Procedures by Expenditure

All procedure codes billed by Medicaid providers in Elko 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	$32,657,493	40.7%	68,589	$476
2	T1040	Community mental health center services — a full day of behavioral health treatment at a local clinic	$6,654,869	8.3%	55,112	$121
3	G0467	Federally Qualified Health Center visit — a community health center visit for regular patients	$6,432,106	8.0%	51,274	$125
4	41899	Dental or mouth surgery — other procedure not listed elsewhere	$3,795,060	4.7%	12,455	$305
5	99284	Emergency room visit for a serious problem	$2,824,585	3.5%	33,978	$83
6	99214	Office visit for a moderate problem (established patient)	$2,240,999	2.8%	52,235	$43
7	99285	Emergency room visit for a severe or life-threatening problem	$2,145,932	2.7%	19,189	$112
8	H0015	Intensive outpatient treatment for alcohol or drug problems (per hour)	$1,942,732	2.4%	6,166	$315
9	A0427	Ambulance ride with advanced life support — emergency (ALS 1 — paramedics on board)	$1,848,756	2.3%	4,270	$433
10	99283	Emergency room visit for a moderate problem	$1,521,244	1.9%	28,019	$54
11	H0005	Group alcohol and/or drug counseling (per 15 minutes)	$1,425,084	1.8%	13,699	$104
12	90999	Dialysis or kidney treatment — other related procedure	$1,204,980	1.5%	16,947	$71
13	74177	CT scan of the abdomen and pelvis (with contrast dye)	$1,192,960	1.5%	4,540	$263
14	99213	Office visit for a simple problem (established patient)	$898,549	1.1%	24,582	$37
15	A0429	Ambulance ride with basic life support — emergency (BLS — EMTs on board)	$818,665	1.0%	1,690	$484
16	V2020	Frames, purchases	$710,306	0.9%	10,235	$69
17	90837	Individual therapy session (60 minutes)	$707,792	0.9%	14,439	$49
18	97110	Physical therapy exercises to build strength, flexibility, or range of motion	$606,279	0.8%	20,874	$29
19	97155	Physical therapy, occupational therapy, or rehabilitation	$551,247	0.7%	5,479	$101
20	99204	New patient office visit — detailed visit for a serious problem	$499,223	0.6%	7,732	$65
21	92507	Speech therapy session — treatment for speech, language, or swallowing problems	$466,400	0.6%	7,171	$65
22	92014	Eye exam or vision test	$458,184	0.6%	4,675	$98
23	E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	$435,943	0.5%	10,877	$40
24	92004	Eye exam or vision test	$370,819	0.5%	3,111	$119
25	G0466	Federally qualified health center (community health center) visit, new patient; a medically-necessary	$363,714	0.5%	2,703	$135
26	92508	Group speech therapy session	$339,209	0.4%	12,627	$27
27	99391	Wellness checkup — infant (under 1 year)	$304,973	0.4%	4,682	$65
28	99392	Wellness checkup — ages 1-4	$260,757	0.3%	3,133	$83
29	70450	CT scan of the head (without contrast dye)	$251,451	0.3%	4,069	$62
30	V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	$231,884	0.3%	4,021	$58
31	V2784	Lens, polycarbonate or equal, any index, per lens	$223,679	0.3%	3,312	$68
32	92250	Eye exam or vision test	$221,807	0.3%	3,320	$67
33	G0378	Hospital observation services — being watched and monitored in the hospital (per hour)	$208,120	0.3%	1,450	$144
34	D0367	Dental exam, X-ray, or screening	$206,510	0.3%	1,420	$145
35	A0425	Ground mileage — per mile for ambulance transportation	$205,674	0.3%	7,702	$27
36	D1120	Dental cleaning for children (prophylaxis)	$200,413	0.2%	4,110	$49
37	92015	Eye exam or vision test	$194,252	0.2%	12,394	$16
38	96372	IV infusion or injection of medication	$189,355	0.2%	20,113	$9
39	97140	Manual therapy — hands-on treatment like massage or joint mobilization	$179,212	0.2%	10,618	$17
40	92340	Eye exam or vision test	$175,534	0.2%	6,006	$29
41	99282	Emergency room visit for a minor problem	$160,460	0.2%	4,958	$32
42	74176	CT scan of the abdomen and pelvis (without contrast)	$154,467	0.2%	847	$182
43	97530	Therapeutic activities — exercises and tasks to improve daily function	$140,938	0.2%	12,420	$11
44	90460	Giving a vaccine to a child, including talking with the family about it	$139,988	0.2%	3,518	$40
45	D7140	Tooth extraction — pulling a tooth that has erupted	$127,573	0.2%	3,401	$38
46	72125	Spine imaging (X-ray, CT, or MRI)	$121,539	0.2%	695	$175
47	97112	Neuromuscular re-education — retraining muscles and movement patterns	$112,701	0.1%	5,393	$21
48	T1017	Targeted case management — a social worker helping coordinate your care (per 15 minutes)	$96,760	0.1%	3,498	$28
49	V2760	Scratch resistant coating, per lens	$89,502	0.1%	2,634	$34
50	D0120	Regular dental checkup and exam	$89,128	0.1%	3,027	$29
51	D0220	Single dental X-ray (of one tooth)	$84,980	0.1%	7,641	$11
52	71275	CT angiography of the chest (looking at blood vessels)	$84,718	0.1%	493	$172
53	71260	CT scan of the chest (with contrast dye)	$80,376	0.1%	766	$105
54	H0001	Alcohol and/or drug assessment	$74,997	0.1%	767	$98
