Total Spending
$149.9M
Providers
157
Total Claims
3,894,972
Unique Procedures
778

Procedures by Expenditure

All procedure codes billed by Medicaid providers in Carson City County, sorted by total payments from highest to lowest.

# Code Description Total Paid % of County Claims Avg/Claim
1T1040Community mental health center services — a full day of behavioral health treatment at a local clinic$27,039,507
18.0%
192,581$140
299285Emergency room visit for a severe or life-threatening problem$10,512,671
7.0%
61,443$171
3T1016Case management — a coordinator helping you navigate your healthcare (per 15 minutes)$9,843,313
6.6%
205,248$48
4T1017Targeted case management — a social worker helping coordinate your care (per 15 minutes)$9,298,191
6.2%
211,882$44
599213Office visit for a simple problem (established patient)$6,718,541
4.5%
144,835$46
699284Emergency room visit for a serious problem$6,290,530
4.2%
53,407$118
7A0427Ambulance ride with advanced life support — emergency (ALS 1 — paramedics on board)$5,750,154
3.8%
8,990$640
8G0467Federally Qualified Health Center visit — a community health center visit for regular patients$5,210,788
3.5%
48,954$106
999214Office visit for a moderate problem (established patient)$4,785,646
3.2%
85,002$56
10T1019Personal care services — a helper who assists with daily activities like bathing, dressing, and eating (per 15 minutes)$3,538,281
2.4%
43,261$82
1190999Dialysis or kidney treatment — other related procedure$3,139,689
2.1%
77,127$41
12A0429Ambulance ride with basic life support — emergency (BLS — EMTs on board)$2,999,893
2.0%
5,797$517
1390837Individual therapy session (60 minutes)$2,161,973
1.4%
45,596$47
14D1206Fluoride treatment — painted on teeth to prevent cavities$1,730,169
1.2%
37,667$46
1599283Emergency room visit for a moderate problem$1,641,521
1.1%
26,128$63
1699233Hospital care — daily check by your doctor (complex update)$1,577,243
1.1%
27,168$58
1790460Giving a vaccine to a child, including talking with the family about it$1,576,656
1.1%
37,281$42
18D1120Dental cleaning for children (prophylaxis)$1,576,065
1.1%
32,266$49
19H0015Intensive outpatient treatment for alcohol or drug problems (per hour)$1,530,604
1.0%
37,581$41
20S5126Attendant care services; per day$1,424,444
1.0%
1,375$1,036
21E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate$1,372,701
0.9%
37,073$37
2292508Group speech therapy session$1,320,484
0.9%
51,958$25
23V2020Frames, purchases$1,191,630
0.8%
19,027$63
2499212Office visit for a minor problem (established patient)$1,132,612
0.8%
47,146$24
2599392Wellness checkup — ages 1-4$1,104,728
0.7%
12,151$91
2699223Hospital admission — first day, complex or serious problem$982,087
0.7%
7,514$131
2792507Speech therapy session — treatment for speech, language, or swallowing problems$963,074
0.6%
18,558$52
2899391Wellness checkup — infant (under 1 year)$952,150
0.6%
11,314$84
2997110Physical therapy exercises to build strength, flexibility, or range of motion$938,472
0.6%
35,814$26
30V2410Variable asphericity lens, single vision, full field, glass or plastic, per lens$842,674
0.6%
8,094$104
3199232Hospital care — daily check by your doctor (moderate update)$837,636
0.6%
17,385$48
3292014Eye exam or vision test$814,736
0.5%
8,492$96
33H0020Alcohol or drug methadone administration and services$806,175
0.5%
25,253$32
3474177CT scan of the abdomen and pelvis (with contrast dye)$735,620
0.5%
15,003$49
35D0120Regular dental checkup and exam$729,069
0.5%
25,178$29
3678452Nuclear medicine imaging (using small amounts of radioactive material)$721,909
0.5%
1,814$398
37T1015All-inclusive clinic visit — covers everything in one trip to the clinic$617,467
0.4%
5,786$107
38H0005Group alcohol and/or drug counseling (per 15 minutes)$595,454
0.4%
53,126$11
39G0378Hospital observation services — being watched and monitored in the hospital (per hour)$591,108
0.4%
14,395$41
4099393Wellness checkup — ages 5-11$588,840
0.4%
6,348$93
41A0428Ambulance ride with basic life support (non-emergency, BLS)$555,071
0.4%
1,549$358
4292004Eye exam or vision test$542,358
0.4%
4,931$110
43D1351Dental sealant — protective coating on a tooth to prevent cavities$541,474
0.4%
27,660$20
44G0470Federally qualified health center (community health center) visit, mental health, established patient; a medically-necessary$537,583
0.4%
3,508$153
4599291Critical care — intensive treatment for a life-threatening condition (first 30-74 minutes)$526,761
0.4%
2,172$243
46H0047Alcohol and/or other drug abuse services, not otherwise specified$445,308
0.3%
20,032$22
4799231Hospital care — daily check by your doctor (minor update)$440,418
0.3%
21,340$21
4890832Individual therapy session (30 minutes)$419,940
0.3%
10,228$41
4977067Screening mammogram (breast cancer screening)$403,353
0.3%
7,009$58
5099239Hospital discharge — doctor manages your release (more than 30 minutes)$402,103
0.3%
5,579$72
5199310Nursing facility visit — complex problem$398,339
0.3%
15,958$25
5299309Nursing facility visit — moderate problem$396,291
0.3%
23,316$17
53D7210Surgical tooth extraction — requires cutting into gum or removing bone$392,491
0.3%
4,912$80
54G0466Federally qualified health center (community health center) visit, new patient; a medically-necessary$387,564
0.3%
2,842$136
5593306Heart ultrasound (echocardiogram)$384,176
0.3%
7,293$53
56D2392Tooth-colored (resin) filling — two surfaces, back tooth$358,001
0.2%
7,301$49
5799282Emergency room visit for a minor problem$353,836
0.2%
10,520$34
5892340Eye exam or vision test$320,434
0.2%
10,668$30
5990792Mental health evaluation — includes medication assessment$297,377
0.2%
4,205$71
6090461Additional vaccine given to a child at the same visit$289,853
0.2%
10,631$27
61T1023Screening and assessment — checking a patient's health and needs to create a care plan$284,069
0.2%
1,930$147
6292250Eye exam or vision test$281,004
0.2%
6,866$41
63D0274Dental X-ray — bitewings (four films)$275,437
0.2%
14,117$20
6492015Eye exam or vision test$263,816
0.2%
15,900$17
65D1354Interim caries arresting treatment — applying medicine to stop a cavity from growing$262,635
0.2%
23,824$11
6697530Therapeutic activities — exercises and tasks to improve daily function$253,191
0.2%
16,129$16
6766984Cataract surgery (removing a cloudy lens from the eye and replacing it)$240,073
0.2%
803$299
6872148MRI of the lower spine (without contrast)$237,367
0.2%
2,377$100
6999203New patient office visit — moderate problem$234,576
0.2%
4,613$51
7099394Wellness checkup — ages 12-17$231,565
0.2%
2,280$102
7170450CT scan of the head (without contrast dye)$228,258
0.2%
14,271$16
72D2930Stainless steel crown — prefabricated (primary tooth)$226,432
0.2%
2,828$80
7370553MRI of the brain (with and without contrast dye)$225,663
0.2%
1,339$169
74D1110Dental cleaning for adults (prophylaxis)$223,878
0.1%
5,319$42
75A7031Face mask interface, replacement for full face mask, each$218,051
0.1%
7,439$29
76D0150Comprehensive dental exam — thorough check of teeth, gums, and mouth$216,592
0.1%
8,395$26
77A7030Full face mask used with positive airway pressure device, each$213,483
0.1%
3,387$63
7859025Pregnancy, delivery, and maternity care$208,249
0.1%
5,221$40
79D9230Analgesia (pain management during dental work, like nitrous oxide/laughing gas)$199,034
0.1%
12,023$17
8071046Chest X-ray (two views — front and side)$198,279
0.1%
25,043$8
81V2784Lens, polycarbonate or equal, any index, per lens$184,262
