Dr. Elias Jeffrey Gerth , MD
Internal Medicine • Key West, FL
Professional Overview & Biography Verified Profile Summary
Dr. Elias Gerth, MD is a certified Internal Medicine practicing in Key West, FL. With approximately 48 years of clinical experience since completing medical education in 1978, Dr. Gerth delivers high-quality medical care to the local community at 1501 GOVERNMENT RD.
Dr. Gerth accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.
Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, telephone medical discussion with physician, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.
Practice Location & Contact Primary Location
1501 Government Rd
Key West, FL 330405108
Medicare Profile & Education
Other
1978
✓ Accepts Assignment
Telehealth Services Available
Specialty Benchmarks & Practice Insights
Comparative analytics for Internal Medicine in Key West, FL
Practicing in Key West, FL (10650 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 |
|---|---|---|---|---|
|
J1010
Injection, methylprednisolone acetate, 1 mg
|
1,318 | 19 | $1.00 | $0.13 |
|
99441
Telephone medical discussion with physician, 5-10 minutes
|
605 | 159 | $100.00 | $58.43 |
|
99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
|
259 | 136 | $625.00 | $189.85 |
|
99442
Telephone medical discussion with physician, 11-20 minutes
|
222 | 88 | $150.00 | $94.36 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
212 | 106 | $465.00 | $134.06 |
|
80305
Testing for presence of drug, read by direct observation
|
141 | 92 | $150.00 | $12.35 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
114 | 72 | $320.00 | $95.22 |
|
G0444
Annual depression screening, 5 to 15 minutes
|
82 | 82 | $80.00 | $19.25 |
|
G0447
Face-to-face behavioral counseling for obesity, 15 minutes
|
80 | 32 | $120.00 | $26.37 |
|
93000
Routine ekg using at least 12 leads including interpretation and report
|
78 | 68 | $185.00 | $15.23 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
76 | 76 | $500.00 | $134.67 |
|
99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
65 | 48 | $195.00 | $59.23 |
|
96372
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
|
61 | 34 | $120.00 | $14.72 |
|
99443
Telephone medical discussion with physician, 21-30 minutes
|
29 | 19 | $200.00 | $133.84 |
|
20610
Aspiration and/or injection of fluid from large joint
|
24 | 14 | $305.00 | $66.76 |
|
99406
Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes
|
21 | 14 | $65.00 | $15.45 |
|
J3420
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
|
21 | 18 | $25.00 | $1.25 |
|
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
|
17 | 13 | $240.00 | $55.88 |
|
G0296
Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making)
|
14 | 11 | $120.00 | $28.63 |
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99442
Telephone medical discussion with physician, 11-20 minutes
|
316 | 100 | $150.00 | $95.55 |
|
99441
Telephone medical discussion with physician, 5-10 minutes
|
315 | 129 | $100.00 | $57.98 |
|
99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
|
243 | 130 | $625.00 | $189.23 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
239 | 112 | $465.00 | $134.71 |
|
36415
Insertion of needle into vein for collection of blood sample
|
225 | 191 | $30.00 | $8.40 |
|
80305
Testing for presence of drug, read by direct observation
|
187 | 96 | $150.00 | $12.35 |
|
80053
Blood test, comprehensive group of blood chemicals
|
186 | 171 | $185.00 | $10.35 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
184 | 110 | $320.00 | $95.66 |
|
96372
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
|
173 | 52 | $120.00 | $14.72 |
|
85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
|
171 | 157 | $65.00 | $7.61 |
|
81002
Urinalysis, manual test
|
160 | 140 | $50.00 | $3.41 |
|
99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
154 | 83 | $195.00 | $59.95 |
|
84443
Blood test, thyroid stimulating hormone (TSH)
|
136 | 129 | $225.00 | $16.46 |
|
80061
Blood test, lipids (cholesterol and triglycerides)
|
134 | 132 | $185.00 | $13.12 |
|
J1071
Injection, testosterone cypionate, 1 mg
|
122 | 16 | $50.00 | $0.03 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
121 | 121 | $500.00 | $133.80 |
|
82306
Vitamin d-3 level
|
88 | 87 | $250.00 | $29.01 |
|
93000
Routine ekg using at least 12 leads including interpretation and report
|
83 | 70 | $185.00 | $15.58 |
|
G0447
Face-to-face behavioral counseling for obesity, 15 minutes
|
82 | 34 | $120.00 | $27.47 |
|
J1030
Injection, methylprednisolone acetate, 40 mg
|
72 | 37 | $45.00 | $7.63 |
|
J3420
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
|
68 | 27 | $25.00 | $1.61 |
|
83735
Magnesium level
|
65 | 64 | $150.00 | $6.57 |
|
99443
Telephone medical discussion with physician, 21-30 minutes
|
54 | 31 | $200.00 | $133.27 |
|
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
|
41 | 12 | $465.00 | $109.25 |
|
99211
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
|
36 | 33 | $95.00 | $23.94 |
|
G0444
Annual depression screening, 5 to 15 minutes
|
35 | 35 | $80.00 | $19.03 |
|
84403
Testosterone (hormone) level, total
|
33 | 32 | $300.00 | $25.29 |
|
84402
Testosterone (hormone) level, free
|
32 | 31 | $300.00 | $24.96 |
|
84153
Psa (prostate specific antigen) measurement, total
|
32 | 31 | $275.00 | $18.02 |
|
99350
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes
|
29 | 15 | $760.00 | $197.45 |
|
20610
Aspiration and/or injection of fluid from large joint
|
28 | 18 | $305.00 | $65.07 |
|
84481
Thyroid hormone, t3 measurement, free
|
25 | 25 | $225.00 | $16.60 |
|
81514
Measurement of dna of bacteria in vaginal fluid specimen
|
21 | 17 | $1000.00 | $257.73 |
|
86140
Measurement C-reactive protein for detection of infection or inflammation