55	A0428	Ambulance ride with basic life support (non-emergency, BLS)	$73,352	0.1%	245	$299
56	90471	Giving a vaccine by injection (shot)	$71,138	0.1%	6,215	$11
57	D7210	Surgical tooth extraction — requires cutting into gum or removing bone	$70,916	0.1%	962	$74
58	D9223	Other dental service	$65,452	0.1%	573	$114
59	D2392	Tooth-colored (resin) filling — two surfaces, back tooth	$62,896	0.1%	1,263	$50
60	D0230	Additional dental X-ray	$58,685	0.1%	10,687	$5
61	97156	Physical therapy, occupational therapy, or rehabilitation	$55,731	0.1%	1,304	$43
62	76815	Limited ultrasound of pregnancy (quick check)	$55,330	0.1%	1,812	$31
63	D0330	Panoramic dental X-ray (full view of all teeth and jaw)	$54,613	0.1%	3,188	$17
64	D0140	Limited dental exam — for a specific problem (like a toothache)	$53,609	0.1%	1,942	$28
65	E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	$51,269	0.1%	6,667	$8
66	80053	Comprehensive metabolic panel blood test (checks liver, kidney, blood sugar, electrolytes)	$50,969	0.1%	30,181	$2
67	96365	IV infusion of medication — giving medicine through an IV (first hour)	$50,915	0.1%	8,048	$6
68	D2930	Stainless steel crown — prefabricated (primary tooth)	$49,827	0.1%	650	$77
69	V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	$48,082	0.1%	733	$66
70	G0470	Federally qualified health center (community health center) visit, mental health, established patient; a medically-necessary	$47,468	0.1%	240	$198
71	90472	Additional vaccine injection at the same visit	$45,867	0.1%	3,657	$13
72	88305	Tissue examination under a microscope (surgical pathology)	$45,334	0.1%	869	$52
73	87811	Microbiology test — checking for infections (bacteria, viruses, fungi)	$41,476	0.1%	2,381	$17
74	E0570	Nebulizer, with compressor	$40,119	0.0%	1,801	$22
75	D0150	Comprehensive dental exam — thorough check of teeth, gums, and mouth	$39,632	0.0%	1,607	$25
76	D9248	Other dental service	$39,503	0.0%	510	$77
77	D1206	Fluoride treatment — painted on teeth to prevent cavities	$39,327	0.0%	1,373	$29
78	99203	New patient office visit — moderate problem	$35,715	0.0%	778	$46
79	A7030	Full face mask used with positive airway pressure device, each	$35,635	0.0%	406	$88
80	92083	Eye exam or vision test	$33,199	0.0%	869	$38
81	87426	Microbiology test — checking for infections (bacteria, viruses, fungi)	$31,099	0.0%	1,898	$16
82	D0274	Dental X-ray — bitewings (four films)	$30,185	0.0%	1,976	$15
83	D9230	Analgesia (pain management during dental work, like nitrous oxide/laughing gas)	$29,978	0.0%	1,862	$16
84	D1208	Dental preventive care (cleaning, fluoride, sealant)	$29,927	0.0%	3,309	$9
85	76805	Ultrasound of pregnancy (after first trimester)	$29,611	0.0%	396	$75
86	00170	Anesthesia for a medical procedure	$28,989	0.0%	178	$163
87	96375	IV push — additional medication through an IV	$28,553	0.0%	12,333	$2
88	99243	Office consultation — moderate problem	$27,495	0.0%	354	$78
89	99281	Emergency room visit for a very minor problem	$27,093	0.0%	1,914	$14
90	D9310	Dental consultation — specialist opinion on a dental problem	$24,969	0.0%	462	$54
91	87591	Gonorrhea test	$24,840	0.0%	2,135	$12
92	E0601	Continuous positive airway pressure (cpap) device	$24,212	0.0%	474	$51
93	90839	Crisis therapy — emergency mental health treatment (first 60 minutes)	$22,851	0.0%	247	$93
94	D1351	Dental sealant — protective coating on a tooth to prevent cavities	$22,646	0.0%	1,153	$20
95	D0272	Dental X-ray — bitewings (two films)	$22,354	0.0%	1,262	$18
96	87491	Chlamydia test	$22,199	0.0%	2,130	$10
97	99223	Hospital admission — first day, complex or serious problem	$20,599	0.0%	208	$99
98	A4604	Tubing with integrated heating element for use with positive airway pressure device	$20,331	0.0%	606	$34
99	80055	Blood test panel (checking multiple things at once)	$19,383	0.0%	396	$49
100	D9222	Other dental service	$18,442	0.0%	447	$41
101	D0210	Full set of dental X-rays	$18,036	0.0%	378	$48
102	D2391	Tooth-colored (resin) filling — one surface, back tooth	$17,876	0.0%	527	$34
103	Q3014	Telehealth originating site facility fee	$17,668	0.0%	2,756	$6
104	59025	Pregnancy, delivery, and maternity care	$17,297	0.0%	812	$21
105	97014	Physical therapy, occupational therapy, or rehabilitation	$17,025	0.0%	1,631	$10
106	80307	Drug test — checking urine or blood for multiple types of drugs	$16,922	0.0%	7,787	$2
107	T4541	Incontinence product, disposable underpad, large, each	$16,515	0.0%	837	$20
108	D0160	Dental exam, X-ray, or screening	$14,572	0.0%	468	$31
109	87804	Flu test (rapid)	$14,504	0.0%	5,070	$3
110	97153	Physical therapy, occupational therapy, or rehabilitation	$14,441	0.0%	1,088	$13
111	D2740	Crown (cap) — porcelain or ceramic	$14,432	0.0%	32	$451
112	93306	Heart ultrasound (echocardiogram)	$14,207	0.0%	223	$64
113	D2150	Silver (amalgam) filling — two surfaces	$14,111	0.0%	164	$86
