Active NPI 1770682619 Individual Practitioner Male Practitioner

Dr. Thomas M Buzbee , MD

Internal Medicine • Tyler, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Buzbee, MD is a certified Internal Medicine practicing in Tyler, TX. With approximately 35 years of clinical experience since graduating from University Of Texas Medical School At Houston in 1991, Dr. Buzbee delivers high-quality medical care to the local community at 1910 ROSELAND BLVD.

Dr. Buzbee is affiliated with Tyler Internal Medicine Associates, P.A and accepts Medicare assignment.

Frequently performed procedures and clinical services include chronic care management services, first, insertion of needle into vein for collection of blood sample, blood test, comprehensive group of blood chemicals. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1910 Roseland Blvd

Tyler, TX 75701

Telephone 9035330644

Fax 9035330441

Associated Practice Facility / Clinic

🏢 Tyler Internal Medicine Associates, P.a. Facility NPI 1770695850

Medicare Profile & Education

Medical School

University Of Texas Medical School At Houston

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Tyler, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +13.9 yrs vs City Avg

City Avg: 21.1 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

148 Specialists

Practicing in Tyler, TX (9538 Statewide)

Telehealth Adoption Rate

9.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Buzbee (35 Years) 35 Yrs

Tyler Specialty Average (21.1 Years) 21.1 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
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	4,705	571	$77.43	$59.78
36415 Insertion of needle into vein for collection of blood sample	3,669	1,538	$10.00	$8.65
80053 Blood test, comprehensive group of blood chemicals	3,455	1,537	$36.07	$10.35
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	3,325	1,531	$26.77	$7.61
84439 Thyroxine (thyroid chemical), free	3,125	1,536	$25.05	$8.83
84443 Blood test, thyroid stimulating hormone (TSH)	3,114	1,530	$42.56	$16.46
80061 Blood test, lipids (cholesterol and triglycerides)	3,090	1,537	$32.52	$13.10
83036 Hemoglobin A1C level	3,050	1,528	$26.68	$9.51
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	1,822	1,145	$25.30	$15.72
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	1,798	145	$67.07	$38.28
99213 Established patient office or other outpatient visit, typically 15 minutes	1,429	860	$138.40	$86.76
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,380	265	$2.00	$0.11
82306 Vitamin d-3 level	1,289	863	$74.58	$28.99
82607 Cyanocobalamin (vitamin B-12) level	1,237	829	$35.91	$14.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	891	629	$192.52	$121.75
82043 Urine microalbumin (protein) level	857	561	$19.61	$5.64
81000 Manual urinalysis test with examination using microscope, non-automated	814	502	$14.78	$3.93
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	709	709	$166.01	$123.35
84153 Psa (prostate specific antigen) measurement, total	689	434	$50.59	$17.95
J0696 Injection, ceftriaxone sodium, per 250 mg	660	134	$6.02	$0.46
J2785 Injection, regadenoson, 0.1 mg	636	159	$75.00	$6.33
84403 Testosterone (hormone) level, total	627	394	$55.57	$25.23
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	615	42	$49.23	$13.59
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	460	456	$484.23	$183.84
83540 Iron level	408	328	$20.95	$6.33
83550 Iron binding capacity	408	328	$24.74	$8.55
82728 Ferritin (blood protein) level	401	322	$34.74	$13.33
80307 Testing for presence of drug, by chemistry analyzers	317	248	$100.28	$60.87
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml	311	19	$3.06	$1.48
93880 Ultrasound of both sides of head and neck blood flow	308	308	$475.25	$176.68
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	296	67	$8.00	$0.97
83880 Natriuretic peptide (heart and blood vessel protein) level	280	196	$69.52	$38.47
G0444 Annual depression screening, 5 to 15 minutes	263	263	$24.98	$17.89
71046 X-ray of chest, 2 views	245	212	$48.54	$31.50
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	224	181	$15.41	$4.18
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	217	207	$56.10	$45.80
86140 Measurement C-reactive protein for detection of infection or inflammation	214	174	$18.66	$5.08
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	213	213	$193.34	$59.33
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	213	213	$685.54	$404.14
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	208	195	$383.39	$156.83
J1010 Injection, methylprednisolone acetate, 1 mg	197	160	$30.00	$0.13
J1885 Injection, ketorolac tromethamine, per 15 mg	192	39	$2.00	$0.66
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	174	170	$201.55	$127.31
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	173	72	$111.07	$70.92
G0008 Administration of influenza virus vaccine	156	155	$42.50	$31.03
90653 Vaccine for influenza for injection into muscle	146	146	$112.60	$81.82
82550 Creatine kinase (cardiac enzyme) level, total	134	110	$20.73	$6.38
93000 Routine ekg using at least 12 leads including interpretation and report	124	116	$42.07	$13.46
85610 Blood test, clotting time	121	25	$16.83	$4.09
77067 Screening mammography	117	117	$235.34	$119.41
77063 Screening digital tomography of both breasts	117	117	$144.66	$49.03
G0103 Prostate cancer screening; prostate specific antigen test (psa)	115	115	$50.96	$18.92
77080 Dxa bone density measurement of hip, pelvis, spine	111	111	$180.00	$36.19
84402 Testosterone (hormone) level, free	102	99	$54.95	$24.96
82570 Creatinine level to test for kidney function or muscle injury	92	90	$21.03	$5.04
77085 Bone density measurement using dedicated x-ray machine	90	89	$200.00	$49.55
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	90	88	$444.50	$288.10
72100 X-ray of lower and sacral spine, 2-3 views	83	81	$60.84	$37.49
G0009 Administration of pneumococcal vaccine	83	81	$37.89	$31.03
J1040 Injection, methylprednisolone acetate, 80 mg	83	58	$35.06	$9.70
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	75	72	$193.20	$126.88
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	66	39	$56.09	$39.66
93241 Heart rhythm recording, analysis, report, review, and interpretation of continous external ekg over more than 48 hours up to 7 days	66	66	$686.55	$237.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$171.95	$106.65
20610 Aspiration and/or injection of fluid from large joint	57	38	$386.14	$66.78
73564 X-ray of knee, 4 or more views	49	38	$75.00	$44.32
72148 MRI scan of lower spinal canal	49	49	$783.16	$183.94
73030 X-ray of shoulder, minimum of 2 views	45	41	$60.60	$32.73
20552 Injections of trigger points in 1 or 2 muscles	45	42	$117.71	$49.44
73522 X-ray of both hips, 3-4 views	44	44	$80.45	$50.57
87804 Detection test by immunoassay with direct visual observation for influenza virus	44	22	$35.00	$15.93
95938 Placement of skin electrodes and measurement of stimulated sites on arms and legs	38	38	$633.16	$348.82
70551 Mri scan of brain without contrast	36	36	$856.67	$189.38
17003 Destruction of precancer skin growth, 2-14 growths	34	13	$22.00	$6.24
73630 X-ray of foot, minimum of 3 views	32	28	$63.97	$32.14
84550 Uric acid level, blood	31	28	$17.32	$4.43
72050 X-ray of upper spine, 4 or 5 views	31	31	$93.71	$50.25
17000 Destruction of skin growth	31	30	$144.35	$62.90
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	30	30	$62.67	$50.74
72220 X-ray of sacrum and tailbone, minimum of 2 views	30	30	$65.00	$30.59
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	29	29	$324.83	$111.08
73502 X-ray of hip, 2-3 views	29	29	$75.00	$44.65
73560 X-ray of knee, 1-2 views	27	27	$50.15	$32.16
82150 Amylase (enzyme) level	25	23	$20.52	$6.35
83690 Lipase (fat enzyme) level	25	23	$23.68	$6.75
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	25	23	$75.00	$40.55
73130 X-ray of hand, minimum of 3 views	24	20	$62.88	$34.95
76705 Limited ultrasound scan of abdomen	23	23	$323.70	$81.55
82670 Measurement of total estradiol (hormone)	23	20	$59.78	$27.38
73721 Mri scan of leg joint without contrast	20	19	$790.30	$192.17
72070 X-ray of middle spine, 2 views	20	20	$64.75	$30.87
94727 Determination of lung volumes using gas dilution or washout	19	19	$97.95	$41.98
94729 Test to examine how well the lungs exchange gases	19	19	$121.47	$52.98
94060 Test to measure expiratory airflow and volume changes before and after medication administration	19	19	$121.47	$36.63
72141 MRI scan of upper spinal canal	19	19	$1000.00	$173.48
73221 Mri scan of arm joint without contrast	17	15	$826.12	$195.79
83970 Parathormone (parathyroid hormone) level	17	13	$82.47	$38.45
99496 Transitional care management services for problem of high complexity	16	16	$318.50	$265.90
93925 Ultrasound of leg arteries or artery grafts	15	15	$599.33	$224.16
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	15	15	$45.00	$15.60
93970 Ultrasound study of arm or leg veins with compression and maneuvers	15	14	$486.53	$175.07
84481 Thyroid hormone, t3 measurement, free	14	13	$40.00	$16.60
83001 Gonadotropin, follicle stimulating (reproductive hormone) level	14	11	$43.00	$18.21
86677 Analysis for antibody to helicobacter pylori (gastrointestinal bacteria)	14	14	$34.64	$16.51
73610 X-ray of ankle, minimum of 3 views	13	12	$65.00	$34.26
74021 X-ray of abdomen, minimum of 3 views	13	13	$61.15	$40.31
70553 Mri scan of brain before and after contrast	13	13	$1303.00	$299.76
90471 Administration of 1 vaccine	13	13	$44.00	$19.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$261.38	$159.98
72195 Mri scan of pelvis without contrast	12	12	$931.00	$221.24
74019 X-ray of abdomen, 2 views	11	11	$55.00	$34.51
99495 Transitional care management services for problem of at least moderate complexity	11	11	$225.00	$195.70

