Total Spending
$70.3M
Providers
114
Total Claims
1,744,923
Unique Procedures
518

Procedures by Expenditure

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

# Code Description Total Paid % of County Claims Avg/Claim
199285Emergency room visit for a severe or life-threatening problem$5,012,802
7.1%
40,138$125
290837Individual therapy session (60 minutes)$4,640,085
6.6%
48,514$96
397110Physical therapy exercises to build strength, flexibility, or range of motion$3,277,438
4.7%
92,565$35
499284Emergency room visit for a serious problem$3,165,566
4.5%
27,728$114
5H0015Intensive outpatient treatment for alcohol or drug problems (per hour)$3,025,704
4.3%
23,366$129
697112Neuromuscular re-education — retraining muscles and movement patterns$2,905,585
4.1%
77,531$37
799214Office visit for a moderate problem (established patient)$2,506,837
3.6%
38,469$65
899213Office visit for a simple problem (established patient)$1,952,931
2.8%
42,243$46
974177CT scan of the abdomen and pelvis (with contrast dye)$1,852,321
2.6%
4,284$432
10H2011Crisis intervention — emergency help during a mental health crisis (per 15 minutes)$1,820,089
2.6%
4,757$383
11G0378Hospital observation services — being watched and monitored in the hospital (per hour)$1,776,647
2.5%
5,013$354
12H2012Behavioral health day treatment — full day of mental health programming (per hour)$1,499,619
2.1%
11,314$133
1390847Family therapy session with the patient present$1,484,882
2.1%
16,338$91
1499212Office visit for a minor problem (established patient)$1,437,347
2.0%
45,250$32
1599283Emergency room visit for a moderate problem$1,395,842
2.0%
22,852$61
16A0427Ambulance ride with advanced life support — emergency (ALS 1 — paramedics on board)$1,209,990
1.7%
5,407$224
1790999Dialysis or kidney treatment — other related procedure$1,183,962
1.7%
24,303$49
18V2020Frames, purchases$1,159,951
1.7%
17,142$68
1992014Eye exam or vision test$1,143,791
1.6%
12,347$93
2098926Osteopathic treatment (hands-on manipulation)$1,095,896
1.6%
36,100$30
2174176CT scan of the abdomen and pelvis (without contrast)$1,071,151
1.5%
3,220$333
22H0004Behavioral health counseling session (per 15 minutes) — for drug, alcohol, or mental health treatment$925,149
1.3%
8,700$106
23D7210Surgical tooth extraction — requires cutting into gum or removing bone$863,550
1.2%
10,401$83
24A0425Ground mileage — per mile for ambulance transportation$782,033
1.1%
11,356$69
2592004Eye exam or vision test$761,144
1.1%
6,610$115
26S9480Intensive outpatient psychiatric program — structured daily mental health treatment without staying overnight$759,132
1.1%
5,766$132
27D1120Dental cleaning for children (prophylaxis)$654,862
0.9%
12,376$53
28D1206Fluoride treatment — painted on teeth to prevent cavities$617,878
0.9%
12,149$51
29A0429Ambulance ride with basic life support — emergency (BLS — EMTs on board)$603,897
0.9%
2,644$228
3099204New patient office visit — detailed visit for a serious problem$593,619
0.8%
5,830$102
31G0467Federally Qualified Health Center visit — a community health center visit for regular patients$576,304
0.8%
3,880$149
32V2410Variable asphericity lens, single vision, full field, glass or plastic, per lens$524,206
0.7%
5,010$105
3371275CT angiography of the chest (looking at blood vessels)$486,068
0.7%
1,260$386
3499211Simple office visit — quick check-in with a nurse or doctor$484,479
0.7%
33,119$15
3599223Hospital admission — first day, complex or serious problem$483,182
0.7%
3,738$129
3672125Spine imaging (X-ray, CT, or MRI)$471,354
0.7%
1,770$266
3792340Eye exam or vision test$395,109
0.6%
13,360$30
3897012Physical therapy, occupational therapy, or rehabilitation$366,386
0.5%
33,306$11
3999439Medical service or procedure$332,956
0.5%
6,667$50
40Q3014Telehealth originating site facility fee$332,485
0.5%
16,749$20
4197530Therapeutic activities — exercises and tasks to improve daily function$312,356
0.4%
21,232$15
42D0350Dental exam, X-ray, or screening$311,609
0.4%
19,367$16
4399291Critical care — intensive treatment for a life-threatening condition (first 30-74 minutes)$308,371
0.4%
1,581$195
4492015Eye exam or vision test$303,382
0.4%
19,427$16
45V2103Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens$297,845
0.4%
6,988$43
46D0140Limited dental exam — for a specific problem (like a toothache)$294,047
0.4%
9,593$31
4790876Individual psychophysiological therapy — biofeedback training$288,364
0.4%
3,710$78
48H0005Group alcohol and/or drug counseling (per 15 minutes)$270,311
0.4%
10,179$27
4997014Physical therapy, occupational therapy, or rehabilitation$261,249
0.4%
21,271$12
50D0220Single dental X-ray (of one tooth)$257,064
0.4%
18,822$14
51D0230Additional dental X-ray$252,320
0.4%
43,954$6
5299232Hospital care — daily check by your doctor (moderate update)$251,904
0.4%
7,693$33
5399203New patient office visit — moderate problem$247,638
0.4%
4,548$54
54D0274Dental X-ray — bitewings (four films)$245,582
0.3%
11,430$21
5593975Blood vessel ultrasound or study$233,127
0.3%
