Active NPI 1457392136 Individual Practitioner Male Practitioner

Dr. Dacelin St Martin , MD

Internal Medicine • Lecanto, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Dacelin St Martin, MD is a certified Internal Medicine practicing in Lecanto, FL. With approximately 30 years of clinical experience since completing medical education in 1996, Dr. St Martin delivers high-quality medical care to the local community at 1990 N PROSPECT AVE.

Dr. St Martin maintains professional affiliations with Pediatric And Internal Medicine Specialists Inc, Pedim Outreach And Specialty Clinic Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, lactate dehydrogenase (enzyme) level, creatine kinase (cardiac enzyme) level, total. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1990 N Prospect Ave

Lecanto, FL 344619792

Telephone 3525276888

Fax 3525278818

Associated Practice Facility / Clinic

🏢 Pediatric And Internal Medicine Specialists Inc Facility NPI 1396805115

Medicare Profile & Education

Medical School

Other

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Lecanto, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs -2.8 yrs vs City Avg

City Avg: 32.8 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

12 Specialists

Practicing in Lecanto, FL (10650 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

58.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. St Martin (30 Years) 30 Yrs

Lecanto Specialty Average (32.8 Years) 32.8 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
36415 Insertion of needle into vein for collection of blood sample	1,499	673	$17.62	$8.65
83615 Lactate dehydrogenase (enzyme) level	1,408	661	$12.08	$5.92
82550 Creatine kinase (cardiac enzyme) level, total	1,404	661	$13.02	$6.38
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,401	292	$142.22	$60.77
84550 Uric acid level, blood	1,390	663	$9.04	$4.43
82310 Calcium level, total	1,389	664	$10.32	$5.06
82565 Blood creatinine level	1,384	660	$10.24	$5.02
84132 Blood potassium level	1,384	660	$9.52	$4.66
84295 Blood sodium level	1,382	659	$9.62	$4.71
82435 Blood chloride level	1,381	659	$9.20	$4.51
84520 Urea nitrogen level to assess kidney function	1,378	659	$7.90	$3.87
82947 Blood glucose (sugar) level	1,354	661	$7.86	$3.85
84450 Liver enzyme (sgot), level	1,351	656	$10.36	$5.08
84460 Liver enzyme (sgpt), level	1,351	656	$10.60	$5.19
82247 Bilirubin level	1,350	656	$10.04	$4.92
82040 Albumin (protein) level	1,349	655	$9.90	$4.85
84075 Phosphatase (enzyme) level, alkaline	1,347	656	$10.36	$5.08
84155 Total protein level, blood	1,339	655	$7.34	$3.60
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,312	660	$15.54	$7.61
84443 Blood test, thyroid stimulating hormone (TSH)	1,260	645	$33.60	$16.46
80061 Blood test, lipids (cholesterol and triglycerides)	1,238	652	$26.78	$13.12
82607 Cyanocobalamin (vitamin B-12) level	805	508	$30.16	$14.78
82746 Folic acid level	728	467	$29.40	$14.41
83036 Hemoglobin A1C level	684	383	$19.42	$9.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	535	387	$288.33	$124.13
82306 Vitamin d-3 level	523	453	$59.20	$29.01
84439 Thyroxine (thyroid chemical), free	487	289	$18.04	$8.84
83735 Magnesium level	419	269	$13.40	$6.57
84100 Phosphate level	406	263	$9.48	$4.65
83970 Parathormone (parathyroid hormone) level	304	258	$82.56	$40.45
83540 Iron level	279	182	$12.94	$6.34
82728 Ferritin (blood protein) level	278	181	$27.26	$13.36
84466 Transferrin (iron binding protein) level	277	180	$25.52	$12.50
84481 Thyroid hormone, t3 measurement, free	269	172	$33.88	$16.60
86376 Microsomal antibodies (autoantibody) measurement	264	168	$29.10	$14.26
86800 Thyroglobulin (thyroid protein) antibody measurement	264	168	$31.82	$15.59
82570 Creatinine level to test for kidney function or muscle injury	260	182	$10.36	$5.08
82043 Urine microalbumin (protein) level	259	182	$11.56	$5.66
80307 Testing for presence of drug, by chemistry analyzers	259	141	$124.28	$60.90
84403 Testosterone (hormone) level, total	183	167	$51.62	$25.29
82670 Measurement of total estradiol (hormone)	167	158	$55.88	$27.38
82533 Cortisol (hormone) measurement	160	153	$32.60	$15.97
84146 Prolactin (milk producing hormone) level	159	154	$38.76	$18.99
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	159	34	$60.00	$24.65
83001 Gonadotropin, follicle stimulating (reproductive hormone) level	158	153	$37.16	$18.21
83002 Gonadotropin, luteinizing (reproductive hormone) level	158	153	$37.04	$18.15
84144 Progesterone (reproductive hormone) level	158	153	$41.72	$20.44
82627 Dehydroepiandrosterone (DHEA-S) hormone level	158	153	$44.46	$21.79
99213 Established patient office or other outpatient visit, typically 15 minutes	126	112	$205.76	$87.42
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	122	72	$302.13	$128.67
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation	117	117	$441.73	$90.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	105	105	$381.91	$162.69
J1245 Injection, dipyridamole, per 10 mg	100	20	$55.92	$3.72
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	72	72	$432.31	$185.38
G0442 Annual alcohol misuse screening, 5 to 15 minutes	52	52	$42.10	$17.99
G0103 Prostate cancer screening; prostate specific antigen test (psa)	50	50	$38.62	$18.92
84153 Psa (prostate specific antigen) measurement, total	50	49	$36.78	$18.02
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	49	25	$524.25	$121.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	48	48	$293.81	$125.85
G0444 Annual depression screening, 5 to 15 minutes	47	47	$42.10	$17.99
95886 Needle measurement of electrical activity in arm or leg muscles, complete study	44	20	$211.68	$90.68
93880 Ultrasound of both sides of head and neck blood flow	44	44	$416.46	$174.73
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	39	39	$159.95	$63.19
95810 Sleep monitoring of patient (6 years or older) in sleep lab	32	32	$1363.55	$583.11
76536 Ultrasound of head and neck	31	30	$241.55	$103.45
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	29	28	$1425.81	$609.75
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	25	25	$944.63	$404.76
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	23	15	$32.01	$13.73
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	20	19	$37.47	$16.08
93925 Ultrasound of leg arteries or artery grafts	19	18	$525.16	$225.22
76700 Ultrasound of abdomen	19	19	$256.42	$109.82
81002 Urinalysis, manual test	18	18	$8.50	$3.41
95800 Sleep study including heart rate, breathing, and sleep time	17	16	$348.00	$128.28
94729 Test to examine how well the lungs exchange gases	17	17	$123.58	$53.05
94060 Test to measure expiratory airflow and volume changes before and after medication administration	17	17	$85.72	$36.73
94727 Determination of lung volumes using gas dilution or washout	17	17	$98.09	$42.05
94200 Test to measure largest amount of air breathed in an out	17	17	$33.30	$14.27
93000 Routine ekg using at least 12 leads including interpretation and report	16	16	$32.41	$13.89
76775 Limited ultrasound scan behind abdominal cavity	16	16	$132.65	$56.71
J0280 Injection, aminophyllin, up to 250 mg	14	14	$69.90	$8.62
95911 Nerve transmission studies, 9-10 studies	14	14	$469.82	$201.35
76705 Limited ultrasound scan of abdomen	14	14	$191.48	$82.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	3,487	349	$65.01	$61.21
36415 Insertion of needle into vein for collection of blood sample	1,419	650	$10.92	$6.99
83615 Lactate dehydrogenase (enzyme) level	1,339	651	$12.08	$5.92
82550 Creatine kinase (cardiac enzyme) level, total	1,335	651	$13.02	$6.38
82310 Calcium level, total	1,322	647	$10.32	$5.06
82565 Blood creatinine level	1,319	648	$10.24	$5.02
84132 Blood potassium level	1,317	648	$9.52	$4.66
84295 Blood sodium level	1,317	648	$9.62	$4.71
84550 Uric acid level, blood	1,309	645	$9.04	$4.43
84520 Urea nitrogen level to assess kidney function	1,309	648	$7.90	$3.87
84460 Liver enzyme (sgpt), level	1,307	649	$10.60	$5.19
84075 Phosphatase (enzyme) level, alkaline	1,307	649	$10.36	$5.08
84450 Liver enzyme (sgot), level	1,307	649	$10.36	$5.08
