Medicaid Provider Spending

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

HEALTH CARE LA, IPA

NPI: 1801929757 · WOODLAND HILLS, CA 91367 · Health Maintenance Organization · NPI assigned 03/13/2007

$10.89M
Total Medicaid Paid
1,601,128
Total Claims
1,446,230
Beneficiaries
696
Codes Billed
2018-01
First Month
2021-08
Last Month

Provider Details

Authorized OfficialDEAKTOR, LINDA (DIRECTOR OF MEDICAL AFFAIRS)
NPI Enumeration Date03/13/2007

Related Entities

Other providers sharing the same authorized official: DEAKTOR, LINDA

ProviderCityStateTotal Paid
GLOBAL CARE MEDICAL GROUP IPA WOODLAND HILLS CA $1.86M
BELLA VISTA MEDICAL GROUP IPA WOODLAND HILLS CA $108K
MISSION COMMUNITY IPA MEDICAL GROUP WOODLAND HILLS CA $19K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,056,297 $5.88M
2019 12,869 $150K
2020 226,647 $2.21M
2021 305,315 $2.65M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 51,323 48,469 $782K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 25,633 8,336 $676K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 8,963 1,687 $585K
99223 Prolong inpt eval add15 m 3,381 3,093 $492K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 6,756 6,717 $461K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 184,727 168,749 $446K
99215 Prolong outpt/office vis 6,499 6,169 $419K
77067 Screening mammography, bilateral, including computer-aided detection 4,490 4,463 $355K
67028 Intravitreal injection of a pharmacologic agent 1,783 1,234 $336K
99232 Subsequent hospital care, per day, moderate complexity 6,571 1,873 $252K
99233 Prolong inpt eval add15 m 4,681 1,444 $194K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,404 1,379 $169K
99205 Prolong outpt/office vis 1,568 1,550 $159K
92134 2,691 2,191 $155K
99283 Emergency department visit for the evaluation and management, moderate severity 5,603 5,550 $149K
J9035 Injection, bevacizumab, 10 mg 1,657 1,147 $146K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 281 279 $145K
76641 1,222 1,127 $144K
S9083 Global fee urgent care centers 3,660 3,428 $143K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 38,089 36,978 $140K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 35,041 34,089 $135K
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 1,062 1,057 $123K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,182 4,129 $118K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,333 2,284 $118K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 2,450 2,209 $102K
99284 Emergency department visit for the evaluation and management, high severity 2,882 2,828 $102K
97039 3,486 1,241 $101K
95144 2,538 1,491 $101K
92250 2,392 2,137 $101K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,171 359 $94K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 8,100 2,824 $92K
99244 Office or other outpatient consultation, moderate to high complexity 1,232 1,227 $88K
92235 1,233 787 $87K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 2,428 2,428 $76K
H1001 Prenatal care, at-risk enhanced service; antepartum management 1,634 1,041 $75K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,921 1,754 $70K
67500 594 401 $69K
99222 Initial hospital care, per day, moderate complexity 785 748 $69K
93000 3,054 3,012 $67K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 265 265 $63K
77063 Screening digital breast tomosynthesis, bilateral 1,208 1,206 $60K
59514 166 134 $57K
97014 5,233 2,102 $52K
99221 2,766 2,433 $50K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 590 590 $49K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 83,353 71,082 $44K
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 3,512 2,152 $43K
97803 2,426 2,261 $42K
99308 Subsequent nursing facility care, per day, straightforward 973 481 $42K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2,966 2,642 $39K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 288 286 $39K