971$240
5690846Family therapy session without the patient present$227,325
0.3%
3,016$75
5777067Screening mammogram (breast cancer screening)$225,948
0.3%
2,608$87
58T1023Screening and assessment — checking a patient's health and needs to create a care plan$218,775
0.3%
1,597$137
59D0150Comprehensive dental exam — thorough check of teeth, gums, and mouth$218,558
0.3%
7,305$30
6090833Individual therapy session added to a regular doctor visit (30 minutes)$217,423
0.3%
4,769$46
61H2014Skills training and development — learning coping and life skills (per 15 minutes)$217,178
0.3%
7,369$29
6299490Chronic care management — monthly coordination for patients with multiple ongoing conditions$214,102
0.3%
7,321$29
63A0428Ambulance ride with basic life support (non-emergency, BLS)$208,500
0.3%
1,281$163
6420552Musculoskeletal surgery (bones, joints, muscles)$206,754
0.3%
8,717$24
6592507Speech therapy session — treatment for speech, language, or swallowing problems$200,283
0.3%
3,659$55
6693306Heart ultrasound (echocardiogram)$200,200
0.3%
2,081$96
67D0120Regular dental checkup and exam$199,490
0.3%
6,741$30
6878492Nuclear medicine imaging (using small amounts of radioactive material)$194,263
0.3%
791$246
69D4355Gum disease treatment (periodontics)$187,960
0.3%
2,698$70
7097116Gait training — learning or re-learning how to walk$187,859
0.3%
9,098$21
71A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries$185,967
0.3%
896$208
72V2784Lens, polycarbonate or equal, any index, per lens$184,413
0.3%
4,064$45
73V5261Hearing aid, digital, binaural, bte$183,400
0.3%
281$653
74D4341Deep cleaning (scaling and root planing) — per quadrant, 4+ teeth$176,670
0.3%
1,779$99
75V2100Sphere, single vision, plano to plus or minus 4.00, per lens$166,144
0.2%
3,077$54
76A0426Ambulance ride with advanced life support (non-emergency, ALS 1)$165,370
0.2%
969$171
7770450CT scan of the head (without contrast dye)$164,939
0.2%
5,491$30
7892508Group speech therapy session$152,297
0.2%
9,640$16
79D2740Crown (cap) — porcelain or ceramic$133,003
0.2%
323$412
80D7910Tooth extraction or oral surgery$130,600
0.2%
5,124$25
81V5110Dispensing fee, bilateral$127,345
0.2%
280$455
8292250Eye exam or vision test$127,059
0.2%
4,252$30
8399215Office visit for a complex or serious problem (established patient)$124,597
0.2%
1,816$69
8429240Casting, splinting, or strapping for a broken bone or injury$123,351
0.2%
4,211$29
85D2150Silver (amalgam) filling — two surfaces$121,756
0.2%
1,474$83
8699233Hospital care — daily check by your doctor (complex update)$120,525
0.2%
2,115$57
87D7510Drainage of an abscess in the mouth (intraoral)$119,746
0.2%
1,630$73
88D1351Dental sealant — protective coating on a tooth to prevent cavities$114,630
0.2%
5,535$21
8997035Physical therapy, occupational therapy, or rehabilitation$113,202
0.2%
11,987$9
90D9230Analgesia (pain management during dental work, like nitrous oxide/laughing gas)$112,095
0.2%
6,300$18
91D7140Tooth extraction — pulling a tooth that has erupted$106,686
0.2%
2,653$40
9290836Individual therapy session added to a regular doctor visit (45 minutes)$106,320
0.2%
1,795$59
93H0035Mental health partial hospitalization, treatment, less than 24 hours$103,311
0.1%
347$298
94H0047Alcohol and/or other drug abuse services, not otherwise specified$103,234
0.1%
2,161$48
95D2392Tooth-colored (resin) filling — two surfaces, back tooth$103,160
0.1%
1,955$53
9690791Mental health evaluation — first visit with a therapist or psychiatrist$100,065
0.1%
869$115
97D0330Panoramic dental X-ray (full view of all teeth and jaw)$98,009
0.1%
2,868$34
9829520Casting, splinting, or strapping for a broken bone or injury$97,261
0.1%
4,314$23
9990460Giving a vaccine to a child, including talking with the family about it$97,203
0.1%
3,153$31
100V2203Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens$89,650
0.1%
1,296$69
10199391Wellness checkup — infant (under 1 year)$89,197
0.1%
1,432$62
10272050Spine imaging (X-ray, CT, or MRI)$86,553
0.1%
2,136$41
103G0513Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; firs...$81,194
0.1%
2,998$27
10497032Physical therapy, occupational therapy, or rehabilitation$75,961
0.1%
4,670$16
105G0514Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; each...$75,534
0.1%
2,093$36
106H0031Mental health assessment by a non-physician$68,508
0.1%
442$155
10780307Drug test — checking urine or blood for multiple types of drugs$67,993
0.1%
7,251$9
108D0272Dental X-ray — bitewings (two films)$65,632
0.1%
3,390$19
10972070X-ray of the spine (thoracic/middle back)$65,366
0.1%
2,349$28
11072100X-ray of the lower spine (lumbar)$61,303
0.1%
2,242$27
111H0001Alcohol and/or drug assessment$60,191
0.1%
526$114
11299281Emergency room visit for a very minor problem$59,909
0.1%
3,318$18
11397010Physical therapy, occupational therapy, or rehabilitation$59,723
0.1%
17,294$3
114A0431Helicopter ambulance ride (rotary wing air transport)$59,476
0.1%
46$1,293
11599392Wellness checkup — ages 1-4$58,914
0.1%
844$70
