Active NPI 1396747598 Individual Practitioner Male Practitioner

Dr. Arnold Smalls , MD

Internal Medicine • Lagrange, GA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Arnold Smalls, MD is a certified Internal Medicine practicing in Lagrange, GA. With approximately 35 years of clinical experience since graduating from University Of Pittsburgh School Of Medicine in 1991, Dr. Smalls delivers high-quality medical care to the local community at 1602 VERNON RD.

Dr. Smalls is affiliated with Lagrange Internal Medicine, Pc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include injection, testosterone cypionate, 1 mg, injection, methylprednisolone acetate, 1 mg, chronic care management services, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1602 Vernon Rd
Ste 400

Lagrange, GA 302404100

Telephone 7068829341

Fax 7068840131

Associated Practice Facility / Clinic

🏢 Lagrange Internal Medicine, Pc Facility NPI 1831267632

Medicare Profile & Education

Medical School

University Of Pittsburgh School Of Medicine

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Lagrange, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +4.7 yrs vs City Avg

City Avg: 30.3 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

16 Specialists

Practicing in Lagrange, GA (4065 Statewide)

Telehealth Adoption Rate

56.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

49.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smalls (35 Years) 35 Yrs

Lagrange Specialty Average (30.3 Years) 30.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	26,303	11	$0.08	$0.02
J1010 Injection, methylprednisolone acetate, 1 mg	4,242	46	$0.81	$0.13
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,824	187	$71.00	$60.15
36415 Insertion of needle into vein for collection of blood sample	1,186	505	$15.00	$8.56
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	1,045	175	$50.00	$45.95
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	1,042	576	$18.00	$16.07
81003 Automated urinalysis test	1,013	440	$14.00	$2.18
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,003	483	$36.00	$7.57
80053 Blood test, comprehensive group of blood chemicals	984	469	$30.00	$10.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	969	436	$225.09	$119.24
84443 Blood test, thyroid stimulating hormone (TSH)	904	407	$48.00	$16.46
80061 Blood test, lipids (cholesterol and triglycerides)	900	401	$45.00	$12.96
82043 Urine microalbumin (protein) level	860	378	$20.00	$5.61
82570 Creatinine level to test for kidney function or muscle injury	853	376	$15.00	$5.03
99213 Established patient office or other outpatient visit, typically 15 minutes	730	484	$150.04	$85.44
83036 Hemoglobin A1C level	515	256	$44.00	$9.40
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	381	60	$45.00	$13.50
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	358	30	$48.00	$37.84
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	307	34	$60.00	$46.47
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	280	31	$70.00	$42.31
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	272	272	$129.00	$125.33
84439 Thyroxine (thyroid chemical), free	263	157	$65.00	$8.75
82607 Cyanocobalamin (vitamin B-12) level	261	252	$71.00	$14.62
82306 Vitamin d-3 level	256	249	$107.00	$28.59
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	230	42	$5.00	$1.28
J1885 Injection, ketorolac tromethamine, per 15 mg	178	29	$15.00	$0.66
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	147	52	$75.00	$69.02
71046 X-ray of chest, 2 views	141	127	$65.00	$30.53
83735 Magnesium level	115	97	$28.00	$6.57
G0103 Prostate cancer screening; prostate specific antigen test (psa)	94	94	$53.00	$18.92
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	89	54	$140.00	$126.83
85610 Blood test, clotting time	82	11	$20.00	$4.10
87631 Detection test for multiple types of respiratory virus	76	72	$300.00	$136.76
77067 Screening mammography	69	69	$420.00	$118.16
77063 Screening digital tomography of both breasts	69	69	$98.19	$49.23
J0696 Injection, ceftriaxone sodium, per 250 mg	65	16	$18.69	$0.44
93000 Routine ekg using at least 12 leads including interpretation and report	62	58	$55.00	$13.58
G0008 Administration of influenza virus vaccine	53	53	$35.00	$30.39
90662 Influenza vaccine split virus, preservative free	53	53	$119.62	$77.00
84481 Thyroid hormone, t3 measurement, free	51	42	$40.00	$16.60
80048 Blood test, basic group of blood chemicals (calcium, total)	43	31	$25.00	$7.37
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	41	40	$45.00	$44.10
87804 Detection test by immunoassay with direct visual observation for influenza virus	41	40	$58.00	$16.22
77080 Dxa bone density measurement of hip, pelvis, spine	29	29	$140.00	$35.91
83550 Iron binding capacity	28	26	$30.00	$8.57
82728 Ferritin (blood protein) level	28	26	$56.00	$13.36
83540 Iron level	28	26	$20.00	$6.34
84403 Testosterone (hormone) level, total	27	19	$39.00	$24.35
84402 Testosterone (hormone) level, free	27	19	$52.00	$24.96
99496 Transitional care management services for problem of high complexity	26	25	$295.00	$263.88
73030 X-ray of shoulder, minimum of 2 views	22	21	$70.00	$31.91
73560 X-ray of knee, 1-2 views	21	20	$70.00	$31.35
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	20	20	$700.94	$112.76
83525 Insulin measurement, total	19	16	$49.00	$11.20
73502 X-ray of hip, 2-3 views	19	19	$55.00	$43.46
72100 X-ray of lower and sacral spine, 2-3 views	18	18	$95.00	$36.56
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	18	18	$165.00	$160.48
84681 C-peptide (protein) level	18	16	$83.00	$20.39
92250 Photography of the retina	18	18	$95.00	$34.73