82040 Albumin (protein) level	1,303	649	$9.90	$4.85
82247 Bilirubin level	1,302	649	$10.04	$4.92
84155 Total protein level, blood	1,291	649	$7.34	$3.60
82947 Blood glucose (sugar) level	1,289	643	$7.86	$3.85
82435 Blood chloride level	1,271	640	$9.20	$4.51
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,246	640	$15.54	$7.61
80061 Blood test, lipids (cholesterol and triglycerides)	1,174	631	$26.78	$13.12
84443 Blood test, thyroid stimulating hormone (TSH)	1,155	626	$33.60	$16.46
84439 Thyroxine (thyroid chemical), free	990	559	$18.04	$8.84
82607 Cyanocobalamin (vitamin B-12) level	811	510	$30.16	$14.78
82746 Folic acid level	712	453	$29.40	$14.41
83036 Hemoglobin A1C level	675	378	$19.42	$9.52
84481 Thyroid hormone, t3 measurement, free	663	471	$33.88	$16.60
86376 Microsomal antibodies (autoantibody) measurement	654	466	$29.10	$14.26
86800 Thyroglobulin (thyroid protein) antibody measurement	654	466	$31.82	$15.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	603	439	$252.34	$123.04
84100 Phosphate level	521	353	$9.48	$4.65
83735 Magnesium level	447	286	$13.40	$6.57
82306 Vitamin d-3 level	425	393	$59.20	$29.01
84466 Transferrin (iron binding protein) level	365	224	$25.52	$12.50
82728 Ferritin (blood protein) level	365	224	$27.26	$13.36
83540 Iron level	363	224	$12.94	$6.34
84403 Testosterone (hormone) level, total	340	310	$51.62	$25.29
82670 Measurement of total estradiol (hormone)	324	307	$55.88	$27.38
84146 Prolactin (milk producing hormone) level	316	307	$38.76	$18.99
82627 Dehydroepiandrosterone (DHEA-S) hormone level	316	307	$44.46	$21.79
83001 Gonadotropin, follicle stimulating (reproductive hormone) level	316	307	$37.16	$18.21
83002 Gonadotropin, luteinizing (reproductive hormone) level	316	307	$37.04	$18.15
84144 Progesterone (reproductive hormone) level	316	307	$41.72	$20.44
82533 Cortisol (hormone) measurement	308	300	$32.60	$15.97
83970 Parathormone (parathyroid hormone) level	300	274	$82.56	$40.45
80307 Testing for presence of drug, by chemistry analyzers	291	147	$124.28	$60.90
82570 Creatinine level to test for kidney function or muscle injury	234	163	$10.36	$5.08
82043 Urine microalbumin (protein) level	233	162	$11.56	$5.66
99213 Established patient office or other outpatient visit, typically 15 minutes	173	142	$162.25	$84.58
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	173	85	$199.86	$128.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	141	141	$383.04	$158.79
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	98	25	$59.80	$25.30
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	92	14	$3.33	$1.06
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation	85	85	$225.00	$89.62
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	83	82	$688.50	$188.32
J1245 Injection, dipyridamole, per 10 mg	75	15	$18.67	$3.69
J1100 Injection, dexamethasone sodium phosphate, 1 mg	67	13	$46.72	$0.12
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	65	33	$313.46	$110.81
95810 Sleep monitoring of patient (6 years or older) in sleep lab	62	60	$1361.43	$578.11
84153 Psa (prostate specific antigen) measurement, total	58	54	$36.78	$18.02
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	52	49	$167.69	$63.12
G0103 Prostate cancer screening; prostate specific antigen test (psa)	46	46	$38.62	$18.92
J0696 Injection, ceftriaxone sodium, per 250 mg	46	12	$44.57	$0.52
99497 Advance care planning, first 30 minutes	44	44	$292.50	$81.04
82374 Carbon dioxide (bicarbonate) level	43	43	$9.76	$4.78
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	39	38	$1431.00	$605.03
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	37	37	$394.50	$125.73
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	37	28	$37.81	$13.73
95886 Needle measurement of electrical activity in arm or leg muscles, complete study	36	18	$318.00	$88.42
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	33	33	$1591.50	$416.52
76536 Ultrasound of head and neck	32	30	$382.50	$107.19
94200 Test to measure largest amount of air breathed in an out	24	24	$57.00	$14.24
94727 Determination of lung volumes using gas dilution or washout	24	24	$145.50	$40.21
93880 Ultrasound of both sides of head and neck blood flow	24	23	$670.50	$183.28
81002 Urinalysis, manual test	24	23	$7.83	$3.41
94729 Test to examine how well the lungs exchange gases	24	24	$183.00	$53.77
94060 Test to measure expiratory airflow and volume changes before and after medication administration	23	23	$198.00	$36.88
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	23	14	$154.50	$68.39
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	22	22	$55.85	$46.03
76700 Ultrasound of abdomen	17	16	$405.00	$112.71
93925 Ultrasound of leg arteries or artery grafts	17	17	$567.00	$229.02
J0280 Injection, aminophyllin, up to 250 mg	17	16	$21.53	$8.00
95800 Sleep study including heart rate, breathing, and sleep time	16	16	$375.00	$142.21
93000 Routine ekg using at least 12 leads including interpretation and report	16	16	$49.97	$14.23
76775 Limited ultrasound scan behind abdominal cavity	15	15	$196.50	$57.56
76705 Limited ultrasound scan of abdomen	14	14	$303.00	$85.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	3,199	439	$65.00	$62.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,435	1,026	$244.84	$125.10
36415 Insertion of needle into vein for collection of blood sample	1,441	666	$6.00	$2.96
82310 Calcium level, total	1,335	662	$10.40	$5.10
84132 Blood potassium level	1,332	660	$9.57	$4.70
82565 Blood creatinine level	1,332	660	$10.32	$5.06
84295 Blood sodium level	1,326	660	$9.69	$4.75
82435 Blood chloride level	1,322	660	$9.27	$4.54
84520 Urea nitrogen level to assess kidney function	1,322	660	$7.96	$3.90
82947 Blood glucose (sugar) level	1,317	660	$7.92	$3.88
84075 Phosphatase (enzyme) level, alkaline	1,291	658	$10.44	$5.12
84460 Liver enzyme (sgpt), level	1,291	658	$10.68	$5.23
82040 Albumin (protein) level	1,284	658	$9.98	$4.89
84155 Total protein level, blood	1,278	658	$7.40	$3.62
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,229	652	$15.66	$7.67
82550 Creatine kinase (cardiac enzyme) level, total	1,199	648	$13.12	$6.43
83615 Lactate dehydrogenase (enzyme) level	1,198	648	$12.18	$5.97
80061 Blood test, lipids (cholesterol and triglycerides)	1,196	645	$26.99	$13.22
82607 Cyanocobalamin (vitamin B-12) level	1,061	616	$30.39	$14.89
82746 Folic acid level	1,056	615	$29.62	$14.52
82247 Bilirubin level	979	587	$10.14	$4.96
99213 Established patient office or other outpatient visit, typically 15 minutes	880	490	$167.86	$88.66
84550 Uric acid level, blood	819	501	$9.11	$4.46
83036 Hemoglobin A1C level	745	413	$19.56	$9.59
84481 Thyroid hormone, t3 measurement, free	673	494	$34.00	$16.67
84100 Phosphate level	655	454	$9.55	$4.68
86376 Microsomal antibodies (autoantibody) measurement	641	473	$29.21	$14.32
86800 Thyroglobulin (thyroid protein) antibody measurement	641	473	$31.94	$15.66
84439 Thyroxine (thyroid chemical), free	625	468	$18.11	$8.88
83970 Parathormone (parathyroid hormone) level	612	394	$83.20	$40.74
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	591	256	$55.85	$47.43
83735 Magnesium level	550	327	$13.49	$6.62
82248 Bilirubin level, direct	531	453	$10.22	$5.00
82306 Vitamin d-3 level	521	439	$59.73	$29.23
99497 Advance care planning, first 30 minutes	498	484	$195.20	$83.79
84443 Blood test, thyroid stimulating hormone (TSH)	489	440	$33.62	$16.46
83540 Iron level	486	289	$13.06	$6.39
82728 Ferritin (blood protein) level	475	290	$27.52	$13.48
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	468	468	$263.00	$128.14
84466 Transferrin (iron binding protein) level	440	277	$25.78	$12.61
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	349	122	$37.98	$14.04
J0696 Injection, ceftriaxone sodium, per 250 mg	308	52	$30.06	$0.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	246	246	$365.71	$157.95
82570 Creatinine level to test for kidney function or muscle injury	215	150	$10.44	$5.12
82043 Urine microalbumin (protein) level	214	149	$11.64	$5.71
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	205	79	$59.90	$26.14