114	96366	IV infusion or injection of medication	$13,747	0.0%	2,063	$7
115	J0887	Injection, epoetin beta, 1 microgram, (for end-stage kidney disease on dialysis)	$13,137	0.0%	747	$18
116	96374	IV push — giving medicine quickly through an IV (single injection)	$12,795	0.0%	12,655	$1
117	V2755	U-v lens, per lens	$12,774	0.0%	467	$27
118	A7031	Face mask interface, replacement for full face mask, each	$12,103	0.0%	345	$35
119	93005	Heart monitoring test (ECG/EKG)	$12,080	0.0%	9,284	$1
120	77067	Screening mammogram (breast cancer screening)	$11,815	0.0%	204	$58
121	87880	Strep throat test (rapid)	$11,768	0.0%	2,314	$5
122	85025	Complete blood count (CBC) — checks red cells, white cells, and platelets	$11,718	0.0%	33,013	$0
123	D0381	Dental exam, X-ray, or screening	$11,503	0.0%	92	$125
124	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	$11,338	0.0%	672	$17
125	D0382	Dental exam, X-ray, or screening	$11,297	0.0%	90	$126
126	90840	Crisis therapy — continued emergency treatment (additional 30 minutes)	$11,140	0.0%	161	$69
127	99215	Office visit for a complex or serious problem (established patient)	$10,977	0.0%	379	$29
128	90461	Additional vaccine given to a child at the same visit	$10,944	0.0%	586	$19
129	86328	Immune system or allergy test	$10,629	0.0%	465	$23
130	99211	Simple office visit — quick check-in with a nurse or doctor	$10,561	0.0%	2,008	$5
131	90853	Group therapy session	$9,572	0.0%	5,354	$2
132	D1110	Dental cleaning for adults (prophylaxis)	$9,349	0.0%	198	$47
133	D7310	Tooth extraction or oral surgery	$9,299	0.0%	132	$70
134	84702	Blood chemistry test (checking specific substances in your blood)	$9,196	0.0%	2,519	$4
135	76816	Follow-up ultrasound of pregnancy	$9,186	0.0%	159	$58
136	76856	Pelvic ultrasound (complete)	$8,635	0.0%	164	$53
137	87086	Urine culture — checking for a urinary tract infection	$8,451	0.0%	8,767	$1
138	96110	Developmental screening test for children (autism, learning, speech)	$7,822	0.0%	1,641	$5
139	97010	Physical therapy, occupational therapy, or rehabilitation	$7,710	0.0%	4,107	$2
140	D0364	Dental exam, X-ray, or screening	$7,695	0.0%	51	$151
141	90832	Individual therapy session (30 minutes)	$7,655	0.0%	2,188	$3
142	E0562	Humidifier, heated, used with positive airway pressure device	$7,532	0.0%	595	$13
143	99239	Hospital discharge — doctor manages your release (more than 30 minutes)	$7,488	0.0%	113	$66
144	A7038	Filter, disposable, used with positive airway pressure device	$7,326	0.0%	1,468	$5
145	99393	Wellness checkup — ages 5-11	$7,284	0.0%	74	$98
146	71046	Chest X-ray (two views — front and side)	$7,271	0.0%	2,576	$3
147	92133	Eye exam or vision test	$7,024	0.0%	272	$26
148	90833	Individual therapy session added to a regular doctor visit (30 minutes)	$6,084	0.0%	137	$44
149	72131	CT scan of the lower spine (without contrast)	$5,915	0.0%	43	$138
150	92012	Eye exam or vision test	$5,692	0.0%	231	$25
151	D4341	Deep cleaning (scaling and root planing) — per quadrant, 4+ teeth	$5,351	0.0%	58	$92
152	97162	Physical therapy evaluation — moderate problem	$5,194	0.0%	120	$43
153	H0002	Behavioral health screening to determine need for treatment	$5,030	0.0%	1,698	$3
154	96361	IV infusion — additional hour	$4,763	0.0%	5,125	$1
155	J0696	Injection of ceftriaxone (antibiotic, usually given for serious infections)	$4,679	0.0%	7,819	$1
156	83880	Blood chemistry test (checking specific substances in your blood)	$4,590	0.0%	3,275	$1
157	D7240	Removal of an impacted tooth — completely bony (deeply stuck in jawbone)	$4,576	0.0%	41	$112
158	T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	$4,382	0.0%	208	$21
159	G0468	Federally Qualified Health Center visit — a community health center visit for new patients	$4,280	0.0%	16	$267
160	0202U	Medical service or procedure	$4,181	0.0%	4,475	$1
161	94640	Breathing test or lung function test	$4,070	0.0%	2,222	$2
162	D2950	Crown buildup — rebuilding a broken tooth so a crown can be placed	$4,059	0.0%	34	$119
163	99205	New patient office visit — comprehensive visit for a complex problem	$3,976	0.0%	29	$137
164	D1354	Interim caries arresting treatment — applying medicine to stop a cavity from growing	$3,862	0.0%	356	$11
165	J1885	Injection, ketorolac tromethamine, per 15 mg	$3,841	0.0%	14,689	$0
166	99174	Other medical service	$3,739	0.0%	524	$7
167	92341	Eye exam or vision test	$3,725	0.0%	102	$37
168	A7035	Headgear used with positive airway pressure device	$3,523	0.0%	196	$18
169	J3301	Injection of triamcinolone (steroid for inflammation or joint pain)	$3,520	0.0%	840	$4
170	80050	General health panel blood test	$3,471	0.0%	167	$21
171	92551	Hearing or speech test or therapy	$3,459	0.0%	327	$11
172	D9612	Other dental service	$3,456	0.0%	126	$27
173	96376	IV infusion or injection of medication	$3,387	0.0%	3,935	$1
