Dr. Robert Joseph Bloomberg , MD
Internal Medicine • Tempe, AZ
Professional Overview & Biography Verified Profile Summary
Dr. Robert Bloomberg, MD is a certified Internal Medicine practicing in Tempe, AZ. With approximately 50 years of clinical experience since graduating from Mcmaster Un, Michael Degroote School Of Medicine in 1976, Dr. Bloomberg delivers high-quality medical care to the local community at 6301 S MCCLINTOCK DR.
Dr. Bloomberg maintains professional affiliations with Premier Medical Group Llc, You Are Family Primary Care Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.
Frequently performed procedures and clinical services include remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver;, established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.
Practice Location & Contact Primary Location
6301 S Mcclintock Dr
Suite 201
Tempe, AZ 852833392
Medicare Profile & Education
Mcmaster Un, Michael Degroote School Of Medicine
1976
✓ Accepts Assignment
Telehealth Services Available
Specialty Benchmarks & Practice Insights
Comparative analytics for Internal Medicine in Tempe, AZ
Practicing in Tempe, AZ (2967 Statewide)
✓ Offers Virtual Consultations
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99458
Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute
|
1,241 | 69 | $80.00 | $38.14 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
1,079 | 306 | $253.00 | $124.29 |
|
G2211
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
|
628 | 272 | $32.08 | $15.89 |
|
99457
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes
|
624 | 69 | $98.00 | $47.44 |
|
99454
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days
|
610 | 68 | $106.00 | $45.51 |
|
J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
|
281 | 45 | $4.00 | $0.94 |
|
99439
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month
|
276 | 38 | $95.00 | $46.55 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
226 | 226 | $255.00 | $125.98 |
|
99490
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
|
203 | 38 | $125.00 | $60.82 |
|
81000
Manual urinalysis test with examination using microscope, non-automated
|
165 | 121 | $9.00 | $3.94 |
|
J0696
Injection, ceftriaxone sodium, per 250 mg
|
156 | 21 | $2.00 | $0.46 |
|
G0008
Administration of influenza virus vaccine
|
141 | 141 | $60.00 | $31.38 |
|
90653
Vaccine for influenza for injection into muscle
|
137 | 137 | $120.00 | $81.82 |
|
G0009
Administration of pneumococcal vaccine
|
116 | 115 | $102.00 | $31.38 |
|
90677
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use
|
116 | 115 | $300.00 | $290.57 |
|
96372
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
|
113 | 44 | $29.00 | $13.87 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
93 | 71 | $179.00 | $87.76 |
|
90480
Admn sarscov2 vacc 1 dose
|
92 | 92 | $80.00 | $41.39 |
|
91320
Sarscv2 vac 30mcg trs-suc im
|
92 | 92 | $300.00 | $147.95 |
|
G0446
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes
|
86 | 86 | $52.00 | $24.41 |
|
99497
Advance care planning, first 30 minutes
|
84 | 84 | $168.00 | $79.63 |
|
93000
Routine ekg using at least 12 leads including interpretation and report
|
79 | 67 | $29.00 | $13.84 |
|
99487
Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month
|
69 | 28 | $261.00 | $130.47 |
|
G0442
Annual alcohol misuse screening, 5 to 15 minutes
|
67 | 67 | $37.00 | $18.20 |
|
87426
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
|
58 | 52 | $75.00 | $34.62 |
|
87804
Detection test by immunoassay with direct visual observation for influenza virus
|
58 | 52 | $40.00 | $16.22 |
|
69209
Removal of impacted ear wax by washing
|
43 | 38 | $30.00 | $19.00 |
|
G0447
Face-to-face behavioral counseling for obesity, 15 minutes
|
35 | 32 | $51.00 | $24.33 |
|
20610
Aspiration and/or injection of fluid from large joint
|
33 | 23 | $128.00 | $61.04 |
|
76770
Complete ultrasound scan behind abdominal cavity
|
27 | 27 | $215.00 | $104.29 |
|
99496
Transitional care management services for problem of high complexity
|
25 | 19 | $548.00 | $270.96 |
|
G0328
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous
|
22 | 22 | $36.00 | $17.69 |
|
99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
|
22 | 21 | $357.00 | $175.43 |
|
99495
Transitional care management services for problem of at least moderate complexity
|
19 | 17 | $406.00 | $200.30 |
|
76700
Ultrasound of abdomen
|
18 | 18 | $231.00 | $112.49 |
|
93306
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
|
16 | 16 | $395.00 | $185.69 |
|
87428
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza
|
16 | 16 | $140.00 | $68.88 |
|
17000
Destruction of skin growth
|
14 | 12 | $133.00 | $63.38 |
|
G0438
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
|
14 | 14 | $326.00 | $160.32 |
|
69210
Removal of impacted ear wax
|
13 | 13 | $94.00 | $44.51 |
|
93971
Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers
|
13 | 12 | $238.00 | $112.45 |
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
1,495 | 509 | $253.36 | $125.14 |
|
99490
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
|
1,024 | 203 | $125.41 | $61.33 |
|
99457
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes
|
722 | 119 | $99.90 | $47.51 |
|
99454
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days
|
622 | 111 | $109.58 | $48.19 |
|
81000
Manual urinalysis test with examination using microscope, non-automated
|
551 | 316 | $9.00 | $3.94 |
|
J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
|
469 | 61 | $4.00 | $1.09 |
|
99439
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month
|
448 | 132 | $95.28 | $46.38 |
|
G0446
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes
|
327 | 327 | $52.00 | $25.50 |
|
G0442
Annual alcohol misuse screening, 5 to 15 minutes
|
309 | 309 | $37.00 | $18.03 |
|
96372
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
|
222 | 87 | $34.85 | $13.87 |
|
J0696
Injection, ceftriaxone sodium, per 250 mg
|
217 | 24 | $2.00 | $0.50 |
|
G0447
Face-to-face behavioral counseling for obesity, 15 minutes
|
216 | 103 | $51.41 | $25.19 |
|
99458
Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute
|
199 | 65 | $80.06 | $38.78 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
197 | 197 | $247.43 | $127.16 |
|
93000
Routine ekg using at least 12 leads including interpretation and report
|
188 | 172 | $32.54 | $14.06 |
|
80053
Blood test, comprehensive group of blood chemicals
|
177 | 173 | $29.00 | $10.35 |
|
99493
Follow-up psychiatric collaborative care management, subsequent calendar month, first 60 minutes
|
171 | 44 | $281.39 | $139.19 |
|
85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
|
165 | 162 | $18.00 | $7.61 |
|
G0008
Administration of influenza virus vaccine
|
163 | 157 | $59.28 | $30.39 |
|
G0108
Diabetes outpatient self-management training services, individual, per 30 minutes
|
161 | 99 | $107.47 | $53.82 |
|
90694
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage
|
160 | 154 | $158.80 | $75.39 |
|
G0438
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
|
147 | 147 | $329.92 | $162.69 |
|
83036
Hemoglobin A1C level
|
138 | 138 | $27.00 | $9.52 |
|
80061
Blood test, lipids (cholesterol and triglycerides)
|
136 | 136 | $37.00 | $13.04 |
|
84443
Blood test, thyroid stimulating hormone (TSH)
|
127 | 126 | $46.00 | $16.46 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
122 | 104 | $179.11 | $88.66 |
|
36415
Insertion of needle into vein for collection of blood sample
|
116 | 113 | $6.00 | $5.88 |
