Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › ROYAL OAK › WILLIAM BEAUMONT HOSPITAL

WILLIAM BEAUMONT HOSPITAL

NPI: 1811044878 · ROYAL OAK, MI 48073 · Cardiovascular Disease Physician · NPI assigned 01/04/2007

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

Authorized official WILLBRANDT, LESLEY controls 20+ related entities in our dataset. Read more

$168.04M
Total Medicaid Paid
3,961,907
Total Claims
3,416,438
Beneficiaries
671
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWILLBRANDT, LESLEY (SR. DIRECTOR BEAUMONT SHARED SVCS)
Parent OrganizationWILLIAM BEAUMONT HOSPITAL
NPI Enumeration Date01/04/2007

Related Entities

Other providers sharing the same authorized official: WILLBRANDT, LESLEY

ProviderCityStateTotal Paid
OAKWOOD AMBULATORY LLC DEARBORN MI $67.00M
BOTSFORD GENERAL HOSPITAL FARMINGTON MI $4.59M
BOTSFORD GENERAL HOSPTIAL LIVONIA MI $4.22M
BOTSFORD GENERAL HOSPITAL FARMINGTON HILLS MI $2.39M
BOTSFORD GENERAL HOSPITAL FARMINGTON HILLS MI $1.52M
BOTSFORD GENERAL HOSPITAL DETROIT MI $1.17M
BOTSFORD GENERAL HOSPITAL FARMINGTON HILLS MI $1.06M
BOTSFORD GENERAL HOSPITAL FARMINGTON HILLS MI $1000K
BOTSFORD GENERAL HOSPITAL FARMINGTON HILLS MI $583K
BOTSFORD GENERAL HOSPITAL FARMINGTON HILLS MI $470K
BOTSFORD GENERAL HOSPITAL FARMINGTON HILLS MI $310K
WILLIAM BEAUMONT HOSPITAL ROYAL OAK MI $217K
BOTSFORD GENERAL HOSPITAL REDFORD MI $205K
BOTSFORD GENERAL HOSPITAL FARMINGTON HILLS MI $150K
BOTSFORD GENERAL HOSPITAL DEARBORN HEIGHTS MI $124K
WILLIAM BEAUMONT HOSPITAL ROYAL OAK MI $119K
BOTSFORD GENERAL HOSPITAL FARMINGTON HILLS MI $104K
WILLIAM BEAUMONT HOSPITAL ROYAL OAK MI $98K
BOTSFORD GENERAL HOSPITAL FARMINGTON MI $53K
BOTSFORD GENERAL HOSPTIAL LIVONIA MI $37K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 571,629 $18.84M
2019 551,751 $21.28M
2020 484,686 $20.07M
2021 559,473 $26.14M
2022 556,864 $26.72M
2023 655,068 $29.68M
2024 582,436 $25.31M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 244,929 226,835 $16.44M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 174,208 160,178 $13.67M
99284 Emergency department visit for the evaluation and management, high severity 184,415 174,825 $11.33M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 206,392 191,892 $9.63M
99233 Prolong inpt eval add15 m 130,301 37,769 $7.67M
99223 Prolong inpt eval add15 m 52,117 37,454 $5.44M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 58,527 57,613 $4.98M
99232 Subsequent hospital care, per day, moderate complexity 117,035 40,436 $4.85M
99215 Prolong outpt/office vis 56,962 52,830 $4.65M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 33,940 22,116 $4.18M
99283 Emergency department visit for the evaluation and management, moderate severity 65,796 63,535 $3.85M
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 4,581 4,531 $3.47M
99205 Prolong outpt/office vis 24,474 23,762 $2.59M
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 7,996 690 $2.47M
59426 3,407 3,355 $2.43M
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 25,438 25,282 $2.32M
88305 Level IV - Surgical pathology, gross and microscopic examination 60,683 53,862 $2.19M
99222 Initial hospital care, per day, moderate complexity 28,640 25,404 $2.13M
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 6,418 915 $2.11M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 38,463 38,098 $2.03M