84403 Testosterone (hormone) level, total	177	154	$51.65	$25.38
81002 Urinalysis, manual test	171	120	$6.19	$3.42
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	160	89	$133.75	$130.01
80307 Testing for presence of drug, by chemistry analyzers	158	104	$121.69	$61.41
82670 Measurement of total estradiol (hormone)	155	143	$55.92	$27.43
83002 Gonadotropin, luteinizing (reproductive hormone) level	154	145	$37.04	$18.18
83001 Gonadotropin, follicle stimulating (reproductive hormone) level	154	145	$37.16	$18.24
84144 Progesterone (reproductive hormone) level	153	144	$41.72	$20.47
82533 Cortisol (hormone) measurement	152	145	$32.60	$15.99
82627 Dehydroepiandrosterone (DHEA-S) hormone level	152	143	$44.46	$21.82
84146 Prolactin (milk producing hormone) level	152	144	$38.76	$19.02
93000 Routine ekg using at least 12 leads including interpretation and report	121	119	$39.08	$14.20
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	116	38	$14.87	$1.69
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	114	21	$2.10	$1.06
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation	114	110	$151.75	$98.99
J1100 Injection, dexamethasone sodium phosphate, 1 mg	113	43	$30.00	$0.12
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	95	92	$459.00	$194.65
J1245 Injection, dipyridamole, per 10 mg	75	15	$16.00	$3.57
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	64	31	$800.00	$111.37
84450 Liver enzyme (sgot), level	57	57	$10.36	$5.08
G0103 Prostate cancer screening; prostate specific antigen test (psa)	53	53	$38.71	$19.09
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	52	51	$1422.00	$614.04
69210 Removal of impacted ear wax	51	42	$105.00	$47.31
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	49	46	$160.00	$64.64
99496 Transitional care management services for problem of high complexity	48	40	$522.00	$274.32
J1885 Injection, ketorolac tromethamine, per 15 mg	47	23	$30.00	$0.55
99495 Transitional care management services for problem of at least moderate complexity	45	44	$370.00	$201.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$169.00	$111.67
84153 Psa (prostate specific antigen) measurement, total	42	39	$36.98	$18.10
95810 Sleep monitoring of patient (6 years or older) in sleep lab	40	40	$1356.00	$587.67
76700 Ultrasound of abdomen	36	36	$270.00	$115.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	18	$106.28	$55.76
93880 Ultrasound of both sides of head and neck blood flow	36	35	$447.00	$187.58
76536 Ultrasound of head and neck	34	32	$255.00	$110.27
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	32	31	$1061.00	$434.31
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	30	30	$69.33	$41.76
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	24	$325.77	$179.89
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	22	16	$296.00	$126.38
94727 Determination of lung volumes using gas dilution or washout	20	20	$97.00	$42.38
94729 Test to examine how well the lungs exchange gases	20	20	$122.00	$56.39
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	20	13	$103.00	$69.18
94200 Test to measure largest amount of air breathed in an out	20	20	$38.00	$14.92
85018 Blood count, hemoglobin	19	15	$5.86	$2.34
94060 Test to measure expiratory airflow and volume changes before and after medication administration	19	19	$132.00	$37.79
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	19	19	$110.25	$30.43
76705 Limited ultrasound scan of abdomen	19	19	$202.00	$87.32
95800 Sleep study including heart rate, breathing, and sleep time	18	18	$375.00	$156.15
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	17	17	$377.00	$165.66
87804 Detection test by immunoassay with direct visual observation for influenza virus	17	17	$33.80	$16.31
93925 Ultrasound of leg arteries or artery grafts	14	14	$567.00	$237.72
83550 Iron binding capacity	12	12	$17.48	$8.58
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	12	12	$26.48	$16.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	3,274	533	$71.21	$40.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,476	997	$235.02	$128.54
36415 Insertion of needle into vein for collection of blood sample	1,420	679	$6.00	$3.00
84132 Blood potassium level	1,300	669	$10.22	$4.76
82310 Calcium level, total	1,298	669	$11.46	$5.16
84295 Blood sodium level	1,294	669	$10.70	$4.81
82565 Blood creatinine level	1,294	669	$11.38	$5.12
82435 Blood chloride level	1,294	669	$10.22	$4.60
84520 Urea nitrogen level to assess kidney function	1,294	669	$8.78	$3.95
82947 Blood glucose (sugar) level	1,288	668	$8.74	$3.93
82248 Bilirubin level, direct	1,279	668	$11.14	$5.02
84075 Phosphatase (enzyme) level, alkaline	1,279	668	$11.50	$5.18
84460 Liver enzyme (sgpt), level	1,279	668	$11.78	$5.30
82040 Albumin (protein) level	1,279	668	$11.00	$4.95
82247 Bilirubin level	1,279	668	$11.14	$5.02
84155 Total protein level, blood	1,277	668	$8.14	$3.67
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,254	664	$17.26	$7.77
83615 Lactate dehydrogenase (enzyme) level	1,228	661	$13.42	$6.04
82550 Creatine kinase (cardiac enzyme) level, total	1,228	661	$14.46	$6.51
80061 Blood test, lipids (cholesterol and triglycerides)	1,221	657	$29.76	$13.39
82746 Folic acid level	1,100	625	$32.68	$14.70
82607 Cyanocobalamin (vitamin B-12) level	1,054	608	$33.50	$15.08
99213 Established patient office or other outpatient visit, typically 15 minutes	950	500	$165.88	$90.96
84550 Uric acid level, blood	855	526	$10.04	$4.52
84481 Thyroid hormone, t3 measurement, free	744	505	$37.64	$16.94
83036 Hemoglobin A1C level	730	397	$21.58	$9.71
83970 Parathormone (parathyroid hormone) level	708	463	$91.72	$41.28
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	650	326	$55.85	$37.12
86376 Microsomal antibodies (autoantibody) measurement	627	454	$32.34	$14.55
86800 Thyroglobulin (thyroid protein) antibody measurement	626	454	$35.34	$15.91
82728 Ferritin (blood protein) level	619	341	$30.30	$13.63
83540 Iron level	617	339	$14.38	$6.47
84466 Transferrin (iron binding protein) level	617	339	$28.36	$12.76
84439 Thyroxine (thyroid chemical), free	614	438	$20.04	$9.02
84100 Phosphate level	613	428	$10.54	$4.74
99497 Advance care planning, first 30 minutes	573	560	$189.33	$85.18
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	558	558	$255.27	$131.36
83735 Magnesium level	535	348	$14.88	$6.70
82306 Vitamin d-3 level	491	385	$65.78	$29.60
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	443	132	$38.00	$13.96
J0696 Injection, ceftriaxone sodium, per 250 mg	410	58	$30.00	$0.54
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	319	163	$151.10	$88.85
84443 Blood test, thyroid stimulating hormone (TSH)	277	266	$37.34	$16.80
80307 Testing for presence of drug, by chemistry analyzers	264	141	$97.00	$62.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	232	232	$352.09	$165.40
82570 Creatinine level to test for kidney function or muscle injury	203	160	$11.50	$5.18
81002 Urinalysis, manual test	195	112	$5.57	$3.46
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	158	29	$4.52	$1.25
82044 Urine microalbumin (protein) analysis	153	127	$12.46	$6.23
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	152	78	$57.89	$26.88
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation	144	144	$208.92	$105.91
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	131	27	$15.00	$1.97
93000 Routine ekg using at least 12 leads including interpretation and report	113	110	$37.64	$14.67
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	107	42	$100.01	$43.04
J1100 Injection, dexamethasone sodium phosphate, 1 mg	103	50	$30.00	$0.14
84403 Testosterone (hormone) level, total	102	77	$57.36	$25.81
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	70	68	$449.23	$199.60
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	62	50	$319.35	$181.61
84153 Psa (prostate specific antigen) measurement, total	60	53	$40.88	$18.39
99496 Transitional care management services for problem of high complexity	57	53	$494.37	$276.46
82670 Measurement of total estradiol (hormone)	56	46	$62.08	$27.94