V2020 Frames, purchases 2,172 2,167 $37K
97162 643 639 $37K
76700 Ultrasound, abdominal, real time with image documentation; complete 652 651 $36K
T4541 Incontinence product, disposable underpad, large, each 1,154 1,142 $36K
20610 719 454 $36K
76830 Ultrasound, transvaginal 846 846 $36K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 921 921 $35K
92340 Fitting of spectacles, except for aphakia; monofocal 1,918 1,916 $35K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 6,629 5,039 $35K
97802 2,247 2,140 $35K
80053 Comprehensive metabolic panel 91,200 81,693 $34K
81025 7,174 6,874 $33K
76512 500 337 $32K
E0601 Continuous positive airway pressure (cpap) device 610 606 $31K
67210 162 128 $31K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,695 2,643 $31K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 630 559 $30K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 86 56 $30K
E0443 Portable oxygen contents, gaseous, 1 month's supply = 1 unit 605 605 $29K
99199 Unlisted special service, procedure or report 961 857 $28K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 211 87 $28K
K0001 Standard wheelchair 598 589 $27K
45380 Colonoscopy, flexible; with biopsy, single or multiple 135 134 $26K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 684 468 $26K
99238 Hospital discharge day management, 30 minutes or less 729 710 $25K
71045 Radiologic examination, chest; single view 3,503 3,056 $23K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 28,537 26,690 $22K
99241 1,357 1,351 $22K
E0603 Breast pump, electric (ac and/or dc), any type 237 235 $22K
71046 Radiologic examination, chest; 2 views 1,439 1,431 $21K
81000 2,592 2,245 $21K
20553 521 464 $21K
95117 2,338 871 $20K
99152 198 186 $19K
67228 100 76 $19K
59425 2,502 1,701 $19K
92015 Determination of refractive state 3,496 3,495 $18K
59025 Fetal non-stress test 711 388 $18K
A4649 Surgical supply; miscellaneous 786 597 $18K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 415 411 $18K
J3490 Unclassified drugs 1,542 1,344 $17K
96367 131 78 $17K
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing 824 822 $16K
95115 3,494 1,508 $16K
77066 Tomosynthesis, mammo 169 167 $15K
T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each 479 477 $14K
92226 509 338 $14K
99245 123 123 $14K
99153 Mod sedat endo service >5yrs 110 103 $13K
97530 Therapeutic activities, direct patient contact, each 15 minutes 296 80 $13K
T4522 Adult sized disposable incontinence product, brief/diaper, medium, each 158 154 $13K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 127 118 $13K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 13 12 $13K
93320 150 150 $12K
A4267 Contraceptive supply, condom, male, each 565 561 $12K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 102 102 $12K
92060 398 391 $12K
99239 Hospital discharge day management, more than 30 minutes 245 240 $12K
99243 227 226 $11K
80048 Basic metabolic panel (calcium, ionized) 13,372 9,471 $11K
77065 Tomosynthesis, mammo 82 80 $11K
93970 146 145 $11K
J1885 Injection, ketorolac tromethamine, per 15 mg 545 486 $11K
17380 125 42 $10K
Q3014 Telehealth originating site facility fee 266 257 $10K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 806 580 $10K
A4670 Automatic blood pressure monitor 187 187 $10K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 721 595 $10K
E0570 Nebulizer, with compressor 126 123 $10K
E0562 Humidifier, heated, used with positive airway pressure device 341 338 $9K
A4461 Surgical dressing holder, non-reusable, each 334 285 $9K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 242 199 $9K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 1,248 649 $9K
E0143 Walker, folding, wheeled, adjustable or fixed height 145 142 $9K
76801 232 227 $9K
72275 146 144 $9K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 34 34 $9K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 27 26 $9K