74177 Computed tomography, abdomen and pelvis; with contrast material 39,483 37,891 $2.02M
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 23,670 23,559 $1.92M
59514 2,585 2,377 $1.73M
99479 Subsequent intensive care, per day, very low birth weight infant 16,300 1,922 $1.68M
99238 Hospital discharge day management, 30 minutes or less 29,994 29,132 $1.27M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 19,949 17,957 $1.16M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 26,459 25,926 $1.06M
99480 Subsequent intensive care, per day, low birth weight infant 10,298 1,746 $1.01M
70450 Computed tomography, head or brain; without contrast material 41,745 37,884 $979K
88307 16,505 16,059 $938K
99220 8,868 8,527 $893K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 13,580 13,519 $890K
74176 Computed tomography, abdomen and pelvis; without contrast material 17,169 16,679 $839K
93975 25,238 24,117 $816K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 169,948 130,177 $793K
99385 8,244 8,218 $777K
77067 Screening mammography, bilateral, including computer-aided detection 33,767 33,715 $731K
71275 Computed tomographic angiography, chest, with contrast material 14,078 13,734 $713K
99239 Hospital discharge day management, more than 30 minutes 11,433 10,988 $699K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 10,929 10,621 $692K
95810 Polysomnography; sleep staging with 4 or more additional parameters 3,244 3,234 $639K
59430 3,803 3,777 $638K
77427 5,739 2,596 $618K
99460 11,212 11,150 $602K
99282 Emergency department visit for the evaluation and management, low to moderate severity 11,832 11,391 $544K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7,945 7,920 $533K
77014 20,096 2,079 $508K
71046 Radiologic examination, chest; 2 views 81,793 76,622 $507K
71045 Radiologic examination, chest; single view 98,631 59,610 $500K
95720 4,133 2,315 $479K
99386 4,187 4,168 $459K
76830 Ultrasound, transvaginal 21,831 21,503 $429K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 25,066 24,401 $419K
99477 1,407 1,377 $403K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 5,242 5,225 $402K
59425 1,063 1,045 $401K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 16,330 14,832 $391K
99468 492 484 $381K
76801 14,454 12,982 $380K
76700 Ultrasound, abdominal, real time with image documentation; complete 16,623 16,534 $378K
76705 Ultrasound, abdominal, real time with image documentation; limited 22,920 21,596 $375K
76770 18,123 17,723 $374K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 14,628 13,706 $355K
88341 6,481 5,500 $347K
99217 8,666 8,361 $340K
74183 5,170 5,136 $316K
90651 2,344 2,329 $310K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 15,259 13,490 $307K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 29,553 28,822 $306K
71260 Computed tomography, thorax, diagnostic; with contrast material 9,308 9,211 $304K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 7,370 7,332 $302K
95811 1,693 1,680 $302K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 10,714 10,647 $298K
99231 Subsequent hospital care, per day, straightforward or low complexity 13,089 7,649 $295K
72125 Computed tomography, cervical spine; without contrast material 10,386 10,233 $290K