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	16	16	$58.00	$16.20
99495 Transitional care management services for problem of at least moderate complexity	16	16	$220.00	$193.39
73620 X-ray of foot, 2 views	15	14	$70.00	$26.41
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	15	12	$56.33	$51.05
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$168.00	$148.96
G0009 Administration of pneumococcal vaccine	14	14	$35.00	$30.39
83970 Parathormone (parathyroid hormone) level	14	13	$78.00	$40.45
76700 Ultrasound of abdomen	13	13	$380.00	$107.21
84153 Psa (prostate specific antigen) measurement, total	13	13	$53.00	$18.02
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	13	11	$250.00	$107.96
J1040 Injection, methylprednisolone acetate, 80 mg	13	12	$15.00	$9.70
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	12	12	$325.00	$290.55
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	12	12	$20.00	$13.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$220.00	$106.55
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	11	11	$75.00	$17.69
84550 Uric acid level, blood	11	11	$20.00	$4.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	33,451	16	$0.08	$0.03
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	2,129	234	$71.00	$59.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,273	561	$225.08	$118.12
36415 Insertion of needle into vein for collection of blood sample	1,224	529	$15.00	$8.29
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	1,108	210	$50.00	$44.89
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,064	507	$36.00	$7.55
81003 Automated urinalysis test	1,059	494	$14.00	$2.16
80053 Blood test, comprehensive group of blood chemicals	1,024	493	$30.00	$10.33
80061 Blood test, lipids (cholesterol and triglycerides)	1,023	496	$45.00	$12.89
84443 Blood test, thyroid stimulating hormone (TSH)	1,000	484	$48.00	$16.43
82043 Urine microalbumin (protein) level	964	470	$20.00	$5.58
82570 Creatinine level to test for kidney function or muscle injury	960	468	$15.00	$5.01
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	556	90	$45.00	$13.22
83036 Hemoglobin A1C level	551	295	$44.00	$9.36
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	449	36	$48.00	$37.65
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	368	44	$70.00	$44.33
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	363	45	$60.00	$45.72
82306 Vitamin d-3 level	350	327	$107.00	$28.58
82607 Cyanocobalamin (vitamin B-12) level	348	324	$71.00	$14.45
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	335	335	$129.00	$123.25
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	325	48	$5.00	$1.55
84439 Thyroxine (thyroid chemical), free	305	179	$65.00	$8.71
99213 Established patient office or other outpatient visit, typically 15 minutes	298	246	$150.15	$83.93
J1885 Injection, ketorolac tromethamine, per 15 mg	221	37	$15.00	$0.54
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	128	44	$75.00	$66.59
G0103 Prostate cancer screening; prostate specific antigen test (psa)	112	112	$53.00	$18.92
77067 Screening mammography	95	95	$420.00	$113.55
77063 Screening digital tomography of both breasts	93	93	$75.00	$47.75
71046 X-ray of chest, 2 views	87	77	$65.00	$31.20
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	73	45	$140.00	$125.42
G0008 Administration of influenza virus vaccine	72	72	$29.03	$26.26
90662 Influenza vaccine split virus, preservative free	68	68	$96.69	$69.81
87804 Detection test by immunoassay with direct visual observation for influenza virus	66	56	$58.00	$15.31
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	65	56	$36.08	$33.32
J1040 Injection, methylprednisolone acetate, 80 mg	57	46	$15.00	$10.91
80048 Blood test, basic group of blood chemicals (calcium, total)	55	40	$25.00	$7.42
77080 Dxa bone density measurement of hip, pelvis, spine	52	52	$140.00	$34.22
84481 Thyroid hormone, t3 measurement, free	48	42	$40.00	$16.60
93000 Routine ekg using at least 12 leads including interpretation and report	44	40	$55.00	$13.60
84403 Testosterone (hormone) level, total	36	29	$39.00	$24.59
84402 Testosterone (hormone) level, free	36	29	$52.00	$24.27
J1030 Injection, methylprednisolone acetate, 40 mg	23	19	$10.00	$7.21
72100 X-ray of lower and sacral spine, 2-3 views	21	21	$95.00	$36.86
83550 Iron binding capacity	21	18	$30.00	$7.95
83540 Iron level	21	18	$20.00	$5.88
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	21	21	$165.00	$158.60
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	20	20	$325.00	$254.12
73560 X-ray of knee, 1-2 views	20	18	$70.00	$31.53
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	19	19	$168.00	$158.31
76700 Ultrasound of abdomen	17	17	$380.00	$108.51
92250 Photography of the retina	17	17	$95.00	$34.89
99495 Transitional care management services for problem of at least moderate complexity	17	16	$220.00	$180.35
G0009 Administration of pneumococcal vaccine	17	17	$30.88	$27.07
84153 Psa (prostate specific antigen) measurement, total	15	15	$53.00	$18.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$330.00	$159.18
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	15	13	$58.00	$15.12
73030 X-ray of shoulder, minimum of 2 views	14	12	$70.00	$31.93
84550 Uric acid level, blood	13	13	$20.00	$4.43
83735 Magnesium level	13	11	$28.00	$6.57
76536 Ultrasound of head and neck	11	11	$242.00	$96.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	35,452	16	$0.08	$0.03
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	2,310	233	$71.00	$60.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,138	484	$225.09	$117.04