|
21 | 20 | $145.00 | $5.08 |
|
84439
Thyroxine (thyroid chemical), free
|
17 | 16 | $225.00 | $8.84 |
|
82378
Carcinoembryonic antigen (cea) protein level
|
17 | 17 | $120.00 | $18.58 |
|
99406
Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes
|
12 | 11 | $65.00 | $15.76 |
|
84550
Uric acid level, blood
|
12 | 12 | $100.00 | $4.43 |
|
83970
Parathormone (parathyroid hormone) level
|
12 | 11 | $200.00 | $40.45 |
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
36415
Insertion of needle into vein for collection of blood sample
|
1,065 | 508 | $30.00 | $2.96 |
|
80053
Blood test, comprehensive group of blood chemicals
|
786 | 484 | $185.00 | $10.43 |
|
85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
|
738 | 459 | $65.00 | $7.68 |
|
84443
Blood test, thyroid stimulating hormone (TSH)
|
619 | 437 | $225.00 | $16.60 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
610 | 307 | $465.00 | $136.82 |
|
80061
Blood test, lipids (cholesterol and triglycerides)
|
606 | 443 | $185.00 | $13.23 |
|
81002
Urinalysis, manual test
|
545 | 389 | $50.00 | $3.44 |
|
82306
Vitamin d-3 level
|
517 | 414 | $250.00 | $29.26 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
371 | 251 | $320.00 | $98.06 |
|
83735
Magnesium level
|
369 | 276 | $150.00 | $6.63 |
|
96372
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
|
346 | 132 | $120.00 | $15.18 |
|
99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
|
317 | 203 | $625.00 | $195.22 |
|
80305
Testing for presence of drug, read by direct observation
|
291 | 131 | $149.83 | $12.47 |
|
99442
Telephone medical discussion with physician, 11-20 minutes
|
270 | 122 | $150.00 | $96.46 |
|
84481
Thyroid hormone, t3 measurement, free
|
268 | 213 | $225.00 | $16.76 |
|
J1071
Injection, testosterone cypionate, 1 mg
|
260 | 50 | $49.73 | $0.03 |
|
99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
251 | 153 | $195.00 | $61.67 |
|
84153
Psa (prostate specific antigen) measurement, total
|
236 | 182 | $275.00 | $18.19 |
|
99211
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
|
234 | 194 | $95.00 | $24.35 |
|
93000
Routine ekg using at least 12 leads including interpretation and report
|
231 | 203 | $185.00 | $15.76 |
|
J1885
Injection, ketorolac tromethamine, per 15 mg
|
222 | 45 | $30.00 | $0.53 |
|
99441
Telephone medical discussion with physician, 5-10 minutes
|
218 | 125 | $100.00 | $59.58 |
|
J3420
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
|
179 | 71 | $25.00 | $1.69 |
|
71046
X-ray of chest, 2 views
|
162 | 156 | $200.00 | $36.20 |
|
84439
Thyroxine (thyroid chemical), free
|
153 | 117 | $225.00 | $8.93 |
|
82378
Carcinoembryonic antigen (cea) protein level
|
150 | 132 | $120.00 | $18.75 |
|
J1030
Injection, methylprednisolone acetate, 40 mg
|
145 | 71 | $45.00 | $6.15 |
|
84436
Thyroxine (thyroid chemical), total
|
131 | 104 | $125.00 | $6.79 |
|
99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
|
129 | 22 | $315.00 | $76.83 |
|
84403
Testosterone (hormone) level, total
|
124 | 84 | $300.00 | $25.51 |
|
84402
Testosterone (hormone) level, free
|
122 | 84 | $300.00 | $25.19 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
120 | 120 | $500.00 | $138.81 |
|
99443
Telephone medical discussion with physician, 21-30 minutes
|
78 | 43 | $200.00 | $136.65 |
|
86140
Measurement C-reactive protein for detection of infection or inflammation
|
78 | 62 | $145.00 | $5.13 |
|
83970
Parathormone (parathyroid hormone) level
|
77 | 62 | $200.00 | $40.86 |
|
G0447
Face-to-face behavioral counseling for obesity, 15 minutes
|
72 | 38 | $120.00 | $28.84 |
|
99358
Prolonged patient service without direct patient contact first hour
|
71 | 31 | $500.00 | $118.70 |
|
80048
Blood test, basic group of blood chemicals (calcium, total)
|
65 | 51 | $125.00 | $8.37 |
|
77067
Screening mammography
|
55 | 55 | $600.00 | $137.13 |
|
76700
Ultrasound of abdomen
|
55 | 54 | $550.00 | $126.58 |
|
83036
Hemoglobin A1C level
|
54 | 52 | $225.00 | $9.61 |
|
77080
Dxa bone density measurement of hip, pelvis, spine
|
53 | 53 | $400.00 | $39.63 |
|
83540
Iron level
|
51 | 46 | $100.00 | $6.39 |
|
84550
Uric acid level, blood
|
49 | 37 | $100.00 | $4.47 |
|
81514
Measurement of dna of bacteria in vaginal fluid specimen
|
46 | 43 | $1000.00 | $257.73 |
|
93306
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
|
42 | 40 | $1200.00 | $210.76 |
|
G0444
Annual depression screening, 5 to 15 minutes
|
37 | 37 | $80.00 | $19.38 |
|
76536
Ultrasound of head and neck
|
36 | 35 | $485.00 | $121.26 |
|
20610
Aspiration and/or injection of fluid from large joint
|
34 | 23 | $305.00 | $68.01 |
|
99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
|
29 | 22 | $900.00 | $214.47 |
|
82150
Amylase (enzyme) level
|
28 | 24 | $125.00 | $6.42 |
|
82728
Ferritin (blood protein) level
|
22 | 17 | $225.00 | $13.51 |
|
99238
Hospital discharge day management, 30 minutes or less
|
21 | 17 | $400.00 | $77.12 |
|
J0696
Injection, ceftriaxone sodium, per 250 mg
|
19 | 11 | $45.00 | $0.49 |
|
93880
Ultrasound of both sides of head and neck blood flow
|
18 | 18 | $900.00 | $208.19 |
|
87636
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b
|
15 | 14 | $570.00 | $140.82 |
|
94010
Test to measure expiratory airflow and volume
|
15 | 15 | $160.00 | $28.74 |
|
73502
X-ray of hip, 2-3 views
|
14 | 12 | $200.00 | $50.30 |
|
82607
Cyanocobalamin (vitamin B-12) level
|
14 | 14 | $185.00 | $14.91 |
|
72100
X-ray of lower and sacral spine, 2-3 views
|
13 | 13 | $200.00 | $42.85 |
|
82947
Blood glucose (sugar) level
|
13 | 11 | $60.00 | $3.89 |
|
76830
Ultrasound pelvis through vagina
|
13 | 13 | $550.00 | $129.25 |
|
76770
Complete ultrasound scan behind abdominal cavity
|
