Medicaid Provider Spending

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

NEW YORK CITY HEALTH AND HOSPITALS CORPORATION

NPI: 1679587679 · BRONX, NY 10461 · Internal Medicine Physician · NPI assigned 07/28/2006

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

Authorized official KARLIN, MARJI controls 19+ related entities in our dataset. Read more

$217.68M
Total Medicaid Paid
4,737,613
Total Claims
4,261,857
Beneficiaries
765
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKARLIN, MARJI (CHIEF REVENUE OFFICER)
NPI Enumeration Date07/28/2006

Related Entities

Other providers sharing the same authorized official: KARLIN, MARJI

ProviderCityStateTotal Paid
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $178.84M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION NEW YORK NY $176.33M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BRONX NY $160.32M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION ELMHURST NY $146.57M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION JAMAICA NY $125.54M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $119.27M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION NEW YORK NY $108.18M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $107.34M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION NEW YORK NY $100.78M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION NEW YORK NY $57.46M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $48.88M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BRONX NY $34.62M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $30.93M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BRONX NY $19.59M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BRONX NY $16.91M
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $5.55M
NEW YORK CITY HEALTH & HOSPITALS CORPORATION BROOKLYN NY $896K
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BROOKLYN NY $335K
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION NEW YORK NY $410.07

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 78,290 $931K
2019 227,691 $11.99M
2020 553,115 $38.51M
2021 1,187,887 $46.39M
2022 1,126,609 $49.32M
2023 790,004 $35.14M
2024 774,017 $35.39M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 129,725 121,268 $24.40M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 181,474 158,289 $15.32M
99284 Emergency department visit for the evaluation and management, high severity 77,522 72,182 $13.96M
G9005 Coordinated care fee, risk adjusted maintenance 43,613 43,554 $13.50M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 92,573 83,928 $10.38M
99282 Emergency department visit for the evaluation and management, low to moderate severity 37,200 35,309 $7.65M
T1016 Case management, each 15 minutes 31,288 31,288 $7.59M
90791 Psychiatric diagnostic evaluation 13,718 12,136 $6.80M
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 90,745 81,605 $5.15M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 57,015 50,871 $3.78M
T1030 Nursing care, in the home, by registered nurse, per diem 28,628 9,131 $3.14M
81408 2,149 2,128 $2.71M
36415 Collection of venous blood by venipuncture 274,901 178,377 $2.56M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14,974 14,633 $2.47M
99215 Prolong outpt/office vis 14,236 13,514 $2.31M
90832 Psychotherapy, 30 minutes with patient 15,957 10,372 $2.22M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 39,479 37,838 $2.14M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 17,687 17,270 $2.13M
90834 Psychotherapy, 45 minutes with patient 11,805 6,336 $2.13M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 10,276 10,019 $1.74M
96361 Intravenous infusion, hydration; each additional hour 19,225 17,939 $1.74M
70450 Computed tomography, head or brain; without contrast material 8,411 8,070 $1.67M
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 3,495 3,464 $1.52M
81420 Fetal chromosomal aneuploidy genomic sequence analysis panel 2,185 2,176 $1.51M
