Dr. Nam Huu Do , MD
Internal Medicine • Amarillo, TX
Professional Overview & Biography Verified Profile Summary
Dr. Nam Do, MD is a certified Internal Medicine practicing in Amarillo, TX. With approximately 31 years of clinical experience since graduating from Texas A & M University System, Hsc, College Of Medicine in 1995, Dr. Do delivers high-quality medical care to the local community at 1215 S COULTER ST.
Dr. Do is affiliated with Amarillo Medical Specialists,Llp and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.
Frequently performed procedures and clinical services include chronic care management services, first, 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, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.
Practice Location & Contact Primary Location
1215 S Coulter St
Suite #301
Amarillo, TX 791061758
Medicare Profile & Education
Texas A & M University System, Hsc, College Of Medicine
1995
✓ Accepts Assignment
Telehealth Services Available
Specialty Benchmarks & Practice Insights
Comparative analytics for Internal Medicine in Amarillo, TX
Practicing in Amarillo, TX (9538 Statewide)
✓ Offers Virtual Consultations
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99490
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
|
2,511 | 272 | $63.09 | $59.72 |
|
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
|
2,026 | 492 | $22.90 | $15.63 |
|
36415
Insertion of needle into vein for collection of blood sample
|
1,975 | 530 | $9.23 | $8.59 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
1,858 | 533 | $142.15 | $121.40 |
|
80061
Blood test, lipids (cholesterol and triglycerides)
|
1,662 | 528 | $21.23 | $12.96 |
|
80053
Blood test, comprehensive group of blood chemicals
|
1,657 | 502 | $14.91 | $10.33 |
|
83721
Ldl cholesterol level
|
861 | 482 | $14.03 | $10.19 |
|
85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
|
828 | 467 | $11.70 | $7.48 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
796 | 318 | $95.50 | $86.06 |
|
83036
Hemoglobin A1C level
|
728 | 270 | $15.15 | $9.36 |
|
81001
Manual urinalysis test with examination using microscope, automated
|
556 | 413 | $5.17 | $3.06 |
|
84443
Blood test, thyroid stimulating hormone (TSH)
|
498 | 411 | $26.02 | $16.20 |
|
84439
Thyroxine (thyroid chemical), free
|
467 | 404 | $14.80 | $8.73 |
|
82607
Cyanocobalamin (vitamin B-12) level
|
431 | 343 | $24.06 | $14.54 |
|
80048
Blood test, basic group of blood chemicals (calcium, total)
|
397 | 205 | $14.16 | $7.91 |
|
82306
Vitamin d-3 level
|
391 | 335 | $39.77 | $28.54 |
|
G0446
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes
|
355 | 355 | $25.81 | $24.13 |
|
99497
Advance care planning, first 30 minutes
|
341 | 341 | $87.00 | $78.68 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
323 | 323 | $116.01 | $111.48 |
|
G0008
Administration of influenza virus vaccine
|
293 | 287 | $25.00 | $24.50 |
|
90673
Influenza vaccine, trivalent derived from recombinant dna
|
290 | 290 | $120.00 | $80.13 |
|
J3420
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
|
262 | 63 | $15.00 | $1.27 |
|
82550
Creatine kinase (cardiac enzyme) level, total
|
246 | 199 | $19.03 | $6.27 |
|
G0444
Annual depression screening, 5 to 15 minutes
|
238 | 238 | $18.10 | $17.35 |
|
80076
Liver function blood test panel
|
216 | 120 | $20.26 | $7.34 |
|
J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
|
196 | 42 | $25.38 | $0.98 |
|
99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
|
177 | 141 | $184.42 | $172.02 |
|
G0447
Face-to-face behavioral counseling for obesity, 15 minutes
|
162 | 87 | $41.85 | $24.15 |
|
96372
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
|
157 | 35 | $18.37 | $13.29 |
|
93000
Routine ekg using at least 12 leads including interpretation and report
|
156 | 142 | $22.08 | $13.42 |
|
87631
Detection test for multiple types of respiratory virus
|
152 | 107 | $152.26 | $139.78 |
|
82746
Folic acid level
|
151 | 116 | $21.48 | $14.02 |
|
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
|
134 | 113 | $49.16 | $45.63 |
|
87651
Detection test for Strep (Streptococcus, group A)
|
129 | 99 | $48.69 | $34.39 |
|
69210
Removal of impacted ear wax
|
115 | 93 | $48.94 | $44.21 |
|
82728
Ferritin (blood protein) level
|
112 | 68 | $53.00 | $12.92 |
|
82570
Creatinine level to test for kidney function or muscle injury
|
108 | 98 | $8.01 | $4.99 |
|
83540
Iron level
|
104 | 68 | $28.00 | $6.12 |
|
82043
Urine microalbumin (protein) level
|
93 | 87 | $9.06 | $5.55 |
|
84550
Uric acid level, blood
|
88 | 54 | $7.10 | $4.38 |
|
71046
X-ray of chest, 2 views
|
75 | 58 | $30.60 | $21.79 |
|
77080
Dxa bone density measurement of hip, pelvis, spine
|
71 | 71 | $56.19 | $36.22 |
|
99426
Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month
|
70 | 11 | $69.30 | $59.22 |
|
77089
Calculation of trabecular bone score (tbs) using imaging data with interpretation and report on fracture risk
|
68 | 68 | $46.61 | $37.36 |
|
82270
Stool analysis for blood to screen for colon tumors
|
67 | 67 | $15.00 | $4.10 |
|
83550
Iron binding capacity
|
67 | 55 | $15.07 | $8.21 |
|
99496
Transitional care management services for problem of high complexity
|
61 | 49 | $243.61 | $237.20 |
|
72100
X-ray of lower and sacral spine, 2-3 views
|
47 | 47 | $33.34 | $27.19 |
|
83735
Magnesium level
|
46 | 37 | $20.00 | $6.57 |
|
82533
Cortisol (hormone) measurement
|
42 | 32 | $65.00 | $15.32 |
|
84403
Testosterone (hormone) level, total
|
41 | 23 | $37.81 | $24.85 |
|
82248
Bilirubin level, direct
|
36 | 34 | $6.83 | $4.92 |
|
17000
Destruction of skin growth
|
35 | 31 | $65.52 | $61.70 |
|
72040
X-ray of upper spine, 2-3 views
|
30 | 30 | $30.30 | $26.16 |
|
G0103
Prostate cancer screening; prostate specific antigen test (psa)
|
30 | 30 | $69.37 | $18.92 |
|
G0009
Administration of pneumococcal vaccine
|
27 | 27 | $30.00 | $29.40 |
|
99406
Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes
|
26 | 15 | $14.84 | $13.42 |
|
85652
Red blood cell sedimentation rate, to detect inflammation, automated
|
25 | 24 | $4.13 | $2.57 |
|
84466
Transferrin (iron binding protein) level
|
24 | 21 | $30.00 | $12.07 |
|
95251
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report
|
23 | 11 | $42.37 | $31.59 |
|
83970
Parathormone (parathyroid hormone) level
|
23 | 19 | $150.00 | $39.18 |
|
92250
Photography of the retina
|
22 | 12 | $41.26 | $19.53 |
|
83880
Natriuretic peptide (heart and blood vessel protein) level
|
21 | 14 | $89.00 | $38.47 |
|
95800
Sleep study including heart rate, breathing, and sleep time
|
19 | 18 | $168.05 | $127.36 |
|
82150
Amylase (enzyme) level
|
19 | 18 | $11.00 | $6.02 |
|
J1885
Injection, ketorolac tromethamine, per 15 mg
|
19 | 11 | $15.00 | $0.66 |
|
94640
Inhalation treatment for airway obstruction or sputum production
|
17 | 14 | $17.15 | $7.42 |
|
J7620
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme
|
17 | 14 | $7.00 | $0.19 |
|
84153
Psa (prostate specific antigen) measurement, total
|
17 | 15 | $25.43 | $18.02 |
|
90677
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use
|
17 | 17 | $450.00 | $290.46 |
|
94060
Test to measure expiratory airflow and volume changes before and after medication administration
|
15 | 15 | $69.75 | $25.97 |
|
94729
Test to examine how well the lungs exchange gases
|
15 | 15 | $59.32 | $42.54 |
|
94726
Determination of lung volumes using plethysmography
|
15 | 15 | $54.55 | $39.25 |
|
20610
Aspiration and/or injection of fluid from large joint
|
15 | 12 | $70.67 | $52.80 |
|
73030
X-ray of shoulder, minimum of 2 views
|
15 | 15 | $29.27 | $23.93 |
|
72070
X-ray of middle spine, 2 views
|
14 | 14 | $24.79 | $21.59 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
13 | 13 | $200.38 | $159.98 |
|
G0402
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
|
13 | 13 | $198.28 | $157.53 |
|
99483
Assessment of and care planning for patient with impaired thought processing, typically 50 minutes
|
13 | 13 | $253.91 | $250.42 |
|
93971
Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers
|
13 | 11 | $107.86 | $86.96 |
|
73502
X-ray of hip, 2-3 views
|
13 | 13 | $37.08 | $32.04 |
|
76705
Limited ultrasound scan of abdomen
|
11 | 11 | $67.27 | $55.40 |
|
76770
Complete ultrasound scan behind abdominal cavity
|
11 | 11 | $107.13 | $64.56 |
|
93970
Ultrasound study of arm or leg veins with compression and maneuvers
|
11 | 11 | $173.06 | $136.81 |
| 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
|
2,506 | 297 | $63.25 | $59.71 |
|
36415
Insertion of needle into vein for collection of blood sample
|
2,072 | 552 | $5.64 | $5.33 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