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	4,792	535	$70.00	$59.85
36415 Insertion of needle into vein for collection of blood sample	4,363	1,611	$10.00	$8.40
80053 Blood test, comprehensive group of blood chemicals	4,089	1,608	$38.00	$10.34
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	3,925	1,606	$28.00	$7.61
84439 Thyroxine (thyroid chemical), free	3,704	1,603	$26.00	$8.83
84443 Blood test, thyroid stimulating hormone (TSH)	3,697	1,600	$44.00	$16.46
83036 Hemoglobin A1C level	3,642	1,603	$27.00	$9.51
80061 Blood test, lipids (cholesterol and triglycerides)	3,637	1,601	$33.00	$13.10
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	2,031	144	$68.00	$37.98
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,884	323	$2.00	$0.12
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,836	316	$8.00	$1.07
99213 Established patient office or other outpatient visit, typically 15 minutes	1,628	951	$135.00	$86.47
82306 Vitamin d-3 level	1,579	885	$75.00	$28.97
82607 Cyanocobalamin (vitamin B-12) level	1,554	887	$36.00	$14.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,040	678	$190.00	$122.48
82043 Urine microalbumin (protein) level	931	549	$20.00	$5.65
81000 Manual urinalysis test with examination using microscope, non-automated	857	525	$15.00	$3.92
82728 Ferritin (blood protein) level	749	427	$35.00	$13.30
83550 Iron binding capacity	747	427	$25.00	$8.53
83540 Iron level	746	426	$21.00	$6.31
84403 Testosterone (hormone) level, total	707	393	$56.00	$25.23
J2785 Injection, regadenoson, 0.1 mg	700	172	$75.00	$54.48
84153 Psa (prostate specific antigen) measurement, total	695	428	$52.00	$17.96
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	688	49	$49.00	$13.53
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	640	14	$34.00	$16.68
J0696 Injection, ceftriaxone sodium, per 250 mg	628	133	$6.00	$0.51
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	561	556	$485.00	$187.38
80307 Testing for presence of drug, by chemistry analyzers	508	368	$100.00	$60.80
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	463	463	$160.00	$123.58
93880 Ultrasound of both sides of head and neck blood flow	364	362	$476.00	$181.98
J1885 Injection, ketorolac tromethamine, per 15 mg	360	73	$2.00	$0.54
83880 Natriuretic peptide (heart and blood vessel protein) level	346	243	$69.82	$38.26
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml	316	19	$3.00	$1.53
G0008 Administration of influenza virus vaccine	292	292	$35.00	$29.51
71046 X-ray of chest, 2 views	288	250	$48.00	$32.23
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	288	288	$100.00	$75.81
77080 Dxa bone density measurement of hip, pelvis, spine	257	257	$180.00	$36.17
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	241	227	$391.29	$161.60
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	239	236	$665.00	$405.79
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	238	235	$194.00	$58.93
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	235	188	$16.00	$4.17
86140 Measurement C-reactive protein for detection of infection or inflammation	206	166	$19.00	$5.06
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	185	185	$554.05	$282.89
85610 Blood test, clotting time	169	44	$17.00	$4.20
G0009 Administration of pneumococcal vaccine	168	168	$35.00	$29.51
77067 Screening mammography	153	153	$230.00	$122.41
77063 Screening digital tomography of both breasts	153	153	$150.00	$50.59
93000 Routine ekg using at least 12 leads including interpretation and report	141	135	$42.00	$13.77
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	136	133	$150.00	$126.96
82550 Creatine kinase (cardiac enzyme) level, total	125	106	$21.00	$6.34
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	113	57	$105.00	$71.26
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	111	55	$55.00	$39.18
G0103 Prostate cancer screening; prostate specific antigen test (psa)	108	108	$52.00	$18.92
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	104	93	$61.00	$49.18
87804 Detection test by immunoassay with direct visual observation for influenza virus	100	49	$35.00	$15.96
20610 Aspiration and/or injection of fluid from large joint	86	63	$400.00	$66.29
72100 X-ray of lower and sacral spine, 2-3 views	86	82	$60.00	$37.99
93241 Heart rhythm recording, analysis, report, review, and interpretation of continous external ekg over more than 48 hours up to 7 days	70	68	$700.00	$247.84
73564 X-ray of knee, 4 or more views	63	53	$75.00	$44.66
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	60	56	$190.00	$127.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$170.00	$107.40
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	54	51	$75.00	$39.80
70551 Mri scan of brain without contrast	54	53	$787.89	$194.24
95938 Placement of skin electrodes and measurement of stimulated sites on arms and legs	52	52	$634.00	$345.78
72050 X-ray of upper spine, 4 or 5 views	51	51	$75.00	$51.16
73030 X-ray of shoulder, minimum of 2 views	51	48	$61.00	$33.23
20552 Injections of trigger points in 1 or 2 muscles	50	42	$125.00	$48.23
73560 X-ray of knee, 1-2 views	48	46	$50.00	$32.84
84550 Uric acid level, blood	43	34	$18.00	$4.43
72148 MRI scan of lower spinal canal	40	39	$770.63	$190.70
17000 Destruction of skin growth	40	33	$145.00	$64.33
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose	39	23	$35.38	$29.77
17003 Destruction of precancer skin growth, 2-14 growths	39	12	$22.00	$6.41
73630 X-ray of foot, minimum of 3 views	38	37	$65.00	$32.87
72141 MRI scan of upper spinal canal	37	37	$1000.00	$179.74
73522 X-ray of both hips, 3-4 views	36	36	$80.00	$50.35
73502 X-ray of hip, 2-3 views	36	35	$75.00	$45.01
72220 X-ray of sacrum and tailbone, minimum of 2 views	34	34	$65.00	$30.57
82150 Amylase (enzyme) level	32	32	$21.00	$6.35
83690 Lipase (fat enzyme) level	31	31	$24.00	$6.75
73721 Mri scan of leg joint without contrast	30	28	$815.33	$194.48
73610 X-ray of ankle, minimum of 3 views	28	26	$65.00	$35.36
73221 Mri scan of arm joint without contrast	27	27	$805.22	$201.76
84402 Testosterone (hormone) level, free	26	24	$55.00	$24.96
73130 X-ray of hand, minimum of 3 views	25	21	$63.00	$35.55
83970 Parathormone (parathyroid hormone) level	24	19	$83.00	$40.45
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	23	23	$32.00	$15.64
82670 Measurement of total estradiol (hormone)	23	16	$60.00	$27.38
99496 Transitional care management services for problem of high complexity	21	20	$300.00	$264.80
94060 Test to measure expiratory airflow and volume changes before and after medication administration	20	20	$122.00	$36.67
76705 Limited ultrasound scan of abdomen	20	20	$320.50	$66.84
94729 Test to examine how well the lungs exchange gases	20	20	$122.00	$53.73
94727 Determination of lung volumes using gas dilution or washout	20	20	$99.00	$41.51
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	20	20	$325.00	$113.86
74019 X-ray of abdomen, 2 views	19	19	$55.00	$35.48
84481 Thyroid hormone, t3 measurement, free	19	17	$40.00	$16.60
93320 Ultrasound of heart blood flow, valves and chambers	18	18	$145.00	$48.34
72070 X-ray of middle spine, 2 views	18	18	$67.00	$31.63
93351 Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report	18	18	$500.00	$221.96
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	18	18	$100.00	$22.29
99495 Transitional care management services for problem of at least moderate complexity	17	17	$225.00	$195.45
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	17	17	$70.00	$59.12
76536 Ultrasound of head and neck	16	16	$225.00	$95.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$258.00	$159.70
94618 Test for exercise-induced lung stress	15	15	$53.00	$32.35
73110 X-ray of wrist, minimum of 3 views	15	12	$70.00	$39.16
83001 Gonadotropin, follicle stimulating (reproductive hormone) level	14	11	$43.00	$18.21
74021 X-ray of abdomen, minimum of 3 views	14	14	$60.00	$41.24
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	14	14	$45.00	$15.60
93925 Ultrasound of leg arteries or artery grafts	13	13	$600.00	$228.78
20605 Aspiration and/or injection of medium joint or joint capsule	13	12	$220.00	$52.88
71100 X-ray of ribs of one side of body, 2 views	13	13	$66.00	$35.40
70553 Mri scan of brain before and after contrast	12	12	$1303.00	$318.31