D9999 Unspecified adjunctive procedure, by report 10,930 10,652 $1.50M
S9123 Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) 10,382 3,369 $1.39M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 81,273 71,331 $1.34M
99442 23,128 22,013 $1.31M
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 6,552 6,332 $1.30M
80053 Comprehensive metabolic panel 122,705 114,017 $1.30M
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 47,862 45,985 $1.30M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 37,775 37,572 $1.27M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 10,877 9,710 $1.21M
S9131 Physical therapy; in the home, per diem 11,659 4,235 $1.11M
77067 Screening mammography, bilateral, including computer-aided detection 8,800 8,691 $1.11M
99443 12,739 11,717 $1.10M
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 937 909 $964K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 7,501 7,071 $942K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 40,019 38,319 $920K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,190 1,182 $888K
90460 Immunization administration through 18 years of age via any route, first or only component 68,447 67,968 $881K
D0999 Unspecified diagnostic procedure, by report 5,431 5,356 $868K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 16,711 16,246 $850K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 13,837 4,864 $840K
96110 Developmental screening, with scoring and documentation, per standardized instrument 14,819 13,913 $811K
74177 Computed tomography, abdomen and pelvis; with contrast material 5,243 5,151 $800K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 7,766 7,641 $765K
86480 12,579 12,283 $760K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 9,041 8,026 $741K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 879 868 $736K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 22,463 21,376 $718K
90853 Group psychotherapy (other than of a multiple-family group) 9,170 3,108 $704K
76819 Fetal biophysical profile; without non-stress testing 8,537 6,984 $697K
99205 Prolong outpt/office vis 3,475 3,428 $674K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 7,922 7,750 $670K
J7300 Intrauterine copper contraceptive (paragard) 662 650 $669K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,381 3,303 $661K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 7,216 6,481 $653K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 25,708 25,550 $651K
88305 Level IV - Surgical pathology, gross and microscopic examination 7,771 6,478 $649K
T1001 Nursing assessment / evaluation 5,991 5,953 $633K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 3,855 3,795 $597K
85027 166,766 155,002 $595K
86850 34,012 31,659 $592K
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 32,590 29,330 $569K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 3,430 3,324 $535K
80061 Lipid panel 47,399 46,540 $527K
86703 37,035 36,393 $522K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 3,016 2,965 $503K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 29,804 26,881 $494K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 25,654 24,381 $485K
G9001 Coordinated care fee, initial rate 6,455 6,454 $482K
90461 31,054 30,949 $476K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 60,084 58,867 $475K
99441 14,316 13,648 $457K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 15,081 12,932 $456K
76830 Ultrasound, transvaginal 6,176 5,917 $455K
86360 9,292 9,080 $454K
97802 8,823 8,702 $444K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 709 706 $441K
12001 1,949 1,917 $438K
83036 Hemoglobin; glycosylated (A1C) 62,176 60,634 $430K
81161 2,195 2,176 $426K
84443 Thyroid stimulating hormone (TSH) 38,627 37,501 $423K
H0040 Assertive community treatment program, per diem 345 313 $408K
12011 1,776 1,749 $400K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 41,307 38,395 $391K
0002A 14,412 14,374 $391K