2,030 | 563 | $140.38 | $121.14 |
|
80053
Blood test, comprehensive group of blood chemicals
|
1,811 | 540 | $14.59 | $10.33 |
|
80061
Blood test, lipids (cholesterol and triglycerides)
|
1,760 | 560 | $20.89 | $12.95 |
|
83721
Ldl cholesterol level
|
1,753 | 559 | $13.87 | $10.21 |
|
85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
|
953 | 511 | $11.36 | $7.47 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
931 | 370 | $96.49 | $85.28 |
|
83036
Hemoglobin A1C level
|
737 | 265 | $14.43 | $9.44 |
|
81001
Manual urinalysis test with examination using microscope, automated
|
690 | 471 | $5.04 | $3.04 |
|
84443
Blood test, thyroid stimulating hormone (TSH)
|
603 | 472 | $24.71 | $16.20 |
|
84439
Thyroxine (thyroid chemical), free
|
573 | 471 | $13.94 | $8.74 |
|
82607
Cyanocobalamin (vitamin B-12) level
|
542 | 402 | $22.83 | $14.62 |
|
82306
Vitamin d-3 level
|
466 | 405 | $38.79 | $28.52 |
|
99497
Advance care planning, first 30 minutes
|
429 | 427 | $86.47 | $79.42 |
|
G0446
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes
|
427 | 427 | $25.82 | $24.75 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
417 | 417 | $115.33 | $111.74 |
|
80048
Blood test, basic group of blood chemicals (calcium, total)
|
376 | 202 | $13.82 | $8.00 |
|
G0444
Annual depression screening, 5 to 15 minutes
|
319 | 319 | $17.99 | $17.34 |
|
J3420
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
|
294 | 77 | $15.00 | $1.58 |
|
82550
Creatine kinase (cardiac enzyme) level, total
|
284 | 232 | $18.88 | $6.35 |
|
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
|
271 | 207 | $49.24 | $45.27 |
|
G0008
Administration of influenza virus vaccine
|
270 | 262 | $25.00 | $24.50 |
|
J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
|
250 | 50 | $25.00 | $1.07 |
|
90662
Influenza vaccine split virus, preservative free
|
231 | 231 | $72.34 | $66.68 |
|
93000
Routine ekg using at least 12 leads including interpretation and report
|
199 | 189 | $19.56 | $13.39 |
|
96372
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
|
197 | 36 | $16.39 | $13.54 |
|
80076
Liver function blood test panel
|
181 | 111 | $20.71 | $7.50 |
|
G0447
Face-to-face behavioral counseling for obesity, 15 minutes
|
176 | 96 | $41.70 | $24.47 |
|
82746
Folic acid level
|
158 | 116 | $20.53 | $14.01 |
|
69210
Removal of impacted ear wax
|
152 | 120 | $48.60 | $44.22 |
|
84550
Uric acid level, blood
|
143 | 85 | $6.66 | $4.43 |
|
82728
Ferritin (blood protein) level
|
135 | 82 | $53.00 | $13.01 |
|
87651
Detection test for Strep (Streptococcus, group A)
|
129 | 102 | $50.96 | $33.93 |
|
83540
Iron level
|
119 | 74 | $28.00 | $6.20 |
|
83550
Iron binding capacity
|
107 | 68 | $14.48 | $8.37 |
|
87428
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza
|
104 | 83 | $100.00 | $67.32 |
|
82270
Stool analysis for blood to screen for colon tumors
|
96 | 96 | $15.00 | $4.25 |
|
71046
X-ray of chest, 2 views
|
87 | 69 | $28.68 | $22.04 |
|
G0009
Administration of pneumococcal vaccine
|
86 | 85 | $30.00 | $29.40 |
|
77080
Dxa bone density measurement of hip, pelvis, spine
|
77 | 76 | $43.53 | $35.70 |
|
82044
Urine microalbumin (protein) analysis
|
72 | 72 | $6.76 | $6.04 |
|
83735
Magnesium level
|
62 | 38 | $20.00 | $6.57 |
|
82248
Bilirubin level, direct
|
62 | 58 | $7.07 | $4.92 |
|
85652
Red blood cell sedimentation rate, to detect inflammation, automated
|
56 | 45 | $4.49 | $2.53 |
|
90732
Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older
|
55 | 55 | $175.00 | $128.42 |
|
99496
Transitional care management services for problem of high complexity
|
50 | 40 | $244.40 | $237.31 |
|
82533
Cortisol (hormone) measurement
|
45 | 38 | $65.00 | $15.97 |
|
17003
Destruction of precancer skin growth, 2-14 growths
|
44 | 14 | $5.45 | $5.37 |
|
84403
Testosterone (hormone) level, total
|
42 | 29 | $37.74 | $24.81 |
|
87631
Detection test for multiple types of respiratory virus
|
41 | 40 | $152.39 | $139.78 |
|
82570
Creatinine level to test for kidney function or muscle injury
|
41 | 40 | $7.63 | $5.08 |
|
94060
Test to measure expiratory airflow and volume changes before and after medication administration
|
37 | 37 | $59.90 | $26.91 |
|
94729
Test to examine how well the lungs exchange gases
|
37 | 37 | $54.33 | $45.31 |
|
94726
Determination of lung volumes using plethysmography
|
37 | 37 | $52.40 | $40.17 |
|
90677
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use
|
37 | 37 | $450.00 | $280.27 |
|
17000
Destruction of skin growth
|
35 | 31 | $65.52 | $58.96 |
|
72040
X-ray of upper spine, 2-3 views
|
31 | 30 | $30.29 | $26.08 |
|
82150
Amylase (enzyme) level
|
29 | 23 | $9.97 | $6.13 |
|
86803
Hepatitis c antibody measurement
|
29 | 29 | $60.00 | $13.98 |
|
72100
X-ray of lower and sacral spine, 2-3 views
|
28 | 28 | $32.75 | $26.83 |
|
90686
Vaccine for influenza for administration into muscle, 0.5 ml dosage
|
28 | 28 | $40.00 | $21.90 |
|
J1885
Injection, ketorolac tromethamine, per 15 mg
|
27 | 12 | $15.00 | $0.50 |
|
G0103
Prostate cancer screening; prostate specific antigen test (psa)
|
27 | 27 | $69.41 | $18.92 |
|
90480
Admn sarscov2 vacc 1 dose
|
26 | 26 | $45.58 | $39.35 |
|
99406
Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes
|
26 | 17 | $14.84 | $14.15 |
|
91322
Sarscov2 vac 50 mcg/0.5ml im
|
26 | 26 | $151.23 | $143.00 |
|
86677
Analysis for antibody to helicobacter pylori (gastrointestinal bacteria)
|
25 | 20 | $78.00 | $16.51 |
|
93306
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
|
24 | 24 | $127.00 | $117.94 |
|
83880
Natriuretic peptide (heart and blood vessel protein) level
|
23 | 17 | $89.00 | $38.47 |
|
83970
Parathormone (parathyroid hormone) level
|
22 | 20 | $150.00 | $40.45 |
|
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
|
22 | 19 | $55.50 | $50.04 |
|
73030
X-ray of shoulder, minimum of 2 views
|
20 | 18 | $26.00 | $24.34 |
|
20610
Aspiration and/or injection of fluid from large joint
|
20 | 12 | $63.19 | $58.01 |
|
0134A
Fee covid-19 vac 14 res
|
19 | 19 | $40.00 | $39.20 |
|
92250
Photography of the retina
|
19 | 11 | $40.55 | $20.20 |
|
G0400
Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels
|
18 | 18 | $399.93 | $75.31 |
|
70210
X-ray of paranasal sinus, 1-2 views
|
18 | 18 | $25.50 | $22.79 |
|
76705
Limited ultrasound scan of abdomen
|
16 | 16 | $69.25 | $57.44 |
|
G0402
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
|
16 | 16 | $170.33 | $155.96 |
|
73502
X-ray of hip, 2-3 views
|
15 | 13 | $36.93 | $32.17 |
|
76770
Complete ultrasound scan behind abdominal cavity
|
15 | 15 | $82.77 | $70.58 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
15 | 15 | $191.67 | $159.89 |
|
99495
Transitional care management services for problem of at least moderate complexity
|
14 | 14 | $185.00 | $182.04 |
|
84153
Psa (prostate specific antigen) measurement, total
|
14 | 12 | $30.89 | $18.02 |
|
76536
Ultrasound of head and neck
|
14 | 14 | $88.00 | $80.49 |
|
93970
Ultrasound study of arm or leg veins with compression and maneuvers
|
14 | 14 | $153.37 | $142.41 |
|
84156
Total protein level, urine
|
13 | 13 | $42.00 | $3.38 |
|
82575
Creatinine clearance measurement to test for kidney function
|
13 | 13 | $18.97 | $8.70 |
|
86038
Screening test for autoimmune disorder
|
13 | 11 | $16.47 | $11.85 |
|
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
|
12 | 11 | $45.90 | $39.43 |
| 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
|
2,896 | 348 | $53.49 | $51.97 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
2,020 | 612 | $141.93 | $122.45 |
|
36415
Insertion of needle into vein for collection of blood sample
|
1,902 | 580 | $3.26 | $2.97 |
|
80053
Blood test, comprehensive group of blood chemicals
|
1,825 | 583 | $14.78 | $10.43 |
|
80061
Blood test, lipids (cholesterol and triglycerides)
|
1,762 | 610 | $21.27 | $13.06 |
|
83721
Ldl cholesterol level
|
1,748 | 607 | $13.94 | $10.31 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
1,035 | 385 | $95.53 | $86.58 |
|
85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
|
1,016 | 552 | $11.62 | $7.55 |
|
81001
Manual urinalysis test with examination using microscope, automated
|
694 | 502 | $5.22 | $3.06 |
|
83036
Hemoglobin A1C level
|
679 | 255 | $14.83 | $9.45 |
|
84443
Blood test, thyroid stimulating hormone (TSH)
|
650 | 509 | $25.06 | $16.35 |
|
82607
Cyanocobalamin (vitamin B-12) level
|
629 | 493 | $23.51 | $14.66 |
|
84439
Thyroxine (thyroid chemical), free
|
626 | 507 | $14.13 | $8.78 |
|
82306
Vitamin d-3 level
|
518 | 460 | $39.67 | $28.63 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
453 | 453 | $116.24 | $112.74 |
|
G0446
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes
|
450 | 450 | $25.80 | $25.23 |
|
99497
Advance care planning, first 30 minutes
|
450 | 450 | $87.16 | $81.67 |
|
80048
Blood test, basic group of blood chemicals (calcium, total)
|
431 | 242 | $14.36 | $7.96 |
|
J3420
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
|
356 | 81 | $15.00 | $1.71 |
|
G0444
Annual depression screening, 5 to 15 minutes
|
350 | 350 | $18.18 | $17.47 |
|
G0008
Administration of influenza virus vaccine
|
337 | 320 | $24.97 | $24.49 |
|
90682
Influenza vaccine, quadrivalent derived from recombinant dna
|
332 | 323 | $71.18 | $66.80 |
|
93000
Routine ekg using at least 12 leads including interpretation and report
|
278 | 251 | $20.41 | $13.43 |
|
82550
Creatine kinase (cardiac enzyme) level, total
|
275 | 237 | $18.63 | $6.36 |
|
0134A
Fee covid-19 vac 14 res
|
267 | 267 | $40.00 | $36.76 |
|
96372
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
|
254 | 47 | $16.75 | $13.87 |
|
0064A
Adm sarscov2 50mcg/0.25mlbst
|
246 | 240 | $40.00 | $37.40 |
|
G0447
Face-to-face behavioral counseling for obesity, 15 minutes
|
219 | 117 | $41.51 | $25.33 |
|
87428
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza
|
198 | 139 | $100.00 | $30.46 |
|
80076
Liver function blood test panel
|
195 | 130 | $22.20 | $7.36 |
|
82746
Folic acid level
|
179 | 136 | $21.69 | $14.11 |
|
J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
|
170 | 36 | $25.00 | $1.14 |
|
69210
Removal of impacted ear wax
|
129 | 109 | $47.87 | $42.78 |
|
84550
Uric acid level, blood
|
128 | 81 | $7.01 | $4.39 |
|
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
|
126 | 100 | $44.86 | $41.51 |
|
82044
Urine microalbumin (protein) analysis
|
124 | 121 | $6.72 | $6.11 |
|
17003
Destruction of precancer skin growth, 2-14 growths
|
121 | 26 | $5.61 | $5.41 |
|
87651
Detection test for Strep (Streptococcus, group A)
|
115 | 90 | $48.88 | $34.65 |
|
83540
Iron level
|
112 | 70 | $28.00 | $6.05 |
|
82728
Ferritin (blood protein) level
|
108 | 69 | $53.00 | $12.72 |
|
83550
Iron binding capacity
|
105 | 68 | $15.03 | $8.14 |
|
71046
X-ray of chest, 2 views
|
103 | 86 | $26.35 | $22.84 |
|
77080
Dxa bone density measurement of hip, pelvis, spine
|
98 | 98 | $48.80 | $35.93 |
|
82270
Stool analysis for blood to screen for colon tumors
|
98 | 98 | $15.02 | $4.28 |
|
G0009
Administration of pneumococcal vaccine
|
85 | 85 | $30.00 | $28.56 |
|
90732
Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older
|
70 | 70 | $175.00 | $128.07 |
|
85652
Red blood cell sedimentation rate, to detect inflammation, automated
|
70 | 54 | $4.33 | $2.63 |
|
72100
X-ray of lower and sacral spine, 2-3 views
|
59 | 56 | $33.42 | $27.38 |
|
99426
Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month
|
58 | 11 | $67.07 | $60.47 |
|
84403
Testosterone (hormone) level, total
|
57 | 30 | $38.98 | $25.48 |
|
17000
Destruction of skin growth
|
48 | 40 | $65.71 | $61.10 |
|
99496
Transitional care management services for problem of high complexity
|
43 | 37 | $242.56 | $238.33 |
|
G0103
Prostate cancer screening; prostate specific antigen test (psa)
|
41 | 41 | $69.80 | $19.04 |
|
86803
Hepatitis c antibody measurement
|
37 | 37 | $60.00 | $13.98 |
|
J1885
Injection, ketorolac tromethamine, per 15 mg
|
34 | 16 | $15.00 | $0.57 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
32 | 32 | $200.63 | $161.60 |
|
82533
Cortisol (hormone) measurement
|
32 | 26 | $65.00 | $16.08 |
|
83735
Magnesium level
|
32 | 27 | $20.13 | $6.20 |
|
99406
Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes
|
31 | 20 | $14.80 | $13.99 |
|
94060
Test to measure expiratory airflow and volume changes before and after medication administration
|
28 | 27 | $93.78 | $27.10 |
|
94729
Test to examine how well the lungs exchange gases
|
28 | 27 | $71.50 | $46.64 |
|
94726
Determination of lung volumes using plethysmography
|
28 | 27 | $59.77 | $39.99 |
|
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
|
27 | 25 | $60.62 | $51.17 |
|
86038
Screening test for autoimmune disorder
|
25 | 25 | $18.35 | $11.95 |
|
86413
Sars-cov-2 antb quantitative
|
24 | 23 | $90.00 | $41.80 |
|
83880
Natriuretic peptide (heart and blood vessel protein) level
|
23 | 16 | $89.00 | $38.69 |
|
83970
Parathormone (parathyroid hormone) level
|
22 | 19 | $150.00 | $38.74 |
|
72040
X-ray of upper spine, 2-3 views
|
22 | 21 | $30.27 | $26.74 |
|
86677
Analysis for antibody to helicobacter pylori (gastrointestinal bacteria)
|
21 | 20 | $78.00 | $16.62 |
|
84156
Total protein level, urine
|
21 | 21 | $42.00 | $3.63 |
|
82575
Creatinine clearance measurement to test for kidney function
|
20 | 20 | $16.87 | $9.35 |
|
93306
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
|
20 | 20 | $127.00 | $118.15 |
|
73502
X-ray of hip, 2-3 views
|
19 | 17 | $36.74 | $35.26 |
|
76705
Limited ultrasound scan of abdomen
|
19 | 18 | $65.05 | $58.72 |
|
82150
Amylase (enzyme) level
|
19 | 18 | $9.00 | $6.40 |
|
20610
Aspiration and/or injection of fluid from large joint
|
19 | 12 | $58.96 | $54.52 |
|
99483
Assessment of and care planning for patient with impaired thought processing, typically 50 minutes
|
18 | 18 | $253.91 | $251.09 |
|
94640
Inhalation treatment for airway obstruction or sputum production
|
17 | 12 | $17.19 | $10.68 |
|
90677
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use
|
17 | 17 | $450.00 | $278.05 |
|
93971
Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers
|
17 | 15 | $102.82 | $91.96 |
|
84153
Psa (prostate specific antigen) measurement, total
|
17 | 15 | $28.80 | $17.06 |
|
G0400
Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels
|
15 | 15 | $149.80 | $46.86 |
|
J7620
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme
|
15 | 11 | $7.00 | $0.13 |
|
87635
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
|
15 | 15 | $100.00 | $50.97 |
|
84481
Thyroid hormone, t3 measurement, free
|
15 | 13 | $23.07 | $16.72 |
|
91313
Coronavirus vaccine 14
|
14 | 14 | $0.01 | $0.01 |
|
73030
X-ray of shoulder, minimum of 2 views
|
14 | 11 | $33.00 | $23.20 |
|
G0402
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
|
14 | 14 | $195.78 | $155.96 |
|
92587
Placement of ear probe for computerized measurement of sound with interpretation and report
|
13 | 13 | $21.64 | $21.41 |
|
76770
Complete ultrasound scan behind abdominal cavity
|
13 | 13 | $86.63 | $72.77 |
|
76536
Ultrasound of head and neck
|
13 | 12 | $92.00 | $83.70 |
|
70210
X-ray of paranasal sinus, 1-2 views
|
12 | 12 | $26.25 | $23.40 |
|
87426
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
|
12 | 11 | $60.00 | $43.21 |
|
93880
Ultrasound of both sides of head and neck blood flow
|
11 | 11 | $190.50 | $142.19 |
|
72070
X-ray of middle spine, 2 views
|
11 | 11 | $26.00 | $22.47 |
| 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
|
3,269 | 347 | $41.33 | $39.60 |
|
36415
Insertion of needle into vein for collection of blood sample
|
2,418 | 626 | $3.36 | $3.00 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
2,161 | 630 | $142.88 | $125.07 |
|
80053
Blood test, comprehensive group of blood chemicals
|
1,985 | 612 | $15.19 | $10.54 |
|
80061
Blood test, lipids (cholesterol and triglycerides)
|
1,923 | 633 | $21.76 | $13.19 |
|
83721
Ldl cholesterol level
|
1,886 | 625 | $13.97 | $10.45 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
1,306 | 441 | $96.40 | $87.70 |
|
85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
|
1,093 | 600 | $11.76 | $7.61 |
|
83036
Hemoglobin A1C level
|
790 | 293 | $15.31 | $9.51 |
|
81001
Manual urinalysis test with examination using microscope, automated
|
735 | 535 | $5.35 | $3.08 |
|
84443
Blood test, thyroid stimulating hormone (TSH)
|
701 | 554 | $25.71 | $16.49 |
|
84439
Thyroxine (thyroid chemical), free
|
676 | 555 | $14.59 | $8.93 |
|
82607
Cyanocobalamin (vitamin B-12) level
|
625 | 535 | $23.36 | $14.94 |
|
82306
Vitamin d-3 level
|
555 | 504 | $39.57 | $29.23 |
|
80048
Blood test, basic group of blood chemicals (calcium, total)
|
496 | 274 | $14.86 | $8.04 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
464 | 464 | $116.76 | $114.41 |
|
G0446
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes
|
462 | 462 | $25.79 | $25.71 |
|
99497
Advance care planning, first 30 minutes
|
457 | 457 | $87.63 | $82.86 |
|
J3420
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
|
434 | 99 | $15.00 | $2.00 |
|
G0444
Annual depression screening, 5 to 15 minutes
|
369 | 369 | $18.25 | $17.70 |
|
82550
Creatine kinase (cardiac enzyme) level, total
|
351 | 300 | $19.13 | $6.44 |
|
G0008
Administration of influenza virus vaccine
|
327 | 322 | $25.00 | $16.47 |
|
93000
Routine ekg using at least 12 leads including interpretation and report