174	V2104	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens	$3,344	0.0%	59	$57
175	D9215	Local anesthesia (numbing injection for dental work)	$3,191	0.0%	695	$5
176	87070	Culture test — checking a sample for bacteria	$3,126	0.0%	902	$3
177	J1100	Injection of dexamethasone (steroid for inflammation, allergies, or breathing problems)	$3,121	0.0%	8,930	$0
178	Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	$3,028	0.0%	7,060	$0
179	H0038	Self-help or peer support services (someone with similar experience helping you)	$2,938	0.0%	4,283	$1
180	99212	Office visit for a minor problem (established patient)	$2,864	0.0%	407	$7
181	D3220	Pulp treatment for a baby tooth — removing infection from inside the tooth	$2,743	0.0%	46	$60
182	V2203	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	$2,661	0.0%	25	$106
183	D9630	Other dental service	$2,576	0.0%	245	$11
184	87633	Microbiology test — checking for infections (bacteria, viruses, fungi)	$2,560	0.0%	959	$3
185	99381	Wellness checkup — new patient, infant (under 1 year)	$2,493	0.0%	35	$71
186	90474	Additional oral or nasal vaccine at the same visit	$2,429	0.0%	295	$8
187	D0240	Dental X-ray of the whole mouth (panoramic)	$2,319	0.0%	225	$10
188	97151	Physical therapy, occupational therapy, or rehabilitation	$2,259	0.0%	34	$66
189	99232	Hospital care — daily check by your doctor (moderate update)	$2,205	0.0%	205	$11
190	36415	Drawing blood from a vein (routine blood draw)	$2,204	0.0%	14,087	$0
191	0001A	Medical service or procedure	$2,184	0.0%	162	$13
192	99309	Nursing facility visit — moderate problem	$2,160	0.0%	767	$3
193	D4212	Gum disease treatment (periodontics)	$2,152	0.0%	32	$67
194	T1023	Screening and assessment — checking a patient's health and needs to create a care plan	$2,109	0.0%	14	$151
195	D9610	Other dental service	$2,052	0.0%	126	$16
196	87428	Microbiology test — checking for infections (bacteria, viruses, fungi)	$1,950	0.0%	928	$2
197	72148	MRI of the lower spine (without contrast)	$1,937	0.0%	16	$121
198	71045	Chest X-ray (single view)	$1,823	0.0%	8,643	$0
199	J8540	Dexamethasone, oral, 0.25 mg	$1,800	0.0%	1,387	$1
200	88307	Tissue examination under a microscope (surgical pathology)	$1,743	0.0%	23	$76
201	96138	Psychological testing — administered by a technician (first 30 min)	$1,727	0.0%	180	$10
202	J7030	IV fluid — normal saline (salt water, 1000 ml)	$1,724	0.0%	12,630	$0
203	84443	Thyroid function test (TSH)	$1,707	0.0%	3,597	$0
204	80061	Cholesterol and lipid panel blood test	$1,692	0.0%	2,040	$1
205	76705	Ultrasound of the abdomen (limited)	$1,690	0.0%	180	$9
206	87040	Blood culture — test to see if bacteria are growing in your blood	$1,555	0.0%	3,134	$0
207	20552	Musculoskeletal surgery (bones, joints, muscles)	$1,543	0.0%	163	$9
208	99382	Wellness checkup — new patient, ages 1-4	$1,471	0.0%	13	$113
209	80048	Basic metabolic panel blood test (checks kidney function, blood sugar, electrolytes)	$1,467	0.0%	3,647	$0
210	D0340	Dental exam, X-ray, or screening	$1,421	0.0%	65	$22
211	A0998	Ambulance response and treatment, no transport	$1,361	0.0%	90	$15
212	87186	Microbiology test — checking for infections (bacteria, viruses, fungi)	$1,281	0.0%	4,371	$0
213	85610	Prothrombin time (PT) — blood clotting test	$1,262	0.0%	3,405	$0
214	99460	Newborn baby care — first exam in the hospital	$1,193	0.0%	14	$85
215	0002A	Medical service or procedure	$1,172	0.0%	140	$8
216	93010	Heart monitoring test (ECG/EKG)	$1,142	0.0%	1,585	$1
217	V2750	Anti-reflective coating, per lens	$1,090	0.0%	26	$42
218	A7005	Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable	$1,064	0.0%	61	$17
219	90791	Mental health evaluation — first visit with a therapist or psychiatrist	$898	0.0%	1,171	$1
220	84439	Blood chemistry test (checking specific substances in your blood)	$888	0.0%	1,064	$1
221	76830	Transvaginal ultrasound of the uterus	$863	0.0%	38	$23
222	87807	Microbiology test — checking for infections (bacteria, viruses, fungi)	$803	0.0%	129	$6
223	93971	Blood vessel ultrasound or study	$789	0.0%	24	$33
224	81025	Pregnancy test (urine)	$782	0.0%	4,078	$0
225	99238	Hospital discharge — doctor manages your release (30 minutes or less)	$777	0.0%	12	$65
226	84484	Troponin test (checks for heart damage or heart attack)	$735	0.0%	7,807	$0
227	90834	Individual therapy session (45 minutes)	$670	0.0%	2,765	$0
228	73564	Lower extremity imaging (hip, knee, leg, foot)	$669	0.0%	226	$3
229	85730	Partial thromboplastin time (PTT) — blood clotting test	$594	0.0%	1,864	$0
230	97016	Physical therapy, occupational therapy, or rehabilitation	$582	0.0%	113	$5
231	J2930	Injection, methylprednisolone sodium succinate, up to 125 mg	$573	0.0%	400	$1
232	D9420	Hospital dental care — using the hospital for dental treatment (per hour)	$533	0.0%	13	$41
