Active NPI 1760481808 Individual Practitioner Male Practitioner

Dr. Eric C Lee , MD

Specialist • Upland, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Eric Lee, MD is a certified Specialist practicing in Upland, CA. With approximately 29 years of clinical experience since graduating from Js Weill Medical College, Cornell University in 1997, Dr. Lee delivers high-quality medical care to the local community at 1238 E ARROW HWY.

Dr. Lee is affiliated with Inland Rheumatology And Osteoporosis Medical Group Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered), injection, tocilizumab, 1 mg, injection, romosozumab-aqqg, 1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1238 E Arrow Hwy

Upland, CA 917864951

Telephone 9099820099

Fax 9099310402

Associated Practice Facility / Clinic

🏢 Pollock Physical Therapy Facility NPI 1386613263

Medicare Profile & Education

Medical School

Js Weill Medical College, Cornell University

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Upland, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs -15.3 yrs vs City Avg

City Avg: 44.3 Yrs

State Avg: 38.0 Yrs

Regional Practice Density

22 Specialists

Practicing in Upland, CA (6446 Statewide)

Telehealth Adoption Rate

18.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

38.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lee (29 Years) 29 Yrs

Upland Specialty Average (44.3 Years) 44.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0717 Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	184,400	48	$11.00	$4.56
J3262 Injection, tocilizumab, 1 mg	56,478	15	$11.32	$5.93
J3111 Injection, romosozumab-aqqg, 1 mg	39,270	32	$14.89	$10.81
J0129 Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	32,700	43	$60.00	$42.61
J1602 Injection, golimumab, 1 mg, for intravenous use	22,720	27	$27.00	$11.14
J0897 Injection, denosumab, 1 mg	14,040	146	$34.32	$25.55
J1745 Injection, infliximab, excludes biosimilar, 10 mg	11,840	43	$49.49	$28.66
Q5119 Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg	3,600	11	$56.94	$19.64
J1100 Injection, dexamethasone sodium phosphate, 1 mg	2,848	60	$1.00	$0.11
82784 Gammaglobulin (immune system protein) measurement	2,290	276	$15.00	$9.08
86235 Measurement of antibody for assessment of autoimmune disorder, any method	2,240	262	$25.93	$17.52
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	1,717	274	$35.00	$15.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,332	501	$150.00	$137.45
J7050 Infusion, normal saline solution, 250 cc	1,053	142	$15.00	$0.64
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,022	134	$8.00	$0.97
36415 Insertion of needle into vein for collection of blood sample	934	314	$15.00	$8.64
86140 Measurement C-reactive protein for detection of infection or inflammation	912	306	$26.00	$5.07
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	903	297	$20.00	$4.17
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	896	285	$28.00	$7.59
80053 Blood test, comprehensive group of blood chemicals	884	286	$70.00	$10.32
84550 Uric acid level, blood	808	301	$25.00	$4.42
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	678	90	$125.00	$69.95
99213 Established patient office or other outpatient visit, typically 15 minutes	599	145	$105.00	$98.91
86160 Measurement of complement (immune system proteins), antigen,	574	266	$35.00	$11.73
86147 Cardiolipin antibody (tissue antibody) measurement	553	175	$50.18	$24.70
86146 Beta 2 glycoprotein 1 antibody (autoantibody) measurement	553	175	$50.18	$24.70
83520 Measurement of substance using immunoassay technique	542	252	$25.00	$16.87
96375 Injection of additional new drug or substance into vein	523	73	$50.00	$16.71
96415 Administration of chemotherapy into vein, each additional hour	456	59	$95.00	$29.79
J1885 Injection, ketorolac tromethamine, per 15 mg	365	41	$5.00	$0.68
96413 Infusion of chemotherapy into a vein up to 1 hour	358	63	$215.00	$141.05
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	349	195	$25.00	$17.42
82550 Creatine kinase (cardiac enzyme) level, total	345	163	$25.00	$6.38
J2919 Injection, methylprednisolone sodium succinate, 5 mg	325	12	$1.00	$0.27
86431 Rheumatoid factor level	293	269	$36.00	$5.54
86376 Microsomal antibodies (autoantibody) measurement	287	269	$25.00	$14.22
86226 Measurement of dna antibody, single stranded	280	263	$46.00	$11.84
86225 Measurement of dna antibody, native or double stranded	280	263	$45.00	$13.43
86200 Measurement of antibody for rheumatoid arthritis assessment	279	259	$25.00	$12.65
86038 Screening test for autoimmune disorder	278	260	$35.00	$11.82
86332 Immune complex measurement	268	248	$50.00	$23.81
82306 Vitamin d-3 level	207	194	$60.00	$29.01
83970 Parathormone (parathyroid hormone) level	204	190	$60.00	$40.45
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	192	39	$10.00	$1.26
20610 Aspiration and/or injection of fluid from large joint	172	79	$105.00	$62.92
99442 Telephone medical discussion with physician, 11-20 minutes	107	83	$105.00	$98.11
J1200 Injection, diphenhydramine hcl, up to 50 mg	106	17	$3.95	$0.81
82607 Cyanocobalamin (vitamin B-12) level	101	92	$25.00	$14.78
83540 Iron level	100	92	$15.00	$6.34
82728 Ferritin (blood protein) level	98	88	$25.00	$13.36
82746 Folic acid level	96	89	$25.00	$14.41
G0008 Administration of influenza virus vaccine	93	91	$39.89	$33.32
90658 Influenza vaccine, trivalent, 0.5 ml dosage	91	90	$30.00	$21.42
77085 Bone density measurement using dedicated x-ray machine	69	69	$175.00	$60.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$185.00	$180.10
73130 X-ray of hand, minimum of 3 views	53	27	$60.00	$32.67
86704 Hepatitis b core antibody measurement	52	52	$20.00	$11.81
86803 Hepatitis c antibody measurement	51	51	$25.00	$13.98
87340 Detection test for Hepatitis B surface antigen	51	51	$18.00	$10.12
73110 X-ray of wrist, minimum of 3 views	48	25	$60.00	$37.16
73562 X-ray of knee, 3 views	40	22	$60.00	$36.05
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	38	37	$200.00	$194.04
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	28	28	$250.00	$237.85
73030 X-ray of shoulder, minimum of 2 views	25	15	$60.00	$29.35
20600 Aspiration and/or injection of fluid from small joint	24	13	$75.00	$48.22
71046 X-ray of chest, 2 views	23	23	$60.00	$26.86
99443 Telephone medical discussion with physician, 21-30 minutes	21	19	$150.00	$138.68