13 | 13 | $575.00 | $117.59 |
|
73030
X-ray of shoulder, minimum of 2 views
|
13 | 12 | $225.00 | $37.22 |
|
U0003
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r
|
12 | 11 | $300.00 | $73.56 |
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
36415
Insertion of needle into vein for collection of blood sample
|
1,116 | 531 | $30.00 | $3.00 |
|
80053
Blood test, comprehensive group of blood chemicals
|
891 | 507 | $185.00 | $10.56 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
873 | 400 | $465.00 | $141.98 |
|
85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
|
847 | 503 | $65.00 | $7.77 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
816 | 401 | $320.00 | $100.16 |
|
84443
Blood test, thyroid stimulating hormone (TSH)
|
722 | 480 | $225.00 | $16.80 |
|
80061
Blood test, lipids (cholesterol and triglycerides)
|
663 | 467 | $185.00 | $13.39 |
|
82306
Vitamin d-3 level
|
568 | 434 | $250.00 | $29.60 |
|
81002
Urinalysis, manual test
|
532 | 376 | $50.00 | $3.48 |
|
84481
Thyroid hormone, t3 measurement, free
|
511 | 382 | $225.00 | $16.94 |
|
96372
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
|
487 | 166 | $120.00 | $15.22 |
|
83735
Magnesium level
|
436 | 321 | $150.00 | $6.70 |
|
80305
Testing for presence of drug, read by direct observation
|
436 | 191 | $150.00 | $12.60 |
|
99211
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
|
420 | 329 | $95.00 | $24.21 |
|
84439
Thyroxine (thyroid chemical), free
|
406 | 305 | $225.00 | $9.02 |
|
J1071
Injection, testosterone cypionate, 1 mg
|
402 | 55 | $50.00 | $0.03 |
|
93000
Routine ekg using at least 12 leads including interpretation and report
|
394 | 335 | $185.00 | $16.49 |
|
99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
|
348 | 213 | $625.00 | $198.08 |
|
71046
X-ray of chest, 2 views
|
299 | 277 | $200.00 | $36.30 |
|
J3420
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
|
287 | 96 | $25.00 | $1.97 |
|
84153
Psa (prostate specific antigen) measurement, total
|
270 | 199 | $275.00 | $18.39 |
|
83036
Hemoglobin A1C level
|
249 | 197 | $225.00 | $9.71 |
|
99442
Telephone medical discussion with physician, 11-20 minutes
|
248 | 145 | $150.00 | $100.86 |
|
99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
234 | 158 | $195.00 | $61.06 |
|
82378
Carcinoembryonic antigen (cea) protein level
|
209 | 183 | $120.00 | $18.96 |
|
J1885
Injection, ketorolac tromethamine, per 15 mg
|
206 | 47 | $30.00 | $0.46 |
|
99443
Telephone medical discussion with physician, 21-30 minutes
|
200 | 98 | $200.00 | $141.74 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
174 | 174 | $500.00 | $144.55 |
|
77067
Screening mammography
|
153 | 153 | $600.00 | $141.67 |
|
84403
Testosterone (hormone) level, total
|
147 | 102 | $300.00 | $25.81 |
|
84402
Testosterone (hormone) level, free
|
146 | 101 | $300.00 | $25.47 |
|
83970
Parathormone (parathyroid hormone) level
|
134 | 124 | $200.00 | $41.28 |
|
J1030
Injection, methylprednisolone acetate, 40 mg
|
133 | 73 | $45.00 | $5.69 |
|
G0447
Face-to-face behavioral counseling for obesity, 15 minutes
|
131 | 74 | $120.00 | $29.35 |
|
77080
Dxa bone density measurement of hip, pelvis, spine
|
122 | 122 | $400.00 | $41.18 |
|
83540
Iron level
|
116 | 104 | $100.00 | $6.47 |
|
84436
Thyroxine (thyroid chemical), total
|
106 | 100 | $125.00 | $6.87 |
|
86140
Measurement C-reactive protein for detection of infection or inflammation
|
96 | 87 | $145.00 | $5.18 |
|
93306
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
|
93 | 92 | $1200.00 | $215.17 |
|
99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
|
86 | 21 | $315.00 | $78.94 |
|
G0444
Annual depression screening, 5 to 15 minutes
|
84 | 84 | $80.00 | $19.98 |
|
76700
Ultrasound of abdomen
|
76 | 73 | $550.00 | $130.91 |
|
99441
Telephone medical discussion with physician, 5-10 minutes
|
72 | 61 | $100.00 | $61.11 |
|
99358
Prolonged patient service without direct patient contact first hour
|
67 | 39 | $500.00 | $122.31 |
|
80048
Blood test, basic group of blood chemicals (calcium, total)
|
61 | 41 | $125.00 | $8.46 |
|
82150
Amylase (enzyme) level
|
60 | 53 | $125.00 | $6.48 |
|
99233
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
|
59 | 17 | $460.00 | $113.22 |
|
93880
Ultrasound of both sides of head and neck blood flow
|
58 | 55 | $900.00 | $215.09 |
|
85610
Blood test, clotting time
|
54 | 14 | $55.00 | $4.29 |
|
71045
X-ray of chest, 1 view
|
52 | 50 | $150.00 | $28.04 |
|
76536
Ultrasound of head and neck
|
49 | 47 | $485.00 | $125.73 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
42 | 42 | $730.00 | $186.38 |
|
84550
Uric acid level, blood
|
37 | 33 | $100.00 | $4.52 |
|
76706
Ultrasound scan of abdominal aorta
|
36 | 36 | $500.00 | $119.02 |
|
0011A
Adm sarscov2 100mcg/0.5ml1st
|
36 | 35 | $120.00 | $41.85 |
|
72100
X-ray of lower and sacral spine, 2-3 views
|
34 | 33 | $200.00 | $42.84 |
|
86769
Measure of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody
|
34 | 25 | $200.00 | $42.13 |
|
93925
Ultrasound of leg arteries or artery grafts
|
34 | 31 | $1020.00 | $273.51 |
|
0012A
Adm sarscov2 100mcg/0.5ml2nd
|
33 | 32 | $120.00 | $41.85 |
|
76641
Complete ultrasound scan of 1 breast
|
33 | 22 | $450.00 | $114.79 |
|
82043
Urine microalbumin (protein) level
|
33 | 30 | $100.00 | $5.78 |
|
99406
Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes
|
31 | 19 | $65.00 | $17.24 |
|
76775
Limited ultrasound scan behind abdominal cavity
|
30 | 29 | $300.00 | $64.44 |
|
76770
Complete ultrasound scan behind abdominal cavity
|
29 | 28 | $575.00 | $121.41 |
|
73562
X-ray of knee, 3 views
|
28 | 23 | $200.00 | $43.57 |
|
82570
Creatinine level to test for kidney function or muscle injury
|
27 | 25 | $140.00 | $5.18 |
|
82728