71046 Radiologic examination, chest; 2 views 26,517 25,422 $390K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 18,029 17,587 $384K
87535 10,667 10,381 $384K
86901 34,698 31,764 $377K
76770 2,153 2,134 $373K
J1050 Injection, medroxyprogesterone acetate, 1 mg 4,693 4,634 $370K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 6,270 6,120 $369K
86359 9,269 9,058 $362K
0001A 14,573 14,522 $361K
77063 Screening digital breast tomosynthesis, bilateral 6,608 6,558 $361K
90651 5,953 5,924 $356K
93970 1,457 1,421 $345K
S9127 Social work visit, in the home, per diem 2,415 2,372 $343K
90715 13,913 13,822 $340K
76700 Ultrasound, abdominal, real time with image documentation; complete 1,896 1,881 $339K
76818 3,155 1,852 $329K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 12,762 12,512 $327K
90677 3,872 3,856 $327K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 2,208 1,269 $315K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 11,824 11,107 $307K
83655 27,823 27,546 $306K
86900 34,625 31,674 $298K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2,147 2,123 $295K
81329 2,394 2,363 $286K
76801 2,297 2,236 $281K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,133 2,094 $275K
86780 29,901 29,104 $273K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 7,707 5,829 $272K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 3,284 2,927 $271K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 7,557 7,472 $257K
72125 Computed tomography, cervical spine; without contrast material 2,998 2,896 $255K
90686 24,961 24,772 $245K
86803 23,673 23,212 $244K
H0005 Alcohol and/or drug services; group counseling by a clinician 2,745 818 $240K
80048 Basic metabolic panel (calcium, ionized) 24,865 23,897 $239K
76813 2,279 2,214 $238K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,922 1,846 $237K
87800 8,690 8,462 $233K
T1013 Sign language or oral interpretive services, per 15 minutes 19,899 17,907 $230K
70486 1,820 1,779 $228K
12002 1,026 982 $220K
71250 1,119 1,112 $213K
76705 Ultrasound, abdominal, real time with image documentation; limited 3,796 3,686 $211K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 378 375 $204K
90750 2,723 2,697 $199K
0004A 5,229 5,220 $197K
86880 22,132 21,025 $185K
77065 Tomosynthesis, mammo 1,634 1,512 $180K
90378 141 133 $178K
97803 5,517 5,419 $176K
99201 1,882 1,846 $176K
76642 1,921 1,849 $176K
99347 1,046 275 $173K
84703 54,406 51,042 $173K
76641 1,280 1,063 $164K
G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes 1,290 538 $163K
Q5104 Injection, infliximab-abda, biosimilar, (renflexis), 10 mg 95 91 $163K
71275 Computed tomographic angiography, chest, with contrast material 715 709 $160K
86769 3,922 3,725 $160K
77066 Tomosynthesis, mammo 1,039 1,020 $152K
92579 2,690 2,686 $152K
10060 880 839 $150K
96127 43,841 39,230 $149K
88142 6,410 6,103 $147K
86235 1,920 1,702 $146K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 1,006 985 $142K
87086 Culture, bacterial; quantitative colony count, urine 42,587 39,963 $137K
70551 Magnetic resonance imaging, brain; without contrast material 348 343 $136K
87340 19,128 18,561 $135K
59025 Fetal non-stress test 1,109 977 $134K
90746 2,304 2,285 $128K
77062 825 820 $128K
73610 5,886 5,183 $125K
90697 3,730 3,720 $125K
92582 1,322 1,318 $125K
76536 1,119 1,112 $124K
0072A 3,309 3,308 $124K
J0561 Injection, penicillin g benzathine, 100,000 units 908 791 $124K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 4,049 1,371 $123K
92250 2,830 2,736 $122K
58300 1,021 1,002 $121K
96375 Therapeutic injection; each additional sequential IV push 16,026 14,534 $121K
H0050 Alcohol and/or drug services, brief intervention, per 15 minutes 2,002 1,704 $120K
D0140 Limited oral evaluation - problem focused 7,493 6,822 $120K
71271 459 454 $119K
58301 820 738 $118K
84702 24,743 21,639 $117K
96161 15,453 14,613 $116K
84439 16,055 15,642 $116K
71260 Computed tomography, thorax, diagnostic; with contrast material 709 700 $115K