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	1,027	205	$50.00	$45.56
36415 Insertion of needle into vein for collection of blood sample	849	451	$15.00	$2.91
81003 Automated urinalysis test	677	417	$14.00	$2.19
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	676	428	$36.00	$7.59
80053 Blood test, comprehensive group of blood chemicals	624	408	$30.00	$10.41
80061 Blood test, lipids (cholesterol and triglycerides)	620	407	$45.00	$13.02
84443 Blood test, thyroid stimulating hormone (TSH)	610	398	$48.00	$16.56
82043 Urine microalbumin (protein) level	589	388	$20.00	$5.65
82570 Creatinine level to test for kidney function or muscle injury	587	387	$15.00	$5.07
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	518	95	$45.00	$13.45
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	370	58	$70.00	$48.77
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	363	60	$60.00	$46.51
83036 Hemoglobin A1C level	362	238	$44.00	$9.40
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	279	57	$5.00	$1.71
82306 Vitamin d-3 level	276	269	$107.00	$28.86
82607 Cyanocobalamin (vitamin B-12) level	266	262	$71.00	$14.65
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	263	263	$129.00	$124.83
99213 Established patient office or other outpatient visit, typically 15 minutes	260	212	$150.17	$82.55
J1885 Injection, ketorolac tromethamine, per 15 mg	227	38	$15.00	$0.57
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	201	51	$75.00	$66.23
84439 Thyroxine (thyroid chemical), free	189	131	$65.00	$8.85
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	132	41	$48.00	$38.35
G0103 Prostate cancer screening; prostate specific antigen test (psa)	112	112	$53.00	$19.01
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	98	51	$140.00	$125.58
G0008 Administration of influenza virus vaccine	86	84	$25.00	$24.53
90662 Influenza vaccine split virus, preservative free	83	82	$74.76	$66.80
85610 Blood test, clotting time	83	11	$20.00	$4.19
77063 Screening digital tomography of both breasts	83	83	$75.00	$49.99
77067 Screening mammography	82	82	$420.00	$119.68
71046 X-ray of chest, 2 views	65	53	$65.00	$30.19
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	64	64	$25.00	$16.75
80048 Blood test, basic group of blood chemicals (calcium, total)	63	43	$25.00	$7.60
J0696 Injection, ceftriaxone sodium, per 250 mg	53	11	$15.00	$0.50
87804 Detection test by immunoassay with direct visual observation for influenza virus	49	40	$58.00	$15.98
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	46	38	$35.00	$32.91
77080 Dxa bone density measurement of hip, pelvis, spine	38	38	$140.00	$34.28
92250 Photography of the retina	33	33	$95.00	$34.86
J1040 Injection, methylprednisolone acetate, 80 mg	31	24	$15.00	$10.58
84481 Thyroid hormone, t3 measurement, free	27	24	$40.00	$16.75
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	26	26	$168.00	$154.05
84402 Testosterone (hormone) level, free	25	23	$52.00	$25.08
84403 Testosterone (hormone) level, total	25	23	$39.00	$25.41
93000 Routine ekg using at least 12 leads including interpretation and report	24	21	$55.00	$13.44
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	21	18	$51.00	$50.00
J1030 Injection, methylprednisolone acetate, 40 mg	21	16	$10.00	$6.09
83735 Magnesium level	19	19	$28.00	$6.27
72100 X-ray of lower and sacral spine, 2-3 views	19	19	$95.00	$37.11
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	18	18	$165.00	$160.02
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	17	17	$700.94	$112.80
73560 X-ray of knee, 1-2 views	17	15	$70.00	$30.35
83550 Iron binding capacity	17	15	$30.00	$8.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$330.00	$159.81
99496 Transitional care management services for problem of high complexity	17	17	$295.00	$253.79
83540 Iron level	17	15	$20.00	$6.38
G0009 Administration of pneumococcal vaccine	16	15	$25.00	$24.67
73030 X-ray of shoulder, minimum of 2 views	16	16	$70.00	$31.99
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	14	14	$75.00	$17.81
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	13	13	$50.00	$40.24
73620 X-ray of foot, 2 views	12	12	$70.00	$26.24
76700 Ultrasound of abdomen	12	12	$380.00	$103.10
99495 Transitional care management services for problem of at least moderate complexity	12	11	$220.00	$174.08
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	11	11	$20.00	$13.49
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	11	11	$40.00	$37.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	38,102	22	$0.08	$0.03
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	2,560	279	$41.27	$39.07
36415 Insertion of needle into vein for collection of blood sample	1,425	529	$15.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,283	524	$225.12	$119.33
81003 Automated urinalysis test	1,206	512	$14.00	$2.22
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,172	509	$36.00	$7.72
80061 Blood test, lipids (cholesterol and triglycerides)	1,140	507	$45.00	$13.25
80053 Blood test, comprehensive group of blood chemicals	1,127	495	$30.00	$10.56
84443 Blood test, thyroid stimulating hormone (TSH)	1,119	500	$48.00	$16.79
82043 Urine microalbumin (protein) level	1,099	493	$20.00	$5.73
82570 Creatinine level to test for kidney function or muscle injury	1,094	489	$15.00	$5.14
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	963	234	$38.87	$35.77
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	621	100	$45.00	$13.41
83036 Hemoglobin A1C level	580	283	$44.00	$9.58
99213 Established patient office or other outpatient visit, typically 15 minutes	381	318	$150.12	$85.02
