Procedures by Expenditure

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

#	Code	Description	Total Paid	% of County	Claims	Avg/Claim
1	T1015	All-inclusive clinic visit — covers everything in one trip to the clinic	$20,527,382	53.3%	62,016	$331
2	A0427	Ambulance ride with advanced life support — emergency (ALS 1 — paramedics on board)	$3,102,518	8.1%	3,388	$916
3	H0015	Intensive outpatient treatment for alcohol or drug problems (per hour)	$2,126,162	5.5%	15,123	$141
4	A4595	Electrical stimulator supplies, 2 lead, per month, (for example., tens, nmes)	$1,114,421	2.9%	29,446	$38
5	A0429	Ambulance ride with basic life support — emergency (BLS — EMTs on board)	$1,011,736	2.6%	1,563	$647
6	99214	Office visit for a moderate problem (established patient)	$830,337	2.2%	14,532	$57
7	90999	Dialysis or kidney treatment — other related procedure	$781,980	2.0%	15,493	$50
8	99284	Emergency room visit for a serious problem	$593,349	1.5%	5,956	$100
9	99285	Emergency room visit for a severe or life-threatening problem	$541,487	1.4%	5,600	$97
10	92014	Eye exam or vision test	$526,602	1.4%	5,585	$94
11	V2020	Frames, purchases	$521,938	1.4%	7,429	$70
12	90837	Individual therapy session (60 minutes)	$518,472	1.3%	5,505	$94
13	99283	Emergency room visit for a moderate problem	$457,623	1.2%	7,186	$64
14	97110	Physical therapy exercises to build strength, flexibility, or range of motion	$395,047	1.0%	9,334	$42
15	99213	Office visit for a simple problem (established patient)	$372,906	1.0%	9,414	$40
16	74177	CT scan of the abdomen and pelvis (with contrast dye)	$358,613	0.9%	1,623	$221
17	D1120	Dental cleaning for children (prophylaxis)	$314,420	0.8%	6,051	$52
18	D1206	Fluoride treatment — painted on teeth to prevent cavities	$269,803	0.7%	5,501	$49
19	E0730	Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation	$262,230	0.7%	3,225	$81
20	92004	Eye exam or vision test	$206,169	0.5%	1,969	$105
21	V2410	Variable asphericity lens, single vision, full field, glass or plastic, per lens	$182,497	0.5%	1,472	$124
22	V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	$161,577	0.4%	5,079	$32
23	T1017	Targeted case management — a social worker helping coordinate your care (per 15 minutes)	$154,415	0.4%	1,049	$147
24	92015	Eye exam or vision test	$154,064	0.4%	10,339	$15
25	97530	Therapeutic activities — exercises and tasks to improve daily function	$152,039	0.4%	1,785	$85
26	92340	Eye exam or vision test	$131,006	0.3%	4,225	$31
27	99282	Emergency room visit for a minor problem	$130,495	0.3%	3,570	$37
28	92250	Eye exam or vision test	$128,957	0.3%	3,388	$38
29	70450	CT scan of the head (without contrast dye)	$102,422	0.3%	1,414	$72
30	84443	Thyroid function test (TSH)	$88,990	0.2%	5,538	$16
31	97140	Manual therapy — hands-on treatment like massage or joint mobilization	$87,189	0.2%	7,048	$12
32	D7210	Surgical tooth extraction — requires cutting into gum or removing bone	$77,965	0.2%	1,464	$53
33	H0047	Alcohol and/or other drug abuse services, not otherwise specified	$76,892	0.2%	1,136	$68
34	D0150	Comprehensive dental exam — thorough check of teeth, gums, and mouth	$76,180	0.2%	2,525	$30
35	D0120	Regular dental checkup and exam	$71,907	0.2%	2,410	$30
36	V2784	Lens, polycarbonate or equal, any index, per lens	$67,448	0.2%	2,320	$29
37	H0005	Group alcohol and/or drug counseling (per 15 minutes)	$67,042	0.2%	2,443	$27