70551 Magnetic resonance imaging, brain; without contrast material 7,047 6,992 $287K
99442 7,256 7,114 $285K
71250 9,309 9,191 $284K
99464 6,831 6,788 $283K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 4,092 4,068 $282K
49083 4,571 2,121 $278K
59025 Fetal non-stress test 14,976 7,559 $267K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 3,901 3,858 $258K
77334 3,064 2,345 $256K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 5,811 5,792 $254K
90837 Psychotherapy, 53 minutes with patient 3,462 1,965 $253K
76642 12,156 11,436 $252K
99381 3,222 3,143 $239K
95951 1,384 709 $237K
77066 Tomosynthesis, mammo 8,109 7,988 $229K
99221 4,443 4,241 $229K
88342 10,985 10,208 $228K
99236 Prolong inpt eval add15 m 1,797 1,715 $215K
99219 2,897 2,814 $212K
90686 11,927 11,861 $203K
99443 3,786 3,725 $202K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 5,316 5,073 $202K
95782 407 404 $197K
90715 6,331 6,303 $195K
90791 Psychiatric diagnostic evaluation 2,180 2,150 $194K
99496 1,329 1,316 $189K
77065 Tomosynthesis, mammo 8,162 7,545 $185K
75574 2,845 2,833 $185K
54150 3,180 3,171 $183K
90732 1,627 1,622 $182K
0002A 4,930 4,924 $179K
78815 Positron emission tomography (PET) for limited area imaging 2,684 2,666 $178K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,713 1,699 $176K
93970 9,126 8,682 $175K
J1050 Injection, medroxyprogesterone acetate, 1 mg 2,438 2,419 $174K
77263 1,820 1,798 $174K
72141 4,195 4,169 $172K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 5,150 5,104 $170K
20610 5,714 5,026 $166K
99462 6,976 5,758 $164K
77063 Screening digital breast tomosynthesis, bilateral 9,451 9,443 $163K
10061 1,587 1,532 $160K
76536 9,730 9,654 $157K
90832 Psychotherapy, 30 minutes with patient 4,095 3,834 $155K
76819 Fetal biophysical profile; without non-stress testing 7,204 3,511 $155K
00731 4,829 4,683 $155K
0001A 4,694 4,686 $151K
99384 1,578 1,574 $149K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 4,005 3,748 $148K
19083 1,712 1,604 $145K
36415 Collection of venous blood by venipuncture 43,366 42,393 $141K
00840 1,929 1,904 $140K
77300 2,195 1,920 $140K
99383 1,608 1,602 $135K
88141 9,344 9,322 $135K
88189 2,801 2,648 $130K
44970 488 441 $129K
72156 2,039 2,008 $129K
80502 3,342 3,271 $127K
01922 2,172 1,879 $126K
70491 3,181 3,119 $124K
70486 5,191 5,126 $124K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 5,995 5,464 $123K
72158 1,931 1,893 $121K
90834 Psychotherapy, 45 minutes with patient 2,428 1,903 $121K
90472 Immunization administration, each additional vaccine (list separately) 8,060 7,621 $120K
88173 2,525 2,430 $120K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 809 803 $119K
77295 930 836 $118K
47562 498 457 $117K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 2,186 2,179 $114K
84165 11,115 10,911 $113K
93971 9,102 8,682 $113K
73221 3,003 2,863 $113K
00790 1,495 1,424 $111K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 11,751 10,895 $109K
99292 1,420 1,083 $109K
74178 1,862 1,854 $104K
74022 11,544 11,007 $104K
72197 1,707 1,694 $104K
99157 1,707 1,587 $102K
74174 1,651 1,545 $101K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 5,842 5,784 $100K
93350 2,523 2,513 $100K
99495 956 952 $99K
74018 18,950 13,323 $97K
99471 132 129 $95K
99254 1,091 1,020 $94K
95718 1,244 1,174 $94K
88112 5,871 5,525 $94K
72110 12,010 11,895 $94K