84439 Thyroxine (thyroid chemical), free	20	19	$15.00	$8.84
84443 Blood test, thyroid stimulating hormone (TSH)	20	19	$30.00	$16.46
77080 Dxa bone density measurement of hip, pelvis, spine	18	18	$125.00	$42.48
72202 X-ray of joint between lower spine and hip bone, 3 or more views	18	18	$60.00	$32.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0717 Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	168,000	47	$11.00	$4.92
J3262 Injection, tocilizumab, 1 mg	62,992	13	$8.00	$5.88
J0129 Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	30,350	49	$59.85	$42.26
J1602 Injection, golimumab, 1 mg, for intravenous use	26,202	28	$27.00	$13.00
J1745 Injection, infliximab, excludes biosimilar, 10 mg	14,244	60	$99.16	$32.73
J0897 Injection, denosumab, 1 mg	11,821	121	$25.00	$23.26
J3111 Injection, romosozumab-aqqg, 1 mg	11,550	13	$12.00	$10.05
86235 Measurement of antibody for assessment of autoimmune disorder, any method	2,552	284	$35.00	$17.53
82784 Gammaglobulin (immune system protein) measurement	2,361	281	$15.00	$9.07
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,728	61	$1.00	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,528	524	$150.00	$132.84
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	1,451	234	$35.00	$14.91
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,431	149	$8.00	$1.07
J7050 Infusion, normal saline solution, 250 cc	1,083	158	$15.00	$0.64
36415 Insertion of needle into vein for collection of blood sample	962	329	$14.99	$8.38
86140 Measurement C-reactive protein for detection of infection or inflammation	947	319	$26.00	$5.07
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	930	305	$20.00	$4.17
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	904	285	$27.98	$7.59
80053 Blood test, comprehensive group of blood chemicals	900	284	$69.94	$10.31
84550 Uric acid level, blood	863	315	$25.00	$4.42
82550 Creatine kinase (cardiac enzyme) level, total	697	234	$25.00	$6.35
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	676	90	$125.00	$68.98
86160 Measurement of complement (immune system proteins), antigen,	624	278	$35.00	$11.73
83520 Measurement of substance using immunoassay technique	591	259	$25.00	$16.92
96375 Injection of additional new drug or substance into vein	558	87	$50.00	$16.26
96415 Administration of chemotherapy into vein, each additional hour	489	75	$95.00	$29.65
99213 Established patient office or other outpatient visit, typically 15 minutes	412	118	$104.99	$94.53
96413 Infusion of chemotherapy into a vein up to 1 hour	401	76	$215.00	$139.35
86769 Measure of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody	397	294	$125.00	$41.29
86431 Rheumatoid factor level	319	280	$36.00	$5.54
86226 Measurement of dna antibody, single stranded	319	284	$46.00	$11.84
86225 Measurement of dna antibody, native or double stranded	319	284	$45.00	$13.44
86376 Microsomal antibodies (autoantibody) measurement	316	281	$25.00	$14.22
86038 Screening test for autoimmune disorder	311	278	$35.00	$11.82
86200 Measurement of antibody for rheumatoid arthritis assessment	306	276	$25.00	$12.69
86332 Immune complex measurement	293	257	$50.00	$23.88
20610 Aspiration and/or injection of fluid from large joint	235	87	$105.00	$59.76
J1885 Injection, ketorolac tromethamine, per 15 mg	216	22	$5.00	$0.55
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg	188	59	$9.75	$3.95
82306 Vitamin d-3 level	175	162	$60.00	$28.85
83970 Parathormone (parathyroid hormone) level	172	157	$60.00	$40.23
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	172	39	$10.00	$1.55
82607 Cyanocobalamin (vitamin B-12) level	119	109	$25.00	$14.78
82746 Folic acid level	110	104	$25.00	$14.41
82728 Ferritin (blood protein) level	110	104	$25.00	$13.36
83540 Iron level	109	104	$15.00	$6.34
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	108	107	$35.00	$20.46
G0008 Administration of influenza virus vaccine	108	107	$32.50	$30.49
J1200 Injection, diphenhydramine hcl, up to 50 mg	94	19	$2.00	$1.01
86704 Hepatitis b core antibody measurement	75	72	$20.00	$11.81
87340 Detection test for Hepatitis B surface antigen	75	72	$18.00	$10.12
86803 Hepatitis c antibody measurement	73	70	$25.00	$13.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	72	68	$200.00	$186.74
73130 X-ray of hand, minimum of 3 views	67	35	$60.00	$31.28
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	65	65	$250.00	$229.15
73110 X-ray of wrist, minimum of 3 views	63	32	$60.00	$35.67
77085 Bone density measurement using dedicated x-ray machine	56	56	$175.00	$55.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$185.00	$173.80
99442 Telephone medical discussion with physician, 11-20 minutes	50	46	$105.00	$94.58
73562 X-ray of knee, 3 views	41	22	$60.00	$34.57
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	31	14	$30.00	$4.99
73030 X-ray of shoulder, minimum of 2 views	28	17	$60.00	$28.01
99443 Telephone medical discussion with physician, 21-30 minutes	28	27	$150.00	$132.99
73630 X-ray of foot, minimum of 3 views	27	15	$60.00	$28.73
84443 Blood test, thyroid stimulating hormone (TSH)	23	20	$30.00	$16.46
72202 X-ray of joint between lower spine and hip bone, 3 or more views	23	23	$60.00	$31.28
71046 X-ray of chest, 2 views	22	22	$60.00	$25.47
84439 Thyroxine (thyroid chemical), free	22	19	$15.00	$8.84
77080 Dxa bone density measurement of hip, pelvis, spine	15	15	$125.00	$41.01
72100 X-ray of lower and sacral spine, 2-3 views	13	13	$60.00	$32.01
72050 X-ray of upper spine, 4 or 5 views	12	12	$70.00	$44.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0717 Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	155,600	46	$11.00	$5.66
J3262 Injection, tocilizumab, 1 mg	50,031	12	$8.00	$5.83
J0129 Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	28,200	38	$60.00	$43.56
J1602 Injection, golimumab, 1 mg, for intravenous use	21,959	26	$27.00	$14.69
J1745 Injection, infliximab, excludes biosimilar, 10 mg	17,865	71	$100.00	$35.87
J0897 Injection, denosumab, 1 mg	9,660	100	$23.35	$21.46
82784 Gammaglobulin (immune system protein) measurement	2,566	276	$15.00	$9.16
86235 Measurement of antibody for assessment of autoimmune disorder, any method	2,512	288	$35.00	$17.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,400	518	$150.00	$134.46
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,325	156	$14.26	$1.13