T4527 Adult sized disposable incontinence product, protective underwear/pull-on, large size, each 98 97 $9K
85730 6,841 6,124 $9K
93978 93 93 $8K
93325 179 179 $8K
J1040 Injection, methylprednisolone acetate, 80 mg 402 195 $8K
93351 147 147 $8K
H1003 Prenatal care, at-risk enhanced service; education 2,291 1,808 $8K
93880 93 93 $8K
11721 484 482 $8K
97161 194 194 $8K
85027 16,413 14,280 $8K
83861 476 239 $7K
92521 128 128 $7K
97010 1,472 492 $7K
81003 5,595 5,337 $7K
93976 95 93 $7K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,411 2,106 $7K
81001 34,072 32,507 $7K
99000 9,173 8,801 $7K
80061 Lipid panel 59,979 58,939 $7K
87806 417 415 $7K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 263 259 $7K
95819 12 12 $6K
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 1,623 1,034 $6K
93015 136 135 $6K
84443 Thyroid stimulating hormone (TSH) 44,021 43,079 $6K
H1000 Prenatal care, at-risk assessment 155 154 $6K
93925 101 101 $6K
95886 51 38 $6K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 36 33 $6K
62323 129 127 $6K
99401 2,531 2,321 $6K
85610 9,929 8,637 $6K
99460 139 139 $6K
92133 199 177 $6K
G0482 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; 15-21 drug class(es), including metabolite(s) if performed 322 304 $6K
K0553 Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service 27 27 $6K
99231 Subsequent hospital care, per day, straightforward or low complexity 181 70 $6K
94150 1,114 409 $6K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 270 249 $6K
T4523 Adult sized disposable incontinence product, brief/diaper, large, each 48 48 $6K
01810 203 168 $6K
83036 Hemoglobin; glycosylated (A1C) 59,432 58,387 $5K
68761 94 46 $5K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 41 38 $5K
92083 201 179 $5K
36415 Collection of venous blood by venipuncture 54,373 50,889 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 15,269 15,144 $5K
83690 4,962 4,535 $5K
T4526 Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each 100 100 $5K
83516 806 579 $5K
92020 126 125 $5K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 17,442 17,144 $4K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 529 395 $4K
81420 Fetal chromosomal aneuploidy genomic sequence analysis panel 12 12 $4K
17004 83 82 $4K
84484 3,119 2,512 $4K
94760 1,509 1,346 $4K
17110 44 41 $4K
70450 Computed tomography, head or brain; without contrast material 112 104 $4K
99310 Prolong nursin fac eval 15m 67 50 $4K
87086 Culture, bacterial; quantitative colony count, urine 14,747 14,038 $4K
S9088 Services provided in an urgent care center (list in addition to code for service) 602 566 $4K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 678 270 $4K
A4580 Cast supplies (e.g., plaster) 128 73 $4K
76642 64 54 $4K
81002 6,599 5,631 $4K
72141 12 12 $4K
76819 Fetal biophysical profile; without non-stress testing 61 27 $3K
83735 4,599 2,460 $3K
74177 Computed tomography, abdomen and pelvis; with contrast material 45 45 $3K
31231 13 13 $3K
73130 106 94 $3K
G0483 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; 22 or more drug class(es), including metabolite(s) if performed 110 51 $3K
99335 93 93 $3K
A6250 Skin sealants, protectants, moisturizers, ointments, any type, any size 233 231 $3K
85018 14,418 14,232 $3K
K0195 Elevating leg rests, pair (for use with capped rental wheelchair base) 165 165 $3K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 23,711 23,421 $3K
74176 Computed tomography, abdomen and pelvis; without contrast material 45 45 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 670 619 $3K
99307 160 125 $3K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 59 57 $3K
99282 Emergency department visit for the evaluation and management, low to moderate severity 108 103 $3K
76705 Ultrasound, abdominal, real time with image documentation; limited 104 103 $3K