93000 10,622 10,406 $90K
01961 1,412 1,404 $87K
73564 13,580 12,066 $87K
99156 2,015 1,891 $87K
90746 1,241 1,228 $86K
14040 391 380 $86K
70498 1,757 1,736 $86K
00811 2,891 2,855 $86K
93880 3,873 3,861 $85K
90750 561 560 $85K
J0585 Injection, onabotulinumtoxina, 1 unit 58 57 $84K
95816 2,492 2,463 $83K
88304 11,096 10,939 $81K
70496 1,637 1,572 $79K
88312 3,729 3,529 $77K
73030 14,326 12,987 $77K
74019 11,666 10,800 $76K
93018 9,492 9,415 $76K
71271 2,452 2,452 $75K
31500 964 900 $74K
76870 4,011 3,914 $72K
36569 1,528 1,381 $72K
73700 2,607 2,296 $72K
72157 1,133 1,112 $71K
99382 852 845 $71K
72131 2,564 2,531 $70K
99218 1,285 1,262 $70K
73630 14,646 13,231 $70K
90677 249 246 $70K
77301 287 279 $67K
12011 2,098 2,079 $67K
99441 2,494 2,416 $67K
73610 13,166 12,010 $66K
76820 4,669 2,331 $66K
12001 2,466 2,458 $64K
77290 1,380 1,263 $63K
00400 1,553 1,407 $62K
93016 5,197 5,140 $62K
58300 1,662 1,639 $62K
10060 1,080 1,050 $62K
95957 1,203 647 $61K
93308 4,280 3,637 $61K
95251 3,160 3,128 $61K
73502 9,511 8,915 $61K
88309 650 636 $60K
17110 1,120 971 $59K
73130 11,723 10,142 $59K
93458 443 431 $58K
90671 386 386 $58K
00670 551 525 $58K
90460 Immunization administration through 18 years of age via any route, first or only component 2,673 2,646 $56K
95886 1,402 1,385 $55K
76825 1,183 1,123 $55K
86334 5,386 5,294 $55K
99255 486 458 $54K
72146 1,331 1,323 $54K
36573 1,152 1,115 $53K
83036 Hemoglobin; glycosylated (A1C) 7,544 7,423 $53K
95819 1,499 1,482 $51K
77338 410 392 $51K
80503 4,221 4,159 $50K
96130 801 797 $49K
76881 2,376 2,119 $48K
73560 9,675 7,932 $48K
70544 1,867 1,721 $48K
83020 4,478 4,452 $48K
90670 2,682 2,659 $47K
93320 4,589 4,269 $47K
01480 929 879 $47K
99465 560 555 $46K
73110 9,059 8,177 $46K
76882 2,573 2,277 $43K
36556 909 812 $43K
10005 991 967 $43K
19081 467 441 $43K
75561 591 589 $42K
88313 2,744 2,617 $42K
99463 669 668 $42K
73590 9,062 8,057 $42K
81025 6,151 6,039 $42K
99152 6,053 5,526 $41K
85060 3,827 3,555 $41K
76942 2,325 2,199 $41K
00300 850 796 $41K
76821 2,095 1,075 $41K
88360 1,444 1,337 $40K
00170 Anesthesia for intraoral procedures, including biopsy 814 803 $39K
70487 1,219 1,200 $39K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 947 921 $38K
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 1,645 1,536 $37K
93297 2,460 2,436 $37K
54161 528 517 $37K
00812 1,344 1,338 $37K
95250 465 434 $37K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 37 37 $36K
92250 3,125 2,283 $36K
99406 4,591 4,495 $36K
95719 396 349 $35K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 4,725 3,425 $35K
12002 1,035 1,027 $35K
93298 1,889 1,867 $34K
00320 549 530 $34K
72100 5,352 5,003 $34K
99244 Office or other outpatient consultation, moderate to high complexity 401 396 $33K
76506 1,886 1,679 $33K
99354 509 499 $33K
62328 623 601 $32K
87428 827 819 $31K
00902 669 650 $31K
42820 Tonsillectomy and adenoidectomy; younger than age 12 172 172 $30K
72040 4,777 4,431 $30K
00140 630 623 $30K
73090 6,485 5,768 $30K
58301 642 639 $29K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 995 916 $28K
90632 495 491 $28K
85097 888 866 $28K
93295 1,330 1,324 $27K
88188 751 717 $27K
00910 891 860 $27K
98929 592 581 $26K
25600 171 161 $26K
77049 387 387 $26K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,247 2,181 $25K