0.1%
2,903$63
82D0140Limited dental exam — for a specific problem (like a toothache)$183,802
0.1%
6,525$28
8399245Office consultation — complex problem$182,229
0.1%
3,060$60
8490834Individual therapy session (45 minutes)$177,444
0.1%
8,076$22
85D0272Dental X-ray — bitewings (two films)$175,109
0.1%
9,811$18
86V2103Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens$171,394
0.1%
4,933$35
8743239Upper endoscopy with biopsy (camera down the throat to look at stomach, with tissue sample)$169,542
0.1%
1,174$144
8880307Drug test — checking urine or blood for multiple types of drugs$159,092
0.1%
10,910$15
89D2391Tooth-colored (resin) filling — one surface, back tooth$152,432
0.1%
4,096$37
9071045Chest X-ray (single view)$151,983
0.1%
40,071$4
91E0431Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing$151,492
0.1%
22,393$7
92D0330Panoramic dental X-ray (full view of all teeth and jaw)$151,123
0.1%
6,082$25
9376805Ultrasound of pregnancy (after first trimester)$147,254
0.1%
1,834$80
9476830Transvaginal ultrasound of the uterus$141,978
0.1%
3,065$46
9599202New patient office visit — simple problem$141,300
0.1%
3,292$43
9690876Individual psychophysiological therapy — biofeedback training$137,870
0.1%
1,525$90
97E0601Continuous positive airway pressure (cpap) device$136,312
0.1%
4,723$29
9899204New patient office visit — detailed visit for a serious problem$134,029
0.1%
1,654$81
99D9310Dental consultation — specialist opinion on a dental problem$131,656
0.1%
2,300$57
10082306Vitamin D blood test$131,492
0.1%
4,956$27
101D0230Additional dental X-ray$125,787
0.1%
25,830$5
10272141MRI of the neck/upper spine (without contrast)$121,278
0.1%
1,184$102
103H0049Alcohol and/or drug screening$119,625
0.1%
13,304$9
10493971Blood vessel ultrasound or study$119,006
0.1%
2,220$54
10599219Medical service or procedure$117,486
0.1%
1,988$59
106E0470Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, for example.$115,588
0.1%
1,832$63
10780305Drug or substance testing$112,340
0.1%
55,658$2
10897140Manual therapy — hands-on treatment like massage or joint mobilization$111,054
0.1%
10,391$11
109D0220Single dental X-ray (of one tooth)$110,902
0.1%
9,634$12
110D2150Silver (amalgam) filling — two surfaces$110,282
0.1%
1,393$79
11171250CT scan of the chest (without contrast dye)$108,286
0.1%
1,826$59
11276700Ultrasound of the abdomen (complete)$106,650
0.1%
1,698$63
11387591Gonorrhea test$103,117
0.1%
5,520$19
11499211Simple office visit — quick check-in with a nurse or doctor$101,655
0.1%
15,109$7
11599174Other medical service$100,195
0.1%
3,790$26
11699222Hospital admission — first day, moderate to serious problem$99,751
0.1%
1,508$66
11784443Thyroid function test (TSH)$97,321
0.1%
17,719$5
11887635Microbiology test — checking for infections (bacteria, viruses, fungi)$96,145
0.1%
15,521$6
11996413IV infusion or injection of medication$96,076
0.1%
3,440$28
12099215Office visit for a complex or serious problem (established patient)$95,686
0.1%
2,095$46
12187491Chlamydia test$93,027
0.1%
5,523$17
12290471Giving a vaccine by injection (shot)$92,676
0.1%
13,257$7
123G0463Hospital outpatient clinic visit$91,215
0.1%
12,342$7
12487502Microbiology test — checking for infections (bacteria, viruses, fungi)$90,786
0.1%
9,633$9
125S5130Homemaker services — help with cooking, shopping, and housekeeping (per 15 minutes)$89,250
0.1%
3,199$28
12676536Ultrasound of the head and neck soft tissue$89,227
0.1%
1,301$69
127V2760Scratch resistant coating, per lens$84,120
0.1%
2,336$36
128E0466Home ventilator, any type, used with non-invasive interface, (for example., mask, chest shell)$84,043
0.1%
220$382
12970551MRI of the brain (without contrast dye)$76,609
0.1%
1,246$61
13076816Follow-up ultrasound of pregnancy$76,209
0.1%
1,240$61
13145380Colonoscopy with biopsy (tissue sample)$76,007
0.1%
470$162
13277066Breast imaging (mammogram or MRI)$75,548
0.1%
663$114
133D9239Other dental service$74,428
0.0%
1,720$43
13471275CT angiography of the chest (looking at blood vessels)$74,393
0.0%
3,124$24
13574176CT scan of the abdomen and pelvis (without contrast)$74,110
0.0%
3,189$23
13673721MRI of a joint in the lower body (hip, knee, or ankle)$73,791
0.0%
568$130
13796365IV infusion of medication — giving medicine through an IV (first hour)$72,331
0.0%
8,315$9
13897112Neuromuscular re-education — retraining muscles and movement patterns$72,052
0.0%
4,075$18
139D7140Tooth extraction — pulling a tooth that has erupted$68,807
0.0%
1,774$39
14099308Nursing facility visit — simple problem$66,462
0.0%
3,918$17
14176705Ultrasound of the abdomen (limited)$66,340
0.0%
3,681$18
142E0562Humidifier, heated, used with positive airway pressure device$62,921
0.0%
4,547$14
14388305Tissue examination under a microscope (surgical pathology)$62,182
0.0%
6,302$10
14494640Breathing test or lung function test$60,458
0.0%
5,313$11
14593005Heart monitoring test (ECG/EKG)$60,029
0.0%
24,210$2
14680053Comprehensive metabolic panel blood test (checks liver, kidney, blood sugar, electrolytes)$59,106
0.0%
67,436$1
147V2755U-v lens, per lens$57,891
0.0%
2,057$28
14897597Physical therapy, occupational therapy, or rehabilitation$57,281
0.0%
7,402$8
149A7037Tubing used with positive airway pressure device$55,895
0.0%
4,865$11
150D9612Other dental service$55,542
0.0%
1,517$37
15176770Ultrasound of the abdomen and kidneys (complete)$55,405
0.0%
1,419$39
15273610X-ray of the ankle (complete)$53,414
0.0%
2,466$22
15397162Physical therapy evaluation — moderate problem$53,080
0.0%
2,263$23
15445385Colonoscopy with removal of polyps (growths)$52,491
0.0%
303$173
155D9243Other dental service$49,042
0.0%
1,725$28
156A7038Filter, disposable, used with positive airway pressure device$48,421
0.0%
12,682$4
15777063Breast imaging (mammogram or MRI)$46,579
0.0%
6,649$7
158A7035Headgear used with positive airway pressure device$45,815
0.0%
3,607$13
15986901Blood typing — Rh (determines if you're Rh positive or negative)$44,112
0.0%
4,989$9
16011042Wound cleaning — removing dead tissue from a wound$44,058
0.0%
1,622$27
161D7230Removal of an impacted tooth — partially bony (stuck in the jawbone)$44,028
0.0%
380$116
16286900Blood typing — ABO (determines your blood group)$43,963
0.0%
4,189$10
163Q3014Telehealth originating site facility fee$41,702
0.0%
7,435$6
16494375Breathing test or lung function test$41,145
0.0%
1,971$21
16576642Ultrasound$40,558
0.0%
1,652$25
16690791Mental health evaluation — first visit with a therapist or psychiatrist$39,458
0.0%
3,518$11
16799205New patient office visit — comprehensive visit for a complex problem$39,114
0.0%
343$114
16887653Microbiology test — checking for infections (bacteria, viruses, fungi)$39,084
0.0%
1,461$27
16986850Blood type and antibody screening$37,933
0.0%
3,304$11
17099395Wellness checkup — ages 18-39$37,672
0.0%
475$79
17172100X-ray of the lower spine (lumbar)$36,654
0.0%
3,328$11
17273562X-ray of the knee (3 views)$36,590
0.0%
2,317$16
17380061Cholesterol and lipid panel blood test$36,567
0.0%
10,610$3
17490960End-stage kidney disease monthly care — for patients 20 and older, 4+ visits$35,912
0.0%
621$58
175H0002Behavioral health screening to determine need for treatment$35,264
0.0%
3,026$12
17693010Heart monitoring test (ECG/EKG)$34,126
0.0%
16,927$2
1770369TMedical service or procedure$33,291
0.0%
137$243
17897803Medical service or procedure$30,982
0.0%
852$36
17971260CT scan of the chest (with contrast dye)$30,714