|
319 | 297 | $19.66 | $14.16 |
|
96372
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
|
315 | 62 | $18.15 | $13.77 |
|
90682
Influenza vaccine, quadrivalent derived from recombinant dna
|
294 | 292 | $63.63 | $59.72 |
|
80076
Liver function blood test panel
|
234 | 148 | $24.67 | $7.40 |
|
0064A
Adm sarscov2 50mcg/0.25mlbst
|
209 | 209 | $40.00 | $38.50 |
|
J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
|
190 | 36 | $25.00 | $1.24 |
|
83540
Iron level
|
183 | 118 | $28.02 | $6.34 |
|
G0447
Face-to-face behavioral counseling for obesity, 15 minutes
|
171 | 112 | $40.53 | $25.85 |
|
83550
Iron binding capacity
|
164 | 112 | $14.85 | $8.55 |
|
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
|
151 | 126 | $38.05 | $35.84 |
|
82728
Ferritin (blood protein) level
|
147 | 94 | $53.04 | $13.35 |
|
84550
Uric acid level, blood
|
144 | 95 | $7.39 | $4.49 |
|
82044
Urine microalbumin (protein) analysis
|
140 | 138 | $7.15 | $6.10 |
|
77080
Dxa bone density measurement of hip, pelvis, spine
|
125 | 125 | $45.11 | $36.84 |
|
87651
Detection test for Strep (Streptococcus, group A)
|
123 | 99 | $49.56 | $35.09 |
|
82746
Folic acid level
|
120 | 95 | $22.04 | $14.33 |
|
87428
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza
|
109 | 93 | $100.00 | $72.82 |
|
71046
X-ray of chest, 2 views
|
108 | 95 | $24.64 | $21.29 |
|
82270
Stool analysis for blood to screen for colon tumors
|
102 | 102 | $15.00 | $4.29 |
|
87635
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
|
91 | 74 | $100.00 | $50.75 |
|
G0009
Administration of pneumococcal vaccine
|
81 | 77 | $30.00 | $16.52 |
|
85652
Red blood cell sedimentation rate, to detect inflammation, automated
|
81 | 71 | $5.22 | $2.68 |
|
0013A
Adm sarscov2 100mcg/0.5ml3rd
|
79 | 79 | $40.00 | $38.69 |
|
69209
Removal of impacted ear wax by washing
|
76 | 67 | $22.57 | $13.77 |
|
J0696
Injection, ceftriaxone sodium, per 250 mg
|
72 | 11 | $25.00 | $0.54 |
|
99496
Transitional care management services for problem of high complexity
|
57 | 49 | $247.72 | $238.64 |
|
84403
Testosterone (hormone) level, total
|
56 | 35 | $37.25 | $25.81 |
|
0011A
Adm sarscov2 100mcg/0.5ml1st
|
52 | 49 | $30.00 | $29.74 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
52 | 52 | $188.85 | $163.39 |
|
17003
Destruction of precancer skin growth, 2-14 growths
|
51 | 16 | $6.95 | $5.60 |
|
90732
Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older
|
50 | 50 | $136.00 | $122.70 |
|
G0103
Prostate cancer screening; prostate specific antigen test (psa)
|
48 | 48 | $69.69 | $19.31 |
|
69210
Removal of impacted ear wax
|
46 | 41 | $49.23 | $45.11 |
|
82533
Cortisol (hormone) measurement
|
45 | 39 | $65.00 | $16.30 |
|
86038
Screening test for autoimmune disorder
|
45 | 43 | $19.08 | $12.09 |
|
87502
Detection test by nucleic acid for multiple types influenza virus
|
42 | 37 | $120.70 | $93.52 |
|
72100
X-ray of lower and sacral spine, 2-3 views
|
40 | 39 | $31.56 | $25.74 |
|
90670
Pneumococcal vaccine for injection into muscle
|
38 | 38 | $200.00 | $189.47 |
|
0012A
Adm sarscov2 100mcg/0.5ml2nd
|
37 | 37 | $45.00 | $38.38 |
|
86769
Measure of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody
|
36 | 35 | $75.00 | $42.13 |
|
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
|
35 | 26 | $89.28 | $88.56 |
|
86413
Sars-cov-2 antb quantitative
|
35 | 34 | $90.00 | $42.13 |
|
83735
Magnesium level
|
34 | 30 | $20.06 | $6.70 |
|
17000
Destruction of skin growth
|
33 | 31 | $67.79 | $62.68 |
|
83880
Natriuretic peptide (heart and blood vessel protein) level
|
32 | 23 | $89.00 | $38.03 |
|
20610
Aspiration and/or injection of fluid from large joint
|
32 | 23 | $64.65 | $53.55 |
|
72040
X-ray of upper spine, 2-3 views
|
31 | 31 | $28.53 | $26.49 |
|
90662
Influenza vaccine split virus, preservative free
|
29 | 29 | $70.00 | $65.26 |
|
82150
Amylase (enzyme) level
|
28 | 24 | $10.71 | $6.25 |
|
86677
Analysis for antibody to helicobacter pylori (gastrointestinal bacteria)
|
28 | 27 | $78.00 | $16.85 |
|
82575
Creatinine clearance measurement to test for kidney function
|
27 | 27 | $15.86 | $9.46 |
|
84156
Total protein level, urine
|
27 | 27 | $42.00 | $3.67 |
|
82977
Glutamyltransferase (liver enzyme) level
|
25 | 15 | $35.00 | $7.20 |
|
83970
Parathormone (parathyroid hormone) level
|
24 | 20 | $150.00 | $41.28 |
|
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 | 21 | $55.20 | $51.39 |
|
J1885
Injection, ketorolac tromethamine, per 15 mg
|
24 | 14 | $15.00 | $0.50 |
|
73562
X-ray of knee, 3 views
|
23 | 16 | $29.67 | $29.01 |
|
76705
Limited ultrasound scan of abdomen
|
22 | 21 | $74.86 | $59.68 |
|
G0402
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
|
21 | 21 | $163.21 | $159.21 |
|
99483
Assessment of and care planning for patient with impaired thought processing, typically 50 minutes
|
21 | 21 | $253.91 | $253.91 |
|
76770
Complete ultrasound scan behind abdominal cavity
|
20 | 19 | $76.13 | $74.53 |
|
G0400
Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels
|
19 | 19 | $149.80 | $54.24 |
|
94726
Determination of lung volumes using plethysmography
|
19 | 19 | $69.88 | $41.06 |
|
94060
Test to measure expiratory airflow and volume changes before and after medication administration
|
19 | 19 | $140.25 | $34.86 |
|
94729
Test to examine how well the lungs exchange gases
|
19 | 19 | $95.06 | $48.86 |
|
86431
Rheumatoid factor level
|
19 | 18 | $45.00 | $5.67 |
|
99495
Transitional care management services for problem of at least moderate complexity
|
18 | 18 | $187.83 | $185.65 |
|
G0179
Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp
|
17 | 14 | $44.18 | $39.84 |
|
94640
Inhalation treatment for airway obstruction or sputum production
|
17 | 11 | $17.19 | $13.53 |
|
J7620
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme
|
17 | 11 | $7.00 | $0.12 |
|
93971
Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers
|
17 | 15 | $115.23 | $94.55 |
|
73502
X-ray of hip, 2-3 views
|
16 | 16 | $35.38 | $33.41 |
|
84153
Psa (prostate specific antigen) measurement, total
|
16 | 14 | $25.60 | $17.24 |
|
93306
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
|
16 | 16 | $156.56 | $125.42 |
|
76536
Ultrasound of head and neck
|
15 | 15 | $86.61 | $85.75 |
|
93970
Ultrasound study of arm or leg veins with compression and maneuvers
|
14 | 14 | $168.84 | $151.30 |
|
73030
X-ray of shoulder, minimum of 2 views
|
13 | 12 | $24.02 | $22.77 |
|
99406
Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes
|
13 | 13 | $14.63 | $14.63 |
|
87426
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
|
12 | 12 | $60.00 | $45.23 |
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
J1071
Injection, testosterone cypionate, 1 mg
|
15,752 | 11 | $0.15 | $0.03 |
|
99490
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
|
2,563 | 300 | $41.37 | $40.85 |
|
36415
Insertion of needle into vein for collection of blood sample
|
2,258 | 618 | $3.21 | $2.97 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
1,946 | 629 | $114.85 | $106.15 |
|
80061
Blood test, lipids (cholesterol and triglycerides)
|
1,782 | 620 | $20.86 | $13.11 |
|
83721
Ldl cholesterol level
|
1,755 | 614 | $13.68 | $10.37 |
|
80053
Blood test, comprehensive group of blood chemicals
|
1,745 | 580 | $14.22 | $10.47 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
1,260 | 439 | $78.56 | $71.94 |
|
85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
|
905 | 533 | $11.36 | $7.60 |
|
81001
Manual urinalysis test with examination using microscope, automated
|
665 | 469 | $4.95 | $3.09 |
|
83036
Hemoglobin A1C level
|
663 | 259 | $15.03 | $9.37 |
|
84443
Blood test, thyroid stimulating hormone (TSH)
|
568 | 478 | $24.67 | $16.42 |
|
84439
Thyroxine (thyroid chemical), free
|
551 | 479 | $13.88 | $8.88 |
|
80048
Blood test, basic group of blood chemicals (calcium, total)
|
496 | 288 | $13.90 | $8.16 |
|
82607
Cyanocobalamin (vitamin B-12) level
|
492 | 428 | $22.18 | $14.83 |
|
82306
Vitamin d-3 level
|
436 | 403 | $38.94 | $29.01 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
386 | 386 | $115.11 | $114.12 |
|
G0446
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes
|
385 | 385 | $25.83 | $26.05 |
|
99497
Advance care planning, first 30 minutes
|
382 | 382 | $85.91 | $84.37 |
|
G0444
Annual depression screening, 5 to 15 minutes
|
364 | 364 | $17.74 | $17.65 |
|
93000
Routine ekg using at least 12 leads including interpretation and report
|
305 | 282 | $19.21 | $16.43 |
|
82550
Creatine kinase (cardiac enzyme) level, total
|
294 | 265 | $18.73 | $6.30 |
|
J3420
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
|
292 | 82 | $15.00 | $1.97 |