82533 Cortisol (hormone) measurement	56	48	$36.22	$16.30
G0103 Prostate cancer screening; prostate specific antigen test (psa)	55	55	$40.88	$19.31
82627 Dehydroepiandrosterone (DHEA-S) hormone level	55	47	$49.42	$22.23
83001 Gonadotropin, follicle stimulating (reproductive hormone) level	54	46	$41.30	$18.58
84144 Progesterone (reproductive hormone) level	54	46	$46.36	$20.86
83002 Gonadotropin, luteinizing (reproductive hormone) level	54	46	$41.14	$18.52
84146 Prolactin (milk producing hormone) level	53	45	$43.06	$19.38
J1885 Injection, ketorolac tromethamine, per 15 mg	50	22	$30.00	$0.44
82043 Urine microalbumin (protein) level	50	50	$12.84	$5.78
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	42	23	$657.14	$117.85
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	41	40	$1343.29	$625.64
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	38	22	$241.63	$105.52
69210 Removal of impacted ear wax	36	33	$104.42	$47.22
95810 Sleep monitoring of patient (6 years or older) in sleep lab	35	35	$1255.20	$599.55
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	32	12	$93.00	$40.64
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	31	31	$151.10	$63.76
95886 Needle measurement of electrical activity in arm or leg muscles, complete study	30	19	$204.40	$100.49
76700 Ultrasound of abdomen	30	30	$261.30	$119.56
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	30	29	$70.00	$45.23
99495 Transitional care management services for problem of at least moderate complexity	30	29	$345.40	$204.14
93880 Ultrasound of both sides of head and neck blood flow	28	28	$431.14	$194.76
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	28	23	$116.71	$52.42
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	28	20	$273.86	$128.78
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	23	23	$986.87	$462.09
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	22	22	$359.95	$167.37
G0442 Annual alcohol misuse screening, 5 to 15 minutes	21	21	$38.33	$18.25
94727 Determination of lung volumes using gas dilution or washout	21	21	$90.52	$42.84
94060 Test to measure expiratory airflow and volume changes before and after medication administration	21	21	$124.00	$45.05
94200 Test to measure largest amount of air breathed in an out	21	21	$130.29	$17.49
94729 Test to examine how well the lungs exchange gases	21	21	$114.19	$57.43
G0444 Annual depression screening, 5 to 15 minutes	21	21	$38.33	$18.25
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$416.40	$223.49
76705 Limited ultrasound scan of abdomen	20	20	$198.75	$89.60
80048 Blood test, basic group of blood chemicals (calcium, total)	19	18	$18.80	$8.46
17000 Destruction of skin growth	17	15	$139.53	$65.40
94690 Test to measure exhaled air for evaluation of lung function at rest	16	16	$107.94	$42.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$201.00	$112.81
76536 Ultrasound of head and neck	14	14	$237.21	$114.11
83721 Ldl cholesterol level	14	12	$21.20	$10.50
93925 Ultrasound of leg arteries or artery grafts	12	12	$537.00	$247.36
95911 Nerve transmission studies, 9-10 studies	11	11	$493.82	$223.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	5,300	664	$65.00	$42.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,529	995	$172.18	$108.24
36415 Insertion of needle into vein for collection of blood sample	1,499	720	$6.01	$2.98
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,284	692	$17.26	$7.72
84132 Blood potassium level	1,271	690	$10.22	$4.73
82310 Calcium level, total	1,271	691	$11.46	$5.13
82565 Blood creatinine level	1,270	691	$11.38	$5.09
84295 Blood sodium level	1,270	691	$10.70	$4.78
84460 Liver enzyme (sgpt), level	1,269	691	$11.78	$5.27
82248 Bilirubin level, direct	1,269	692	$11.14	$4.99
82040 Albumin (protein) level	1,268	691	$11.00	$4.92
82435 Blood chloride level	1,268	691	$10.22	$4.58
82247 Bilirubin level	1,268	691	$11.14	$4.99
84520 Urea nitrogen level to assess kidney function	1,262	691	$8.78	$3.93
82947 Blood glucose (sugar) level	1,261	691	$8.74	$3.91
84155 Total protein level, blood	1,256	691	$8.14	$3.65
84075 Phosphatase (enzyme) level, alkaline	1,237	683	$11.50	$5.15
83615 Lactate dehydrogenase (enzyme) level	1,230	685	$13.42	$6.01
82550 Creatine kinase (cardiac enzyme) level, total	1,229	685	$14.46	$6.47
80061 Blood test, lipids (cholesterol and triglycerides)	1,224	678	$29.76	$13.32
82607 Cyanocobalamin (vitamin B-12) level	1,173	662	$33.50	$15.00
84481 Thyroid hormone, t3 measurement, free	1,145	656	$37.64	$16.84
84439 Thyroxine (thyroid chemical), free	1,145	658	$20.04	$8.97
84443 Blood test, thyroid stimulating hormone (TSH)	1,108	644	$37.34	$16.71
82746 Folic acid level	1,102	643	$32.68	$14.61
86376 Microsomal antibodies (autoantibody) measurement	1,048	628	$32.34	$14.48
86800 Thyroglobulin (thyroid protein) antibody measurement	1,045	627	$35.34	$15.83
99213 Established patient office or other outpatient visit, typically 15 minutes	915	488	$149.37	$74.61
84550 Uric acid level, blood	895	565	$10.04	$4.50
83970 Parathormone (parathyroid hormone) level	843	541	$91.72	$41.02
83036 Hemoglobin A1C level	725	421	$21.58	$9.66
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 fo	708	376	$65.00	$37.38
84100 Phosphate level	697	482	$10.54	$4.72
82728 Ferritin (blood protein) level	664	376	$30.30	$13.55
83540 Iron level	662	376	$14.38	$6.43
84466 Transferrin (iron binding protein) level	661	376	$28.36	$12.68
82306 Vitamin d-3 level	655	485	$65.78	$29.38
83735 Magnesium level	618	388	$14.88	$6.67
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	589	589	$174.99	$115.37
84403 Testosterone (hormone) level, total	557	506	$57.36	$25.61
84144 Progesterone (reproductive hormone) level	556	510	$46.36	$20.70
82627 Dehydroepiandrosterone (DHEA-S) hormone level	555	509	$49.42	$22.06
82670 Measurement of total estradiol (hormone)	555	509	$62.08	$27.72
84146 Prolactin (milk producing hormone) level	555	508	$43.06	$19.23
83001 Gonadotropin, follicle stimulating (reproductive hormone) level	554	509	$41.30	$18.44
82533 Cortisol (hormone) measurement	545	501	$36.22	$16.17
83002 Gonadotropin, luteinizing (reproductive hormone) level	544	502	$41.14	$18.38
99497 Advance care planning, first 30 minutes	542	532	$130.00	$86.51
J0696 Injection, ceftriaxone sodium, per 250 mg	459	79	$30.75	$0.57
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	425	155	$37.81	$14.13
G0442 Annual alcohol misuse screening, 5 to 15 minutes	339	339	$27.00	$18.07
G0444 Annual depression screening, 5 to 15 minutes	309	309	$27.00	$18.10
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	230	142	$141.00	$89.63
81002 Urinalysis, manual test	216	122	$7.01	$3.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	214	214	$250.00	$155.02
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	195	102	$40.00	$26.92
82044 Urine microalbumin (protein) analysis	168	134	$12.46	$6.19
82570 Creatinine level to test for kidney function or muscle injury	168	134	$11.50	$5.15
80307 Testing for presence of drug, by chemistry analyzers	167	107	$100.48	$61.72
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation	142	139	$324.00	$149.09
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	133	57	$265.00	$126.05
85610 Blood test, clotting time	111	13	$8.54	$4.25
93000 Routine ekg using at least 12 leads including interpretation and report	109	102	$32.00	$16.97
J1100 Injection, dexamethasone sodium phosphate, 1 mg	105	61	$30.72	$0.12
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	104	40	$14.95	$1.99
99496 Transitional care management services for problem of high complexity	97	77	$357.93	$235.23
84153 Psa (prostate specific antigen) measurement, total	92	83	$40.88	$18.22
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	65	65	$344.42	$205.76
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	56	11	$18.00	$1.43
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	50	25	$200.00	$118.82
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	45	41	$220.02	$144.57
69210 Removal of impacted ear wax	44	36	$75.95	$48.29