|
82607
Cyanocobalamin (vitamin B-12) level
|
106 | 103 | $42.00 | $14.78 |
|
G0444
Annual depression screening, 5 to 15 minutes
|
97 | 97 | $37.00 | $18.12 |
|
82306
Vitamin d-3 level
|
92 | 92 | $64.00 | $29.01 |
|
J1885
Injection, ketorolac tromethamine, per 15 mg
|
82 | 21 | $3.71 | $0.56 |
|
J3420
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
|
73 | 25 | $6.93 | $1.72 |
|
86141
Measurement c-reactive protein for detection of infection or inflammation, high sensitivity
|
69 | 68 | $26.00 | $12.69 |
|
82043
Urine microalbumin (protein) level
|
66 | 65 | $16.00 | $5.66 |
|
82570
Creatinine level to test for kidney function or muscle injury
|
66 | 64 | $15.00 | $5.08 |
|
99211
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
|
64 | 16 | $46.00 | $22.69 |
|
81002
Urinalysis, manual test
|
57 | 53 | $7.00 | $3.41 |
|
99497
Advance care planning, first 30 minutes
|
46 | 46 | $169.11 | $81.41 |
|
17003
Destruction of precancer skin growth, 2-14 growths
|
45 | 13 | $13.02 | $6.58 |
|
99494
Psychiatric collaborative care management per calendar month, each additional 30 minutes
|
43 | 27 | $126.09 | $56.57 |
|
20610
Aspiration and/or injection of fluid from large joint
|
42 | 29 | $126.29 | $65.75 |
|
69209
Removal of impacted ear wax by washing
|
42 | 39 | $30.00 | $14.52 |
|
84439
Thyroxine (thyroid chemical), free
|
41 | 41 | $25.00 | $8.84 |
|
G0328
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous
|
40 | 40 | $36.00 | $17.69 |
|
G0009
Administration of pneumococcal vaccine
|
39 | 39 | $92.85 | $30.39 |
|
99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
|
39 | 35 | $357.33 | $173.67 |
|
82962
Blood glucose (sugar) test performed by hand-held instrument
|
38 | 23 | $6.18 | $3.21 |
|
90677
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use
|
35 | 35 | $302.69 | $282.61 |
|
87426
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
|
33 | 32 | $75.00 | $34.62 |
|
93922
Ultrasound study of arm and leg arteries
|
31 | 31 | $182.03 | $79.78 |
|
99487
Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month
|
31 | 23 | $261.00 | $129.99 |
|
84153
Psa (prostate specific antigen) measurement, total
|
31 | 31 | $51.00 | $18.02 |
|
17000
Destruction of skin growth
|
28 | 23 | $133.93 | $64.91 |
|
76770
Complete ultrasound scan behind abdominal cavity
|
28 | 25 | $218.21 | $107.40 |
|
99492
Initial psychiatric collaborative care management, first calendar month, first 70 minutes
|
25 | 25 | $308.40 | $147.06 |
|
76700
Ultrasound of abdomen
|
23 | 22 | $239.61 | $115.32 |
|
99441
Telephone medical discussion with physician, 5-10 minutes
|
22 | 20 | $110.22 | $54.87 |
|
99496
Transitional care management services for problem of high complexity
|
21 | 21 | $524.29 | $267.56 |
|
87631
Detection test for multiple types of respiratory virus
|
20 | 19 | $286.00 | $139.78 |
|
93971
Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers
|
19 | 19 | $240.95 | $117.09 |
|
G0180
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
|
18 | 17 | $103.33 | $51.24 |
|
93306
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
|
17 | 17 | $402.65 | $188.95 |
|
84481
Thyroid hormone, t3 measurement, free
|
17 | 17 | $46.00 | $16.60 |
|
G0102
Prostate cancer screening; digital rectal examination
|
15 | 15 | $45.20 | $22.69 |
|
87804
Detection test by immunoassay with direct visual observation for influenza virus
|
14 | 14 | $36.00 | $16.22 |
|
93880
Ultrasound of both sides of head and neck blood flow
|
13 | 12 | $391.23 | $187.47 |
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
2,544 | 831 | $241.84 | $125.65 |
|
99490
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
|
2,042 | 296 | $113.05 | $62.39 |
|
99454
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days
|
1,108 | 177 | $119.92 | $52.88 |
|
99457
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes
|
1,091 | 210 | $103.08 | $48.50 |
|
81000
Manual urinalysis test with examination using microscope, non-automated
|
1,007 | 486 | $9.00 | $3.96 |
|
80053
Blood test, comprehensive group of blood chemicals
|
969 | 694 | $29.00 | $10.42 |
|
85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
|
936 | 684 | $18.00 | $7.66 |
|
83036
Hemoglobin A1C level
|
808 | 630 | $27.00 | $9.58 |
|
87798
Detection test for organism
|
787 | 75 | $89.99 | $34.90 |
|
80061
Blood test, lipids (cholesterol and triglycerides)
|
775 | 622 | $37.00 | $13.19 |
|
84443
Blood test, thyroid stimulating hormone (TSH)
|
740 | 621 | $46.00 | $16.57 |
|
G0446
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes
|
611 | 611 | $52.00 | $26.00 |
|
G0442
Annual alcohol misuse screening, 5 to 15 minutes
|
578 | 578 | $37.00 | $18.39 |
|
93000
Routine ekg using at least 12 leads including interpretation and report
|
574 | 501 | $35.00 | $13.91 |
|
82607
Cyanocobalamin (vitamin B-12) level
|
569 | 518 | $42.00 | $14.87 |
|
82306
Vitamin d-3 level
|
540 | 500 | $64.00 | $29.18 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
537 | 537 | $234.00 | $129.15 |
|
G0447
Face-to-face behavioral counseling for obesity, 15 minutes
|
467 | 194 | $52.00 | $26.02 |
|
36415
Insertion of needle into vein for collection of blood sample
|
462 | 342 | $6.00 | $2.96 |
|
J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
|
456 | 75 | $3.94 | $1.11 |
|
99439
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month
|
422 | 174 | $94.76 | $46.92 |
|
99458
Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute
|
397 | 116 | $80.14 | $39.72 |
|
80307
Testing for presence of drug, by chemistry analyzers
|
358 | 308 | $124.00 | $61.22 |
|
G0108
Diabetes outpatient self-management training services, individual, per 30 minutes
|
331 | 163 | $107.00 | $54.66 |
|
96372
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
|
323 | 129 | $50.84 | $14.07 |
|
84439
Thyroxine (thyroid chemical), free
|
310 | 254 | $25.00 | $8.92 |
|
G0444
Annual depression screening, 5 to 15 minutes
|
308 | 308 | $37.00 | $18.12 |
|
G0008
Administration of influenza virus vaccine
|
287 | 280 | $51.00 | $28.92 |
|
J0696
Injection, ceftriaxone sodium, per 250 mg
|
277 | 29 | $2.00 | $0.50 |
|
90694
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage
|
269 | 269 | $144.00 | $70.25 |
|
82044
Urine microalbumin (protein) analysis
|
268 | 219 | $13.00 | $6.21 |
|
82043
Urine microalbumin (protein) level
|
228 | 205 | $16.00 | $5.67 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
218 | 176 | $167.38 | $89.57 |
|
93922
Ultrasound study of arm and leg arteries
|
217 | 215 | $185.00 | $80.66 |
|
87631
Detection test for multiple types of respiratory virus
|
214 | 175 | $286.00 | $140.07 |
|
J1885
Injection, ketorolac tromethamine, per 15 mg
|
201 | 36 | $2.00 | $0.55 |
|
86141
Measurement c-reactive protein for detection of infection or inflammation, high sensitivity
|
198 | 191 | $26.13 | $12.64 |
|
84153
Psa (prostate specific antigen) measurement, total
|
182 | 167 | $51.00 | $18.02 |
|
99493
Follow-up psychiatric collaborative care management, subsequent calendar month, first 60 minutes
|
165 | 53 | $258.00 | $144.66 |
|
82570
Creatinine level to test for kidney function or muscle injury
|
162 | 152 | $15.00 | $5.06 |
|
J3420
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
|
141 | 42 | $6.04 | $1.70 |
|
81002
Urinalysis, manual test
|
138 | 117 | $7.00 | $3.45 |
|
99211
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
|
132 | 52 | $44.07 | $22.67 |
|
99497
Advance care planning, first 30 minutes
|
126 | 126 | $171.00 | $83.63 |