Ferritin (blood protein) level
|
26 | 20 | $225.00 | $13.63 |
|
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
|
25 | 12 | $465.00 | $114.99 |
|
94010
Test to measure expiratory airflow and volume
|
24 | 23 | $160.00 | $32.02 |
|
99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
|
23 | 21 | $900.00 | $220.05 |
|
77065
Diagnostic mammography of 1 breast
|
22 | 21 | $330.00 | $137.92 |
|
J0696
Injection, ceftriaxone sodium, per 250 mg
|
20 | 15 | $45.00 | $0.54 |
|
G0403
Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report
|
20 | 20 | $80.00 | $16.44 |
|
20610
Aspiration and/or injection of fluid from large joint
|
19 | 13 | $305.00 | $70.59 |
|
73502
X-ray of hip, 2-3 views
|
18 | 16 | $200.00 | $50.04 |
|
99238
Hospital discharge day management, 30 minutes or less
|
18 | 18 | $400.00 | $78.83 |
|
82947
Blood glucose (sugar) level
|
17 | 15 | $60.00 | $3.93 |
|
77066
Diagnostic mammography of both breasts
|
16 | 16 | $720.00 | $174.25 |
|
86328
Test for detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody, qualitative or semiquantitative
|
16 | 15 | $137.00 | $45.23 |
|
93971
Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers
|
16 | 16 | $510.00 | $132.84 |
|
76705
Limited ultrasound scan of abdomen
|
15 | 14 | $400.00 | $98.72 |
|
73030
X-ray of shoulder, minimum of 2 views
|
14 | 14 | $225.00 | $37.01 |
|
72072
X-ray of middle spine, 3 views
|
13 | 13 | $270.00 | $42.12 |
|
72040
X-ray of upper spine, 2-3 views
|
13 | 13 | $250.00 | $42.37 |
|
69209
Removal of impacted ear wax by washing
|
12 | 12 | $60.00 | $16.44 |
|
76642
Limited ultrasound scan of 1 breast
|
12 | 11 | $450.00 | $95.10 |
|
76830
Ultrasound pelvis through vagina
|
11 | 11 | $550.00 | $133.73 |
|
G0402
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
|
11 | 11 | $720.00 | $182.44 |
| 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
|
1,197 | 500 | $465.00 | $117.62 |
|
36415
Insertion of needle into vein for collection of blood sample
|
1,098 | 526 | $30.00 | $2.98 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
868 | 418 | $320.00 | $81.33 |
|
80053
Blood test, comprehensive group of blood chemicals
|
787 | 468 | $185.00 | $10.50 |
|
85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
|
765 | 474 | $65.00 | $7.72 |
|
84443
Blood test, thyroid stimulating hormone (TSH)
|
662 | 440 | $225.00 | $16.70 |
|
80061
Blood test, lipids (cholesterol and triglycerides)
|
582 | 416 | $185.00 | $13.31 |
|
99211
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
|
558 | 372 | $95.00 | $24.41 |
|
96372
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
|
484 | 189 | $120.00 | $15.18 |
|
81002
Urinalysis, manual test
|
473 | 347 | $50.00 | $3.46 |
|
82306
Vitamin d-3 level
|
465 | 356 | $250.00 | $29.43 |
|
99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
444 | 275 | $195.00 | $49.50 |
|
84481
Thyroid hormone, t3 measurement, free
|
417 | 308 | $225.00 | $16.84 |
|
84439
Thyroxine (thyroid chemical), free
|
407 | 299 | $225.00 | $8.96 |
|
80305
Testing for presence of drug, read by direct observation
|
395 | 172 | $145.95 | $12.51 |
|
93000
Routine ekg using at least 12 leads including interpretation and report
|
355 | 320 | $185.00 | $18.66 |
|
71046
X-ray of chest, 2 views
|
337 | 313 | $200.00 | $34.86 |
|
99233
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
|
331 | 39 | $460.00 | $113.97 |
|
99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
|
290 | 170 | $625.00 | $155.12 |
|
83735
Magnesium level
|
271 | 197 | $150.00 | $6.67 |
|
J1071
Injection, testosterone cypionate, 1 mg
|
267 | 45 | $49.96 | $0.03 |
|
J3420
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
|
266 | 99 | $25.00 | $1.97 |
|
84153
Psa (prostate specific antigen) measurement, total
|
238 | 189 | $275.00 | $18.29 |
|
G0447
Face-to-face behavioral counseling for obesity, 15 minutes
|
195 | 102 | $120.00 | $28.31 |
|
J1885
Injection, ketorolac tromethamine, per 15 mg
|
159 | 47 | $30.00 | $0.58 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
155 | 155 | $500.00 | $123.29 |
|
J1030
Injection, methylprednisolone acetate, 40 mg
|
152 | 85 | $45.00 | $6.06 |
|
99442
Telephone medical discussion with physician, 11-20 minutes
|
150 | 104 | $150.00 | $81.68 |
|
77067
Screening mammography
|
146 | 146 | $600.00 | $145.13 |
|
84403
Testosterone (hormone) level, total
|
128 | 95 | $300.00 | $25.63 |
|
84402
Testosterone (hormone) level, free
|
125 | 92 | $300.00 | $25.29 |
|
99358
Prolonged patient service without direct patient contact first hour
|
125 | 77 | $478.40 | $121.21 |
|
93306
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
|
117 | 117 | $1200.00 | $218.26 |
|
83036
Hemoglobin A1C level
|
104 | 95 | $225.00 | $9.66 |
|
77080
Dxa bone density measurement of hip, pelvis, spine
|
104 | 103 | $400.00 | $41.87 |
|
G0444
Annual depression screening, 5 to 15 minutes
|
103 | 103 | $80.00 | $19.17 |
|
99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
|
101 | 27 | $315.00 | $79.06 |
|
99443
Telephone medical discussion with physician, 21-30 minutes
|
83 | 65 | $200.00 | $117.96 |
|
93880
Ultrasound of both sides of head and neck blood flow
|
75 | 73 | $900.00 | $211.84 |
|
76700
Ultrasound of abdomen
|
74 | 72 | $550.00 | $130.61 |
|
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
|
72 | 24 | $465.00 | $115.68 |
|
83540
Iron level
|
59 | 53 | $100.00 | $6.42 |
|
82378
Carcinoembryonic antigen (cea) protein level
|
58 | 58 | $120.00 | $18.96 |
|
J0696
Injection, ceftriaxone sodium, per 250 mg
|
57 | 30 | $45.00 | $0.58 |
|
76536
Ultrasound of head and neck
|
55 | 54 | $485.00 | $122.49 |
|
80048
Blood test, basic group of blood chemicals (calcium, total)
|
48 | 30 | $125.00 | $8.42 |
|
99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