G0103 Prostate cancer screening; prostate specific antigen test (psa)	44	44	$40.88	$19.29
95810 Sleep monitoring of patient (6 years or older) in sleep lab	43	43	$914.21	$599.89
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	43	24	$71.00	$43.45
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	42	40	$961.00	$627.88
93880 Ultrasound of both sides of head and neck blood flow	28	28	$298.86	$197.20
85018 Blood count, hemoglobin	27	15	$5.86	$2.35
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	26	20	$81.00	$50.89
99495 Transitional care management services for problem of at least moderate complexity	26	22	$247.00	$180.65
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	26	26	$720.00	$467.91
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	24	24	$114.00	$62.79
99358 Prolonged patient service without direct patient contact first hour	24	22	$113.79	$112.27
76700 Ultrasound of abdomen	18	17	$183.00	$122.43
95886 Needle measurement of electrical activity in arm or leg muscles, complete study	18	18	$136.50	$96.66
17000 Destruction of skin growth	18	13	$100.00	$63.91
94729 Test to examine how well the lungs exchange gases	17	17	$81.00	$55.43
94200 Test to measure largest amount of air breathed in an out	17	17	$38.00	$22.10
94250 Single measurement of remaining air or lung capacity after exhalation	17	17	$39.00	$27.05
94727 Determination of lung volumes using gas dilution or washout	17	17	$63.00	$43.17
94060 Test to measure expiratory airflow and volume changes before and after medication administration	17	17	$90.00	$58.51
76536 Ultrasound of head and neck	15	15	$172.00	$114.53
76705 Limited ultrasound scan of abdomen	15	15	$136.87	$90.00
96127 Assessment of emotional or behavioral problems	14	13	$8.00	$4.88
93925 Ultrasound of leg arteries or artery grafts	13	12	$387.00	$248.97
87804 Detection test by immunoassay with direct visual observation for influenza virus	12	12	$35.17	$16.30
95800 Sleep study including heart rate, breathing, and sleep time	12	12	$400.00	$144.68
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	12	12	$70.00	$45.23
76775 Limited ultrasound scan behind abdominal cavity	11	11	$86.00	$59.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$186.36	$108.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	5,912	868	$65.00	$41.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,739	1,109	$174.80	$105.80
36415 Insertion of needle into vein for collection of blood sample	1,708	806	$6.00	$2.94
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,533	796	$17.84	$8.46
84443 Blood test, thyroid stimulating hormone (TSH)	1,406	759	$38.49	$18.30
80061 Blood test, lipids (cholesterol and triglycerides)	1,399	761	$31.45	$14.57
82550 Creatine kinase (cardiac enzyme) level, total	1,384	755	$14.89	$7.09
83615 Lactate dehydrogenase (enzyme) level	1,381	755	$13.81	$6.58
84439 Thyroxine (thyroid chemical), free	1,302	729	$20.54	$9.81
84481 Thyroid hormone, t3 measurement, free	1,243	716	$38.46	$18.44
86800 Thyroglobulin (thyroid protein) antibody measurement	1,197	703	$36.13	$17.32
86376 Microsomal antibodies (autoantibody) measurement	1,185	700	$33.07	$15.85
82746 Folic acid level	1,177	708	$33.22	$16.00
82607 Cyanocobalamin (vitamin B-12) level	1,176	714	$34.50	$16.41
99213 Established patient office or other outpatient visit, typically 15 minutes	1,165	645	$149.24	$72.38
84550 Uric acid level, blood	1,098	653	$10.32	$4.91
83970 Parathormone (parathyroid hormone) level	886	594	$94.82	$44.94
83036 Hemoglobin A1C level	862	472	$22.14	$10.56
84460 Liver enzyme (sgpt), level	711	589	$11.99	$5.77
84155 Total protein level, blood	707	589	$8.28	$3.99
84075 Phosphatase (enzyme) level, alkaline	704	586	$11.71	$5.63
82248 Bilirubin level, direct	692	587	$11.34	$5.45
82247 Bilirubin level	689	574	$11.34	$5.46
G0442 Annual alcohol misuse screening, 5 to 15 minutes	685	685	$27.02	$17.53
83735 Magnesium level	677	418	$15.89	$7.28
82040 Albumin (protein) level	672	580	$11.20	$5.39
83540 Iron level	671	410	$14.77	$7.04
82306 Vitamin d-3 level	665	499	$67.52	$32.23
82728 Ferritin (blood protein) level	665	407	$31.13	$14.83
80053 Blood test, comprehensive group of blood chemicals	662	519	$24.34	$11.49
84403 Testosterone (hormone) level, total	661	591	$59.40	$28.07
82670 Measurement of total estradiol (hormone)	653	588	$64.34	$30.37
95004 Test for allergy using allergenic extract	652	13	$10.00	$4.19
82565 Blood creatinine level	647	559	$11.60	$5.58
83002 Gonadotropin, luteinizing (reproductive hormone) level	647	591	$42.64	$20.13
82947 Blood glucose (sugar) level	646	559	$8.91	$4.28
83001 Gonadotropin, follicle stimulating (reproductive hormone) level	646	590	$42.80	$20.21
84144 Progesterone (reproductive hormone) level	645	591	$48.06	$22.68
84295 Blood sodium level	645	559	$10.90	$5.24
84132 Blood potassium level	644	558	$10.42	$5.01
82435 Blood chloride level	643	559	$10.42	$5.01
84520 Urea nitrogen level to assess kidney function	642	559	$8.95	$4.30
82627 Dehydroepiandrosterone (DHEA-S) hormone level	641	588	$51.20	$24.18
84146 Prolactin (milk producing hormone) level	639	584	$44.60	$21.07
G0444 Annual depression screening, 5 to 15 minutes	638	638	$27.03	$17.55
82310 Calcium level, total	632	546	$11.70	$5.62
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	626	626	$174.93	$113.85
84466 Transferrin (iron binding protein) level	580	377	$29.09	$13.88
84100 Phosphate level	579	364	$10.91	$5.16
J0696 Injection, ceftriaxone sodium, per 250 mg	572	101	$30.00	$0.55
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	555	199	$38.00	$16.09
82533 Cortisol (hormone) measurement	544	506	$37.40	$17.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	291	75	$99.88	$44.07
80307 Testing for presence of drug, by chemistry analyzers	256	166	$133.90	$63.29
82044 Urine microalbumin (protein) analysis	252	179	$12.53	$6.09
82570 Creatinine level to test for kidney function or muscle injury	248	176	$11.83	$5.61
81002 Urinalysis, manual test	238	158	$7.03	$3.40
83721 Ldl cholesterol level	235	203	$21.74	$10.35
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	223	67	$15.00	$1.78
80048 Blood test, basic group of blood chemicals (calcium, total)	221	197	$19.35	$9.18
93000 Routine ekg using at least 12 leads including interpretation and report	210	201	$32.00	$16.63
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	194	138	$140.90	$88.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	169	169	$249.98	$159.49
85610 Blood test, clotting time	167	29	$9.47	$4.28
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation	151	151	$329.41	$144.31
80076 Liver function blood test panel	129	118	$18.90	$8.90
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	116	113	$382.08	$201.53
96127 Assessment of emotional or behavioral problems	113	112	$8.00	$5.15
J1245 Injection, dipyridamole, per 10 mg	110	21	$8.36	$1.53
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	108	108	$96.00	$61.24
99496 Transitional care management services for problem of high complexity	106	88	$342.24	$223.08
84153 Psa (prostate specific antigen) measurement, total	98	87	$41.95	$20.03
J1100 Injection, dexamethasone sodium phosphate, 1 mg	92	57	$30.00	$0.12
83550 Iron binding capacity	91	89	$21.53	$9.52
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	85	71	$220.00	$142.53
95810 Sleep monitoring of patient (6 years or older) in sleep lab	84	83	$915.00	$564.19
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	80	13	$39.94	$25.92
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	76	21	$18.00	$1.52
93880 Ultrasound of both sides of head and neck blood flow	72	70	$299.39	$196.28
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	63	32	$217.46	$116.78
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	60	59	$961.00	$591.66
93970 Ultrasound study of arm or leg veins with compression and maneuvers	59	59	$306.75	$189.70
76700 Ultrasound of abdomen	51	51	$192.88	$118.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$178.47	$103.20
G0103 Prostate cancer screening; prostate specific antigen test (psa)	48	48	$52.80	$20.03
