Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › SAN DIEGO › RADY CHILDREN'S HOSPITAL SAN DIEGO

RADY CHILDREN'S HOSPITAL SAN DIEGO

NPI: 1669617197 · SAN DIEGO, CA 92123 · Pediatrics Physician · NPI assigned 12/12/2008

$77.30M
Total Medicaid Paid
2,839,299
Total Claims
2,546,172
Beneficiaries
589
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFRIAS, PATRICIO (CHIEF EXECUTIVE OFFICER & PRESIDENT)
Parent OrganizationRADY CHILDREN'S HOSPITAL SAN DIEGO
NPI Enumeration Date12/12/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 423,566 $10.41M
2019 459,042 $10.48M
2020 368,219 $9.44M
2021 483,005 $12.22M
2022 481,135 $10.98M
2023 383,678 $12.18M
2024 240,654 $11.60M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99215 Prolong outpt/office vis 81,491 73,141 $10.24M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 148,575 139,944 $9.15M
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 25,050 23,945 $4.14M
99283 Emergency department visit for the evaluation and management, moderate severity 141,729 140,579 $3.71M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 245,040 232,374 $3.21M
99284 Emergency department visit for the evaluation and management, high severity 71,987 71,293 $3.06M
Z4305 30,243 29,427 $3.01M
Z4306 59,918 59,581 $2.98M
76819 Fetal biophysical profile; without non-stress testing 35,527 31,624 $2.89M
99233 Prolong inpt eval add15 m 31,835 13,803 $1.95M
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 21,901 21,089 $1.85M
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 18,234 18,133 $1.75M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 26,866 24,843 $1.52M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 35,726 35,345 $1.24M
99480 Subsequent intensive care, per day, low birth weight infant 9,382 3,047 $1.21M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 16,545 16,142 $1.05M
76813 10,472 9,884 $1.05M
88305 Level IV - Surgical pathology, gross and microscopic examination 19,771 10,191 $1.03M
Z4304 18,746 18,603 $1.00M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 17,082 16,957 $995K
Z0104 6,902 2,118 $978K
99232 Subsequent hospital care, per day, moderate complexity 18,596 8,699 $929K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 11,860 11,710 $807K
Z0102 3,838 1,039 $743K
93320 19,333 18,686 $682K
99244 Office or other outpatient consultation, moderate to high complexity 12,591 12,448 $681K
76801 8,883 8,839 $654K
59425 7,887 6,471 $639K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 52,616 45,641 $538K
99243 15,191 15,058 $514K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 9,168 7,602 $478K
93304 10,783 10,022 $472K
99282 Emergency department visit for the evaluation and management, low to moderate severity 25,246 25,061 $437K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 13,213 13,172 $417K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 9,210 9,063 $416K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 8,186 8,130 $370K
99223 Prolong inpt eval add15 m 4,911 4,704 $358K
Z4303 11,726 11,460 $348K
64642 2,881 2,858 $344K
64643 2,931 2,778 $343K
99205 Prolong outpt/office vis 3,621 3,564 $321K
76820 7,543 6,178 $308K
95810 Polysomnography; sleep staging with 4 or more additional parameters 3,960 3,944 $306K
99460 4,701 4,653 $279K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 11,123 11,066 $277K
93321 14,213 13,225 $269K
92060 9,349 9,040 $262K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 1,158 327 $226K
95720 989 536 $222K
93325 40,014 37,227 $216K
99241 5,117 5,079 $211K
99479 Subsequent intensive care, per day, very low birth weight infant 1,522 460 $207K