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	11	11	$56.00	$45.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	5,485	537	$69.94	$61.10
36415 Insertion of needle into vein for collection of blood sample	4,419	1,696	$10.00	$2.96
80053 Blood test, comprehensive group of blood chemicals	4,159	1,697	$38.00	$10.42
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	4,029	1,694	$28.00	$7.67
84443 Blood test, thyroid stimulating hormone (TSH)	3,626	1,653	$44.00	$16.58
84439 Thyroxine (thyroid chemical), free	3,620	1,661	$26.00	$8.89
80061 Blood test, lipids (cholesterol and triglycerides)	3,550	1,666	$33.00	$13.19
83036 Hemoglobin A1C level	3,498	1,631	$27.00	$9.56
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	2,542	138	$68.00	$41.70
99213 Established patient office or other outpatient visit, typically 15 minutes	2,004	1,258	$135.00	$87.51
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,869	342	$2.00	$0.12
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,833	339	$8.00	$1.14
82306 Vitamin d-3 level	1,584	942	$75.00	$29.09
82607 Cyanocobalamin (vitamin B-12) level	1,544	911	$36.00	$14.82
81000 Manual urinalysis test with examination using microscope, non-automated	1,173	737	$15.00	$3.95
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	1,018	1,018	$160.00	$126.18
82043 Urine microalbumin (protein) level	1,001	602	$20.00	$5.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	948	689	$190.00	$123.56
83540 Iron level	889	497	$21.00	$6.36
83550 Iron binding capacity	888	497	$25.00	$8.59
82728 Ferritin (blood protein) level	883	496	$35.00	$13.39
84403 Testosterone (hormone) level, total	767	455	$56.00	$25.36
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	689	59	$49.00	$13.88
84153 Psa (prostate specific antigen) measurement, total	685	430	$52.00	$18.08
J2785 Injection, regadenoson, 0.1 mg	668	167	$75.00	$60.24
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	590	583	$485.00	$193.29
G0444 Annual depression screening, 5 to 15 minutes	588	588	$22.00	$17.79
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose	492	246	$30.00	$9.83
J0696 Injection, ceftriaxone sodium, per 250 mg	492	107	$5.13	$0.50
80307 Testing for presence of drug, by chemistry analyzers	488	352	$100.00	$61.10
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	421	337	$16.00	$4.18
93880 Ultrasound of both sides of head and neck blood flow	406	406	$476.00	$185.72
J1885 Injection, ketorolac tromethamine, per 15 mg	404	87	$2.00	$0.56
83880 Natriuretic peptide (heart and blood vessel protein) level	352	245	$70.00	$38.64
71046 X-ray of chest, 2 views	351	292	$48.00	$32.77
77080 Dxa bone density measurement of hip, pelvis, spine	342	342	$180.00	$35.85
G0008 Administration of influenza virus vaccine	276	276	$35.00	$28.38
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	266	266	$85.00	$70.25
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	265	246	$385.67	$151.06
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	246	246	$665.00	$375.14
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	246	246	$194.00	$60.13
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	199	96	$105.00	$65.77
86140 Measurement C-reactive protein for detection of infection or inflammation	188	166	$19.00	$5.05
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	177	162	$75.00	$40.72
93000 Routine ekg using at least 12 leads including interpretation and report	172	164	$42.00	$13.75
77063 Screening digital tomography of both breasts	166	166	$150.00	$51.28
77067 Screening mammography	162	162	$195.80	$125.40
85610 Blood test, clotting time	155	50	$17.00	$4.24
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	151	151	$150.00	$128.44
G0103 Prostate cancer screening; prostate specific antigen test (psa)	131	131	$52.00	$18.90
82550 Creatine kinase (cardiac enzyme) level, total	131	108	$21.00	$6.35
86769 Measure of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody	118	51	$50.00	$41.89
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	111	62	$55.00	$39.46
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	100	95	$61.00	$50.67
72100 X-ray of lower and sacral spine, 2-3 views	98	95	$60.00	$39.01
20610 Aspiration and/or injection of fluid from large joint	81	62	$400.00	$67.46
73564 X-ray of knee, 4 or more views	77	59	$75.00	$45.31
87804 Detection test by immunoassay with direct visual observation for influenza virus	74	37	$35.00	$16.32
93241 Heart rhythm recording, analysis, report, review, and interpretation of continous external ekg over more than 48 hours up to 7 days	64	61	$700.00	$236.68
73030 X-ray of shoulder, minimum of 2 views	61	52	$61.00	$33.77
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	59	58	$75.00	$44.25
20552 Injections of trigger points in 1 or 2 muscles	54	49	$125.00	$50.96
84550 Uric acid level, blood	51	40	$18.00	$4.47
73560 X-ray of knee, 1-2 views	47	46	$50.00	$33.35
84481 Thyroid hormone, t3 measurement, free	46	37	$40.00	$16.73
73522 X-ray of both hips, 3-4 views	44	42	$80.00	$52.60
17003 Destruction of precancer skin growth, 2-14 growths	42	19	$22.00	$6.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$170.00	$108.12
95938 Placement of skin electrodes and measurement of stimulated sites on arms and legs	41	41	$634.00	$352.61
17000 Destruction of skin growth	41	38	$145.00	$64.89
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	41	38	$45.00	$15.71
72220 X-ray of sacrum and tailbone, minimum of 2 views	37	36	$65.00	$31.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$258.00	$161.87
94729 Test to examine how well the lungs exchange gases	35	35	$122.00	$56.61
73630 X-ray of foot, minimum of 3 views	35	32	$65.00	$33.70
94727 Determination of lung volumes using gas dilution or washout	35	35	$99.00	$42.35
94060 Test to measure expiratory airflow and volume changes before and after medication administration	35	35	$122.00	$37.39
83970 Parathormone (parathyroid hormone) level	34	26	$83.00	$40.81
82150 Amylase (enzyme) level	34	28	$21.00	$6.25
83690 Lipase (fat enzyme) level	33	28	$24.00	$6.64
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	33	32	$325.00	$116.83
83525 Insulin measurement, total	32	31	$30.00	$11.06
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	31	30	$100.00	$22.03
84402 Testosterone (hormone) level, free	31	28	$55.00	$25.13
93320 Ultrasound of heart blood flow, valves and chambers	31	30	$145.00	$48.30
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	31	12	$41.00	$21.53
93351 Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report	31	30	$500.00	$219.94
73502 X-ray of hip, 2-3 views	30	30	$75.00	$44.60
73610 X-ray of ankle, minimum of 3 views	30	28	$65.00	$35.94
76700 Ultrasound of abdomen	27	27	$180.00	$79.73
73130 X-ray of hand, minimum of 3 views	26	22	$63.00	$35.75
74019 X-ray of abdomen, 2 views	26	26	$55.00	$36.19
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	26	26	$250.00	$131.52
G0009 Administration of pneumococcal vaccine	25	25	$28.28	$25.24
72050 X-ray of upper spine, 4 or 5 views	24	24	$75.00	$52.20
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	23	23	$56.00	$46.44
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	23	23	$32.00	$16.32
82670 Measurement of total estradiol (hormone)	23	20	$60.00	$27.54
72070 X-ray of middle spine, 2 views	22	21	$67.00	$32.16
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	22	21	$130.00	$85.20
94618 Test for exercise-induced lung stress	21	20	$53.00	$32.56
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	21	21	$70.00	$60.22
20605 Aspiration and/or injection of medium joint or joint capsule	19	19	$220.00	$53.28
83001 Gonadotropin, follicle stimulating (reproductive hormone) level	18	14	$43.00	$18.34
73110 X-ray of wrist, minimum of 3 views	17	15	$70.00	$39.94
93925 Ultrasound of leg arteries or artery grafts	17	17	$600.00	$238.13
71100 X-ray of ribs of one side of body, 2 views	17	17	$66.00	$36.08
90471 Administration of 1 vaccine	16	16	$46.00	$16.17
76536 Ultrasound of head and neck	15	14	$225.00	$85.37
76705 Limited ultrasound scan of abdomen	15	15	$140.00	$60.59
73070 X-ray of elbow, 2 views	14	14	$57.00	$28.39
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	14	14	$190.00	$123.47
86677 Analysis for antibody to helicobacter pylori (gastrointestinal bacteria)	13	13	$35.00	$16.67
90715 Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older)	11	11	$75.00	$36.49