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	1,306	212	$35.00	$15.24
J7050 Infusion, normal saline solution, 250 cc	1,085	160	$15.00	$0.66
36415 Insertion of needle into vein for collection of blood sample	958	338	$15.00	$2.96
86140 Measurement C-reactive protein for detection of infection or inflammation	949	335	$26.00	$5.10
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	939	324	$20.00	$4.20
84550 Uric acid level, blood	931	332	$25.00	$4.45
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	911	302	$28.00	$7.65
80053 Blood test, comprehensive group of blood chemicals	897	297	$70.00	$10.40
82550 Creatine kinase (cardiac enzyme) level, total	778	249	$25.00	$6.41
86160 Measurement of complement (immune system proteins), antigen,	626	283	$35.00	$11.85
83520 Measurement of substance using immunoassay technique	621	282	$25.00	$16.97
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	583	81	$125.00	$73.51
96415 Administration of chemotherapy into vein, each additional hour	559	82	$95.00	$31.18
96413 Infusion of chemotherapy into a vein up to 1 hour	472	84	$215.00	$147.60
96375 Injection of additional new drug or substance into vein	461	77	$50.00	$17.01
86769 Measure of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody	432	317	$125.00	$41.33
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg	340	63	$9.75	$4.14
99213 Established patient office or other outpatient visit, typically 15 minutes	327	98	$105.00	$96.18
86200 Measurement of antibody for rheumatoid arthritis assessment	327	298	$25.00	$12.73
86431 Rheumatoid factor level	323	296	$36.00	$5.57
86226 Measurement of dna antibody, single stranded	314	288	$46.00	$11.96
86376 Microsomal antibodies (autoantibody) measurement	314	288	$25.00	$14.37
86225 Measurement of dna antibody, native or double stranded	314	288	$45.00	$13.57
86332 Immune complex measurement	309	281	$50.00	$23.95
86038 Screening test for autoimmune disorder	298	272	$35.00	$11.94
20610 Aspiration and/or injection of fluid from large joint	231	91	$105.00	$59.67
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	190	45	$10.00	$1.72
90756 Vaccine for influenza for injection into muscle	94	94	$38.00	$29.68
J1200 Injection, diphenhydramine hcl, up to 50 mg	83	18	$1.66	$1.07
86803 Hepatitis c antibody measurement	79	79	$25.00	$14.11
86704 Hepatitis b core antibody measurement	79	79	$20.00	$11.91
87340 Detection test for Hepatitis B surface antigen	78	78	$18.00	$10.21
73130 X-ray of hand, minimum of 3 views	75	38	$60.00	$31.08
73110 X-ray of wrist, minimum of 3 views	71	36	$60.00	$35.90
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	69	64	$200.00	$191.04
G0008 Administration of influenza virus vaccine	68	68	$30.00	$29.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$185.00	$176.75
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	65	65	$250.00	$233.67
J1885 Injection, ketorolac tromethamine, per 15 mg	57	13	$5.00	$0.59
73630 X-ray of foot, minimum of 3 views	51	26	$60.00	$29.24
77085 Bone density measurement using dedicated x-ray machine	45	45	$175.00	$55.47
83970 Parathormone (parathyroid hormone) level	44	42	$60.00	$40.74
82306 Vitamin d-3 level	43	41	$60.00	$29.23
99443 Telephone medical discussion with physician, 21-30 minutes	42	40	$150.00	$135.84
73562 X-ray of knee, 3 views	40	22	$60.00	$35.13
99442 Telephone medical discussion with physician, 11-20 minutes	38	34	$105.00	$96.30
73030 X-ray of shoulder, minimum of 2 views	31	17	$60.00	$28.01
72202 X-ray of joint between lower spine and hip bone, 3 or more views	27	27	$60.00	$31.37
82728 Ferritin (blood protein) level	26	24	$25.00	$13.42
82607 Cyanocobalamin (vitamin B-12) level	23	22	$25.00	$14.85
83540 Iron level	23	22	$15.00	$6.37
84439 Thyroxine (thyroid chemical), free	20	17	$15.00	$8.90
82746 Folic acid level	20	19	$25.00	$14.47
84443 Blood test, thyroid stimulating hormone (TSH)	19	16	$30.00	$16.57
72100 X-ray of lower and sacral spine, 2-3 views	17	17	$60.00	$32.12
71046 X-ray of chest, 2 views	16	16	$60.00	$25.46
80061 Blood test, lipids (cholesterol and triglycerides)	16	12	$70.00	$13.24
99441 Telephone medical discussion with physician, 5-10 minutes	11	11	$25.00	$25.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0717 Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	155,400	47	$11.00	$7.33
J0129 Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	30,125	50	$59.69	$51.57
J1602 Injection, golimumab, 1 mg, for intravenous use	21,920	27	$27.00	$17.22
J1745 Injection, infliximab, excludes biosimilar, 10 mg	18,660	72	$100.00	$41.82
J0897 Injection, denosumab, 1 mg	7,620	78	$21.83	$20.44
J9312 Injection, rituximab, 10 mg	3,500	12	$100.00	$84.63
86235 Measurement of antibody for assessment of autoimmune disorder, any method	3,072	336	$35.00	$17.93
82784 Gammaglobulin (immune system protein) measurement	2,865	301	$15.00	$9.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,365	516	$146.88	$136.01
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	1,268	192	$35.00	$15.14
J7050 Infusion, normal saline solution, 250 cc	1,111	178	$15.00	$0.69
36415 Insertion of needle into vein for collection of blood sample	1,085	384	$15.00	$3.00
86140 Measurement C-reactive protein for detection of infection or inflammation	1,080	379	$26.00	$5.17
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	1,061	365	$20.00	$4.26
84550 Uric acid level, blood	1,043	370	$25.00	$4.51
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,027	332	$28.00	$7.75
80053 Blood test, comprehensive group of blood chemicals	1,017	329	$70.00	$10.53
82550 Creatine kinase (cardiac enzyme) level, total	927	298	$24.98	$6.49
J1020 Injection, methylprednisolone acetate, 20 mg	874	163	$22.00	$3.20
86160 Measurement of complement (immune system proteins), antigen,	746	326	$35.00	$12.00
83520 Measurement of substance using immunoassay technique	721	320	$25.00	$17.18
96415 Administration of chemotherapy into vein, each additional hour	588	86	$95.00	$33.30
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	587	98	$125.00	$78.88
86769 Measure of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody	529	363	$125.00	$42.13
96413 Infusion of chemotherapy into a vein up to 1 hour	480	87	$215.00	$158.22
99213 Established patient office or other outpatient visit, typically 15 minutes	414	110	$103.50	$96.48
96375 Injection of additional new drug or substance into vein	412	71	$50.00	$18.23