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 3,882 3,416 $206K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 6,421 6,024 $199K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 987 209 $190K
97750 21,920 10,622 $186K
92015 Determination of refractive state 34,242 34,075 $185K
99462 5,811 4,465 $179K
51798 4,966 4,545 $177K
99239 Hospital discharge day management, more than 30 minutes 2,820 2,710 $154K
59025 Fetal non-stress test 11,085 7,043 $142K
31622 1,293 1,130 $139K
88304 7,816 7,511 $134K
Z4310 15,558 15,305 $129K
92340 Fitting of spectacles, except for aphakia; monofocal 7,197 7,176 $122K
T4534 Youth sized disposable incontinence product, protective underwear/pull-on, each 811 778 $122K
93227 4,610 4,555 $121K
31526 753 688 $113K
J1950 Injection, leuprolide acetate (for depot suspension), per 3.75 mg 15 13 $109K
99242 2,048 2,032 $100K
99234 3,987 3,628 $96K
V2020 Frames, purchases 5,535 5,517 $95K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 8,510 2,863 $91K
51741 5,756 5,266 $90K
99199 Unlisted special service, procedure or report 6,153 5,422 $84K
99222 Initial hospital care, per day, moderate complexity 1,268 1,237 $83K
92226 776 487 $77K
51784 2,484 2,101 $76K
96112 507 499 $74K
17110 4,438 4,377 $74K
90791 Psychiatric diagnostic evaluation 358 358 $73K
90834 Psychotherapy, 45 minutes with patient 838 527 $71K
95874 2,652 2,640 $69K
90832 Psychotherapy, 30 minutes with patient 744 568 $63K
92504 4,440 4,372 $61K
0450 Emergency room services 47,199 43,439 $59K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 25,526 24,504 $55K
88108 2,109 1,706 $53K
93308 1,483 1,408 $51K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 439 429 $51K
T4541 Incontinence product, disposable underpad, large, each 1,328 1,235 $50K
88300 10,166 9,947 $49K
99238 Hospital discharge day management, 30 minutes or less 1,268 1,207 $48K
31575 741 730 $48K
88313 1,034 439 $47K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 3,310 3,222 $46K
94010 6,647 6,483 $45K
76825 615 594 $44K
A6250 Skin sealants, protectants, moisturizers, ointments, any type, any size 1,556 1,466 $43K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 63,647 60,152 $42K
25600 1,764 1,663 $37K
92201 1,798 1,285 $37K
99245 417 411 $35K
L4361 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf 299 297 $34K
99254 419 404 $32K
95951 131 79 $32K
62369 885 869 $31K
76827 581 564 $30K
64644 381 380 $29K
J0585 Injection, onabotulinumtoxina, 1 unit 24 24 $29K
88342 726 661 $28K
J0475 Injection, baclofen, 10 mg 33 33 $28K
36415 Collection of venous blood by venipuncture 6,606 6,423 $25K
95251 599 595 $25K
T4525 Adult sized disposable incontinence product, protective underwear/pull-on, small size, each 268 265 $24K
96450 162 142 $24K
80061 Lipid panel 9,644 9,564 $23K
29075 963 944 $23K
42820 Tonsillectomy and adenoidectomy; younger than age 12 391 389 $23K
62370 468 462 $22K
99309 Subsequent nursing facility care, per day, low to moderate complexity 571 248 $21K
95782 342 340 $19K
90847 Family psychotherapy with the patient present, 50 minutes 138 113 $19K
99255 182 172 $19K
83655 12,647 12,488 $17K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 317 207 $17K
99451 1,116 1,113 $16K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 128 122 $15K
88307 197 165 $14K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,316 2,143 $14K
99417 Prolong home eval add 15m 336 333 $13K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 7,365 7,192 $13K
83036 Hemoglobin; glycosylated (A1C) 5,233 5,190 $12K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 26,787 10,251 $12K
41010 74 73 $12K
96158 173 128 $12K
S0265 Genetic counseling, under physician supervision, each 15 minutes 479 477 $12K
