Medicaid Provider Spending

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

NEW YORK CITY HEALTH AND HOSPITALS CORPORATION

NPI: 1801803903 · JAMAICA, NY 11432 · Internal Medicine Physician · NPI assigned 08/02/2006

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

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

$125.54M
Total Medicaid Paid
3,041,842
Total Claims
2,445,264
Beneficiaries
587
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKARLIN, MARJI (CHIEF REVENUE OFFICER)
NPI Enumeration Date08/02/2006

Related Entities

Other providers sharing the same authorized official: KARLIN, MARJI

ProviderCityStateTotal Paid
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION BRONX NY $217.68M
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 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 64,290 $568K
2019 206,683 $7.07M
2020 483,138 $20.47M
2021 705,688 $28.72M
2022 665,213 $29.20M
2023 481,010 $20.93M
2024 435,820 $18.59M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 72,067 66,174 $10.98M
99283 Emergency department visit for the evaluation and management, moderate severity 72,114 66,751 $10.18M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 131,062 111,250 $9.92M
36415 Collection of venous blood by venipuncture 382,964 146,784 $7.11M
96361 Intravenous infusion, hydration; each additional hour 90,182 28,419 $5.55M
90791 Psychiatric diagnostic evaluation 9,201 7,780 $5.45M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 65,136 57,732 $5.25M
90832 Psychotherapy, 30 minutes with patient 29,701 19,492 $3.90M
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 57,757 51,572 $3.58M
99282 Emergency department visit for the evaluation and management, low to moderate severity 19,212 18,017 $3.05M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 14,866 13,947 $2.82M
G0378 Hospital observation service, per hour 2,198 2,135 $2.46M
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 33,929 14,580 $2.28M
70450 Computed tomography, head or brain; without contrast material 13,313 12,843 $2.24M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 31,603 27,399 $2.12M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 26,952 25,041 $1.45M
J2426 Injection, paliperidone palmitate extended release (invega sustenna), 1 mg 1,863 1,733 $1.35M
90834 Psychotherapy, 45 minutes with patient 7,684 4,924 $1.34M
H0040 Assertive community treatment program, per diem 617 592 $1.11M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 24,504 24,068 $1.04M
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 28,219 26,422 $936K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 46,468 40,811 $860K
74177 Computed tomography, abdomen and pelvis; with contrast material 5,532 5,295 $854K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 12,609 8,309 $828K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 7,444 7,284 $796K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 36,703 18,114 $787K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 11,967 8,776 $780K
80048 Basic metabolic panel (calcium, ionized) 83,403 76,451 $769K
H0035 Mental health partial hospitalization, treatment, less than 24 hours 3,970 502 $766K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 10,948 9,091 $738K
H0037 Community psychiatric supportive treatment program, per diem 636 537 $728K
81408 484 480 $684K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 3,384 3,242 $664K
D0999 Unspecified diagnostic procedure, by report 3,968 3,901 $632K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4,307 4,243 $629K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 4,895 4,755 $628K
S9485 Crisis intervention mental health services, per diem 471 336 $615K
67028 Intravitreal injection of a pharmacologic agent 4,604 2,082 $598K
99442 11,846 10,613 $553K
59025 Fetal non-stress test 4,717 2,205 $520K
81420 Fetal chromosomal aneuploidy genomic sequence analysis panel 715 704 $487K
77067 Screening mammography, bilateral, including computer-aided detection 5,159 5,103 $475K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 4,218 3,658 $468K