233	73610	X-ray of the ankle (complete)	$530	0.0%	331	$2
234	95930	Brain wave test (EEG) or nerve test	$521	0.0%	12	$43
235	K0001	Standard wheelchair	$517	0.0%	13	$40
236	97150	Group therapy session (physical, occupational, or speech)	$512	0.0%	787	$1
237	83690	Blood chemistry test (checking specific substances in your blood)	$454	0.0%	8,087	$0
238	83036	Hemoglobin A1c test (shows average blood sugar over 3 months — used for diabetes)	$441	0.0%	2,220	$0
239	99308	Nursing facility visit — simple problem	$439	0.0%	67	$7
240	D0350	Dental exam, X-ray, or screening	$410	0.0%	95	$4
241	99306	Nursing facility admission — complex first day care	$409	0.0%	13	$31
242	82947	Blood sugar (glucose) test	$404	0.0%	3,127	$0
243	A7036	Chinstrap used with positive airway pressure device	$372	0.0%	38	$10
244	99310	Nursing facility visit — complex problem	$370	0.0%	91	$4
245	84703	Blood chemistry test (checking specific substances in your blood)	$318	0.0%	3,267	$0
246	C9803	Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	$315	0.0%	3,770	$0
247	87420	Microbiology test — checking for infections (bacteria, viruses, fungi)	$314	0.0%	301	$1
248	83605	Blood chemistry test (checking specific substances in your blood)	$313	0.0%	3,166	$0
249	93000	Heart monitoring test (ECG/EKG)	$312	0.0%	41	$8
250	99201	New patient office visit — minor problem	$311	0.0%	14	$22
251	J2704	Injection of propofol (anesthesia for procedures)	$309	0.0%	2,820	$0
252	80179	Drug or substance testing	$308	0.0%	1,275	$0
253	A7003	Administration set, with small volume nonfiltered pneumatic nebulizer, disposable	$304	0.0%	234	$1
254	J0690	Injection, cefazolin sodium, 500 mg	$302	0.0%	516	$1
255	J7120	Ringer's lactate solution — IV fluid (1000 ml)	$294	0.0%	3,476	$0
256	96158	Medical service or procedure	$290	0.0%	149	$2
257	83655	Blood chemistry test (checking specific substances in your blood)	$288	0.0%	28	$10
258	87389	Microbiology test — checking for infections (bacteria, viruses, fungi)	$281	0.0%	695	$0
259	80143	Drug or substance testing	$280	0.0%	1,316	$0
260	J3475	Injection, magnesium sulfate, per 500 mg	$276	0.0%	40	$7
261	81003	Urinalysis — automated test	$266	0.0%	11,361	$0
262	J1170	Injection, hydromorphone, up to 4 mg	$264	0.0%	7,136	$0
263	73130	X-ray of the hand	$258	0.0%	153	$2
264	11721	Nail surgery or treatment	$254	0.0%	110	$2
265	85027	Complete blood count — automated	$244	0.0%	1,319	$0
266	93308	Heart ultrasound (echocardiogram)	$228	0.0%	19	$12
267	87430	Microbiology test — checking for infections (bacteria, viruses, fungi)	$220	0.0%	2,491	$0
268	96161	Medical service or procedure	$213	0.0%	629	$0
269	90686	Vaccine or immunization	$197	0.0%	554	$0
270	82950	Glucose tolerance test — post glucose dose	$169	0.0%	299	$1
271	87798	Microbiology test — checking for infections (bacteria, viruses, fungi)	$168	0.0%	1,050	$0
272	87581	Microbiology test — checking for infections (bacteria, viruses, fungi)	$168	0.0%	1,043	$0
273	87486	Microbiology test — checking for infections (bacteria, viruses, fungi)	$168	0.0%	1,041	$0
274	G0396	Alcohol and/or substance (other than tobacco) misuse structured assessment (for example., audit, dast), and brief intervention 15 to 30 minutes	$162	0.0%	18	$9
275	87081	Culture test — checking for a specific organism	$149	0.0%	2,686	$0
276	87077	Culture test — checking for specific bacteria	$144	0.0%	4,371	$0
277	73030	X-ray of the shoulder	$143	0.0%	80	$2
278	J7510	Prednisolone oral, per 5 mg	$142	0.0%	533	$0
279	82565	Creatinine blood test (checks how well your kidneys are working)	$142	0.0%	1,168	$0
280	85379	Blood cell or clotting test	$133	0.0%	2,108	$0
281	74018	X-ray of the abdomen (single view)	$132	0.0%	80	$2
282	73630	X-ray of the foot	$132	0.0%	207	$1
283	81001	Urinalysis — checking your pee for infections or health problems (with microscope)	$126	0.0%	8,827	$0
284	J2405	Injection, ondansetron hydrochloride, per 1 mg	$125	0.0%	13,879	$0
285	E1392	Portable oxygen concentrator, rental	$119	0.0%	12	$10
286	G0463	Hospital outpatient clinic visit	$118	0.0%	730	$0
287	96360	IV infusion — giving fluids through an IV (first hour)	$117	0.0%	218	$1
288	83735	Blood chemistry test (checking specific substances in your blood)	$116	0.0%	1,376	$0
289	88312	Tissue examination under a microscope (surgical pathology)	$115	0.0%	16	$7
290	G3002	Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation	$114	0.0%	13	$9
291	82150	Blood chemistry test (checking specific substances in your blood)	$112	0.0%	2,705	$0
292	87899	Microbiology test — checking for infections (bacteria, viruses, fungi)	$111	0.0%	205	$1
293	84520	Blood chemistry test (checking specific substances in your blood)	$104	0.0%	688	$0
294	82306	Vitamin D blood test	$95	0.0%	84	$1