0071A 3,543 3,538 $113K
99381 2,299 2,276 $113K
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 2,677 2,403 $111K
82728 10,283 9,960 $111K
73564 3,910 3,653 $110K
92567 4,209 4,166 $109K
92557 2,571 2,546 $107K
92558 4,452 4,423 $106K
D7140 Extraction, erupted tooth or exposed root 3,740 2,606 $105K
11982 447 407 $103K
86762 8,340 8,075 $103K
0124A 2,362 2,360 $101K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,486 1,452 $100K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 3,716 1,611 $99K
96040 1,229 1,118 $98K
90670 8,526 8,502 $98K
73630 4,818 4,448 $98K
87507 814 805 $97K
81243 2,179 2,158 $97K
11721 819 774 $96K
73110 4,080 3,349 $96K
86003 2,433 2,065 $96K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 3,406 3,403 $96K
19083 119 112 $93K
93247 562 561 $93K
86765 8,118 7,869 $90K
83880 5,324 5,180 $89K
97530 Therapeutic activities, direct patient contact, each 15 minutes 2,144 1,258 $89K
90472 Immunization administration, each additional vaccine (list separately) 14,827 14,669 $89K
11981 424 413 $89K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2,779 2,725 $88K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 502 490 $87K
J0401 Injection, aripiprazole (abilify maintena), 1 mg 95 93 $87K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 174 164 $86K
92550 3,241 2,997 $84K
73130 4,370 3,804 $83K
94726 1,141 1,133 $82K
H0035 Mental health partial hospitalization, treatment, less than 24 hours 729 95 $82K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 9,573 7,566 $81K
86735 8,105 7,861 $80K
S9122 Home health aide or certified nurse assistant, providing care in the home; per hour 1,029 161 $80K
92083 1,389 1,258 $79K
76820 1,840 847 $79K
86787 8,116 7,871 $79K
86706 10,099 9,928 $78K
87486 3,910 3,848 $77K
99404 248 235 $76K
85610 28,128 25,391 $76K
73030 3,745 3,436 $75K
80076 9,226 9,062 $75K
H0049 Alcohol and/or drug screening 1,118 1,074 $75K
90480 2,047 2,037 $74K
92015 Determination of refractive state 3,280 3,267 $74K
95816 182 181 $71K
97165 660 656 $69K
83020 5,878 5,667 $69K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 3,116 3,013 $68K
93971 932 906 $67K
72100 2,189 2,129 $65K
83970 1,808 1,751 $64K
87581 3,909 3,848 $64K
11720 1,393 1,262 $64K
94729 1,115 1,108 $63K
G0493 Skilled services of a registered nurse (rn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to identify and evaluate the patient's need for possible modification of treatment in the home health or hospice setting) 319 231 $62K
99383 966 964 $61K
82607 5,544 5,429 $61K
81001 46,944 44,252 $61K
92551 10,772 10,700 $60K
73140 2,170 1,902 $59K
76000 459 457 $59K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 830 760 $58K
90732 628 615 $58K
58100 123 115 $57K
74018 2,562 2,465 $55K
90792 Psychiatric diagnostic evaluation with medical services 259 254 $55K
36430 382 296 $54K
92133 1,404 1,289 $54K
90734 2,273 2,268 $54K
11900 427 417 $53K
72131 491 486 $53K
J1756 Injection, iron sucrose, 1 mg 1,303 631 $53K
S9485 Crisis intervention mental health services, per diem 40 37 $52K
83001 2,961 2,805 $51K
87081 13,882 13,694 $51K
73590 3,132 2,826 $50K
91320 1,033 1,027 $50K
95117 2,611 1,604 $50K
83550 7,986 7,834 $50K
73560 1,853 1,625 $49K
84146 2,773 2,641 $49K
J2250 Injection, midazolam hydrochloride, per 1 mg 11,366 10,429 $48K
82951 4,293 4,246 $48K
71045 Radiologic examination, chest; single view 6,053 5,529 $48K
97010 5,755 2,376 $47K
90681 6,016 6,004 $47K
94060 582 576 $46K
20610 330 313 $46K
83540 9,201 8,997 $45K
96367 1,023 857 $45K
59840 72 71 $45K
90707 1,363 1,357 $44K
69209 322 315 $44K
82784 2,278 1,915 $44K
85007 17,759 16,956 $43K
83883 2,026 1,792 $43K
82670 1,606 1,524 $43K
82805 5,938 5,536 $42K
82785 2,741 2,678 $42K
76870 679 662 $42K
H2010 Comprehensive medication services, per 15 minutes 539 507 $41K
D0330 Panoramic radiographic image 2,935 2,893 $41K
82948 30,739 25,429 $41K
93308 438 432 $40K
90723 6,004 5,996 $40K
83516 2,921 2,619 $39K