116T1017Targeted case management — a social worker helping coordinate your care (per 15 minutes)$57,585
0.1%
535$108
11720553Musculoskeletal surgery (bones, joints, muscles)$55,942
0.1%
1,868$30
11896375IV push — additional medication through an IV$54,856
0.1%
15,506$4
119D1110Dental cleaning for adults (prophylaxis)$54,688
0.1%
1,209$45
12096365IV infusion of medication — giving medicine through an IV (first hour)$53,764
0.1%
6,363$8
121G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including$52,647
0.1%
1,195$44
12299427Medical service or procedure$49,700
0.1%
1,017$49
12392341Eye exam or vision test$48,881
0.1%
1,587$31
12499426Medical service or procedure$48,486
0.1%
1,152$42
125D2950Crown buildup — rebuilding a broken tooth so a crown can be placed$42,771
0.1%
374$114
12699205New patient office visit — comprehensive visit for a complex problem$42,761
0.1%
248$172
127T4541Incontinence product, disposable underpad, large, each$41,452
0.1%
1,208$34
12893880Blood vessel ultrasound or study$41,157
0.1%
327$126
12999282Emergency room visit for a minor problem$39,958
0.1%
844$47
13099309Nursing facility visit — moderate problem$38,954
0.1%
2,513$16
13190838Individual therapy session added to a regular doctor visit (60 minutes)$37,982
0.1%
505$75
13296374IV push — giving medicine quickly through an IV (single injection)$36,358
0.1%
16,671$2
13393015Heart monitoring test (ECG/EKG)$35,655
0.1%
823$43
13490792Mental health evaluation — includes medication assessment$34,842
0.0%
367$95
13590461Additional vaccine given to a child at the same visit$34,080
0.0%
1,621$21
13690901Biofeedback training$33,661
0.0%
912$37
137A0436Ambulance mileage — per mile for helicopter ambulance$33,502
0.0%
46$728
138D0210Full set of dental X-rays$33,444
0.0%
727$46
13999354Medical service or procedure$33,046
0.0%
686$48
14097140Manual therapy — hands-on treatment like massage or joint mobilization$32,359
0.0%
2,860$11
141H0002Behavioral health screening to determine need for treatment$32,170
0.0%
1,196$27
14290834Individual therapy session (45 minutes)$31,974
0.0%
548$58
14399383Wellness checkup — new patient, ages 5-11$30,839
0.0%
440$70
14476770Ultrasound of the abdomen and kidneys (complete)$29,708
0.0%
260$114
14593970Blood vessel ultrasound or study$29,252
0.0%
212$138
146D2391Tooth-colored (resin) filling — one surface, back tooth$28,843
0.0%
715$40
147T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each$28,768
0.0%
371$78
14893925Blood vessel ultrasound or study$28,259
0.0%
161$176
149T4527Adult sized disposable incontinence product, protective underwear/pull-on, large size, each$28,187
0.0%
340$83
150H2017Psychosocial rehabilitation — helping rebuild social and daily living skills (per 15 minutes)$28,185
0.0%
265$106
15199308Nursing facility visit — simple problem$28,046
0.0%
2,325$12
152G0438Annual wellness visit — first time$27,586
0.0%
261$106
153G0506Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)$27,241
0.0%
711$38
154J2785Injection, regadenoson, 0.1 mg$26,696
0.0%
162$165
15593978Blood vessel ultrasound or study$25,270
0.0%
164$154
15696372IV infusion or injection of medication$21,181
0.0%
9,151$2
15793224Heart rhythm monitoring (Holter monitor or event recorder)$20,636
0.0%
368$56
158D1208Dental preventive care (cleaning, fluoride, sealant)$20,062
0.0%
2,163$9
15999393Wellness checkup — ages 5-11$19,843
0.0%
245$81
16093005Heart monitoring test (ECG/EKG)$19,641
0.0%
20,278$1
161D0240Dental X-ray of the whole mouth (panoramic)$19,330
0.0%
1,422$14
162Q9957Injection, perflutren lipid microspheres, per ml$19,117
0.0%
223$86
16397026Physical therapy, occupational therapy, or rehabilitation$18,724
0.0%
3,739$5
164V5266Battery for use in hearing device$18,117
0.0%
3,283$6
165V5011Fitting/orientation/checking of hearing aid$17,838
0.0%
1,709$10
16696361IV infusion — additional hour$17,745
0.0%
11,096$2
167D0340Dental exam, X-ray, or screening$17,708
0.0%
464$38
16890868Mental health service$17,103
0.0%
125$137
169D5130Immediate upper denture (placed right after teeth are removed)$16,656
0.0%
27$617
170V5010Assessment for hearing aid$16,643
0.0%
291$57
17199245Office consultation — complex problem$16,457
0.0%
105$157
172V5008Hearing screening$16,445
0.0%
386$43
173V5264Ear mold/insert, not disposable, any type$15,960
0.0%
287$56
17490832Individual therapy session (30 minutes)$13,802
0.0%
326$42
17593229Heart rhythm monitoring (Holter monitor or event recorder)$13,802
0.0%
27$511
17629200Casting, splinting, or strapping for a broken bone or injury$13,709
0.0%
557$25
177G0439Annual wellness visit — follow-up$13,429
0.0%
250$54
17890471Giving a vaccine by injection (shot)$12,727
0.0%
2,853$4
17999382Wellness checkup — new patient, ages 1-4$11,982
0.0%
261$46
180D9310Dental consultation — specialist opinion on a dental problem$11,976
0.0%
276$43
18177066Breast imaging (mammogram or MRI)$11,528
0.0%
80$144
18287804Flu test (rapid)$10,942
0.0%
5,147$2
18393971Blood vessel ultrasound or study$10,566
0.0%