29425 271 183 $12K
12011 1,335 1,316 $11K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 20,954 19,582 $11K
69210 361 332 $11K
95819 678 673 $11K
H2027 Psychoeducational service, per 15 minutes 351 337 $11K
99231 Subsequent hospital care, per day, straightforward or low complexity 289 183 $10K
85060 792 740 $10K
71046 Radiologic examination, chest; 2 views 9,850 9,291 $10K
80053 Comprehensive metabolic panel 15,683 14,777 $9K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,682 5,636 $9K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 3,221 3,135 $9K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 3,944 3,925 $9K
72082 1,683 1,650 $8K
99253 147 112 $8K
Z4302 970 970 $8K
99356 148 98 $8K
74177 Computed tomography, abdomen and pelvis; with contrast material 343 321 $8K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,239 5,125 $7K
70450 Computed tomography, head or brain; without contrast material 848 832 $7K
0760 4,781 4,352 $7K
97139 55,582 15,383 $7K
92250 162 162 $7K
A4927 Gloves, non-sterile, per 100 783 726 $7K
71045 Radiologic examination, chest; single view 714 693 $7K
29065 166 160 $6K
97010 1,584 435 $6K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 8,700 8,314 $6K
92225 57 43 $6K
99354 80 42 $6K
Z5406 491 421 $6K
99072 24,230 23,055 $6K
99000 6,061 5,885 $6K
85018 8,258 8,193 $5K
97799 29,809 8,732 $5K
T1014 Telehealth transmission, per minute, professional services bill separately 9,268 4,820 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 6,737 6,698 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,626 2,615 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,783 2,413 $5K
95873 203 202 $5K
Z1034 99 89 $5K
V2025 Deluxe frame 59 59 $5K
A4335 Incontinence supply; miscellaneous 1,571 1,480 $5K
90686 26,390 26,158 $5K
93790 349 348 $5K
88341 247 168 $5K
92557 4,439 4,408 $5K
77427 37 13 $5K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 980 948 $4K
87086 Culture, bacterial; quantitative colony count, urine 14,321 13,416 $4K
93000 218 209 $4K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 2,890 2,800 $4K
12001 718 702 $4K
92588 4,721 4,667 $4K
95117 950 501 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,438 4,330 $4K
87081 15,552 15,229 $4K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,439 1,348 $4K
76770 3,117 3,070 $4K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 143 141 $4K
73110 1,530 1,436 $4K
76885 95 61 $4K
Z4301 211 209 $4K
84443 Thyroid stimulating hormone (TSH) 9,045 8,931 $3K
73630 3,289 3,183 $3K
96159 140 107 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 4,096 3,880 $3K
73610 3,628 3,397 $3K
76937 187 177 $3K
73080 1,383 1,254 $3K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,883 2,626 $3K
92523 2,756 2,725 $3K
80048 Basic metabolic panel (calcium, ionized) 2,590 2,387 $3K
84439 3,261 3,228 $3K
92551 22,795 22,595 $3K
73090 4,100 3,389 $3K
96113 49 33 $3K
87088 292 276 $3K
81001 5,598 5,375 $3K
99070 530 497 $3K
92227 177 177 $3K
81025 3,238 3,163 $3K
96156 40,564 40,127 $2K
92567 6,102 5,990 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 4,540 4,480 $2K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1,581 1,394 $2K
61070 19 18 $2K
99418 Prolong nursin fac eval 15m 52 33 $2K
73140 3,064 2,786 $2K
92511 107 107 $2K
76942 86 69 $2K
99355 30 12 $2K
93975 2,771 2,612 $2K
V2784 Lens, polycarbonate or equal, any index, per lens 12 12 $2K
95816 76 76 $2K
73130 2,149 2,021 $2K
94760 3,975 3,542 $2K
64640 17 13 $2K
87631 2,250 2,182 $2K
99173 20,352 20,229 $2K
92002 43 41 $2K
96160 13,769 13,703 $2K
82947 5,785 5,514 $2K
76881 28 27 $2K
73562 1,478 1,450 $2K
76882 87 80 $2K