73560 85 70 $3K
83880 1,220 1,093 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 863 863 $2K
73030 76 71 $2K
80076 3,969 3,552 $2K
86592 24,869 24,424 $2K
76770 44 43 $2K
92651 29 29 $2K
88312 64 64 $2K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 439 435 $2K
93224 27 27 $2K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 44 44 $2K
A9575 Injection, gadoterate meglumine, 0.1 ml 30 29 $2K
R0070 Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen 13 13 $2K
73110 39 31 $2K
85007 3,130 2,130 $2K
80055 615 497 $2K
73630 76 66 $2K
82728 4,091 4,012 $2K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 257 93 $2K
86901 1,573 1,424 $2K
A4590 Special casting material (e.g., fiberglass) 93 55 $2K
3008F 10,513 9,468 $2K
87799 56 55 $2K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 38 38 $2K
A4335 Incontinence supply; miscellaneous 259 257 $2K
90736 137 131 $2K
83550 4,051 4,003 $2K
77080 100 100 $2K
86003 1,087 1,082 $2K
86803 11,706 11,567 $2K
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 84 81 $2K
87481 59 58 $2K
92202 122 118 $2K
82948 4,660 3,997 $2K
86900 1,584 1,431 $2K
A7035 Headgear used with positive airway pressure device 81 80 $2K
82570 10,517 10,307 $2K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 115 114 $2K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 5,805 5,786 $2K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 13 13 $2K
83970 427 417 $1K
10040 55 52 $1K
86769 251 241 $1K
82607 4,097 4,054 $1K
84702 2,113 1,810 $1K
88304 104 104 $1K
73562 64 55 $1K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 105 95 $1K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 7,677 7,609 $1K
76536 29 29 $1K
70551 Magnetic resonance imaging, brain; without contrast material 13 13 $1K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 16 16 $1K
80305 65 63 $1K
92587 44 44 $1K
15852 46 41 $1K
84439 7,710 7,578 $1K
73610 41 40 $1K
92557 42 41 $1K
90715 2,438 2,435 $1K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 36 33 $1K
82947 5,551 5,168 $1K
11720 70 70 $1K
E0295 Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress 12 12 $1K
97163 25 25 $1K
90670 1,213 1,212 $1K
87340 5,668 5,611 $1K
99201 749 505 $1K
86140 2,776 2,536 $1K
82962 4,259 3,695 $1K
51798 49 45 $1K
G9920 Screening performed and negative 368 365 $1K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 26 26 $1K
84100 1,779 1,210 $1K
86850 687 648 $1K
87081 2,289 2,200 $976.23
87040 799 726 $975.07
87088 8,803 8,503 $966.14
A4217 Sterile water/saline, 500 ml 27 25 $949.66
72100 40 40 $921.13
99051 135 119 $910.07
S4993 Contraceptive pills for birth control 27 27 $902.18
87186 2,357 2,264 $859.76
3074F 4,058 3,669 $857.35
88307 53 53 $844.88
E0114 Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips 27 27 $841.09
83540 4,829 4,760 $839.47
E0163 Commode chair, mobile or stationary, with fixed arms 12 12 $822.48
84703 1,159 1,124 $809.02
97139 157 47 $800.00
92586 12 12 $789.96
11100 12 12 $786.38
99442 868 805 $779.90
87070 2,807 2,730 $764.41
86235 321 315 $715.26
83605 408 328 $712.85
95816 12 12 $710.00
90686 6,057 6,055 $655.65
87522 Neg quan hep c or qual rna 615 603 $644.78
T1014 Telehealth transmission, per minute, professional services bill separately 52 49 $635.88
90472 Immunization administration, each additional vaccine (list separately) 3,413 3,399 $631.48
87077 2,390 2,297 $605.12
0760 67 62 $594.75
11901 41 41 $585.91
A7038 Filter, disposable, used with positive airway pressure device 95 93 $577.43
G9551 Final reports for imaging studies without an incidentally found lesion noted 28 27 $574.96
76813 12 12 $574.35
83615 1,475 1,363 $556.87
87210 983 970 $550.32
90688 1,922 1,912 $544.00
82043 10,679 10,565 $538.29
82247 453 270 $531.36
86038 1,736 1,719 $529.65
V5008 Hearing screening 29 29 $518.81
82652 1,164 1,158 $493.73