73700 221 207 $39K
99051 3,183 3,133 $39K
J0741 Injection, cabotegravir and rilpivirine, 2mg/3mg 203 202 $39K
99384 733 723 $38K
A9585 Injection, gadobutrol, 0.1 ml 1,128 1,114 $38K
96415 148 99 $38K
29125 290 268 $37K
41899 Unlisted procedure, dentoalveolar structures 40 40 $37K
D1206 Topical application of fluoride varnish 5,924 5,914 $36K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 667 507 $36K
77061 270 269 $36K
97161 358 355 $36K
90633 4,788 4,777 $36K
S9470 Nutritional counseling, dietitian visit 357 355 $36K
90656 2,978 2,974 $35K
86704 4,395 4,317 $35K
96523 143 121 $35K
83002 2,041 1,931 $35K
73502 1,287 1,204 $34K
S9129 Occupational therapy, in the home, per diem 495 276 $33K
94664 1,741 1,701 $33K
84402 1,345 1,289 $33K
85730 20,008 19,324 $33K
97804 3,245 1,645 $33K
H0038 Self-help/peer services, per 15 minutes 1,276 1,049 $32K
86140 9,794 9,364 $32K
0081A 704 703 $31K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 4,409 3,817 $31K
88307 331 324 $31K
84403 1,295 1,198 $31K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2,992 2,923 $30K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 132 127 $30K
90620 1,834 1,820 $30K
84153 2,082 2,024 $29K
73090 2,170 1,873 $29K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 9,736 9,419 $29K
57454 98 91 $29K
76376 432 420 $28K
82570 6,792 6,325 $28K
99382 472 468 $27K
83690 19,406 18,481 $27K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 121 121 $27K
29580 205 76 $26K
93246 557 556 $26K
90716 1,097 1,091 $26K
90647 3,959 3,949 $25K
J2426 Injection, paliperidone palmitate extended release (invega sustenna), 1 mg 51 50 $25K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 73 71 $25K
D1120 Prophylaxis - child 4,286 4,281 $25K
74019 1,027 1,012 $25K
88112 328 304 $25K
81003 14,830 13,220 $25K
82043 5,334 5,175 $25K
86160 1,576 1,362 $25K
73080 1,388 1,217 $24K
90710 2,931 2,922 $24K
90648 2,955 2,955 $24K
0082A 529 529 $24K
80320 11,192 10,465 $23K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,565 3,438 $23K
59841 37 36 $23K
83525 1,938 1,845 $23K
84100 11,843 11,445 $23K
73120 923 795 $23K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 513 496 $23K
92650 698 693 $23K
83735 18,216 17,380 $22K
73070 1,387 1,201 $22K
82627 1,033 977 $22K
99173 8,648 8,580 $21K
16020 108 104 $21K
83498 774 755 $21K
99188 2,371 2,369 $20K
87517 472 466 $20K
J9202 Goserelin acetate implant, per 3.6 mg 54 53 $20K
77080 583 568 $20K
76981 166 166 $20K
72128 252 251 $20K
76857 450 442 $20K
92134 466 433 $19K
81025 5,130 4,976 $19K
P9021 Red blood cells, each unit 109 95 $19K
84156 6,426 6,007 $19K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 831 786 $19K
88304 764 754 $19K
0154A 441 441 $18K
51701 80 79 $18K
J7297 Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg 24 24 $18K
92587 620 611 $18K
D0120 Periodic oral evaluation - established patient 3,501 3,389 $18K
73562 895 830 $18K
92002 231 225 $18K
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 6,694 6,499 $18K
86008 252 197 $17K
99281 Emergency department visit for the evaluation and management, self-limited or minor 143 134 $17K
94010 356 353 $17K
78815 Positron emission tomography (PET) for limited area imaging 25 25 $17K
84484 15,812 14,265 $16K
87536 176 171 $16K
99385 209 203 $16K
20611 90 87 $16K
85651 6,041 5,771 $16K
87186 4,384 4,210 $16K
82105 1,211 1,181 $16K
82550 7,066 6,688 $16K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 12 12 $16K
73620 582 545 $16K
D9310 643 643 $16K
99402 198 179 $15K
H0001 Alcohol and/or drug assessment 72 69 $15K
73552 983 905 $15K
D0220 Intraoral - periapical first radiographic image 3,881 3,845 $15K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 26 25 $15K
86592 3,582 3,084 $15K
90700 1,968 1,965 $14K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 14,424 11,420 $14K
85240 1,001 987 $14K
58340 37 37 $14K
93017 231 231 $14K
84480 1,310 1,263 $14K
85060 799 791 $14K
83615 3,304 3,095 $14K