86376 Microsomal antibodies (autoantibody) measurement	384	336	$25.00	$14.55
86226 Measurement of dna antibody, single stranded	384	336	$46.00	$12.11
86225 Measurement of dna antibody, native or double stranded	384	336	$45.00	$13.74
86431 Rheumatoid factor level	380	328	$36.00	$5.63
86038 Screening test for autoimmune disorder	374	330	$35.00	$12.06
86200 Measurement of antibody for rheumatoid arthritis assessment	367	328	$25.00	$12.86
86332 Immune complex measurement	364	323	$50.00	$24.21
20610 Aspiration and/or injection of fluid from large joint	316	102	$105.00	$59.23
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg	289	53	$9.75	$4.20
99442 Telephone medical discussion with physician, 11-20 minutes	194	140	$94.61	$88.53
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	192	43	$10.00	$1.98
73130 X-ray of hand, minimum of 3 views	180	91	$60.00	$30.43
73110 X-ray of wrist, minimum of 3 views	174	87	$60.00	$34.95
99443 Telephone medical discussion with physician, 21-30 minutes	107	95	$120.09	$111.66
90756 Vaccine for influenza for injection into muscle	106	106	$35.00	$28.10
73562 X-ray of knee, 3 views	105	58	$60.00	$34.20
86704 Hepatitis b core antibody measurement	104	100	$20.00	$12.05
87340 Detection test for Hepatitis B surface antigen	104	100	$18.00	$10.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	103	103	$185.00	$178.30
86803 Hepatitis c antibody measurement	102	98	$25.00	$14.27
J1200 Injection, diphenhydramine hcl, up to 50 mg	88	20	$1.48	$0.90
J3489 Injection, zoledronic acid, 1 mg	85	17	$30.00	$10.45
77085 Bone density measurement using dedicated x-ray machine	85	85	$175.00	$57.27
73630 X-ray of foot, minimum of 3 views	75	40	$60.00	$28.55
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	72	15	$485.00	$136.28
72202 X-ray of joint between lower spine and hip bone, 3 or more views	65	65	$60.00	$30.32
73030 X-ray of shoulder, minimum of 2 views	58	36	$60.00	$27.42
71046 X-ray of chest, 2 views	58	57	$60.00	$25.14
G0008 Administration of influenza virus vaccine	52	52	$30.00	$18.18
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	49	49	$196.73	$189.92
82306 Vitamin d-3 level	47	42	$60.00	$29.60
20550 Injection into tendon or ligament	38	18	$100.00	$49.09
99441 Telephone medical discussion with physician, 5-10 minutes	35	30	$25.00	$25.28
J1885 Injection, ketorolac tromethamine, per 15 mg	34	12	$5.00	$0.50
83970 Parathormone (parathyroid hormone) level	31	28	$60.00	$41.28
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	31	31	$250.00	$235.35
72050 X-ray of upper spine, 4 or 5 views	26	26	$70.00	$43.23
72110 X-ray of lower and sacral spine, minimum of 4 views	24	24	$80.00	$42.26
82728 Ferritin (blood protein) level	21	19	$25.00	$13.63
84439 Thyroxine (thyroid chemical), free	21	19	$15.00	$9.02
84443 Blood test, thyroid stimulating hormone (TSH)	20	18	$30.00	$16.80
73502 X-ray of hip, 2-3 views	18	18	$80.00	$39.68
77080 Dxa bone density measurement of hip, pelvis, spine	18	18	$125.00	$41.54
72100 X-ray of lower and sacral spine, 2-3 views	17	17	$60.00	$32.23
73610 X-ray of ankle, minimum of 3 views	16	12	$60.00	$30.81
73521 X-ray of both hips, 2 views	13	13	$120.00	$31.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0717 Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	141,200	45	$11.00	$8.12
J0129 Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	26,450	38	$57.00	$55.71
J1602 Injection, golimumab, 1 mg, for intravenous use	19,950	23	$27.00	$19.65
J1745 Injection, infliximab, excludes biosimilar, 10 mg	17,925	64	$99.30	$51.80
J0897 Injection, denosumab, 1 mg	6,780	76	$22.00	$19.61
86235 Measurement of antibody for assessment of autoimmune disorder, any method	2,624	285	$41.10	$17.84
82784 Gammaglobulin (immune system protein) measurement	2,420	261	$15.00	$9.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,222	486	$120.00	$114.73
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	1,157	176	$35.00	$15.18
J7050 Infusion, normal saline solution, 250 cc	993	146	$15.00	$0.64
36415 Insertion of needle into vein for collection of blood sample	987	348	$15.00	$2.97
86140 Measurement C-reactive protein for detection of infection or inflammation	985	347	$26.00	$5.13
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	974	338	$20.00	$4.22
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	948	322	$28.00	$7.69
80053 Blood test, comprehensive group of blood chemicals	936	316	$70.00	$10.44
84550 Uric acid level, blood	918	336	$25.00	$4.47
J1020 Injection, methylprednisolone acetate, 20 mg	835	151	$22.00	$3.49
82550 Creatine kinase (cardiac enzyme) level, total	684	249	$25.00	$6.44
86160 Measurement of complement (immune system proteins), antigen,	646	277	$35.00	$11.94
83520 Measurement of substance using immunoassay technique	600	265	$25.00	$17.11
96415 Administration of chemotherapy into vein, each additional hour	557	73	$95.00	$32.04
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	529	74	$125.00	$77.02
86431 Rheumatoid factor level	505	285	$36.00	$5.61
96413 Infusion of chemotherapy into a vein up to 1 hour	452	75	$215.00	$150.16
99213 Established patient office or other outpatient visit, typically 15 minutes	452	132	$85.00	$79.53
96375 Injection of additional new drug or substance into vein	402	64	$50.00	$17.29
86225 Measurement of dna antibody, native or double stranded	328	285	$45.00	$13.67
86226 Measurement of dna antibody, single stranded	328	285	$46.00	$12.05
86038 Screening test for autoimmune disorder	323	281	$35.00	$12.00
86200 Measurement of antibody for rheumatoid arthritis assessment	312	278	$25.00	$12.83
20610 Aspiration and/or injection of fluid from large joint	298	94	$105.00	$56.26
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg	265	50	$9.75	$4.35
86376 Microsomal antibodies (autoantibody) measurement	188	171	$25.00	$14.55
99442 Telephone medical discussion with physician, 11-20 minutes	182	137	$40.00	$40.36
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	171	36	$10.00	$1.95
86769 Measure of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody	156	139	$125.00	$42.13
73130 X-ray of hand, minimum of 3 views	133	68	$60.00	$28.25
73110 X-ray of wrist, minimum of 3 views	122	63	$60.00	$32.52
86332 Immune complex measurement	116	114	$50.00	$24.37
99443 Telephone medical discussion with physician, 21-30 minutes	104	86	$50.00	$50.35
J1200 Injection, diphenhydramine hcl, up to 50 mg	99	20	$1.48	$0.76