295	D0270	Dental X-ray — bitewing (single film, checks for cavities between teeth)	$94	0.0%	16	$6
296	72100	X-ray of the lower spine (lumbar)	$93	0.0%	66	$1
297	A7046	Water chamber for humidifier, used with positive airway pressure device, replacement, each	$92	0.0%	12	$8
298	96127	Brief emotional or behavioral screening (like a depression or anxiety questionnaire)	$92	0.0%	778	$0
299	86140	Immune system or allergy test	$77	0.0%	1,978	$0
300	J2060	Injection, lorazepam, 2 mg	$74	0.0%	4,470	$0
301	D0170	Dental exam, X-ray, or screening	$74	0.0%	22	$3
302	90715	Tdap vaccine (tetanus, diphtheria, and whooping cough booster)	$69	0.0%	140	$0
303	J2270	Injection of morphine (strong pain medicine)	$67	0.0%	2,810	$0
304	J1630	Injection, haloperidol, up to 5 mg	$60	0.0%	1,956	$0
305	99053	Special medical service	$59	0.0%	5,058	$0
306	99177	Other medical service	$56	0.0%	13	$4
307	84145	Blood chemistry test (checking specific substances in your blood)	$55	0.0%	504	$0
308	A0398	Advanced life support routine disposable supplies	$48	0.0%	697	$0
309	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 se...	$45	0.0%	32	$1
310	J1200	Injection, diphenhydramine hcl, up to 50 mg	$40	0.0%	3,218	$0
311	96103	Psychological testing — done by computer	$35	0.0%	12	$3
312	93325	Heart ultrasound (echocardiogram)	$32	0.0%	19	$2
313	82550	Blood chemistry test (checking specific substances in your blood)	$31	0.0%	764	$0
314	V2799	Vision item or service, miscellaneous	$31	0.0%	2,201	$0
315	86850	Blood type and antibody screening	$29	0.0%	259	$0
316	72275	Spine imaging (X-ray, CT, or MRI)	$24	0.0%	15	$2
317	82553	Blood chemistry test (checking specific substances in your blood)	$23	0.0%	807	$0
318	86803	Immune system or allergy test	$22	0.0%	186	$0
319	84436	Blood chemistry test (checking specific substances in your blood)	$19	0.0%	586	$0
320	86701	Immune system or allergy test	$18	0.0%	205	$0
321	82728	Blood chemistry test (checking specific substances in your blood)	$15	0.0%	505	$0
322	86677	Immune system or allergy test	$12	0.0%	311	$0
323	86780	Immune system or allergy test	$12	0.0%	116	$0
324	J2175	Injection, meperidine hydrochloride, per 100 mg	$9	0.0%	161	$0
325	85652	Blood cell or clotting test	$9	0.0%	218	$0
326	87205	Gram stain — quick test to identify type of bacteria	$9	0.0%	185	$0
327	85007	Blood cell or clotting test	$8	0.0%	934	$0
328	J2001	Injection of lidocaine (numbing medicine)	$8	0.0%	2,564	$0
329	J7040	IV fluid — normal saline with 5% dextrose (sugar water, 1000 ml)	$7	0.0%	1,052	$0
330	86901	Blood typing — Rh (determines if you're Rh positive or negative)	$6	0.0%	827	$0
331	86900	Blood typing — ABO (determines your blood group)	$6	0.0%	827	$0
332	J2765	Injection, metoclopramide hcl, up to 10 mg	$4	0.0%	1,225	$0
333	J7620	Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through medical equipment	$3	0.0%	32	$0
334	J2250	Injection of midazolam (sedation medicine for procedures)	$3	0.0%	2,626	$0
335	J2550	Injection of promethazine (anti-nausea medicine)	$2	0.0%	437	$0
336	J3010	Injection of fentanyl (strong pain medicine)	$1	0.0%	3,236	$0
337	J1171	Injection, hydromorphone, 0.1 mg	$1	0.0%	28	$0
338	J7050	IV fluid — normal saline (250 ml)	$1	0.0%	186	$0
339	90685	Vaccine or immunization	$0	0.0%	39	$0
340	90681	Rotavirus vaccine (protects babies from stomach illness)	$0	0.0%	151	$0
341	90680	Vaccine or immunization	$0	0.0%	61	$0
342	G0008	Administration of influenza virus vaccine	$0	0.0%	234	$0
343	G0108	Diabetes self-management training for individuals	$0	0.0%	116	$0
344	G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	$0	0.0%	498	$0
345	G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	$0	0.0%	123	$0
346	G0157	Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes	$0	0.0%	315	$0
347	G0299	Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes	$0	0.0%	2,660	$0
348	G0300	Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes	$0	0.0%	1,143	$0
349	90671	Vaccine or immunization	$0	0.0%	50	$0
350	90670	Pneumonia vaccine (PCV13, protects against pneumonia)	$0	0.0%	1,999	$0
351	90662	Vaccine or immunization	$0	0.0%	118	$0
352	90656	Vaccine or immunization	$0	0.0%	129	$0
353	90655	Vaccine or immunization	$0	0.0%	144	$0
354	90651	HPV vaccine (protects against cancer-causing virus)	$0	0.0%	12	$0
355	90647	Haemophilus influenzae type b (Hib) vaccine	$0	0.0%	896	$0
356	G0495	Skilled services of a registered nurse (rn), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes	$0	0.0%	161	$0
357	G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (community health center) only	$0	0.0%	80	$0
358	90633	Hepatitis A vaccine (child dose)	$0	0.0%	423	$0
359	G8419	Bmi documented outside normal parameters, no follow-up plan documented, no reason given	$0	0.0%	76	$0
360	G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	$0	0.0%	74	$0