|
47 | 37 | $900.00 | $222.85 |
|
99406
Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes
|
44 | 25 | $65.00 | $16.75 |
|
72100
X-ray of lower and sacral spine, 2-3 views
|
42 | 40 | $200.00 | $40.48 |
|
99441
Telephone medical discussion with physician, 5-10 minutes
|
41 | 38 | $100.00 | $49.69 |
|
99354
Prolonged office or other outpatient service first hour
|
41 | 33 | $440.00 | $127.92 |
|
20610
Aspiration and/or injection of fluid from large joint
|
39 | 30 | $305.00 | $64.98 |
|
93925
Ultrasound of leg arteries or artery grafts
|
30 | 30 | $1020.00 | $268.90 |
|
76641
Complete ultrasound scan of 1 breast
|
30 | 21 | $449.00 | $113.01 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
30 | 30 | $730.00 | $180.92 |
|
82728
Ferritin (blood protein) level
|
29 | 20 | $225.00 | $13.56 |
|
82150
Amylase (enzyme) level
|
29 | 28 | $125.00 | $6.42 |
|
76706
Ultrasound scan of abdominal aorta
|
29 | 29 | $500.00 | $120.52 |
|
83970
Parathormone (parathyroid hormone) level
|
29 | 28 | $200.00 | $41.28 |
|
76770
Complete ultrasound scan behind abdominal cavity
|
27 | 27 | $575.00 | $119.29 |
|
99350
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes
|
27 | 20 | $760.00 | $194.84 |
|
73030
X-ray of shoulder, minimum of 2 views
|
25 | 23 | $225.00 | $35.23 |
|
69209
Removal of impacted ear wax by washing
|
23 | 21 | $60.00 | $15.38 |
|
99239
Hospital discharge day management, more than 30 minutes
|
23 | 21 | $470.00 | $116.16 |
|
76775
Limited ultrasound scan behind abdominal cavity
|
23 | 19 | $300.00 | $63.08 |
|
99359
Prolonged patient service without direct patient contact each 30 minutes beyond first hour
|
23 | 19 | $250.00 | $60.42 |
|
J0702
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg
|
22 | 18 | $60.00 | $7.05 |
|
82043
Urine microalbumin (protein) level
|
22 | 21 | $100.00 | $5.77 |
|
93225
Electrocardiogram (ecg) 2-day continuous
|
22 | 13 | $210.00 | $27.12 |
|
86328
Test for detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody, qualitative or semiquantitative
|
18 | 16 | $137.00 | $45.23 |
|
J7620
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme
|
18 | 16 | $65.00 | $0.13 |
|
73562
X-ray of knee, 3 views
|
18 | 13 | $200.00 | $41.40 |
|
94640
Inhalation treatment for airway obstruction or sputum production
|
17 | 15 | $80.00 | $18.93 |
|
82570
Creatinine level to test for kidney function or muscle injury
|
17 | 16 | $140.00 | $5.17 |
|
73502
X-ray of hip, 2-3 views
|
16 | 16 | $200.00 | $47.72 |
|
76705
Limited ultrasound scan of abdomen
|
15 | 14 | $400.00 | $96.37 |
|
G2012
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic
|
15 | 15 | $80.00 | $15.87 |
|
94010
Test to measure expiratory airflow and volume
|
14 | 14 | $160.00 | $37.99 |
|
84436
Thyroxine (thyroid chemical), total
|
13 | 13 | $125.00 | $6.85 |
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
13 | 13 | $475.00 | $117.47 |
|
72040
X-ray of upper spine, 2-3 views
|
13 | 13 | $250.00 | $40.34 |
|
86140
Measurement C-reactive protein for detection of infection or inflammation
|
13 | 13 | $145.00 | $5.18 |
|
99238
Hospital discharge day management, 30 minutes or less
|
13 | 11 | $400.00 | $79.87 |
|
77065
Diagnostic mammography of 1 breast
|
13 | 12 | $330.00 | $142.55 |
|
71045
X-ray of chest, 1 view
|
12 | 12 | $150.00 | $27.62 |
|
87804
Detection test by immunoassay with direct visual observation for influenza virus
|
12 | 11 | $200.00 | $16.33 |
| 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
|
1,553 | 542 | $465.00 | $112.49 |
|
36415
Insertion of needle into vein for collection of blood sample
|
1,112 | 545 | $30.00 | $2.94 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
1,079 | 452 | $320.00 | $76.99 |
|
99211
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
|
997 | 499 | $95.00 | $23.10 |
|
85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
|
754 | 485 | $65.00 | $8.46 |
|
80053
Blood test, comprehensive group of blood chemicals
|
746 | 483 | $185.00 | $11.51 |
|
84443
Blood test, thyroid stimulating hormone (TSH)
|
665 | 453 | $225.00 | $18.30 |
|
99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
659 | 340 | $195.00 | $46.72 |
|
81002
Urinalysis, manual test
|
583 | 417 | $50.00 | $3.41 |
|
80061
Blood test, lipids (cholesterol and triglycerides)
|
544 | 420 | $185.00 | $14.58 |
|
96372
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
|
466 | 188 | $120.00 | $17.02 |
|
93000
Routine ekg using at least 12 leads including interpretation and report
|
379 | 332 | $185.00 | $17.94 |
|
82306
Vitamin d-3 level
|
378 | 328 | $250.00 | $32.23 |
|
71046
X-ray of chest, 2 views
|
361 | 332 | $200.00 | $32.56 |
|
80305
Testing for presence of drug, read by direct observation
|
309 | 133 | $113.43 | $12.33 |
|
J1071
Injection, testosterone cypionate, 1 mg
|
261 | 45 | $50.00 | $0.03 |
|
J3420
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
|
250 | 94 | $25.00 | $1.80 |
|
99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
|
242 | 163 | $625.00 | $151.18 |
|
84153
Psa (prostate specific antigen) measurement, total
|
242 | 192 | $275.00 | $20.03 |
|
G0447
Face-to-face behavioral counseling for obesity, 15 minutes
|
233 | 119 | $120.00 | $26.59 |
|
77067
Screening mammography
|
182 | 182 | $600.00 | $135.83 |
|
84439
Thyroxine (thyroid chemical), free
|
164 | 123 | $225.00 | $9.82 |
|
84481
Thyroid hormone, t3 measurement, free
|
162 | 121 | $225.00 | $18.44 |
|
93306
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
|
156 | 149 | $1200.00 | $209.35 |
|
J1030
Injection, methylprednisolone acetate, 40 mg
|
156 | 90 | $45.00 | $6.28 |
|
99233
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
|
156 | 31 | $460.00 | $108.90 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