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	4,666	554	$45.00	$39.90
36415 Insertion of needle into vein for collection of blood sample	4,065	1,405	$10.00	$3.00
80053 Blood test, comprehensive group of blood chemicals	3,809	1,405	$38.00	$10.55
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	3,598	1,396	$28.00	$7.77
84443 Blood test, thyroid stimulating hormone (TSH)	3,163	1,382	$44.00	$16.80
83036 Hemoglobin A1C level	3,122	1,377	$27.00	$9.69
80061 Blood test, lipids (cholesterol and triglycerides)	3,112	1,388	$33.00	$13.36
84439 Thyroxine (thyroid chemical), free	3,052	1,381	$26.00	$9.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg	2,042	341	$2.00	$0.15
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	1,586	137	$68.00	$42.71
99213 Established patient office or other outpatient visit, typically 15 minutes	1,345	790	$129.54	$88.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,344	759	$181.31	$125.74
82306 Vitamin d-3 level	1,324	792	$75.00	$29.52
82607 Cyanocobalamin (vitamin B-12) level	1,305	776	$36.00	$15.02
81000 Manual urinalysis test with examination using microscope, non-automated	917	546	$15.00	$4.00
J2785 Injection, regadenoson, 0.1 mg	776	193	$75.00	$58.99
84403 Testosterone (hormone) level, total	724	415	$56.00	$25.73
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	683	55	$49.00	$13.86
J0696 Injection, ceftriaxone sodium, per 250 mg	672	142	$5.00	$0.54
83540 Iron level	635	415	$21.00	$6.43
G0444 Annual depression screening, 5 to 15 minutes	635	635	$22.00	$18.25
83550 Iron binding capacity	635	415	$25.00	$8.69
82728 Ferritin (blood protein) level	635	416	$35.00	$13.55
84153 Psa (prostate specific antigen) measurement, total	621	360	$52.00	$18.34
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	617	617	$159.94	$129.63
J1885 Injection, ketorolac tromethamine, per 15 mg	532	101	$2.00	$0.49
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose	514	255	$30.00	$9.93
82043 Urine microalbumin (protein) level	509	374	$20.00	$5.75
83880 Natriuretic peptide (heart and blood vessel protein) level	501	325	$70.00	$39.19
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	489	477	$485.00	$199.76
J1040 Injection, methylprednisolone acetate, 80 mg	421	289	$30.00	$10.64
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	402	95	$8.00	$1.20
77080 Dxa bone density measurement of hip, pelvis, spine	372	372	$180.00	$37.16
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	362	292	$16.00	$4.25
71046 X-ray of chest, 2 views	334	277	$48.00	$32.79
93880 Ultrasound of both sides of head and neck blood flow	329	329	$476.00	$195.38
86140 Measurement C-reactive protein for detection of infection or inflammation	305	255	$19.00	$5.17
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	271	255	$395.61	$157.36
G0008 Administration of influenza virus vaccine	266	266	$23.00	$16.47
80307 Testing for presence of drug, by chemistry analyzers	265	205	$100.00	$61.75
82550 Creatine kinase (cardiac enzyme) level, total	262	217	$21.00	$6.49
86769 Measure of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody	257	121	$50.00	$42.13
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	257	257	$70.00	$66.43
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	256	254	$665.00	$397.87
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	254	252	$194.00	$60.79
93000 Routine ekg using at least 12 leads including interpretation and report	237	217	$42.00	$14.37
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	174	78	$105.00	$66.91
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	173	149	$75.00	$45.23
85610 Blood test, clotting time	161	73	$17.00	$4.27
G0103 Prostate cancer screening; prostate specific antigen test (psa)	126	126	$56.38	$19.31
72100 X-ray of lower and sacral spine, 2-3 views	119	109	$60.00	$38.88
20605 Aspiration and/or injection of medium joint or joint capsule	97	77	$207.53	$57.13
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	89	55	$54.84	$39.64
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	88	80	$61.00	$51.61
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	82	82	$70.00	$59.95
73522 X-ray of both hips, 3-4 views	74	70	$80.00	$52.38
20552 Injections of trigger points in 1 or 2 muscles	69	58	$122.46	$53.05
73030 X-ray of shoulder, minimum of 2 views	65	57	$61.00	$33.48
73564 X-ray of knee, 4 or more views	60	48	$75.00	$44.92
72220 X-ray of sacrum and tailbone, minimum of 2 views	59	56	$65.00	$31.45
94729 Test to examine how well the lungs exchange gases	55	55	$122.00	$57.92
94060 Test to measure expiratory airflow and volume changes before and after medication administration	55	55	$122.00	$45.25
94727 Determination of lung volumes using gas dilution or washout	55	55	$99.00	$42.97
95938 Placement of skin electrodes and measurement of stimulated sites on arms and legs	53	53	$634.00	$350.93
82150 Amylase (enzyme) level	52	49	$21.00	$6.48
83690 Lipase (fat enzyme) level	52	49	$24.00	$6.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$170.00	$109.55
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	52	47	$130.00	$87.15
74019 X-ray of abdomen, 2 views	51	49	$55.00	$36.23
93241 Heart rhythm recording, analysis, report, review, and interpretation of continous external ekg over more than 48 hours up to 7 days	51	50	$700.00	$130.60
17003 Destruction of precancer skin growth, 2-14 growths	49	17	$22.00	$6.42
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	47	45	$325.00	$120.80
77063 Screening digital tomography of both breasts	46	46	$150.00	$53.69
84550 Uric acid level, blood	46	40	$18.00	$4.52
87804 Detection test by immunoassay with direct visual observation for influenza virus	46	22	$35.00	$16.55
77067 Screening mammography	46	46	$150.00	$129.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$258.00	$160.45
G0009 Administration of pneumococcal vaccine	43	42	$23.00	$16.43
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	43	42	$245.81	$124.94
17000 Destruction of skin growth	43	39	$145.00	$63.84
73630 X-ray of foot, minimum of 3 views	39	32	$65.00	$33.47
73560 X-ray of knee, 1-2 views	36	35	$50.00	$33.45
83970 Parathormone (parathyroid hormone) level	36	29	$83.00	$41.28
72070 X-ray of middle spine, 2 views	35	34	$67.00	$31.83
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	34	31	$45.00	$15.62
72050 X-ray of upper spine, 4 or 5 views	32	32	$75.00	$51.69
86677 Analysis for antibody to helicobacter pylori (gastrointestinal bacteria)	28	27	$35.00	$16.85
72148 MRI scan of lower spinal canal	27	27	$695.00	$132.38
73502 X-ray of hip, 2-3 views	27	27	$75.00	$45.55
94618 Test for exercise-induced lung stress	27	27	$53.00	$32.82
73610 X-ray of ankle, minimum of 3 views	26	24	$65.00	$35.81
93925 Ultrasound of leg arteries or artery grafts	26	26	$600.00	$249.39
73130 X-ray of hand, minimum of 3 views	22	18	$63.00	$35.47
76536 Ultrasound of head and neck	21	19	$225.00	$88.50
73110 X-ray of wrist, minimum of 3 views	21	16	$70.00	$39.50
84481 Thyroid hormone, t3 measurement, free	20	19	$40.00	$16.94
73721 Mri scan of leg joint without contrast	20	20	$745.00	$151.77
70551 Mri scan of brain without contrast	20	20	$771.00	$148.99
71100 X-ray of ribs of one side of body, 2 views	19	19	$66.00	$35.88
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	17	16	$100.00	$24.54
93320 Ultrasound of heart blood flow, valves and chambers	17	16	$145.00	$52.54
20610 Aspiration and/or injection of fluid from large joint	17	17	$400.00	$66.14
93351 Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report	17	16	$500.00	$234.71
76705 Limited ultrasound scan of abdomen	16	16	$140.00	$61.05
76700 Ultrasound of abdomen	16	16	$180.00	$77.09
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	16	16	$190.00	$125.91
93970 Ultrasound study of arm or leg veins with compression and maneuvers	16	16	$487.00	$187.73
73221 Mri scan of arm joint without contrast	15	14	$732.00	$149.77
90471 Administration of 1 vaccine	15	15	$46.00	$16.54
72141 MRI scan of upper spinal canal	15	15	$680.00	$114.52
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	14	14	$120.00	$73.49
84402 Testosterone (hormone) level, free	14	11	$55.00	$25.47
82670 Measurement of total estradiol (hormone)	14	12	$60.00	$27.94
96360 Infusion into a vein for hydration, 31-60 minutes	12	12	$117.00	$34.81
93224 Electrocardiogram (ecg) 2-day continuous with review and report by health care professional	11	11	$220.00	$69.98
73060 X-ray of upper arm, minimum of 2 views	11	11	$59.00	$31.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	5,269	491	$45.00	$40.80
36415 Insertion of needle into vein for collection of blood sample	3,737	1,344	$10.00	$2.98
80053 Blood test, comprehensive group of blood chemicals	3,448	1,331	$38.00	$10.49
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	3,310	1,325	$28.00	$7.72
84443 Blood test, thyroid stimulating hormone (TSH)	2,920	1,305	$44.00	$16.69
84439 Thyroxine (thyroid chemical), free	2,918	1,307	$26.00	$8.96
80061 Blood test, lipids (cholesterol and triglycerides)	2,858	1,309	$33.00	$13.30
83036 Hemoglobin A1C level	2,835	1,290	$27.00	$9.64
J1100 Injection, dexamethasone sodium phosphate, 1 mg	2,336	376	$3.58	$0.12
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	1,601	165	$68.00	$43.50
99213 Established patient office or other outpatient visit, typically 15 minutes	1,542	853	$113.00	$73.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,428	818	$165.00	$105.59
82306 Vitamin d-3 level	1,192	704	$75.00	$29.42
82607 Cyanocobalamin (vitamin B-12) level	1,181	697	$36.00	$14.99
J0696 Injection, ceftriaxone sodium, per 250 mg	1,042	213	$5.00	$0.58
J2785 Injection, regadenoson, 0.1 mg	784	193	$75.00	$58.93
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	712	57	$49.00	$13.94
81000 Manual urinalysis test with examination using microscope, non-automated	642	415	$15.00	$4.00
84403 Testosterone (hormone) level, total	619	334	$56.00	$25.59
J1040 Injection, methylprednisolone acetate, 80 mg	576	372	$28.64	$11.60
84153 Psa (prostate specific antigen) measurement, total	558	309	$52.00	$18.30
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose	512	252	$30.00	$9.94
J1885 Injection, ketorolac tromethamine, per 15 mg	504	109	$2.00	$0.57
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	470	461	$485.00	$202.39
83880 Natriuretic peptide (heart and blood vessel protein) level	463	299	$70.00	$38.99
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	342	277	$16.00	$4.24
71046 X-ray of chest, 2 views	315	270	$48.00	$31.65
93880 Ultrasound of both sides of head and neck blood flow	308	305	$476.00	$194.21
86140 Measurement C-reactive protein for detection of infection or inflammation	297	246	$19.00	$5.15
G0008 Administration of influenza virus vaccine	287	287	$23.00	$16.22
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	281	101	$105.00	$67.72