38	D0140	Limited dental exam — for a specific problem (like a toothache)	$65,585	0.2%	2,323	$28
39	A4557	Lead wires, (for example., apnea monitor), per pair	$63,240	0.2%	2,194	$29
40	99203	New patient office visit — moderate problem	$62,724	0.2%	1,011	$62
41	77067	Screening mammogram (breast cancer screening)	$62,345	0.2%	736	$85
42	99204	New patient office visit — detailed visit for a serious problem	$59,415	0.2%	598	$99
43	92507	Speech therapy session — treatment for speech, language, or swallowing problems	$58,617	0.2%	956	$61
44	D1351	Dental sealant — protective coating on a tooth to prevent cavities	$56,881	0.1%	2,820	$20
45	Q3014	Telehealth originating site facility fee	$55,462	0.1%	1,898	$29
46	90834	Individual therapy session (45 minutes)	$54,775	0.1%	809	$68
47	G0463	Hospital outpatient clinic visit	$52,661	0.1%	2,373	$22
48	E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	$52,028	0.1%	837	$62
49	0450	Anesthesia for a medical procedure	$51,489	0.1%	914	$56
50	D2392	Tooth-colored (resin) filling — two surfaces, back tooth	$49,449	0.1%	1,069	$46
51	D0350	Dental exam, X-ray, or screening	$46,207	0.1%	4,529	$10
52	D0272	Dental X-ray — bitewings (two films)	$43,936	0.1%	2,307	$19
53	D0274	Dental X-ray — bitewings (four films)	$43,770	0.1%	2,038	$21
54	80053	Comprehensive metabolic panel blood test (checks liver, kidney, blood sugar, electrolytes)	$41,883	0.1%	15,481	$3
55	D0220	Single dental X-ray (of one tooth)	$41,272	0.1%	3,654	$11
56	V2203	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	$33,511	0.1%	644	$52
57	A0425	Ground mileage — per mile for ambulance transportation	$33,473	0.1%	4,820	$7
58	D0230	Additional dental X-ray	$29,103	0.1%	5,286	$6
59	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	$27,695	0.1%	904	$31
60	87426	Microbiology test — checking for infections (bacteria, viruses, fungi)	$27,373	0.1%	1,619	$17
61	96365	IV infusion of medication — giving medicine through an IV (first hour)	$27,284	0.1%	3,946	$7
62	99212	Office visit for a minor problem (established patient)	$25,079	0.1%	1,415	$18
63	D2930	Stainless steel crown — prefabricated (primary tooth)	$24,274	0.1%	397	$61
64	90471	Giving a vaccine by injection (shot)	$23,046	0.1%	1,353	$17
65	D1110	Dental cleaning for adults (prophylaxis)	$20,275	0.1%	451	$45
66	D0330	Panoramic dental X-ray (full view of all teeth and jaw)	$19,189	0.0%	650	$30
67	99392	Wellness checkup — ages 1-4	$17,436	0.0%	200	$87
68	82306	Vitamin D blood test	$16,518	0.0%	1,805	$9
69	V5160	Dispensing fee, binaural	$15,918	0.0%	42	$379
70	V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	$15,275	0.0%	460	$33
71	93005	Heart monitoring test (ECG/EKG)	$14,486	0.0%	5,321	$3
72	71046	Chest X-ray (two views — front and side)	$13,890	0.0%	2,040	$7
73	D2391	Tooth-colored (resin) filling — one surface, back tooth	$13,133	0.0%	349	$38
74	99393	Wellness checkup — ages 5-11	$13,006	0.0%	140	$93
75	G0378	Hospital observation services — being watched and monitored in the hospital (per hour)	$12,168	0.0%	67	$182
76	D7140	Tooth extraction — pulling a tooth that has erupted	$11,173	0.0%	294	$38
77	G0483	Advanced drug testing — checking for 22 or more types of drugs in urine or blood	$11,148	0.0%	188	$59
78	90833	Individual therapy session added to a regular doctor visit (30 minutes)	$11,124	0.0%	301	$37
79	D1208	Dental preventive care (cleaning, fluoride, sealant)	$10,650	0.0%	1,213	$9
80	96374	IV push — giving medicine quickly through an IV (single injection)	$10,103	0.0%	4,628	$2