99495 Transitional care management services for problem of at least moderate complexity	46	41	$246.98	$157.82
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	45	45	$313.00	$201.22
69210 Removal of impacted ear wax	39	35	$76.00	$46.83
84450 Liver enzyme (sgot), level	37	37	$11.50	$5.63
94250 Single measurement of remaining air or lung capacity after exhalation	37	37	$39.00	$26.99
94200 Test to measure largest amount of air breathed in an out	37	37	$38.00	$26.99
94727 Determination of lung volumes using gas dilution or washout	36	36	$63.00	$42.55
94729 Test to examine how well the lungs exchange gases	36	36	$81.00	$53.65
94060 Test to measure expiratory airflow and volume changes before and after medication administration	35	35	$90.00	$57.87
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	34	33	$126.71	$62.00
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	33	33	$730.00	$466.94
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	31	20	$71.00	$44.73
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	29	29	$81.00	$49.39
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	28	28	$260.00	$167.87
94640 Inhalation treatment for airway obstruction or sputum production	26	23	$29.00	$17.37
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	25	25	$252.00	$157.16
85018 Blood count, hemoglobin	25	19	$5.86	$2.58
87804 Detection test by immunoassay with direct visual observation for influenza virus	24	24	$33.10	$16.22
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	24	22	$163.00	$100.52
93925 Ultrasound of leg arteries or artery grafts	22	22	$392.18	$249.30
17000 Destruction of skin growth	21	20	$100.00	$63.23
76705 Limited ultrasound scan of abdomen	19	19	$150.26	$88.54
76536 Ultrasound of head and neck	19	19	$183.16	$111.83
95800 Sleep study including heart rate, breathing, and sleep time	18	17	$400.00	$162.17
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	14	14	$8.59	$4.18
96116 Exam of neurobehavioral status, first hour	12	12	$145.75	$94.92
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	11	11	$283.00	$184.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	6,182	856	$65.00	$41.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,637	1,067	$173.27	$105.26
36415 Insertion of needle into vein for collection of blood sample	1,525	770	$6.00	$2.94
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,271	718	$19.72	$9.40
80061 Blood test, lipids (cholesterol and triglycerides)	1,137	673	$36.72	$16.20
80053 Blood test, comprehensive group of blood chemicals	1,060	649	$26.85	$12.78
84443 Blood test, thyroid stimulating hormone (TSH)	1,001	623	$42.66	$20.33
99213 Established patient office or other outpatient visit, typically 15 minutes	938	539	$144.68	$71.98
82607 Cyanocobalamin (vitamin B-12) level	748	509	$38.40	$18.24
83036 Hemoglobin A1C level	661	400	$24.44	$11.75
G0442 Annual alcohol misuse screening, 5 to 15 minutes	661	661	$27.00	$17.87
G0444 Annual depression screening, 5 to 15 minutes	655	655	$27.00	$17.54
84439 Thyroxine (thyroid chemical), free	638	414	$22.81	$10.91
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	634	634	$175.00	$114.87
82306 Vitamin d-3 level	592	479	$75.38	$35.82
84100 Phosphate level	499	336	$11.91	$5.73
84550 Uric acid level, blood	479	303	$11.42	$5.47
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	448	152	$38.00	$19.84
83735 Magnesium level	405	268	$18.38	$8.10
J0696 Injection, ceftriaxone sodium, per 250 mg	401	85	$30.00	$0.60
83970 Parathormone (parathyroid hormone) level	378	276	$104.54	$49.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	378	79	$96.22	$42.94
82746 Folic acid level	325	217	$36.98	$17.79
83540 Iron level	289	182	$16.36	$7.83
82728 Ferritin (blood protein) level	289	184	$34.48	$16.49
83550 Iron binding capacity	282	180	$22.09	$10.57
83721 Ldl cholesterol level	280	229	$23.65	$11.54
82044 Urine microalbumin (protein) analysis	251	199	$12.49	$6.11
80048 Blood test, basic group of blood chemicals (calcium, total)	227	190	$21.43	$10.23
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	226	53	$14.95	$1.96
82570 Creatinine level to test for kidney function or muscle injury	199	164	$13.19	$6.26
85610 Blood test, clotting time	185	36	$9.86	$4.67
93000 Routine ekg using at least 12 leads including interpretation and report	181	172	$32.00	$16.73
81002 Urinalysis, manual test	164	113	$7.06	$3.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	162	162	$249.99	$160.43
80076 Liver function blood test panel	152	133	$20.74	$9.89
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	128	18	$40.00	$25.69
J1100 Injection, dexamethasone sodium phosphate, 1 mg	106	23	$10.03	$0.11
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	98	21	$12.12	$1.83
99496 Transitional care management services for problem of high complexity	93	81	$347.00	$227.13
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	89	87	$345.00	$201.58
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	82	75	$220.00	$143.20
95810 Sleep monitoring of patient (6 years or older) in sleep lab	80	76	$915.00	$576.11
71046 X-ray of chest, 2 views	75	71	$45.25	$29.80
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	74	55	$141.00	$90.70
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	71	70	$961.00	$604.90
84153 Psa (prostate specific antigen) measurement, total	70	67	$46.50	$22.26
84403 Testosterone (hormone) level, total	55	39	$65.93	$31.23
93880 Ultrasound of both sides of head and neck blood flow	50	50	$299.00	$198.85
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	43	24	$200.00	$115.96
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	40	37	$13.00	$8.55
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	38	36	$13.00	$8.26
69210 Removal of impacted ear wax	36	30	$78.11	$47.59
76700 Ultrasound of abdomen	36	36	$183.00	$119.58
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	36	29	$9.01	$4.29
93970 Ultrasound study of arm or leg veins with compression and maneuvers	35	33	$292.00	$191.38
99495 Transitional care management services for problem of at least moderate complexity	35	35	$247.00	$160.32
94729 Test to examine how well the lungs exchange gases	34	34	$81.00	$52.91
94727 Determination of lung volumes using gas dilution or washout	34	34	$63.00	$42.90
94250 Single measurement of remaining air or lung capacity after exhalation	33	33	$39.00	$27.46
94200 Test to measure largest amount of air breathed in an out	33	33	$38.00	$26.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$176.56	$103.10
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	32	32	$96.00	$62.79
82670 Measurement of total estradiol (hormone)	30	22	$70.00	$33.80
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	29	29	$315.00	$206.35
17000 Destruction of skin growth	28	20	$100.00	$64.29
84144 Progesterone (reproductive hormone) level	27	23	$51.73	$25.24
83002 Gonadotropin, luteinizing (reproductive hormone) level	26	22	$46.11	$22.40
94640 Inhalation treatment for airway obstruction or sputum production	26	26	$71.23	$18.05
82627 Dehydroepiandrosterone (DHEA-S) hormone level	25	20	$55.14	$26.90
94060 Test to measure expiratory airflow and volume changes before and after medication administration	24	24	$90.00	$58.79
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	24	24	$114.00	$63.48
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	24	24	$717.83	$473.37
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	24	19	$81.00	$51.46
83001 Gonadotropin, follicle stimulating (reproductive hormone) level	23	20	$46.32	$22.48
84146 Prolactin (milk producing hormone) level	23	19	$47.84	$23.44
76536 Ultrasound of head and neck	23	23	$172.00	$113.31
73630 X-ray of foot, minimum of 3 views	23	21	$44.00	$28.59
G0103 Prostate cancer screening; prostate specific antigen test (psa)	22	22	$36.78	$22.26
95872 Needle measurement of electrical activity in muscle, including jitter, blocking and/or fiber density	21	11	$299.00	$197.10
76705 Limited ultrasound scan of abdomen	20	20	$137.00	$89.74
95800 Sleep study including heart rate, breathing, and sleep time	19	19	$400.00	$165.97