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	363	363	$127.04	$125.78
82306 Vitamin d-3 level	361	344	$107.00	$29.44
82607 Cyanocobalamin (vitamin B-12) level	359	342	$71.00	$14.96
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	357	64	$5.00	$1.98
84439 Thyroxine (thyroid chemical), free	294	169	$65.00	$8.98
J1885 Injection, ketorolac tromethamine, per 15 mg	216	22	$15.00	$0.50
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	204	54	$45.80	$40.57
85610 Blood test, clotting time	130	17	$20.00	$4.02
G0103 Prostate cancer screening; prostate specific antigen test (psa)	110	110	$53.00	$19.31
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	94	56	$92.32	$84.25
77067 Screening mammography	86	86	$420.00	$119.91
G0008 Administration of influenza virus vaccine	85	85	$25.00	$15.74
90662 Influenza vaccine split virus, preservative free	80	80	$65.00	$63.32
77063 Screening digital tomography of both breasts	74	74	$75.00	$50.55
80048 Blood test, basic group of blood chemicals (calcium, total)	65	39	$25.00	$7.59
71046 X-ray of chest, 2 views	61	54	$65.00	$30.25
77080 Dxa bone density measurement of hip, pelvis, spine	53	53	$140.00	$35.19
J1040 Injection, methylprednisolone acetate, 80 mg	42	29	$15.00	$10.38
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	33	25	$51.06	$50.27
84402 Testosterone (hormone) level, free	30	29	$52.00	$24.97
84403 Testosterone (hormone) level, total	30	29	$39.00	$25.21
93000 Routine ekg using at least 12 leads including interpretation and report	30	26	$55.00	$13.56
J1030 Injection, methylprednisolone acetate, 40 mg	29	20	$10.00	$5.52
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	27	27	$75.00	$18.05
92250 Photography of the retina	25	24	$95.00	$36.95
76700 Ultrasound of abdomen	24	23	$380.00	$113.82
86769 Measure of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody	22	22	$75.00	$42.13
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	22	22	$165.00	$162.12
84481 Thyroid hormone, t3 measurement, free	21	19	$40.00	$16.94
84550 Uric acid level, blood	21	19	$20.00	$4.52
73030 X-ray of shoulder, minimum of 2 views	21	18	$70.00	$31.69
83540 Iron level	20	15	$20.00	$6.47
83550 Iron binding capacity	20	15	$30.00	$8.74
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	19	19	$131.58	$121.94
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	19	19	$168.00	$161.80
G0009 Administration of pneumococcal vaccine	18	18	$25.00	$15.79
83735 Magnesium level	16	15	$28.00	$6.70
72100 X-ray of lower and sacral spine, 2-3 views	16	16	$95.00	$32.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$330.00	$161.55
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	15	15	$700.94	$121.48
83970 Parathormone (parathyroid hormone) level	14	13	$78.00	$41.28
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	14	14	$20.00	$14.02
84100 Phosphate level	12	11	$20.00	$4.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	40,603	21	$0.08	$0.03
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	3,294	344	$44.00	$40.48
36415 Insertion of needle into vein for collection of blood sample	1,543	614	$15.00	$2.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,496	617	$225.12	$103.23
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,265	581	$35.97	$7.71
80061 Blood test, lipids (cholesterol and triglycerides)	1,254	586	$45.00	$13.18
80053 Blood test, comprehensive group of blood chemicals	1,242	575	$30.00	$10.49
84443 Blood test, thyroid stimulating hormone (TSH)	1,237	572	$48.00	$16.69
81003 Automated urinalysis test	1,156	566	$14.00	$2.21
82043 Urine microalbumin (protein) level	1,046	548	$20.00	$5.71
82570 Creatinine level to test for kidney function or muscle injury	1,039	545	$15.00	$5.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	708	104	$45.00	$13.64
83036 Hemoglobin A1C level	697	361	$44.00	$9.58
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	612	225	$39.00	$36.21
99213 Established patient office or other outpatient visit, typically 15 minutes	499	386	$150.24	$70.72
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	436	81	$5.00	$2.03
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	412	412	$113.00	$111.51
82607 Cyanocobalamin (vitamin B-12) level	342	324	$71.00	$14.90
82306 Vitamin d-3 level	340	324	$107.00	$29.22
84439 Thyroxine (thyroid chemical), free	322	192	$65.00	$8.93
J1885 Injection, ketorolac tromethamine, per 15 mg	237	34	$15.00	$0.56
J0696 Injection, ceftriaxone sodium, per 250 mg	200	12	$15.00	$0.56
85610 Blood test, clotting time	148	19	$20.00	$4.24
G0008 Administration of influenza virus vaccine	126	123	$25.00	$15.88
G0103 Prostate cancer screening; prostate specific antigen test (psa)	109	109	$53.00	$19.20
90662 Influenza vaccine split virus, preservative free	97	97	$65.00	$60.35
77067 Screening mammography	94	94	$417.13	$127.12
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	83	33	$65.00	$42.35
71046 X-ray of chest, 2 views	71	61	$65.00	$29.57
80048 Blood test, basic group of blood chemicals (calcium, total)	56	35	$25.00	$7.63
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	49	34	$115.00	$87.29
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	41	33	$51.46	$51.32
77080 Dxa bone density measurement of hip, pelvis, spine	39	39	$140.00	$36.80
G0009 Administration of pneumococcal vaccine	36	35	$25.00	$15.84
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	36	36	$168.00	$165.52
J1040 Injection, methylprednisolone acetate, 80 mg	33	19	$15.00	$11.32
90682 Influenza vaccine, quadrivalent derived from recombinant dna	33	30	$62.88	$58.40
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	31	31	$110.00	$98.79