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml	280	15	$3.21	$1.53
83540 Iron level	273	199	$21.00	$6.42
83550 Iron binding capacity	273	199	$25.00	$8.70
90653 Vaccine for influenza for injection into muscle	272	272	$70.00	$59.52
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	270	253	$391.96	$161.83
82728 Ferritin (blood protein) level	266	191	$35.00	$13.57
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	258	254	$194.00	$61.50
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	257	253	$665.00	$383.42
82550 Creatine kinase (cardiac enzyme) level, total	241	203	$21.00	$6.47
77080 Dxa bone density measurement of hip, pelvis, spine	218	218	$180.00	$38.22
93000 Routine ekg using at least 12 leads including interpretation and report	212	189	$42.00	$16.54
85610 Blood test, clotting time	198	72	$17.00	$4.26
80307 Testing for presence of drug, by chemistry analyzers	175	139	$100.00	$61.45
G0103 Prostate cancer screening; prostate specific antigen test (psa)	102	102	$42.00	$19.18
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	96	96	$120.00	$113.98
20605 Aspiration and/or injection of medium joint or joint capsule	95	64	$110.00	$53.18
G0444 Annual depression screening, 5 to 15 minutes	93	93	$22.00	$17.82
83690 Lipase (fat enzyme) level	92	85	$24.00	$6.85
82150 Amylase (enzyme) level	91	84	$21.00	$6.44
82043 Urine microalbumin (protein) level	90	88	$20.00	$5.76
87804 Detection test by immunoassay with direct visual observation for influenza virus	85	42	$35.00	$16.31
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	83	79	$71.20	$45.23
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	83	83	$190.00	$119.25
G0009 Administration of pneumococcal vaccine	83	83	$23.66	$16.19
72100 X-ray of lower and sacral spine, 2-3 views	74	73	$61.84	$36.90
74019 X-ray of abdomen, 2 views	69	66	$53.49	$34.86
86769 Measure of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody	62	40	$52.35	$42.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$170.00	$105.27
20610 Aspiration and/or injection of fluid from large joint	61	43	$300.00	$63.32
73564 X-ray of knee, 4 or more views	60	45	$75.00	$42.35
20552 Injections of trigger points in 1 or 2 muscles	60	56	$100.00	$53.14
84550 Uric acid level, blood	55	48	$18.00	$4.50
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	54	46	$130.00	$89.75
17000 Destruction of skin growth	53	50	$145.00	$64.08
95938 Placement of skin electrodes and measurement of stimulated sites on arms and legs	52	51	$634.00	$338.75
70551 Mri scan of brain without contrast	50	49	$771.00	$144.09
17003 Destruction of precancer skin growth, 2-14 growths	48	24	$22.00	$5.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$258.00	$156.30
93224 Electrocardiogram (ecg) 2-day continuous with review and report by health care professional	44	42	$220.00	$76.47
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	43	39	$45.00	$15.86
86677 Analysis for antibody to helicobacter pylori (gastrointestinal bacteria)	42	40	$35.00	$16.74
83970 Parathormone (parathyroid hormone) level	40	36	$83.00	$41.09
72148 MRI scan of lower spinal canal	39	39	$695.00	$128.33
94060 Test to measure expiratory airflow and volume changes before and after medication administration	38	37	$122.00	$57.39
73522 X-ray of both hips, 3-4 views	38	37	$80.00	$50.29
73030 X-ray of shoulder, minimum of 2 views	36	32	$61.00	$32.06
94727 Determination of lung volumes using gas dilution or washout	36	36	$99.00	$42.41
73560 X-ray of knee, 1-2 views	35	33	$51.71	$32.30
72050 X-ray of upper spine, 4 or 5 views	35	35	$77.86	$48.92
73630 X-ray of foot, minimum of 3 views	34	28	$65.00	$31.67
73130 X-ray of hand, minimum of 3 views	33	24	$63.00	$33.80
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	33	32	$325.00	$115.51
72070 X-ray of middle spine, 2 views	32	31	$67.00	$30.65
72220 X-ray of sacrum and tailbone, minimum of 2 views	32	32	$65.00	$30.27
94729 Test to examine how well the lungs exchange gases	30	30	$122.00	$54.67
0295T External EKG recording for more than 48 hours up to 21 days with analysis, report, review and interpretation	29	29	$700.00	$306.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	28	$73.00	$44.11
93351 Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report	29	29	$500.00	$230.12
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	29	29	$90.17	$24.16
93320 Ultrasound of heart blood flow, valves and chambers	29	29	$145.00	$52.37
73721 Mri scan of leg joint without contrast	28	27	$745.00	$151.54
72141 MRI scan of upper spinal canal	28	27	$680.00	$124.36
93925 Ultrasound of leg arteries or artery grafts	25	25	$600.00	$244.69
94618 Test for exercise-induced lung stress	23	21	$53.00	$33.12
73502 X-ray of hip, 2-3 views	23	22	$75.00	$43.80
77085 Bone density measurement using dedicated x-ray machine	22	22	$100.00	$52.14
84481 Thyroid hormone, t3 measurement, free	21	17	$40.00	$16.79
73221 Mri scan of arm joint without contrast	21	18	$732.00	$150.20
93970 Ultrasound study of arm or leg veins with compression and maneuvers	20	18	$487.00	$187.16
73610 X-ray of ankle, minimum of 3 views	20	18	$65.00	$33.75
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	18	16	$41.00	$22.53
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	15	15	$35.00	$29.23
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	15	15	$32.00	$16.33
96360 Infusion into a vein for hydration, 31-60 minutes	15	13	$117.00	$32.94
72146 Mri scan of middle spinal canal	14	14	$687.00	$92.70
73110 X-ray of wrist, minimum of 3 views	14	12	$70.00	$37.58
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	13	13	$61.00	$52.08
71100 X-ray of ribs of one side of body, 2 views	11	11	$66.00	$34.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	6,080	557	$45.00	$40.66
36415 Insertion of needle into vein for collection of blood sample	3,864	1,281	$10.00	$2.94
J1100 Injection, dexamethasone sodium phosphate, 1 mg	3,844	542	$12.00	$0.12
80053 Blood test, comprehensive group of blood chemicals	3,613	1,277	$38.00	$11.50
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	3,443	1,272	$28.00	$8.46
84439 Thyroxine (thyroid chemical), free	2,931	1,252	$26.00	$9.81
84443 Blood test, thyroid stimulating hormone (TSH)	2,916	1,246	$44.00	$18.30
99213 Established patient office or other outpatient visit, typically 15 minutes	2,883	1,096	$113.00	$72.19
80061 Blood test, lipids (cholesterol and triglycerides)	2,867	1,249	$33.00	$14.56
83036 Hemoglobin A1C level	2,815	1,238	$27.00	$10.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,628	1,049	$165.00	$105.87
J0696 Injection, ceftriaxone sodium, per 250 mg	2,403	404	$2.81	$0.57
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	1,282	210	$68.00	$43.30
82306 Vitamin d-3 level	1,120	625	$75.00	$32.14
82607 Cyanocobalamin (vitamin B-12) level	1,090	615	$36.00	$16.36
J1040 Injection, methylprednisolone acetate, 80 mg	941	533	$24.99	$12.14
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	828	194	$105.00	$67.68
J2785 Injection, regadenoson, 0.1 mg	753	188	$72.59	$57.59
81000 Manual urinalysis test with examination using microscope, non-automated	734	417	$15.00	$3.94
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	653	55	$49.00	$16.20
84403 Testosterone (hormone) level, total	610	333	$56.00	$28.05
J1885 Injection, ketorolac tromethamine, per 15 mg	585	114	$2.00	$0.54
83880 Natriuretic peptide (heart and blood vessel protein) level	571	313	$70.00	$38.47
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	516	508	$485.00	$199.42
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose	512	255	$30.00	$9.82
71046 X-ray of chest, 2 views	500	348	$35.47	$30.33
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	483	483	$120.00	$113.54
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	440	304	$16.00	$4.17
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml	400	19	$4.10	$1.62
93880 Ultrasound of both sides of head and neck blood flow	353	353	$476.00	$193.39
86140 Measurement C-reactive protein for detection of infection or inflammation	337	258	$19.00	$5.62
84153 Psa (prostate specific antigen) measurement, total	314	211	$52.00	$19.94
G0444 Annual depression screening, 5 to 15 minutes	306	306	$22.00	$17.56
77080 Dxa bone density measurement of hip, pelvis, spine	285	285	$180.00	$38.47
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	271	255	$389.00	$160.71
G0008 Administration of influenza virus vaccine	264	260	$23.00	$15.90
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	256	255	$665.00	$383.54
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	256	255	$194.00	$61.24
85610 Blood test, clotting time	247	68	$17.00	$4.28
90653 Vaccine for influenza for injection into muscle	243	242	$70.00	$58.34
82550 Creatine kinase (cardiac enzyme) level, total	240	192	$21.00	$7.09
83550 Iron binding capacity	226	165	$25.00	$9.49
83540 Iron level	226	165	$21.00	$7.03
G0103 Prostate cancer screening; prostate specific antigen test (psa)	221	221	$42.00	$20.03
82728 Ferritin (blood protein) level	213	155	$35.00	$14.79
93000 Routine ekg using at least 12 leads including interpretation and report	207	186	$42.00	$16.36
80307 Testing for presence of drug, by chemistry analyzers	199	152	$100.00	$62.85
84402 Testosterone (hormone) level, free	181	172	$55.00	$27.73
87804 Detection test by immunoassay with direct visual observation for influenza virus	119	55	$48.00	$16.22
82150 Amylase (enzyme) level	114	93	$21.00	$7.06
83690 Lipase (fat enzyme) level	111	91	$24.00	$7.50
20610 Aspiration and/or injection of fluid from large joint	109	70	$272.56	$63.48
93224 Electrocardiogram (ecg) 2-day continuous with review and report by health care professional	88	84	$220.00	$78.68
72100 X-ray of lower and sacral spine, 2-3 views	80	77	$77.00	$35.17
74019 X-ray of abdomen, 2 views	75	71	$42.00	$33.49
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	74	19	$41.00	$21.96
84550 Uric acid level, blood	71	52	$18.00	$4.92
73564 X-ray of knee, 4 or more views	65	46	$75.00	$39.89
20552 Injections of trigger points in 1 or 2 muscles	64	53	$100.00	$53.28
70551 Mri scan of brain without contrast	64	63	$771.00	$144.21
73721 Mri scan of leg joint without contrast	63	51	$745.00	$148.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	46	$73.00	$43.77
17003 Destruction of precancer skin growth, 2-14 growths	52	25	$22.00	$5.44
72148 MRI scan of lower spinal canal	50	48	$695.00	$119.30
73030 X-ray of shoulder, minimum of 2 views	50	43	$61.00	$29.00
73522 X-ray of both hips, 3-4 views	48	46	$80.00	$48.09
17000 Destruction of skin growth	48	45	$145.00	$63.42
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	48	43	$130.00	$88.80
73630 X-ray of foot, minimum of 3 views	47	41	$65.00	$29.99
93320 Ultrasound of heart blood flow, valves and chambers	46	46	$145.00	$51.77