93925 Ultrasound of leg arteries or artery grafts	19	18	$384.16	$253.44
82550 Creatine kinase (cardiac enzyme) level, total	19	19	$16.08	$7.88
87804 Detection test by immunoassay with direct visual observation for influenza virus	18	17	$32.60	$16.22
73610 X-ray of ankle, minimum of 3 views	16	16	$50.00	$30.65
73562 X-ray of knee, 3 views	12	12	$57.00	$34.89
82565 Blood creatinine level	11	11	$13.30	$6.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	6,312	793	$65.00	$41.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,823	1,155	$162.32	$105.36
36415 Insertion of needle into vein for collection of blood sample	984	563	$4.67	$2.93
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	956	680	$17.99	$10.44
80061 Blood test, lipids (cholesterol and triglycerides)	889	616	$31.28	$13.67
80053 Blood test, comprehensive group of blood chemicals	809	590	$24.61	$11.44
95004 Test for allergy using allergenic extract	750	14	$10.00	$6.57
84443 Blood test, thyroid stimulating hormone (TSH)	729	547	$39.32	$22.59
99213 Established patient office or other outpatient visit, typically 15 minutes	690	425	$110.78	$71.41
G0442 Annual alcohol misuse screening, 5 to 15 minutes	603	603	$27.00	$17.55
G0444 Annual depression screening, 5 to 15 minutes	589	589	$27.00	$17.55
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	570	570	$174.90	$113.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	568	568	$249.26	$159.37
83721 Ldl cholesterol level	526	423	$19.32	$12.83
83036 Hemoglobin A1C level	475	334	$22.45	$13.05
82607 Cyanocobalamin (vitamin B-12) level	450	364	$35.10	$20.27
82306 Vitamin d-3 level	401	339	$68.41	$39.80
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	391	176	$37.83	$24.49
84439 Thyroxine (thyroid chemical), free	373	280	$21.19	$12.12
J0696 Injection, ceftriaxone sodium, per 250 mg	256	101	$28.96	$0.65
80048 Blood test, basic group of blood chemicals (calcium, total)	247	215	$19.64	$8.31
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	211	41	$12.80	$2.83
81002 Urinalysis, manual test	211	144	$6.47	$3.38
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	180	180	$96.00	$62.60
82043 Urine microalbumin (protein) level	173	144	$4.22	$2.37
80076 Liver function blood test panel	167	150	$18.95	$7.00
85610 Blood test, clotting time	160	29	$9.53	$5.28
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	133	23	$40.00	$25.65
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	128	26	$12.15	$1.81
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	128	96	$141.00	$90.26
95810 Sleep monitoring of patient (6 years or older) in sleep lab	125	121	$915.00	$591.50
82728 Ferritin (blood protein) level	113	85	$31.99	$18.33
93880 Ultrasound of both sides of head and neck blood flow	107	107	$299.00	$186.72
71020 X-ray of chest, 2 views, front and side	104	100	$44.00	$27.20
83540 Iron level	102	80	$15.11	$8.70
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	102	100	$961.00	$618.36
J1245 Injection, dipyridamole, per 10 mg	101	21	$4.00	$0.78
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	99	93	$13.00	$8.24
95872 Needle measurement of electrical activity in muscle, including jitter, blocking and/or fiber density	99	31	$299.00	$195.29
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	97	91	$13.00	$8.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	91	91	$197.12	$104.75
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	90	89	$345.00	$219.54
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	88	46	$200.00	$113.87
G0103 Prostate cancer screening; prostate specific antigen test (psa)	85	85	$29.00	$24.73
80307 Testing for presence of drug, by chemistry analyzers	83	67	$139.09	$77.67
93000 Routine ekg using at least 12 leads including interpretation and report	81	78	$30.74	$16.58
83550 Iron binding capacity	79	65	$20.95	$11.75
99496 Transitional care management services for problem of high complexity	71	56	$347.00	$226.18
83970 Parathormone (parathyroid hormone) level	68	55	$94.97	$55.49
82746 Folic acid level	66	56	$34.82	$19.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	54	49	$216.22	$142.76
94640 Inhalation treatment for airway obstruction or sputum production	53	52	$35.89	$17.34
84550 Uric acid level, blood	49	38	$10.88	$4.19
J1100 Injection, dexamethasone sodium phosphate, 1 mg	48	11	$1.00	$0.12
84403 Testosterone (hormone) level, total	47	39	$57.93	$34.70
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	47	47	$283.00	$162.76
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	46	46	$716.00	$461.56
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	45	45	$114.00	$63.78
93970 Ultrasound study of arm or leg veins with compression and maneuvers	40	38	$292.00	$188.71
82570 Creatinine level to test for kidney function or muscle injury	36	36	$14.20	$6.96
69210 Removal of impacted ear wax	34	27	$75.76	$48.77
86141 Measurement c-reactive protein for detection of infection or inflammation, high sensitivity	34	31	$29.26	$17.40
94200 Test to measure largest amount of air breathed in an out	34	34	$38.00	$25.08
94729 Test to examine how well the lungs exchange gases	34	34	$81.00	$52.61
73630 X-ray of foot, minimum of 3 views	34	33	$45.29	$29.09
94727 Determination of lung volumes using gas dilution or washout	33	33	$63.00	$40.85
82044 Urine microalbumin (protein) analysis	33	33	$12.56	$6.15
94250 Single measurement of remaining air or lung capacity after exhalation	33	33	$39.00	$25.76
85018 Blood count, hemoglobin	31	24	$5.00	$3.18
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	29	28	$81.00	$52.85
94060 Test to measure expiratory airflow and volume changes before and after medication administration	27	27	$90.00	$58.84
73130 X-ray of hand, minimum of 3 views	26	26	$48.46	$32.22
76700 Ultrasound of abdomen	25	25	$183.00	$119.53
99495 Transitional care management services for problem of at least moderate complexity	24	23	$247.00	$160.44
76536 Ultrasound of head and neck	24	22	$172.00	$113.24
69209 Removal of impacted ear wax by washing	22	20	$32.27	$15.23
93925 Ultrasound of leg arteries or artery grafts	22	21	$382.09	$249.79
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	22	16	$265.00	$123.66
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	21	16	$180.00	$116.02
76770 Complete ultrasound scan behind abdominal cavity	21	21	$168.00	$110.62
84153 Psa (prostate specific antigen) measurement, total	21	20	$40.97	$24.73
17000 Destruction of skin growth	20	14	$100.00	$65.93
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$313.16	$203.59
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	19	15	$8.73	$4.77
73562 X-ray of knee, 3 views	19	18	$57.00	$34.68
J0280 Injection, aminophyllin, up to 250 mg	18	13	$3.00	$2.95
17110 Destruction of up to 14 skin growths	17	13	$165.00	$108.62
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	17	13	$71.00	$45.46
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation	17	17	$324.00	$141.05
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	17	17	$252.00	$155.54
87804 Detection test by immunoassay with direct visual observation for influenza virus	17	17	$26.52	$15.32
73610 X-ray of ankle, minimum of 3 views	17	16	$52.94	$32.38
73110 X-ray of wrist, minimum of 3 views	17	17	$56.12	$36.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	12	$72.75	$42.44
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	15	12	$2292.00	$1477.38
72100 X-ray of lower and sacral spine, 2-3 views	14	14	$55.00	$34.16
82270 Stool analysis for blood to screen for colon tumors	14	14	$7.00	$4.37
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	13	13	$68.00	$41.03
82947 Blood glucose (sugar) level	13	12	$9.27	$5.28
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	13	13	$58.00	$34.94
20610 Aspiration and/or injection of fluid from large joint	13	11	$92.26	$57.09
95912 Nerve conduction, 11-12 studies	12	12	$390.00	$254.95
95913 Nerve conduction, 13 or more studies	11	11	$442.00	$293.03
90715 Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older)	11	11	$63.45	$27.21