81	80307	Drug test — checking urine or blood for multiple types of drugs	$9,922	0.0%	1,487	$7
82	80050	General health panel blood test	$9,740	0.0%	209	$47
83	99243	Office consultation — moderate problem	$9,624	0.0%	107	$90
84	D9223	Other dental service	$9,553	0.0%	234	$41
85	97162	Physical therapy evaluation — moderate problem	$9,384	0.0%	172	$55
86	99199	Other medical service	$9,288	0.0%	189	$49
87	90460	Giving a vaccine to a child, including talking with the family about it	$9,246	0.0%	285	$32
88	J0882	Injection, darbepoetin alfa, 1 microgram (for end-stage kidney disease on dialysis)	$9,009	0.0%	212	$42
89	92551	Hearing or speech test or therapy	$8,896	0.0%	1,029	$9
90	80061	Cholesterol and lipid panel blood test	$8,584	0.0%	4,682	$2
91	E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	$7,214	0.0%	547	$13
92	96361	IV infusion — additional hour	$6,861	0.0%	3,387	$2
93	99391	Wellness checkup — infant (under 1 year)	$6,651	0.0%	101	$66
94	90472	Additional vaccine injection at the same visit	$6,507	0.0%	419	$16
95	A7031	Face mask interface, replacement for full face mask, each	$6,313	0.0%	135	$47
96	85025	Complete blood count (CBC) — checks red cells, white cells, and platelets	$6,247	0.0%	16,698	$0
97	82607	Blood chemistry test (checking specific substances in your blood)	$5,922	0.0%	495	$12
98	92341	Eye exam or vision test	$5,854	0.0%	179	$33
99	Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	$5,663	0.0%	2,155	$3
100	99291	Critical care — intensive treatment for a life-threatening condition (first 30-74 minutes)	$5,564	0.0%	24	$232
101	90792	Mental health evaluation — includes medication assessment	$5,469	0.0%	146	$37
102	87186	Microbiology test — checking for infections (bacteria, viruses, fungi)	$5,139	0.0%	973	$5
103	D2929	Dental filling, crown, or restoration	$4,644	0.0%	54	$86
104	D7311	Tooth extraction or oral surgery	$4,640	0.0%	154	$30
105	88305	Tissue examination under a microscope (surgical pathology)	$4,636	0.0%	118	$39
106	96375	IV push — additional medication through an IV	$4,609	0.0%	4,113	$1
107	D0240	Dental X-ray of the whole mouth (panoramic)	$4,468	0.0%	406	$11
108	92012	Eye exam or vision test	$4,311	0.0%	87	$50
109	80048	Basic metabolic panel blood test (checks kidney function, blood sugar, electrolytes)	$4,291	0.0%	3,199	$1
110	99281	Emergency room visit for a very minor problem	$3,595	0.0%	241	$15
111	97161	Physical therapy evaluation — simple problem	$3,395	0.0%	93	$37
112	92557	Hearing or speech test or therapy	$3,302	0.0%	125	$26
113	96360	IV infusion — giving fluids through an IV (first hour)	$3,225	0.0%	280	$12
114	90461	Additional vaccine given to a child at the same visit	$3,007	0.0%	117	$26
115	D9230	Analgesia (pain management during dental work, like nitrous oxide/laughing gas)	$2,902	0.0%	201	$14
116	J3301	Injection of triamcinolone (steroid for inflammation or joint pain)	$2,775	0.0%	295	$9
117	85018	Blood cell or clotting test	$2,748	0.0%	2,050	$1
118	V2104	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens	$2,592	0.0%	80	$32
119	H0001	Alcohol and/or drug assessment	$2,501	0.0%	19	$132
120	71275	CT angiography of the chest (looking at blood vessels)	$2,468	0.0%	20	$123
121	87804	Flu test (rapid)	$2,370	0.0%	385	$6
122	92285	Eye exam or vision test	$2,320	0.0%	201	$12
123	A7030	Full face mask used with positive airway pressure device, each	$2,306	0.0%	29	$80