88141 632 623 $13K
D1110 Prophylaxis - adult 1,104 1,102 $13K
72170 1,628 1,591 $13K
86376 929 911 $13K
S0190 Mifepristone, oral, 200 mg 229 229 $13K
82465 3,711 3,657 $13K
87522 Neg quan hep c or qual rna 307 301 $12K
86258 674 633 $12K
82248 2,862 2,661 $12K
85045 3,967 3,655 $12K
73060 908 832 $12K
87184 3,823 3,675 $11K
97162 111 110 $11K
86038 1,216 1,181 $11K
J0248 Injection, remdesivir, 1 mg 26 12 $11K
82274 1,025 1,008 $11K
84550 2,907 2,770 $11K
Q3014 Telehealth originating site facility fee 1,380 1,092 $11K
82947 2,930 2,798 $10K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 4,016 2,528 $10K
70491 55 55 $10K
87338 906 893 $10K
H2011 Crisis intervention service, per 15 minutes 87 84 $10K
85306 807 796 $10K
82677 488 475 $10K
0074A 247 247 $10K
57460 13 13 $10K
85303 855 847 $10K
M0222 Intravenous injection, bebtelovimab, includes injection and post administration monitoring 59 59 $10K
86255 1,007 964 $10K
31575 25 25 $10K
J1885 Injection, ketorolac tromethamine, per 15 mg 17,035 16,268 $10K
0003A 232 232 $9K
52000 13 12 $9K
85307 714 710 $9K
M0244 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency 26 26 $9K
J1631 Injection, haloperidol decanoate, per 50 mg 395 368 $9K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 8,061 7,918 $9K
90837 Psychotherapy, 53 minutes with patient 48 36 $9K
73600 482 455 $9K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 1,083 1,044 $9K
12013 25 25 $9K
82746 968 943 $9K
J7030 Infusion, normal saline solution , 1000 cc 18,524 17,555 $9K
73521 303 294 $9K
99386 60 54 $8K
J9035 Injection, bevacizumab, 10 mg 13 12 $8K
90696 1,257 1,254 $8K
76775 614 606 $8K
92555 180 180 $8K
96167 204 196 $8K
82977 1,238 1,183 $8K
96417 95 64 $8K
76998 70 70 $8K
V2020 Frames, purchases 109 109 $8K
84445 152 152 $7K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 324 312 $7K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 1,898 1,332 $7K
86593 2,176 2,134 $7K
74178 25 25 $7K
P9016 Red blood cells, leukocytes reduced, each unit 28 24 $7K
90678 140 139 $7K
86708 668 649 $7K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 26 26 $7K
84466 567 544 $7K
85379 2,304 2,245 $7K
87070 2,030 1,934 $7K
93923 52 51 $6K
J7120 Ringers lactate infusion, up to 1000 cc 11,808 11,271 $6K
99232 Subsequent hospital care, per day, moderate complexity 370 123 $6K
J2704 Injection, propofol, 10 mg 5,373 5,154 $6K
96112 112 112 $6K
90744 855 855 $6K
17110 46 45 $6K
82157 209 198 $6K
96380 571 571 $6K
85018 2,741 2,739 $6K
84704 485 472 $6K
J3010 Injection, fentanyl citrate, 0.1 mg 8,446 8,096 $6K
D0150 Comprehensive oral evaluation - new or established patient 901 871 $6K
73000 264 222 $6K
96376 2,723 2,610 $6K
92227 195 195 $6K
J2405 Injection, ondansetron hydrochloride, per 1 mg 15,251 13,824 $6K
96160 463 455 $6K
86336 487 474 $6K
D0272 Bitewings - two radiographic images 2,652 2,652 $6K
J8540 Dexamethasone, oral, 0.25 mg 4,203 3,001 $6K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 1,206 1,183 $5K
97116 163 79 $5K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 1,806 1,801 $5K
93886 12 12 $5K
70487 16 16 $5K
93226 76 75 $5K
0083A 108 108 $5K
98960 263 242 $5K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 8,976 8,264 $5K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 489 489 $5K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 294 212 $5K
92340 Fitting of spectacles, except for aphakia; monofocal 105 105 $5K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 46 46 $5K
85300 537 531 $5K
87529 190 190 $5K
J7510 Prednisolone oral, per 5 mg 1,511 1,488 $5K
84460 899 897 $5K
86682 443 375 $5K
67028 Intravitreal injection of a pharmacologic agent 72 63 $5K
80165 896 858 $5K
71101 247 244 $4K
D1351 Sealant - per tooth 1,104 385 $4K
74740 12 12 $4K
86334 218 201 $4K
90662 311 309 $4K
86696 269 252 $4K
D1208 Topical application of fluoride, excluding varnish 2,265 2,262 $4K
J7050 Infusion, normal saline solution, 250 cc 5,269 4,583 $4K
