomosynthesis, mammo <1% 14 $560.00
73590 <1% 121 $549.85
73564 <1% 88 $539.84
83036 Hemoglobin; glycosylated (A1C) <1% 15,280 $533.23
83735 <1% 984 $528.62
82962 <1% 1,171 $510.50
E0570 Nebulizer, with compressor <1% 12 $500.00
G0270 Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes <1% 766 $490.00
94760 <1% 479 $486.38
72110 <1% 66 $456.20
86769 <1% 16 $442.35
90656 <1% 123 $442.06
99406 <1% 186 $426.81
92002 <1% 92 $425.74
92552 <1% 3,336 $401.09
90716 <1% 190 $399.48
12011 <1% 22 $394.97
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 108 $387.03
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 153 $386.66
83655 <1% 2,295 $371.48
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 300 $369.00
A6250 Skin sealants, protectants, moisturizers, ointments, any type, any size <1% 64 $368.53
92557 <1% 26 $366.18
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 18 $351.30
90633 <1% 141 $351.00
73502 <1% 88 $350.24
90707 <1% 151 $348.24
85007 <1% 714 $346.57
87806 <1% 6,456 $339.31
90698 <1% 73 $333.00
82947 <1% 633 $325.97
82043 <1% 3,459 $312.19
70486 <1% 14 $300.59
87186 <1% 2,084 $298.15
72040 <1% 116 $288.20
99173 <1% 5,745 $287.29
97035 <1% 219 $282.41
87040 <1% 193 $275.14
82950 <1% 568 $275.11
3079F <1% 1,289 $275.00
82607 <1% 2,628 $269.59
83605 <1% 97 $252.66
86901 <1% 499 $237.75
87081 <1% 624 $234.86
70360 <1% 14 $231.96
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 250 $224.12
86850 <1% 151 $221.19
3077F <1% 372 $220.00
82465 <1% 339 $215.21
99497 <1% 12 $213.21
85014 <1% 972 $212.25
87077 <1% 111 $204.95
84436 <1% 4,592 $203.70
A4335 Incontinence supply; miscellaneous <1% 119 $191.52
J2270 Injection, morphine sulfate, up to 10 mg <1% 34 $190.73
82105 <1% 38 $188.90
86900 <1% 356 $184.80
83001 <1% 853 $180.63
99383 <1% 14 $179.00
82728 <1% 1,411 $178.09
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,226 $171.00
72050 <1% 13 $168.52
3075F <1% 284 $165.00
90713 <1% 88 $160.16
82150 <1% 346 $158.81
90460 Immunization administration through 18 years of age via any route, first or only component <1% 923 $153.00
83970 <1% 83 $137.96
90700 <1% 166 $134.08
76536 <1% 57 $130.72
87210 <1% 610 $128.78
90744 <1% 26 $126.00
3044F <1% 68 $120.00
90680 <1% 26 $117.00
51798 <1% 41 $116.40
83540 <1% 1,647 $114.36
87088 <1% 733 $111.93
90688 <1% 12 $108.00
90685 <1% 12 $108.00
84100 <1% 414 $107.17
3080F <1% 176 $100.00
86317 <1% 231 $99.81
0450 Emergency room services <1% 35 $99.20
84439 <1% 3,823 $95.40
82746 <1% 1,577 $91.27
96156 <1% 394 $83.46
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 997 $80.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 58 $74.21
11901 <1% 12 $73.48
87400 <1% 86 $71.48
76942 <1% 14 $71.43
84153 <1% 1,421 $70.88
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 216 $70.00
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% 14 $68.97
73060 <1% 16 $68.69
82247 <1% 68 $67.27
72070 <1% 27 $64.71
92133 <1% 31 $64.50
86140 <1% 1,518 $59.50
82550 <1% 233 $57.18
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 42 $54.67
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 2,140 $54.07
86695 <1% 957 $48.64
86141 <1% 432 $48.29
83550 <1% 1,457 $40.39
84403 <1% 655 $39.59
82040 <1% 198 $37.74
82248 <1% 1,298 $37.39
85379 <1% 41 $36.38
82270 <1% 1,348 $36.28
84481 <1% 1,490 $32.84
88312 <1% 29 $32.50
85652 <1% 2,778 $29.60
G9920 Screening performed and negative <1% 3,259 $28.71
84550 <1% 2,522 $28.31
82951 <1% 61 $25.01
92081 <1% 1,156 $24.02
86038 <1% 1,543 $21.26
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 98 $20.84
S9470 Nutritional counseling, dietitian visit <1% 154 $20.00
87340 <1% 387 $19.87