93000 Routine ekg using at least 12 leads including interpretation and report	30	27	$55.00	$16.22
76700 Ultrasound of abdomen	28	27	$362.86	$112.63
92250 Photography of the retina	27	27	$95.00	$42.72
90739 Hepatitis b vaccine (hepb), cpg-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use	27	18	$140.00	$128.48
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	23	23	$165.00	$161.02
84402 Testosterone (hormone) level, free	22	21	$52.00	$24.65
84403 Testosterone (hormone) level, total	22	21	$39.00	$24.85
73030 X-ray of shoulder, minimum of 2 views	20	20	$70.00	$29.38
90670 Pneumococcal vaccine for injection into muscle	19	19	$192.74	$190.75
83735 Magnesium level	19	18	$28.00	$6.65
72100 X-ray of lower and sacral spine, 2-3 views	18	18	$95.00	$35.62
G0010 Administration of hepatitis b vaccine	18	13	$25.00	$15.59
83550 Iron binding capacity	18	17	$30.00	$8.67
83540 Iron level	18	17	$20.00	$6.42
J1030 Injection, methylprednisolone acetate, 40 mg	17	16	$10.00	$6.14
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	16	16	$75.00	$17.98
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	16	16	$700.94	$111.05
84481 Thyroid hormone, t3 measurement, free	15	12	$40.00	$16.78
73560 X-ray of knee, 1-2 views	15	13	$70.00	$31.13
84550 Uric acid level, blood	15	15	$20.00	$4.49
84153 Psa (prostate specific antigen) measurement, total	14	13	$53.00	$18.20
86769 Measure of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody	12	12	$75.00	$42.13
84156 Total protein level, urine	11	11	$14.00	$3.65
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	11	11	$20.00	$4.24
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	11	11	$40.00	$38.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$330.00	$161.08
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	11	11	$50.00	$40.79
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	11	11	$250.00	$111.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	55,703	27	$0.08	$0.03
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	2,646	406	$45.26	$40.08
36415 Insertion of needle into vein for collection of blood sample	1,827	725	$11.04	$2.92
81003 Automated urinalysis test	1,577	712	$14.00	$2.42
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,539	701	$28.00	$8.45
80053 Blood test, comprehensive group of blood chemicals	1,501	688	$30.00	$11.51
80061 Blood test, lipids (cholesterol and triglycerides)	1,484	691	$45.00	$14.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,484	693	$152.02	$103.42
84443 Blood test, thyroid stimulating hormone (TSH)	1,481	686	$48.00	$18.28
82570 Creatinine level to test for kidney function or muscle injury	1,419	666	$15.00	$5.61
82043 Urine microalbumin (protein) level	1,419	667	$20.00	$6.27
99213 Established patient office or other outpatient visit, typically 15 minutes	984	586	$100.91	$70.55
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	900	119	$29.64	$15.80
83036 Hemoglobin A1C level	776	395	$44.00	$10.50
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	616	100	$5.00	$1.80
J1885 Injection, ketorolac tromethamine, per 15 mg	502	74	$15.00	$0.52
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	487	487	$113.00	$111.27
82607 Cyanocobalamin (vitamin B-12) level	417	401	$71.00	$16.25
82306 Vitamin d-3 level	410	398	$107.00	$31.96
84439 Thyroxine (thyroid chemical), free	369	217	$65.00	$9.73
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	304	304	$65.00	$60.26
85610 Blood test, clotting time	195	27	$17.00	$4.28
90682 Influenza vaccine, quadrivalent derived from recombinant dna	181	181	$59.72	$54.44
J0696 Injection, ceftriaxone sodium, per 250 mg	167	39	$15.00	$0.60
G0103 Prostate cancer screening; prostate specific antigen test (psa)	164	164	$53.00	$20.03
G0008 Administration of influenza virus vaccine	138	138	$25.00	$15.59
77067 Screening mammography	131	131	$259.01	$125.53
71046 X-ray of chest, 2 views	113	94	$49.60	$29.35
J1040 Injection, methylprednisolone acetate, 80 mg	81	66	$15.00	$12.11
77080 Dxa bone density measurement of hip, pelvis, spine	76	76	$140.00	$37.09
80048 Blood test, basic group of blood chemicals (calcium, total)	67	52	$25.00	$8.51
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	48	48	$168.00	$165.04
90670 Pneumococcal vaccine for injection into muscle	45	45	$184.00	$180.32
92250 Photography of the retina	42	42	$95.00	$47.57
83550 Iron binding capacity	38	36	$30.00	$9.52
93000 Routine ekg using at least 12 leads including interpretation and report	38	37	$55.00	$16.20
83540 Iron level	38	36	$20.00	$7.05
76700 Ultrasound of abdomen	37	36	$195.38	$113.57
84402 Testosterone (hormone) level, free	36	30	$52.00	$26.96
84403 Testosterone (hormone) level, total	36	30	$39.00	$27.33
J1030 Injection, methylprednisolone acetate, 40 mg	33	28	$10.00	$6.29
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	32	29	$51.46	$50.95
73030 X-ray of shoulder, minimum of 2 views	31	29	$70.00	$27.24
73560 X-ray of knee, 1-2 views	31	24	$70.00	$29.98
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	31	31	$102.52	$100.47
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	28	28	$165.00	$160.17
93923 Complete ultrasound study of arm and leg arteries	27	27	$195.00	$121.77
72100 X-ray of lower and sacral spine, 2-3 views	26	26	$95.00	$34.08
84550 Uric acid level, blood	26	25	$20.00	$4.92
84481 Thyroid hormone, t3 measurement, free	26	20	$40.00	$17.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$210.83	$159.24
90739 Hepatitis b vaccine (hepb), cpg-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use	23	16	$140.00	$128.48
G0010 Administration of hepatitis b vaccine	22	18	$25.00	$15.59