|
G0328
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous
|
111 | 111 | $35.96 | $17.83 |
|
85610
Blood test, clotting time
|
105 | 14 | $11.00 | $4.23 |
|
69210
Removal of impacted ear wax
|
93 | 82 | $100.00 | $45.55 |
|
G0438
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
|
88 | 88 | $344.00 | $164.95 |
|
87640
Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique
|
84 | 74 | $86.57 | $34.81 |
|
87641
Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique
|
84 | 75 | $86.29 | $34.46 |
|
84481
Thyroid hormone, t3 measurement, free
|
66 | 60 | $46.00 | $16.69 |
|
82746
Folic acid level
|
65 | 62 | $41.00 | $14.54 |
|
17003
Destruction of precancer skin growth, 2-14 growths
|
63 | 18 | $12.00 | $6.66 |
|
87500
Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique
|
62 | 56 | $90.97 | $34.46 |
|
82962
Blood glucose (sugar) test performed by hand-held instrument
|
62 | 37 | $5.00 | $3.23 |
|
99441
Telephone medical discussion with physician, 5-10 minutes
|
61 | 56 | $110.24 | $54.70 |
|
99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
|
53 | 38 | $344.09 | $178.20 |
|
99453
Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment
|
52 | 52 | $36.00 | $18.11 |
|
G0009
Administration of pneumococcal vaccine
|
45 | 45 | $51.00 | $29.11 |
|
87498
Detection test by nucleic acid for enterovirus (intestinal virus), amplified probe technique
|
45 | 42 | $94.40 | $34.40 |
|
87581
Detection test by nucleic acid for mycoplasma pneumoniae (bacteria), amplified probe technique
|
45 | 42 | $94.40 | $34.40 |
|
87486
Detection test by nucleic acid for chlamydia pneumoniae, amplified probe technique
|
45 | 42 | $94.40 | $34.40 |
|
87541
Detection test by nucleic acid for legionella pneumophila (water borne bacteria), amplified probe technique
|
44 | 41 | $94.91 | $35.06 |
|
94010
Test to measure expiratory airflow and volume
|
43 | 41 | $73.00 | $26.26 |
|
87426
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
|
42 | 40 | $75.00 | $35.08 |
|
20610
Aspiration and/or injection of fluid from large joint
|
40 | 28 | $125.05 | $62.55 |
|
G0103
Prostate cancer screening; prostate specific antigen test (psa)
|
40 | 40 | $51.00 | $19.05 |
|
86140
Measurement C-reactive protein for detection of infection or inflammation
|
37 | 34 | $11.00 | $5.08 |
|
82272
Stool analysis for blood
|
36 | 36 | $9.00 | $4.18 |
|
76770
Complete ultrasound scan behind abdominal cavity
|
36 | 34 | $230.00 | $108.69 |
|
99492
Initial psychiatric collaborative care management, first calendar month, first 70 minutes
|
36 | 36 | $324.00 | $149.34 |
|
G0180
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
|
35 | 29 | $104.80 | $51.95 |
|
17000
Destruction of skin growth
|
33 | 31 | $135.00 | $66.24 |
|
99496
Transitional care management services for problem of high complexity
|
32 | 27 | $465.00 | $274.09 |
|
82728
Ferritin (blood protein) level
|
30 | 29 | $30.00 | $13.43 |
|
90732
Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older
|
29 | 29 | $166.00 | $131.72 |
|
99495
Transitional care management services for problem of at least moderate complexity
|
29 | 26 | $330.00 | $202.62 |
|
76700
Ultrasound of abdomen
|
28 | 27 | $249.00 | $117.45 |
|
99494
Psychiatric collaborative care management per calendar month, each additional 30 minutes
|
27 | 19 | $134.00 | $61.77 |
|
G0402
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
|
25 | 25 | $334.00 | $165.66 |
|
99406
Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes
|
24 | 17 | $29.00 | $15.17 |
|
94060
Test to measure expiratory airflow and volume changes before and after medication administration
|
24 | 23 | $123.00 | $38.15 |
|
76536
Ultrasound of head and neck
|
22 | 21 | $236.00 | $111.73 |
|
94640
Inhalation treatment for airway obstruction or sputum production
|
21 | 18 | $38.00 | $10.82 |
|
J7620
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme
|
21 | 17 | $1.00 | $0.13 |
|
86769
Measure of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody
|
20 | 19 | $86.00 | $41.98 |
|
99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
20 | 20 | $91.60 | $54.85 |
|
93971
Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers
|
19 | 17 | $246.00 | $118.92 |
|
90682
Influenza vaccine, quadrivalent derived from recombinant dna
|
18 | 18 | $120.00 | $65.22 |
|
84403
Testosterone (hormone) level, total
|
18 | 15 | $71.00 | $24.27 |
|
96365
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less
|
17 | 11 | $140.00 | $66.21 |
|
90677
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use
|
17 | 17 | $347.00 | $272.90 |
|
93880
Ultrasound of both sides of head and neck blood flow
|
16 | 16 | $412.00 | $186.30 |
|
93925
Ultrasound of leg arteries or artery grafts
|
16 | 16 | $530.00 | $241.14 |
|
80048
Blood test, basic group of blood chemicals (calcium, total)
|
15 | 14 | $24.00 | $8.35 |
|
87651
Detection test for Strep (Streptococcus, group A)
|
14 | 12 | $96.00 | $34.69 |
|
86376
Microsomal antibodies (autoantibody) measurement
|
13 | 12 | $36.00 | $14.29 |
|
93970
Ultrasound study of arm or leg veins with compression and maneuvers
|
13 | 13 | $402.00 | $175.41 |
|
94664
Evaluation of use of breathing device
|
13 | 12 | $36.00 | $16.38 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
12 | 12 | $330.25 | $164.79 |
|
G0506
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)
|
11 | 11 | $122.00 | $60.64 |
|
G0102
Prostate cancer screening; digital rectal examination
|
11 | 11 | $40.00 | $22.67 |
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
2,666 | 938 | $216.00 | $128.55 |
|
99490
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
|
2,426 | 304 | $82.00 | $40.55 |
|
95004
Test for allergy using allergenic extract
|
1,600 | 20 | $14.00 | $4.02 |
|
81000
Manual urinalysis test with examination using microscope, non-automated
|
978 | 512 | $9.00 | $4.01 |
|
80053
Blood test, comprehensive group of blood chemicals
|
946 | 688 | $29.00 | $10.56 |
|
87798
Detection test for organism
|
941 | 68 | $96.00 | $35.09 |
|
85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
|
915 | 680 | $18.00 | $7.77 |
|
83036
Hemoglobin A1C level
|
797 | 625 | $27.00 | $9.71 |
|
80061
Blood test, lipids (cholesterol and triglycerides)
|
745 | 605 | $37.00 | $13.39 |
|
84443
Blood test, thyroid stimulating hormone (TSH)
|
704 | 613 | $46.00 | $16.80 |
|
G0442
Annual alcohol misuse screening, 5 to 15 minutes
|
678 | 678 | $37.00 | $18.50 |
|
G0446
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes
|
631 | 631 | $52.00 | $26.63 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
623 | 623 | $234.00 | $132.15 |
|
82306
Vitamin d-3 level
|
594 | 537 | $64.00 | $29.60 |
|
J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
|
583 | 92 | $4.00 | $1.27 |
|
82607
Cyanocobalamin (vitamin B-12) level
|
578 | 526 | $42.00 | $15.08 |
|
93000
Routine ekg using at least 12 leads including interpretation and report
|
551 | 506 | $35.00 | $14.52 |
|
82044
Urine microalbumin (protein) analysis
|
539 | 323 | $13.00 | $6.23 |
|
80307
Testing for presence of drug, by chemistry analyzers
|
516 | 455 | $71.83 | $62.14 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
495 | 328 | $147.00 | $90.97 |
|
G0447
Face-to-face behavioral counseling for obesity, 15 minutes
|
487 | 215 | $52.00 | $26.63 |
|
99454
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days
|
451 | 120 | $119.92 | $60.84 |
|
36415
Insertion of needle into vein for collection of blood sample
|
433 | 327 | $6.00 | $3.00 |
|
91301