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	46	46	$85.00	$24.13
93351 Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report	46	46	$500.00	$225.33
94060 Test to measure expiratory airflow and volume changes before and after medication administration	46	44	$122.00	$57.22
94727 Determination of lung volumes using gas dilution or washout	46	44	$99.00	$42.00
94729 Test to examine how well the lungs exchange gases	46	44	$122.00	$52.99
95938 Placement of skin electrodes and measurement of stimulated sites on arms and legs	46	46	$634.00	$329.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$170.00	$105.46
72050 X-ray of upper spine, 4 or 5 views	45	42	$100.00	$48.49
G0009 Administration of pneumococcal vaccine	45	45	$28.00	$15.90
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	45	45	$186.44	$111.37
99497 Advance care planning, first 30 minutes	44	44	$95.00	$83.87
72220 X-ray of sacrum and tailbone, minimum of 2 views	40	38	$65.00	$29.31
73130 X-ray of hand, minimum of 3 views	40	31	$63.00	$32.01
86677 Analysis for antibody to helicobacter pylori (gastrointestinal bacteria)	39	39	$35.00	$16.51
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	35	34	$325.00	$114.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$258.00	$156.89
83970 Parathormone (parathyroid hormone) level	33	32	$83.00	$44.94
82043 Urine microalbumin (protein) level	33	31	$20.00	$6.29
72141 MRI scan of upper spinal canal	32	32	$680.00	$121.24
73221 Mri scan of arm joint without contrast	31	29	$732.00	$146.14
94640 Inhalation treatment for airway obstruction or sputum production	31	25	$37.00	$17.17
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	30	28	$45.00	$17.32
73560 X-ray of knee, 1-2 views	30	30	$60.00	$30.98
73502 X-ray of hip, 2-3 views	30	29	$75.00	$40.14
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	29	28	$190.00	$128.34
93925 Ultrasound of leg arteries or artery grafts	28	28	$600.00	$246.06
71100 X-ray of ribs of one side of body, 2 views	25	23	$66.00	$33.15
74021 X-ray of abdomen, minimum of 3 views	24	24	$47.00	$38.60
72070 X-ray of middle spine, 2 views	21	20	$67.00	$32.80
73610 X-ray of ankle, minimum of 3 views	20	18	$65.00	$32.01
20605 Aspiration and/or injection of medium joint or joint capsule	20	16	$126.50	$54.09
94618 Test for exercise-induced lung stress	19	17	$53.00	$33.33
96360 Infusion into a vein for hydration, 31-60 minutes	17	16	$117.00	$36.41
73110 X-ray of wrist, minimum of 3 views	17	16	$70.00	$35.06
82670 Measurement of total estradiol (hormone)	16	12	$60.00	$30.42
93970 Ultrasound study of arm or leg veins with compression and maneuvers	15	15	$487.00	$187.52
82533 Cortisol (hormone) measurement	13	12	$39.00	$17.75
73590 X-ray of lower leg, 2 views	12	11	$57.00	$28.28
90662 Influenza vaccine split virus, preservative free	12	12	$52.00	$50.96
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	12	12	$32.00	$16.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	6,961	676	$45.00	$40.68
36415 Insertion of needle into vein for collection of blood sample	3,868	1,265	$10.00	$2.94
J1100 Injection, dexamethasone sodium phosphate, 1 mg	3,737	547	$12.00	$0.12
80053 Blood test, comprehensive group of blood chemicals	3,611	1,263	$38.00	$12.78
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	3,384	1,256	$28.00	$9.40
84443 Blood test, thyroid stimulating hormone (TSH)	2,802	1,232	$44.00	$20.32
84439 Thyroxine (thyroid chemical), free	2,801	1,237	$26.00	$10.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,791	1,110	$165.00	$103.56
80061 Blood test, lipids (cholesterol and triglycerides)	2,767	1,242	$33.00	$16.17
83036 Hemoglobin A1C level	2,664	1,213	$27.00	$11.74
99213 Established patient office or other outpatient visit, typically 15 minutes	2,253	967	$113.00	$70.23
J0696 Injection, ceftriaxone sodium, per 250 mg	2,158	363	$2.00	$0.61
82306 Vitamin d-3 level	1,201	723	$75.00	$35.68
82607 Cyanocobalamin (vitamin B-12) level	1,153	709	$36.00	$18.17
81000 Manual urinalysis test with examination using microscope, non-automated	923	538	$15.00	$3.93
J1040 Injection, methylprednisolone acetate, 80 mg	911	534	$25.00	$12.95
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	796	209	$68.00	$43.32
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	721	58	$49.00	$19.62
J2785 Injection, regadenoson, 0.1 mg	668	167	$70.00	$55.65
71046 X-ray of chest, 2 views	637	440	$35.00	$29.01
84403 Testosterone (hormone) level, total	602	339	$56.00	$31.23
83880 Natriuretic peptide (heart and blood vessel protein) level	589	302	$70.00	$41.00
84402 Testosterone (hormone) level, free	577	330	$55.00	$30.77
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	571	184	$105.00	$67.26
J1885 Injection, ketorolac tromethamine, per 15 mg	568	114	$2.00	$0.57
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	527	343	$16.00	$4.28
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	527	527	$120.00	$112.32
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	470	465	$485.00	$198.95
86140 Measurement C-reactive protein for detection of infection or inflammation	402	300	$19.00	$6.25
93880 Ultrasound of both sides of head and neck blood flow	348	347	$476.00	$193.65
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose	341	171	$30.00	$9.87
82550 Creatine kinase (cardiac enzyme) level, total	307	226	$21.00	$7.86
77080 Dxa bone density measurement of hip, pelvis, spine	283	283	$180.00	$39.67
93000 Routine ekg using at least 12 leads including interpretation and report	278	219	$42.00	$16.11
G0008 Administration of influenza virus vaccine	252	243	$23.44	$19.51
90662 Influenza vaccine split virus, preservative free	243	235	$51.84	$50.72
84153 Psa (prostate specific antigen) measurement, total	242	177	$52.00	$22.26
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	239	231	$394.56	$163.36
G0103 Prostate cancer screening; prostate specific antigen test (psa)	236	236	$42.00	$22.26
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	233	233	$665.00	$386.89
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	230	230	$194.00	$60.51
85610 Blood test, clotting time	223	79	$17.00	$4.75
83550 Iron binding capacity	207	147	$25.00	$10.57
83540 Iron level	206	146	$21.00	$7.83
82728 Ferritin (blood protein) level	195	141	$35.00	$16.49
87804 Detection test by immunoassay with direct visual observation for influenza virus	153	70	$52.00	$16.22
99497 Advance care planning, first 30 minutes	146	145	$95.00	$82.36
80307 Testing for presence of drug, by chemistry analyzers	141	123	$100.00	$69.53
20610 Aspiration and/or injection of fluid from large joint	140	89	$174.24	$64.75
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	100	84	$130.00	$88.81
72100 X-ray of lower and sacral spine, 2-3 views	95	91	$77.00	$33.33
82150 Amylase (enzyme) level	92	83	$21.00	$7.84
83690 Lipase (fat enzyme) level	90	82	$24.00	$8.34
72148 MRI scan of lower spinal canal	86	84	$695.00	$126.49
93224 Electrocardiogram (ecg) 2-day continuous with review and report by health care professional	82	77	$220.00	$78.96
17003 Destruction of precancer skin growth, 2-14 growths	82	30	$22.00	$5.02
84550 Uric acid level, blood	79	59	$18.00	$5.47
94729 Test to examine how well the lungs exchange gases	73	70	$122.00	$51.39
94060 Test to measure expiratory airflow and volume changes before and after medication administration	73	70	$122.00	$57.12
94727 Determination of lung volumes using gas dilution or washout	73	70	$99.00	$41.70
73721 Mri scan of leg joint without contrast	72	57	$745.00	$146.58
82043 Urine microalbumin (protein) level	71	45	$20.00	$6.92
74019 X-ray of abdomen, 2 views	71	65	$42.00	$31.65
70551 Mri scan of brain without contrast	66	64	$771.00	$148.38
20552 Injections of trigger points in 1 or 2 muscles	63	56	$100.00	$50.43
17000 Destruction of skin growth	63	59	$145.00	$62.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$170.00	$104.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	60	40	$73.00	$42.13
73522 X-ray of both hips, 3-4 views	60	59	$80.00	$46.41
95938 Placement of skin electrodes and measurement of stimulated sites on arms and legs	55	55	$634.00	$327.16
73564 X-ray of knee, 4 or more views	52	42	$75.00	$37.61
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	51	48	$325.00	$115.11
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	51	51	$125.00	$105.59
94640 Inhalation treatment for airway obstruction or sputum production	51	46	$37.00	$17.60
G0009 Administration of pneumococcal vaccine	50	50	$28.00	$19.51
72220 X-ray of sacrum and tailbone, minimum of 2 views	50	49	$65.00	$26.90
73630 X-ray of foot, minimum of 3 views	45	36	$65.00	$27.87
73030 X-ray of shoulder, minimum of 2 views	44	39	$61.00	$27.90
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	40	15	$41.00	$20.61
73221 Mri scan of arm joint without contrast	39	38	$732.00	$151.58
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	38	38	$85.00	$24.41
93320 Ultrasound of heart blood flow, valves and chambers	38	38	$145.00	$51.96
93351 Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report	38	38	$500.00	$224.01
83970 Parathormone (parathyroid hormone) level	36	27	$83.00	$49.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$258.00	$159.08
72050 X-ray of upper spine, 4 or 5 views	33	33	$100.00	$43.11
72141 MRI scan of upper spinal canal	32	32	$680.00	$119.11
73560 X-ray of knee, 1-2 views	31	31	$60.00	$29.49
86677 Analysis for antibody to helicobacter pylori (gastrointestinal bacteria)	30	28	$35.00	$17.55
73130 X-ray of hand, minimum of 3 views	28	22	$63.00	$30.20
94618 Test for exercise-induced lung stress	27	25	$53.00	$33.14
73502 X-ray of hip, 2-3 views	27	25	$75.00	$39.33
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	23	22	$45.00	$19.25
73610 X-ray of ankle, minimum of 3 views	23	20	$65.00	$29.86
96360 Infusion into a vein for hydration, 31-60 minutes	22	19	$117.00	$44.16
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	22	13	$48.00	$40.14
72070 X-ray of middle spine, 2 views	22	22	$67.00	$32.28
93970 Ultrasound study of arm or leg veins with compression and maneuvers	21	21	$487.00	$185.75
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	21	21	$190.00	$127.11
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	21	19	$32.00	$16.20
93925 Ultrasound of leg arteries or artery grafts	21	20	$600.00	$248.79
71100 X-ray of ribs of one side of body, 2 views	20	19	$66.00	$31.65
74021 X-ray of abdomen, minimum of 3 views	18	18	$47.00	$37.02
82533 Cortisol (hormone) measurement	16	15	$39.00	$19.72
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	14	13	$61.00	$51.73
69210 Removal of impacted ear wax	13	12	$95.00	$46.90
84481 Thyroid hormone, t3 measurement, free	13	12	$40.00	$20.50
76700 Ultrasound of abdomen	13	13	$180.00	$80.77
20605 Aspiration and/or injection of medium joint or joint capsule	13	13	$126.92	$49.04