154 | 154 | $500.00 | $117.46 |
|
77080
Dxa bone density measurement of hip, pelvis, spine
|
144 | 143 | $400.00 | $40.27 |
|
G0444
Annual depression screening, 5 to 15 minutes
|
125 | 125 | $80.00 | $18.14 |
|
99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
|
118 | 30 | $315.00 | $76.32 |
|
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
|
109 | 37 | $465.00 | $112.01 |
|
84403
Testosterone (hormone) level, total
|
97 | 77 | $300.00 | $28.11 |
|
84402
Testosterone (hormone) level, free
|
96 | 77 | $300.00 | $27.73 |
|
J1885
Injection, ketorolac tromethamine, per 15 mg
|
92 | 36 | $30.00 | $0.52 |
|
80048
Blood test, basic group of blood chemicals (calcium, total)
|
83 | 53 | $125.00 | $9.21 |
|
93880
Ultrasound of both sides of head and neck blood flow
|
78 | 74 | $900.00 | $205.68 |
|
76536
Ultrasound of head and neck
|
75 | 68 | $485.00 | $116.74 |
|
76700
Ultrasound of abdomen
|
58 | 56 | $550.00 | $123.47 |
|
85610
Blood test, clotting time
|
57 | 16 | $55.00 | $4.28 |
|
82270
Stool analysis for blood to screen for colon tumors
|
54 | 54 | $90.00 | $4.29 |
|
J0696
Injection, ceftriaxone sodium, per 250 mg
|
48 | 28 | $45.00 | $0.56 |
|
76770
Complete ultrasound scan behind abdominal cavity
|
45 | 43 | $575.00 | $114.45 |
|
76706
Ultrasound scan of abdominal aorta
|
43 | 43 | $500.00 | $113.19 |
|
83540
Iron level
|
42 | 39 | $100.00 | $7.05 |
|
99354
Prolonged office or other outpatient service first hour
|
41 | 35 | $440.00 | $136.04 |
|
99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
|
40 | 38 | $900.00 | $212.31 |
|
20610
Aspiration and/or injection of fluid from large joint
|
39 | 23 | $305.00 | $60.12 |
|
76775
Limited ultrasound scan behind abdominal cavity
|
38 | 32 | $300.00 | $59.87 |
|
99239
Hospital discharge day management, more than 30 minutes
|
35 | 29 | $470.00 | $111.14 |
|
83735
Magnesium level
|
34 | 29 | $150.00 | $7.29 |
|
93925
Ultrasound of leg arteries or artery grafts
|
34 | 32 | $1020.00 | $260.61 |
|
76641
Complete ultrasound scan of 1 breast
|
34 | 23 | $450.00 | $108.66 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
32 | 32 | $730.00 | $174.32 |
|
99406
Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes
|
32 | 23 | $65.00 | $15.45 |
|
72100
X-ray of lower and sacral spine, 2-3 views
|
27 | 27 | $200.00 | $37.35 |
|
82728
Ferritin (blood protein) level
|
27 | 21 | $225.00 | $14.85 |
|
76705
Limited ultrasound scan of abdomen
|
25 | 25 | $400.00 | $92.39 |
|
73030
X-ray of shoulder, minimum of 2 views
|
25 | 21 | $225.00 | $31.08 |
|
73502
X-ray of hip, 2-3 views
|
24 | 21 | $200.00 | $43.70 |
|
J7620
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme
|
23 | 20 | $65.00 | $0.14 |
|
94640
Inhalation treatment for airway obstruction or sputum production
|
22 | 19 | $80.00 | $18.63 |
|
73562
X-ray of knee, 3 views
|
20 | 18 | $200.00 | $38.13 |
|
73130
X-ray of hand, minimum of 3 views
|
19 | 12 | $195.00 | $34.16 |
|
94010
Test to measure expiratory airflow and volume
|
19 | 19 | $160.00 | $36.33 |
|
82150
Amylase (enzyme) level
|
18 | 17 | $125.00 | $7.06 |
|
72072
X-ray of middle spine, 3 views
|
16 | 15 | $270.00 | $36.99 |
|
82947
Blood glucose (sugar) level
|
16 | 14 | $60.00 | $4.28 |
|
G0403
Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report
|
16 | 16 | $80.00 | $18.12 |
|
99205
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
|
14 | 14 | $905.00 | $218.58 |
|
69209
Removal of impacted ear wax by washing
|
14 | 13 | $60.00 | $14.66 |
|
G0402
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
|
13 | 13 | $705.77 | $169.05 |
|
73610
X-ray of ankle, minimum of 3 views
|
12 | 11 | $195.00 | $34.09 |
|
83036
Hemoglobin A1C level
|
11 | 11 | $225.00 | $10.57 |
|
72040
X-ray of upper spine, 2-3 views
|
11 | 11 | $250.00 | $37.39 |
|
77065
Diagnostic mammography of 1 breast
|
11 | 11 | $330.00 | $136.77 |
|
80076
Liver function blood test panel
|
11 | 11 | $200.00 | $8.90 |
| 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
|
1,509 | 513 | $465.00 | $108.41 |
|
36415
Insertion of needle into vein for collection of blood sample
|
1,112 | 518 | $30.00 | $2.94 |
|
99211
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
|
986 | 474 | $95.00 | $21.36 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
934 | 427 | $320.00 | $73.66 |
|
85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
|
802 | 457 | $65.00 | $9.40 |
|
99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
736 | 394 | $195.00 | $44.30 |
|
80053
Blood test, comprehensive group of blood chemicals
|
729 | 442 | $185.00 | $12.78 |
|
84443
Blood test, thyroid stimulating hormone (TSH)
|
602 | 397 | $218.65 | $20.33 |
|
80061
Blood test, lipids (cholesterol and triglycerides)
|
566 | 392 | $185.00 | $16.20 |
|
81002
Urinalysis, manual test
|
426 | 326 | $49.34 | $3.40 |
|
96372
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
|
422 | 140 | $120.00 | $20.34 |
|
93000
Routine ekg using at least 12 leads including interpretation and report
|
378 | 318 | $185.00 | $17.43 |
|
71046
X-ray of chest, 2 views
|
360 | 316 | $200.00 | $29.47 |
|
G0447
Face-to-face behavioral counseling for obesity, 15 minutes
|
283 | 135 | $120.00 | $26.03 |
|
J1071
Injection, testosterone cypionate, 1 mg
|
264 | 25 | $50.00 | $0.03 |
|
82306
Vitamin d-3 level
|
255 | 219 | $249.41 | $35.82 |
|
80305
Testing for presence of drug, read by direct observation
|
236 | 128 | $113.77 | $13.18 |
|
84153
Psa (prostate specific antigen) measurement, total
|
229 | 173 | $261.64 | $22.26 |
|
99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
|
211 | 142 | $625.00 | $147.19 |
|
J3420
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
|
188 | 54 | $25.00 | $1.98 |
|
77067