73630 X-ray of foot, minimum of 3 views	87	44	$60.00	$26.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	87	87	$185.00	$174.15
G0008 Administration of influenza virus vaccine	86	84	$30.00	$17.74
73562 X-ray of knee, 3 views	78	46	$60.00	$32.15
86704 Hepatitis b core antibody measurement	74	73	$20.00	$11.98
86803 Hepatitis c antibody measurement	68	67	$25.00	$14.20
87340 Detection test for Hepatitis B surface antigen	67	66	$18.00	$10.28
90756 Vaccine for influenza for injection into muscle	65	65	$35.00	$27.70
71046 X-ray of chest, 2 views	50	48	$60.00	$23.64
20550 Injection into tendon or ligament	46	13	$100.00	$43.03
72202 X-ray of joint between lower spine and hip bone, 3 or more views	44	44	$60.00	$28.69
99441 Telephone medical discussion with physician, 5-10 minutes	43	38	$25.00	$25.31
82607 Cyanocobalamin (vitamin B-12) level	40	37	$25.00	$15.01
77085 Bone density measurement using dedicated x-ray machine	38	38	$175.00	$57.92
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	36	11	$30.56	$6.26
83550 Iron binding capacity	35	32	$20.00	$8.70
82728 Ferritin (blood protein) level	35	32	$25.00	$13.56
83540 Iron level	34	31	$15.00	$6.44
20600 Aspiration and/or injection of fluid from small joint	33	11	$75.00	$44.12
73030 X-ray of shoulder, minimum of 2 views	33	21	$60.00	$25.62
82746 Folic acid level	32	30	$25.00	$14.63
82306 Vitamin d-3 level	32	30	$60.00	$29.47
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	30	$160.00	$155.24
83970 Parathormone (parathyroid hormone) level	28	26	$60.00	$41.07
84443 Blood test, thyroid stimulating hormone (TSH)	28	28	$30.00	$16.76
84439 Thyroxine (thyroid chemical), free	28	28	$15.00	$8.99
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	27	27	$250.00	$219.67
72110 X-ray of lower and sacral spine, minimum of 4 views	23	23	$80.00	$38.40
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	22	22	$25.00	$24.93
73502 X-ray of hip, 2-3 views	22	22	$80.00	$36.84
83036 Hemoglobin A1C level	21	20	$18.00	$9.67
73521 X-ray of both hips, 2 views	21	20	$120.00	$30.95
72100 X-ray of lower and sacral spine, 2-3 views	20	20	$60.00	$29.08
73610 X-ray of ankle, minimum of 3 views	20	13	$60.00	$28.34
72050 X-ray of upper spine, 4 or 5 views	19	19	$70.00	$39.99
80061 Blood test, lipids (cholesterol and triglycerides)	17	13	$70.00	$13.29
77080 Dxa bone density measurement of hip, pelvis, spine	15	15	$125.00	$42.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0717 Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	146,000	47	$10.58	$7.86
J0129 Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	25,675	41	$56.15	$52.24
J1745 Injection, infliximab, excludes biosimilar, 10 mg	18,775	68	$100.00	$66.81
J1602 Injection, golimumab, 1 mg, for intravenous use	18,448	24	$27.00	$21.56
J0897 Injection, denosumab, 1 mg	6,660	67	$21.55	$18.62
J9312 Injection, rituximab, 10 mg	4,000	12	$100.00	$89.77
86235 Measurement of antibody for assessment of autoimmune disorder, any method	2,976	298	$46.00	$19.43
82784 Gammaglobulin (immune system protein) measurement	1,677	237	$15.00	$10.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,518	530	$120.00	$111.76
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	1,189	179	$35.00	$17.44
J1020 Injection, methylprednisolone acetate, 20 mg	1,022	177	$22.00	$3.73
36415 Insertion of needle into vein for collection of blood sample	1,019	347	$15.00	$2.93
J7050 Infusion, normal saline solution, 250 cc	1,015	156	$15.00	$0.60
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	950	317	$20.00	$4.14
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	933	306	$28.00	$8.40
84550 Uric acid level, blood	872	320	$25.00	$4.87
80053 Blood test, comprehensive group of blood chemicals	861	297	$70.00	$11.41
82550 Creatine kinase (cardiac enzyme) level, total	745	269	$25.00	$7.03
83520 Measurement of substance using immunoassay technique	709	284	$25.00	$16.79
86140 Measurement C-reactive protein for detection of infection or inflammation	630	286	$26.00	$5.61
86431 Rheumatoid factor level	609	300	$36.00	$6.12
96415 Administration of chemotherapy into vein, each additional hour	585	80	$95.00	$31.42
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	517	80	$125.00	$76.13
96413 Infusion of chemotherapy into a vein up to 1 hour	477	80	$215.00	$147.12
86160 Measurement of complement (immune system proteins), antigen,	440	201	$35.00	$13.01
96375 Injection of additional new drug or substance into vein	416	65	$50.00	$16.92
99213 Established patient office or other outpatient visit, typically 15 minutes	406	93	$85.00	$76.65
20610 Aspiration and/or injection of fluid from large joint	398	114	$105.00	$51.38
86226 Measurement of dna antibody, single stranded	372	298	$46.00	$13.11
86225 Measurement of dna antibody, native or double stranded	372	298	$45.00	$14.87
86200 Measurement of antibody for rheumatoid arthritis assessment	354	290	$25.00	$13.99
86038 Screening test for autoimmune disorder	344	275	$35.00	$13.08
99497 Advance care planning, first 30 minutes	253	253	$120.00	$87.19
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg	239	48	$9.75	$4.39
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	183	33	$10.00	$1.78
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	176	176	$210.00	$177.26
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	153	122	$85.00	$42.97
86803 Hepatitis c antibody measurement	115	110	$25.00	$15.05
87340 Detection test for Hepatitis B surface antigen	115	110	$18.00	$10.93
86704 Hepatitis b core antibody measurement	114	109	$20.00	$12.70
73130 X-ray of hand, minimum of 3 views	113	58	$60.00	$26.17
J1200 Injection, diphenhydramine hcl, up to 50 mg	113	26	$1.50	$0.71
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	109	107	$25.00	$24.46
G0008 Administration of influenza virus vaccine	109	107	$30.00	$17.39
J1885 Injection, ketorolac tromethamine, per 15 mg	104	17	$5.00	$0.54
73110 X-ray of wrist, minimum of 3 views	94	49	$60.00	$29.60
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	90	74	$160.00	$150.74
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	88	15	$407.22	$226.39
77085 Bone density measurement using dedicated x-ray machine	78	78	$175.00	$57.68
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	78	78	$100.00	$64.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	73	73	$185.00	$169.89