Sarscov2 vac 100mcg/0.5ml im
|
429 | 223 | $0.01 | $0.01 |
|
84439
Thyroxine (thyroid chemical), free
|
428 | 374 | $25.00 | $9.02 |
|
93922
Ultrasound study of arm and leg arteries
|
388 | 387 | $185.00 | $83.99 |
|
99457
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes
|
378 | 138 | $103.08 | $50.03 |
|
G0444
Annual depression screening, 5 to 15 minutes
|
323 | 323 | $37.00 | $18.50 |
|
96372
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
|
314 | 126 | $51.00 | $14.03 |
|
90682
Influenza vaccine, quadrivalent derived from recombinant dna
|
261 | 261 | $120.00 | $65.26 |
|
G0008
Administration of influenza virus vaccine
|
261 | 261 | $51.00 | $16.80 |
|
99458
Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute
|
260 | 87 | $74.34 | $40.61 |
|
81002
Urinalysis, manual test
|
259 | 197 | $7.00 | $3.48 |
|
G0108
Diabetes outpatient self-management training services, individual, per 30 minutes
|
231 | 161 | $107.00 | $55.48 |
|
0011A
Adm sarscov2 100mcg/0.5ml1st
|
219 | 217 | $44.75 | $22.26 |
|
0012A
Adm sarscov2 100mcg/0.5ml2nd
|
213 | 213 | $65.72 | $36.31 |
|
99211
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
|
188 | 88 | $41.00 | $22.44 |
|
G0328
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous
|
187 | 187 | $36.00 | $18.05 |
|
J0696
Injection, ceftriaxone sodium, per 250 mg
|
184 | 23 | $2.00 | $0.54 |
|
86769
Measure of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody
|
181 | 163 | $86.00 | $42.13 |
|
87801
Detection test for multiple organisms
|
177 | 52 | $192.00 | $70.20 |
|
J1885
Injection, ketorolac tromethamine, per 15 mg
|
168 | 31 | $2.00 | $0.51 |
|
99493
Follow-up psychiatric collaborative care management, subsequent calendar month, first 60 minutes
|
164 | 52 | $258.00 | $151.67 |
|
99497
Advance care planning, first 30 minutes
|
155 | 153 | $171.00 | $84.85 |
|
84153
Psa (prostate specific antigen) measurement, total
|
140 | 132 | $51.00 | $18.39 |
|
J3420
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
|
122 | 35 | $6.00 | $1.98 |
|
85610
Blood test, clotting time
|
121 | 14 | $11.00 | $4.29 |
|
82962
Blood glucose (sugar) test performed by hand-held instrument
|
115 | 68 | $5.00 | $3.28 |
|
99453
Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment
|
105 | 102 | $36.00 | $18.47 |
|
82043
Urine microalbumin (protein) level
|
103 | 89 | $16.00 | $5.78 |
|
17003
Destruction of precancer skin growth, 2-14 growths
|
99 | 20 | $12.00 | $6.46 |
|
99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
|
97 | 89 | $291.00 | $180.53 |
|
69210
Removal of impacted ear wax
|
93 | 86 | $100.00 | $45.68 |
|
87640
Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique
|
81 | 68 | $96.00 | $35.09 |
|
87641
Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique
|
80 | 67 | $97.20 | $35.09 |
|
87500
Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique
|
80 | 67 | $96.00 | $35.09 |
|
87426
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
|
75 | 63 | $74.89 | $35.33 |
|
99441
Telephone medical discussion with physician, 5-10 minutes
|
68 | 60 | $101.77 | $53.03 |
|
84481
Thyroid hormone, t3 measurement, free
|
67 | 65 | $46.00 | $16.94 |
|
G0438
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
|
60 | 60 | $344.00 | $167.68 |
|
20610
Aspiration and/or injection of fluid from large joint
|
59 | 44 | $132.34 | $64.70 |
|
99439
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month
|
58 | 38 | $73.56 | $37.11 |
|
G0180
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
|
58 | 55 | $108.00 | $52.42 |
|
99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
52 | 49 | $88.00 | $55.82 |
|
87498
Detection test by nucleic acid for enterovirus (intestinal virus), amplified probe technique
|
46 | 43 | $96.00 | $35.09 |
|
17000
Destruction of skin growth
|
46 | 38 | $135.00 | $63.64 |
|
87486
Detection test by nucleic acid for chlamydia pneumoniae, amplified probe technique
|
46 | 43 | $96.00 | $35.09 |
|
87581
Detection test by nucleic acid for mycoplasma pneumoniae (bacteria), amplified probe technique
|
46 | 43 | $96.00 | $35.09 |
|
99495
Transitional care management services for problem of at least moderate complexity
|
45 | 41 | $330.00 | $200.81 |
|
99492
Initial psychiatric collaborative care management, first calendar month, first 70 minutes
|
44 | 44 | $324.00 | $151.34 |
|
87541
Detection test by nucleic acid for legionella pneumophila (water borne bacteria), amplified probe technique
|
44 | 41 | $96.00 | $35.09 |
|
94060
Test to measure expiratory airflow and volume changes before and after medication administration
|
42 | 38 | $123.00 | $45.63 |
|
76770
Complete ultrasound scan behind abdominal cavity
|
41 | 40 | $230.00 | $112.02 |
|
94640
Inhalation treatment for airway obstruction or sputum production
|
40 | 36 | $38.00 | $13.73 |
|
J7620
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme
|
40 | 36 | $1.00 | $0.12 |
|
94664
Evaluation of use of breathing device
|
39 | 35 | $36.00 | $16.43 |
|
76700
Ultrasound of abdomen
|
38 | 36 | $249.00 | $121.02 |
|
94010
Test to measure expiratory airflow and volume
|
38 | 36 | $73.00 | $28.47 |
|
87651
Detection test for Strep (Streptococcus, group A)
|
36 | 27 | $96.00 | $35.09 |
|
82272
Stool analysis for blood
|
35 | 34 | $9.00 | $4.23 |
|
G0179
Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp
|
33 | 18 | $83.00 | $40.65 |
|
G0103
Prostate cancer screening; prostate specific antigen test (psa)
|
32 | 32 | $51.00 | $19.31 |
|
G0402
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
|
32 | 32 | $334.00 | $168.01 |
|
99496
Transitional care management services for problem of high complexity
|
32 | 29 | $465.00 | $274.64 |
|
93306
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
|
30 | 30 | $460.00 | $202.70 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
29 | 29 | $331.00 | $166.79 |
|
G0009
Administration of pneumococcal vaccine
|
29 | 29 | $51.00 | $16.84 |
|
G0443
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes
|
29 | 29 | $51.84 | $26.63 |
|
87634
Detection test by nucleic acid for respiratory syncytial virus, amplified probe technique
|
28 | 27 | $192.00 | $70.20 |
|
87502
Detection test by nucleic acid for multiple types influenza virus
|
28 | 27 | $192.00 | $95.80 |
|
93971
Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers
|
27 | 26 | $246.00 | $120.11 |
|
93925
Ultrasound of leg arteries or artery grafts
|
26 | 25 | $530.00 | $251.61 |
|
96365
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less
|
23 | 16 | $140.00 | $71.15 |
|
82746
Folic acid level
|
22 | 22 | $41.00 | $14.70 |
|
87631
Detection test for multiple types of respiratory virus
|
21 | 20 | $286.00 | $142.63 |
|
J7030
Infusion, normal saline solution , 1000 cc
|
21 | 11 | $4.00 | $2.78 |
|
90732
Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older
|
21 | 21 | $166.00 | $124.78 |
|
99406
Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes
|
21 | 17 | $29.00 | $15.54 |
|
G0403
Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report
|
19 | 19 | $35.00 | $14.67 |
|
99494
Psychiatric collaborative care management per calendar month, each additional 30 minutes
|
19 | 15 | $134.00 | $58.10 |
|
99309
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
|
18 | 11 | $183.00 | $90.06 |
|
84403
Testosterone (hormone) level, total
|
18 | 13 | $71.00 | $25.81 |
|
99306
Initial nursing facility visit, typically 45 minutes per day
|
16 | 15 | $335.00 | $165.06 |
|
76536
Ultrasound of head and neck
|
16 | 15 | $236.00 | $115.81 |