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	22	22	$20.00	$16.26
93880 Ultrasound of both sides of head and neck blood flow	21	21	$750.00	$186.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$150.00	$104.25
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	17	17	$50.00	$41.05
G0009 Administration of pneumococcal vaccine	17	17	$25.00	$15.59
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	17	17	$40.00	$37.22
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	17	17	$28.00	$17.69
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	16	16	$20.00	$4.18
84153 Psa (prostate specific antigen) measurement, total	16	14	$53.00	$20.03
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	15	15	$700.94	$119.08
73620 X-ray of foot, 2 views	15	12	$70.00	$23.86
77065 Diagnostic mammography of 1 breast	15	13	$227.67	$124.68
87804 Detection test by immunoassay with direct visual observation for influenza virus	15	14	$25.00	$16.22
83735 Magnesium level	15	14	$28.00	$7.29
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$175.00	$140.52
90746 Vaccine for hepatitis b adult dosage (3 dose schedule) injection into muscle	14	11	$75.00	$64.50
73502 X-ray of hip, 2-3 views	14	14	$55.00	$39.84
76856 Complete ultrasound scan of pelvis	12	12	$179.17	$72.43
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	12	11	$212.00	$111.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$73.18	$42.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	57,260	31	$0.08	$0.02
36415 Insertion of needle into vein for collection of blood sample	1,948	742	$10.00	$2.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,797	708	$130.46	$102.66
81003 Automated urinalysis test	1,655	707	$14.00	$2.71
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,625	726	$28.00	$9.39
80053 Blood test, comprehensive group of blood chemicals	1,578	715	$30.00	$12.73
80061 Blood test, lipids (cholesterol and triglycerides)	1,562	714	$45.00	$16.11
84443 Blood test, thyroid stimulating hormone (TSH)	1,541	711	$48.00	$20.33
83721 Ldl cholesterol level	1,503	710	$15.00	$11.52
82043 Urine microalbumin (protein) level	1,500	685	$20.00	$6.99
82570 Creatinine level to test for kidney function or muscle injury	1,475	682	$15.00	$6.26
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	926	135	$25.00	$19.17
99213 Established patient office or other outpatient visit, typically 15 minutes	833	514	$90.09	$69.46
83036 Hemoglobin A1C level	738	406	$44.00	$11.72
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	666	114	$5.00	$1.96
J1885 Injection, ketorolac tromethamine, per 15 mg	641	98	$15.00	$0.58
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	489	489	$112.95	$110.67
82607 Cyanocobalamin (vitamin B-12) level	415	403	$71.00	$18.21
82306 Vitamin d-3 level	409	397	$107.00	$35.74
84439 Thyroxine (thyroid chemical), free	383	219	$65.00	$10.89
90682 Influenza vaccine, quadrivalent derived from recombinant dna	225	225	$55.00	$52.30
85610 Blood test, clotting time	220	30	$17.00	$4.75
99497 Advance care planning, first 30 minutes	203	203	$82.87	$81.23
J0696 Injection, ceftriaxone sodium, per 250 mg	174	40	$15.00	$0.63
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	172	81	$53.00	$40.33
G0103 Prostate cancer screening; prostate specific antigen test (psa)	168	168	$53.00	$22.26
G0008 Administration of influenza virus vaccine	164	163	$25.00	$19.06
77067 Screening mammography	130	130	$195.00	$126.70
J1040 Injection, methylprednisolone acetate, 80 mg	119	85	$15.00	$12.97
71046 X-ray of chest, 2 views	111	97	$45.00	$28.33
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	90	90	$65.00	$60.51
90670 Pneumococcal vaccine for injection into muscle	90	88	$183.84	$180.17
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	71	61	$51.46	$50.68
77080 Dxa bone density measurement of hip, pelvis, spine	68	68	$140.00	$37.83
80048 Blood test, basic group of blood chemicals (calcium, total)	66	51	$25.00	$10.02
93000 Routine ekg using at least 12 leads including interpretation and report	56	53	$55.00	$15.97
90746 Vaccine for hepatitis b adult dosage (3 dose schedule) injection into muscle	53	26	$75.00	$63.65
87804 Detection test by immunoassay with direct visual observation for influenza virus	44	43	$25.00	$16.22
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	43	19	$39.48	$38.91
83540 Iron level	42	33	$20.00	$7.83
83550 Iron binding capacity	42	33	$30.00	$10.57
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	41	41	$165.00	$159.07
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	41	41	$168.00	$163.89
84402 Testosterone (hormone) level, free	39	31	$52.00	$30.82
84403 Testosterone (hormone) level, total	38	31	$39.00	$31.23
73030 X-ray of shoulder, minimum of 2 views	37	31	$70.00	$26.24
J1030 Injection, methylprednisolone acetate, 40 mg	33	24	$10.00	$6.68
84550 Uric acid level, blood	32	29	$20.00	$5.30
92250 Photography of the retina	32	32	$95.00	$53.26
76700 Ultrasound of abdomen	32	32	$179.00	$112.16
G0010 Administration of hepatitis b vaccine	30	22	$25.00	$19.06
G0009 Administration of pneumococcal vaccine	29	29	$25.00	$19.06
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	28	28	$20.00	$16.09
72100 X-ray of lower and sacral spine, 2-3 views	27	27	$95.00	$32.56
84481 Thyroid hormone, t3 measurement, free	26	20	$40.00	$20.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$200.00	$158.38
73560 X-ray of knee, 1-2 views	24	21	$70.00	$28.78
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	24	24	$95.00	$93.10
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	21	21	$700.94	$115.76
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	20	14	$20.00	$4.29