0.0%
1,052$29
18096360IV infusion — giving fluids through an IV (first hour)$29,664
0.0%
2,942$10
18196374IV push — giving medicine quickly through an IV (single injection)$28,609
0.0%
20,569$1
182E0570Nebulizer, with compressor$28,330
0.0%
4,710$6
183D1208Dental preventive care (cleaning, fluoride, sealant)$27,127
0.0%
3,207$8
184D7240Removal of an impacted tooth — completely bony (deeply stuck in jawbone)$25,903
0.0%
197$131
185V5258Hearing aid, digital, binaural, cic$25,900
0.0%
41$632
186D4346Gum disease treatment (periodontics)$25,205
0.0%
175$144
18776801Ultrasound of pregnancy (first trimester)$24,508
0.0%
443$55
18829125Casting, splinting, or strapping for a broken bone or injury$24,493
0.0%
1,189$21
18996372IV infusion or injection of medication$24,365
0.0%
11,968$2
19097155Physical therapy, occupational therapy, or rehabilitation$24,348
0.0%
92$265
191V2100Sphere, single vision, plano to plus or minus 4.00, per lens$24,301
0.0%
990$25
192V5160Dispensing fee, binaural$23,877
0.0%
57$419
19399366Medical service or procedure$23,742
0.0%
921$26
19478815Nuclear medicine imaging (using small amounts of radioactive material)$23,581
0.0%
40$590
19585025Complete blood count (CBC) — checks red cells, white cells, and platelets$22,922
0.0%
75,178$0
19683970Blood chemistry test (checking specific substances in your blood)$21,878
0.0%
4,286$5
19792557Hearing or speech test or therapy$21,181
0.0%
877$24
198D2160Silver (amalgam) filling — three surfaces$20,838
0.0%
219$95
19973130X-ray of the hand$20,789
0.0%
2,472$8
20080050General health panel blood test$20,294
0.0%
1,062$19
20173030X-ray of the shoulder$19,972
0.0%
2,588$8
202D1353Dental preventive care (cleaning, fluoride, sealant)$19,819
0.0%
1,653$12
203V2782Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens$19,145
0.0%
323$59
20490472Additional vaccine injection at the same visit$18,426
0.0%
2,602$7
20590686Vaccine or immunization$18,351
0.0%
13,647$1
20684481Blood chemistry test (checking specific substances in your blood)$18,106
0.0%
1,277$14
2070450Anesthesia for a medical procedure$18,067
0.0%
425$43
208H0034Medication training and management (learning to take medications correctly)$17,488
0.0%
1,467$12
20987651Microbiology test — checking for infections (bacteria, viruses, fungi)$17,460
0.0%
4,722$4
21072125Spine imaging (X-ray, CT, or MRI)$16,970
0.0%
2,228$8
21197161Physical therapy evaluation — simple problem$16,960
0.0%
771$22
21273110X-ray of the wrist (complete)$16,747
0.0%
1,631$10
21341899Dental or mouth surgery — other procedure not listed elsewhere$16,681
0.0%
354$47
214D2140Silver (amalgam) filling — one surface$16,500
0.0%
293$56
21586780Immune system or allergy test$16,355
0.0%
3,099$5
216A7032Cushion for use on nasal mask interface, replacement only, each$15,892
0.0%
501$32
21773630X-ray of the foot$15,801
0.0%
3,016$5
21842820Throat, adenoid, and tonsil surgery$15,722
0.0%
32$491
219K0001Standard wheelchair$15,013
0.0%
1,490$10
22087804Flu test (rapid)$14,855
0.0%
3,779$4
22190853Group therapy session$14,697
0.0%
22,267$1
222D0190Dental exam, X-ray, or screening$14,191
0.0%
1,036$14
22399221Hospital admission — first day, simple to moderate problem$13,808
0.0%
250$55
22499426Medical service or procedure$13,433
0.0%
476$28
22596127Brief emotional or behavioral screening (like a depression or anxiety questionnaire)$13,351
0.0%
5,680$2
226D9215Local anesthesia (numbing injection for dental work)$13,216
0.0%
2,529$5
227V2203Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens$13,038
0.0%
220$59
22893970Blood vessel ultrasound or study$12,621
0.0%
305$41
229A4604Tubing with integrated heating element for use with positive airway pressure device$12,472
0.0%
352$35
230D9210Other dental service$12,386
0.0%
1,416$9
23199243Office consultation — moderate problem$12,386
0.0%
123$101
23283880Blood chemistry test (checking specific substances in your blood)$12,352
0.0%
2,914$4
23373221MRI of a joint in the upper body (shoulder, elbow, or wrist)$12,309
0.0%
101$122
23490833Individual therapy session added to a regular doctor visit (30 minutes)$12,226
0.0%
273$45
235D3220Pulp treatment for a baby tooth — removing infection from inside the tooth$11,586
0.0%
214$54
23692341Eye exam or vision test$11,517
0.0%
336$34
23772040Spine imaging (X-ray, CT, or MRI)$11,433
0.0%
1,159$10
23899427Medical service or procedure$11,179
0.0%
347$32
23996366IV infusion or injection of medication$10,960
0.0%
1,026$11
240D9991Other dental service$10,803
0.0%
1,176$9
24186703HIV test$10,742
0.0%
1,910$6
242T4527Adult sized disposable incontinence product, protective underwear/pull-on, large size, each$10,650
0.0%
230$46
24368761Eye surgery$10,323
0.0%
276$37
244A7046Water chamber for humidifier, used with positive airway pressure device, replacement, each$10,126
0.0%
1,626$6
245T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each$10,080
0.0%
259$39
24696375IV push — additional medication through an IV$9,785
0.0%
16,134$1
24799307Nursing facility visit — minor problem$9,700
0.0%
1,069$9
24892134Eye exam or vision test$9,649
0.0%
595$16
24997802Medical service or procedure$9,445
0.0%
204$46
25099218Medical service or procedure$9,439
0.0%
276$34
251E0443Portable oxygen contents, gaseous, 1 month's supply = 1 unit$9,427
0.0%
1,216$8
25296118Medical service or procedure$9,410
0.0%
142$66
253Q4081Injection, epoetin alfa, 100 units (for end-stage kidney disease on dialysis)$9,346
0.0%
35,216$0
254A0160Non-emergency transportation: per mile - case worker or social worker$9,112
0.0%
879$10
25582677Blood chemistry test (checking specific substances in your blood)$8,909
0.0%
314$28
25682077Blood chemistry test (checking specific substances in your blood)$8,878
0.0%
3,993$2
25780048Basic metabolic panel blood test (checks kidney function, blood sugar, electrolytes)$8,545
0.0%
11,679$1
258D0145Oral evaluation for a patient under 3 years old$8,461
0.0%
445$19
25996130Psychological or neuropsychological testing — evaluation by a psychologist (first hour)$8,360
0.0%
266$31
260E1392Portable oxygen concentrator, rental$8,331
0.0%
1,034$8
261A0425Ground mileage — per mile for ambulance transportation$8,211
0.0%
17,063$0
26272110X-ray of the lower spine (complete, multiple views)$8,210
0.0%
534$15
26370486CT scan of the sinuses$8,120
0.0%
249$33
26497163Physical therapy evaluation — complex problem$8,004
0.0%
181$44
265G0483Advanced drug testing — checking for 22 or more types of drugs in urine or blood$7,964
0.0%
36$221
26693976Blood vessel ultrasound or study$7,851
0.0%
1,180$7
26787880Strep throat test (rapid)$7,778
0.0%
4,662$2
26899396Wellness checkup — ages 40-64$7,723
0.0%
74$104
26982728Blood chemistry test (checking specific substances in your blood)$7,615
0.0%
4,633$2
27087389Microbiology test — checking for infections (bacteria, viruses, fungi)$7,613
0.0%
1,408$5
271G0482Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including$7,571
0.0%
54$140
27271271Chest imaging (X-ray, CT, or MRI)$7,558
0.0%
73$104
2730368TMedical service or procedure$7,465
0.0%
137$54
27499188Other medical service$7,368
0.0%
734$10
27582607Blood chemistry test (checking specific substances in your blood)$7,361
0.0%
3,588$2
276V2200Sphere, bifocal, plano to plus or minus 4.00d, per lens$7,318
0.0%
252$29
277T4528Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each$7,298
0.0%
144$51
27895117Allergy testing or treatment$7,256
0.0%