|
93880
Ultrasound of both sides of head and neck blood flow
|
15 | 15 | $412.00 | $195.18 |
|
93970
Ultrasound study of arm or leg veins with compression and maneuvers
|
13 | 13 | $402.00 | $190.68 |
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
3,044 | 1,015 | $216.00 | $108.30 |
|
99490
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
|
2,794 | 316 | $82.00 | $41.53 |
|
95004
Test for allergy using allergenic extract
|
2,340 | 28 | $14.00 | $4.16 |
|
80053
Blood test, comprehensive group of blood chemicals
|
903 | 638 | $29.00 | $10.49 |
|
85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
|
878 | 631 | $18.00 | $7.72 |
|
81000
Manual urinalysis test with examination using microscope, non-automated
|
795 | 442 | $9.00 | $4.00 |
|
80061
Blood test, lipids (cholesterol and triglycerides)
|
734 | 576 | $37.00 | $13.28 |
|
83036
Hemoglobin A1C level
|
724 | 567 | $27.00 | $9.65 |
|
84443
Blood test, thyroid stimulating hormone (TSH)
|
708 | 582 | $46.00 | $16.66 |
|
G0446
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes
|
695 | 695 | $52.00 | $26.40 |
|
G0442
Annual alcohol misuse screening, 5 to 15 minutes
|
687 | 687 | $37.00 | $18.04 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
666 | 666 | $234.00 | $115.72 |
|
82306
Vitamin d-3 level
|
640 | 555 | $64.00 | $29.40 |
|
82607
Cyanocobalamin (vitamin B-12) level
|
628 | 536 | $42.00 | $14.98 |
|
J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
|
572 | 95 | $4.00 | $1.45 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
516 | 360 | $147.00 | $75.04 |
|
G0108
Diabetes outpatient self-management training services, individual, per 30 minutes
|
476 | 231 | $107.00 | $56.18 |
|
93000
Routine ekg using at least 12 leads including interpretation and report
|
463 | 421 | $35.00 | $16.94 |
|
90682
Influenza vaccine, quadrivalent derived from recombinant dna
|
453 | 445 | $120.47 | $60.71 |
|
G0008
Administration of influenza virus vaccine
|
449 | 441 | $51.00 | $16.57 |
|
G0444
Annual depression screening, 5 to 15 minutes
|
440 | 439 | $37.00 | $18.03 |
|
G0447
Face-to-face behavioral counseling for obesity, 15 minutes
|
429 | 227 | $52.00 | $26.42 |
|
84439
Thyroxine (thyroid chemical), free
|
424 | 348 | $25.00 | $8.97 |
|
36415
Insertion of needle into vein for collection of blood sample
|
336 | 269 | $6.00 | $2.98 |
|
81002
Urinalysis, manual test
|
311 | 222 | $7.00 | $3.45 |
|
82044
Urine microalbumin (protein) analysis
|
297 | 159 | $13.00 | $6.19 |
|
96372
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
|
270 | 123 | $51.00 | $14.18 |
|
80307
Testing for presence of drug, by chemistry analyzers
|
269 | 247 | $71.83 | $61.27 |
|
86769
Measure of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody
|
243 | 234 | $86.00 | $42.13 |
|
99211
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
|
240 | 80 | $41.00 | $22.97 |
|
G0328
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous
|
237 | 237 | $36.00 | $17.84 |
|
84153
Psa (prostate specific antigen) measurement, total
|
223 | 204 | $51.00 | $18.30 |
|
85610
Blood test, clotting time
|
198 | 21 | $11.00 | $4.26 |
|
J0696
Injection, ceftriaxone sodium, per 250 mg
|
182 | 24 | $2.00 | $0.59 |
|
17003
Destruction of precancer skin growth, 2-14 growths
|
146 | 35 | $12.00 | $6.02 |
|
J1885
Injection, ketorolac tromethamine, per 15 mg
|
123 | 24 | $2.00 | $0.60 |
|
J3420
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
|
103 | 34 | $6.00 | $2.02 |
|
99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
96 | 79 | $88.00 | $45.36 |
|
82043
Urine microalbumin (protein) level
|
95 | 85 | $16.00 | $5.75 |
|
G0009
Administration of pneumococcal vaccine
|
88 | 87 | $51.00 | $16.49 |
|
G2058
Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 fo
|
87 | 52 | $30.62 | $30.84 |
|
99493
Follow-up psychiatric collaborative care management, subsequent calendar month, first 60 minutes
|
86 | 40 | $258.00 | $124.13 |
|
69210
Removal of impacted ear wax
|
85 | 75 | $102.35 | $47.15 |
|
G0181
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow
|
77 | 36 | $217.00 | $107.05 |
|
82962
Blood glucose (sugar) test performed by hand-held instrument
|
74 | 42 | $5.00 | $3.26 |
|
20610
Aspiration and/or injection of fluid from large joint
|
69 | 55 | $127.30 | $63.06 |
|
G0180
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
|
61 | 49 | $108.00 | $53.22 |
|
76700
Ultrasound of abdomen
|
60 | 60 | $249.00 | $122.29 |
|
17000
Destruction of skin growth
|
59 | 57 | $135.00 | $65.33 |
|
90732
Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older
|
53 | 53 | $166.00 | $117.61 |
|
99492
Initial psychiatric collaborative care management, first calendar month, first 70 minutes
|
51 | 51 | $324.00 | $153.99 |
|
G0402
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
|
46 | 46 | $334.00 | $166.31 |
|
99495
Transitional care management services for problem of at least moderate complexity
|
44 | 43 | $330.00 | $184.65 |
|
94010
Test to measure expiratory airflow and volume
|
43 | 43 | $73.00 | $34.95 |
|
99406
Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes
|
43 | 27 | $29.00 | $15.36 |
|
99309
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
|
42 | 15 | $183.00 | $91.41 |
|
G0179
Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp
|
37 | 17 | $83.00 | $40.73 |
|
90670
Pneumococcal vaccine for injection into muscle
|
35 | 35 | $347.00 | $226.61 |
|
93306
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
|
32 | 32 | $460.00 | $206.24 |
|
94640
Inhalation treatment for airway obstruction or sputum production
|
31 | 30 | $38.00 | $17.40 |
|
94060
Test to measure expiratory airflow and volume changes before and after medication administration
|
31 | 30 | $123.00 | $58.51 |
|
84481
Thyroid hormone, t3 measurement, free
|
31 | 29 | $46.00 | $16.82 |
|
J7620
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme
|
30 | 27 | $1.00 | $0.13 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
28 | 28 | $331.00 | $159.76 |
|
76770
Complete ultrasound scan behind abdominal cavity
|
26 | 26 | $230.00 | $112.48 |
|
99496
Transitional care management services for problem of high complexity
|
25 | 19 | $465.00 | $243.83 |
|
96365
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less
|
24 | 18 | $140.00 | $70.01 |
|
76536
Ultrasound of head and neck
|
22 | 20 | $236.00 | $114.74 |
|
94664
Evaluation of use of breathing device
|
22 | 21 | $36.00 | $16.39 |
|
93970
Ultrasound study of arm or leg veins with compression and maneuvers
|
21 | 20 | $402.00 | $193.14 |
|
G0103
Prostate cancer screening; prostate specific antigen test (psa)
|
20 | 20 | $51.00 | $19.21 |
|
84403
Testosterone (hormone) level, total
|
17 | 14 | $71.00 | $25.69 |
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
16 | 16 | $217.00 | $107.57 |
|
93925
Ultrasound of leg arteries or artery grafts
|
16 | 16 | $530.00 | $247.98 |
|
93971
Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers
|
15 | 14 | $246.00 | $119.28 |
|
82272
Stool analysis for blood
|
14 | 14 | $9.00 | $4.18 |
|
93880
Ultrasound of both sides of head and neck blood flow
|
14 | 14 | $412.00 | $198.35 |
|
G0403
Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report
|
13 | 13 | $35.00 | $16.88 |
|
99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
|
11 | 11 | $291.00 | $146.28 |
|
G0443
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes
|
11 | 11 | $51.84 | $26.61 |
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
3,592 | 1,112 | $216.00 | $106.92 |