26720 425 400 $1K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 2,664 2,290 $1K
31231 39 39 $1K
81002 4,084 4,033 $1K
99252 34 29 $1K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 27 26 $1K
G9920 Screening performed and negative 3,385 3,339 $1K
87040 1,407 1,263 $1K
73590 1,981 1,742 $1K
73070 2,073 1,847 $1K
73564 365 364 $1K
47000 21 21 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 752 682 $1K
86480 42 42 $1K
85027 5,440 5,307 $1K
74018 3,440 3,261 $1K
29125 435 432 $976.89
94060 190 188 $972.37
92508 Group treatment of speech, language, voice, communication, and/or auditory processing disorder 5,839 2,212 $929.91
85014 1,639 1,631 $915.95
73100 2,931 2,625 $899.91
25605 70 67 $893.40
93298 27 24 $881.79
83690 3,323 3,071 $815.97
81015 4,279 4,018 $779.18
96361 Intravenous infusion, hydration; each additional hour 2,398 2,019 $762.48
80076 2,538 2,462 $755.60
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 676 587 $747.80
99358 Prolong nursin fac eval 15m 13 13 $745.35
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1,300 1,263 $728.78
72170 2,406 2,367 $727.50
90460 Immunization administration through 18 years of age via any route, first or only component 43,371 42,589 $716.24
73030 340 325 $700.44
84702 118 115 $648.45
87186 3,193 3,082 $648.39
97802 1,372 1,362 $641.98
85652 5,226 4,957 $641.73
93015 12 12 $636.72
84450 4,358 4,299 $632.79
76700 Ultrasound, abdominal, real time with image documentation; complete 1,188 1,148 $625.34
84460 4,702 4,635 $608.72
92134 21 21 $606.56
86140 8,062 7,353 $579.88
86003 1,678 1,582 $555.51
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,103 802 $539.58
23500 14 13 $530.44
86580 171 171 $518.40
83735 1,230 1,096 $516.86
73600 88 84 $492.55
L4350 Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf 766 762 $489.30
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 1,349 1,324 $477.67
76870 1,154 1,130 $469.13
29105 71 70 $462.32
0250 1,216 1,153 $462.24
73000 734 701 $446.07
94680 41 41 $434.66
86769 250 245 $406.68
0272 2,587 2,546 $396.22
93016 26 26 $392.54
73620 552 538 $370.35
87070 80 71 $360.97
84436 2,816 2,785 $360.97
87486 2,879 2,789 $359.09
87581 2,880 2,790 $359.09
82728 2,074 2,009 $355.52
J3535 Drug administered through a metered dose inhaler 279 277 $326.17
82465 474 464 $319.92
11900 271 265 $313.41
98960 27 27 $303.18
J3490 Unclassified drugs 9,826 8,450 $299.95
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 221 212 $298.15
29130 332 322 $295.53
69200 12 12 $293.89
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 228 224 $265.82
99281 Emergency department visit for the evaluation and management, self-limited or minor 51 51 $263.16
82784 2,170 2,146 $257.33
99221 12 12 $252.13
J1100 Injection, dexamethasone sodium phosphate, 1 mg 6,294 6,224 $248.27
0270 744 636 $247.27
99157 250 243 $246.38
92579 409 407 $246.25
81000 4,423 4,353 $241.29
93018 26 26 $240.76
85007 1,568 1,503 $239.19
99201 769 759 $238.21
84100 1,140 1,021 $228.67
93226 131 125 $226.56
92700 978 710 $225.00
97803 1,121 1,118 $224.60
83516 1,568 1,534 $220.70
84315 50 43 $211.84
74019 2,766 2,629 $209.40
82550 771 734 $207.30
L3260 Surgical boot/shoe, each 271 267 $206.64
82977 3,724 3,553 $201.12
94644 522 473 $200.38
A9585 Injection, gadobutrol, 0.1 ml 332 326 $199.94
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 74 74 $194.06
85610 2,317 2,183 $187.03
73560 597 572 $176.22
90461 4,665 4,572 $175.40
93225 131 125 $173.22
96127 5,342 4,193 $171.57
75565 13 13 $167.53
90688 565 563 $161.42
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 18 18 $160.25
83540 2,364 2,297 $155.82
83550 2,019 1,967 $152.08
73660 509 482 $147.63