73562 X-ray of knee, 3 views	71	42	$60.00	$29.59
J3489 Injection, zoledronic acid, 1 mg	70	14	$30.00	$11.33
73630 X-ray of foot, minimum of 3 views	68	36	$60.00	$24.27
20550 Injection into tendon or ligament	62	17	$100.00	$44.49
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	56	56	$250.00	$208.94
72202 X-ray of joint between lower spine and hip bone, 3 or more views	53	53	$60.00	$26.63
73030 X-ray of shoulder, minimum of 2 views	42	26	$60.00	$21.98
71046 X-ray of chest, 2 views	41	41	$60.00	$23.10
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	37	12	$30.00	$6.32
82607 Cyanocobalamin (vitamin B-12) level	32	28	$25.00	$16.41
20600 Aspiration and/or injection of fluid from small joint	32	13	$75.00	$37.84
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	30	$150.00	$120.49
82746 Folic acid level	30	26	$25.00	$16.01
83540 Iron level	29	26	$15.00	$7.05
82728 Ferritin (blood protein) level	29	26	$25.00	$14.85
83550 Iron binding capacity	29	26	$20.00	$9.52
82306 Vitamin d-3 level	27	26	$60.00	$32.23
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	25	18	$145.00	$90.00
72100 X-ray of lower and sacral spine, 2-3 views	24	24	$60.00	$27.44
83970 Parathormone (parathyroid hormone) level	23	20	$60.00	$44.94
73218 Mri scan of arm without contrast	21	12	$600.00	$210.34
77080 Dxa bone density measurement of hip, pelvis, spine	20	20	$125.00	$42.27
84443 Blood test, thyroid stimulating hormone (TSH)	18	17	$30.00	$18.30
73610 X-ray of ankle, minimum of 3 views	17	12	$60.00	$26.16
84439 Thyroxine (thyroid chemical), free	17	16	$15.00	$9.82
83036 Hemoglobin A1C level	14	12	$18.00	$10.57
73502 X-ray of hip, 2-3 views	14	14	$80.00	$33.79
86580 Skin test for tuberculosis	14	14	$15.00	$9.02
72050 X-ray of upper spine, 4 or 5 views	11	11	$70.00	$36.95
73221 Mri scan of arm joint without contrast	11	11	$600.00	$160.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0717 Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	130,600	38	$9.01	$7.82
J0129 Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	25,525	34	$55.00	$50.07
J1745 Injection, infliximab, excludes biosimilar, 10 mg	20,225	74	$99.75	$81.07
J1602 Injection, golimumab, 1 mg, for intravenous use	15,707	23	$27.00	$23.11
J0897 Injection, denosumab, 1 mg	6,300	64	$20.02	$17.88
86235 Measurement of antibody for assessment of autoimmune disorder, any method	2,648	263	$46.00	$21.70
82784 Gammaglobulin (immune system protein) measurement	2,277	251	$15.00	$11.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,518	531	$118.24	$110.77
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	1,131	160	$35.00	$21.60
36415 Insertion of needle into vein for collection of blood sample	1,038	344	$15.00	$2.93
J7050 Infusion, normal saline solution, 250 cc	1,037	148	$15.00	$0.59
86140 Measurement C-reactive protein for detection of infection or inflammation	1,003	332	$26.00	$6.24
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,000	321	$28.00	$9.38
J1020 Injection, methylprednisolone acetate, 20 mg	999	167	$22.00	$4.70
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	997	327	$20.00	$4.28
80053 Blood test, comprehensive group of blood chemicals	965	311	$70.00	$12.73
84550 Uric acid level, blood	824	313	$25.00	$5.46
86431 Rheumatoid factor level	659	304	$36.00	$6.84
86160 Measurement of complement (immune system proteins), antigen,	646	254	$35.00	$14.52
83520 Measurement of substance using immunoassay technique	608	259	$25.00	$16.88
96415 Administration of chemotherapy into vein, each additional hour	606	82	$95.00	$32.80
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	526	76	$125.00	$76.68
96413 Infusion of chemotherapy into a vein up to 1 hour	510	82	$215.00	$149.70
99213 Established patient office or other outpatient visit, typically 15 minutes	479	141	$85.00	$75.48
96375 Injection of additional new drug or substance into vein	410	63	$50.00	$19.04
86225 Measurement of dna antibody, native or double stranded	331	263	$45.00	$16.63
86226 Measurement of dna antibody, single stranded	330	263	$46.00	$14.65
86200 Measurement of antibody for rheumatoid arthritis assessment	306	269	$25.00	$15.62
86038 Screening test for autoimmune disorder	265	223	$35.00	$14.62
20610 Aspiration and/or injection of fluid from large joint	257	100	$105.00	$53.17
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg	249	50	$9.75	$4.50
J1885 Injection, ketorolac tromethamine, per 15 mg	200	23	$5.00	$0.58
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	190	38	$10.00	$1.96
82550 Creatine kinase (cardiac enzyme) level, total	178	149	$25.00	$7.88
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	152	61	$145.00	$80.84
86704 Hepatitis b core antibody measurement	139	130	$20.00	$14.58
87340 Detection test for Hepatitis B surface antigen	138	129	$18.00	$12.49
86803 Hepatitis c antibody measurement	138	129	$25.00	$17.26
J1200 Injection, diphenhydramine hcl, up to 50 mg	105	18	$1.50	$0.58
73130 X-ray of hand, minimum of 3 views	102	53	$60.00	$24.24
77085 Bone density measurement using dedicated x-ray machine	101	101	$175.00	$60.29
82728 Ferritin (blood protein) level	97	82	$25.00	$16.34
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	93	19	$300.00	$142.37
83540 Iron level	93	80	$15.00	$7.75
83550 Iron binding capacity	92	79	$20.00	$10.47
82607 Cyanocobalamin (vitamin B-12) level	91	78	$25.00	$18.06
J3489 Injection, zoledronic acid, 1 mg	90	18	$50.00	$13.51
73110 X-ray of wrist, minimum of 3 views	88	46	$60.00	$28.03
82746 Folic acid level	85	73	$25.00	$17.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	81	81	$185.00	$167.74
73562 X-ray of knee, 3 views	80	49	$60.00	$27.22
G0008 Administration of influenza virus vaccine	78	78	$30.00	$21.52
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	78	78	$25.00	$23.57
20550 Injection into tendon or ligament	64	15	$100.00	$41.17
73630 X-ray of foot, minimum of 3 views	58	31	$60.00	$22.06
82306 Vitamin d-3 level	57	47	$60.00	$35.82
72202 X-ray of joint between lower spine and hip bone, 3 or more views	41	41	$60.00	$24.79
73721 Mri scan of leg joint without contrast	41	30	$600.00	$157.55
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	39	39	$250.00	$208.24
83970 Parathormone (parathyroid hormone) level	39	30	$60.00	$49.94
73030 X-ray of shoulder, minimum of 2 views	39	24	$60.00	$21.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	33	$158.33	$150.14