|
95004
Test for allergy using allergenic extract
|
2,480 | 30 | $14.00 | $4.13 |
|
99490
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
|
2,157 | 310 | $82.00 | $41.11 |
|
J0897
Injection, denosumab, 1 mg
|
1,800 | 21 | $29.97 | $17.98 |
|
80053
Blood test, comprehensive group of blood chemicals
|
1,108 | 776 | $29.00 | $11.51 |
|
85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
|
1,071 | 773 | $18.00 | $8.46 |
|
80061
Blood test, lipids (cholesterol and triglycerides)
|
879 | 678 | $37.00 | $14.57 |
|
84443
Blood test, thyroid stimulating hormone (TSH)
|
851 | 674 | $46.00 | $18.28 |
|
81000
Manual urinalysis test with examination using microscope, non-automated
|
833 | 514 | $9.00 | $3.94 |
|
G0446
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes
|
801 | 801 | $52.00 | $25.95 |
|
83036
Hemoglobin A1C level
|
795 | 626 | $27.00 | $10.57 |
|
G0447
Face-to-face behavioral counseling for obesity, 15 minutes
|
761 | 323 | $52.00 | $25.61 |
|
81002
Urinalysis, manual test
|
754 | 452 | $7.00 | $3.41 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
719 | 719 | $234.00 | $114.73 |
|
G0444
Annual depression screening, 5 to 15 minutes
|
706 | 706 | $37.00 | $17.80 |
|
J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
|
682 | 119 | $4.00 | $1.60 |
|
82607
Cyanocobalamin (vitamin B-12) level
|
673 | 595 | $42.00 | $16.41 |
|
82306
Vitamin d-3 level
|
672 | 594 | $64.00 | $32.16 |
|
G0442
Annual alcohol misuse screening, 5 to 15 minutes
|
636 | 636 | $37.00 | $17.83 |
|
93000
Routine ekg using at least 12 leads including interpretation and report
|
589 | 525 | $35.00 | $16.76 |
|
G0108
Diabetes outpatient self-management training services, individual, per 30 minutes
|
545 | 253 | $107.00 | $54.72 |
|
G0328
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous
|
476 | 476 | $36.00 | $17.69 |
|
82044
Urine microalbumin (protein) analysis
|
409 | 197 | $13.00 | $6.11 |
|
J0696
Injection, ceftriaxone sodium, per 250 mg
|
402 | 50 | $2.01 | $0.58 |
|
90682
Influenza vaccine, quadrivalent derived from recombinant dna
|
399 | 393 | $125.00 | $54.78 |
|
G0008
Administration of influenza virus vaccine
|
395 | 389 | $51.00 | $16.25 |
|
96372
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
|
372 | 176 | $51.00 | $16.38 |
|
36415
Insertion of needle into vein for collection of blood sample
|
338 | 264 | $6.00 | $2.94 |
|
99211
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
|
286 | 54 | $41.00 | $22.39 |
|
85610
Blood test, clotting time
|
280 | 22 | $11.00 | $4.28 |
|
84439
Thyroxine (thyroid chemical), free
|
239 | 198 | $25.00 | $9.78 |
|
84153
Psa (prostate specific antigen) measurement, total
|
207 | 190 | $51.00 | $20.03 |
|
80307
Testing for presence of drug, by chemistry analyzers
|
189 | 187 | $71.83 | $62.59 |
|
J1885
Injection, ketorolac tromethamine, per 15 mg
|
174 | 39 | $2.00 | $0.54 |
|
G0009
Administration of pneumococcal vaccine
|
170 | 165 | $51.00 | $16.25 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
159 | 135 | $147.00 | $73.04 |
|
J3420
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
|
134 | 53 | $6.04 | $1.80 |
|
69210
Removal of impacted ear wax
|
125 | 114 | $100.80 | $46.31 |
|
99493
Follow-up psychiatric collaborative care management, subsequent calendar month, first 60 minutes
|
118 | 44 | $258.00 | $125.88 |
|
17003
Destruction of precancer skin growth, 2-14 growths
|
111 | 30 | $12.00 | $5.55 |
|
G0181
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow
|
102 | 45 | $217.00 | $106.84 |
|
82962
Blood glucose (sugar) test performed by hand-held instrument
|
102 | 66 | $5.00 | $3.21 |
|
94640
Inhalation treatment for airway obstruction or sputum production
|
101 | 89 | $38.00 | $17.68 |
|
82043
Urine microalbumin (protein) level
|
99 | 94 | $16.00 | $6.29 |
|
94060
Test to measure expiratory airflow and volume changes before and after medication administration
|
94 | 83 | $123.00 | $58.58 |
|
90670
Pneumococcal vaccine for injection into muscle
|
92 | 92 | $347.00 | $208.52 |
|
94664
Evaluation of use of breathing device
|
87 | 75 | $36.00 | $16.64 |
|
99495
Transitional care management services for problem of at least moderate complexity
|
86 | 73 | $330.00 | $160.50 |
|
94010
Test to measure expiratory airflow and volume
|
84 | 78 | $73.00 | $34.84 |
|
99496
Transitional care management services for problem of high complexity
|
81 | 69 | $465.00 | $228.69 |
|
90732
Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older
|
78 | 78 | $166.00 | $111.04 |
|
20610
Aspiration and/or injection of fluid from large joint
|
73 | 53 | $122.00 | $56.40 |
|
99406
Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes
|
72 | 40 | $29.00 | $14.71 |
|
J1940
Injection, furosemide, up to 20 mg
|
69 | 11 | $6.00 | $0.75 |
|
17000
Destruction of skin growth
|
62 | 54 | $135.00 | $63.55 |
|
99492
Initial psychiatric collaborative care management, first calendar month, first 70 minutes
|
62 | 62 | $324.00 | $157.52 |
|
93306
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
|
58 | 57 | $460.00 | $200.98 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
56 | 56 | $331.00 | $159.44 |
|
76700
Ultrasound of abdomen
|
53 | 53 | $249.00 | $119.80 |
|
82272
Stool analysis for blood
|
52 | 52 | $9.00 | $4.15 |
|
76770
Complete ultrasound scan behind abdominal cavity
|
46 | 46 | $230.00 | $106.10 |
|
G0180
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
|
44 | 39 | $108.00 | $52.55 |
|
96365
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less
|
41 | 29 | $140.00 | $70.20 |
|
G0402
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
|
39 | 39 | $334.00 | $162.63 |
|
99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
39 | 35 | $88.00 | $44.47 |
|
99310
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
|
37 | 19 | $273.00 | $134.43 |
|
76536
Ultrasound of head and neck
|
35 | 33 | $236.00 | $113.34 |
|
J7620
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme
|
34 | 28 | $1.00 | $0.13 |
|
99309
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
|
34 | 14 | $183.00 | $90.71 |
|
93880
Ultrasound of both sides of head and neck blood flow
|
32 | 32 | $412.00 | $198.44 |
|
99354
Prolonged office or other outpatient service first hour
|
29 | 20 | $201.00 | $129.14 |
|
99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
|
26 | 26 | $291.00 | $144.15 |
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
26 | 26 | $217.00 | $106.99 |
|
84481
Thyroid hormone, t3 measurement, free
|
25 | 22 | $46.00 | $17.79 |
|
99306
Initial nursing facility visit, typically 45 minutes per day
|
23 | 22 | $335.00 | $165.52 |
|
J7030
Infusion, normal saline solution , 1000 cc
|
23 | 16 | $4.00 | $2.45 |
|
99494
Psychiatric collaborative care management per calendar month, each additional 30 minutes
|
20 | 15 | $134.00 | $65.22 |
|
G0179
Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp
|
17 | 13 | $83.00 | $40.64 |
|
93970
Ultrasound study of arm or leg veins with compression and maneuvers
|
17 | 17 | $402.00 | $192.09 |
|
J7613
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg
|
16 | 14 | $5.00 | $0.04 |
|
93971
Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers
|
16 | 15 | $246.00 | $119.16 |
|
76706
Ultrasound scan of abdominal aorta
|
16 | 16 | $187.92 | $105.37 |
|
69209
Removal of impacted ear wax by washing
|
16 | 15 | $26.00 | $13.01 |
|
93925
Ultrasound of leg arteries or artery grafts
|
16 | 16 | $530.00 | $252.28 |
|
G0438
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