162$65
184T4528Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each$10,481
0.0%
119$88
185J3490Unclassified drug injection$10,288
0.0%
8,295$1
18671046Chest X-ray (two views — front and side)$9,543
0.0%
2,198$4
187T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each$8,684
0.0%
331$26
18899394Wellness checkup — ages 12-17$8,682
0.0%
88$99
18980053Comprehensive metabolic panel blood test (checks liver, kidney, blood sugar, electrolytes)$8,653
0.0%
30,661$0
19099310Nursing facility visit — complex problem$8,483
0.0%
248$34
191D2140Silver (amalgam) filling — one surface$8,363
0.0%
131$64
19299384Wellness checkup — new patient, ages 12-17$8,327
0.0%
121$69
193T1016Case management — a coordinator helping you navigate your healthcare (per 15 minutes)$8,266
0.0%
44$188
19472114Spine imaging (X-ray, CT, or MRI)$8,126
0.0%
135$60
19590472Additional vaccine injection at the same visit$7,987
0.0%
855$9
19699253Medical service or procedure$7,926
0.0%
87$91
19799487Complex chronic care management — for patients with very complicated health needs$7,869
0.0%
450$17
19899385Wellness checkup — new patient, ages 18-39$7,708
0.0%
128$60
19993000Heart monitoring test (ECG/EKG)$7,665
0.0%
854$9
20093922Blood vessel ultrasound or study$7,644
0.0%
117$65
20198925Osteopathic treatment (hands-on manipulation)$7,605
0.0%
492$15
202V2730Special base curve, glass or plastic, per lens$7,574
0.0%
156$49
20396376IV infusion or injection of medication$7,567
0.0%
5,593$1
204J0696Injection of ceftriaxone (antibiotic, usually given for serious infections)$7,490
0.0%
712$11
205A0160Non-emergency transportation: per mile - case worker or social worker$7,434
0.0%
791$9
20687426Microbiology test — checking for infections (bacteria, viruses, fungi)$7,267
0.0%
5,156$1
207D2930Stainless steel crown — prefabricated (primary tooth)$7,254
0.0%
79$92
20872110X-ray of the lower spine (complete, multiple views)$7,058
0.0%
183$39
20985025Complete blood count (CBC) — checks red cells, white cells, and platelets$7,012
0.0%
33,302$0
21071045Chest X-ray (single view)$6,983
0.0%
18,255$0
21196366IV infusion or injection of medication$6,973
0.0%
458$15
21272148MRI of the lower spine (without contrast)$6,882
0.0%
36$191
21376642Ultrasound$6,843
0.0%
536$13
21476705Ultrasound of the abdomen (limited)$6,716
0.0%
876$8
21599489Complex chronic care management — additional 30 minutes$6,709
0.0%
325$21
21687880Strep throat test (rapid)$6,576
0.0%
812$8
21799366Medical service or procedure$6,357
0.0%
217$29
21899443Medical service or procedure$6,353
0.0%
210$30
219V2782Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens$6,225
0.0%
89$70
220V2200Sphere, bifocal, plano to plus or minus 4.00d, per lens$6,107
0.0%
72$85
22198941Chiropractic adjustment$5,891
0.0%
1,856$3
22297535Self-care training — learning to do daily activities like dressing, cooking, or bathing$5,782
0.0%
5,154$1
22399381Wellness checkup — new patient, infant (under 1 year)$5,767
0.0%
94$61
224A4456Adhesive remover, wipes, any type, each$5,354
0.0%
451$12
22576830Transvaginal ultrasound of the uterus$5,301
0.0%
64$83
226D8660Braces or orthodontic treatment$5,097
0.0%
105$49
227V2300Sphere, trifocal, plano to plus or minus 4.00d, per lens$5,090
0.0%
40$127
22884484Troponin test (checks for heart damage or heart attack)$5,034
0.0%
22,524$0
229V2745Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens$5,028
0.0%
574$9
23090853Group therapy session$4,705
0.0%
214$22
23183880Blood chemistry test (checking specific substances in your blood)$4,589
0.0%
7,483$1
23296413IV infusion or injection of medication$4,355
0.0%
100$44
23394060Breathing test or lung function test$4,216
0.0%
37$114
23490785Medical service or procedure$4,164
0.0%
382$11
23593040Heart monitoring test (ECG/EKG)$4,135
0.0%
543$8
23699058Special medical service$3,977
0.0%
242$16
23776700Ultrasound of the abdomen (complete)$3,960
0.0%
54$73
23871250CT scan of the chest (without contrast dye)$3,862
0.0%
103$37
23997162Physical therapy evaluation — moderate problem$3,690
0.0%
57$65
24072040Spine imaging (X-ray, CT, or MRI)$3,616
0.0%
155$23
241D0145Oral evaluation for a patient under 3 years old$3,515
0.0%
193$18
242G0447Face-to-face behavioral counseling for obesity, 15 minutes$3,475
0.0%
399$9
24384443Thyroid function test (TSH)$3,472
0.0%
2,663$1
24436415Drawing blood from a vein (routine blood draw)$3,240
0.0%
35,080$0
24576856Pelvic ultrasound (complete)$3,218
0.0%
70$46
24699202New patient office visit — simple problem$3,096
0.0%
166$19
24796110Developmental screening test for children (autism, learning, speech)$3,043
0.0%
511$6
24899495Medical service or procedure$2,894
0.0%
28$103
24996360IV infusion — giving fluids through an IV (first hour)$2,801
0.0%
2,112$1
250H0038Self-help or peer support services (someone with similar experience helping you)$2,765
0.0%
280$10
25199457Medical service or procedure$2,584
0.0%
413$6
25229530Casting, splinting, or strapping for a broken bone or injury$2,548
0.0%
133$19