90460 Immunization administration through 18 years of age via any route, first or only component 35,158 34,804 $467K
74176 Computed tomography, abdomen and pelvis; without contrast material 3,246 3,185 $457K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 983 970 $453K
99201 4,964 4,746 $446K
99215 Prolong outpt/office vis 3,132 2,970 $438K
99443 5,664 5,093 $428K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 4,138 4,046 $423K
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 20,067 18,100 $413K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12,367 12,087 $405K
80061 Lipid panel 41,693 41,244 $399K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 19,713 18,449 $382K
80053 Comprehensive metabolic panel 34,952 32,892 $370K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 490 489 $361K
85027 123,196 111,877 $355K
J0401 Injection, aripiprazole (abilify maintena), 1 mg 369 355 $351K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 11,972 11,572 $341K
D9999 Unspecified adjunctive procedure, by report 2,387 2,241 $330K
90853 Group psychotherapy (other than of a multiple-family group) 4,061 1,761 $325K
86480 5,542 5,390 $309K
71046 Radiologic examination, chest; 2 views 26,463 25,730 $302K
80076 45,838 44,349 $302K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 10,482 8,773 $300K
99441 11,704 10,328 $288K
H0005 Alcohol and/or drug services; group counseling by a clinician 3,253 767 $287K
90461 16,496 16,458 $286K
83036 Hemoglobin; glycosylated (A1C) 42,449 41,851 $281K
76641 2,687 2,228 $279K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1,748 1,679 $276K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,701 2,633 $259K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 10,311 9,935 $250K
90677 2,348 2,346 $243K
87536 2,624 2,591 $240K
84443 Thyroid stimulating hormone (TSH) 21,746 21,273 $235K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 29,776 29,056 $228K
45380 Colonoscopy, flexible; with biopsy, single or multiple 352 351 $221K
90750 2,875 2,823 $220K
0002A 6,619 6,604 $203K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 6,375 6,199 $200K
93970 807 784 $200K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 22,658 20,249 $199K
92134 5,296 4,405 $193K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,915 2,630 $193K
90792 Psychiatric diagnostic evaluation with medical services 961 884 $191K
H2010 Comprehensive medication services, per 15 minutes 2,547 2,352 $188K
72125 Computed tomography, cervical spine; without contrast material 2,036 1,964 $186K
86703 14,462 14,190 $185K
0001A 6,734 6,715 $185K
77063 Screening digital breast tomosynthesis, bilateral 4,573 4,461 $183K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 10,528 7,474 $180K
99205 Prolong outpt/office vis 979 963 $179K
67228 704 254 $179K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 4,316 3,163 $178K
70486 1,506 1,469 $177K
99381 2,722 2,496 $173K
71275 Computed tomographic angiography, chest, with contrast material 796 783 $171K
90847 Family psychotherapy with the patient present, 50 minutes 730 626 $170K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1,158 652 $169K
83655 14,476 14,306 $167K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,800 3,710 $166K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 7,268 7,189 $165K
86360 3,446 3,389 $164K
86850 8,563 7,504 $158K
J0178 Injection, aflibercept, 1 mg 99 91 $151K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 7,393 6,415 $151K
76830 Ultrasound, transvaginal 2,428 2,317 $149K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 21,229 19,149 $142K
90715 6,243 6,184 $142K
T1013 Sign language or oral interpretive services, per 15 minutes 10,921 9,761 $142K
92250 3,976 3,852 $140K
H0050 Alcohol and/or drug services, brief intervention, per 15 minutes 1,951 1,815 $134K
0004A 3,639 3,628 $134K
76818 1,211 762 $133K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,499 1,200 $132K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 4,050 1,566 $131K