73080 5,079 4,741 $25K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 1,401 1,390 $25K
00813 656 649 $25K
64642 318 314 $25K
70480 721 714 $25K
90739 315 314 $25K
73552 4,785 4,232 $25K
93042 6,577 6,366 $25K
77080 4,280 4,275 $25K
72070 4,103 4,043 $24K
77280 1,144 1,029 $24K
92134 1,725 1,634 $24K
01968 520 520 $24K
31231 593 573 $24K
36620 958 860 $24K
74230 1,577 1,533 $23K
93227 1,858 1,839 $23K
96136 1,110 1,104 $23K
88311 3,024 2,868 $23K
74420 1,736 1,608 $23K
77470 366 361 $23K
90656 1,112 1,111 $22K
00918 503 482 $22K
73565 4,327 4,299 $22K
00920 545 541 $22K
76937 3,036 2,747 $21K
88331 408 385 $21K
88361 446 418 $21K
71101 2,800 2,773 $21K
69210 892 869 $21K
62270 490 462 $20K
80504 752 737 $20K
73562 3,580 3,062 $20K
85390 957 946 $20K
73060 4,241 3,922 $20K
G0297 Low dose ct scan (ldct) for lung cancer screening 685 685 $20K
95806 470 470 $20K
99253 306 288 $19K
01400 379 379 $18K
84166 1,801 1,756 $18K
76827 1,149 1,089 $18K
31575 477 465 $18K
92015 Determination of refractive state 1,852 1,824 $18K
78227 676 674 $17K
78226 827 818 $17K
93272 1,210 1,201 $16K
36561 94 92 $16K
99235 177 175 $16K
77001 1,736 1,574 $16K
81003 8,619 8,419 $15K
73523 1,751 1,736 $15K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 141 141 $15K
93325 7,811 7,124 $15K
73140 3,642 3,342 $15K
99475 26 25 $14K
74160 395 393 $14K
72052 1,528 1,525 $14K
00952 349 346 $14K
72170 2,806 2,692 $14K
99226 1,652 1,289 $13K
88302 2,403 2,373 $13K
72050 1,626 1,625 $13K
88350 153 142 $13K
76813 381 380 $13K
96101 164 148 $13K
78306 563 560 $12K
64643 189 183 $12K
01630 195 195 $12K
73070 2,506 2,197 $12K
72128 423 420 $11K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 335 247 $11K
70543 187 183 $11K
70360 2,196 2,167 $11K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 219 218 $11K
76377 491 421 $11K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 155 154 $11K
J1040 Injection, methylprednisolone acetate, 80 mg 992 937 $10K
00145 159 155 $10K
99418 Prolong nursin fac eval 15m 250 226 $10K
00160 159 159 $10K
00940 291 277 $10K
93923 792 786 $10K
92650 644 643 $10K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2,519 2,484 $10K
38222 224 217 $10K
58661 28 26 $9K
90682 143 143 $9K
43775 26 26 $9K
95953 98 86 $9K
10022 213 180 $9K
72082 962 960 $9K
73620 1,944 1,697 $9K
73200 302 288 $9K
57454 107 107 $9K
73100 1,798 1,540 $8K
01402 118 116 $8K
76641 272 271 $8K
01810 229 225 $8K
93925 353 351 $8K
93321 1,924 1,617 $8K
76140 3,169 2,280 $8K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 176 54 $8K
0004A 204 204 $8K
01214 91 90 $8K
73600 1,622 1,395 $8K
73000 1,539 1,404 $8K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 301 79 $8K
99243 154 148 $8K
93248 498 496 $7K
00630 84 83 $7K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 6,033 5,526 $7K
99309 Subsequent nursing facility care, per day, low to moderate complexity 144 96 $7K
99356 151 127 $7K
77003 481 436 $7K
80305 737 731 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 550 516 $7K
90734 847 815 $7K
99459 541 540 $7K
58100 145 142 $7K
92083 427 418 $7K
99234 87 84 $7K
01830 142 141 $6K
00142 202 188 $6K
74240 284 276 $6K
36558 45 41 $6K
98928 164 160 $6K
00797 67 67 $6K
99188 895 886 $6K
32555 100 77 $6K
73120 1,216 983 $6K
0003A 143 143 $5K
81002 2,182 2,113 $5K
95909 112 112 $5K
93312 88 88 $5K