124	90853	Group therapy session	$2,298	0.0%	95	$24
125	87633	Microbiology test — checking for infections (bacteria, viruses, fungi)	$2,276	0.0%	1,051	$2
126	87086	Urine culture — checking for a urinary tract infection	$1,976	0.0%	2,219	$1
127	99205	New patient office visit — comprehensive visit for a complex problem	$1,929	0.0%	17	$113
128	D7111	Extraction — pulling a baby tooth that's already loose	$1,927	0.0%	47	$41
129	D9222	Other dental service	$1,878	0.0%	49	$38
130	93306	Heart ultrasound (echocardiogram)	$1,818	0.0%	15	$121
131	90791	Mental health evaluation — first visit with a therapist or psychiatrist	$1,813	0.0%	13	$139
132	87635	Microbiology test — checking for infections (bacteria, viruses, fungi)	$1,796	0.0%	61	$29
133	96372	IV infusion or injection of medication	$1,522	0.0%	1,832	$1
134	V5010	Assessment for hearing aid	$1,495	0.0%	31	$48
135	92550	Hearing or speech test or therapy	$1,422	0.0%	108	$13
136	76830	Transvaginal ultrasound of the uterus	$1,402	0.0%	14	$100
137	0241U	Medical service or procedure	$1,325	0.0%	747	$2
138	A7037	Tubing used with positive airway pressure device	$1,320	0.0%	95	$14
139	A7038	Filter, disposable, used with positive airway pressure device	$1,244	0.0%	327	$4
140	99233	Hospital care — daily check by your doctor (complex update)	$1,221	0.0%	23	$53
141	81025	Pregnancy test (urine)	$1,206	0.0%	1,140	$1
142	90832	Individual therapy session (30 minutes)	$1,098	0.0%	28	$39
143	84484	Troponin test (checks for heart damage or heart attack)	$1,078	0.0%	3,525	$0
144	83690	Blood chemistry test (checking specific substances in your blood)	$1,011	0.0%	3,433	$0
145	J7030	IV fluid — normal saline (salt water, 1000 ml)	$961	0.0%	5,374	$0
146	87491	Chlamydia test	$946	0.0%	63	$15
147	99211	Simple office visit — quick check-in with a nurse or doctor	$901	0.0%	113	$8
148	68761	Eye surgery	$893	0.0%	80	$11
149	H0002	Behavioral health screening to determine need for treatment	$831	0.0%	31	$27
150	87880	Strep throat test (rapid)	$819	0.0%	123	$7
151	71045	Chest X-ray (single view)	$785	0.0%	2,381	$0
152	0250	Anesthesia for a medical procedure	$782	0.0%	285	$3
153	80306	Drug or substance testing	$766	0.0%	146	$5
154	D0210	Full set of dental X-rays	$707	0.0%	12	$59
155	D0145	Oral evaluation for a patient under 3 years old	$703	0.0%	43	$16
156	E0601	Continuous positive airway pressure (cpap) device	$695	0.0%	17	$41
157	85610	Prothrombin time (PT) — blood clotting test	$683	0.0%	2,173	$0
158	83036	Hemoglobin A1c test (shows average blood sugar over 3 months — used for diabetes)	$682	0.0%	1,708	$0
159	97112	Neuromuscular re-education — retraining muscles and movement patterns	$645	0.0%	49	$13
160	87591	Gonorrhea test	$607	0.0%	63	$10
161	D5899	Dentures or removable dental prosthetics	$594	0.0%	62	$10
162	A7035	Headgear used with positive airway pressure device	$594	0.0%	32	$19
163	E0562	Humidifier, heated, used with positive airway pressure device	$586	0.0%	14	$42
164	82728	Blood chemistry test (checking specific substances in your blood)	$581	0.0%	168	$3
165	D1353	Dental preventive care (cleaning, fluoride, sealant)	$525	0.0%	33	$16
166	81003	Urinalysis — automated test	$515	0.0%	5,430	$0
167	83880	Blood chemistry test (checking specific substances in your blood)	$504	0.0%	238	$2
168	85027	Complete blood count — automated	$490	0.0%	1,783	$0
169	E0570	Nebulizer, with compressor	$461	0.0%	57	$8