90651 2,551 2,539 $129K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 3,847 3,709 $129K
97802 3,447 3,433 $127K
86359 3,456 3,399 $127K
71250 717 706 $125K
96375 Therapeutic injection; each additional sequential IV push 14,073 12,569 $121K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 721 718 $112K
86769 3,583 3,473 $112K
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 3,153 2,997 $109K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 1,246 1,210 $107K
81329 862 834 $105K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 355 310 $105K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,620 1,545 $105K
99281 Emergency department visit for the evaluation and management, self-limited or minor 854 840 $104K
81161 503 499 $104K
77065 Tomosynthesis, mammo 894 827 $101K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 397 376 $100K
86901 8,675 7,514 $98K
92083 1,803 1,747 $95K
96156 957 880 $94K
88142 3,900 3,764 $89K
H0038 Self-help/peer services, per 15 minutes 2,708 2,381 $89K
82805 11,226 10,029 $87K
84703 21,374 19,610 $87K
J2506 Injection, pegfilgrastim, excludes biosimilar, 0.5 mg 87 67 $80K
87631 2,481 2,411 $78K
83880 5,275 5,097 $78K
86780 7,697 7,355 $77K
86900 8,661 7,506 $77K
90674 4,463 4,430 $76K
78815 Positron emission tomography (PET) for limited area imaging 84 81 $75K
87486 4,162 4,070 $74K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2,925 2,882 $72K
12001 279 269 $72K
97124 2,633 1,074 $70K
71045 Radiologic examination, chest; single view 8,925 8,513 $68K
71260 Computed tomography, thorax, diagnostic; with contrast material 338 335 $68K
90686 9,756 9,690 $66K
76770 397 395 $66K
96127 18,109 15,665 $66K
84439 8,957 8,789 $65K
90746 1,222 1,212 $65K
19083 76 66 $65K
82728 6,302 6,201 $63K
99051 5,711 5,385 $63K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,108 1,094 $63K
86803 6,461 6,389 $62K
96161 7,460 7,073 $60K
92015 Determination of refractive state 2,466 2,464 $59K
92133 1,587 1,569 $59K
82607 5,493 5,413 $59K
73630 3,231 2,918 $55K
73564 2,318 2,123 $54K
76700 Ultrasound, abdominal, real time with image documentation; complete 266 265 $54K
87581 4,163 4,070 $53K
96367 2,176 1,981 $53K
J1050 Injection, medroxyprogesterone acetate, 1 mg 693 644 $52K
97010 6,667 2,030 $52K
87086 Culture, bacterial; quantitative colony count, urine 16,017 15,019 $51K
82948 24,341 18,723 $50K
99188 2,980 2,964 $49K
90670 4,668 4,660 $49K
76801 387 380 $49K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,117 1,106 $49K
H0049 Alcohol and/or drug screening 694 674 $48K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,571 2,453 $47K
76536 451 443 $47K
77066 Tomosynthesis, mammo 326 316 $46K
77062 305 300 $46K
72100 2,145 2,087 $44K
81243 988 956 $44K
85610 12,355 9,398 $44K
97014 3,201 1,255 $44K
90698 5,643 5,639 $42K
90732 479 468 $41K
83020 3,532 3,440 $40K
93971 607 595 $39K
90472 Immunization administration, each additional vaccine (list separately) 6,079 6,013 $38K
90846 Family psychotherapy without the patient present, 50 minutes 294 262 $37K
87340 4,992 4,831 $37K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 219 210 $37K
0003A 917 916 $37K
82951 3,280 2,825 $37K
77061 292 285 $36K
81001 26,931 25,675 $36K
0072A 834 833 $35K
73030 2,028 1,912 $35K
81003 17,723 9,946 $34K
83550 5,536 5,446 $34K
D1206 Topical application of fluoride varnish 5,680 5,668 $33K
90680 4,343 4,340 $33K
92567 1,084 1,059 $32K
87535 936 922 $32K
86706 3,787 3,723 $31K
86762 2,430 2,310 $31K
0071A 799 797 $31K
93017 556 549 $31K
84153 1,937 1,901 $31K
84702 11,945 10,802 $30K
S9083 Global fee urgent care centers 278 268 $30K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 64 64 $29K
92557 811 775 $29K
J7030 Infusion, normal saline solution , 1000 cc 35,607 31,243 $29K
73610 1,821 1,714 $29K
83540 6,080 5,986 $27K
86765 2,390 2,268 $27K
0124A 665 664 $26K
82043 5,780 5,705 $26K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 416 382 $26K
90744 3,296 3,292 $25K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 129 96 $24K