950$8
27999201New patient office visit — minor problem$7,104
0.0%
407$17
280H0001Alcohol and/or drug assessment$6,973
0.0%
873$8
28195819Brain wave test (EEG) or nerve test$6,932
0.0%
34$204
2820011AMedical service or procedure$6,556
0.0%
446$15
28384153PSA blood test (prostate cancer screening)$6,502
0.0%
585$11
28498925Osteopathic treatment (hands-on manipulation)$6,347
0.0%
272$23
28570496Head and brain imaging (X-ray, CT, or MRI)$6,343
0.0%
239$27
28699152Medical service or procedure$6,331
0.0%
2,223$3
28795811Brain wave test (EEG) or nerve test$6,304
0.0%
13$485
28876815Limited ultrasound of pregnancy (quick check)$6,247
0.0%
199$31
28999220Medical service or procedure$6,107
0.0%
73$84
290J1050Injection, medroxyprogesterone acetate, 1 mg$6,070
0.0%
632$10
29177080Bone density scan (DEXA scan — checks for osteoporosis)$5,905
0.0%
361$16
292V5010Assessment for hearing aid$5,801
0.0%
104$56
29376817Transvaginal ultrasound of pregnancy$5,637
0.0%
775$7
29490651HPV vaccine (protects against cancer-causing virus)$5,597
0.0%
1,064$5
29599306Nursing facility admission — complex first day care$5,575
0.0%
90$62
29696110Developmental screening test for children (autism, learning, speech)$5,535
0.0%
990$6
29710060Drainage of an abscess (simple — draining an infected lump)$5,316
0.0%
137$39
29874018X-ray of the abdomen (single view)$5,311
0.0%
1,204$4
299V2101Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens$5,160
0.0%
98$53
3000012AMedical service or procedure$5,148
0.0%
384$13
30187186Microbiology test — checking for infections (bacteria, viruses, fungi)$5,135
0.0%
5,938$1
30299305Nursing facility admission — moderate first day care$5,117
0.0%
164$31
30384702Blood chemistry test (checking specific substances in your blood)$4,994
0.0%
2,963$2
304T4522Adult sized disposable incontinence product, brief/diaper, medium, each$4,966
0.0%
95$52
305V2113Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens$4,920
0.0%
125$39
306D7111Extraction — pulling a baby tooth that's already loose$4,879
0.0%
134$36
30792567Hearing or speech test or therapy$4,865
0.0%
518$9
30877065Breast imaging (mammogram or MRI)$4,838
0.0%
75$65
30973564Lower extremity imaging (hip, knee, leg, foot)$4,774
0.0%
287$17
31036415Drawing blood from a vein (routine blood draw)$4,707
0.0%
94,767$0
31199383Wellness checkup — new patient, ages 5-11$4,501
0.0%
41$110
31270498Head and brain imaging (X-ray, CT, or MRI)$4,334
0.0%
261$17
31393458Heart catheterization — looking at heart arteries with dye$4,304
0.0%
13$331
31482105Blood chemistry test (checking specific substances in your blood)$4,270
0.0%
763$6
31595251Medical service or procedure$4,243
0.0%
186$23
31672050Spine imaging (X-ray, CT, or MRI)$4,231
0.0%
295$14
31712001Wound repair — stitching a cut or laceration (simple or layered)$4,115
0.0%
283$15
31899238Hospital discharge — doctor manages your release (30 minutes or less)$4,074
0.0%
88$46
31973502X-ray of the hip$4,013
0.0%
1,171$3
320A7034Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap$3,770
0.0%
84$45
32196361IV infusion — additional hour$3,699
0.0%
5,544$1
322D3120Root canal or dental pulp treatment$3,649
0.0%
216$17
323D2393Tooth-colored (resin) filling — three surfaces, back tooth$3,559
0.0%
66$54
32483036Hemoglobin A1c test (shows average blood sugar over 3 months — used for diabetes)$3,546
0.0%
8,327$0
32580329Drug or substance testing$3,489
0.0%
1,357$3
32681025Pregnancy test (urine)$3,482
0.0%
8,271$0
32793017Heart monitoring test (ECG/EKG)$3,227
0.0%
2,008$2
32898960Medical service or procedure$3,213
0.0%
345$9
329J3301Injection of triamcinolone (steroid for inflammation or joint pain)$3,207
0.0%
785$4
33090847Family therapy session with the patient present$3,190
0.0%
65$49
33187807Microbiology test — checking for infections (bacteria, viruses, fungi)$3,132
0.0%
3,736$1
33273140Upper extremity imaging (shoulder, arm, hand)$3,034
0.0%
407$7
33392523Speech and language evaluation — comprehensive$3,024
0.0%
18$168
33488342Tissue examination under a microscope (surgical pathology)$3,006
0.0%
390$8
33584403Blood chemistry test (checking specific substances in your blood)$3,004
0.0%
204$15
336T1002Rn services, up to 15 minutes$2,996
0.0%
160$19
33797166Occupational therapy evaluation — moderate problem$2,974
0.0%
519$6
338T4525Adult sized disposable incontinence product, protective underwear/pull-on, small size, each$2,966
0.0%
76$39
33984484Troponin test (checks for heart damage or heart attack)$2,955
0.0%
11,180$0
340T4521Adult sized disposable incontinence product, brief/diaper, small, each$2,863
0.0%
62$46
34185610Prothrombin time (PT) — blood clotting test$2,853
0.0%
7,059$0
34298980Medical service or procedure$2,845
0.0%
380$7
34380069Kidney function blood test panel$2,832
0.0%
1,891$1
34498977Medical service or procedure$2,812
0.0%
397$7
345H0038Self-help or peer support services (someone with similar experience helping you)$2,796
0.0%
13,879$0
34676856Pelvic ultrasound (complete)$2,753
0.0%
39$71
347J2785Injection, regadenoson, 0.1 mg$2,732
0.0%
972$3
3480064AMedical service or procedure$2,686
0.0%
326$8
34982950Glucose tolerance test — post glucose dose$2,682
0.0%
1,688$2
35096137Psychological testing — additional 30 minutes$2,674
0.0%
23$116
35172146Spine imaging (X-ray, CT, or MRI)$2,502
0.0%
35$71
3520031AMedical service or procedure$2,498
0.0%
85$29
353A7033Pillow for use on nasal cannula type interface, replacement only, pair$2,473
0.0%
96$26
35487801Microbiology test — checking for infections (bacteria, viruses, fungi)$2,460
0.0%
860$3
355A9500Technetium tc-99m sestamibi, diagnostic, per study dose$2,459
0.0%
1,304$2
356D0340Dental exam, X-ray, or screening$2,347
0.0%
61$38
35700840Anesthesia for a medical procedure$2,294
0.0%
154$15
358D0350Dental exam, X-ray, or screening$2,281
0.0%
154$15
35983690Blood chemistry test (checking specific substances in your blood)$2,250
0.0%
15,088$0
36090715Tdap vaccine (tetanus, diphtheria, and whooping cough booster)$2,229
0.0%
1,444$2
3610134AMedical service or procedure$2,215
0.0%
368$6
36281003Urinalysis — automated test$2,138
0.0%
39,671$0
36364483Nerve block injection — epidural for back pain$2,128
0.0%
14$152
364G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)$2,109
0.0%
1,029$2
36596136Psychological testing — administered by a psychologist (first 30 min)$2,086
0.0%
150$14
36697156Physical therapy, occupational therapy, or rehabilitation$1,987
0.0%
29$69
367C1713Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)$1,975
0.0%
52$38
36896161Medical service or procedure$1,963
0.0%
618$3
36982565Creatinine blood test (checks how well your kidneys are working)$1,960
0.0%
3,958$0
37093975Blood vessel ultrasound or study$1,955
0.0%
25$78
37187088Microbiology test — checking for infections (bacteria, viruses, fungi)$1,950
0.0%
8,818$0
37287086Urine culture — checking for a urinary tract infection$1,908
0.0%
5,837$0
37386300Immune system or allergy test$1,886
0.0%
159$12
37499292Critical care — continued intensive treatment (each additional 30 minutes)$1,863
0.0%
22$85
37599497Medical service or procedure$1,862
0.0%
212$9
37671101Chest imaging (X-ray, CT, or MRI)$1,858
0.0%
158$12
37797535Self-care training — learning to do daily activities like dressing, cooking, or bathing$1,831
0.0%
540$3
37896133Neuropsychological testing — additional testing time$1,760
0.0%
21$84
379D1510Space maintainer — device to hold space for a permanent tooth (fixed)$1,752