170	84481	Blood chemistry test (checking specific substances in your blood)	$460	0.0%	39	$12
171	11100	Skin biopsy — taking a small sample to test for disease	$456	0.0%	28	$16
172	A0390	Advanced life support mileage (per mile)	$442	0.0%	505	$1
173	J1885	Injection, ketorolac tromethamine, per 15 mg	$437	0.0%	2,889	$0
174	73630	X-ray of the foot	$375	0.0%	232	$2
175	87077	Culture test — checking for specific bacteria	$361	0.0%	1,129	$0
176	96130	Psychological or neuropsychological testing — evaluation by a psychologist (first hour)	$350	0.0%	24	$15
177	83605	Blood chemistry test (checking specific substances in your blood)	$341	0.0%	1,147	$0
178	85730	Partial thromboplastin time (PTT) — blood clotting test	$341	0.0%	526	$1
179	87400	Microbiology test — checking for infections (bacteria, viruses, fungi)	$338	0.0%	992	$0
180	A0380	Basic life support mileage (per mile)	$312	0.0%	163	$2
181	82947	Blood sugar (glucose) test	$282	0.0%	128	$2
182	84439	Blood chemistry test (checking specific substances in your blood)	$268	0.0%	2,834	$0
183	87070	Culture test — checking a sample for bacteria	$260	0.0%	198	$1
184	J2405	Injection, ondansetron hydrochloride, per 1 mg	$244	0.0%	4,763	$0
185	96366	IV infusion or injection of medication	$230	0.0%	73	$3
186	84153	PSA blood test (prostate cancer screening)	$226	0.0%	81	$3
187	96103	Psychological testing — done by computer	$220	0.0%	65	$3
188	72100	X-ray of the lower spine (lumbar)	$216	0.0%	13	$17
189	83735	Blood chemistry test (checking specific substances in your blood)	$212	0.0%	2,511	$0
190	A6257	Transparent film, sterile, 16 sq. in. or less, each dressing	$208	0.0%	5,066	$0
191	36416	Finger or heel stick for blood collection	$200	0.0%	819	$0
192	J8597	Antiemetic drug, oral, not otherwise specified	$193	0.0%	501	$0
193	76856	Pelvic ultrasound (complete)	$192	0.0%	14	$14
194	36415	Drawing blood from a vein (routine blood draw)	$191	0.0%	15,577	$0
195	87040	Blood culture — test to see if bacteria are growing in your blood	$167	0.0%	234	$1
196	D0191	Dental exam, X-ray, or screening	$163	0.0%	16	$10
197	72125	Spine imaging (X-ray, CT, or MRI)	$151	0.0%	13	$12
198	J3010	Injection of fentanyl (strong pain medicine)	$140	0.0%	1,789	$0
199	94640	Breathing test or lung function test	$138	0.0%	214	$1
200	99188	Other medical service	$137	0.0%	13	$11
201	J1100	Injection of dexamethasone (steroid for inflammation, allergies, or breathing problems)	$136	0.0%	2,395	$0
202	77063	Breast imaging (mammogram or MRI)	$135	0.0%	706	$0
203	86140	Immune system or allergy test	$130	0.0%	812	$0
204	86803	Immune system or allergy test	$125	0.0%	91	$1
205	J7120	Ringer's lactate solution — IV fluid (1000 ml)	$110	0.0%	956	$0
206	11721	Nail surgery or treatment	$103	0.0%	1,367	$0
207	Q9966	Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml	$102	0.0%	269	$0
208	87430	Microbiology test — checking for infections (bacteria, viruses, fungi)	$96	0.0%	273	$0
209	80305	Drug or substance testing	$94	0.0%	45	$2
210	73130	X-ray of the hand	$78	0.0%	17	$5
211	87807	Microbiology test — checking for infections (bacteria, viruses, fungi)	$74	0.0%	16	$5
212	V5266	Battery for use in hearing device	$66	0.0%	13	$5
213	93010	Heart monitoring test (ECG/EKG)	$66	0.0%	384	$0
214	J1170	Injection, hydromorphone, up to 4 mg	$61	0.0%	1,351	$0
215	J2270	Injection of morphine (strong pain medicine)	$59	0.0%	218	$0
216	J0690	Injection, cefazolin sodium, 500 mg	$57	0.0%	611	$0