88142 <1% 214 $18.13
90620 <1% 18 $18.00
86696 <1% 994 $17.20
86301 <1% 94 $16.52
83026 <1% 246 $16.16
87510 <1% 113 $14.30
87660 <1% 113 $14.22
83615 <1% 207 $14.06
84460 <1% 206 $13.59
84479 <1% 3,315 $13.51
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 814 $10.70
97803 <1% 358 $10.00
85045 <1% 97 $8.24
81000 <1% 682 $8.08
87205 <1% 18 $7.78
86200 <1% 491 $7.10
82570 <1% 2,434 $5.58
86431 <1% 1,549 $5.02
86706 <1% 262 $1.88
84480 <1% 557 $0.33
82378 0% 297 $0.00
83986 0% 233 $0.00
1126F 0% 2,655 $0.00
83014 0% 13 $0.00
1036F 0% 3,341 $0.00
1125F 0% 1,706 $0.00
1170F 0% 223 $0.00
1035F 0% 143 $0.00
83002 0% 640 $0.00
88150 0% 27 $0.00
82044 0% 121 $0.00
84270 0% 187 $0.00
A4556 Electrodes, (e.g., apnea monitor), per pair 0% 26 $0.00
86704 0% 512 $0.00
80050 General health panel 0% 97 $0.00
92060 0% 419 $0.00
86160 0% 147 $0.00
96127 0% 414 $0.00
86376 0% 357 $0.00
0545F 0% 15 $0.00
84154 0% 158 $0.00
88141 0% 172 $0.00
99441 0% 46 $0.00
82670 0% 282 $0.00
83021 0% 43 $0.00
86255 0% 41 $0.00
36416 0% 188 $0.00
82120 0% 225 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 0% 68 $0.00
G2024 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source 0% 48 $0.00
3014F 0% 26 $0.00
2010F 0% 28 $0.00
87511 0% 19 $0.00
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 0% 13 $0.00
1111F 0% 132 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 0% 18 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 136 $0.00
82952 0% 13 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 0% 85 $0.00
86225 0% 145 $0.00
A9270 Non-covered item or service 0% 18 $0.00
96151 0% 43 $0.00
86762 0% 25 $0.00
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 0% 13 $0.00
96150 0% 16 $0.00
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 0% 16 $0.00
87430 0% 52 $0.00
82784 0% 26 $0.00
2001F 0% 65 $0.00
0001F 0% 62 $0.00
86710 0% 17 $0.00
3352F 0% 15 $0.00
86304 0% 40 $0.00
2000F 0% 20 $0.00
1034F 0% 13 $0.00
1159F 0% 2,926 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 0% 15 $0.00
1160F 0% 2,629 $0.00
86708 0% 447 $0.00
3725F 0% 1,885 $0.00
84146 0% 478 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 0% 15 $0.00
82652 0% 404 $0.00
83516 0% 96 $0.00
86677 0% 526 $0.00
0502F 0% 107 $0.00
87045 0% 43 $0.00
99072 0% 45 $0.00
87338 0% 396 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 0% 12 $0.00
84450 0% 116 $0.00
A9576 Injection, gadoteridol, (prohance multipack), per ml 0% 31 $0.00
83013 0% 13 $0.00
99442 0% 423 $0.00
87209 0% 141 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 0% 95 $0.00
3288F 0% 76 $0.00
4005F 0% 15 $0.00
96160 0% 255 $0.00
86235 0% 71 $0.00
90461 0% 127 $0.00
82977 0% 13 $0.00
83721 0% 270 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 200 $0.00
86480 0% 369 $0.00
1003F 0% 29 $0.00
97012 0% 186 $0.00
83525 0% 61 $0.00
99188 0% 37 $0.00
G0444 Annual depression screening, 5 to 15 minutes 0% 75 $0.00
4004F 0% 28 $0.00
84156 0% 47 $0.00
87177 0% 141 $0.00
73100 0% 16 $0.00
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 0% 49 $0.00
90472 Immunization administration, each additional vaccine (list separately) 0% 51 $0.00
92550 0% 12 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 0% 52 $0.00
80305 0% 79 $0.00
11721 0% 120 $0.00
H1003 Prenatal care, at-risk enhanced service; education 0% 59 $0.00
0521F 0% 15 $0.00
3015F 0% 34 $0.00
87481 0% 19 $0.00
99242 0% 58 $0.00
92020 0% 27 $0.00
82274 0% 12 $0.00
92588 0% 13 $0.00
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 0% 13 $0.00
90648 0% 13 $0.00
84681 0% 13 $0.00
82565 0% 32 $0.00
97161 0% 14 $0.00
92083 0% 31 $0.00
99053 0% 14 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.