0.0%
24$73
380D4355Gum disease treatment (periodontics)$1,650
0.0%
30$55
38197150Group therapy session (physical, occupational, or speech)$1,649
0.0%
135$12
38273090X-ray of the wrist$1,641
0.0%
279$6
38393978Blood vessel ultrasound or study$1,633
0.0%
14$117
384V2303Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens$1,632
0.0%
14$117
38583735Blood chemistry test (checking specific substances in your blood)$1,629
0.0%
9,783$0
38638204Blood and lymphatic system surgery$1,626
0.0%
458$4
387A4657Syringe, with or without needle, each$1,609
0.0%
2,348$1
38887210Wet mount — checking a sample under a microscope$1,545
0.0%
2,814$1
38985027Complete blood count — automated$1,528
0.0%
4,810$0
390J1756Injection, iron sucrose, 1 mg$1,442
0.0%
7,464$0
39194060Breathing test or lung function test$1,432
0.0%
26$55
39294010Breathing test or lung function test$1,385
0.0%
134$10
39386038Immune system or allergy test$1,376
0.0%
489$3
39496376IV infusion or injection of medication$1,336
0.0%
4,177$0
39599384Wellness checkup — new patient, ages 12-17$1,333
0.0%
12$111
39690474Additional oral or nasal vaccine at the same visit$1,321
0.0%
200$7
397V5266Battery for use in hearing device$1,300
0.0%
269$5
39882784Blood chemistry test (checking specific substances in your blood)$1,295
0.0%
461$3
39967028Injection of medicine into the eye$1,263
0.0%
48$26
40099242Office consultation — simple problem$1,260
0.0%
15$84
401V2025Deluxe frame$1,207
0.0%
29$42
402T4523Adult sized disposable incontinence product, brief/diaper, large, each$1,198
0.0%
18$67
40394016Breathing test or lung function test$1,193
0.0%
194$6
40499304Nursing facility admission — first day care$1,189
0.0%
58$21
405D0210Full set of dental X-rays$1,179
0.0%
52$23
40687040Blood culture — test to see if bacteria are growing in your blood$1,090
0.0%
2,124$1
40784480Blood chemistry test (checking specific substances in your blood)$1,051
0.0%
156$7
408V2750Anti-reflective coating, per lens$1,044
0.0%
26$40
40999417Medical service or procedure$1,028
0.0%
49$21
410D0470Dental exam, X-ray, or screening$1,022
0.0%
42$24
41196132Neuropsychological testing — evaluation by a psychologist (first hour)$1,021
0.0%
24$43
41298981Medical service or procedure$1,018
0.0%
115$9
41386803Immune system or allergy test$1,007
0.0%
1,064$1
414G0469Federally qualified health center (community health center) visit, mental health, new patient; a medically-necessary$1,000
0.0%
51$20
41597116Gait training — learning or re-learning how to walk$969
0.0%
1,168$1
41684703Blood chemistry test (checking specific substances in your blood)$968
0.0%
3,089$0
417V2102Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens$961
0.0%
13$74
41886480Immune system or allergy test$951
0.0%
14$68
41987661Microbiology test — checking for infections (bacteria, viruses, fungi)$923
0.0%
109$8
420J1885Injection, ketorolac tromethamine, per 15 mg$919
0.0%
9,184$0
42199153Medical service or procedure$913
0.0%
694$1
42293000Heart monitoring test (ECG/EKG)$864
0.0%
162$5
42382378Blood chemistry test (checking specific substances in your blood)$851
0.0%
48$18
424G0438Annual wellness visit — first time$837
0.0%
31$27
42564493Brain, spine, or nerve surgery$830
0.0%
14$59
42684207Blood chemistry test (checking specific substances in your blood)$817
0.0%
58$14
42786580TB skin test (tests for tuberculosis)$813
0.0%
241$3
428J0696Injection of ceftriaxone (antibiotic, usually given for serious infections)$804
0.0%
3,869$0
42969209Ear surgery$802
0.0%
28$29
43073590X-ray of the lower leg (tibia/fibula)$796
0.0%
308$3
43192551Hearing or speech test or therapy$794
0.0%
244$3
43284439Blood chemistry test (checking specific substances in your blood)$791
0.0%
8,702$0
433T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each$779
0.0%
56$14
43488307Tissue examination under a microscope (surgical pathology)$773
0.0%
32$24
43585379Blood cell or clotting test$772
0.0%
3,807$0
4360001AMedical service or procedure$760
0.0%
485$2
43785730Partial thromboplastin time (PTT) — blood clotting test$749
0.0%
2,252$0
438J1270Injection, doxercalciferol, 1 mcg$738
0.0%
19,863$0
4390013AMedical service or procedure$728
0.0%
133$5
44000170Anesthesia for a medical procedure$715
0.0%
427$2
44199316Medical service or procedure$714
0.0%
14$51
442J1170Injection, hydromorphone, up to 4 mg$712
0.0%
5,748$0
44387070Culture test — checking a sample for bacteria$688
0.0%
2,201$0
44472072Spine imaging (X-ray, CT, or MRI)$661
0.0%
72$9
445A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries$654
0.0%
112$6
44699457Medical service or procedure$630
0.0%
187$3
44729515Casting, splinting, or strapping for a broken bone or injury$620
0.0%
156$4
44882948Blood chemistry test (checking specific substances in your blood)$617
0.0%
853$1
44936591Artery and vein surgery$605
0.0%
27$22
4500002AMedical service or procedure$600
0.0%
436$1
45197165Occupational therapy evaluation — simple problem$594
0.0%
67$9
45276870Ultrasound of the scrotum$593
0.0%
40$15
45386762Immune system or allergy test$576
0.0%
1,583$0
45490682Vaccine or immunization$572
0.0%
72$8
455J3490Unclassified drug injection$567
0.0%
1,539$0
45672070X-ray of the spine (thoracic/middle back)$550
0.0%
85$6
45729105Casting, splinting, or strapping for a broken bone or injury$544
0.0%
113$5
45884425Blood chemistry test (checking specific substances in your blood)$532
0.0%
104$5
45973560X-ray of the knee (1-2 views)$508
0.0%
67$8
46099225Medical service or procedure$505
0.0%
26$19
46192342Eye exam or vision test$503
0.0%
13$39
46287077Culture test — checking for specific bacteria$496
0.0%
2,944$0
46376942Ultrasound guidance for a needle procedure$490
0.0%
30$16
46493922Blood vessel ultrasound or study$484
0.0%
13$37
46599442Medical service or procedure$475
0.0%
141$3
46629505Casting, splinting, or strapping for a broken bone or injury$472
0.0%
122$4
467J2270Injection of morphine (strong pain medicine)$471
0.0%
4,114$0
46890671Vaccine or immunization$470
0.0%
407$1
46964494Brain, spine, or nerve surgery$469
0.0%
13$36
47081002Urinalysis — quick dipstick test$466
0.0%
2,999$0
47199454Medical service or procedure$464
0.0%
53$9
47283605Blood chemistry test (checking specific substances in your blood)$453
0.0%
2,032$0
473D9420Hospital dental care — using the hospital for dental treatment (per hour)$451
0.0%
12$38
47492133Eye exam or vision test$447
0.0%
14$32
47551701Inserting a bladder catheter (simple)$439
0.0%
168$3
47699443Medical service or procedure$438
0.0%
77$6
47780306Drug or substance testing$421
0.0%
676$1
478G2211Visit 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 se...$410
0.0%
686$1
47988304Tissue examination under a microscope (surgical pathology)$408
0.0%
805$1
48099458Medical service or procedure$406
0.0%
117$3
481D0160Dental exam, X-ray, or screening$406
0.0%
14$29
48286140Immune system or allergy test$399
0.0%
3,451$0
48383655Blood chemistry test (checking specific substances in your blood)$393
0.0%
63$6
484H0007Alcohol and/or drug services; crisis intervention (outpatient)$391
0.0%
18$22
485J1100Injection of dexamethasone (steroid for inflammation, allergies, or breathing problems)$380
0.0%
7,272$0
48699217Medical service or procedure$375
0.0%
12$31
48784156Blood chemistry test (checking specific substances in your blood)$367
0.0%
2,852$0
48887350Microbiology test — checking for infections (bacteria, viruses, fungi)$359
0.0%
947$0