|
G0008
Administration of influenza virus vaccine
|
286 | 284 | $25.00 | $16.21 |
|
90682
Influenza vaccine, quadrivalent derived from recombinant dna
|
284 | 283 | $63.41 | $59.33 |
|
80076
Liver function blood test panel
|
245 | 171 | $21.52 | $7.66 |
|
J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
|
229 | 42 | $25.00 | $1.46 |
|
96372
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
|
213 | 48 | $16.06 | $13.81 |
|
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
|
174 | 135 | $38.03 | $37.01 |
|
83540
Iron level
|
124 | 81 | $28.00 | $6.08 |
|
86769
Measure of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody
|
123 | 108 | $70.64 | $41.77 |
|
82044
Urine microalbumin (protein) analysis
|
118 | 118 | $7.09 | $6.03 |
|
82728
Ferritin (blood protein) level
|
113 | 77 | $53.00 | $12.87 |
|
87635
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
|
112 | 92 | $100.00 | $51.31 |
|
71046
X-ray of chest, 2 views
|
108 | 92 | $21.52 | $19.33 |
|
82270
Stool analysis for blood to screen for colon tumors
|
107 | 107 | $15.00 | $4.27 |
|
82746
Folic acid level
|
98 | 75 | $20.71 | $14.01 |
|
G0009
Administration of pneumococcal vaccine
|
93 | 91 | $30.00 | $16.12 |
|
84550
Uric acid level, blood
|
91 | 69 | $6.55 | $4.49 |
|
77080
Dxa bone density measurement of hip, pelvis, spine
|
84 | 84 | $39.89 | $38.48 |
|
99496
Transitional care management services for problem of high complexity
|
80 | 63 | $247.90 | $235.67 |
|
G0447
Face-to-face behavioral counseling for obesity, 15 minutes
|
77 | 62 | $41.17 | $26.13 |
|
17003
Destruction of precancer skin growth, 2-14 growths
|
72 | 19 | $5.72 | $5.53 |
|
90732
Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older
|
72 | 72 | $125.00 | $112.27 |
|
69209
Removal of impacted ear wax by washing
|
68 | 59 | $21.66 | $13.09 |
|
85652
Red blood cell sedimentation rate, to detect inflammation, automated
|
60 | 54 | $4.25 | $2.69 |
|
87651
Detection test for Strep (Streptococcus, group A)
|
52 | 50 | $48.12 | $34.82 |
|
11042
Removal of skin and tissue, 20.0 sq cm or less
|
52 | 11 | $118.61 | $119.75 |
|
87502
Detection test by nucleic acid for multiple types influenza virus
|
50 | 47 | $118.40 | $95.11 |
|
84403
Testosterone (hormone) level, total
|
46 | 36 | $42.29 | $24.68 |
|
20610
Aspiration and/or injection of fluid from large joint
|
45 | 31 | $67.65 | $55.97 |
|
82533
Cortisol (hormone) measurement
|
42 | 37 | $65.00 | $16.15 |
|
72100
X-ray of lower and sacral spine, 2-3 views
|
42 | 41 | $26.72 | $23.61 |
|
83550
Iron binding capacity
|
42 | 37 | $15.45 | $8.32 |
|
17000
Destruction of skin growth
|
40 | 36 | $65.27 | $62.59 |
|
G0103
Prostate cancer screening; prostate specific antigen test (psa)
|
38 | 38 | $69.29 | $19.16 |
|
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
|
38 | 32 | $89.27 | $89.66 |
|
86413
Sars-cov-2 antb quantitative
|
36 | 36 | $90.00 | $42.13 |
|
82575
Creatinine clearance measurement to test for kidney function
|
35 | 35 | $17.43 | $9.39 |
|
84156
Total protein level, urine
|
35 | 35 | $42.00 | $3.65 |
|
G0402
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
|
31 | 31 | $174.30 | $163.64 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
31 | 31 | $160.87 | $162.08 |
|
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
|
30 | 16 | $44.57 | $43.45 |
|
86038
Screening test for autoimmune disorder
|
28 | 28 | $16.47 | $12.02 |
|
90670
Pneumococcal vaccine for injection into muscle
|
26 | 26 | $200.00 | $192.00 |
|
94060
Test to measure expiratory airflow and volume changes before and after medication administration
|
26 | 25 | $107.26 | $43.35 |
|
94729
Test to examine how well the lungs exchange gases
|
26 | 25 | $78.34 | $44.43 |
|
J1885
Injection, ketorolac tromethamine, per 15 mg
|
25 | 13 | $15.60 | $0.58 |
|
94726
Determination of lung volumes using plethysmography
|
24 | 23 | $61.93 | $38.65 |
|
82150
Amylase (enzyme) level
|
24 | 19 | $10.38 | $6.17 |
|
83735
Magnesium level
|
23 | 20 | $20.00 | $6.65 |
|
83880
Natriuretic peptide (heart and blood vessel protein) level
|
22 | 17 | $89.00 | $37.08 |
|
73562
X-ray of knee, 3 views
|
22 | 16 | $26.53 | $26.65 |
|
73502
X-ray of hip, 2-3 views
|
21 | 18 | $31.93 | $30.45 |
|
G0180
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
|
18 | 16 | $61.34 | $52.62 |
|
86677
Analysis for antibody to helicobacter pylori (gastrointestinal bacteria)
|
18 | 18 | $78.00 | $14.83 |
|
86431
Rheumatoid factor level
|
18 | 18 | $45.00 | $5.65 |
|
99406
Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes
|
17 | 12 | $14.63 | $14.72 |
|
99495
Transitional care management services for problem of at least moderate complexity
|
17 | 16 | $186.07 | $177.44 |
|
70210
X-ray of paranasal sinus, 1-2 views
|
16 | 15 | $22.36 | $20.12 |
|
73030
X-ray of shoulder, minimum of 2 views
|
16 | 15 | $26.49 | $17.24 |
|
J7620
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme
|
15 | 13 | $7.00 | $0.12 |
|
99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
15 | 13 | $46.65 | $42.70 |
|
G2012
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic
|
15 | 11 | $14.37 | $14.46 |
|
94640
Inhalation treatment for airway obstruction or sputum production
|
15 | 13 | $17.18 | $15.86 |
|
72040
X-ray of upper spine, 2-3 views
|
15 | 14 | $25.16 | $23.01 |
|
82977
Glutamyltransferase (liver enzyme) level
|
14 | 11 | $35.00 | $7.16 |
|
93306
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
|
14 | 14 | $127.00 | $121.70 |
|
U0002
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc
|
13 | 12 | $100.00 | $50.99 |
|
76705
Limited ultrasound scan of abdomen
|
13 | 11 | $58.43 | $59.09 |
|
72070
X-ray of middle spine, 2 views
|
12 | 12 | $21.58 | $20.57 |
|
84481
Thyroid hormone, t3 measurement, free
|
12 | 12 | $26.73 | $15.44 |
|
90686
Vaccine for influenza for administration into muscle, 0.5 ml dosage
|
11 | 11 | $40.00 | $19.58 |
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
J1071
Injection, testosterone cypionate, 1 mg
|
18,600 | 13 | $0.15 | $0.03 |
|
36415
Insertion of needle into vein for collection of blood sample
|
2,479 | 631 | $3.11 | $2.92 |
|
99490
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
|
2,232 | 263 | $40.99 | $40.33 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
1,976 | 616 | $112.83 | $103.74 |
|
80053
Blood test, comprehensive group of blood chemicals
|
1,897 | 608 | $13.36 | $11.47 |
|
80061
Blood test, lipids (cholesterol and triglycerides)
|
1,896 | 642 | $20.44 | $14.22 |
|
83721
Ldl cholesterol level
|
1,846 | 628 | $13.35 | $10.29 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
1,265 | 452 | $76.63 | $70.42 |
|
85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
|
1,045 | 579 | $11.33 | $8.22 |
|
83036
Hemoglobin A1C level
|
748 | 286 | $15.05 | $10.18 |
|
81001
Manual urinalysis test with examination using microscope, automated
|
723 | 515 | $4.84 | $3.35 |
|
84443
Blood test, thyroid stimulating hormone (TSH)
|
653 | 524 | $24.13 | $17.94 |
|
84439
Thyroxine (thyroid chemical), free
|
642 | 525 | $13.66 | $9.59 |
|
80048
Blood test, basic group of blood chemicals (calcium, total)
|
586 | 295 | $15.19 | $8.45 |
|
82607
Cyanocobalamin (vitamin B-12) level
|
542 | 466 | $22.10 | $16.09 |
|
82306
Vitamin d-3 level
|
497 | 456 | $38.14 | $31.60 |
|
99497
Advance care planning, first 30 minutes
|
438 | 410 | $85.03 | $82.86 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
435 | 435 | $113.71 | $112.91 |
|
G0444
Annual depression screening, 5 to 15 minutes
|
433 | 433 | $17.41 | $17.29 |
|
93000
Routine ekg using at least 12 leads including interpretation and report
|
400 | 359 | $18.69 | $15.90 |
|
J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
|
355 | 64 | $25.00 | $1.59 |
|
90682
Influenza vaccine, quadrivalent derived from recombinant dna
|
353 | 349 | $57.72 | $52.67 |
|
J3420
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
|
348 | 89 | $15.00 | $1.79 |
|
G0008
Administration of influenza virus vaccine
|
325 | 323 | $25.00 | $15.90 |
|
G0446
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes
|
318 | 318 | $25.86 | $25.68 |
|
82550
Creatine kinase (cardiac enzyme) level, total
|
288 | 259 | $18.68 | $6.88 |
|
96372
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
|
258 | 44 | $15.67 | $15.59 |
|
80076
Liver function blood test panel
|
238 | 144 | $27.62 | $7.24 |
|
69209
Removal of impacted ear wax by washing
|
192 | 144 | $15.44 | $13.44 |
|
71046
X-ray of chest, 2 views
|
167 | 130 | $24.20 | $18.41 |
|
82270
Stool analysis for blood to screen for colon tumors
|
153 | 153 | $15.01 | $4.23 |
|
82044
Urine microalbumin (protein) analysis
|
144 | 143 | $6.84 | $5.86 |