85730 1,600 1,530 $144.18
3074F 1,449 1,356 $143.70
0360 8,259 5,250 $142.66
72100 294 290 $137.37
84484 134 131 $131.25
0271 5,831 5,640 $124.60
88311 15 14 $124.31
96375 Therapeutic injection; each additional sequential IV push 203 185 $114.60
83880 72 69 $107.72
87806 162 159 $106.14
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 27 25 $105.99
86901 299 283 $103.65
G0442 Annual alcohol misuse screening, 5 to 15 minutes 29 29 $101.40
99156 31 28 $99.30
86900 297 282 $95.97
77072 1,406 1,396 $95.58
87045 1,342 1,292 $89.06
0710 4,590 4,549 $79.63
77073 423 422 $79.17
87899 654 323 $79.04
87046 1,338 1,288 $78.99
85045 1,142 1,084 $78.92
70360 125 122 $78.60
74455 61 61 $75.61
83993 478 468 $75.40
84478 305 298 $73.27
95115 17 12 $64.67
82570 1,232 1,139 $58.97
T4537 Incontinence product, protective underpad, reusable, bed size, each 89 74 $58.46
51701 155 152 $55.00
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 192 183 $54.17
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 1,643 1,360 $50.00
82785 894 889 $45.76
1036F 2,002 1,994 $45.20
87071 1,550 1,529 $45.12
87015 325 321 $43.96
72070 66 66 $43.78
99058 14 13 $41.20
0002A 14 13 $40.00
93786 54 54 $36.97
87205 1,342 1,321 $34.92
0510 39,793 37,214 $34.10
85384 824 794 $33.92
92552 3,973 3,957 $33.78
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 362 361 $33.00
1159F 1,698 1,573 $32.80
90651 395 395 $31.00
76377 113 113 $29.36
87338 173 173 $27.62
73060 82 74 $26.15
J2175 Injection, meperidine hydrochloride, per 100 mg 2,250 2,225 $24.67
0456 30,533 28,855 $23.77
J2250 Injection, midazolam hydrochloride, per 1 mg 448 444 $21.37
87650 14 13 $20.60
A9286 Hygienic item or device, disposable or non-disposable, any type, each 20 20 $20.52
84156 766 701 $20.34
J2704 Injection, propofol, 10 mg 792 707 $19.55
82248 56 51 $19.08
87503 215 211 $18.08
J0690 Injection, cefazolin sodium, 500 mg 1,167 1,142 $16.97
51600 61 61 $14.50
87077 12 12 $14.16
86376 12 12 $13.96
82607 126 125 $13.03
83525 1,036 1,031 $9.87
90734 246 242 $9.00
90670 561 561 $9.00
90656 502 501 $9.00
90698 437 436 $9.00
84550 410 391 $8.66
J8540 Dexamethasone, oral, 0.25 mg 360 338 $8.55
87400 447 408 $8.12
84703 172 161 $8.11
83615 271 251 $7.66
80069 66 62 $7.49
J2405 Injection, ondansetron hydrochloride, per 1 mg 277 214 $6.99
27786 29 27 $6.75
93788 54 54 $6.49
90696 12 12 $6.00
90674 264 264 $5.80
82310 96 92 $4.43
90710 15 15 $3.00
36416 3,985 3,914 $3.00
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 1,829 1,662 $2.64
81003 103 94 $0.78
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 630 616 $0.43
92582 255 253 $0.00
0402 240 237 $0.00
87329 284 265 $0.00
94664 254 251 $0.00
0730 31 30 $0.00
S9470 Nutritional counseling, dietitian visit 73 73 $0.00
86644 15 15 $0.00
99051 68 68 $0.00
S9342 Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem 1,140 1,125 $0.00
0113 768 764 $0.00
90661 20 20 $0.00
L1830 Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf 78 78 $0.00
0123 642 636 $0.00
92081 194 193 $0.00
99367 1,229 1,207 $0.00
99053 142 142 $0.00
1160F 391 368 $0.00
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 29 19 $0.00
99499 100,493 87,153 $0.00
3078F 1,448 1,355 $0.00
87101 85 84 $0.00
73551 224 220 $0.00
92550 320 318 $0.00
99188 689 685 $0.00
84295 97 87 $0.00
84145 104 95 $0.00
92555 109 109 $0.00
99401 65 65 $0.00
0320 621 613 $0.00
0302 615 609 $0.00
90700 173 157 $0.00
99490 Ccm add 20min 1,715 454 $0.00
84681 117 117 $0.00
92585 26 25 $0.00
90715 41 41 $0.00
S9999 Sales tax 75 75 $0.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 187 185 $0.00
G9919 Screening performed and positive and provision of recommendations 181 181 $0.00