77065 Diagnostic mammography of 1 breast	20	19	$165.00	$125.54
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	17	17	$50.00	$41.48
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	17	17	$40.00	$36.11
93923 Complete ultrasound study of arm and leg arteries	17	17	$195.00	$121.49
73502 X-ray of hip, 2-3 views	17	16	$55.00	$38.29
93880 Ultrasound of both sides of head and neck blood flow	15	15	$750.00	$182.66
73620 X-ray of foot, 2 views	14	12	$70.00	$24.29
83525 Insulin measurement, total	14	14	$49.00	$13.83
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	13	12	$212.00	$111.77
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	11	11	$750.00	$172.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	54,163	28	$0.08	$0.02
36415 Insertion of needle into vein for collection of blood sample	1,994	780	$10.00	$2.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,737	760	$130.33	$100.75
81003 Automated urinalysis test	1,689	751	$14.00	$3.00
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,614	741	$28.00	$10.45
80053 Blood test, comprehensive group of blood chemicals	1,580	733	$30.00	$10.30
80061 Blood test, lipids (cholesterol and triglycerides)	1,539	727	$45.00	$14.96
83721 Ldl cholesterol level	1,523	720	$15.00	$12.75
84443 Blood test, thyroid stimulating hormone (TSH)	1,510	713	$48.00	$22.59
82570 Creatinine level to test for kidney function or muscle injury	1,507	715	$15.00	$6.92
82043 Urine microalbumin (protein) level	1,501	713	$19.68	$7.73
99213 Established patient office or other outpatient visit, typically 15 minutes	1,110	639	$90.04	$68.49
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	939	151	$25.00	$23.53
83036 Hemoglobin A1C level	817	417	$44.00	$12.96
J1885 Injection, ketorolac tromethamine, per 15 mg	719	127	$15.00	$0.65
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	705	136	$5.00	$2.92
99497 Advance care planning, first 30 minutes	574	573	$81.91	$78.67
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	512	512	$112.00	$109.36
J0696 Injection, ceftriaxone sodium, per 250 mg	406	66	$15.00	$0.65
82607 Cyanocobalamin (vitamin B-12) level	386	372	$71.00	$20.15
82306 Vitamin d-3 level	375	363	$107.00	$39.54
84439 Thyroxine (thyroid chemical), free	348	200	$65.00	$12.07
85610 Blood test, clotting time	247	39	$17.00	$5.26
G0103 Prostate cancer screening; prostate specific antigen test (psa)	189	189	$53.00	$24.73
90662 Influenza vaccine split virus, preservative free	163	162	$49.94	$47.00
G0008 Administration of influenza virus vaccine	147	146	$25.00	$23.40
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg	126	54	$2.00	$0.02
71020 X-ray of chest, 2 views, front and side	123	107	$65.00	$25.40
J1040 Injection, methylprednisolone acetate, 80 mg	122	97	$15.00	$10.74
G0202 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed	107	107	$195.00	$124.59
80048 Blood test, basic group of blood chemicals (calcium, total)	74	51	$25.00	$10.23
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	73	64	$51.63	$50.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	72	71	$65.00	$40.76
92250 Photography of the retina	68	68	$95.00	$59.69
77080 Dxa bone density measurement of hip, pelvis, spine	66	66	$140.30	$37.46
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	57	57	$168.00	$162.14
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	56	32	$39.48	$38.92
90670 Pneumococcal vaccine for injection into muscle	55	55	$181.60	$174.67
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	52	52	$21.58	$17.93
93000 Routine ekg using at least 12 leads including interpretation and report	49	49	$55.00	$15.91
J1030 Injection, methylprednisolone acetate, 40 mg	46	36	$10.00	$5.48
84402 Testosterone (hormone) level, free	39	33	$52.00	$34.24
84403 Testosterone (hormone) level, total	39	33	$39.00	$34.70
72100 X-ray of lower and sacral spine, 2-3 views	34	34	$95.00	$31.42
G0009 Administration of pneumococcal vaccine	33	31	$25.00	$23.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$200.00	$156.58
73560 X-ray of knee, 1-2 views	30	26	$70.00	$26.46
76700 Ultrasound of abdomen	30	30	$179.00	$110.73
73030 X-ray of shoulder, minimum of 2 views	28	26	$70.00	$26.76
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	28	28	$165.00	$157.71
83550 Iron binding capacity	25	23	$30.00	$11.75
83540 Iron level	25	23	$20.00	$8.70
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	22	$208.70	$137.79
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	21	21	$40.00	$36.22
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	21	21	$50.00	$41.60
84550 Uric acid level, blood	19	17	$20.00	$5.54
93923 Complete ultrasound study of arm and leg arteries	18	18	$195.00	$124.28
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	18	17	$212.00	$109.89
83735 Magnesium level	17	14	$28.00	$9.01
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	17	17	$20.00	$16.03
90471 Administration of 1 vaccine	17	17	$25.00	$20.74
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	16	14	$20.00	$4.77
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	15	14	$700.94	$147.58
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	15	15	$95.00	$92.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$134.67	$102.60
73502 X-ray of hip, 2-3 views	14	14	$55.00	$38.02
73620 X-ray of foot, 2 views	13	13	$70.00	$23.84
76770 Complete ultrasound scan behind abdominal cavity	13	13	$171.00	$105.25
84481 Thyroid hormone, t3 measurement, free	13	13	$40.00	$22.78
93880 Ultrasound of both sides of head and neck blood flow	12	12	$750.00	$185.69
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	11	11	$28.00	$21.38