25394640Breathing test or lung function test$2,515
0.0%
3,450$1
25473562X-ray of the knee (3 views)$2,382
0.0%
653$4
25599070Special medical service$2,363
0.0%
17$139
256H0034Medication training and management (learning to take medications correctly)$2,324
0.0%
213$11
25799305Nursing facility admission — moderate first day care$2,292
0.0%
41$56
25873721MRI of a joint in the lower body (hip, knee, or ankle)$2,280
0.0%
18$127
25973630X-ray of the foot$2,173
0.0%
597$4
260D7320Tooth extraction or oral surgery$2,173
0.0%
20$109
261V2104Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens$2,104
0.0%
39$54
26294729Breathing test or lung function test$2,103
0.0%
109$19
26394726Breathing test or lung function test$2,050
0.0%
70$29
26478454Nuclear medicine imaging (using small amounts of radioactive material)$2,022
0.0%
34$59
26599396Wellness checkup — ages 40-64$2,012
0.0%
32$63
26685730Partial thromboplastin time (PTT) — blood clotting test$2,010
0.0%
13,820$0
267U00022019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc$2,001
0.0%
137$15
26883735Blood chemistry test (checking specific substances in your blood)$1,969
0.0%
12,427$0
26997161Physical therapy evaluation — simple problem$1,940
0.0%
38$51
270V2107Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens$1,872
0.0%
26$72
27183690Blood chemistry test (checking specific substances in your blood)$1,870
0.0%
9,610$0
27290651HPV vaccine (protects against cancer-causing virus)$1,850
0.0%
225$8
27397150Group therapy session (physical, occupational, or speech)$1,848
0.0%
224$8
27473130X-ray of the hand$1,846
0.0%
680$3
27572081Spine imaging (X-ray, CT, or MRI)$1,794
0.0%
52$34
27696127Brief emotional or behavioral screening (like a depression or anxiety questionnaire)$1,764
0.0%
934$2
27784703Blood chemistry test (checking specific substances in your blood)$1,724
0.0%
7,673$0
27881000Urinalysis (urine test)$1,682
0.0%
17,005$0
27972052Spine imaging (X-ray, CT, or MRI)$1,612
0.0%
25$64
28083605Blood chemistry test (checking specific substances in your blood)$1,592
0.0%
7,432$0
28182553Blood chemistry test (checking specific substances in your blood)$1,563
0.0%
7,022$0
28272131CT scan of the lower spine (without contrast)$1,559
0.0%
27$58
28394664Breathing test or lung function test$1,553
0.0%
3,339$0
28476536Ultrasound of the head and neck soft tissue$1,552
0.0%
12$129
28573610X-ray of the ankle (complete)$1,552
0.0%
688$2
28694760Breathing test or lung function test$1,534
0.0%
970$2
28773030X-ray of the shoulder$1,520
0.0%
656$2
28892342Eye exam or vision test$1,516
0.0%
40$38
28911042Wound cleaning — removing dead tissue from a wound$1,502
0.0%
127$12
29080050General health panel blood test$1,478
0.0%
121$12
291D7111Extraction — pulling a baby tooth that's already loose$1,446
0.0%
46$31
29299407Medical service or procedure$1,409
0.0%
108$13
29394010Breathing test or lung function test$1,395
0.0%
103$14
294G0444Annual depression screening$1,364
0.0%
287$5
29571260CT scan of the chest (with contrast dye)$1,352
0.0%
43$31
29685610Prothrombin time (PT) — blood clotting test$1,342
0.0%
14,464$0
29777065Breast imaging (mammogram or MRI)$1,335
0.0%
12$111
29882550Blood chemistry test (checking specific substances in your blood)$1,321
0.0%
9,509$0
299G0101Cervical or vaginal cancer screening — pelvic and breast exam$1,296
0.0%
74$18
300U0001Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel$1,193
0.0%
572$2
301H0049Alcohol and/or drug screening$1,180
0.0%
113$10
30282570Blood chemistry test (checking specific substances in your blood)$1,136
0.0%
652$2
30387086Urine culture — checking for a urinary tract infection$1,128
0.0%
4,935$0
304G0408Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth$1,123
0.0%
50$22
30590671Vaccine or immunization$1,106
0.0%
430$3
306J2469Injection, palonosetron hcl, 25 mcg$1,070
0.0%
22$49
307D5899Dentures or removable dental prosthetics$1,046
0.0%
89$12
30890715Tdap vaccine (tetanus, diphtheria, and whooping cough booster)$1,007
0.0%
879$1
309A4216Sterile water, saline and/or dextrose, diluent/flush, 10 ml$976
0.0%
3,269$0
310Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml$964
0.0%
6,321$0
31199406Medical service or procedure$959
0.0%
136$7
31294200Breathing test or lung function test$935
0.0%
72$13
31399306Nursing facility admission — complex first day care$932
0.0%
24$39
314T4523Adult sized disposable incontinence product, brief/diaper, large, each$895
0.0%
12$75
31597542Wheelchair management training$877
0.0%
726$1
31699409Medical service or procedure$846
0.0%
24$35
31780305Drug or substance testing$793
0.0%
636$1
318G0446Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes$776
0.0%
55$14
31999497Medical service or procedure$707
0.0%
96$7
32087040Blood culture — test to see if bacteria are growing in your blood$701
0.0%
2,027$0
32173110X-ray of the wrist (complete)$684
0.0%
170$4
322D5410Adjustment of a complete upper denture$656
0.0%
16$41
323Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory$651
0.0%