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	8,311	805	$44.64	$40.36
36415 Insertion of needle into vein for collection of blood sample	3,847	1,219	$10.00	$2.94
J1100 Injection, dexamethasone sodium phosphate, 1 mg	3,695	512	$11.99	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	3,690	1,203	$165.00	$102.36
80053 Blood test, comprehensive group of blood chemicals	3,532	1,217	$38.00	$13.29
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	3,270	1,210	$28.00	$10.44
84443 Blood test, thyroid stimulating hormone (TSH)	2,740	1,190	$44.00	$22.58
80061 Blood test, lipids (cholesterol and triglycerides)	2,738	1,193	$33.00	$11.77
84439 Thyroxine (thyroid chemical), free	2,697	1,191	$26.00	$12.10
83036 Hemoglobin A1C level	2,640	1,178	$27.00	$13.03
J0696 Injection, ceftriaxone sodium, per 250 mg	2,181	351	$2.00	$0.65
99213 Established patient office or other outpatient visit, typically 15 minutes	1,987	835	$113.00	$69.53
82607 Cyanocobalamin (vitamin B-12) level	1,182	738	$36.00	$20.21
82306 Vitamin d-3 level	1,178	747	$75.00	$36.42
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	1,118	234	$105.00	$66.59
95004 Test for allergy using allergenic extract	1,050	13	$12.00	$6.15
J1040 Injection, methylprednisolone acetate, 80 mg	791	462	$25.00	$10.98
81000 Manual urinalysis test with examination using microscope, non-automated	782	497	$15.00	$4.25
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	754	754	$120.00	$110.49
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	734	59	$49.00	$24.04
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml	731	38	$4.00	$1.86
J2785 Injection, regadenoson, 0.1 mg	713	178	$69.41	$53.71
71020 X-ray of chest, 2 views, front and side	618	445	$64.00	$26.30
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	592	580	$485.00	$213.61
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	549	11	$17.00	$12.30
J1885 Injection, ketorolac tromethamine, per 15 mg	512	106	$2.00	$0.67
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	472	334	$16.00	$4.76
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	444	166	$68.00	$43.05
93880 Ultrasound of both sides of head and neck blood flow	436	434	$476.00	$189.03
77080 Dxa bone density measurement of hip, pelvis, spine	405	404	$180.00	$38.18
86140 Measurement C-reactive protein for detection of infection or inflammation	349	265	$19.00	$6.96
84403 Testosterone (hormone) level, total	306	245	$56.00	$34.62
84402 Testosterone (hormone) level, free	289	231	$55.00	$34.15
80307 Testing for presence of drug, by chemistry analyzers	288	260	$97.76	$59.66
93000 Routine ekg using at least 12 leads including interpretation and report	278	242	$42.00	$15.82
G0008 Administration of influenza virus vaccine	259	255	$28.00	$23.91
83880 Natriuretic peptide (heart and blood vessel protein) level	257	165	$70.00	$45.48
90662 Influenza vaccine split virus, preservative free	250	247	$49.87	$47.85
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	244	237	$399.28	$166.61
82550 Creatine kinase (cardiac enzyme) level, total	244	195	$21.00	$5.29
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	243	242	$194.00	$63.18
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	243	241	$665.00	$377.63
G0103 Prostate cancer screening; prostate specific antigen test (psa)	241	241	$42.00	$24.73
87804 Detection test by immunoassay with direct visual observation for influenza virus	222	104	$52.00	$15.99
82728 Ferritin (blood protein) level	208	149	$35.00	$18.33
85610 Blood test, clotting time	208	86	$17.00	$5.28
83540 Iron level	207	147	$21.00	$8.70
83550 Iron binding capacity	206	146	$25.00	$11.75
84153 Psa (prostate specific antigen) measurement, total	195	144	$52.00	$24.73
20610 Aspiration and/or injection of fluid from large joint	170	95	$175.01	$64.02
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	149	133	$130.00	$88.32
J1030 Injection, methylprednisolone acetate, 40 mg	122	109	$9.88	$5.43
82150 Amylase (enzyme) level	111	95	$21.00	$8.71
72100 X-ray of lower and sacral spine, 2-3 views	108	98	$77.00	$32.77
17003 Destruction of precancer skin growth, 2-14 growths	107	36	$22.00	$5.30
93224 Electrocardiogram (ecg) 2-day continuous with review and report by health care professional	94	88	$220.00	$76.86
73564 X-ray of knee, 4 or more views	78	58	$75.00	$37.23
94640 Inhalation treatment for airway obstruction or sputum production	75	66	$37.00	$17.05
20552 Injections of trigger points in 1 or 2 muscles	73	64	$100.00	$51.09
72148 MRI scan of lower spinal canal	71	69	$695.00	$120.13
94727 Determination of lung volumes using gas dilution or washout	70	70	$99.00	$39.62
94060 Test to measure expiratory airflow and volume changes before and after medication administration	70	70	$122.00	$57.05
94729 Test to examine how well the lungs exchange gases	70	70	$122.00	$50.91
74020 Imaging of abdomen	69	64	$85.00	$35.35
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	69	20	$200.00	$152.22
70551 Mri scan of brain without contrast	68	67	$771.00	$142.62
17000 Destruction of skin growth	65	60	$145.00	$61.78
73522 X-ray of both hips, 3-4 views	63	57	$80.00	$45.40
73721 Mri scan of leg joint without contrast	62	57	$745.00	$144.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$170.00	$103.18
84550 Uric acid level, blood	60	52	$18.00	$4.80
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	58	54	$32.00	$16.11
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	58	40	$48.00	$39.39
72220 X-ray of sacrum and tailbone, minimum of 2 views	55	52	$65.00	$25.96
73630 X-ray of foot, minimum of 3 views	55	46	$65.00	$27.27
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	55	55	$110.00	$95.76
G0009 Administration of pneumococcal vaccine	54	54	$28.00	$23.91
73030 X-ray of shoulder, minimum of 2 views	53	47	$61.00	$27.29
82043 Urine microalbumin (protein) level	49	41	$20.00	$7.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	29	$73.00	$41.50
73560 X-ray of knee, 1-2 views	45	42	$60.00	$28.89
95938 Placement of skin electrodes and measurement of stimulated sites on arms and legs	45	45	$634.00	$320.02
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	44	40	$325.00	$108.20
93925 Ultrasound of leg arteries or artery grafts	44	44	$600.00	$241.44
72141 MRI scan of upper spinal canal	41	41	$680.00	$121.68
72050 X-ray of upper spine, 4 or 5 views	41	41	$100.00	$42.73
94620 Pulmonary exercise testing	40	37	$138.00	$53.22
73130 X-ray of hand, minimum of 3 views	40	28	$63.00	$28.93
83690 Lipase (fat enzyme) level	39	35	$24.00	$9.26
73221 Mri scan of arm joint without contrast	37	34	$732.00	$147.06
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	35	34	$61.00	$51.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$258.00	$157.91
96360 Infusion into a vein for hydration, 31-60 minutes	30	28	$117.00	$53.81
93351 Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report	29	29	$500.00	$255.37
93320 Ultrasound of heart blood flow, valves and chambers	29	29	$145.00	$51.11
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	29	29	$85.00	$23.79
73502 X-ray of hip, 2-3 views	29	26	$75.00	$38.89
72070 X-ray of middle spine, 2 views	28	27	$67.00	$31.96
86677 Analysis for antibody to helicobacter pylori (gastrointestinal bacteria)	26	23	$35.00	$11.00
74022 Complete x-ray study of abdomen with single x-ray of chest	24	22	$92.00	$42.02
93970 Ultrasound study of arm or leg veins with compression and maneuvers	24	24	$487.00	$181.34
73610 X-ray of ankle, minimum of 3 views	23	20	$65.00	$29.56
80048 Blood test, basic group of blood chemicals (calcium, total)	22	16	$25.00	$11.18
70553 Mri scan of brain before and after contrast	22	22	$1303.00	$247.53
71100 X-ray of ribs of one side of body, 2 views	20	20	$66.00	$31.03
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	20	20	$175.00	$163.57
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	19	19	$28.00	$21.38
72146 Mri scan of middle spinal canal	15	15	$687.00	$138.96
76700 Ultrasound of abdomen	13	13	$180.00	$88.58
73110 X-ray of wrist, minimum of 3 views	12	12	$70.00	$33.20
70544 Mri scan of blood vessels of head without contrast	11	11	$930.00	$206.37
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$220.00	$139.02
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s)	11	11	$35.00	$19.18