48993880Blood vessel ultrasound or study$358
0.0%
18$20
49087624HPV test (checks for cancer-causing virus)$358
0.0%
30$12
49185018Blood cell or clotting test$351
0.0%
2,265$0
49273080X-ray of the forearm$349
0.0%
304$1
49390620Vaccine or immunization$348
0.0%
30$12
494G0384Level 5 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is l...$335
0.0%
186$2
495A7003Administration set, with small volume nonfiltered pneumatic nebulizer, disposable$332
0.0%
404$1
49684112Blood chemistry test (checking specific substances in your blood)$332
0.0%
30$11
49783516Blood chemistry test (checking specific substances in your blood)$332
0.0%
144$2
498J0780Injection, prochlorperazine, up to 10 mg$327
0.0%
1,637$0
49999318Medical service or procedure$322
0.0%
17$19
500G0381Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is l...$318
0.0%
150$2
50190662Vaccine or immunization$315
0.0%
382$1
50290656Vaccine or immunization$314
0.0%
891$0
503J2405Injection, ondansetron hydrochloride, per 1 mg$307
0.0%
14,811$0
50487075Microbiology test — checking for infections (bacteria, viruses, fungi)$306
0.0%
573$1
50551798Bladder surgery$298
0.0%
56$5
50673521Lower extremity imaging (hip, knee, leg, foot)$296
0.0%
13$23
507J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg$289
0.0%
150$2
50899224Medical service or procedure$274
0.0%
14$20
50987340Microbiology test — checking for infections (bacteria, viruses, fungi)$261
0.0%
2,198$0
510J3475Injection, magnesium sulfate, per 500 mg$254
0.0%
1,317$0
511J2060Injection, lorazepam, 2 mg$249
0.0%
2,336$0
512J0882Injection, darbepoetin alfa, 1 microgram (for end-stage kidney disease on dialysis)$246
0.0%
184$1
513V2104Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens$242
0.0%
26$9
51484145Blood chemistry test (checking specific substances in your blood)$242
0.0%
289$1
51599406Medical service or procedure$241
0.0%
348$1
51674019X-ray of the abdomen (two views)$241
0.0%
14$17
51790734Meningitis vaccine$233
0.0%
530$0
51885007Blood cell or clotting test$228
0.0%
3,236$0
51990670Pneumonia vaccine (PCV13, protects against pneumonia)$226
0.0%
6,416$0
52085651Blood cell or clotting test$225
0.0%
3,718$0
52182803Blood chemistry test (checking specific substances in your blood)$213
0.0%
410$1
522J2930Injection, methylprednisolone sodium succinate, up to 125 mg$204
0.0%
572$0
52300160Anesthesia for a medical procedure$203
0.0%
28$7
524V2799Vision item or service, miscellaneous$202
0.0%
14$14
52586364Immune system or allergy test$200
0.0%
77$3
52682693Blood chemistry test (checking specific substances in your blood)$199
0.0%
438$0
527J3370Injection, vancomycin hcl, 500 mg$198
0.0%
310$1
528J1030Injection, methylprednisolone acetate, 40 mg$198
0.0%
188$1
52982570Blood chemistry test (checking specific substances in your blood)$194
0.0%
2,360$0
53082043Blood chemistry test (checking specific substances in your blood)$167
0.0%
1,436$0
531C1725Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability)$166
0.0%
87$2
532G0444Annual depression screening$163
0.0%
15$11
53382746Blood chemistry test (checking specific substances in your blood)$161
0.0%
1,274$0
534J1200Injection, diphenhydramine hcl, up to 50 mg$154
0.0%
4,695$0
53599001Special medical service$152
0.0%
502$0
536H2017Psychosocial rehabilitation — helping rebuild social and daily living skills (per 15 minutes)$149
0.0%
4,750$0
537V5011Fitting/orientation/checking of hearing aid$145
0.0%
13$11
53884100Phosphorus blood test$139
0.0%
1,695$0
53995115Allergy testing or treatment$139
0.0%
19$7
540Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml$138
0.0%
2,322$0
541A9270Non-covered item or service$127
0.0%
19,381$0
54294729Breathing test or lung function test$126
0.0%
26$5
5433044FMedical service or procedure$125
0.0%
48$3
54482140Blood chemistry test (checking specific substances in your blood)$125
0.0%
112$1
54580164Drug or substance testing$121
0.0%
127$1
546J1650Injection, enoxaparin sodium, 10 mg$120
0.0%
1,525$0
54786677Immune system or allergy test$117
0.0%
112$1
548G0382Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is l...$116
0.0%
62$2
549G0317Prolonged nursing facility 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 servi...$114
0.0%
117$1
55084146Blood chemistry test (checking specific substances in your blood)$112
0.0%
24$5
55187205Gram stain — quick test to identify type of bacteria$109
0.0%
697$0
55290648Haemophilus influenzae type b (Hib) vaccine (4-dose)$104
0.0%
40$3
55376937Ultrasound$102
0.0%
147$1
55488142Cell examination under a microscope$100
0.0%
231$0
55587493Microbiology test — checking for infections (bacteria, viruses, fungi)$98
0.0%
30$3
55629581Casting, splinting, or strapping for a broken bone or injury$95
0.0%
37$3
557G0383Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is l...$93
0.0%
17$5
55893308Heart ultrasound (echocardiogram)$92
0.0%
13$7
55973070X-ray of the elbow$90
0.0%
34$3
560J3010Injection of fentanyl (strong pain medicine)$90
0.0%
9,851$0
56186200Immune system or allergy test$88
0.0%
14$6
56296367IV infusion or injection of medication$84
0.0%
142$1
56383550Iron binding capacity test$82
0.0%
3,010$0
56482550Blood chemistry test (checking specific substances in your blood)$81
0.0%
791$0
56596146Medical service or procedure$80
0.0%
153$1
56682977Blood chemistry test (checking specific substances in your blood)$80
0.0%
164$0
56783540Iron blood test$77
0.0%
3,984$0
568J7030IV fluid — normal saline (salt water, 1000 ml)$77
0.0%
301$0
56994726Breathing test or lung function test$75
0.0%
13$6
570J2704Injection of propofol (anesthesia for procedures)$73
0.0%
5,669$0
571D0240Dental X-ray of the whole mouth (panoramic)$71
0.0%
179$0
57283001Blood chemistry test (checking specific substances in your blood)$70
0.0%
12$6
57390633Hepatitis A vaccine (child dose)$68
0.0%
1,068$0
57484550Blood chemistry test (checking specific substances in your blood)$67
0.0%
1,288$0
57580076Liver function blood test panel$63
0.0%
71$1
576G0499Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc)$61
0.0%
297$0
57786039Immune system or allergy test$59
0.0%
28$2
578J1630Injection, haloperidol, up to 5 mg$53
0.0%
354$0
579C9803Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source$51
0.0%
228$0
580S4993Contraceptive pills for birth control$43
0.0%
12$4
581J0690Injection, cefazolin sodium, 500 mg$41
0.0%
2,778$0
58296103Psychological testing — done by computer$40
0.0%
88$0
58385014Blood cell or clotting test$40
0.0%
354$0
584Q0162Ondansetron 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$34
0.0%
931$0
585A9577Injection, gadobenate dimeglumine (multihance), per ml$34
0.0%
192$0
58684630Blood chemistry test (checking specific substances in your blood)$31
0.0%
12$3
5870250Anesthesia for a medical procedure$31
0.0%
24$1
588J8499Prescription drug, oral, non chemotherapeutic, nos$30
0.0%
14,463$0
589J2550Injection of promethazine (anti-nausea medicine)$30
0.0%
389$0
59082947Blood sugar (glucose) test$27
0.0%
460$0
591J0131Injection, acetaminophen, not otherwise specified,10 mg$27
0.0%
791$0
592J7512Prednisone, immediate release or delayed release, oral, 1 mg$26
0.0%
936$0
59394760Breathing test or lung function test$25
0.0%
1,905$0
59483615Blood chemistry test (checking specific substances in your blood)$24
0.0%
396$0
595J3360Injection, diazepam, up to 5 mg$21
0.0%
139$0
59636416Finger or heel stick for blood collection$21
0.0%
52$0
597J1644Injection, heparin sodium, per 1000 units$20