74$9
32480061Cholesterol and lipid panel blood test$635
0.0%
1,524$0
325T4522Adult sized disposable incontinence product, brief/diaper, medium, each$626
0.0%
13$48
32699395Wellness checkup — ages 18-39$616
0.0%
13$47
32781003Urinalysis — automated test$609
0.0%
333$2
32880048Basic metabolic panel blood test (checks kidney function, blood sugar, electrolytes)$595
0.0%
2,412$0
329G0442Annual alcohol misuse screening, 5 to 15 minutes$583
0.0%
74$8
33093228Heart rhythm monitoring (Holter monitor or event recorder)$537
0.0%
27$20
331J3301Injection of triamcinolone (steroid for inflammation or joint pain)$499
0.0%
53$9
332D5411Adjustment of a complete lower denture$492
0.0%
12$41
33381025Pregnancy test (urine)$466
0.0%
124$4
334J7030IV fluid — normal saline (salt water, 1000 ml)$463
0.0%
3,238$0
335D0270Dental X-ray — bitewing (single film, checks for cavities between teeth)$463
0.0%
56$8
3360450Anesthesia for a medical procedure$457
0.0%
13$35
33784702Blood chemistry test (checking specific substances in your blood)$456
0.0%
781$1
338Q0162Ondansetron 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$450
0.0%
1,757$0
33970486CT scan of the sinuses$449
0.0%
15$30
340A9502Technetium tc-99m tetrofosmin, diagnostic, per study dose$436
0.0%
33$13
34182803Blood chemistry test (checking specific substances in your blood)$424
0.0%
600$1
342D0170Dental exam, X-ray, or screening$406
0.0%
31$13
34396367IV infusion or injection of medication$383
0.0%
218$2
34476815Limited ultrasound of pregnancy (quick check)$372
0.0%
101$4
345G0108Diabetes self-management training for individuals$371
0.0%
13$29
346G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care$365
0.0%
598$1
34783036Hemoglobin A1c test (shows average blood sugar over 3 months — used for diabetes)$360
0.0%
1,374$0
34885378Blood cell or clotting test$356
0.0%
1,586$0
34987070Culture test — checking a sample for bacteria$343
0.0%
1,505$0
35099316Medical service or procedure$336
0.0%
24$14
35197124Physical therapy, occupational therapy, or rehabilitation$328
0.0%
295$1
352D3120Root canal or dental pulp treatment$328
0.0%
40$8
35393042Heart monitoring test (ECG/EKG)$306
0.0%
507$1
354V5267Hearing aid or assistive listening device/supplies/accessories, not otherwise specified$296
0.0%
72$4
35587430Microbiology test — checking for infections (bacteria, viruses, fungi)$263
0.0%
1,200$0
35690686Vaccine or immunization$262
0.0%
169$2
35799177Other medical service$258
0.0%
69$4
35886756Immune system or allergy test$247
0.0%
575$0
35987088Microbiology test — checking for infections (bacteria, viruses, fungi)$221
0.0%
958$0
360J1100Injection of dexamethasone (steroid for inflammation, allergies, or breathing problems)$194
0.0%
392$0
36136600Drawing blood from an artery$171
0.0%
523$0
36294727Breathing test or lung function test$156
0.0%
36$4
363J1885Injection, ketorolac tromethamine, per 15 mg$154
0.0%
618$0
364J2270Injection of morphine (strong pain medicine)$148
0.0%
997$0
36594762Breathing test or lung function test$143
0.0%
544$0
36688305Tissue examination under a microscope (surgical pathology)$141
0.0%
65$2
36794761Breathing test or lung function test$110
0.0%
1,888$0
36887420Microbiology test — checking for infections (bacteria, viruses, fungi)$98
0.0%
34$3
369J0500Injection, dicyclomine hcl, up to 20 mg$96
0.0%
83$1
37094644Breathing test or lung function test$96
0.0%
90$1
371J3420Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg$86
0.0%
56$2
37251702Inserting a bladder catheter (complex)$84
0.0%
41$2
37377080Bone density scan (DEXA scan — checks for osteoporosis)$82
0.0%
12$7
37496368IV infusion or injection of medication$72
0.0%
191$0
375G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the prima...$61
0.0%
26$2
37680329Drug or substance testing$60
0.0%
1,848$0
37781002Urinalysis — quick dipstick test$58
0.0%
397$0
378J2060Injection, lorazepam, 2 mg$55
0.0%
257$0
37987186Microbiology test — checking for infections (bacteria, viruses, fungi)$54
0.0%
191$0
380J1790Injection, droperidol, up to 5 mg$53
0.0%
157$0
38173590X-ray of the lower leg (tibia/fibula)$49
0.0%
44$1
38273080X-ray of the forearm$49
0.0%
20$2
38385018Blood cell or clotting test$36
0.0%
19$2
384J1094Injection, dexamethasone acetate, 1 mg$29
0.0%
67$0
38577063Breast imaging (mammogram or MRI)$28
0.0%
1,252$0
386J2405Injection, ondansetron hydrochloride, per 1 mg$26
0.0%
1,529$0
38751701Inserting a bladder catheter (simple)$26
0.0%
29$1
388J7050IV fluid — normal saline (250 ml)$25
0.0%
249$0
389J2930Injection, methylprednisolone sodium succinate, up to 125 mg$23
0.0%
94$0
39087077Culture test — checking for specific bacteria$22
0.0%
213$0
39174018X-ray of the abdomen (single view)$19
0.0%
29$1
39282150Blood chemistry test (checking specific substances in your blood)$18
0.0%
166$0
393J1170Injection, hydromorphone, up to 4 mg$17
0.0%
259$0
39486901Blood typing — Rh (determines if you're Rh positive or negative)$16
0.0%
159$0
395J8540Dexamethasone, oral, 0.25 mg$16
0.0%
32$0