99497 141 136 $5K
97530 Therapeutic activities, direct patient contact, each 15 minutes 102 39 $5K
54300 16 16 $5K
88108 389 341 $5K
95813 111 106 $5K
77072 876 875 $5K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 38 38 $5K
90714 167 167 $5K
99201 226 226 $4K
95812 134 132 $4K
90707 854 847 $4K
78830 93 90 $4K
77012 107 101 $4K
73521 681 676 $4K
74181 103 100 $4K
76885 194 192 $4K
20680 27 24 $4K
93280 186 174 $4K
93976 193 186 $4K
98927 132 125 $4K
76604 237 226 $4K
80500 357 354 $4K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 163 50 $4K
78264 163 163 $4K
20605 164 162 $4K
00732 68 65 $4K
99281 Emergency department visit for the evaluation and management, self-limited or minor 123 118 $3K
11981 73 69 $3K
99397 29 29 $3K
0124A 84 84 $3K
90716 868 860 $3K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 181 56 $3K
01965 86 86 $3K
88346 155 152 $3K
93244 219 219 $3K
92133 243 234 $3K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 144 144 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 366 351 $3K
90474 674 671 $3K
74328 183 173 $3K
96127 749 704 $3K
90620 91 91 $3K
0072A 74 74 $3K
88348 65 65 $3K
00120 48 48 $3K
93294 167 166 $3K
72193 80 78 $3K
99407 209 199 $3K
43762 115 105 $3K
77002 177 174 $2K
98966 393 360 $2K
93282 79 74 $2K
28470 29 26 $2K
74170 50 50 $2K
99308 Subsequent nursing facility care, per day, straightforward 63 56 $2K
99225 427 339 $2K
17250 59 54 $2K
10160 32 32 $2K
00520 46 40 $2K
01470 37 35 $2K
92025 176 176 $2K
99417 Prolong home eval add 15m 90 79 $2K
0054A 49 49 $2K
73660 489 462 $2K
86580 346 330 $2K
72020 409 368 $2K
74220 118 109 $2K
58558 13 13 $2K
73701 49 39 $2K
58340 56 56 $2K
88121 65 65 $2K
73720 26 25 $2K
57452 25 25 $2K
26600 13 12 $2K
95908 39 39 $1K
J3411 Injection, thiamine hcl, 100 mg 793 766 $1K
0071A 38 38 $1K
0012A 45 45 $1K
72072 220 218 $1K
88300 528 524 $1K
91200 204 190 $1K
00830 27 27 $1K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 95 94 $1K
36590 12 12 $1K
93454 14 12 $1K
96450 33 25 $1K
74241 69 66 $1K
70470 36 36 $1K
01112 38 38 $1K
72220 256 255 $1K
88187 62 61 $1K
99155 27 25 $1K
99252 32 31 $1K
31622 25 25 $1K
78582 42 42 $1K
97162 24 24 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 1,082 1,041 $1K
51600 51 50 $1K
77307 13 13 $1K
74270 52 51 $1K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 64 53 $1K
90688 73 73 $1K
00532 25 25 $1K
00126 38 38 $1K
01382 22 22 $1K
10030 14 13 $1K
43235 14 14 $1K
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 28 28 $1K
20600 46 46 $1K
74246 42 41 $997.96
73718 26 26 $993.11
82962 467 453 $965.61
0051A 27 27 $963.00
67028 Intravitreal injection of a pharmacologic agent 22 12 $906.56
01622 13 12 $881.20
76981 52 52 $869.78
90662 15 15 $863.69
97535 Self-care/home management training, each 15 minutes 36 20 $851.04
70481 24 24 $826.44
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 26 26 $822.24
73501 144 137 $767.89
92960 12 12 $764.04
43273 13 12 $760.42
90473 55 55 $731.25
73522 82 82 $713.35
93283 31 27 $701.86
0011A 48 48 $662.80
G0452 Molecular pathology procedure; physician interpretation and report 3,913 3,516 $645.76
92558 392 382 $644.47
95938 27 24 $603.55
93304 27 25 $567.00
77073 70 68 $550.53
94060 87 87 $544.44
70250 106 95 $532.24
94726 72 72 $531.95
12013 14 14 $483.80
72132 15 15 $481.93