69210 61 60 $485.83
76857 13 13 $481.80
82746 3,013 2,980 $480.76
3078F 4,093 3,714 $462.81
84153 2,504 2,454 $461.47
86160 296 288 $460.01
84481 1,088 1,080 $432.37
82550 594 574 $418.44
59430 28 27 $393.89
92100 14 12 $375.51
84403 1,544 1,516 $371.89
15851 13 13 $336.92
A7005 Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable 19 19 $335.74
92341 24 24 $333.90
82248 3,082 2,881 $330.09
83021 309 309 $326.47
93018 12 12 $322.80
A6216 Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 16 15 $322.79
90732 63 63 $321.03
72040 12 12 $312.16
85652 4,525 4,424 $298.33
81015 576 553 $288.50
86780 870 840 $286.68
73221 15 14 $282.09
96150 152 149 $270.36
3725F 6,243 5,624 $270.21
84460 2,244 2,229 $267.85
1160F 3,831 3,273 $266.00
84550 2,441 2,410 $263.72
93016 12 12 $260.46
92081 74 74 $255.00
82274 3,852 3,766 $246.39
H0049 Alcohol and/or drug screening 5,367 4,737 $239.22
80074 1,937 1,883 $237.43
83002 706 702 $232.52
90658 394 394 $230.42
E0971 Manual wheelchair accessory, anti-tipping device, each 13 13 $230.05
86360 76 75 $228.18
84156 393 364 $225.70
82565 549 531 $225.63
83986 44 44 $221.26
87205 311 282 $214.41
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 746 740 $212.64
82120 27 27 $211.30
86225 413 409 $209.74
Q0092 Set-up portable x-ray equipment 15 14 $199.78
84155 397 262 $199.55
92551 5,763 5,757 $198.36
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,310 1,309 $197.10
90723 136 136 $197.10
82270 379 375 $197.10
86701 211 211 $185.52
83498 177 177 $166.14
82533 90 82 $164.64
83001 1,113 1,104 $160.70
82378 418 368 $160.70
73080 26 26 $156.38
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,613 1,598 $156.00
80047 53 44 $149.10
86706 3,049 3,031 $147.39
82776 108 108 $146.94
99406 781 695 $144.11
1036F 2,428 2,250 $144.00
84436 1,659 1,649 $142.07
82785 770 769 $140.28
82261 108 108 $135.96
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 449 449 $135.92
85045 306 294 $131.63
86703 166 165 $128.76
84450 1,246 1,237 $127.70
86762 304 304 $120.30
83789 111 111 $114.93
99281 Emergency department visit for the evaluation and management, self-limited or minor 775 742 $114.38
96900 14 13 $113.26
99173 13,251 13,227 $112.49
86431 1,261 1,248 $111.87
99441 360 347 $111.76
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 435 429 $111.54
17340 18 17 $109.29
83655 4,181 4,161 $109.01
82670 631 625 $107.36
86039 305 302 $105.00
82150 282 265 $104.38
82105 161 155 $101.98
92567 46 46 $99.19
84146 1,024 1,010 $97.58
71010 30 14 $96.88
29540 56 43 $96.50
88142 2,107 2,105 $87.73
80202 136 80 $86.81
96151 258 257 $85.71
3044F 380 380 $84.89
87536 2,184 2,166 $84.25
84480 413 412 $83.23
86376 435 431 $82.58
82553 19 13 $79.25
80051 211 207 $79.06
82977 1,145 1,140 $77.75
86800 282 278 $77.63
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 515 427 $75.69
84520 429 347 $70.62
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 2,313 2,105 $70.00
36416 311 300 $68.70
80320 78 72 $66.82
86696 309 305 $66.42
85651 15 12 $66.35
90698 364 364 $66.15
81005 32 26 $64.92
82803 122 44 $63.62
86317 1,213 1,206 $63.32
82310 222 200 $63.14
96160 720 698 $63.00
87209 206 202 $62.35
86480 2,616 2,602 $61.98
90746 254 252 $56.21
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,499 3,492 $53.63
83013 462 456 $53.34
3045F 313 308 $50.00
J3010 Injection, fentanyl citrate, 0.1 mg 12 12 $48.82
0501F 27 27 $46.98
86695 300 298 $45.33
G2024 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source 16 15 $44.56
86765 118 117 $44.25
83721 156 156 $43.72
84466 13 13 $43.60
80197 82 63 $42.77
80164 32 29 $39.13
86787 273 272 $38.62
86304 96 89 $37.63
82627 316 314 $37.20
82951 328 325 $33.48
87177 206 202 $30.90
86704 3,443 3,419 $29.80
84075 116 114 $27.70
83525 262 261 $27.19
84133 51 42 $26.23
80069 436 429 $25.11
85060 156 155 $25.00
84479 1,248 1,244 $24.81