217	82570	Blood chemistry test (checking specific substances in your blood)	$53	0.0%	205	$0
218	96376	IV infusion or injection of medication	$51	0.0%	287	$0
219	86703	HIV test	$34	0.0%	31	$1
220	85651	Blood cell or clotting test	$27	0.0%	615	$0
221	80076	Liver function blood test panel	$26	0.0%	36	$1
222	86038	Immune system or allergy test	$25	0.0%	39	$1
223	84702	Blood chemistry test (checking specific substances in your blood)	$22	0.0%	31	$1
224	90686	Vaccine or immunization	$17	0.0%	220	$0
225	97014	Physical therapy, occupational therapy, or rehabilitation	$14	0.0%	293	$0
226	82746	Blood chemistry test (checking specific substances in your blood)	$10	0.0%	14	$1
227	85379	Blood cell or clotting test	$7	0.0%	50	$0
228	J2704	Injection of propofol (anesthesia for procedures)	$7	0.0%	1,116	$0
229	96146	Medical service or procedure	$6	0.0%	22	$0
230	J2060	Injection, lorazepam, 2 mg	$6	0.0%	15	$0
231	85652	Blood cell or clotting test	$5	0.0%	268	$0
232	A9270	Non-covered item or service	$1	0.0%	3,130	$0
233	90662	Vaccine or immunization	$1	0.0%	37	$0
234	J1200	Injection, diphenhydramine hcl, up to 50 mg	$1	0.0%	61	$0
235	G9905	Patient not screened for tobacco use	$0	0.0%	2,261	$0
236	G1004	Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program	$0	0.0%	23	$0
237	G0008	Administration of influenza virus vaccine	$0	0.0%	124	$0
238	0002A	Medical service or procedure	$0	0.0%	15	$0
239	1125F	Medical service or procedure	$0	0.0%	17	$0
240	J0131	Injection, acetaminophen, not otherwise specified,10 mg	$0	0.0%	54	$0
241	J0134	Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg	$0	0.0%	24	$0
242	J0137	Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg	$0	0.0%	13	$0
243	J0665	Injection, bupivicaine, not otherwise specified, 0.5 mg	$0	0.0%	37	$0
244	1036F	Medical service or procedure	$0	0.0%	5,316	$0
245	J0696	Injection of ceftriaxone (antibiotic, usually given for serious infections)	$0	0.0%	101	$0
246	83540	Iron blood test	$0	0.0%	350	$0
247	83550	Iron binding capacity test	$0	0.0%	206	$0
248	0001A	Medical service or procedure	$0	0.0%	16	$0
249	0064A	Medical service or procedure	$0	0.0%	13	$0
250	J2001	Injection of lidocaine (numbing medicine)	$0	0.0%	14	$0
251	J2250	Injection of midazolam (sedation medicine for procedures)	$0	0.0%	347	$0
252	84466	Blood chemistry test (checking specific substances in your blood)	$0	0.0%	74	$0
253	0012A	Medical service or procedure	$0	0.0%	70	$0
254	0011A	Medical service or procedure	$0	0.0%	81	$0
255	A4657	Syringe, with or without needle, each	$0	0.0%	328	$0
256	J3475	Injection, magnesium sulfate, per 500 mg	$0	0.0%	67	$0
257	87205	Gram stain — quick test to identify type of bacteria	$0	0.0%	15	$0
258	J7040	IV fluid — normal saline with 5% dextrose (sugar water, 1000 ml)	$0	0.0%	48	$0
259	99307	Nursing facility visit — minor problem	$0	0.0%	925	$0
260	99304	Nursing facility admission — first day care	$0	0.0%	34	$0
261	87811	Microbiology test — checking for infections (bacteria, viruses, fungi)	$0	0.0%	15	$0
262	Q5105	Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for end-stage kidney disease on dialysis), 100 units	$0	0.0%	431	$0
263	90655	Vaccine or immunization	$0	0.0%	14	$0
264	90656	Vaccine or immunization	$0	0.0%	246	$0
265	90670	Pneumonia vaccine (PCV13, protects against pneumonia)	$0	0.0%	14	$0
266	90682	Vaccine or immunization	$0	0.0%	13	$0
267	90694	Vaccine or immunization	$0	0.0%	16	$0