Medical Specialties & State Licenses

CMS Verified: 2024-04-15

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License GA 043485

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00742959A (GA)

Hospital & Practice Group Affiliations

Lagrange Internal Medicine, Pc

1602 Vernon Rd, Lagrange, GA 302404129

Phone: 7068829341

Practice Associates & Co-Workers

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

10 Associated Practitioners

Anna Odom , NP

Nurse Practitioner

NPI 1043212236

Nurse Practitioner

Syed Ahmed

Internal Medicine

NPI 1144470840

Dr. Amir Usman , MD

Internal Medicine

NPI 1255333456

Doctor of Medicine (M.D.)

Kelly Morgan , NP-C

Nurse Practitioner - Primary Care

NPI 1346538733

Nurse Practitioner (Certified)

Dr. Robert Stout , MD

Internal Medicine

NPI 1427050632

Doctor of Medicine (M.D.)

James Yancey

Nurse Practitioner - Family

NPI 1437762747

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 03, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location May 03, 2011

Registered at 1602 VERNON RD, STE 400, LAGRANGE, GA 302404100 (Tel: 7068829341)

📍

Updated Business Mailing Address May 03, 2011

Registered at 1602 VERNON RD, STE 400, LAGRANGE, GA 302404100 (Tel: 7068829341)

👤

Provider Name / Credentials Updated May 03, 2011

Recorded as ARNOLD SMALLS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2011

Internal Medicine (License #043485 in GA)

🟢

Initial NPI Registration & Enumeration June 01, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396747598

Entity Type:

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

Enumeration Date: June 01, 2005

Last Update: April 15, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1602 Vernon Rd, Ste 400

Lagrange, GA 302404100

Phone: 7068829341

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.