|
14 | 14 | $344.00 | $169.56 |
|
G0103
Prostate cancer screening; prostate specific antigen test (psa)
|
14 | 14 | $51.00 | $20.03 |
|
76856
Complete ultrasound scan of pelvis
|
13 | 12 | $223.00 | $104.86 |
|
84403
Testosterone (hormone) level, total
|
12 | 12 | $71.00 | $28.11 |
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
3,878 | 1,148 | $216.00 | $105.36 |
|
99490
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
|
3,675 | 370 | $82.00 | $41.42 |
|
J0897
Injection, denosumab, 1 mg
|
1,080 | 14 | $31.00 | $18.08 |
|
80053
Blood test, comprehensive group of blood chemicals
|
1,038 | 704 | $29.00 | $12.78 |
|
G0446
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes
|
1,021 | 1,021 | $52.00 | $25.31 |
|
G0444
Annual depression screening, 5 to 15 minutes
|
920 | 920 | $37.00 | $17.61 |
|
81000
Manual urinalysis test with examination using microscope, non-automated
|
890 | 525 | $9.00 | $3.94 |
|
80061
Blood test, lipids (cholesterol and triglycerides)
|
853 | 638 | $37.00 | $16.20 |
|
81002
Urinalysis, manual test
|
830 | 507 | $7.00 | $3.41 |
|
G0447
Face-to-face behavioral counseling for obesity, 15 minutes
|
813 | 314 | $52.00 | $25.31 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
798 | 798 | $234.00 | $114.42 |
|
84443
Blood test, thyroid stimulating hormone (TSH)
|
782 | 620 | $46.00 | $20.33 |
|
G0442
Annual alcohol misuse screening, 5 to 15 minutes
|
777 | 777 | $37.00 | $17.95 |
|
85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
|
716 | 563 | $18.00 | $9.40 |
|
83036
Hemoglobin A1C level
|
681 | 518 | $27.00 | $11.75 |
|
G0328
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous
|
649 | 649 | $36.00 | $19.25 |
|
G0108
Diabetes outpatient self-management training services, individual, per 30 minutes
|
632 | 258 | $107.00 | $52.67 |
|
93000
Routine ekg using at least 12 leads including interpretation and report
|
585 | 546 | $35.00 | $16.62 |
|
J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
|
558 | 88 | $4.00 | $1.76 |
|
G0008
Administration of influenza virus vaccine
|
527 | 526 | $51.00 | $19.99 |
|
90682
Influenza vaccine, quadrivalent derived from recombinant dna
|
520 | 520 | $125.02 | $52.30 |
|
82044
Urine microalbumin (protein) analysis
|
469 | 216 | $13.00 | $6.11 |
|
82306
Vitamin d-3 level
|
443 | 410 | $64.00 | $35.82 |
|
99211
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
|
400 | 76 | $41.00 | $21.16 |
|
85610
Blood test, clotting time
|
378 | 29 | $11.00 | $4.75 |
|
96372
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
|
360 | 174 | $50.72 | $19.98 |
|
82607
Cyanocobalamin (vitamin B-12) level
|
344 | 318 | $42.00 | $18.24 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
282 | 210 | $147.00 | $70.87 |
|
J0696
Injection, ceftriaxone sodium, per 250 mg
|
272 | 40 | $2.00 | $0.62 |
|
17003
Destruction of precancer skin growth, 2-14 growths
|
266 | 55 | $12.00 | $5.16 |
|
J1885
Injection, ketorolac tromethamine, per 15 mg
|
223 | 35 | $2.00 | $0.56 |
|
84439
Thyroxine (thyroid chemical), free
|
207 | 164 | $25.00 | $10.91 |
|
82962
Blood glucose (sugar) test performed by hand-held instrument
|
155 | 90 | $5.00 | $3.21 |
|
99496
Transitional care management services for problem of high complexity
|
153 | 128 | $465.00 | $228.06 |
|
84153
Psa (prostate specific antigen) measurement, total
|
152 | 139 | $51.00 | $22.26 |
|
J3420
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
|
133 | 45 | $6.00 | $1.94 |
|
J1940
Injection, furosemide, up to 20 mg
|
129 | 18 | $6.00 | $0.93 |
|
G0009
Administration of pneumococcal vaccine
|
125 | 122 | $51.00 | $19.99 |
|
36415
Insertion of needle into vein for collection of blood sample
|
118 | 111 | $6.00 | $2.94 |
|
96127
Assessment of emotional or behavioral problems
|
108 | 102 | $11.24 | $6.14 |
|
17000
Destruction of skin growth
|
94 | 83 | $135.00 | $63.97 |
|
J3260
Injection, tobramycin sulfate, up to 80 mg
|
90 | 11 | $6.00 | $3.16 |
|
99495
Transitional care management services for problem of at least moderate complexity
|
83 | 76 | $330.00 | $161.18 |
|
94010
Test to measure expiratory airflow and volume
|
82 | 78 | $73.00 | $35.22 |
|
90670
Pneumococcal vaccine for injection into muscle
|
82 | 82 | $347.00 | $199.07 |
|
69209
Removal of impacted ear wax by washing
|
80 | 76 | $26.00 | $13.47 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
76 | 76 | $331.00 | $159.79 |
|
99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
|
67 | 64 | $291.00 | $142.75 |
|
20610
Aspiration and/or injection of fluid from large joint
|
65 | 47 | $127.63 | $58.96 |
|
G0181
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow
|
62 | 50 | $217.00 | $106.49 |
|
94640
Inhalation treatment for airway obstruction or sputum production
|
60 | 57 | $38.00 | $18.22 |
|
99309
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
|
59 | 13 | $183.00 | $90.20 |
|
94664
Evaluation of use of breathing device
|
59 | 58 | $36.00 | $16.83 |
|
99493
Follow-up psychiatric collaborative care management, subsequent calendar month, first 60 minutes
|
53 | 24 | $258.00 | $124.23 |
|
G0402
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
|
53 | 53 | $334.00 | $159.10 |
|
69210
Removal of impacted ear wax
|
52 | 44 | $100.00 | $44.57 |
|
93306
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
|
50 | 49 | $460.00 | $163.42 |
|
94060
Test to measure expiratory airflow and volume changes before and after medication administration
|
47 | 46 | $123.00 | $59.39 |
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
45 | 45 | $217.00 | $106.14 |
|
93880
Ultrasound of both sides of head and neck blood flow
|
44 | 42 | $412.00 | $194.85 |
|
76770
Complete ultrasound scan behind abdominal cavity
|
43 | 42 | $230.00 | $111.60 |
|
90732
Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older
|
43 | 43 | $166.00 | $105.59 |
|
76700
Ultrasound of abdomen
|
41 | 40 | $249.00 | $120.80 |
|
82043
Urine microalbumin (protein) level
|
41 | 36 | $16.00 | $6.85 |
|
99310
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
|
39 | 13 | $273.00 | $134.14 |
|
99406
Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes
|
39 | 31 | $29.00 | $14.19 |
|
96365
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less
|
36 | 27 | $140.00 | $70.91 |
|
99492
Initial psychiatric collaborative care management, first calendar month, first 70 minutes
|
35 | 35 | $324.00 | $155.41 |
|
99354
Prolonged office or other outpatient service first hour
|
32 | 25 | $201.00 | $128.58 |
|
84481
Thyroid hormone, t3 measurement, free
|
30 | 27 | $46.00 | $20.50 |
|
G0103
Prostate cancer screening; prostate specific antigen test (psa)
|
30 | 30 | $51.00 | $22.26 |
|
99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
29 | 29 | $88.00 | $42.99 |
|
J7030
Infusion, normal saline solution , 1000 cc
|
28 | 21 | $4.00 | $2.29 |
|
93970
Ultrasound study of arm or leg veins with compression and maneuvers
|
25 | 23 | $402.00 | $188.56 |
|
76536
Ultrasound of head and neck
|
25 | 25 | $236.00 | $114.67 |
|
G0438
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
|
20 | 20 | $344.00 | $168.54 |
|
93971
Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers
|
19 | 19 | $246.00 | $117.42 |
|
99306
Initial nursing facility visit, typically 45 minutes per day
|
18 | 16 | $335.00 | $164.16 |
|
10060
Simple or single drainage of skin abscess
|
12 | 11 | $237.00 | $116.98 |
|
J1040
Injection, methylprednisolone acetate, 80 mg
|
12 | 11 | $17.00 | $12.88 |
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99490