268	99202	New patient office visit — simple problem	$0	0.0%	16	$0
269	99173	Other medical service	$0	0.0%	563	$0
270	99072	Special medical service	$0	0.0%	466	$0
271	99024	Special medical service	$0	0.0%	13	$0
272	99000	Special medical service	$0	0.0%	271	$0
273	V2702	Deluxe lens feature	$0	0.0%	17	$0
274	91301	Medical service or procedure	$0	0.0%	28	$0
275	97010	Physical therapy, occupational therapy, or rehabilitation	$0	0.0%	22	$0
276	94760	Breathing test or lung function test	$0	0.0%	105	$0
277	G8783	Normal blood pressure reading documented, follow-up not required	$0	0.0%	302	$0
278	96367	IV infusion or injection of medication	$0	0.0%	13	$0
279	G8785	Blood pressure reading not documented, reason not given	$0	0.0%	574	$0
280	G8952	Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given	$0	0.0%	618	$0
281	G9902	Patient screened for tobacco use and identified as a tobacco user	$0	0.0%	13	$0
282	G9903	Patient screened for tobacco use and identified as a tobacco non-user	$0	0.0%	2,740	$0

Top Providers

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

#	Provider	Specialty	Total Paid	Claims	Beneficiaries
1	WASHOE TRIBE OF NEVADA AND CALIFORNIA	Clinic/Center	$18,287,052	42,517	18,656
2	EAST FORK FIRE PROTECTION DISTRICT	Ambulance, Land Transport	$4,106,348	9,980	8,171
3	WASHOE BARTON MEDICAL CLINIC A NEVADA NONPROFIT CORPORATION	General Acute Care Hospital, Critical Access	$3,232,277	214,800	148,343
4	WASHOE BARTON MEDICAL CLINIC A NEVADA NONPROFIT CORPORATION	Clinic/Center, Rural Health	$2,248,954	22,760	19,037
5	DOUGLAS COUNTY AND UNINCORPORATED TOWNS	Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children	$2,233,853	17,691	1,669
6	MAVERICK MEDICAL, INC.	Durable Medical Equipment & Medical Supplies	$1,439,890	34,865	34,805
7	FARNAZ KHANKHANIAN O D PROFESSIONAL CORPORATION	Optometrist	$1,394,376	41,313	33,637
8	PRITCHETT EYE CARE	Optometrist	$813,805	13,707	12,394
9	DIALYSIS CLINIC INC.	Clinic/Center, End-Stage Renal Disease (ESRD) Treatment	$790,989	16,686	947
10	SALAR AND DELISLE LLC	Dentist	$675,927	25,575	20,564
11	TAHOE FRACTURE & ORTHOPEDIC MEDICAL CLINIC, INC.	Orthopaedic Surgery	$391,381	11,146	8,492
12	TAHOE YOUTH AND FAMILY SERVICES	Community/Behavioral Health	$355,533	5,208	1,736
13	MOUNTAINVIEW MEDICAL ASSOCIATES PC	Family Medicine	$338,512	12,083	10,051
14	VALLEY PEDIATRIC DENTISTRY, HEATHER M PARSONS, DMD. LTD	Dentist, Pediatric Dentistry	$300,610	9,259	7,375
15	STATE OF NEVADA	Clinic/Center, Mental Health (Including Community Mental Health Center)	$298,901	2,620	2,434
16	WASHOE BARTON MEDICAL CLINIC A NEVADA NONPROFIT CORPORATION	Community/Behavioral Health	$273,965	4,669	3,497
17	JOSEPH MIR	Dentist, General Practice	$193,803	7,435	4,018
18	NEW LIGHT THERAPY	Residential Treatment Facility, Physical Disabilities	$184,238	2,205	721
19	STATE OF NEVADA	Case Management	$154,415	1,049	294
20	TODD GRAY	Dentist, Pediatric Dentistry	$147,536	4,373	3,063
21	CARSON VALLEY HEALTH RURAL HEALTH CLINIC	Internal Medicine	$119,513	2,754	2,531
22	LINCARE INC.	Durable Medical Equipment & Medical Supplies	$72,760	2,090	1,867
23	JAMES PITTMAN	Optometrist	$59,098	997	971
24	MADISON ROMANOWITZ	Marriage & Family Therapist	$47,518	624	291
25	BRIDGETTE DEBOER	Counselor, Addiction (Substance Use Disorder)	$45,614	432	182

About This Data

Providers are assigned to Douglas 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).