71046 X-ray of chest, 2 views	32	31	$57.19	$21.15
73502 X-ray of hip, 2-3 views	29	25	$80.00	$32.65
84443 Blood test, thyroid stimulating hormone (TSH)	27	25	$30.00	$20.33
73218 Mri scan of arm without contrast	25	13	$600.00	$211.74
84439 Thyroxine (thyroid chemical), free	24	22	$15.00	$10.91
77080 Dxa bone density measurement of hip, pelvis, spine	22	22	$125.00	$44.43
72110 X-ray of lower and sacral spine, minimum of 4 views	19	19	$80.00	$35.28
83036 Hemoglobin A1C level	16	14	$18.00	$11.75
72100 X-ray of lower and sacral spine, 2-3 views	13	13	$60.00	$25.36
73221 Mri scan of arm joint without contrast	12	11	$600.00	$174.38
72070 X-ray of middle spine, 2 views	12	12	$60.00	$24.22
72148 MRI scan of lower spinal canal	12	12	$600.00	$154.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0717 Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	144,600	43	$9.00	$7.36
J1745 Injection, infliximab, excludes biosimilar, 10 mg	25,235	87	$98.65	$82.62
J0129 Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	24,626	36	$50.08	$45.75
J1602 Injection, golimumab, 1 mg, for intravenous use	8,840	15	$26.85	$23.92
J0897 Injection, denosumab, 1 mg	6,420	68	$19.81	$16.36
86235 Measurement of antibody for assessment of autoimmune disorder, any method	3,032	303	$46.00	$21.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,694	510	$115.00	$110.42
J9250 Methotrexate sodium, 5 mg	1,097	16	$13.00	$0.26
J7050 Infusion, normal saline solution, 250 cc	1,089	162	$15.00	$0.49
J1020 Injection, methylprednisolone acetate, 20 mg	1,084	182	$22.00	$5.11
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	1,043	154	$35.00	$26.92
82784 Gammaglobulin (immune system protein) measurement	902	205	$15.00	$8.73
36415 Insertion of needle into vein for collection of blood sample	886	351	$15.00	$2.93
83520 Measurement of substance using immunoassay technique	752	311	$25.00	$17.28
96415 Administration of chemotherapy into vein, each additional hour	724	96	$95.00	$29.81
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	672	291	$28.00	$10.41
96413 Infusion of chemotherapy into a vein up to 1 hour	618	96	$215.00	$146.25
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	597	287	$20.00	$4.76
86431 Rheumatoid factor level	570	323	$36.00	$7.56
99213 Established patient office or other outpatient visit, typically 15 minutes	514	124	$85.00	$75.55
96375 Injection of additional new drug or substance into vein	481	68	$50.00	$23.66
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	474	71	$125.00	$72.98
86140 Measurement C-reactive protein for detection of infection or inflammation	446	265	$26.00	$6.92
80053 Blood test, comprehensive group of blood chemicals	433	251	$70.00	$10.60
86160 Measurement of complement (immune system proteins), antigen,	418	174	$35.00	$16.06
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	382	110	$145.76	$80.81
86226 Measurement of dna antibody, single stranded	378	302	$46.00	$16.20
86225 Measurement of dna antibody, native or double stranded	377	302	$45.00	$18.38
86200 Measurement of antibody for rheumatoid arthritis assessment	357	303	$25.00	$17.36
84550 Uric acid level, blood	323	233	$25.00	$3.33
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg	318	54	$9.78	$4.10
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	306	17	$110.00	$78.85
86038 Screening test for autoimmune disorder	285	251	$35.00	$16.20
J1885 Injection, ketorolac tromethamine, per 15 mg	218	17	$5.00	$0.66
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	203	44	$10.00	$2.94
82550 Creatine kinase (cardiac enzyme) level, total	184	155	$25.00	$2.97
G0008 Administration of influenza virus vaccine	141	137	$30.00	$26.83
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	136	134	$25.00	$23.57
20610 Aspiration and/or injection of fluid from large joint	128	61	$105.00	$52.43
J1200 Injection, diphenhydramine hcl, up to 50 mg	126	23	$1.51	$0.63
83540 Iron level	123	119	$15.00	$8.70
83550 Iron binding capacity	123	119	$20.00	$9.42
82728 Ferritin (blood protein) level	123	119	$25.00	$18.33
20550 Injection into tendon or ligament	101	28	$105.94	$40.03
73130 X-ray of hand, minimum of 3 views	97	51	$60.00	$23.66
73110 X-ray of wrist, minimum of 3 views	89	46	$60.00	$28.63
J3489 Injection, zoledronic acid, 1 mg	80	16	$50.00	$12.78
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	76	22	$334.74	$146.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$185.00	$168.58
73562 X-ray of knee, 3 views	71	39	$60.00	$27.42
82607 Cyanocobalamin (vitamin B-12) level	65	62	$25.00	$20.27
72202 X-ray of joint between lower spine and hip bone, 3 or more views	62	62	$60.00	$25.17
82746 Folic acid level	61	59	$25.00	$19.77
71020 X-ray of chest, 2 views, front and side	55	52	$50.00	$18.54
73630 X-ray of foot, minimum of 3 views	54	28	$60.00	$22.26
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	52	52	$250.00	$207.88
77085 Bone density measurement using dedicated x-ray machine	52	52	$175.00	$59.23
77080 Dxa bone density measurement of hip, pelvis, spine	48	48	$125.00	$43.32
82306 Vitamin d-3 level	48	46	$60.00	$39.04
87340 Detection test for Hepatitis B surface antigen	47	46	$18.00	$13.89
73030 X-ray of shoulder, minimum of 2 views	46	29	$60.00	$21.22
86803 Hepatitis c antibody measurement	45	44	$25.00	$19.18
86704 Hepatitis b core antibody measurement	43	42	$20.00	$16.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	43	39	$155.00	$146.18
73721 Mri scan of leg joint without contrast	31	25	$600.00	$147.66
72100 X-ray of lower and sacral spine, 2-3 views	26	26	$60.00	$25.40
83970 Parathormone (parathyroid hormone) level	24	23	$60.00	$53.37
84443 Blood test, thyroid stimulating hormone (TSH)	22	21	$30.00	$22.59
84439 Thyroxine (thyroid chemical), free	22	21	$15.00	$12.12
72050 X-ray of upper spine, 4 or 5 views	22	22	$70.00	$30.50
73221 Mri scan of arm joint without contrast	20	17	$600.00	$158.17
83036 Hemoglobin A1C level	18	18	$18.00	$13.05
72110 X-ray of lower and sacral spine, minimum of 4 views	17	17	$80.00	$33.78
80061 Blood test, lipids (cholesterol and triglycerides)	16	15	$70.00	$10.97
86580 Skin test for tuberculosis	16	16	$15.00	$8.61
72195 Mri scan of pelvis without contrast	13	12	$600.00	$239.52
72141 MRI scan of upper spinal canal	12	12	$600.00	$147.25
72148 MRI scan of lower spinal canal	11	11	$600.00	$116.00
73502 X-ray of hip, 2-3 views	11	11	$80.00	$32.34