90714 497 490 $4K
D0367 28 27 $4K
0011A 248 247 $4K
86705 560 543 $4K
29130 27 25 $4K
86430 756 721 $4K
95886 39 39 $4K
D2930 Prefabricated stainless steel crown - primary tooth 86 63 $4K
59425 59 53 $4K
J1750 Injection, iron dextran, 50 mg 12 12 $4K
90671 554 550 $4K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 31 31 $4K
G0495 Skilled services of a registered nurse (rn), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes 22 12 $3K
72190 109 107 $3K
D9990 785 769 $3K
73100 177 156 $3K
J0690 Injection, cefazolin sodium, 500 mg 2,866 2,807 $3K
D0274 Bitewings - four radiographic images 643 632 $3K
84165 451 443 $3K
81514 16 15 $3K
73660 169 157 $3K
80329 121 117 $3K
H0014 Alcohol and/or drug services; ambulatory detoxification 19 12 $3K
86923 107 99 $3K
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 5,194 4,824 $3K
69210 36 36 $3K
81257 49 49 $3K
J2790 Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) 37 36 $3K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 20 15 $3K
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 424 407 $3K
20550 14 12 $3K
90653 174 174 $3K
99409 91 88 $3K
82378 173 158 $3K
76885 24 24 $3K
72070 91 89 $3K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,045 903 $3K
88300 317 308 $3K
82952 1,063 1,052 $2K
G0390 Trauma response team associated with hospital critical care service 266 266 $2K
86695 200 187 $2K
86580 311 299 $2K
76814 130 125 $2K
91318 356 349 $2K
82397 616 606 $2K
90694 150 150 $2K
97168 25 25 $2K
D0191 2,579 2,561 $2K
95885 30 29 $2K
M0239 Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring 13 13 $2K
81002 497 424 $2K
99412 40 25 $2K
87077 982 960 $2K
J2270 Injection, morphine sulfate, up to 10 mg 4,651 4,261 $2K
G0151 Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes 12 12 $2K
74174 12 12 $2K
82150 532 520 $2K
84305 96 92 $2K
86709 212 207 $2K
83520 96 95 $2K
91319 325 325 $2K
95251 30 28 $2K
D9222 41 41 $2K
82533 103 95 $2K
J7060 5% dextrose/water (500 ml = 1 unit) 1,428 1,187 $2K
D0603 2,199 2,170 $2K
74022 108 108 $2K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 59 57 $2K
87040 1,164 950 $2K
84681 84 82 $2K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 24 17 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg 4,391 4,167 $2K
94761 371 369 $2K
90674 77 76 $2K
74240 13 13 $2K
D2391 Resin-based composite - one surface, posterior, primary or permanent 228 176 $2K
83605 799 767 $2K
77072 57 50 $2K
87593 36 32 $1K
87205 860 744 $1K
86146 85 81 $1K
87631 25 25 $1K
D0230 Intraoral - periapical each additional radiographic image 248 240 $1K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 681 669 $1K
92586 12 12 $1K
82803 523 477 $1K
92610 12 12 $1K
D0270 190 185 $1K
86618 79 59 $1K
69200 17 14 $1K
92060 15 15 $1K
82652 44 44 $1K
0012A 64 64 $1K
J3475 Injection, magnesium sulfate, per 500 mg 1,006 946 $1K
J1630 Injection, haloperidol, up to 5 mg 4,454 3,905 $1K
J2765 Injection, metoclopramide hcl, up to 10 mg 5,728 5,476 $1K
99411 263 129 $991.72
86381 41 41 $982.96
87177 108 91 $971.14
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 10,994 9,850 $949.26
82787 157 154 $941.09
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 453 444 $933.95
80050 General health panel 468 467 $924.78
86225 114 110 $914.90
82272 257 246 $913.32
D1354 478 128 $909.50
J1200 Injection, diphenhydramine hcl, up to 50 mg 3,046 2,474 $902.44
93325 30 30 $897.37
J7042 5% dextrose/normal saline (500 ml = 1 unit) 1,845 1,743 $882.93
90381 155 155 $858.53
J1644 Injection, heparin sodium, per 1000 units 384 302 $858.26
85613 111 107 $858.00
P9010 Blood (whole), for transfusion, per unit 15 13 $849.20
72040 27 26 $838.66
83521 54 40 $785.10
S0580 Polycarbonate lens (list this code in addition to the basic code for the lens) 35 35 $755.48
83010 68 67 $747.91
82166 28 28 $726.79
86231 69 69 $717.03
72052 14 14 $711.91
86141 188 182 $699.34
82247 201 164 $682.01
87075 259 238 $667.08
87045 201 194 $661.12