361	G8428	Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given	$0	0.0%	77	$0
362	G8730	Pain assessment documented as positive using a standardized tool and a follow-up plan is documented	$0	0.0%	18	$0
363	G8752	Most recent systolic blood pressure < 140 mmhg	$0	0.0%	130	$0
364	G8754	Most recent diastolic blood pressure < 90 mmhg	$0	0.0%	126	$0
365	G8783	Normal blood pressure reading documented, follow-up not required	$0	0.0%	57	$0
366	G8981	Changing & maintaining body position functional limitation, current status, at therapy episode outset and at reporting intervals	$0	0.0%	28	$0
367	G8982	Changing & maintaining body position functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting	$0	0.0%	51	$0
368	87802	Microbiology test — checking for infections (bacteria, viruses, fungi)	$0	0.0%	31	$0
369	87507	Microbiology test — checking for infections (bacteria, viruses, fungi)	$0	0.0%	98	$0
370	H0004	Behavioral health counseling session (per 15 minutes) — for drug, alcohol, or mental health treatment	$0	0.0%	41	$0
371	H0031	Mental health assessment by a non-physician	$0	0.0%	160	$0
372	H0034	Medication training and management (learning to take medications correctly)	$0	0.0%	97	$0
373	H0047	Alcohol and/or other drug abuse services, not otherwise specified	$0	0.0%	1,620	$0
374	H0049	Alcohol and/or drug screening	$0	0.0%	21	$0
375	H2011	Crisis intervention — emergency help during a mental health crisis (per 15 minutes)	$0	0.0%	16	$0
376	H2014	Skills training and development — learning coping and life skills (per 15 minutes)	$0	0.0%	7,221	$0
377	H2015	Comprehensive community support — helping people with mental illness participate in daily life	$0	0.0%	42	$0
378	H2017	Psychosocial rehabilitation — helping rebuild social and daily living skills (per 15 minutes)	$0	0.0%	5,350	$0
379	H2027	Psychoeducational service, per 15 minutes	$0	0.0%	408	$0
380	J0131	Injection, acetaminophen, not otherwise specified,10 mg	$0	0.0%	27	$0
381	J0171	Injection, adrenalin, epinephrine, 0.1 mg	$0	0.0%	154	$0
382	J0882	Injection, darbepoetin alfa, 1 microgram (for end-stage kidney disease on dialysis)	$0	0.0%	431	$0
383	J1050	Injection, medroxyprogesterone acetate, 1 mg	$0	0.0%	59	$0
384	C9113	Injection, pantoprazole sodium, per vial	$0	0.0%	146	$0
385	J1815	Injection, insulin, per 5 units	$0	0.0%	26	$0
386	J1940	Injection, furosemide, up to 20 mg	$0	0.0%	21	$0
387	85378	Blood cell or clotting test	$0	0.0%	179	$0
388	84550	Blood chemistry test (checking specific substances in your blood)	$0	0.0%	34	$0
389	J2543	Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)	$0	0.0%	49	$0
390	84466	Blood chemistry test (checking specific substances in your blood)	$0	0.0%	491	$0
391	J3230	Injection, chlorpromazine hcl, up to 50 mg	$0	0.0%	45	$0
392	84156	Blood chemistry test (checking specific substances in your blood)	$0	0.0%	16	$0
393	J3360	Injection, diazepam, up to 5 mg	$0	0.0%	19	$0
394	84100	Phosphorus blood test	$0	0.0%	92	$0
395	83970	Blood chemistry test (checking specific substances in your blood)	$0	0.0%	42	$0
396	83540	Iron blood test	$0	0.0%	491	$0
397	J7512	Prednisone, immediate release or delayed release, oral, 1 mg	$0	0.0%	192	$0
398	J7613	Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through medical equipment, unit dose, 1 mg	$0	0.0%	94	$0
399	82570	Blood chemistry test (checking specific substances in your blood)	$0	0.0%	14	$0
400	M0243	Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring	$0	0.0%	27	$0
401	Q0162	Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment	$0	0.0%	297	$0
402	0502F	Medical service or procedure	$0	0.0%	59	$0
403	Q5001	Hospice or home health care provided in patient's home/residence	$0	0.0%	1,129	$0
404	Q5105	Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for end-stage kidney disease on dialysis), 100 units	$0	0.0%	2,313	$0
405	1036F	Medical service or procedure	$0	0.0%	334	$0
406	S0119	Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use procedure code q code)	$0	0.0%	50	$0
407	S9088	Services provided in an urgent care center (list in addition to code for service)	$0	0.0%	213	$0
408	T1014	Telehealth transmission, per minute, professional services bill separately	$0	0.0%	18	$0
409	2000F	Medical service or procedure	$0	0.0%	49	$0
410	T1016	Case management — a coordinator helping you navigate your healthcare (per 15 minutes)	$0	0.0%	1,124	$0
411	2001F	Medical service or procedure	$0	0.0%	32	$0
412	2010F	Medical service or procedure	$0	0.0%	49	$0
413	3008F	Medical service or procedure	$0	0.0%	162	$0
414	3016F	Medical service or procedure	$0	0.0%	44	$0
415	77063	Breast imaging (mammogram or MRI)	$0	0.0%	118	$0
416	0011A	Medical service or procedure	$0	0.0%	212	$0
417	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	$0	0.0%	615	$0