83970 765 753 $23K
96167 924 864 $23K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 847 808 $23K
12011 73 73 $23K
86704 2,370 2,337 $23K
90734 839 839 $21K
73130 1,716 1,593 $21K
80320 13,447 10,528 $20K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 49 49 $20K
70498 107 106 $19K
90633 2,647 2,644 $18K
73110 1,168 1,062 $18K
82105 1,406 1,349 $18K
86357 565 551 $18K
86355 565 551 $18K
10060 90 83 $17K
77336 85 29 $17K
3074F 31,509 24,447 $16K
90707 1,324 1,318 $16K
90716 1,388 1,385 $16K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 4,332 4,059 $16K
84484 16,301 13,871 $15K
90662 796 753 $15K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,225 1,206 $15K
J2405 Injection, ondansetron hydrochloride, per 1 mg 9,705 8,574 $15K
H2011 Crisis intervention service, per 15 minutes 170 130 $15K
92240 95 93 $14K
D7140 Extraction, erupted tooth or exposed root 514 388 $14K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 12 12 $14K
73502 660 612 $14K
77412 249 29 $14K
97597 47 37 $14K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 10,638 8,041 $14K
D0220 Intraoral - periapical first radiographic image 2,263 2,177 $13K
91320 350 350 $13K
92579 222 211 $13K
90620 580 577 $13K
88141 545 521 $13K
92550 397 298 $13K
73560 614 500 $13K
87081 3,596 3,557 $13K
D0120 Periodic oral evaluation - established patient 1,421 1,312 $12K
83735 16,830 14,166 $12K
J0561 Injection, penicillin g benzathine, 100,000 units 81 58 $12K
90480 396 395 $12K
J7510 Prednisolone oral, per 5 mg 692 674 $12K
76820 247 147 $12K
J2785 Injection, regadenoson, 0.1 mg 69 69 $12K
86141 2,812 2,746 $11K
85730 6,149 5,845 $11K
85007 10,094 9,139 $11K
77080 462 426 $11K
J1631 Injection, haloperidol decanoate, per 50 mg 906 863 $11K
83516 953 882 $11K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 107 100 $10K
D1120 Prophylaxis - child 1,272 1,272 $10K
82248 2,460 2,168 $10K
82274 1,060 1,042 $10K
D1110 Prophylaxis - adult 587 576 $10K
73700 42 39 $9K
86787 892 861 $9K
87186 2,486 2,275 $9K
88312 142 134 $9K
83001 508 474 $9K
G0397 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes 72 66 $9K
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 3,532 3,456 $9K
90656 966 966 $8K
86038 1,061 1,040 $8K
D0140 Limited oral evaluation - problem focused 655 593 $8K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 312 255 $8K
86735 709 686 $8K
73590 825 777 $8K
J1650 Injection, enoxaparin sodium, 10 mg 2,483 1,845 $8K
76870 129 127 $8K
88307 115 115 $8K
D0150 Comprehensive oral evaluation - new or established patient 823 769 $8K
90661 551 551 $7K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 251 145 $7K
92201 244 235 $7K
74019 357 353 $7K
93225 107 107 $7K
73090 631 597 $7K
84403 279 268 $7K
99383 246 186 $7K
84146 376 351 $7K
81025 2,154 2,082 $7K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 48 48 $7K
S9088 Services provided in an urgent care center (list in addition to code for service) 144 142 $6K
96168 187 168 $6K
74022 354 351 $6K
82803 3,415 2,933 $6K
J2704 Injection, propofol, 10 mg 2,086 2,056 $6K
82247 1,385 1,123 $6K
96376 2,227 2,041 $6K
72131 42 42 $6K
82952 783 748 $6K
J9035 Injection, bevacizumab, 10 mg 476 448 $6K
86160 387 308 $6K
83690 10,865 10,253 $6K
70551 Magnetic resonance imaging, brain; without contrast material 54 52 $5K
93226 107 107 $5K
51798 69 67 $5K
83615 1,420 1,274 $5K
90694 290 290 $5K
87338 499 497 $5K
90710 626 626 $5K
81002 1,356 869 $5K
74018 321 318 $5K
70496 41 41 $5K
90653 186 186 $5K
82677 189 184 $5K
85045 1,789 1,530 $4K
73140 257 249 $4K
M0222 Intravenous injection, bebtelovimab, includes injection and post administration monitoring 31 31 $4K
85651 1,892 1,849 $4K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 741 689 $4K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 975 561 $4K
99384 78 73 $4K
12002 16 16 $4K
82550 1,558 1,509 $4K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 4,052 3,560 $4K
96368 241 217 $4K
D0274 Bitewings - four radiographic images 729 716 $4K
J2250 Injection, midazolam hydrochloride, per 1 mg 5,128 4,836 $4K