39682272Blood chemistry test (checking specific substances in your blood)$11
0.0%
75$0
39786140Immune system or allergy test$11
0.0%
120$0
398J2765Injection, metoclopramide hcl, up to 10 mg$9
0.0%
83$0
399J3370Injection, vancomycin hcl, 500 mg$6
0.0%
90$0
400J1200Injection, diphenhydramine hcl, up to 50 mg$6
0.0%
227$0
401J1650Injection, enoxaparin sodium, 10 mg$5
0.0%
20$0
40285652Blood cell or clotting test$4
0.0%
41$0
403J3480Injection, potassium chloride, per 2 meq$4
0.0%
98$0
404J3475Injection, magnesium sulfate, per 500 mg$2
0.0%
201$0
405J2543Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)$2
0.0%
114$0
406J7620Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through medical equipment$2
0.0%
89$0
40782962Blood chemistry test (checking specific substances in your blood)$1
0.0%
141$0
408J1815Injection, insulin, per 5 units$1
0.0%
20$0
409J1171Injection, hydromorphone, 0.1 mg$0
0.0%
30$0
41085041Blood cell or clotting test$0
0.0%
528$0
41184520Blood chemistry test (checking specific substances in your blood)$0
0.0%
67$0
41284439Blood chemistry test (checking specific substances in your blood)$0
0.0%
29$0
413J0153Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)$0
0.0%
289$0
41484132Potassium blood test$0
0.0%
40$0
415J0887Injection, epoetin beta, 1 microgram, (for end-stage kidney disease on dialysis)$0
0.0%
81$0
416J1270Injection, doxercalciferol, 1 mcg$0
0.0%
3,226$0
417J1756Injection, iron sucrose, 1 mg$0
0.0%
2,378$0
41883970Blood chemistry test (checking specific substances in your blood)$0
0.0%
507$0
419J2704Injection of propofol (anesthesia for procedures)$0
0.0%
71$0
42083550Iron binding capacity test$0
0.0%
24$0
42183540Iron blood test$0
0.0%
216$0
422J3360Injection, diazepam, up to 5 mg$0
0.0%
26$0
42382728Blood chemistry test (checking specific substances in your blood)$0
0.0%
191$0
424J7510Prednisolone oral, per 5 mg$0
0.0%
140$0
425J7644Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through medical equipment, unit dose form, per milligram$0
0.0%
52$0
426K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count$0
0.0%
14$0
42782565Creatinine blood test (checks how well your kidneys are working)$0
0.0%
67$0
42882306Vitamin D blood test$0
0.0%
102$0
429Q0163Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed...$0
0.0%
19$0
430Q4081Injection, epoetin alfa, 100 units (for end-stage kidney disease on dialysis)$0
0.0%
12,111$0
431Q5001Hospice or home health care provided in patient's home/residence$0
0.0%
331$0
43282108Blood chemistry test (checking specific substances in your blood)$0
0.0%
110$0
433S0028Injection, famotidine, 20 mg$0
0.0%
111$0
434S0164Injection, pantoprazole sodium, 40 mg$0
0.0%
29$0
435S8948Application of a modality (requiring constant provider attendance) to one or more areas; low-level laser; each 15 minutes$0
0.0%
113$0
436T1001Nursing assessment / evaluation$0
0.0%
13$0
437T1014Telehealth transmission, per minute, professional services bill separately$0
0.0%
22$0
438T1015All-inclusive clinic visit — covers everything in one trip to the clinic$0
0.0%
35$0
43980377Drug or substance testing$0
0.0%
17$0
44080320Drug or substance testing$0
0.0%
3,503$0
4410002AMedical service or procedure$0
0.0%
29$0
4420001AMedical service or procedure$0
0.0%
48$0
4430011AMedical service or procedure$0
0.0%
211$0
4440012AMedical service or procedure$0
0.0%
193$0
4450013AMedical service or procedure$0
0.0%
29$0
4460064AMedical service or procedure$0
0.0%
169$0
44701999Anesthesia for a medical procedure$0
0.0%
30$0
4480518FMedical service or procedure$0
0.0%
16$0
449A4657Syringe, with or without needle, each$0
0.0%
589$0
4501036FMedical service or procedure$0
0.0%
58$0
4511100FMedical service or procedure$0
0.0%
60$0
4521123FMedical service or procedure$0
0.0%
48$0
45312001Wound repair — stitching a cut or laceration (simple or layered)$0
0.0%
27$0
4543008FMedical service or procedure$0
0.0%
1,165$0
4553011FMedical service or procedure$0
0.0%
30$0
4563074FMedical service or procedure$0
0.0%
449$0
4573075FMedical service or procedure$0
0.0%
69$0
4583077FMedical service or procedure$0
0.0%
132$0
459V2750Anti-reflective coating, per lens$0
0.0%
771$0
4603078FMedical service or procedure$0
0.0%
324$0
4613079FMedical service or procedure$0
0.0%
203$0
4623080FMedical service or procedure$0
0.0%
101$0
4633725FMedical service or procedure$0
0.0%
60$0
4640556FMedical service or procedure$0
0.0%
12$0
46599417Medical service or procedure$0
0.0%
42$0
46699401Medical service or procedure$0
0.0%
22$0
46799386Wellness checkup — new patient, ages 40-64$0
0.0%
19$0
46899243Office consultation — moderate problem$0
0.0%
16$0
46999173Other medical service$0
0.0%
618$0
47099051Special medical service$0
0.0%
231$0
47199000Special medical service$0
0.0%
285$0
47297165Occupational therapy evaluation — simple problem$0
0.0%
14$0
47397129Physical therapy, occupational therapy, or rehabilitation$0
0.0%
340$0
47497039Physical therapy, occupational therapy, or rehabilitation$0
0.0%
603$0