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 702 670 $657.50
82010 774 744 $654.89
99152 234 231 $636.62
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 621 601 $636.15
86320 27 25 $634.60
90688 54 54 $617.69
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 8,003 7,195 $589.64
80178 233 208 $588.49
J1596 Injection, glycopyrrolate, 0.1 mg 380 379 $572.62
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 369 362 $517.69
86777 30 25 $503.18
0031A 17 17 $502.87
82088 12 12 $495.49
J3230 Injection, chlorpromazine hcl, up to 50 mg 88 67 $485.82
J2060 Injection, lorazepam, 2 mg 2,999 2,656 $481.89
94760 155 153 $462.05
90474 100 100 $450.72
82390 45 45 $445.46
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 36 36 $437.64
J1170 Injection, hydromorphone, up to 4 mg 1,722 1,489 $413.05
99406 270 261 $378.62
90380 66 66 $378.14
90713 31 31 $357.81
97124 13 13 $352.40
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 316 314 $344.33
76514 14 14 $339.76
99153 Mod sedat endo service >5yrs 91 90 $336.70
3078F 83,565 67,180 $336.15
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 2,924 2,778 $266.82
84144 14 14 $260.77
D0171 34 30 $249.24
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 322 249 $244.18
99222 Initial hospital care, per day, moderate complexity 12 12 $240.35
85244 12 12 $232.26
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 126 121 $232.20
85384 78 77 $231.45
82103 14 14 $199.13
70360 13 12 $198.66
87210 45 44 $198.50
0173A 27 27 $197.48
96368 32 28 $193.06
80069 16 15 $168.73
92568 14 14 $159.06
87046 12 12 $156.84
D0350 13 13 $155.18
0073A 30 30 $151.20
80349 42 32 $147.25
J1815 Injection, insulin, per 5 units 507 431 $136.33
1159F 7,415 4,896 $124.23
J2919 Injection, methylprednisolone sodium succinate, 5 mg 103 101 $123.50
90685 262 261 $117.94
86665 12 12 $116.10
J1953 Injection, levetiracetam, 10 mg 143 136 $102.90
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 120 104 $102.20
84478 13 13 $95.81
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 64 64 $87.23
OP250 22 12 $80.51
87088 26 25 $71.06
84155 26 26 $66.62
86664 12 12 $64.22
84512 165 160 $62.35
87420 32 32 $55.38
86663 12 12 $55.10
J1790 Injection, droperidol, up to 5 mg 96 92 $50.14
84436 24 24 $47.33
87275 118 115 $42.16
87276 118 115 $42.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 296 287 $41.79
3075F 19,944 18,279 $41.76
80156 14 14 $40.73
85660 12 12 $39.75
G0008 Administration of influenza virus vaccine 316 316 $32.35
J3480 Injection, potassium chloride, per 2 meq 114 98 $30.95
J0694 Injection, cefoxitin sodium, 1 gm 13 13 $27.79
J0736 Injection, clindamycin phosphate, 300 mg 27 26 $20.89
J2003 Injection, lidocaine hydrochloride, 1 mg 13 13 $15.10
3074F 88,978 70,874 $14.58
J3370 Injection, vancomycin hcl, 500 mg 39 37 $9.40
J2370 Injection, phenylephrine hcl, up to 1 ml 184 182 $5.83
J1650 Injection, enoxaparin sodium, 10 mg 13 12 $4.59
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 19 18 $2.53
J3411 Injection, thiamine hcl, 100 mg 32 32 $1.85
J1171 Injection, hydromorphone, 0.1 mg 21 15 $0.86
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 41 40 $0.10
0502F 573 393 $0.06
3079F 32,781 29,012 $0.01
3080F 5,373 4,919 $0.00
D0602 93 93 $0.00
99429 1,214 781 $0.00
1220F 1,008 1,008 $0.00
3044F 381 379 $0.00
D0240 18 18 $0.00
76604 12 12 $0.00
G0436 Smoking and tobacco cessation counseling visit for the asymptomatic patient; intermediate, greater than 3 minutes, up to 10 minutes 406 395 $0.00
1CHK1 63 63 $0.00
87110 12 12 $0.00
3072F 16 16 $0.00
3077F 13,353 11,683 $0.00
1160F 5,805 4,320 $0.00
G0444 Annual depression screening, 5 to 15 minutes 404 395 $0.00
99080 10,097 1,974 $0.00
1AA11 56 55 $0.00
99499 4,355 3,309 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 54 53 $0.00
G0445 High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes 347 340 $0.00
82375 13 13 $0.00
77055 14 14 $0.00
2022F 16 16 $0.00
92202 14 14 $0.00
D0190 14 14 $0.00