86235 110 89 $4K
92227 233 233 $4K
A9585 Injection, gadobutrol, 0.1 ml 124 123 $4K
83002 224 212 $4K
87040 2,920 2,114 $4K
94060 64 63 $4K
97161 40 40 $4K
97162 49 49 $4K
J7120 Ringers lactate infusion, up to 1000 cc 2,764 2,631 $4K
90696 575 575 $4K
Q3014 Telehealth originating site facility fee 648 517 $4K
86225 413 399 $4K
P9016 Red blood cells, leukocytes reduced, each unit 13 12 $4K
J1885 Injection, ketorolac tromethamine, per 15 mg 7,009 6,672 $3K
J0696 Injection, ceftriaxone sodium, per 250 mg 5,880 5,011 $3K
J2175 Injection, meperidine hydrochloride, per 100 mg 681 678 $3K
85379 2,834 2,771 $3K
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 814 702 $3K
97165 34 34 $3K
69210 101 100 $3K
D0230 Intraoral - periapical each additional radiographic image 1,414 1,411 $3K
70490 15 15 $3K
84550 1,132 1,035 $3K
94729 57 56 $3K
J3475 Injection, magnesium sulfate, per 500 mg 1,760 1,531 $3K
72040 129 128 $3K
86140 718 709 $3K
D2391 Resin-based composite - one surface, posterior, primary or permanent 231 182 $3K
97803 83 83 $3K
84704 189 184 $3K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 2,334 2,002 $3K
3078F 30,939 23,913 $2K
73080 192 186 $2K
86336 189 184 $2K
80165 472 450 $2K
93247 12 12 $2K
84154 134 130 $2K
80321 151 100 $2K
86592 497 409 $2K
82746 226 224 $2K
94727 57 56 $2K
0012A 109 109 $2K
90672 534 534 $2K
86255 253 240 $2K
36430 13 12 $2K
J2765 Injection, metoclopramide hcl, up to 10 mg 4,966 4,826 $2K
86003 50 43 $2K
96160 159 145 $2K
90474 397 396 $2K
0031A 46 46 $2K
84100 895 854 $2K
J7050 Infusion, normal saline solution, 250 cc 2,404 1,807 $2K
D9990 172 168 $2K
99402 24 24 $2K
J2270 Injection, morphine sulfate, up to 10 mg 2,746 2,450 $2K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 29 29 $2K
96417 19 12 $2K
96154 30 28 $2K
0011A 124 109 $2K
99382 28 28 $2K
92202 81 76 $2K
J3471 Injection, hyaluronidase, ovine, preservative free, per 1 usp unit (up to 999 usp units) 43 39 $2K
92582 16 16 $1K
J0690 Injection, cefazolin sodium, 500 mg 410 404 $1K
83605 1,891 1,708 $1K
76642 12 12 $1K
82330 1,875 1,705 $1K
H0004 Behavioral health counseling and therapy, per 15 minutes 15 14 $1K
84402 54 54 $1K
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,637 1,259 $1K
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 5,511 4,731 $1K
H2027 Psychoeducational service, per 15 minutes 23 23 $1K
D0272 Bitewings - two radiographic images 420 420 $1K
84155 377 365 $1K
1159F 10,022 5,915 $1K
73060 133 130 $1K
J7060 5% dextrose/water (500 ml = 1 unit) 511 357 $1K
86593 356 348 $1K
87517 27 27 $1K
80051 168 158 $1K
15853 12 12 $1K
82985 82 82 $1K
73070 67 66 $1K
85384 261 229 $1K
82570 288 280 $1K
11721 25 25 $1K
73600 75 72 $984.57
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 3,135 2,712 $973.33
0074A 28 28 $954.70
90685 336 335 $948.98
86430 212 209 $938.89
86376 72 71 $938.55
84156 344 337 $920.90
82397 736 723 $903.57
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 25 24 $857.28
82378 58 56 $848.62
73562 140 130 $844.61
J3010 Injection, fentanyl citrate, 0.1 mg 1,620 1,502 $828.40
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 28 27 $792.06
82785 55 55 $788.75
87420 446 442 $783.39
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 12 12 $770.79
J2060 Injection, lorazepam, 2 mg 4,062 3,473 $750.40
73120 30 27 $747.85
J1170 Injection, hydromorphone, up to 4 mg 188 92 $669.27
0154A 18 18 $659.45
99225 12 12 $659.25
87593 14 12 $638.99
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 597 569 $638.03
73552 40 40 $614.63
3079F 14,794 12,850 $600.01
92082 12 12 $575.22
93246 12 12 $568.44
88342 15 15 $560.34
82977 100 99 $559.32
J1815 Injection, insulin, per 5 units 1,697 1,309 $559.02
83718 250 249 $555.09
J1953 Injection, levetiracetam, 10 mg 145 129 $551.34
86258 30 29 $548.78
72190 52 51 $543.08
0081A 13 13 $539.45
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 1,764 1,619 $531.51
88304 24 24 $530.22
92551 1,264 1,262 $522.05
86334 30 29 $520.37
98960 20 20 $515.02
J1790 Injection, droperidol, up to 5 mg 1,530 1,406 $487.46