0.0%
931$0
598J2250Injection of midazolam (sedation medicine for procedures)$19
0.0%
6,319$0
59993325Heart ultrasound (echocardiogram)$17
0.0%
27$1
600J2765Injection, metoclopramide hcl, up to 10 mg$16
0.0%
749$0
601J2370Injection, phenylephrine hcl, up to 1 ml$16
0.0%
432$0
602D0603Dental exam, X-ray, or screening$15
0.0%
577$0
60383037Blood chemistry test (checking specific substances in your blood)$14
0.0%
57$0
604J7040IV fluid — normal saline with 5% dextrose (sugar water, 1000 ml)$14
0.0%
150$0
60580178Drug or substance testing$14
0.0%
17$1
60682150Blood chemistry test (checking specific substances in your blood)$13
0.0%
70$0
607A0422Ambulance (advanced life support or basic life support) oxygen and oxygen supplies, life sustaining situation$10
0.0%
362$0
60886999Blood typing or transfusion medicine test$8
0.0%
832$0
60986431Immune system or allergy test$8
0.0%
60$0
610J7120Ringer's lactate solution — IV fluid (1000 ml)$8
0.0%
925$0
61186430Immune system or allergy test$7
0.0%
12$1
61299177Other medical service$3
0.0%
314$0
613J7510Prednisolone oral, per 5 mg$0
0.0%
244$0
61491301Medical service or procedure$0
0.0%
588$0
615J2003Injection, lidocaine hydrochloride, 1 mg$0
0.0%
167$0
61691307Medical service or procedure$0
0.0%
75$0
617J2371Injection, phenylephrine hydrochloride, 20 micrograms$0
0.0%
233$0
618J2001Injection of lidocaine (numbing medicine)$0
0.0%
573$0
61991300Medical service or procedure$0
0.0%
104$0
62092587Hearing or speech test or therapy$0
0.0%
12$0
62191303Medical service or procedure$0
0.0%
82$0
62291306Medical service or procedure$0
0.0%
228$0
623G9637Final reports with documentation of one or more dose reduction techniques (for example., automated exposure control, adjustment of the ma and/or kv according to patient size$0
0.0%
6,230$0
62491313Medical service or procedure$0
0.0%
342$0
625G9321Count of previous ct (any type of ct) and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies documented in the 12-month period prior to the current study$0
0.0%
1,876$0
626G0500Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports$0
0.0%
26$0
62782040Albumin blood test (checks for liver or kidney problems)$0
0.0%
72$0
628G8417Bmi is documented above normal parameters and a follow-up plan is documented$0
0.0%
15$0
629G8418Bmi is documented below normal parameters and a follow-up plan is documented$0
0.0%
30$0
630G8419Bmi documented outside normal parameters, no follow-up plan documented, no reason given$0
0.0%
415$0
631G8420Bmi is documented within normal parameters and no follow-up plan is required$0
0.0%
585$0
632G8421Bmi not documented and no reason is given$0
0.0%
8,824$0
633G8427Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications$0
0.0%
10,007$0
634G8428Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given$0
0.0%
5,044$0
635G8432Depression screening not documented, reason not given$0
0.0%
4,273$0
636G8484Influenza immunization was not administered, reason not given$0
0.0%
4,385$0
637G8783Normal blood pressure reading documented, follow-up not required$0
0.0%
52$0
638G8785Blood pressure reading not documented, reason not given$0
0.0%
2,102$0
639G8907Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfe...$0
0.0%
430$0
640G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis$0
0.0%
188$0
641G8952Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given$0
0.0%
77$0
642G8967Fda approved oral anticoagulant is prescribed$0
0.0%
119$0
643G8978Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals$0
0.0%
169$0
644G8979Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting$0
0.0%
288$0
645G8980Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting$0
0.0%
68$0
646G9513Individual did not have a pdc of 0.8 or greater$0
0.0%
124$0
647G9551Final reports for imaging studies without an incidentally found lesion noted$0
0.0%
455$0
648G9557Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found$0
0.0%
169$0
649G9622Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method$0
0.0%
34$0
650G9638Final reports without documentation of one or more dose reduction techniques (for example., automated exposure control, adjustment of the ma and/or kv according to patient size$0
0.0%
16$0
651G9716Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason$0
0.0%
263$0
652G9717Documentation stating the patient has had a diagnosis of bipolar disorder$0
0.0%
3,647$0
653G9744Patient not eligible due to active diagnosis of hypertension$0
0.0%
5,039$0
654G9903Patient screened for tobacco use and identified as a tobacco non-user$0
0.0%
15$0
655G9990Patient did not receive any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period$0
0.0%
370$0
6561159FMedical service or procedure$0
0.0%
5,068$0
6571126FMedical service or procedure$0
0.0%
624$0
6581125FMedical service or procedure$0
0.0%
595$0
65982108Blood chemistry test (checking specific substances in your blood)$0
0.0%
173$0
6601124FMedical service or procedure$0
0.0%
329$0
6611123FMedical service or procedure$0
0.0%
8,666$0
6621101FMedical service or procedure$0
0.0%
7,201$0
6631100FMedical service or procedure$0
0.0%
49$0
6641036FMedical service or procedure$0
0.0%
2,446$0
6651034FMedical service or procedure$0
0.0%
217$0
666H2014Skills training and development — learning coping and life skills (per 15 minutes)$0
0.0%
6,539$0
66782310Blood chemistry test (checking specific substances in your blood)$0
0.0%
83$0
66882540Blood chemistry test (checking specific substances in your blood)$0
0.0%
18$0
669J0137Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg$0
0.0%
21$0
670J0171Injection, adrenalin, epinephrine, 0.1 mg$0
0.0%
29$0
671J0330Injection, succinylcholine chloride, up to 20 mg$0
0.0%
153$0
672J0665Injection, bupivicaine, not otherwise specified, 0.5 mg$0
0.0%
373$0
673J0688Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg$0
0.0%
94$0
67482731Blood chemistry test (checking specific substances in your blood)$0
0.0%
16$0
675D1999Dental preventive care (cleaning, fluoride, sealant)$0
0.0%
807$0
676D1330Dental preventive care (cleaning, fluoride, sealant)$0
0.0%
649$0
67784075Blood chemistry test (checking specific substances in your blood)$0
0.0%
198$0
67884155Blood chemistry test (checking specific substances in your blood)$0
0.0%
47$0
679J0887Injection, epoetin beta, 1 microgram, (for end-stage kidney disease on dialysis)$0
0.0%
243$0
680C9113Injection, pantoprazole sodium, per vial$0
0.0%
107$0
6810352UMedical service or procedure$0
0.0%
31$0
682C1894Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser$0
0.0%
132$0
683C1887Catheter, guiding (may include infusion/perfusion capability)$0
0.0%
41$0
684J1171Injection, hydromorphone, 0.1 mg$0
0.0%
106$0
685C1769Guide wire$0
0.0%
196$0
686A9579Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml$0
0.0%
37$0
687J1580Injection, garamycin, gentamicin, up to 80 mg$0
0.0%
17$0
68884460ALT blood test (checks for liver damage)$0
0.0%
299$0
689J1642Injection, heparin sodium, (heparin lock flush), per 10 units$0
0.0%
922$0
69084466Blood chemistry test (checking specific substances in your blood)$0
0.0%
415$0
69184520Blood chemistry test (checking specific substances in your blood)$0
0.0%
1,009$0
6920518FMedical service or procedure$0
0.0%
64$0
693A4649Surgical supply; miscellaneous$0
0.0%
14$0
69485041Blood cell or clotting test$0
0.0%
2,357$0
695J2175Injection, meperidine hydrochloride, per 100 mg$0
0.0%
17$0