T1003 Lpn/lvn services, up to 15 minutes 4,198 3,902 $24.26
87075 26 26 $23.94
J0696 Injection, ceftriaxone sodium, per 250 mg 105 105 $23.75
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 856 851 $23.49
87905 309 307 $23.49
87390 227 227 $23.49
0500F 99 97 $23.49
82465 1,590 1,584 $22.03
87338 1,216 1,212 $21.99
86300 245 224 $21.80
80329 83 78 $21.71
82784 174 172 $20.91
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 26 24 $20.28
A7015 Aerosol mask, used with dme nebulizer 14 14 $17.03
82950 1,857 1,851 $15.82
85379 13 12 $15.61
87480 519 515 $14.70
87510 520 516 $14.70
87660 515 511 $14.43
83718 1,054 1,052 $13.16
86593 844 812 $10.62
87147 613 601 $9.78
83020 138 138 $9.47
86709 299 298 $8.91
82040 45 44 $7.90
85014 277 266 $7.09
82952 205 204 $3.43
85041 44 41 $2.39
86200 594 592 $2.10
1000F 5,265 4,935 $0.08
0502F 950 670 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,188 4,183 $0.00
3288F 1,115 952 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,573 2,572 $0.00
90734 1,088 1,087 $0.00
T1015 Clinic visit/encounter, all-inclusive 8,459 7,524 $0.00
90649 481 481 $0.00
99001 536 514 $0.00
3077F 224 220 $0.00
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 364 364 $0.00
1159F 3,205 2,739 $0.00
4004F 311 289 $0.00
98966 517 453 $0.00
83026 156 156 $0.00
90461 694 536 $0.00
90832 Psychotherapy, 30 minutes with patient 447 294 $0.00
S3645 Hiv-1 antibody testing of oral mucosal transudate 232 228 $0.00
90687 364 364 $0.00
92552 4,253 4,245 $0.00
86708 3,153 3,133 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 2,930 2,907 $0.00
90710 403 403 $0.00
90633 936 936 $0.00
0450 Emergency room services 162 150 $0.00
0002A 1,063 1,054 $0.00
90707 288 288 $0.00
90713 103 103 $0.00
84445 54 54 $0.00
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment 44 44 $0.00
91300 2,380 2,179 $0.00
90644 286 286 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 923 921 $0.00
G0444 Annual depression screening, 5 to 15 minutes 1,216 1,024 $0.00
99404 119 112 $0.00
90396 63 63 $0.00
99072 1,086 911 $0.00
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 219 200 $0.00
85613 39 39 $0.00
98942 191 118 $0.00
86735 99 99 $0.00
90700 257 257 $0.00
90791 Psychiatric diagnostic evaluation 66 58 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 122 98 $0.00
2028F 180 162 $0.00
3046F 214 214 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 25 25 $0.00
59426 132 85 $0.00
D0220 Intraoral - periapical first radiographic image 13 12 $0.00
P9604 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge 293 184 $0.00
99080 49 49 $0.00
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 56 56 $0.00
87045 86 86 $0.00
87427 85 85 $0.00
D0190 316 316 $0.00
86147 55 55 $0.00
76818 19 13 $0.00
90681 67 67 $0.00
A4218 Sterile saline or water, metered dose dispenser, 10 ml 76 76 $0.00
90685 31 31 $0.00
H1002 Prenatal care, at risk enhanced service; care coordination 12 12 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 44 44 $0.00
86689 12 12 $0.00
86318 21 20 $0.00
90648 204 204 $0.00
A0425 Ground mileage, per statute mile 42 42 $0.00
98940 17 15 $0.00
99490 Ccm add 20min 44 44 $0.00
86644 14 14 $0.00
G0459 Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy 26 24 $0.00
11056 35 35 $0.00
S0199 Medically induced abortion by oral ingestion of medication including all associated services and supplies (e.g., patient counseling, office visits, confirmation of pregnancy by hcg, ultrasound to confirm duration of pregnancy, ultrasound to confirm completion of abortion) except drugs 12 12 $0.00
82085 47 47 $0.00
87535 52 52 $0.00
90672 20 20 $0.00
90756 40 40 $0.00
76827 26 26 $0.00
G0127 Trimming of dystrophic nails, any number 12 12 $0.00
90837 Psychotherapy, 53 minutes with patient 37 30 $0.00
86328 15 12 $0.00
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 30 29 $0.00
86705 27 27 $0.00
3015F 56 56 $0.00