Medical Specialties & State Licenses

CMS Verified: 2022-08-09

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX J1902

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

Commercial Insurance / Payer ID Bcbs

88731Y (TX)

Hospital & Practice Group Affiliations

Tyler Internal Medicine Associates, P.a

1910 Roseland Blvd, Tyler, TX 757014246

Phone: 9035330644

Practice Associates & Co-Workers

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

19 Associated Practitioners

Jeffrey Pilette , FNP

Nurse Practitioner - Family

NPI 1033155270

Family Nurse Practitioner

William Williams , PA-C

Physician Assistant

NPI 1093814949

Physician Assistant (Certified)

Carolyn Johnson , MSN, APRN, FNP-C

Nurse Practitioner - Family

NPI 1114482569

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Blaise Davis , FNP-C, FNP-BC

Nurse Practitioner - Family

NPI 1114671500

Family Nurse Practitioner (Certified), Family Nurse Practitioner (Board Certified)

Dr. Ramiro Villena , MD

Internal Medicine

NPI 1184690968

Doctor of Medicine (M.D.)

Dr. C. Branch , DO

Family Medicine

NPI 1205814753

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 20, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location January 20, 2015

Registered at 1910 ROSELAND BLVD, TYLER, TX 75701 (Tel: 9035330644)

📍

Updated Business Mailing Address January 20, 2015

Registered at 1910 ROSELAND BLVD, TYLER, TX 75701 (Tel: 9035330644)

👤

Provider Name / Credentials Updated January 20, 2015

Recorded as THOMAS BUZBEE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2015

Internal Medicine (License #J1902 in TX)

🟢

Initial NPI Registration & Enumeration September 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1770682619

Entity Type:

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

Enumeration Date: September 21, 2006

Last Update: August 09, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1910 Roseland Blvd

Tyler, TX 75701

Phone: 9035330644

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.