0052A 12 12 $472.86
92551 142 140 $469.75
87807 59 58 $462.27
94729 81 81 $445.91
94618 28 27 $437.70
11200 12 12 $436.07
92511 24 24 $432.52
96110 Developmental screening, with scoring and documentation, per standardized instrument 50 49 $430.71
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 38 26 $427.05
90674 18 18 $415.05
95249 13 13 $411.97
10006 13 13 $401.95
88720 228 173 $386.38
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 28 28 $357.12
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk 13 13 $348.90
94010 40 39 $342.77
74455 38 38 $338.79
76857 26 25 $337.16
43760 13 12 $309.81
95976 13 13 $290.67
J1010 Injection, methylprednisolone acetate, 1 mg 95 88 $286.05
76000 44 41 $271.63
76886 14 14 $265.90
96040 12 12 $260.78
93225 24 24 $248.92
88104 14 13 $246.80
72114 27 27 $241.48
96380 13 13 $230.30
49465 13 12 $224.66
99358 Prolong nursin fac eval 15m 899 846 $218.84
74247 13 13 $214.29
G0124 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician 522 507 $211.71
72190 29 26 $193.48
99421 31 29 $175.73
72202 25 25 $172.74
77332 12 12 $168.84
93922 14 14 $151.18
86335 14 14 $145.15
G0008 Administration of influenza virus vaccine 24 24 $141.33
98967 168 165 $139.84
J7030 Infusion, normal saline solution , 1000 cc 47 29 $138.55
93296 15 15 $137.66
90621 13 13 $137.00
87210 59 55 $129.09
70260 13 13 $128.83
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 2,321 2,261 $126.11
0298T 43 43 $123.78
78013 12 12 $122.21
98968 132 128 $120.85
71111 13 13 $118.43
74740 13 13 $107.00
72081 12 12 $92.76
82270 26 26 $75.91
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 22 22 $64.98
82044 13 13 $57.72
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 17 17 $55.90
96160 34 34 $54.88
90744 564 562 $52.28
99051 774 733 $35.00
G0316 Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes) 25 19 $21.31
80053 Comprehensive metabolic panel 30 29 $12.56
94664 12 12 $9.91
36416 459 453 $3.75
3051F 1,403 1,395 $3.07
3052F 1,176 1,163 $1.87
86077 64 64 $0.00
90680 1,788 1,772 $0.00
94760 2,253 2,169 $0.00
3074F 76,646 68,966 $0.00
90647 1,441 1,429 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 29,361 28,758 $0.00
99140 1,032 996 $0.00
3044F 1,358 1,341 $0.00
90698 842 838 $0.00
3080F 8,249 7,655 $0.00
3079F 31,900 29,750 $0.00
3075F 17,843 16,799 $0.00
90723 982 974 $0.00
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) 208 207 $0.00
91305 32 32 $0.00
G8432 Depression screening not documented, reason not given 67,361 60,585 $0.00
80048 Basic metabolic panel (calcium, ionized) 15 14 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 27 25 $0.00
99422 31 30 $0.00
90696 32 32 $0.00
90381 12 12 $0.00
36410 28 27 $0.00
90700 675 665 $0.00
G8511 Screening for depression documented as positive, follow-up plan not documented, reason not given 3,823 3,770 $0.00
90633 1,423 1,417 $0.00
3078F 67,423 60,652 $0.00
3077F 15,441 14,149 $0.00
3045F 262 255 $0.00
3046F 989 966 $0.00
99173 864 862 $0.00
99177 1,400 1,376 $0.00
90461 1,187 1,179 $0.00
99100 867 825 $0.00
99401 260 210 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 1,975 1,960 $0.00
99053 12,696 12,119 $0.00
0722T 59 57 $0.00
0502F 170 109 $0.00
90685 105 104 $0.00
87631 22 22 $0.00
20936 15 12 $0.00
91300 1,820 1,679 $0.00
20930 18 12 $0.00
84702 15 14 $0.00
90713 27 26 $0.00