69685048Blood cell or clotting test$0
0.0%
2,351$0
69786308Immune system or allergy test$0
0.0%
13$0
69886336Immune system or allergy test$0
0.0%
313$0
69986592Immune system or allergy test$0
0.0%
53$0
700J2470Injection, pantoprazole sodium, 40 mg$0
0.0%
13$0
70186706Immune system or allergy test$0
0.0%
55$0
70299334Medical service or procedure$0
0.0%
14$0
70386753Immune system or allergy test$0
0.0%
12$0
7040364TMedical service or procedure$0
0.0%
4,926$0
70587015Microbiology test — checking for infections (bacteria, viruses, fungi)$0
0.0%
41$0
70687806Microbiology test — checking for infections (bacteria, viruses, fungi)$0
0.0%
493$0
7074010FMedical service or procedure$0
0.0%
60$0
70888141Cell examination under a microscope$0
0.0%
14$0
70990619Vaccine or immunization$0
0.0%
271$0
710J3372Injection, vancomycin hcl (xellia), not therapeutically equivalent to j3370, 500 mg$0
0.0%
25$0
71190621Vaccine or immunization$0
0.0%
13$0
712J3480Injection, potassium chloride, per 2 meq$0
0.0%
17$0
71390647Haemophilus influenzae type b (Hib) vaccine$0
0.0%
80$0
71490661Vaccine or immunization$0
0.0%
18$0
71590672Flu vaccine — nasal spray$0
0.0%
41$0
716J7050IV fluid — normal saline (250 ml)$0
0.0%
300$0
717J70605% dextrose/water (500 ml = 1 unit)$0
0.0%
20$0
71890680Vaccine or immunization$0
0.0%
2,687$0
71990685Vaccine or immunization$0
0.0%
2,066$0
720J7644Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through medical equipment, unit dose form, per milligram$0
0.0%
55$0
721J7999Compounded drug, not otherwise classified$0
0.0%
30$0
72290688Vaccine or immunization$0
0.0%
92$0
723J8540Dexamethasone, oral, 0.25 mg$0
0.0%
44$0
7244274FMedical service or procedure$0
0.0%
1,096$0
72590696DTaP-IPV vaccine (protects against diphtheria, tetanus, whooping cough, and polio)$0
0.0%
107$0
726Q2035Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)$0
0.0%
31$0
72700126Anesthesia for a medical procedure$0
0.0%
12$0
7284086FMedical service or procedure$0
0.0%
111$0
729Q5001Hospice or home health care provided in patient's home/residence$0
0.0%
1,471$0
73099173Other medical service$0
0.0%
1,285$0
73190697Vaccine or immunization$0
0.0%
12$0
7324040FMedical service or procedure$0
0.0%
7,951$0
7334037FMedical service or procedure$0
0.0%
296$0
734T1001Nursing assessment / evaluation$0
0.0%
18$0
7350365TMedical service or procedure$0
0.0%
4,872$0
7364004FMedical service or procedure$0
0.0%
65$0
7373351FMedical service or procedure$0
0.0%
752$0
7383341FMedical service or procedure$0
0.0%
64$0
7393288FMedical service or procedure$0
0.0%
64$0
7403080FMedical service or procedure$0
0.0%
65$0
7413079FMedical service or procedure$0
0.0%
574$0
7423078FMedical service or procedure$0
0.0%
3,080$0
7433077FMedical service or procedure$0
0.0%
321$0
74499000Special medical service$0
0.0%
64$0
7453075FMedical service or procedure$0
0.0%
256$0
7463074FMedical service or procedure$0
0.0%
3,120$0
7473046FMedical service or procedure$0
0.0%
336$0
7483008FMedical service or procedure$0
0.0%
5,015$0
74990698Vaccine or immunization$0
0.0%
4,983$0
7502010FMedical service or procedure$0
0.0%
5,156$0
75190707MMR vaccine (protects against measles, mumps, rubella)$0
0.0%
12$0
7522001FMedical service or procedure$0
0.0%
5,032$0
7532000FMedical service or procedure$0
0.0%
3,910$0
75490710MMRV vaccine (measles, mumps, rubella, and chickenpox)$0
0.0%
979$0
7551160FMedical service or procedure$0
0.0%
5,070$0
75698941Chiropractic adjustment$0
0.0%
239$0
75790723DTaP-HepB-IPV combination vaccine$0
0.0%
68$0
75890732Pneumonia vaccine (PPSV23)$0
0.0%
42$0
75990744Hepatitis B vaccine (child dose)$0
0.0%
1,120$0
76097542Wheelchair management training$0
0.0%
55$0
76190836Individual therapy session added to a regular doctor visit (45 minutes)$0
0.0%
18$0
76290875Mental health service$0
0.0%
30$0
76396417IV infusion or injection of medication$0
0.0%
93$0
76496415IV infusion or injection of medication$0
0.0%
55$0
7657025FMedical service or procedure$0
0.0%
147$0
76692610Swallowing evaluation$0
0.0%
12$0
767G0300Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes$0
0.0%
75$0
768G0299Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes$0
0.0%
4,521$0
769G0155Services of clinical social worker in home health or hospice settings, each 15 minutes$0
0.0%
55$0
770G0152Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes$0
0.0%
895$0
771G0151Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes$0
0.0%
4,059$0
772G0103Prostate cancer screening; prostate specific antigen test (psa)$0
0.0%
23$0
773G0009Administration of pneumococcal vaccine$0
0.0%
12$0
774G0008Administration of influenza virus vaccine$0
0.0%
1,025$0
77576000Diagnostic ultrasound or fluoroscopy$0
0.0%
41$0
77677062Breast imaging (mammogram or MRI)$0
0.0%
49$0
77780051Blood test panel (checking multiple things at once)$0
0.0%
53$0
77881005Urinalysis (urine test)$0
0.0%
13$0

Top Providers

The highest-paid Medicaid providers in Carson City County, sorted by total payments received.

# Provider Specialty Total Paid Claims Beneficiaries
1CARSON TAHOE REGIONAL HEALTHCAREGeneral Acute Care Hospital$23,782,5301,193,323882,778
2CARSON CITY COMMUNITY COUNSELING CENTERCommunity/Behavioral Health$17,088,320245,61956,354
3VITALITY UNLIMITEDCommunity/Behavioral Health$9,951,671155,09351,674
4CARSON CITY FINANCE DEPARTMENTAmbulance, Land Transport$9,313,33933,76126,311
5NEVADA HEALTH CENTERS INCClinic/Center, Federally Qualified Health Center (FQHC)$6,140,50667,30255,294
6CARSON MEDICAL GROUP PROFESSIONAL CORPORATIONFamily Medicine$6,068,248132,807114,954
7NEVADA HEALTH CENTERS, INCClinic/Center, Federally Qualified Health Center (FQHC)$5,817,206149,810135,372
8STATE OF NEVADAPublic Health or Welfare$5,440,862140,31539,824
9CARSON TAHOE EMERGENCY PHYSICIANSEmergency Medicine$5,211,93575,98367,845
10STATE OF NV AGING & DISABILITY SEVICES DIVISION- FE WAIVERPACE Provider Organization$4,747,47894,78769,266
11CCPD LLCDentist, Pediatric Dentistry$4,523,994138,375108,903
12MEDICAL SERVICES OF NEVADA INCIn Home Supportive Care$3,538,28143,2614,004
13STATE OF NEVADACase Management$3,227,02669,70848,531
14PRITCHETT EYE CARE PCOptometrist$3,094,77851,27143,743
15DWARAKANATH VUPPALAPATIPsychiatry & Neurology, Psychiatry$2,641,64349,93822,624
16CARSON CITY SCHOOL DISTRICTLocal Education Agency (LEA)$2,603,14281,83023,553
17USACS INTEGRATED ACUTE CARE SERVICES OF NEVADA BAGNOLI P CHospitalist$2,584,718137,83466,921
18CARSON TAHOE PHYSICIAN CLINICSInternal Medicine$2,299,07757,05247,052
19WILLIAM STREET DENTAL HEALTH CENTER PCDentist, General Practice$2,110,86394,37058,546
20CARSON CITY COMMUNITY COUNSELING CENTERCounselor, Addiction (Substance Use Disorder)$1,980,60032,1267,420
21ROUTT DIALYSIS LLCClinic/Center, End-Stage Renal Disease (ESRD) Treatment$1,793,348122,38011,563
22STATE OF NV AGING AND DISABILITY SERVICES DIVISION - ATAPCase Management$1,753,99157,37517,889
23STATE OF NV AGING & DISABILITY SERVICES DIVISION- ADULT RESIDENTIALIn Home Supportive Care$1,752,64635,57328,069
24CONNECTIONS BEHAVIORAL HEALTH CENTERPsychiatry & Neurology, Psychiatry$1,516,91417,2698,071
25LINCARE INCDurable Medical Equipment & Medical Supplies$1,499,23471,38853,177
About This Data
Providers are assigned to Carson City County based on their practice ZIP code from the NPPES registry, mapped via the nv_zip_county reference table. Spending data covers 2018–2024 from HHS Medicaid Provider Spending (T-MSIS).