418	82248	Blood chemistry test (checking specific substances in your blood)	$0	0.0%	40	$0
419	0012A	Medical service or procedure	$0	0.0%	164	$0
420	0064A	Medical service or procedure	$0	0.0%	14	$0
421	81002	Urinalysis — quick dipstick test	$0	0.0%	13	$0
422	0134A	Medical service or procedure	$0	0.0%	26	$0
423	80305	Drug or substance testing	$0	0.0%	131	$0
424	86580	TB skin test (tests for tuberculosis)	$0	0.0%	963	$0
425	A9270	Non-covered item or service	$0	0.0%	3,944	$0
426	A4657	Syringe, with or without needle, each	$0	0.0%	2,226	$0
427	A4520	Incontinence garment, any type, (for example., brief, diaper), each	$0	0.0%	302	$0
428	99490	Chronic care management — monthly coordination for patients with multiple ongoing conditions	$0	0.0%	69	$0
429	99442	Medical service or procedure	$0	0.0%	85	$0
430	99411	Medical service or procedure	$0	0.0%	147	$0
431	99408	Medical service or procedure	$0	0.0%	33	$0
432	99407	Medical service or procedure	$0	0.0%	80	$0
433	99406	Medical service or procedure	$0	0.0%	94	$0
434	99401	Medical service or procedure	$0	0.0%	78	$0
435	99072	Special medical service	$0	0.0%	1,126	$0
436	99070	Special medical service	$0	0.0%	78	$0
437	D2940	Protective restoration — temporary filling or covering for a tooth	$0	0.0%	32	$0
438	99000	Special medical service	$0	0.0%	470	$0
439	98962	Medical service or procedure	$0	0.0%	891	$0
440	97542	Wheelchair management training	$0	0.0%	59	$0
441	97535	Self-care training — learning to do daily activities like dressing, cooking, or bathing	$0	0.0%	2,824	$0
442	97166	Occupational therapy evaluation — moderate problem	$0	0.0%	13	$0
443	97116	Gait training — learning or re-learning how to walk	$0	0.0%	379	$0
444	96368	IV infusion or injection of medication	$0	0.0%	17	$0
445	96367	IV infusion or injection of medication	$0	0.0%	35	$0
446	D9221	Other dental service	$0	0.0%	60	$0
447	91301	Medical service or procedure	$0	0.0%	91	$0
448	91300	Medical service or procedure	$0	0.0%	113	$0
449	90863	Mental health service	$0	0.0%	270	$0
450	90836	Individual therapy session added to a regular doctor visit (45 minutes)	$0	0.0%	36	$0
451	90744	Hepatitis B vaccine (child dose)	$0	0.0%	21	$0
452	90734	Meningitis vaccine	$0	0.0%	25	$0
453	90723	DTaP-HepB-IPV combination vaccine	$0	0.0%	869	$0
454	90710	MMRV vaccine (measles, mumps, rubella, and chickenpox)	$0	0.0%	224	$0
455	90700	Vaccine or immunization	$0	0.0%	12	$0
456	90698	Vaccine or immunization	$0	0.0%	514	$0
457	90696	DTaP-IPV vaccine (protects against diphtheria, tetanus, whooping cough, and polio)	$0	0.0%	15	$0

Top Providers

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

#	Provider	Specialty	Total Paid	Claims	Beneficiaries
1	SHOSHONE-PAIUTE TRIBES	Clinic/Center	$16,893,151	33,567	13,980
2	DHHS IHS PHOENIX AREA	Clinic/Center, Public Health, Federal	$15,774,111	35,633	17,345
3	NEVADA HEALTH CENTERS INC	Clinic/Center, Federally Qualified Health Center (FQHC)	$8,701,103	60,762	48,828
4	VITALITY UNLIMITED	Community/Behavioral Health	$6,659,733	103,102	37,268
5	PHC-ELKO INC	General Acute Care Hospital, Rural	$6,505,130	471,161	306,195
6	VITALITY UNLIMITED	Substance Abuse Rehabilitation Facility	$2,856,644	15,933	3,940
7	CRUM,STEFANKO AND JONES LTD	Emergency Medicine	$2,831,395	38,479	36,208
8	ELKO COUNTY	Ambulance, Land Transport	$2,687,051	13,322	11,286
9	SG OPTICAL LLC	Optometrist	$1,904,080	36,439	33,319
10	NEVADA HEALTH CENTERS INC	Clinic/Center, Federally Qualified Health Center (FQHC)	$1,240,684	10,138	8,356
11	DIALYSIS CLINIC INC.	Clinic/Center, End-Stage Renal Disease (ESRD) Treatment	$1,218,117	24,394	2,714
12	AEMS	Clinic/Center, Urgent Care	$1,136,199	45,610	32,016
13	ELKO COUNTY SCHOOL DISTRICT	Clinic/Center, Hearing and Speech	$920,565	22,776	7,456
14	A PLUS URGENT CARE LLC	Clinic/Center, Urgent Care	$673,782	16,279	12,369
15	BARBARA CASKEY	Counselor, Addiction (Substance Use Disorder)	$658,297	10,094	1,626
16	COLON & ALLEMAN LTD	Optometrist	$631,764	12,022	11,510
17	JONATHAN SLOTHOWER	Pediatrics	$621,556	15,702	12,861
18	ROBERT JOHNSON BCBA LLC	Community/Behavioral Health	$594,252	6,589	2,978
19	GARDNER AND ANDERSON DENTAL SPECIALISTS PLLC	Dentist, Oral and Maxillofacial Surgery	$587,685	21,893	16,712
20	7 DAY DENTAL OF NEVADA, LLC	Dentist, General Practice	$562,153	18,931	12,496
21	JANELL ANDERSON LCSW PLLC	Social Worker, Clinical	$540,723	6,251	3,396
22	NEVADA HEALTH CENTERS INC	Clinic/Center, Federally Qualified Health Center (FQHC)	$470,328	3,728	2,982
23	HOGLE MILLER & WARD PROFESSIONAL CORPORATION	Clinic/Center	$470,061	7,157	6,343
24	KENNETH HOUCHIN	Ophthalmology	$466,590	8,481	8,037
25	FIRST CHOICE PHYSICAL THERAPY	Physical Therapist	$452,745	21,488	5,898

About This Data

Providers are assigned to Elko 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).