J1030 Injection, methylprednisolone acetate, 40 mg 43 38 $463.08
84478 250 249 $443.72
73620 18 17 $440.56
J1630 Injection, haloperidol, up to 5 mg 1,687 1,469 $438.23
G0008 Administration of influenza virus vaccine 575 575 $433.68
82465 340 339 $423.03
J0456 Injection, azithromycin, 500 mg 372 321 $417.69
86800 28 27 $415.25
86708 38 37 $398.28
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 69 69 $393.15
87521 Neg quan hep c or qual rna 16 16 $356.68
82947 235 225 $346.82
V2632 Posterior chamber intraocular lens 14 14 $323.37
82670 13 13 $313.00
80047 38 38 $308.38
99152 38 38 $301.37
86231 29 28 $293.81
D1330 685 681 $288.90
71101 25 24 $282.89
D0330 Panoramic radiographic image 47 47 $271.16
93325 12 12 $268.49
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 250 184 $268.48
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 72 68 $264.12
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 465 422 $262.00
76857 14 14 $261.00
82565 58 56 $257.29
59425 14 13 $250.75
82962 248 217 $244.89
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 177 177 $237.71
J8540 Dexamethasone, oral, 0.25 mg 109 109 $233.87
72070 12 12 $233.17
84144 15 14 $225.32
80069 39 39 $217.32
90473 206 206 $213.48
97032 17 12 $197.91
71100 14 13 $194.91
90882 32 32 $190.55
97035 14 13 $188.15
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 150 116 $180.70
D0191 565 563 $162.38
J2919 Injection, methylprednisolone sodium succinate, 5 mg 262 247 $142.16
83520 48 48 $138.65
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 13 13 $130.69
84165 15 15 $119.34
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 113 87 $114.12
J7042 5% dextrose/normal saline (500 ml = 1 unit) 312 303 $110.59
J0171 Injection, adrenalin, epinephrine, 0.1 mg 55 52 $109.94
87205 119 105 $109.42
J0330 Injection, succinylcholine chloride, up to 20 mg 66 66 $105.27
93018 13 12 $105.18
72050 12 12 $97.34
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 1,461 1,373 $93.35
D2330 16 12 $90.00
82010 213 199 $89.39
90647 18 18 $89.25
90723 17 17 $89.25
83010 12 12 $79.26
90660 28 28 $79.08
D1208 Topical application of fluoride, excluding varnish 15 15 $77.60
G0009 Administration of pneumococcal vaccine 12 12 $71.35
94760 25 25 $65.58
J0360 Injection, hydralazine hcl, up to 20 mg 16 16 $56.26
J1596 Injection, glycopyrrolate, 0.1 mg 30 30 $44.91
80178 13 12 $39.98
87070 14 14 $38.62
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 68 66 $38.33
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 37 29 $37.11
82553 17 17 $36.53
84132 12 12 $32.52
J2003 Injection, lidocaine hydrochloride, 1 mg 15 15 $30.07
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 42 41 $23.50
82150 12 12 $21.49
84436 13 13 $15.52
J1644 Injection, heparin sodium, per 1000 units 41 27 $11.54
J3411 Injection, thiamine hcl, 100 mg 28 27 $10.97
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 68 61 $10.46
J3370 Injection, vancomycin hcl, 500 mg 18 12 $5.75
85014 12 12 $3.88
J3480 Injection, potassium chloride, per 2 meq 12 12 $1.80
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 15 12 $0.38
J2370 Injection, phenylephrine hcl, up to 1 ml 12 12 $0.32
S0028 Injection, famotidine, 20 mg 13 12 $0.07
90623 12 12 $0.02
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 207 207 $0.00
3080F 2,534 2,313 $0.00
3075F 9,657 8,713 $0.00
D0603 106 106 $0.00
1220F 869 864 $0.00
99406 110 110 $0.00
D0601 137 137 $0.00
3044F 252 252 $0.00
S9451 Exercise classes, non-physician provider, per session 84 84 $0.00
99429 54 38 $0.00
3072F 37 37 $0.00
D0602 12 12 $0.00
0502F 184 120 $0.00
99499 1,221 929 $0.00
1160F 7,152 4,964 $0.00
3077F 7,457 6,279 $0.00
D0190 701 701 $0.00
99173 1,175 1,173 $0.00
99408 95 95 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 78 78 $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 90 90 $0.00
G0271 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), group (2 or more individuals), each 30 minutes 49 49 $0.00
2022F 25 25 $0.00
99080 2,067 380 $0.00
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 15 15 $0.00