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
|
4,200 | 433 | $82.00 | $41.61 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
3,477 | 1,037 | $216.00 | $105.35 |
|
99497
Advance care planning, first 30 minutes
|
1,118 | 635 | $169.31 | $80.70 |
|
81002
Urinalysis, manual test
|
1,107 | 592 | $10.13 | $3.42 |
|
G0446
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes
|
796 | 796 | $51.88 | $25.40 |
|
81000
Manual urinalysis test with examination using microscope, non-automated
|
743 | 468 | $9.08 | $4.25 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
626 | 626 | $234.62 | $113.74 |
|
G0444
Annual depression screening, 5 to 15 minutes
|
619 | 619 | $38.58 | $17.71 |
|
G0008
Administration of influenza virus vaccine
|
543 | 536 | $51.00 | $25.01 |
|
J0696
Injection, ceftriaxone sodium, per 250 mg
|
541 | 64 | $7.01 | $0.65 |
|
J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
|
534 | 81 | $4.05 | $1.80 |
|
90662
Influenza vaccine split virus, preservative free
|
532 | 526 | $87.36 | $47.97 |
|
93000
Routine ekg using at least 12 leads including interpretation and report
|
520 | 480 | $38.00 | $16.66 |
|
G0447
Face-to-face behavioral counseling for obesity, 15 minutes
|
509 | 252 | $52.00 | $25.40 |
|
G0108
Diabetes outpatient self-management training services, individual, per 30 minutes
|
487 | 217 | $107.00 | $52.84 |
|
G0442
Annual alcohol misuse screening, 5 to 15 minutes
|
486 | 486 | $41.02 | $17.70 |
|
82044
Urine microalbumin (protein) analysis
|
424 | 181 | $13.00 | $6.15 |
|
G0328
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous
|
421 | 421 | $36.00 | $17.72 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
420 | 284 | $147.00 | $71.52 |
|
96372
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
|
391 | 173 | $51.00 | $25.13 |
|
85610
Blood test, clotting time
|
304 | 28 | $11.55 | $5.28 |
|
80053
Blood test, comprehensive group of blood chemicals
|
272 | 262 | $29.00 | $11.31 |
|
99211
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
|
254 | 36 | $41.00 | $19.93 |
|
80061
Blood test, lipids (cholesterol and triglycerides)
|
254 | 252 | $37.00 | $15.62 |
|
84443
Blood test, thyroid stimulating hormone (TSH)
|
252 | 251 | $46.00 | $22.59 |
|
J1885
Injection, ketorolac tromethamine, per 15 mg
|
230 | 43 | $2.34 | $0.61 |
|
83036
Hemoglobin A1C level
|
211 | 207 | $27.00 | $13.05 |
|
82962
Blood glucose (sugar) test performed by hand-held instrument
|
136 | 84 | $6.72 | $2.42 |
|
84439
Thyroxine (thyroid chemical), free
|
116 | 115 | $25.39 | $12.12 |
|
17003
Destruction of precancer skin growth, 2-14 growths
|
106 | 25 | $12.53 | $5.55 |
|
J1940
Injection, furosemide, up to 20 mg
|
92 | 17 | $6.00 | $1.23 |
|
99406
Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes
|
86 | 84 | $29.00 | $14.25 |
|
J3420
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
|
86 | 30 | $6.74 | $2.94 |
|
82306
Vitamin d-3 level
|
85 | 84 | $64.00 | $31.12 |
|
20610
Aspiration and/or injection of fluid from large joint
|
81 | 60 | $123.51 | $58.62 |
|
82607
Cyanocobalamin (vitamin B-12) level
|
71 | 69 | $42.00 | $20.27 |
|
J2405
Injection, ondansetron hydrochloride, per 1 mg
|
71 | 12 | $4.10 | $0.09 |
|
G0009
Administration of pneumococcal vaccine
|
67 | 66 | $51.00 | $25.01 |
|
94010
Test to measure expiratory airflow and volume
|
60 | 56 | $73.00 | $34.68 |
|
17000
Destruction of skin growth
|
59 | 52 | $135.00 | $65.26 |
|
99496
Transitional care management services for problem of high complexity
|
57 | 51 | $457.57 | $227.26 |
|
94060
Test to measure expiratory airflow and volume changes before and after medication administration
|
56 | 49 | $123.00 | $60.00 |
|
84153
Psa (prostate specific antigen) measurement, total
|
54 | 53 | $51.00 | $24.73 |
|
69209
Removal of impacted ear wax by washing
|
54 | 51 | $33.00 | $12.27 |
|
J3489
Injection, zoledronic acid, 1 mg
|
51 | 11 | $51.31 | $12.82 |
|
G0181
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow
|
49 | 40 | $217.00 | $106.55 |
|
J7030
Infusion, normal saline solution , 1000 cc
|
46 | 22 | $7.11 | $1.95 |
|
94640
Inhalation treatment for airway obstruction or sputum production
|
44 | 37 | $38.36 | $18.07 |
|
94664
Evaluation of use of breathing device
|
44 | 37 | $36.00 | $17.01 |
|
90670
Pneumococcal vaccine for injection into muscle
|
43 | 42 | $347.00 | $186.68 |
|
99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
|
41 | 40 | $291.00 | $142.61 |
|
69210
Removal of impacted ear wax
|
40 | 38 | $100.00 | $48.38 |
|
J1040
Injection, methylprednisolone acetate, 80 mg
|
40 | 27 | $17.75 | $11.00 |
|
96365
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less
|
38 | 25 | $134.74 | $67.82 |
|
99309
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
|
38 | 16 | $183.00 | $90.22 |
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
37 | 37 | $217.00 | $106.42 |
|
G0402
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
|
36 | 36 | $334.00 | $158.08 |
|
99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
35 | 34 | $88.00 | $42.99 |
|
99354
Prolonged office or other outpatient service first hour
|
34 | 23 | $201.00 | $127.93 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
31 | 31 | $331.00 | $161.79 |
|
G0180
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
|
25 | 24 | $108.00 | $53.03 |
|
J1030
Injection, methylprednisolone acetate, 40 mg
|
25 | 17 | $9.20 | $5.89 |
|
90732
Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older
|
24 | 24 | $166.00 | $93.24 |
|
85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
|
24 | 24 | $18.00 | $8.62 |
|
76770
Complete ultrasound scan behind abdominal cavity
|
23 | 23 | $230.00 | $112.25 |
|
12001
Repair of wound (2.5 centimeters or less) of the scalp, neck, underarms, trunk, arms and/or legs
|
22 | 19 | $189.55 | $88.43 |
|
99495
Transitional care management services for problem of at least moderate complexity
|
21 | 21 | $315.66 | $160.43 |
|
G0438
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
|
19 | 19 | $344.00 | $168.35 |
|
99306
Initial nursing facility visit, typically 45 minutes per day
|
19 | 11 | $335.00 | $164.64 |
|
76536
Ultrasound of head and neck
|
13 | 13 | $236.00 | $115.44 |
|
93971
Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers
|
11 | 11 | $246.00 | $118.42 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Hospital & Practice Group Affiliations
Premier Medical Group Llc
6301 S Mcclintock Dr, Tempe, AZ 852833394
Phone: 4808383100
You Are Family Primary Care Llc
6301 S Mcclintock Dr, Tempe, AZ 852833394
Phone: 4807770077
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Internal Medicine
Doctor of Osteopathic Medicine (D.O.)
Nurse Practitioner - Family
Family Nurse Practitioner, Registered Nurse
Allergy & Immunology
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Osteopathic Medicine (D.O.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 6301 S MCCLINTOCK DR, SUITE 201, TEMPE, AZ 852833392 (Tel: 4808383100)
Registered at 6301 S MCCLINTOCK DR, SUITE 201, TEMPE, AZ 852833392 (Tel: 4808383100)
Recorded as ROBERT BLOOMBERG, MD
Internal Medicine (License #11959 in AZ)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
Verified patient ratings, medical care experiences, and facility photos
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NPI Administrative Meta
Mailing Address
6301 S Mcclintock Dr, Suite 201
Tempe, AZ 852833392
Phone: 4808383100
This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.