|
82746
Folic acid level
|
139 | 113 | $20.56 | $15.14 |
|
82728
Ferritin (blood protein) level
|
137 | 92 | $53.00 | $14.04 |
|
83540
Iron level
|
132 | 89 | $28.00 | $6.68 |
|
77080
Dxa bone density measurement of hip, pelvis, spine
|
113 | 113 | $42.93 | $37.66 |
|
J2785
Injection, regadenoson, 0.1 mg
|
100 | 25 | $225.00 | $55.62 |
|
84550
Uric acid level, blood
|
100 | 71 | $6.87 | $4.75 |
|
G0447
Face-to-face behavioral counseling for obesity, 15 minutes
|
96 | 81 | $26.63 | $25.35 |
|
90732
Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older
|
82 | 82 | $125.00 | $107.89 |
|
84403
Testosterone (hormone) level, total
|
71 | 50 | $39.77 | $27.03 |
|
87651
Detection test for Strep (Streptococcus, group A)
|
70 | 62 | $48.57 | $37.12 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
66 | 66 | $166.51 | $153.81 |
|
99496
Transitional care management services for problem of high complexity
|
63 | 49 | $229.30 | $212.45 |
|
20610
Aspiration and/or injection of fluid from large joint
|
61 | 46 | $73.02 | $61.27 |
|
G0103
Prostate cancer screening; prostate specific antigen test (psa)
|
60 | 60 | $69.00 | $20.03 |
|
J0696
Injection, ceftriaxone sodium, per 250 mg
|
56 | 11 | $25.00 | $0.57 |
|
85652
Red blood cell sedimentation rate, to detect inflammation, automated
|
54 | 53 | $3.89 | $2.89 |
|
82533
Cortisol (hormone) measurement
|
53 | 49 | $65.00 | $17.42 |
|
72100
X-ray of lower and sacral spine, 2-3 views
|
52 | 52 | $25.07 | $23.04 |
|
G0009
Administration of pneumococcal vaccine
|
50 | 50 | $30.00 | $15.90 |
|
90670
Pneumococcal vaccine for injection into muscle
|
43 | 43 | $200.00 | $174.52 |
|
11042
Removal of skin and tissue, 20.0 sq cm or less
|
42 | 13 | $118.91 | $99.48 |
|
82150
Amylase (enzyme) level
|
41 | 35 | $8.00 | $7.06 |
|
87502
Detection test by nucleic acid for multiple types influenza virus
|
40 | 37 | $122.98 | $91.53 |
|
87798
Detection test for organism
|
40 | 36 | $48.40 | $37.25 |
|
94060
Test to measure expiratory airflow and volume changes before and after medication administration
|
39 | 39 | $64.52 | $42.07 |
|
94729
Test to examine how well the lungs exchange gases
|
39 | 39 | $56.67 | $41.19 |
|
J1885
Injection, ketorolac tromethamine, per 15 mg
|
37 | 17 | $16.62 | $0.50 |
|
86677
Analysis for antibody to helicobacter pylori (gastrointestinal bacteria)
|
37 | 35 | $78.00 | $16.51 |
|
84156
Total protein level, urine
|
35 | 35 | $42.00 | $3.78 |
|
82575
Creatinine clearance measurement to test for kidney function
|
35 | 35 | $17.43 | $9.75 |
|
A9500
Technetium tc-99m sestamibi, diagnostic, per study dose
|
35 | 33 | $337.14 | $87.87 |
|
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
|
34 | 26 | $89.14 | $56.48 |
|
86038
Screening test for autoimmune disorder
|
34 | 34 | $17.85 | $12.39 |
|
J7620
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme
|
33 | 27 | $7.00 | $0.13 |
|
83735
Magnesium level
|
33 | 28 | $20.00 | $7.07 |
|
94640
Inhalation treatment for airway obstruction or sputum production
|
33 | 27 | $17.18 | $16.57 |
|
J1030
Injection, methylprednisolone acetate, 40 mg
|
32 | 30 | $15.00 | $6.16 |
|
17000
Destruction of skin growth
|
31 | 26 | $66.93 | $54.60 |
|
73562
X-ray of knee, 3 views
|
29 | 23 | $26.32 | $26.19 |
|
92587
Placement of ear probe for computerized measurement of sound with interpretation and report
|
28 | 28 | $23.83 | $21.53 |
|
94726
Determination of lung volumes using plethysmography
|
27 | 27 | $52.61 | $38.30 |
|
G0402
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
|
27 | 27 | $163.21 | $153.72 |
|
83970
Parathormone (parathyroid hormone) level
|
26 | 24 | $150.00 | $43.21 |
|
99406
Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes
|
26 | 21 | $14.63 | $14.52 |
|
93015
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician
|
25 | 25 | $76.84 | $59.84 |
|
78452
Nuclear medicine studies of heart muscle at rest and with stress and spect
|
25 | 25 | $428.36 | $369.40 |
|
G0400
Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels
|
24 | 24 | $149.79 | $48.42 |
|
99495
Transitional care management services for problem of at least moderate complexity
|
24 | 21 | $160.85 | $159.33 |
|
83880
Natriuretic peptide (heart and blood vessel protein) level
|
24 | 19 | $89.00 | $35.26 |
|
73030
X-ray of shoulder, minimum of 2 views
|
23 | 21 | $24.38 | $18.61 |
|
70210
X-ray of paranasal sinus, 1-2 views
|
23 | 23 | $21.58 | $21.48 |
|
99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
23 | 21 | $44.94 | $43.58 |
|
76705
Limited ultrasound scan of abdomen
|
22 | 20 | $61.23 | $56.04 |
|
99483
Assessment of and care planning for patient with impaired thought processing, typically 50 minutes
|
21 | 20 | $253.91 | $252.47 |
|
86803
Hepatitis c antibody measurement
|
21 | 21 | $60.00 | $14.79 |
|
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
|
20 | 15 | $40.07 | $39.84 |
|
82977
Glutamyltransferase (liver enzyme) level
|
19 | 13 | $35.00 | $7.84 |
|
84153
Psa (prostate specific antigen) measurement, total
|
19 | 16 | $28.16 | $18.61 |
|
93306
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
|
19 | 19 | $151.89 | $115.70 |
|
84481
Thyroid hormone, t3 measurement, free
|
17 | 15 | $25.65 | $17.36 |
|
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 | 15 | $51.98 | $51.66 |
|
72040
X-ray of upper spine, 2-3 views
|
14 | 14 | $23.95 | $23.84 |
|
96127
Assessment of emotional or behavioral problems
|
13 | 13 | $30.00 | $2.39 |
|
93922
Ultrasound study of arm and leg arteries
|
12 | 12 | $70.26 | $50.59 |
|
86141
Measurement c-reactive protein for detection of infection or inflammation, high sensitivity
|
12 | 12 | $15.98 | $14.10 |
|
93970
Ultrasound study of arm or leg veins with compression and maneuvers
|
12 | 11 | $171.42 | $138.27 |
|
93971
Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers
|
11 | 11 | $110.39 | $87.01 |
|
93925
Ultrasound of leg arteries or artery grafts
|
11 | 11 | $207.07 | $206.05 |
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
J1071
Injection, testosterone cypionate, 1 mg
|
28,900 | 15 | $0.15 | $0.02 |
|
36415
Insertion of needle into vein for collection of blood sample
|
2,324 | 613 | $3.07 | $2.93 |
|
80053
Blood test, comprehensive group of blood chemicals
|
1,872 | 598 | $13.96 | $12.76 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
1,802 | 587 | $110.67 | $102.04 |
|
80061
Blood test, lipids (cholesterol and triglycerides)
|
1,789 | 627 | $20.26 | $15.81 |
|
83721
Ldl cholesterol level
|
1,743 | 616 | $13.25 | $11.48 |
|
99490
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
|
1,646 | 267 | $41.63 | $40.41 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
1,244 | 415 | $74.27 | $69.24 |
|
85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
|
972 | 551 | $11.20 | $9.15 |
|
83036
Hemoglobin A1C level
|
645 | 253 | $15.18 | $11.22 |
|
84443
Blood test, thyroid stimulating hormone (TSH)
|
626 | 500 | $24.38 | $19.86 |
|
84439
Thyroxine (thyroid chemical), free
|
616 | 499 | $13.62 | $10.75 |
|
81003
Automated urinalysis test
|
535 | 401 | $3.87 | $2.61 |
|
82607
Cyanocobalamin (vitamin B-12) level
|
503 | 426 | $21.97 | $18.08 |
|
80048
Blood test, basic group of blood chemicals (calcium, total)
|
473 | 269 | $15.50 | $9.38 |
|
82306
Vitamin d-3 level
|
453 | 422 | $38.60 | $35.36 |
|
93000
Routine ekg using at least 12 leads including interpretation and report
|
389 | 358 | $18.78 | $15.95 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
376 | 376 | $113.94 | $111.08 |
|
90682
Influenza vaccine, quadrivalent derived from recombinant dna
|
331 | 330 | $47.77 | $44.33 |
|
G0444
Annual depression screening, 5 to 15 minutes
|
283 | 283 | $17.40 | $17.06 |
|
96372
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
|
260 | 42 | $19.41 | $18.82 |
|
J3420
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
|
255 | 71 | $15.00 | $1.95 |
|
J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
|
222 | 36 | $25.00 | $1.76 |
|
82550
Creatine kinase (cardiac enzyme) level, total
|
211 | 198 | $18.69 | $7.81 |
|
71046
X-ray of chest, 2 views
|
180 | 158 | $29.64 | $18.05 |
|
69209
Removal of impacted ear wax by washing
|
177 | 139 | $13.72 | $12.68 |
|
80076
Liver function blood test panel
|
171 | 119 | $47.34 | $7.64 |
|
82270
Stool analysis for blood to screen for colon tumors
|
156 | 156 | $15.01 | $4.26 |
|
81001
Manual urinalysis test with examination using microscope, automated
|
130 | 105 | $4.73 | $3.78 |
|
82044
Urine microalbumin (protein) analysis
|
119 | 118 | $6.88 | $5.97 |
|
82746
Folic acid level
|
113 | 92 | $33.70 | $17.36 |
|
J0696
Injection, ceftriaxone sodium, per 250 mg
|