47597016Physical therapy, occupational therapy, or rehabilitation$0
0.0%
249$0
47691320Medical service or procedure$0
0.0%
25$0
47790744Hepatitis B vaccine (child dose)$0
0.0%
15$0
47890734Meningitis vaccine$0
0.0%
210$0
47990723DTaP-HepB-IPV combination vaccine$0
0.0%
499$0
48090716Chickenpox (varicella) vaccine$0
0.0%
31$0
48190713Polio vaccine$0
0.0%
12$0
48290710MMRV vaccine (measles, mumps, rubella, and chickenpox)$0
0.0%
135$0
48390707MMR vaccine (protects against measles, mumps, rubella)$0
0.0%
32$0
48490700Vaccine or immunization$0
0.0%
28$0
48590698Vaccine or immunization$0
0.0%
38$0
48690697Vaccine or immunization$0
0.0%
158$0
48790696DTaP-IPV vaccine (protects against diphtheria, tetanus, whooping cough, and polio)$0
0.0%
41$0
488D9986Other dental service$0
0.0%
30$0
489G0008Administration of influenza virus vaccine$0
0.0%
132$0
490G0009Administration of pneumococcal vaccine$0
0.0%
33$0
49190688Vaccine or immunization$0
0.0%
72$0
492G0151Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes$0
0.0%
174$0
493G0202Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed$0
0.0%
71$0
494G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)$0
0.0%
197$0
49590685Vaccine or immunization$0
0.0%
28$0
496G0299Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes$0
0.0%
1,227$0
49790681Rotavirus vaccine (protects babies from stomach illness)$0
0.0%
131$0
498G0403Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report$0
0.0%
36$0
49990680Vaccine or immunization$0
0.0%
122$0
50090677Vaccine or immunization$0
0.0%
33$0
50190674Flu vaccine — standard injection$0
0.0%
32$0
50290670Pneumonia vaccine (PCV13, protects against pneumonia)$0
0.0%
600$0
50390656Vaccine or immunization$0
0.0%
46$0
50490648Haemophilus influenzae type b (Hib) vaccine (4-dose)$0
0.0%
675$0
50590633Hepatitis A vaccine (child dose)$0
0.0%
415$0
50690619Vaccine or immunization$0
0.0%
49$0
50790480Vaccine or immunization$0
0.0%
26$0
508G0499Hepatitis 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)$0
0.0%
53$0
50987635Microbiology test — checking for infections (bacteria, viruses, fungi)$0
0.0%
17$0
51087633Microbiology test — checking for infections (bacteria, viruses, fungi)$0
0.0%
18$0
511G2211Visit 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...$0
0.0%
94$0
512G8427Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications$0
0.0%
829$0
513G8510Screening for depression is documented as negative, a follow-up plan is not required$0
0.0%
19$0
514G8752Most recent systolic blood pressure < 140 mmhg$0
0.0%
19$0
515G8754Most recent diastolic blood pressure < 90 mmhg$0
0.0%
20$0
516H0009Alcohol and/or drug services; acute detoxification (hospital inpatient)$0
0.0%
34$0
51786850Blood type and antibody screening$0
0.0%
34$0
51885048Blood cell or clotting test$0
0.0%
528$0

Top Providers

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

# Provider Specialty Total Paid Claims Beneficiaries
1DVH HOSPITAL ALLIANCE LLCGeneral Acute Care Hospital, Critical Access$12,784,210512,001382,206
2M ROBERSON MD PCFamily Medicine$5,756,612147,71871,159
3TOWN OF PAHRUMPAmbulance$2,835,32621,03417,832
4CHANGES RECOVERY COUNSELINGSubstance Abuse Rehabilitation Facility$2,678,65723,7044,839
5SEAN YIM DMD PLLCDentist$2,624,69878,86347,224
6SPINE AND WELLNESS MANAGEMENT GROUP LLCPhysical Medicine & Rehabilitation$2,536,029106,78836,076
7LOLA EMERGENCY PHYSICIANS LLCEmergency Medicine$2,451,69123,37521,807
8PRITCHETT EYE CARE PCOptometrist$2,198,06039,57333,008
9G. DENNIS LEAKS, OD LTDOptometrist$2,162,21840,58237,669
10PMD VENTURES LLCClinic/Center, Mental Health (Including Community Mental Health Center)$2,019,41715,6914,434
11STEVEN DELISLE DDS P.C.Dentist$1,894,87769,32451,479
12HORIZON ACADEMY LLCResidential Treatment Facility, Emotionally Disturbed Children$1,732,96319,077983
13DAVID VANDERBEEKMarriage & Family Therapist$1,688,51118,8296,770
14MICHAEL'S INTEGRATED MEDICAL GROUP PLLCPhysical Medicine & Rehabilitation$1,665,59262,12320,120
15GOLAN INTEGRATED PHYSICAL MEDICINEChiropractor$1,562,38064,19315,312
16ASPIRE THERAPEUTIC SOLUTIONS LLCCommunity/Behavioral Health$1,549,75418,39910,037
17MICHAEL REINERInternal Medicine$1,443,84233,98316,920
18LIVING FREE HEALTH AND FITNESS A NON-PROFIT CORPORATIONCounselor, Addiction (Substance Use Disorder)$1,314,46818,7083,840
19TALI ARIK MD PLLCInternal Medicine, Cardiovascular Disease$1,261,93013,04311,267
20PAHRUMP FAMILY MEDICALClinic/Center, Primary Care$1,194,68223,85723,063
21LOCKHART DIALYSIS LLCClinic/Center, End-Stage Renal Disease (ESRD) Treatment$1,183,96244,9472,665
22CLINICIANS MEDICAL GROUP LLCInternal Medicine$901,78118,2738,218
23WITHIN ARMS REACH COMMUNITY SERVICES LLCCommunity/Behavioral Health$860,30411,0203,491
24SOUTHERN NEVADA COUNSELING LLCCounselor, Mental Health$759,52112,3063,640
25PEACEFUL MINDS BEHAVIORAL HEALTH SERVICESCommunity/Behavioral Health$651,6195,2831,155
About This Data
Providers are assigned to Nye 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).