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CA A67823

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

GR0091870 (CA)

Hospital & Practice Group Affiliations

Inland Rheumatology And Osteoporosis Medical Group Inc

1238 E Arrow Hwy, Upland, CA 917864951

Phone: 9099820099

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Antony Hou , MD

Internal Medicine - Rheumatology

NPI 1114926367

Doctor of Medicine (M.D.)

April Baldrias

Nurse Practitioner - Family

NPI 1316353022

Dr. Mohamed Sebai , MD

Specialist

NPI 1760481915

Doctor of Medicine (M.D.)

Dr. Thang Le , MD

Internal Medicine - Rheumatology

NPI 1760559819

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active September 22, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location September 22, 2011

Registered at 1238 E ARROW HWY, UPLAND, CA 917864951 (Tel: 9099820099)

📍

Updated Business Mailing Address September 22, 2011

Registered at 1238 E ARROW HWY, UPLAND, CA 917864951 (Tel: 9099820099)

👤

Provider Name / Credentials Updated September 22, 2011

Recorded as ERIC LEE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2011

Specialist (License #A67823 in CA)

🟢

Initial NPI Registration & Enumeration July 20, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1760481808

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 20, 2005

Last Update: September 22, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1238 E Arrow Hwy

Upland, CA 917864951

Phone: 9099820099

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

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.