112 | 22 | $25.00 | $0.61 |
|
90732
Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older
|
110 | 110 | $122.27 | $102.84 |
|
77080
Dxa bone density measurement of hip, pelvis, spine
|
110 | 109 | $44.65 | $39.49 |
|
87651
Detection test for Strep (Streptococcus, group A)
|
100 | 82 | $51.57 | $39.92 |
|
87798
Detection test for organism
|
100 | 81 | $51.09 | $39.92 |
|
83540
Iron level
|
91 | 66 | $28.00 | $7.51 |
|
82728
Ferritin (blood protein) level
|
90 | 67 | $53.00 | $15.81 |
|
J2785
Injection, regadenoson, 0.1 mg
|
88 | 22 | $225.00 | $55.68 |
|
84550
Uric acid level, blood
|
86 | 63 | $6.44 | $5.47 |
|
84403
Testosterone (hormone) level, total
|
86 | 60 | $37.68 | $30.50 |
|
85652
Red blood cell sedimentation rate, to detect inflammation, automated
|
79 | 63 | $4.54 | $3.11 |
|
87502
Detection test by nucleic acid for multiple types influenza virus
|
78 | 66 | $126.34 | $97.60 |
|
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
|
76 | 57 | $90.50 | $74.22 |
|
87880
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
|
72 | 59 | $29.00 | $15.19 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
65 | 65 | $166.06 | $156.82 |
|
G0103
Prostate cancer screening; prostate specific antigen test (psa)
|
63 | 63 | $69.00 | $22.26 |
|
99496
Transitional care management services for problem of high complexity
|
61 | 50 | $242.91 | $216.45 |
|
99497
Advance care planning, first 30 minutes
|
60 | 58 | $85.56 | $79.33 |
|
92587
Placement of ear probe for computerized measurement of sound with interpretation and report
|
57 | 57 | $33.39 | $20.92 |
|
87804
Detection test by immunoassay with direct visual observation for influenza virus
|
55 | 49 | $17.32 | $15.22 |
|
92250
Photography of the retina
|
54 | 28 | $40.81 | $28.54 |
|
86235
Measurement of antibody for assessment of autoimmune disorder, any method
|
53 | 11 | $24.43 | $21.70 |
|
G0447
Face-to-face behavioral counseling for obesity, 15 minutes
|
52 | 48 | $25.43 | $24.83 |
|
94060
Test to measure expiratory airflow and volume changes before and after medication administration
|
51 | 50 | $59.22 | $44.44 |
|
82533
Cortisol (hormone) measurement
|
49 | 45 | $65.00 | $19.72 |
|
94729
Test to examine how well the lungs exchange gases
|
49 | 48 | $53.49 | $41.96 |
|
90670
Pneumococcal vaccine for injection into muscle
|
46 | 46 | $200.00 | $185.13 |
|
94726
Determination of lung volumes using plethysmography
|
45 | 44 | $52.81 | $40.18 |
|
72100
X-ray of lower and sacral spine, 2-3 views
|
45 | 45 | $22.55 | $22.20 |
|
86038
Screening test for autoimmune disorder
|
44 | 43 | $17.00 | $14.29 |
|
99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
42 | 28 | $42.62 | $42.00 |
|
20610
Aspiration and/or injection of fluid from large joint
|
39 | 32 | $80.79 | $65.39 |
|
G0008
Administration of influenza virus vaccine
|
38 | 38 | $25.00 | $19.51 |
|
73562
X-ray of knee, 3 views
|
37 | 27 | $24.92 | $24.53 |
|
70210
X-ray of paranasal sinus, 1-2 views
|
37 | 33 | $20.96 | $19.57 |
|
J1030
Injection, methylprednisolone acetate, 40 mg
|
29 | 25 | $15.00 | $6.69 |
|
J7620
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme
|
28 | 24 | $7.00 | $0.13 |
|
A9500
Technetium tc-99m sestamibi, diagnostic, per study dose
|
28 | 27 | $364.29 | $68.73 |
|
94640
Inhalation treatment for airway obstruction or sputum production
|
28 | 24 | $17.73 | $17.47 |
|
86677
Analysis for antibody to helicobacter pylori (gastrointestinal bacteria)
|
27 | 25 | $78.00 | $16.49 |
|
84156
Total protein level, urine
|
26 | 25 | $42.00 | $4.29 |
|
82575
Creatinine clearance measurement to test for kidney function
|
25 | 25 | $16.09 | $11.04 |
|
82150
Amylase (enzyme) level
|
25 | 21 | $20.16 | $7.39 |
|
78452
Nuclear medicine studies of heart muscle at rest and with stress and spect
|
24 | 24 | $393.09 | $386.80 |
|
G0402
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
|
24 | 24 | $163.13 | $154.48 |
|
93015
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician
|
24 | 24 | $69.56 | $60.53 |
|
83880
Natriuretic peptide (heart and blood vessel protein) level
|
22 | 16 | $89.00 | $39.19 |
|
86160
Measurement of complement (immune system proteins), antigen,
|
22 | 11 | $16.35 | $14.51 |
|
86803
Hepatitis c antibody measurement
|
21 | 21 | $60.00 | $15.62 |
|
83735
Magnesium level
|
21 | 20 | $20.00 | $7.33 |
|
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 | 15 | $45.11 | $44.40 |
|
99495
Transitional care management services for problem of at least moderate complexity
|
20 | 20 | $160.50 | $157.44 |
|
82977
Glutamyltransferase (liver enzyme) level
|
19 | 13 | $35.00 | $8.71 |
|
17000
Destruction of skin growth
|
19 | 18 | $64.22 | $61.59 |
|
J1885
Injection, ketorolac tromethamine, per 15 mg
|
18 | 11 | $15.00 | $0.58 |
|
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
|
18 | 11 | $40.53 | $39.88 |
|
G0400
Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels
|
17 | 17 | $149.80 | $66.76 |
|
99406
Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes
|
16 | 14 | $14.27 | $13.98 |
|
83970
Parathormone (parathyroid hormone) level
|
15 | 15 | $150.00 | $49.94 |
|
72070
X-ray of middle spine, 2 views
|
15 | 15 | $21.54 | $21.22 |
|
93306
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
|
14 | 14 | $130.24 | $128.26 |
|
73030
X-ray of shoulder, minimum of 2 views
|
14 | 11 | $18.82 | $18.54 |
|
72040
X-ray of upper spine, 2-3 views
|
14 | 14 | $21.75 | $20.55 |
|
76705
Limited ultrasound scan of abdomen
|
13 | 13 | $68.99 | $53.79 |
|
G0180
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
|
12 | 12 | $52.33 | $51.49 |
|
86225
Measurement of dna antibody, native or double stranded
|
11 | 11 | $45.00 | $16.63 |
|
96127
Assessment of emotional or behavioral problems
|
11 | 11 | $30.00 | $5.10 |
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
J1071
Injection, testosterone cypionate, 1 mg
|
47,451 | 25 | $0.15 | $0.02 |
|
36415
Insertion of needle into vein for collection of blood sample
|
2,287 | 627 | $3.07 | $2.93 |
|
80053
Blood test, comprehensive group of blood chemicals
|
1,851 | 609 | $14.60 | $10.86 |
|
80061
Blood test, lipids (cholesterol and triglycerides)
|
1,796 | 632 | $20.27 | $12.72 |
|
83721
Ldl cholesterol level
|
1,794 | 632 | $13.72 | $12.52 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
1,728 | 581 | $108.00 | $101.31 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
1,263 | 464 | $72.47 | $68.93 |
|
85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
|
1,026 | 593 | $11.03 | $10.17 |
|
84443
Blood test, thyroid stimulating hormone (TSH)
|
696 | 547 | $23.81 | $22.04 |
|
84439
Thyroxine (thyroid chemical), free
|
690 | 546 | $13.05 | $11.96 |
|
81003
Automated urinalysis test
|
682 | 516 | $3.48 | $2.94 |
|
99490
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
|
676 | 149 | $41.21 | $40.36 |
|
83036
Hemoglobin A1C level
|
646 | 232 | $14.79 | $12.53 |
|
82607
Cyanocobalamin (vitamin B-12) level
|
501 | 415 | $21.86 | $19.97 |
|
82306
Vitamin d-3 level
|
472 | 430 | $67.53 | $36.07 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
420 | 420 | $112.59 | $110.34 |
|
80048
Blood test, basic group of blood chemicals (calcium, total)
|
414 | 237 | $16.76 | $7.95 |
|
93000
Routine ekg using at least 12 leads including interpretation and report
|
407 | 379 | $17.76 | $15.72 |
|
96372
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
|
378 | 57 | $24.04 | $23.32 |
|
90662
Influenza vaccine split virus, preservative free
|
323 | 323 | $71.30 | $46.86 |
|
J3420
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
|
283 | 77 | $15.00 | $2.97 |
|
82550
Creatine kinase (cardiac enzyme) level, total
|
278 | 237 | $18.42 | $8.06 |
|
G0444
Annual depression screening, 5 to 15 minutes
|
232 | 232 | $17.42 | $17.07 |
|
J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
|
222 | 38 | $25.00 | $1.82 |
|
82270
Stool analysis for blood to screen for colon tumors
|
220 | 220 | $15.01 | $4.37 |
|
69209
Removal of impacted ear wax by washing
|
189 | 137 | $12.48 | $11.66 |
|
71020
X-ray of chest, 2 views, front and side
|
173 | 146 | $19.97 | $15.22 |
|
80076
Liver function blood test panel
|
152 | 99 | $65.00 | $11.12 |
|
82044
Urine microalbumin (protein) analysis
|
132 | 132 | $6.85 | $5.98 |
|
84403
Testosterone (hormone) level, total
|
122 | 84 | $37.38 | $33.06 |
|
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
|
104 | 100 | $89.40 | $84.13 |
|
82533
Cortisol (hormone) measurement
|
97 | 87 | $65.00 | $21.46 |
|
82746
Folic acid level
|
97 | 85 | $60.00 | $19.16 |
|
77080
Dxa bone density measurement of hip, pelvis, spine
|
96 | 96 | $42.53 | $37.88 |
|
82728
Ferritin (blood protein) level
|