87329 12 12 $0.00
87631 12 12 $0.00
0360 12 12 $0.00
2022F 15 14 $0.00
99188 17 17 $0.00
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 561 385 $0.00
84999 605 605 $0.00
1126F 669 597 $0.00
1170F 2,103 1,843 $0.00
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 288 257 $0.00
0001A 1,356 1,347 $0.00
90651 1,445 1,445 $0.00
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 87 87 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 547 526 $0.00
G9008 Coordinated care fee, physician coordinated care oversight services 88 71 $0.00
80081 965 960 $0.00
99402 193 180 $0.00
91301 851 830 $0.00
88141 698 698 $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 78 75 $0.00
99385 192 192 $0.00
H0033 Oral medication administration, direct observation 240 212 $0.00
90696 367 367 $0.00
90834 Psychotherapy, 45 minutes with patient 931 587 $0.00
87430 390 382 $0.00
1111F 292 282 $0.00
92002 99 99 $0.00
99386 84 84 $0.00
D0140 Limited oral evaluation - problem focused 180 180 $0.00
D1310 66 66 $0.00
99495 164 162 $0.00
96156 349 348 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 224 212 $0.00
H2000 Comprehensive multidisciplinary evaluation 125 125 $0.00
86707 256 254 $0.00
90744 267 267 $0.00
87808 323 321 $0.00
4000F 387 361 $0.00
3075F 231 229 $0.00
86361 1,213 1,205 $0.00
86580 1,250 1,234 $0.00
T1002 Rn services, up to 15 minutes 765 739 $0.00
87046 85 85 $0.00
84402 481 476 $0.00
90716 252 252 $0.00
0011A 687 686 $0.00
84154 81 81 $0.00
T1004 Services of a qualified nursing aide, up to 15 minutes 967 956 $0.00
84132 40 29 $0.00
86880 15 14 $0.00
92082 185 185 $0.00
84270 29 29 $0.00
99403 296 293 $0.00
87350 257 255 $0.00
2001F 119 116 $0.00
90620 173 172 $0.00
H0002 Behavioral health screening to determine eligibility for admission to treatment program 304 245 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 87 82 $0.00
3079F 423 414 $0.00
90647 59 59 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 44 44 $0.00
83014 37 37 $0.00
84144 42 42 $0.00
D1330 66 66 $0.00
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 16 15 $0.00
3072F 34 33 $0.00
86255 25 25 $0.00
87625 12 12 $0.00
0012A 688 688 $0.00
2010F 31 31 $0.00
0710 45 44 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 32 32 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 197 186 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 31 30 $0.00
90674 231 231 $0.00
90656 29 29 $0.00
86777 28 28 $0.00
1034F 166 161 $0.00
84478 45 42 $0.00
1125F 76 67 $0.00
99412 57 55 $0.00
S9452 Nutrition classes, non-physician provider, per session 75 75 $0.00
2000F 42 42 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 57 56 $0.00
94010 149 149 $0.00
3080F 79 75 $0.00
3351F 53 52 $0.00
J1815 Injection, insulin, per 5 units 17 17 $0.00
85660 47 47 $0.00
87486 12 12 $0.00
99429 202 189 $0.00
S8110 Peak expiratory flow rate (physician services) 50 46 $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 25 23 $0.00
86812 12 12 $0.00
0031A 48 48 $0.00
99383 34 34 $0.00
90792 Psychiatric diagnostic evaluation with medical services 16 15 $0.00
87529 14 14 $0.00
92227 17 17 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 42 41 $0.00
G8433 Screening for depression not completed, documented patient or medical reason 12 12 $0.00
87490 13 13 $0.00
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 12 12 $0.00
87650 13 13 $0.00
3014F 14 14 $0.00
83520 12 12 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 15 14 $0.00
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 12 12 $0.00
99606 13 13 $0.00
4086F 12 12 $0.00
87181 13 13 $0.00
86141 14 14 $0.00
G0471 Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) 20 12 $0.00
87581 12 12 $0.00
G0008 Administration of influenza virus vaccine 13 13 $0.00
S9446 Patient education, not otherwise classified, non-physician provider, group, per session 21 14 $0.00