87328 284 265 $0.00
90633 148 137 $0.00
86756 13 13 $0.00
90707 133 118 $0.00
99155 32 31 $0.00
90685 52 45 $0.00
90713 97 83 $0.00
0300 27 26 $0.00
82272 13 12 $0.00
J2941 Injection, somatropin, 1 mg 12 12 $0.00
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg 36 36 $0.00
86665 73 71 $0.00
86703 45 45 $0.00
98970 142 134 $0.00
87324 24 24 $0.00
90655 16 16 $0.00
90648 14 14 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 26 25 $0.00
90472 Immunization administration, each additional vaccine (list separately) 12 12 $0.00
97530 Therapeutic activities, direct patient contact, each 15 minutes 45 16 $0.00
A7005 Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable 15 15 $0.00
99421 15 14 $0.00
88399 12 12 $0.00
83970 28 26 $0.00
87420 13 12 $0.00
0071A 14 14 $0.00
86645 15 15 $0.00
54161 13 12 $0.00
91300 33 32 $0.00
97039 36 13 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 12 12 $0.00
11750 13 13 $0.00
99442 23 23 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 874 866 $0.00
0305 846 834 $0.00
G0378 Hospital observation service, per hour 1,430 1,330 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,223 1,214 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 25 25 $0.00
0258 1,147 1,124 $0.00
99174 42 42 $0.00
92587 521 519 $0.00
76536 166 162 $0.00
0636 1,234 1,215 $0.00
99441 15 14 $0.00
97166 2,879 2,058 $0.00
97165 95 90 $0.00
96151 303 303 $0.00
0301 854 843 $0.00
97535 Self-care/home management training, each 15 minutes 45 16 $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 552 546 $0.00
0306 1,120 1,101 $0.00
S9088 Services provided in an urgent care center (list in addition to code for service) 309 301 $0.00
86664 71 69 $0.00
41899 Unlisted procedure, dentoalveolar structures 1,801 1,796 $0.00
86780 136 132 $0.00
82150 378 361 $0.00
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 625 595 $0.00
S0020 Injection, bupivicaine hydrochloride, 30 ml 12 12 $0.00
0307 122 122 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 78 48 $0.00
0370 442 441 $0.00
76010 66 65 $0.00
90716 179 165 $0.00
87181 104 104 $0.00
99366 456 116 $0.00
0206 72 72 $0.00
90744 38 38 $0.00
72040 103 100 $0.00
S9452 Nutrition classes, non-physician provider, per session 13 13 $0.00
91307 51 43 $0.00
86308 68 68 $0.00
87807 40 40 $0.00
99384 28 28 $0.00
0410 398 392 $0.00
S9451 Exercise classes, non-physician provider, per session 66 66 $0.00
84132 27 27 $0.00
3351F 137 125 $0.00
0310 206 206 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 190 188 $0.00
A7015 Aerosol mask, used with dme nebulizer 25 25 $0.00
74010 55 48 $0.00
1000F 13 13 $0.00
0072A 28 28 $0.00
87147 13 13 $0.00
1220F 149 141 $0.00
82746 25 25 $0.00
86850 97 90 $0.00
99383 27 27 $0.00
96150 80 80 $0.00
E0570 Nebulizer, with compressor 28 28 $0.00
90620 14 14 $0.00
82043 53 51 $0.00
D0120 Periodic oral evaluation - established patient 65 65 $0.00
90680 56 56 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 34 34 $0.00
82330 57 50 $0.00
90697 12 12 $0.00
90677 26 26 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 72 62 $0.00
90480 42 40 $0.00
J1170 Injection, hydromorphone, up to 4 mg 102 102 $0.00
71020 82 40 $0.00
24530 30 24 $0.00
28470 15 14 $0.00
S9558 Home injectable therapy; growth hormone, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem 12 12 $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 13 12 $0.00
26600 24 20 $0.00
82803 13 13 $0.00
87340 12 12 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 23 22 $0.00
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 18 12 $0.00
4037F 24 24 $0.00
S9446 Patient education, not otherwise classified, non-physician provider, group, per session 25 12 $0.00