Medical Specialties & State Licenses

CMS Verified: 2024-10-18

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME90844

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.

Internal Medicine - Sleep Medicine

NUCC Taxonomy Code: 207RS0012X

State License TN MD0000059707

An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.

Internal Medicine - Sleep Medicine

NUCC Taxonomy Code: 207RS0012X

State License ME MD23213

Internal Medicine - Sleep Medicine

NUCC Taxonomy Code: 207RS0012X

State License VA 0101268192

Internal Medicine - Sleep Medicine

NUCC Taxonomy Code: 207RS0012X

State License MA 205680

Internal Medicine - Sleep Medicine

NUCC Taxonomy Code: 207RS0012X

State License IA MD-46944

Internal Medicine - Sleep Medicine

NUCC Taxonomy Code: 207RS0012X

State License IL 036.151724

Internal Medicine - Sleep Medicine

NUCC Taxonomy Code: 207RS0012X

State License FL ME90844

Internal Medicine - Sleep Medicine

NUCC Taxonomy Code: 207RS0012X

State License UT 11463402-1205

Internal Medicine - Sleep Medicine

NUCC Taxonomy Code: 207RS0012X

State License OH 35.137194

Internal Medicine - Sleep Medicine

NUCC Taxonomy Code: 207RS0012X

State License CA C167271

Internal Medicine - Sleep Medicine

NUCC Taxonomy Code: 207RS0012X

State License IN 01082741A

Pediatrics

NUCC Taxonomy Code: 208000000X

State License FL ME90844

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics - Sleep Medicine

NUCC Taxonomy Code: 2080S0012X

State License FL ME90844

A Pediatrician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.

Internal Medicine - Sleep Medicine

NUCC Taxonomy Code: 207RS0012X

State License NY 300985

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

269996600 (FL)

Hospital & Practice Group Affiliations

Pedim Outreach And Specialty Clinic Llc

1982 N Prospect Ave, Lecanto, FL 344619792

Phone: 3525630931

Pediatric And Internal Medicine Specialists Inc

1990 N Prospect Ave, Lecanto, FL 344619792

Phone: 3525276888

Practice Associates & Co-Workers

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

34 Associated Practitioners

Melanie Davies

Physician Assistant

NPI 1013380310

Dr. Myriam Cruz-Calderon, , MD

Internal Medicine

NPI 1053379271

Doctor of Medicine (M.D.)

Jennifer Cone , NP

Nurse Practitioner - Adult Health

NPI 1073039137

Nurse Practitioner

Elizabeth Jordan , MASSAGE THERAPIST

Massage Therapist

NPI 1104269968

MASSAGETHERAPIST

Dr. Wilbert Jacobs , MD

Family Medicine

NPI 1124348438

Doctor of Medicine (M.D.)

Ariana Samaroo-Wilson

Family Medicine

NPI 1124768676

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2021

Internal Medicine (License #ME90844 in FL)

✅

NPI Profile Active December 29, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 29, 2016

Registered at 1990 N PROSPECT AVE, LECANTO, FL 344619792 (Tel: 3525276888)

📍

Updated Business Mailing Address December 29, 2016

Registered at PO BOX 2066, LECANTO, FL 344602066 (Tel: 3525276888)

👤

Provider Name / Credentials Updated December 29, 2016

Recorded as DACELIN ST MARTIN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2016

Internal Medicine (License #ME90844 in FL)

🟢

Initial NPI Registration & Enumeration June 10, 2006

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: 1457392136

Entity Type:

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

Enumeration Date: June 10, 2006

Last Update: October 18, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 2066

Lecanto, FL 344602066

Phone: 3525276888

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.