Screening mammography
|
176 | 176 | $600.00 | $135.06 |
|
84439
Thyroxine (thyroid chemical), free
|
175 | 124 | $222.37 | $10.91 |
|
84481
Thyroid hormone, t3 measurement, free
|
171 | 121 | $222.66 | $20.50 |
|
77080
Dxa bone density measurement of hip, pelvis, spine
|
132 | 132 | $400.00 | $41.48 |
|
J1030
Injection, methylprednisolone acetate, 40 mg
|
126 | 75 | $45.00 | $6.63 |
|
93306
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
|
125 | 122 | $1200.00 | $206.73 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
123 | 123 | $500.28 | $116.74 |
|
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
|
103 | 33 | $465.00 | $109.74 |
|
G0444
Annual depression screening, 5 to 15 minutes
|
97 | 97 | $80.00 | $17.77 |
|
85610
Blood test, clotting time
|
90 | 23 | $55.00 | $4.75 |
|
83036
Hemoglobin A1C level
|
90 | 87 | $194.00 | $11.75 |
|
99406
Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes
|
83 | 45 | $60.60 | $14.65 |
|
84403
Testosterone (hormone) level, total
|
77 | 64 | $295.71 | $31.23 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
68 | 68 | $730.00 | $169.54 |
|
93880
Ultrasound of both sides of head and neck blood flow
|
67 | 66 | $900.00 | $203.77 |
|
84402
Testosterone (hormone) level, free
|
64 | 56 | $300.00 | $30.82 |
|
76706
Ultrasound scan of abdominal aorta
|
64 | 64 | $500.00 | $93.91 |
|
80048
Blood test, basic group of blood chemicals (calcium, total)
|
60 | 54 | $125.00 | $10.23 |
|
99233
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
|
58 | 16 | $460.00 | $106.66 |
|
J0696
Injection, ceftriaxone sodium, per 250 mg
|
52 | 34 | $45.00 | $0.61 |
|
99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
|
50 | 16 | $315.00 | $74.60 |
|
76536
Ultrasound of head and neck
|
50 | 47 | $485.00 | $116.00 |
|
76641
Complete ultrasound scan of 1 breast
|
49 | 36 | $450.00 | $107.53 |
|
83540
Iron level
|
49 | 37 | $99.49 | $7.83 |
|
76700
Ultrasound of abdomen
|
44 | 42 | $550.00 | $122.08 |
|
73562
X-ray of knee, 3 views
|
43 | 28 | $200.00 | $34.09 |
|
73030
X-ray of shoulder, minimum of 2 views
|
40 | 35 | $225.00 | $28.43 |
|
82947
Blood glucose (sugar) level
|
38 | 35 | $60.00 | $4.75 |
|
82565
Blood creatinine level
|
38 | 38 | $100.00 | $6.20 |
|
J7620
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme
|
38 | 28 | $65.00 | $0.14 |
|
84520
Urea nitrogen level to assess kidney function
|
37 | 37 | $185.00 | $4.78 |
|
94640
Inhalation treatment for airway obstruction or sputum production
|
37 | 27 | $80.00 | $18.80 |
|
72100
X-ray of lower and sacral spine, 2-3 views
|
37 | 37 | $200.00 | $33.97 |
|
20610
Aspiration and/or injection of fluid from large joint
|
36 | 26 | $305.00 | $61.89 |
|
82728
Ferritin (blood protein) level
|
35 | 16 | $215.57 | $16.49 |
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
35 | 35 | $475.00 | $111.72 |
|
76770
Complete ultrasound scan behind abdominal cavity
|
34 | 33 | $575.00 | $113.07 |
|
82310
Calcium level, total
|
32 | 31 | $73.75 | $6.24 |
|
76775
Limited ultrasound scan behind abdominal cavity
|
32 | 27 | $300.00 | $58.25 |
|
84295
Blood sodium level
|
32 | 30 | $40.00 | $5.82 |
|
82374
Carbon dioxide (bicarbonate) level
|
31 | 31 | $100.00 | $5.91 |
|
84450
Liver enzyme (sgot), level
|
31 | 31 | $100.00 | $6.26 |
|
84132
Blood potassium level
|
31 | 31 | $76.77 | $5.57 |
|
84075
Phosphatase (enzyme) level, alkaline
|
30 | 30 | $100.00 | $6.26 |
|
82435
Blood chloride level
|
30 | 30 | $61.00 | $5.57 |
|
84155
Total protein level, blood
|
30 | 30 | $75.00 | $4.44 |
|
82040
Albumin (protein) level
|
30 | 30 | $100.00 | $5.99 |
|
76705
Limited ultrasound scan of abdomen
|
30 | 28 | $400.00 | $91.62 |
|
73130
X-ray of hand, minimum of 3 views
|
28 | 17 | $195.00 | $30.54 |
|
94010
Test to measure expiratory airflow and volume
|
26 | 26 | $160.00 | $35.97 |
|
77065
Diagnostic mammography of 1 breast
|
26 | 22 | $330.00 | $134.21 |
|
99348
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes
|
25 | 12 | $400.00 | $85.78 |
|
86403
Screening test for presence of antibody
|
24 | 21 | $111.88 | $12.33 |
|
93225
Electrocardiogram (ecg) 2-day continuous
|
24 | 21 | $210.00 | $26.30 |
|
J1885
Injection, ketorolac tromethamine, per 15 mg
|
24 | 20 | $30.00 | $0.56 |
|
99205
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
|
23 | 23 | $905.00 | $214.70 |
|
93925
Ultrasound of leg arteries or artery grafts
|
22 | 22 | $1020.00 | $260.48 |
|
73502
X-ray of hip, 2-3 views
|
21 | 20 | $205.95 | $39.79 |
|
82247
Bilirubin level
|
20 | 20 | $100.00 | $6.07 |
|
99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
|
18 | 16 | $900.00 | $208.46 |
|
87804
Detection test by immunoassay with direct visual observation for influenza virus
|
18 | 17 | $187.50 | $16.22 |
|
82652
Dihydroxyvitamin d, 1, 25 level
|
17 | 17 | $210.00 | $46.58 |
|
80076
Liver function blood test panel
|
14 | 13 | $200.00 | $9.89 |
|
93971
Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers
|
14 | 14 | $510.00 | $121.06 |
|
69210
Removal of impacted ear wax
|
13 | 13 | $220.00 | $50.54 |
|
72040
X-ray of upper spine, 2-3 views
|
12 | 11 | $250.00 | $32.56 |
|
93227
Electrocardiogram (ecg) 2-day continuous with review by health care professional
|
12 | 11 | $210.00 | $26.65 |
|
82270
Stool analysis for blood to screen for colon tumors
|
11 | 11 | $90.00 | $4.29 |
| 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
|
1,390 | 448 | $465.00 | $106.61 |
|
36415
Insertion of needle into vein for collection of blood sample
|
1,039 | 469 | $30.00 | $2.93 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
909 | 388 | $320.00 | $72.76 |
|
99211
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
|
802 | 421 | $95.00 | $19.82 |
|
99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