94 | 75 | $53.00 | $16.85 |
|
84550
Uric acid level, blood
|
90 | 58 | $6.95 | $3.54 |
|
J0696
Injection, ceftriaxone sodium, per 250 mg
|
88 | 16 | $25.00 | $0.61 |
|
86235
Measurement of antibody for assessment of autoimmune disorder, any method
|
86 | 14 | $24.43 | $23.94 |
|
83540
Iron level
|
84 | 68 | $28.00 | $8.02 |
|
86038
Screening test for autoimmune disorder
|
68 | 68 | $16.82 | $16.14 |
|
90670
Pneumococcal vaccine for injection into muscle
|
68 | 68 | $200.00 | $182.07 |
|
99496
Transitional care management services for problem of high complexity
|
68 | 57 | $224.47 | $220.68 |
|
90732
Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older
|
67 | 67 | $100.00 | $90.71 |
|
87880
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
|
67 | 60 | $29.00 | $15.27 |
|
99497
Advance care planning, first 30 minutes
|
65 | 65 | $81.37 | $79.59 |
|
69210
Removal of impacted ear wax
|
58 | 56 | $47.99 | $46.32 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
57 | 57 | $161.16 | $156.94 |
|
87804
Detection test by immunoassay with direct visual observation for influenza virus
|
54 | 51 | $17.09 | $15.26 |
|
J2785
Injection, regadenoson, 0.1 mg
|
52 | 13 | $225.00 | $50.66 |
|
G0103
Prostate cancer screening; prostate specific antigen test (psa)
|
51 | 51 | $69.00 | $24.73 |
|
20610
Aspiration and/or injection of fluid from large joint
|
44 | 38 | $78.88 | $67.82 |
|
86677
Analysis for antibody to helicobacter pylori (gastrointestinal bacteria)
|
42 | 38 | $78.00 | $11.00 |
|
G0008
Administration of influenza virus vaccine
|
42 | 42 | $25.00 | $23.91 |
|
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
|
42 | 35 | $44.92 | $42.00 |
|
72100
X-ray of lower and sacral spine, 2-3 views
|
40 | 40 | $23.60 | $21.96 |
|
87651
Detection test for Strep (Streptococcus, group A)
|
39 | 35 | $78.47 | $45.83 |
|
11042
Removal of skin and tissue, 20.0 sq cm or less
|
39 | 11 | $112.07 | $110.28 |
|
87798
Detection test for organism
|
39 | 35 | $79.73 | $45.86 |
|
J1030
Injection, methylprednisolone acetate, 40 mg
|
38 | 34 | $15.00 | $5.43 |
|
85610
Blood test, clotting time
|
38 | 11 | $21.00 | $3.93 |
|
85652
Red blood cell sedimentation rate, to detect inflammation, automated
|
37 | 33 | $3.99 | $3.61 |
|
99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
36 | 35 | $42.91 | $41.17 |
|
70210
X-ray of paranasal sinus, 1-2 views
|
36 | 35 | $22.64 | $18.53 |
|
17003
Destruction of precancer skin growth, 2-14 growths
|
36 | 11 | $5.38 | $5.31 |
|
84156
Total protein level, urine
|
35 | 33 | $42.00 | $4.56 |
|
82150
Amylase (enzyme) level
|
34 | 29 | $27.00 | $8.71 |
|
82575
Creatinine clearance measurement to test for kidney function
|
34 | 33 | $26.68 | $11.68 |
|
17000
Destruction of skin growth
|
34 | 27 | $65.21 | $60.46 |
|
94060
Test to measure expiratory airflow and volume changes before and after medication administration
|
32 | 31 | $61.63 | $42.86 |
|
83880
Natriuretic peptide (heart and blood vessel protein) level
|
31 | 20 | $89.00 | $45.63 |
|
94729
Test to examine how well the lungs exchange gases
|
31 | 30 | $54.76 | $40.51 |
|
86160
Measurement of complement (immune system proteins), antigen,
|
30 | 15 | $16.35 | $16.02 |
|
94726
Determination of lung volumes using plethysmography
|
29 | 28 | $51.65 | $35.82 |
|
90688
Vaccine for influenza for administration into muscle, 0.5 ml dosage
|
29 | 29 | $34.00 | $16.27 |
|
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
|
28 | 15 | $40.03 | $39.39 |
|
92250
Photography of the retina
|
26 | 13 | $49.50 | $31.60 |
|
83735
Magnesium level
|
25 | 23 | $20.00 | $8.29 |
|
86803
Hepatitis c antibody measurement
|
24 | 24 | $60.00 | $19.18 |
|
72040
X-ray of upper spine, 2-3 views
|
23 | 22 | $21.79 | $19.12 |
|
G0402
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
|
22 | 22 | $162.11 | $152.32 |
|
82977
Glutamyltransferase (liver enzyme) level
|
21 | 16 | $35.00 | $10.26 |
|
J1885
Injection, ketorolac tromethamine, per 15 mg
|
21 | 17 | $15.00 | $0.63 |
|
87502
Detection test by nucleic acid for multiple types influenza virus
|
21 | 20 | $164.31 | $109.85 |
|
94640
Inhalation treatment for airway obstruction or sputum production
|
20 | 15 | $17.27 | $16.18 |
|
73560
X-ray of knee, 1-2 views
|
19 | 18 | $23.77 | $20.68 |
|
G0438
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
|
19 | 19 | $166.91 | $163.57 |
|
93306
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
|
18 | 18 | $171.41 | $152.36 |
|
73502
X-ray of hip, 2-3 views
|
18 | 18 | $29.53 | $26.33 |
|
84153
Psa (prostate specific antigen) measurement, total
|
18 | 15 | $79.39 | $23.36 |
|
73562
X-ray of knee, 3 views
|
17 | 13 | $25.00 | $22.84 |
|
83970
Parathormone (parathyroid hormone) level
|
16 | 15 | $150.00 | $55.49 |
|
A9500
Technetium tc-99m sestamibi, diagnostic, per study dose
|
15 | 15 | $373.33 | $64.09 |
|
86225
Measurement of dna antibody, native or double stranded
|
14 | 14 | $45.00 | $18.47 |
|
76705
Limited ultrasound scan of abdomen
|
14 | 14 | $65.02 | $54.43 |
|
72070
X-ray of middle spine, 2 views
|
14 | 14 | $22.05 | $20.95 |
|
78452
Nuclear medicine studies of heart muscle at rest and with stress and spect
|
13 | 13 | $542.81 | $373.02 |
|
93015
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician
|
13 | 13 | $87.69 | $49.27 |
|
86141
Measurement c-reactive protein for detection of infection or inflammation, high sensitivity
|
13 | 12 | $60.00 | $17.40 |
|
G0400
Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels
|
12 | 12 | $149.81 | $102.35 |
|
99495
Transitional care management services for problem of at least moderate complexity
|
11 | 11 | $158.40 | $155.86 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Additional State Medicaid & Healthcare Payer Identifiers
Hospital & Practice Group Affiliations
Amarillo Medical Specialists,llp
9092 Westgate Pkwy W, Amarillo, TX 791242441
Phone: 8063588331
Amarillo Medical Specialists,llp
1900 Coulter Dr, Amarillo, TX 791061753
Phone: 8063588331
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Nurse Practitioner - Family
Nurse Practitioner
Nurse Practitioner - Family
Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)
Nurse Practitioner - Family
Family Nurse Practitioner (Certified)
Nurse Practitioner - Family
Master of Science in Nursing, Advanced Practice Registered Nurse, Nurse Practitioner (Certified)
Nurse Practitioner - Family
Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)
Family Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Acute Care
CWOCN, Family Nurse Practitioner
Obstetrics & Gynecology
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Family Nurse Practitioner (Certified)
Psychiatry & Neurology - Psychiatry
Doctor of Medicine (M.D.)
Psychiatry & Neurology - Psychiatry
Registered Nurse, DNPPMHNPBC
Physician Assistant
Physician Assistant (Certified)
Internal Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Physician Assistant
MPAS, Physician Assistant (Certified)
Dermatology
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Family Nurse Practitioner
Physician Assistant
Physician Assistant
Nurse Practitioner - Family
Family Nurse Practitioner (Certified)
Nurse Practitioner - Family
Family Nurse Practitioner (Certified)
Nurse Practitioner - Family
Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)
Internal Medicine - Rheumatology
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Family Nurse Practitioner (Certified)
Nurse Practitioner - Family
Nurse Practitioner
Physician Assistant
Physician Assistant
Nurse Practitioner - Family
Internal Medicine - Rheumatology
Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)
Nurse Practitioner - Family
Nurse Practitioner - Family
Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)
Psychiatry & Neurology - Psychiatry
Doctor of Medicine (M.D.)
Nurse Practitioner
Advanced Practice Registered Nurse
Internal Medicine - Rheumatology
Doctor of Medicine (M.D.)
Nurse Practitioner - Primary Care
Family Nurse Practitioner (Certified)
Physical Medicine & Rehabilitation
Nurse Practitioner - Family
Family Nurse Practitioner
Internal Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Family Nurse Practitioner
Family Medicine
Family Nurse Practitioner
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 1215 S COULTER ST, SUITE #301, AMARILLO, TX 791061758 (Tel: 8063559741)
Registered at 1215 S COULTER ST, SUITE #301, AMARILLO, TX 791061758 (Tel: 8063559741)
Recorded as NAM DO, M.D.
Internal Medicine (License #K0287 in TX)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1215 S Coulter St, Suite #301
Amarillo, TX 791061758
Phone: 8063559741
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.