521 | 265 | $195.00 | $43.51 |
|
80061
Blood test, lipids (cholesterol and triglycerides)
|
427 | 309 | $185.00 | $17.07 |
|
71020
X-ray of chest, 2 views, front and side
|
402 | 321 | $200.00 | $27.78 |
|
96372
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
|
398 | 133 | $120.00 | $24.79 |
|
81002
Urinalysis, manual test
|
384 | 285 | $45.00 | $3.43 |
|
99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
|
371 | 205 | $625.00 | $144.01 |
|
93000
Routine ekg using at least 12 leads including interpretation and report
|
366 | 303 | $185.00 | $17.18 |
|
G0447
Face-to-face behavioral counseling for obesity, 15 minutes
|
303 | 135 | $120.00 | $25.51 |
|
J1071
Injection, testosterone cypionate, 1 mg
|
246 | 23 | $49.96 | $0.02 |
|
80047
Blood test, basic group of blood chemicals (calcium, ionized)
|
239 | 151 | $100.00 | $9.83 |
|
83036
Hemoglobin A1C level
|
204 | 138 | $135.00 | $12.99 |
|
G0202
Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed
|
192 | 192 | $600.00 | $131.74 |
|
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
|
183 | 41 | $465.00 | $108.06 |
|
J3420
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
|
165 | 48 | $25.00 | $2.98 |
|
77080
Dxa bone density measurement of hip, pelvis, spine
|
163 | 163 | $400.00 | $39.96 |
|
93306
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
|
145 | 138 | $1200.00 | $220.41 |
|
J1030
Injection, methylprednisolone acetate, 40 mg
|
137 | 76 | $45.00 | $5.73 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
127 | 127 | $500.28 | $114.18 |
|
85610
Blood test, clotting time
|
116 | 24 | $55.00 | $5.28 |
|
93880
Ultrasound of both sides of head and neck blood flow
|
88 | 82 | $900.00 | $195.19 |
|
76700
Ultrasound of abdomen
|
81 | 77 | $550.00 | $120.82 |
|
99406
Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes
|
80 | 33 | $62.31 | $14.59 |
|
76536
Ultrasound of head and neck
|
55 | 52 | $485.00 | $114.62 |
|
85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
|
47 | 47 | $65.00 | $10.45 |
|
J7620
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme
|
44 | 32 | $65.00 | $0.16 |
|
94640
Inhalation treatment for airway obstruction or sputum production
|
43 | 33 | $80.00 | $18.26 |
|
93925
Ultrasound of leg arteries or artery grafts
|
42 | 41 | $1020.00 | $252.89 |
|
72100
X-ray of lower and sacral spine, 2-3 views
|
39 | 38 | $200.00 | $33.60 |
|
80053
Blood test, comprehensive group of blood chemicals
|
38 | 38 | $185.00 | $9.90 |
|
76770
Complete ultrasound scan behind abdominal cavity
|
36 | 33 | $575.00 | $111.77 |
|
20610
Aspiration and/or injection of fluid from large joint
|
35 | 24 | $305.00 | $59.30 |
|
76706
Ultrasound scan of abdominal aorta
|
31 | 31 | $500.00 | $91.26 |
|
J0696
Injection, ceftriaxone sodium, per 250 mg
|
31 | 25 | $45.00 | $0.64 |
|
73130
X-ray of hand, minimum of 3 views
|
30 | 19 | $195.00 | $30.46 |
|
76775
Limited ultrasound scan behind abdominal cavity
|
30 | 24 | $300.00 | $57.51 |
|
76705
Limited ultrasound scan of abdomen
|
28 | 27 | $400.00 | $89.43 |
|
73562
X-ray of knee, 3 views
|
27 | 21 | $200.00 | $34.04 |
|
73502
X-ray of hip, 2-3 views
|
27 | 25 | $225.00 | $40.75 |
|
76641
Complete ultrasound scan of 1 breast
|
25 | 21 | $427.20 | $105.61 |
|
J1885
Injection, ketorolac tromethamine, per 15 mg
|
25 | 12 | $30.00 | $0.67 |
|
73030
X-ray of shoulder, minimum of 2 views
|
24 | 20 | $225.00 | $28.96 |
|
93225
Electrocardiogram (ecg) 2-day continuous
|
20 | 19 | $210.00 | $24.74 |
|
82947
Blood glucose (sugar) level
|
19 | 15 | $60.00 | $5.28 |
|
94010
Test to measure expiratory airflow and volume
|
19 | 19 | $160.00 | $35.40 |
|
80305
Testing for presence of drug, read by direct observation
|
18 | 18 | $100.00 | $14.66 |
|
76857
Limited ultrasound scan of pelvis
|
15 | 15 | $250.00 | $47.55 |
|
72040
X-ray of upper spine, 2-3 views
|
15 | 15 | $250.00 | $32.46 |
|
93227
Electrocardiogram (ecg) 2-day continuous with review by health care professional
|
15 | 13 | $210.00 | $26.33 |
|
93971
Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers
|
14 | 13 | $510.00 | $117.32 |
|
G0206
Diagnostic mammography, including computer-aided detection (cad) when performed; unilateral
|
14 | 13 | $330.00 | $130.53 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
13 | 13 | $730.00 | $167.02 |
|
74020
Imaging of abdomen
|
13 | 11 | $210.00 | $37.58 |
|
80048
Blood test, basic group of blood chemicals (calcium, total)
|
12 | 12 | $125.00 | $10.81 |
|
99205
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
|
12 | 12 | $905.00 | $210.22 |
|
76856
Complete ultrasound scan of pelvis
|
11 | 11 | $800.00 | $101.69 |
Medical Specialties & State Licenses
CMS Verified: 2023-10-10NUCC 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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Nurse Practitioner
Nurse Practitioner
Family Medicine
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 1501 GOVERNMENT RD, KEY WEST, FL 330405108 (Tel: 3052937201)
Registered at PO BOX 2819, KEY WEST, FL 330452819 (Tel: 3052937201)
NPI status registered as active in NPPES database
Registered at 2505 FLAGLER AVE, KEY WEST, FL 330403934 (Tel: 3052956790)
Registered at 2505 FLAGLER AVE, KEY WEST, FL 330403934 (Tel: 3052956790)
Recorded as ELIAS GERTH, M.D.
Internal Medicine (License #FL 0057437 in FL)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
Verified patient ratings, medical care experiences, and facility photos
Sign in to leave a review for Dr. Elias Gerth
Only verified registered users can submit ratings, post feedback, and upload facility photos.
NPI Administrative Meta
Mailing Address
Po Box 2819
Key West, FL 330452819
Phone: 3052937201
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.